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17C-088 (9) 106 CHESTNUT ST BP-2021-0042 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-088 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:CHIMNEY RELINE BUILDING PERMIT Permit# BP-2021-0042 Proiect# JS-2021-000058 Est.Cost: $1488.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO.- Const. O.Const.Class: Contractor: License: Use Group CORY MCGILL DBA DONE RIGHT CHIMNEY SERVICES 107658 Lot Size(sq. ft.): 10759.32 Owner: MCINERNEY TAKLA A&MAUREEN CONROY Zoning: URB(100)/ Applicant: CORY MCGILL DBA DONE RIGHT CHIMNEY SERVICES AT. 106 CHESTNUT ST Applicant Address: Phone: Insurance: PO BOX 1054 (413) 340-1399 WILLIAMSBURGMA01096 ISSUED ON.7/13/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:CHIMNEY LINER POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeTy pe: Date Paid: Amount: t3uildin 7/13/2020 0:00:00 $65.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Building Department Curb Cut/Driveway Permit A 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: _ I Vf ' - This section to be completed by office fi Q f J Map �-► Lot U O Unit 106 Chestnut Street U� Florence, MA 01062 2��� Zon� Overlay District nF�DFi-4lnr�;� EI St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED ETVT; 2.1 Owner of Record: Tekla McInerney 106 Chestnut Street, Florence MA 01062 Name(Print) Current Mailing Address: Tekla Mcinerny Telephone 65-0832 p Signature 2.2 Authorized Agent: Cory McGill dba Done Right Chimney P.O. Box 1054. Williamsburg, Ma 01096 Name(P 'nt) ` Current Mailing Address, - �Z. 413-575-9587 Si ature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $1,488.39 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 + 2 + 3+4+ 5) $1,488.39 Check Number This Section For Official Use Only Building Permit Number. `-�� '— — T Z' Date Issued: Signature: / J- 13- 20Z& Building Commissioner/Inspector of Buildings Date Donerightchimneyservices @gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) �tti SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) X Roofing EJ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding [p] Other[C7] Brief Description of Proposed To line existing masonry chimney with a 6"diameter 316 Titanium stainless steel liner to NFPA 211 Standards,to vent Work: existing gas burner and water heater; NFPA 211 Level 2 inspection completed prior to installing liner Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Tekla McInerney as Owner of the subject property hereby authorize Cory McGill to act on my behalf, in all matters relative to work authorized by this building permit application. Tekla McInerney 7/10/2020 Signature of Owner Date I, Cory McGill as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Cory McGill Print N -711 Sigp6ture of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Cory McGill dba Done Right Chimney CS-107568 License Number P.O. Box 1054. Williamsburg, Ma 01096 05/24/2021 Address Expiration Date 413-575-9587 Sign re Telephone 9.Registered Home Irnarovemenf Canfracfvrrw ;, �' Not Applicable ❑ Cory McGill dba Done Right Chimney 178722 Company Name Registration Number P.O. Box 1054. Williamsburg, Ma 01096 08/27/2020 Address Expiration Date Telephone 413-575-9587 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... [X No...... ❑ City of Northampton Massachusetts fG DEPAR2MWT OF BUILDING INSPECTIONS 212 Main Street a Municipal Building : Northampton, MA 01060 �'^^»»V^"E► AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note.If the homeowner has contracted with a corporation or LLC,that entity must be registered Type Of Work:chimney re-lining Est. Cost: 1488.39 Address of Work: 106 Chestnut Street,Florence,MA 01062 Date of Permit Application:7/10/2020 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied _Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: IASl -, 7VAX Efate ntractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts ti�2S`S s,rCc f a DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 sfY 11� Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 106 Chestnut Street, Florence, MA 01062 (Please print house number and street name) Is to be disposed of at: Valley Recycling 234 Easthampton Road. Northampton, Ma 01060 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) -711Si ature of Permit Applicant or Owner Da e If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts _ Department of Industrial Accidents I Congress Street,Suite 100 < Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Cory McGill dba Done Right Chimney Address:P.O. Box 1054 City/State/Zip: Williamsburg, Ma 01096 Phone#: 413-575-9587 Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).' 7. New construction 2®I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] ❑I am a homeowner doing all work myself 9. ❑Demolition g y [No workers'comp.insurance required.]t 4❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 l.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other Chimney Liner Install 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: i Expiration Date: Job Site AddressJ& C,L"Mda( 5-1- City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy ndmber and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information Provided above is true and correct Signature: ` Date: / Phone#: -575-9587 Official use only. Do not write in this area,to be completed by city or town ofj'iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: INSTALLATION INSTRUCTIONS Phone:888-900-8106 FOR BEST-Flex Models "L", "H", "S", & "E„ Fax:888-392-4432 Web:www.NewEnglandChimneySupply.com STAINLESS STEEL CHIMNEY LINERS 34 Commerce Street,Williston VT 05495 w BEST-Flex Models "l." "11" 66s"' PRO& "E„ A A DUCTS X-r J I I ' ' STAINLESS STEEL CHIMNEY LINERS BEST-Flex Models"L","H","S",&"E"Stainless Steel Chimney Liners are manufactured by New England Supply Inc.Located in Williston,VT. The BEST-Flex lining system is designed and UL listed to be installed inside masonry chimneys.BEST-Flex liners are used to vent the gases and by-products produced by appliances that burn oil,gas,or solid fuels. All appliances require certain venting specifications and the liner is not to be sized less than specified in the appliance manufacturer's instructions. For the best operation refer to the appliance manufacturer's instructions to determine any special necessities for that specific appliance. The installer must contact the local building and fire code officials for a variety of reasons: • The installation may require special inspection requirements. • Building permits may be required before installation. • Compliance with local building codes. (Authorities with local jurisdiction such as Inspectors,Municiple Building Departments,Fire Departments,and Fire Bureau's have precedence over national codes). For proper results and operation use only materials or components specified in these installation instructions. Using parts or materials not specified may result in undesireable effects. The lining system safety,code compliance,warranty and performance may be compromised if the installation instructions are not followed BEST-Flex Stainless Steel Chimney Liners are tested and listed by Underwriters Laboratories. • In the United States they are tested to UL 1777 and can be installed in NEW&EXISTING masonry chimneys. • In Canada they are tested to ULC S635 and are to be installed in EXISTING masonry chimneys. PRODUCT INFORMATION FOR BEST-Flex CHIMNEY LINERS • The BEST-Flex Stainless Steel Flexible Chimney liner is designed to reline existing chimneys or to be used as a liner in new construction. Manufactured with the highest quality, mill certified alloy.BEST-Flex Stainless Steel Flexible Chimney Liner has a high acid fighting capability. Listed by UL Laboratories to UL 1777&ULC S635 standards for zero clearance installation.BEST-Flex can be used to vent wood,wood pellet,coal,non- condensing gas and oil,making it the choice for venting all standard efficiency installations.UL listed BEST-Flex is available in 3"to 12"diameters (13"above is not listed)to cover a wide range of requirements found in the field today. • The unique manufacturing systems used to make BEST-Flex utilizes a continuous strip of stainless steel,7-ply interlocked and crimped to produce a gas and water tight lining system of superior strength and durability.BEST-Flex can be curved to go around offsets in chimneys and can be factory ovalized to custom sizes to fit most any installation requirement.Unless specified by the manufacturer,the liner is not to be field ovalized. The corrugated construction allows for expansion&contraction during the heat-up&cool-down periods,which removes any stresses on the system. • BEST-Flex can be insulated with either a vermiculite based poured insulation or with a foil-faced ceramic wool blanket to meet UL 1777&ULC S635 standards for chimney exteriors with zero clearance to combustibles. • BEST-Flex Stainless Steel Chimney Liner comes with a Life Time Warranty for all fuels,with appliance efficiencies at 83 percent or lower. MATERIALS REQUIRED FOR BEST-Flex STAINLESS STEEL LINER INSTALLATION: Liner Model-"L","H", "S", &"E" t.. TT/TB-Two piece or one piece tee TEC-Tee Cap � EA/EF-150-901 elbow C/CC-Coupler Screws/Rivets OPTION A OPTION B TP-Top Plate TPCC-Liner Cap TC-Top Clamp OR TPC-Top Plate OR, SC-Storm Collar CL-Liner Cap(square/round) [3 0 a INSULATION MATERIALS REQUIRED(if applicable) Part# Descri tp ion A L12 Liner Insulation 1/2"Foil Faced Ceramic Wool Blanket �. LM Liner Mesh Protective Wire Mesh Sleeve FT(2", 3") Aluminum Foil Tape �. LMC(large/small) Mesh Clamp BMIX BEST Mix .