The URL can be used to link to this page

48-001 (2) BP-;022-1602 421 LOUDVILLE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 48-001-001 CITY OF NORTHAMPTON Permit: Solid Fuel Appliance PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1602 PERMISSION IS HEREBY GRANTED TO: Project# 2022 FIREPLACE INSERT Contractor: License: Est. Cost: 8581 CORY MCGILL 107658 Const.Class: Exp.Date: 05/25/2023 Use Group: Owner: LEVY, SATHYA PAUL &BECKWITH, MAIA Lot Size (sq.ft.) Zoning: RR/WP Applicant: CORY MCGILL DBA DONE RIGHT CHIMNEY Applicant Address Phone: Insurance: PO BOX 1054 (413)340-1399 WCV 01525601 WILLIAMSBURG, MA 01096 ISSUED ON: 12/09/2022 TO PERFORM THE FOLLOWING WORK: FIREPLACE INSERT &CHIMNEY INSERT IN LIVING ROOM 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 VI(LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ' >$ - 1 • ' I Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 11-nj1 E The Commonwealth of Massachusetts iv < Board of Building Regulations and Standards FOR ;,. , ., ^ Massachusetts State Building Code,780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 w7-7 One-or Two-Family Dwelling G .... This Section For Official Use Only 1W-1U L -- Building-P thiit Number: $P Zo7.Z -((oOv Date Applied: C1 � c __ 1 C // 12-q.7-ozZ tu1J 0� Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 421 Loudville Road, Northampton MA cep-po/- bo I 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: KR/W P ,211)ar r� 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❑ Zone: _ Outside Flood one? Municipal 0 On site disposal system ❑ Y SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Sathya Levy Northampton, MA 01060 Name(Print) City,State,ZIP 421 Loudville Road (203) 291-9487 sacha.p.Ievy@gmail.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other )1( SpecifyPhimney Reline&Wood insert Install Brief Description of Proposed Work2:To install stainless steel liner into prepared chimney(previously swept,and Level 2 Inspection performed).To set up,deliver,set into place and connect(1)Regency Cascades i2500 wood insert to installed liner. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 8,581.44 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee Cl Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:$ v Check No, O&o Check Amount: LID,' Cash Amount: 6.Total Project Cost: $ 8,581.44 0 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 MA 01096 U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,Williamsburg,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances (413)340-1399 ContactDoneRight@gmail.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor Mg #178722 CCo McGill 08/27/2024 ory HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name P.O. Box 1054 ContactDoneRight©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. Sathya Levy 12/07/2022 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'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 I di/1h — Print Owner's or Authorized Age s Name(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(H1C)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 www.mass.gov/dp, 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" City of Northampton µt H 9a-rim.. ` cu Massachusetts lr� DEPARTMENT OF BUILDING INSPECTIONS �`• )41 212 Main Street • Municipal Building �•, •C• Northampton, MA 01060 APPLICATION FOR SOLID FUEL APPLIANCE INSTALLATION Property Information • Owners Name: Sacha Levy Address: 421 Loudville Road (No.) (Street Address) Phone: (203) 291-9487 Cell: Email: sacha.p.levy@gmail.com Owners Signature: Date: Contractor's Information (If Applicable) Name: Cory McGill Phone: (413) 340-1399 Construction Supervisor's License #: CS-107568 Expiration: 05/25/2023 Home Impr. Contractor License #: #178722 Expiration: 08/27/2024 Stove Information Type of Fuel (check all that apply): Wood V Pellet Coal Location: Fireplace in living room Freestanding Insert V Manufacturer: Regency Model: Cascades i2500 ---------FOR BUILDING DEPARTMENT USE ONLY--- -------_-------- Permit# Date Applied: • Total all Fees: $ Building Official: Date Issued: (Print) Signature of Building Official: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations (' =��1= I Congress Street, Suite 100 1M1O• Boston, MA 02114-2017 y 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): 1.0 I am a employer with 5 employees(full and/ 5. 1=1 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. ❑Nor-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 10.0 Manufacturing no employees. [No workers' comp. insurance required]** 1 I ❑ Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.41 Other Services:Chimney&Hearth *Any applicant that checks box#I 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#I. 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: `('a `"` Date: 1�7�G Phone#: (413) 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 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: 421 Loudville Road, 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 dba Done Right Chimney V7/ )— Date Signature of Permit Applicant 6 I installation MASONRY AND FACTORY BUILT FIREPLACE CLEARANCES The minimum required clearances to combustible materials when installed into a masonry or factory built fireplace are listed below. Unit Adjacent Mantle" Top Side Minimum Minimum To Top of Unit Side Wall (to Top of Facing Facing Hearth Hearth Side 12500 (to Side) Unit) (to Top of Unit) Extension' Extension' G A B C D E F 12"(305mm) 17-1/4"(438mm) 16"(406mm) 1/2"(13mm) 16"(406mm)USA 8"(203mm) 20"(508mm) for 3-1/2"(89mm) to side surround 18"(457mm)Canada mantel 22-1/2"(572mm) for 12"(305mm) mantel Side and Top facing is a maximum of 1-1/2"(38mm) thick. 12 10 8 6 4 2 0 21 22 12'(305rnm)ttArM61 20 16 3.1/2"(89mm B C 16 u 22-1/2' 12 (572mm) • ♦ ! \ to 17-1/4" 6 (438mm) A D 6 ° 2 0 • ♦ iZrla Clearances are critical. Clearance diagram for installations "Mantel can be installed anywhere in shaded area or higher using the above scale. *Floor Protection Note: Ensure the paint that is used on the Floor thermal insulation/protection with a R value of 2.8 is required if the unit is raised 0-3" mantel and the facing is"heat resistant" (0-76mm)(measured from the bottom of the appliance). or the paint may discolour. Thermal floor protection is not required when unit is raiser greater than 3"(76mm)(measured from the bottom of the appliance). WOOD INSERT Please check to ensure that your floor protection and hearth will meet the standards for clearance SPECIFICATIONS to combustibles.Your hearth extension must be made from a non-combustible material.Extending 16"for US and 18"for Canada—measured from the fuel loading door opening. Your fireplace opening requires the following mini- mum sizes: Height: 21.5" Width: 25' Depth: 17' Two faceplates are available to seal the fireplace opening: Standard Oversize 40"Wx30"H 48'Wx33"H 6 I Regency I2500M installation 17 INSTALLATION INTO CHIMNEY SPECIFICATIONS Draft is the force which moves air from the appliance up through the chimney.The amount of draft in your A MASONRY FIREPLACE Before installing, check and clean your chimney chimney depends on the length of the chimney,local system thoroughly.If in doubt about its condition, geography,nearby obstructions and other factors. Regency inserts are constructed with the highest seek professional advice.Your Regency Insert is Too much draft may cause excessive temperatures quality materials and assembled under strict quality designed for installation into a masonry fireplace in the appliance and may cause damage.An uncon- control procedures that ensure years of trouble free trollable burn or excessive temperature indicates and reliable performance. that is constructed in accordance with the require- excessive draft.Inadequate draft may cause back menu of"The Standard for Chimneys,Fireplaces, puffing into the room and plugging of the chimney. It is important that you read this manual thoroughly Vents,and Solid Fuel Burning Appliance',N.F.P.A. and fully understand the installation and operating 211,the National Building Code of Canada,or the Inadequate draft will cause the appliance to leak procedures.Failure to follow instructions may result applicable local code requirements. smoke into the room through appliance and chim- in property damage,bodily injury or even death.The ney connector joints.Ensure the heater is installed more you understand the way your Regency Insert The appliance,when installed,must be electrically in areas that are not too close to neighbors or in operates,the more enjoyment you will experience grounded in accordance with local codes or,in the valleys that would cause unhealthy air quality or from knowing that your unit is operating at peak absence of local codes,with the National Electrical nuisance conditions. performance. Code, ANSI/NFPA 70, or the Canadian Electrical code,CSA C22.1. BEFORE INSTALLING YOUR Regency Inserts are designed to use either a 5.5" • INSERT (140 mm)or 6"(152 mm)flue. 1. Read all instructions before installing and us- In Canada this fireplace insert must be fin- 7, ing your fireplace insert.Install and use only stalled with a continuous chimney liner of 5.5" in accordance with manufacturer's installation (140mm)or 6"(152mm)diameter extending and operating instructions. from the fireplace insert to the top of the ', chimney.The chimney liner must conform to 2. Check your local building codes-Building In- the Class 3 requirements of CAN/ULC-S635 or Ill spection Department.You may require a permit CAN/ULC-S640,Standard for Lining Systems before installing your insert.Be aware that for New Masonry Chimneys. local codes and regulations may override some items in the manual. In the U.S.A.,a 5.5 inch(140 mm)or 6 inch WARNING: Careless installation is the ma- (152mm)diameter,stainless steel,full height IMPORTANT: jor cause of safety hazard. Check all local chimney liner that meets type HT(2100°F) Smoke and CO Detectors: building and safety codes before installation requirements per UL 1777 must be installed. Make sure your home has a working smoke and of unit. The full liner must be attached to the insert CO detector, especially near any bedrooms. flue collar and to the top of the existing ma- We recommend having a smoke and CO de- 3. Notify your home insurance company that you sonry chimney. tector in the same room as the wood appliance plan to install a fireplace insert. for additional safety.Location of both detectors Recommended chimney height should be chosen wisely to avoid false alarms 4. Your fireplace insert is heavy and requires two from top of flue collar: when reloading the appliance. or more people to move it safely.The insert and Minimum 15 feet(4.6 meters) Fire Extinguisher: surrounding structure can be badly damaged A fire extinguisher should be installed in the by mishandling. home. The location of the fire extinguisher 5. If your existing fireplace damper control will should be known by all family members. become inaccessible once you have installed your Regency Insert,you should either remove or secure it in the open position. 6. Inspect your fireplace and chimney prior to installing your insert to determine that it is free from cracks, loose mortar or other signs of damage.If repairs are required,they should be completed before installing your insert. Do not remove bricks or mortar from your masonry fireplace. 7. Do not connect the insert to a chimney flue servicing another appliance or an air distribution duct. When referencing installation or connection to masonry fireplaces or chimneys,the masonry construction must or shall be code complying. Regency 12500M I 7