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32C-083 (2) BP-2022-0890 30 WILSON AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: -32C-083-001 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-2022-0890 PERMISSION IS HEREBY GRANTED TO: Project# CHIMNEY LINER Contractor: License: Est. Cost: 5462 CORY MCGILL 107658 Const.Class: Exp.Date:05/25/2023 Use Group: Owner: LAPLANTE JEAN Lot Size (sq.ft.) Zoning: URC Applicant: CORY MCGILL DBA DONE RIGHT CH MNEY Applicant Address Phone: Insurance: PO BOX 1054 (413)340-1399 WCV 01525600 WILLIAMSBURG, MA 01096 ISSUED ON:07/28/2022 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: I 4; • • 59554a Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED I The Commonwealth of Massachusetts Board of Building Regulations and Stands s JUL 2 7 FO 1 4/. Massachusetts State Building Code, 780 CMR MUNICI IT1;C Building Permit Application To Construct,Repair,Renovate Or lair:c ddi •2011 One- or Two Family Dwelling I __ r:^nT"A""'�`' "'="�-'0 This Section For Official Use Only Building Permit Number: ..10)-— e go Date Applied: L-V/0 7205s .1 // 7-z6-zoz2 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 30 Wilson Avenue -5.ic. 0 C'63 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.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private 0 _Zone: Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Jean LaPlante Northampton. MA 01060 Name(Print) City,State,ZIP 30 Wilson Avenue (413) 320-1690 jeanlaplante©hotmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied Cl Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg.0 Number of Units Other )I3( Specify: Chimney Re-lining Brief Description of Proposed Work2:To install a 5", Elite Series 316L Stainless Steel tee liner kit, into existing masonry chimney, after completing a Level 2 Inspection, and connect to existing heating system_ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 5,462.11 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ C Check No.pI Check Amount:(or Cash Amount: 6.Total Project Cost: $ 5,462.11 ❑Paid in Full 0 Outstanding Balance Due: I�irrluti about:blank 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 Lin CSL Type(see below) U P.O. Box 1054 Type DescriptionNo.and Street Williamsburg, Ma 01096 U Unrestricted(Buildin s_Ipi to 35.000 co.ill R Restricted 112 Family Dwelling CirytTown,Slate,ZIP M Masonry RC Roofmg Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-340-1399 Donerightctwnneyservicas@gmad.com I Itwlation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Cory McGill 178722 08/27/2022 HIC Registration Number Expiration Dare RIC Cony Name or MC Registrant Name P.O. Box 1054 Donerightchimneyservices@gmail corn 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 X No 0 SECTION?a: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 a by this building permit application. Jean LaPlante ( � � `4 III - 11(a (ZZ Print Owner's Name(Electronic Si ur'e j - i Date SECTION 7b:OWNERt 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 an accurate to the best of my knowledge and understanding. Cory McGill Prim Owner's or Authorized Agent' (Electronic Signature) ate NOTES: I. 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 nor 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.ntass.eov/oca Information on the Construction Supervisor License can be found at www.mass.eov/cIns 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" t, I 7/2 022,7:30 AM The Commonwealth of Massachusetts Department of Industrial Accidents Ji.-... — G Office of Investigations v� 1 Congress Street, Suite 100 =In= Boston,MA 02114-2017 --:.,..s www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: 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: Business Type(required): 1.❑� I am a employer with 3 employees (full and/ 5. El Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. El Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑Manufacturing no employees. [No workers' comp. insurance required]** 1 1.❑Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12•. Other Services: Chimney&Hearth *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Atlantic Charter Insurance Company Insurer's Address:45 Main Street, Unit B City/State/Zip: Williamsburg, MA 01096 Policy#or Self-ins. Lic. # WCV 01525601 Expiration Date:06/28/2023 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that 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: 1- ` Date: -7/i9(00 Phone#: 13-340-1399 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia 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 tI at 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: 30 Wilson Avenue, Northampton MA The debris will be transported by: Done Right Chimney The debris will be received by: Valley Recycling, 234 Easthampton Rd, Northampton, MA 01060 Building permit number: Name of Permit Applicant Cory McGill 7/076/373 Date Signature of Permit Applicant INSTALLATION INSTRUCTIONS Phone:888-900-8106 FOR BEST-Flex Models "L", "H", "S", & "E" Fax:888 392 4432 STAINLESS STEEL CHIMNEY LINERS Web:www.NewEnglandChimneySupply.com ir:410116,11M466*. mi 34 Commerce Street,Williston VT 05495 in mil BEST-Flex Models ,is i i,' is is H��' i S & c�E�� BEST 9 EX New England Supply PRODUCTS 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" TT/TB-Two piece or one piece tee TEC-Tee Cap 0, EA/EF- 15°-90°elbow - r \ C/CC-Coupler Screws/Rivets OPTION A 440 OPTION B TP-TopPlate °"'''x TPCC-Liner Cap TC-Top Clamp OR TPC-Top Plate OR_ SC-Storm Collar <>CL-Liner Cap(square/round) . INSULATION MATERIALS REQUIRED(if applicable) Part# Description LI2 Liner Insulation 1/2"Foil Faced Ceramic Wool Blanket LM Liner Mesh Protective Wire Mesh Sleeve FT(2", 3") Aluminum Foil Tape C`s"aMI LMC(large/small) Mesh Clamp r " BMIX BEST Mix