24D-246 (4) • BP-2022-0736
55 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-246-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0736 PERMISSIONISHEREBYGRANTED TO:
Project# chimney re-line Contractor: License:
Est. Cost: 11136 CORY J MCGILL 107658
Const.Class: Exp.Date:05/25/2023
Use Group: Owner: WOOLF PHYLLIS J
Lot Size (sq.ft.)
Zoning: URC Applicant: CORY J MCGILL DBA DONE RIGHT CHIMNEY
Applicant Address Phone: Insurance:
PO BOX 1054 (413)340-1399 WCV 01525600
WILLIAMSBURG, MA 01096
ISSUED ON:06/21/2022
TO PERFORM THE FOLLOWING WORK:
CHIMNEY RE-LINING
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
:11.401 .,
�,'� •
Fees Paid: $78.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Mass*hus
Board of Building Regulations and Sta darA
FOR
0/, Massachusetts State Building Code,78 C)v1RN 2 1 2022 M CIPALITY
USE
Building Permit Application To Construct,Repair, Or Demolish a Rev' ed Mar 2011
One-or Two-Family Diatelling Nrcg'n 7NG itvra�EOp
This Section For Official Use Only
Building Permit Number:umJ • ?1 • 13 Date Applied:
4„„..) Koss ��� r; 2' z zz
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
55 Crescent Street
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP1
2.1 Owner'of Record: ton, MA 01060 Northam
Phyllis Woolf P
Name(Print) City,State,ZIP
55 Crescent Street 413-539-4227 charlie.lotspeich@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.❑ Number of Units Other J81 Specify: Chimney re-lining
Brief Description of Proposed Work2: To remove all obstructions and debris from existing masonry chimney
To cut into chimney in basement and install 3 thimbles. To reline chimney with a 9" smooth wall 316L
stainless steel liner with 3 tee snouts. To reroute boilers and water heaters to liner under supervision
of plumber so vent connectors are sized properly for max BTU's (plumber will pull gas permit)
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 10,286.85 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 850.00 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) Total All Fees:$
Check No.?`{O Check Amount: 10 Cash Amount:
6.Total Project Cost: S 11,136.85 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-107568 05/25/2023
Cory McGill License Number Expiration Date
Name of CSL Holder
P.O. Box 1054 List CSL Type(see below) U
No.and Street Type Description
Williamsburg, Ma 01096 U Unrestricted(Buildings up to 35,000 Cu.ft.)
g R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-340-1399 Donerightchimneyservicescgmail.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Cory McGill 178722 08/27/2022
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
P.O. Box 1054 Donerightchimneyservices@gmail.com
No.and Street Email address
Williamsburg, Ma 01096 413-340-1399
City/Town,State,ZIP Telephone
SECTION 6: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 No ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,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.
Phyllis Woolf t+ko C 9,1 ZDL
Print Owner's Name(Electro Signatur ) Date
SECTION 7h:OWNER1 OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Cory McGill if/46,14' ,31f �Print Owner's or Authorized Agent's (Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at wwv.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department oflndustrialAccidents
=R1= 1 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/IndividuaI): Done Right Chimney
Address: P.O. Box 1054, 45 Main Street, Unit B
City/state/zip:Williamsburg, Ma 01096 Phone#413-340-1399
Are you an employer?Check the appropriate box: Type of project(required):
I.E1 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.]
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. ❑Demolition
10 ❑Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.❑I am a general contractor and l have hired the sub-contractors listed on the attached sheet. 13.E Roof repairs
These sub-contractors have employees and have workers'comp,insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other Chimney re-lining
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box;f 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: Atlantic Charter Insurance Company
Policy#or Self-ins.Lic.#: WCV 01525600 Expiration Date: 06/28/2022
Job Site Address: 55 Crescent Street City/State/Zip: Northampton, MA 01060
Attach a copy of the workers' compensation policy declaration page(showing the policy number 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: - l/l.(�;1,'( Date: £% t(
Phone#: 413- 40-1399
Official use only. Do not write in this area,to be completed by city or town official.
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#:
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste 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.
Address of the work: 55 Crescent St. Northampton, Ma 01060
The debris will be transported by: Done Right Chimney
The debris will be received by: Valley Recycling
Building permit number:
Name of Permit Applicant Cory McGill dba Done Right Chimney
;/; V /I) 4'11.aLt
Date Signature of Permit Applicant
3 SPECIFICATION SHEET Phone:888 900 8106
10
FOR BEST-Flex Model "H" Fax:888 392 4432
i /�� STAINLESS STEEL CHIMNEY LINERS Web:www.NewEnglandChimneySupply.com
/ 34 Commerce Street,Williston VT 05495
'__Nj r BEST-Flex Model "H" firgir
STAINLESS STEEL CHIMNEY LINER
New England Supply
BEST-Flex Model "H"Stainless Steel Chimney Liner is 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 flue gases and combustion byproducts produced by appliances that burn oil, gas, or solid fuels.
BEST-Flex Stainless Steel Chimney Liners are tested and listed by Underwriters Laboratories to UL 1777 & ULC-S635
PRODUCT INFORMATION FOR BEST-Flex Model "H" CHIMNEY LINER
• 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
standard 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. BEST-Flex is available in 3"to 12"
diameters 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, 4-ply
interlocked 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 shaped to custom sizes to fit most any installation
requirement. The flexible 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-5635 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.
• Refer to installation instructions for detailed installation information.
• The smooth interior of Model "H" liner allows the B-Vent charts in NFPA54 can be used for sizing. (No 15% Oil or
20% Gas deration required
SPECIFICATION CHART CRO_$ iver
Metal Alloy 430, 446, 316L/TI, & 304 Stainless Steel
Material Thickness .0095" - .020"
r,r
Mill Certified Yes
UL Listed Yes 3"-12" (UL 1777 & ULC-S635
Available Diameters 3"— 12" .i
Manufacturing Process Spiral wound 4-ply interlocked „�,,, NOMNI ‘ i
smo `
Revised 10/26/2021