Loading...
3 CAULDRON CT - BUILDING PERMIT APP The Commonwealth of Massachusetts OF Board of Building Regulations and Standards CITY SALEM \`►8 Massachusetts State Building Code,780 Revised MdMar m 201/ Building Permit Application To Construct,Repair, enovat Qr Demolish a One-or Two-Family Dwell' g ; This Section For Ofli 1 se Only Building Permit Number: Da Ap I_ed: Building Official(Print Name) Signature Date SECTION 1:SITE IT A 'ION 1.1 P operty ddress 1.2 Assessors Map&Parcel Numbers l.la 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(it) 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: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 owner) �,,oifriRecord: i t lem, � 0 /D Name(Print) City,State,ZIP Telephone phone Email Address No.and Street SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition �0 Accessory Bldg.❑ Number of Units_ Other Specify: Brief Description of Proposed Work': SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item Labor and Materials 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ }C� 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) Check No._Check Amount: Cash Amount:_ 6.Total Project Cost: $ 3 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /p157// [')[.Jill]T RQi-rCr License Number Expiration Date Name of CSL Holde Lis PL la or� a _co& a t CSL Type(see below) No.and Street , ( Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) T�,(V'✓I t 1 t"1'�C O R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering ' WS Window and Siding n ? ` � SF Solid Fuel Burning Appliances C11- 3�S -�9.� rStt I1Y� 6[C000IYI I Insulation Telephone — �Emai,address D Demolition 5.2 Registered Home Im rovem at tra or HIC) 17 3 %A•� HIC Registration Number Expiration Date HIC Corregtstr [Name /� V YCe ZfFinaY cto4.,tc It and IN,,, Emad SJ�rOC�+ —T address 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 ..........t( 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 rtt�xI lQwC6 to act on my behalf,in all matters relative to work authorized by this building permit application. ,-A&A N01,00 k Print Owner's 14ame(Electronicsignature) Date SECTION 7b:OWNER[OR AUTHORIZED AGENT DECLARATION By entering my name below,1 hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the b f my knowledge and understanding. Print Owner's or Authorized Agent'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(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 L yw.maiLs,ov/lps 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"maybe substituted for"Total Project Cost" WARM TRADITIONS STOVE SHOPPE A Division of AQUA TERRA PROPERTYMANAGEMENT, INC. Contractors License #105711 Robert RaUCCi Board of Buildin_ Re_ul;u inn. ;uld ,t;rud;rrd. ����++" Construction Supervls Jr License One- ano T,e—i.. FartiPl DweiUngs License: CS 105711 ROBERT RAUCCI 123 NORTH BROADWAY HAVERHILL, MA 01832 o - �"�' 'y�/�` Exl:uation: 2/13/2014 r ...... honor Tr 105711 Home Improvement Contractors License 4170349 Aqua Terra Property Management, Inc. DPS-CAI O 60M-04104-G101216 ✓lie Consumer Affairs &IL Business Office of Consumer Affairs&B siuess Regulation VHOME IMPROVEMENT CONTRACTOR Registration 170349 Type: Expiration IGM12013 Corporation RRA PROPERTY_!$}&HI{iGEMENT INC. ROBERT RAUCCI 144 PINE STREET Q - _ DANVERS,MA 01923 --� --- Undersecretary 144 Pine Street, P.O. Box 2081 Danvers, MA 01923 978-777-5562 PRODUCER _ -- --• _ - --_--• Y ••-�� 08j / 978.887.4900 FAX 978.867.2404 THIS CERYIFCATE I )ISSUED AS A MATTER OF INFORM «dward F. Senrott Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTSUPONTHEC 'RTIFICA 16 South Main Street HOLDER.THIS CERTIFICATE DOES NOY AMEND,EXTEN ALTER THE COVERAGE AFFORDED BY THE POLICIES B P. 0. Box 4S7 _.._ — -- 7r1NAIC -Topsf1eld, MA 01983 - INSURERS AFFORDING COVERAGE wsuREo AquaTeAcadia Insurance DBA Warm Traditions Stove Sho -------------------Ppe __UiInsuranceo POBox ::081 INS'_RERC Danvers, M4 01923sLR-=PDCOVERAGES THE POLICIES OF IWURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURF I NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY 8 MAY PERTAIN,THE IASURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONDI OR TIONE E ISSUED D SUCH POLICIES.AGGREGATE LIMITS SHORN MAY HAVE BEEN REDUCED BY PAID CLAIMS. --.---__--_ Inllj VErF6�IRE—i30CIL LTR NB TYPE UWN E OF INSCE POLICYNI818ER ' DATEINNI00_. DATE MMND LIMBS GENERAuueaT CPA033S587104/14/2012 04/14/20131 EALT0:;ru p.Enr s 1,000_,0_00 �X r'OM£R;iA_CENERA.LLAPI-rN wATA�E PIRERtEiI ---IIV---,,, P. AI ES!Ea, lla l vAISM DE C OC^L+ i rMEC FI`Any Dn A Dr s. T$ 5 QUQ PER ONA,R A.,nduer I —un L ERALA,�RPcrT E 1 -,—Q0 vUhs vEw — — 0'00 AiWnAU A .GI. - : F -- — wc.s.L M ,oR A_u- 2 000, 0ERCLL:: r-T J,RCµT C AUTOMOSILB LIABILITY MAA0335589-11 4 i2 0 /14/2013 1 ! C(:M11tANEU SI W Lt LNI F I IEa ac<laemt 1,000,000 AL_04'RJEJ cLT.JS ! B X aFny„1rr; � 'i; n�varsorl I X N I-C N£J ALTf D-DLY en.RY !E F f F :L E F'T A'� AL<GE I 1 I >rA.Hna !s GARAGE LIABILITY -AFfi AUTP EM— ALTODNLY-EA ACCIE :$ T -~._----- FR Al�r E OTHER-FAV -- �kU"O�hJU- AfG S EXCESS IUMSFsuALIABILIY - CUA0335764104/14/2012 04/14/2013 is 11000,00 A ! X J OCCUR J CLAIMS MADE AC•LRc I I DE11C TIP,P .___t ! RETENT(t E j - —_ --I !ANDEM P NSS Orl N— WCA033SS9Q_12i Q4 /YIN i0�_YI_I4R> X i'ER__ AND EMPLOYERS'LIABILITY N /14/2012 04/14 2013 X pry'yy021EASEPE :-nPfP LLIDE%El'LRIOY EL`A:HACT,C_iff E 5QQ,00 A OFndworyi MBEF Ex:LLC=DT _ VAyA�nmolYnP n,aAII E. .^ SASE-EA rMF,-nEE I s S00 00 PCC A_PROv.3CN3:-W, El DISEASE-FOLI 1-MIT ' 5QQ OO DESCRIPTION OF OPERATIO OS I LOCATIONS)VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ---' CERTIFICATE HOLDER CANCELLATION SHUULU ANY OF THE ABOVE.DESCRIBED PULI.IES BE CANCELLED SEFORR..THE EXPIRA7.014 TII OATE THEREOF,THE ISSUING INSURER N/ILL ENDEAVOR TO MAIL 1_0_ DAYS M£TEN NOTICE TO THE CERTIFICATE HO'_DER NAMED TO THE LM,BUT FAILURE TO 0080 SHALL— —� Paul Mal-IOnek IMPOSE NO OBLIGATONORL'ABiLoY OF ANY KIND UPONTNE INSURER.ITS AGENTS OR 3 Cauldron Court REPRESEWATVES. Salem, Mh 01970 AUfHORIZEORWRESENTATIVE Peter Sennott/RAM AA ;� ACORD 25(2009101) - - Cc+1988.2009 ACORD CORPORATION. Afl rights resswed. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the pobcy(ies)must be endorsed. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may rec uire an endorsement.A statement on this certificate does not confer rights to the certificate hclder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurerl authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively arnend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009101) ' Santa Fe Pellet Insert �UfIDRl1• /RE D Listing and Code Approvals A. Appliance Certification E. BTU 8r Efficiency Specifications MODEL: Particulate Emis- .- Santa Fe Pellet Insert ,7 grams/hr � LABORATORY: OMNI Test Laboratories, Inc sions Rating: REPORT NO. 061-S-62-6 `BTU Output: 8,000-30,000 I hr TYPE: Solid Fuel Room Heater/Pellet Type Heating Capacity: up to 1,500 sq. ft. Insert ' Hopper Capacity: 40 Ibs STANDARD: ASTM E1509 and ULC/ORD-C1482 Fuel: Wood Pellets or Shelled Com Room Heater Pellet Fuel Burning Shipping Weight: 214 Ibs Type and (UM)84-HUD, Mobile Home Approved `BTU output will vary, depending on the brand of fuel you B. Mobile Home Approved use in your appliance. Consult your Quadra-Fire dealer for best results. This appliance is approved for mobile home installations when not installed in a sleeping room and when an outside NOTE: Hearth &Home Technologies, manufacturer of combustion air inlet is provided. The structural integrity of this appliance, reserves the right to alter its products, the mobile home floor,ceiling,and walls must be maintained. their specifications and/or price without notice. The appliance must be properly grounded to the frame of the mobile home and use only listed pellet vent,Class"L"or "PLO connector pipe. A Quadra-Fire Outside Air Kit must be installed in a mobile home installation. NOTE: Hearth & Home Technologies grants no war- ranty;implied or stated,for the installation or mainte- C. Glass Specifications nance of this unit and assumes no responsibility for any consequential damage(s). This appliance is equipped with 5mm ceramic glass. Replace glass only with 5mm ceramic glass. Please contact your dealer for replacement glass. r ARNING NOTE: This installation must conform with Local codes• h fuels,or lack of maintenance,In the absence of local codes you must comply with theASTM E1509, (UM)84-HUD, ULC/ORD-C-1482se the firepot to fill with ashker. If the firepot fills to the top,tely shut down the unit and dean.to do so could result in smoking,and possible hopper fires. D. Electrical Rating 115 VAC,60 Hz, Start 4.1 Amps, Run 1.1 Amps 7019-036C July 13,2001 ) 0fJOp� SAFETY LABEL I ETIQUETTE DE SECURITE SANTA FA PELLET INSERT wxxamasd wr. n w. R.WIRwpal 0UNDRl�• IRE HEARTH&11 8 BERM NO.I NUM ROW =1.444 Santa Fe Pellet Insert rW nYer xeR ca+.w twu Listed SON FUW Rbm lllwerlPalw Typs Insert AYo Apparel de ChMINeg�r1 de mn0uswe epMeNs Npt at 2005 2006 2007 eureeY for MWtY Ronne M$Ubden This WpAaxe has boasaa Aoki go rrammew done b moon moYW. cot en b Iowa old Bond WKW e br M In Mod NN 11 eppwa itw lUo pw hNis Nn inMebaN ■_—■--■ 'aadnce 10 OAR 8I4-2140100 llroupd 614.234M exec CAR 814-23-M soars SW2M. Ts " Ix dnv TY!!". No gID014a7OR U Roan IYMYp nsocas.ORDC ttmalrato Ram HloaD. pew JAN FEB MAR APR MAY DUNE ww Bamty rya.. Mt1 ealDC FOR uae DAr a1rN anI µHUDp USAGE NEC LES BOULETMS DE ...__■_._.— _._ kvA ROV:30p Pr1TIEUEDFFLLICOwfU6. DE COYBUSTRAE OE MATS ttosu asCHNMre. ted RYYb:29Add BTIMIn. a RaMwwc::'n,Wo B1MMR otdlal Reap: 116 YAC,wlq 9Y14.IMp.Wnl.l tWW*.111 VN:.w W.aWrIMryH.Cah 11 M,p DULY AUG SEPT OCT EC 'p"^•00ie"el eon wA.oe"p1141"'mrer° OgpRr Y a Yatiaw a rRwr.at oa sn o.w a R eeorp.to amldapptlnw, ssatus manatww Yrpprr �- w-W- -m- Repot •ap�ort: #081-S-62.6 U.B.ENVIRONMEROTECTION AGENCY This model is exell EPA certification Under 40 CFR 60.531 by deS No Haeter(A)-Alr-to-Fuel Ratio"]. 1 uAeuxrw upr This produ a0 by patents 5,000.100.5.582.117 MINIMUM CLlARANCE5 TO- e ItESPACEE LIBwtES MINWUM DES or other paten a d'InWDreVel US 5,000.100;5,5e2,117. CoususineLE MATER14ls p MATERUUx COMBUSTIBLEi DO NOT REMOVE THIS LABEL I NE PAS ENLEVER L'ETIOUETTE c 1 =— .Made In USA/Fait Aux Etats-Unix 7015-137 l SAMPLE: 7 CWn a TO Fipwed 8wdni Few r im A Bp allolgY TOP VARWVo Zan A MrMYdI DHDn ws alY: Sim SERIAL NUMBER LABEL i aYalisp" wRonvoot uh a LrwrwMwata wCr�e�A ,Ya s� C BtOalltlpa Tta wvm 2.5 L C MIM1w ArYw OYfar4b lnieuCRlYt 61mm LOCATION: D 1aapobcwmul IY lMAw Vat LOR 0 W1ulubcowptb Du rndlb 4T*66M HYa 76,0 Behind left access pane MasenryorZenClearance USA INSTALLATIONS ONLY M4.14sntol ILIA Fe A Insert It"to comWsttxe side an loin. B tnnl lop to mantel 12 in. C Insentop to met.2.25 in.top face trill 4.75 in 9 D Inbn side to max.2.25 in.side face Eon 100, .A I .. E Floor Protection heal extension horn Box opening 6 in. .. F Floor"ection from Me side of door opening sin -- E' eplglxOlM IRq LWLIIe MitMLMlll1110.frrf R14rtf a r SAMPLE: CLEARANCE TO COMBUSTIBLES LABEL LOCATION: Back side of left side panel. Page 2 7019-036C July 13, 2005 WA-D PELLET INSERT SPECIFICATIONS Technical Data Performance Width Width Height Height, , ''Depth „ Wei3ht Heating Btu/hour 'gurn Rate Hopper " Particulate owsmeF Lace. Inside Fae lace outaiee F' - Ca adit ' - - Ca and Emissidns' p p place. InziaeF eplace ,Insitle Frepla°e lbz P Y Input"• lbs/hourl' P Y lea:n:i; ubsl .Igm°�a Mt.Vernon 14 620 to EPA 36-5/8" 32" 29-3/4" 23-7/B" 15" 425 up to 3,100 1.7-7t 56 Insert 60,200 Compliant Castile Insert 32-5/16" 28-1/16" 24-3/4" 19" 13-1/16" 260 up to 1,500 8,000 to 1 5-4 45 .7 30,000 Classic Bay 28-1/2" 29-1/4' 25-1/2" 22" 13' 2c3 up to 2,500 14.000 to 2.0-5.5 60 to .9 j 7200i- . 40,000 75 Santa Fe Insert 21-1/2" 28-7/8" 25-3/8" 23' 12-3/4" 214 up to 1,500 $30,DOD000 to 1.5-4 45 .7 '.Maximum square feet of Energy Star efficient home with 3-ft.ceiling and framed insulated floors in heating zone 4.is BTUs calculated using premium wood pellets a:8,600 btu7lb.t Softwood wood pellets with flame height adjusted+5, - INSERTPELLET CLEARANCES tMt.Vernon AE .Inserr ^ c oB caused smoo,and re®Tan MASONRY&ZERO CLEARANCE BUILT-IN INSTALLATION INSTALLATIONS � 'irp.a"r vem: � Masonr 2G' 15" 23-7I8" 34' reer 6.. 1p. C. 0" 6" 6" 3.' 2.. 7-1/2" 2-314' 3" 6' ZC 1 24" 1 15" 23-7/8"1 34.. Castile Insert c 6 MASONRY&ZERO CLEARANCE INSTALLATIONS BUILT-IN INSTALLATION er°pe°wn ImsnMearm- � ` Masonry23-7/16' 14" 19-1/4" 21-1/4 28-1/4" 0" 0" 2-1/2" 0" 3" 0" ZC 23-7/16" 18" 79-1/4" 21-1/4" 28-1/4" _Tft i Classic Bay 1200i © n e c B 9 e g 10 L E So MASONRY&ZERO CLEARANCE BUILT-IN INSTALLATION losing rearshr°pal INSTALLATIONS Masorryl 22"J 13" 19-1/2"1 29-V4" ZC 22" 15-1/2" 25-1/2" 22-1/2" 29-1/4" ' reareenl �oVvent rearvxnl t°p vent 6 1 12" 1 3" 1 6" 1 8' 0 1 3 10.11 0" 2-1/2"1 3" 0" -size mlm°rproletia"most be aeeea is this a,m­ u using en.eno,ai1.1 1/2- Santa Fe Max.Mantel Depth 12in —l Insert c a c e 8 A n 1 I E y B AC V Gearan[e/T°Fi pxaESatlon NeFem inm MASONRY&ZERO CLEARANCE BUILT-IN INSTALLATION INSTALLATIONS " 2 2-1/2" 2" 2-1/2" 3` Masonr 24" 16. 23-1/4" 29-1/4" 6 ZC 2u 16" 23-1A 29-1/L" ............ ............._. . . ........_... ............ . ....,......,..... .. .........._ . .. .............. ........... . ................, ..,....,........ . .......,........ . ...................... munuff MAGNAFMA Warnock liersey .® OS Installation Instructions for Model LWF C U� Stainless Flexible Chimney Liner PRODUCT INFORMATION DESCRIPTION Model LWF Magnaflex LWF is the standard corrugated Stainless Steel Flexible c.hirnrxy liner used fnr fnino (or relining) masonry chimneys. The Model LWF Liner is listed to the stringent UL 1777 ar,d the ULC S635 standards in several diameters ranging from 3" to 8". APPLICATION The Magnaflex liner is,; enufactured using strips of high grade austenitic Stainless Steel, which are rolled and locked together in a continuous process. This unique manufacturing process insures an effective flue gas exhaust liner system, designed to withstand the rigours associated with site conditions. The Stainless Steel used in the manufacture of Magnaflex is accepted anc recognised by testing agencies throughout North Amerce ,Bs being most suitable for use with natural gas, propane, oil and solid fuel appliances. This grade of Stainless Steel is h:,ghly resistant to corrosion, able to withstand severe temperatures and extremely durable. The normal operating temperatures for the liner is 1200degF (650degC). It operates acceptably at 1700degF (950deg( ), a temperature higher than that at which the flue gases will be normally exhausted. The liner maintains its qualities and can withstand the effects of thermal shock in the event of temporary appliance malfunction having maintained its physical and mechanical properties during testing at 2100degF (1150degC). INSTALLATION SPECIFICATIONS Model LWF he Magnaflex liner must be installed in accordance with the Int(9rnal External Approx. Max.Bending en ,)rcing authorities having jurisdiction and the Magnaflex. Diameter Diameter Weight Radius installation instructions. Minimum air space clearance to the interior of the masonry to be maintained with the liner is "1" inches. nches) (inches) (Ib112 (inches) 3„ 3 7/16" 1/2 Clearance to combustible materials must meet or exceed NFPA 6" 211. The chimney liner must not be sized less than that specified in 4 4 7/16" 5/8 8" the appliance manufacturer's instructions. Contact the local 5" 5 7/16" 1 3116 10" building or fire officials about restrictions and installation inspection 6" 6 7/16" 1 12" in your area. 7" 7 7/16" 1 1/8 14" 8" 8 7.16" 1 1/4 16" INSTALLATION INSTRUCTIONS GENERAL Before installation the chimney must be thoroughly cleaned by a competent chimney technician. The internal fac, of`he chimney should then oe checked to ensure that it is clean and dry. The external face must be inspected fc; (carnage and any damage must be repaired prior to installing the liner, to ensure it is structurally sound and that environmental elements cannot penetrate the chimney cavity. Chimneys are required to extend at least three feet above ".e highest point where they pass through the roof of a building and at least two feet higher than any portion of the building within 10 feet. (see illustration) PRE INSTALLATION Prior to installing the chimney liner the chimney must be thoroughly checked and cleaned. Remove any built up creosote. The chimney mist be checked for cracked, loose or missing bricks, mortar, or other materials that could inhibit correct nstallation of the chimney lining system. Check the air space clearances between the masonry chimney exterior and .ombustible materials and verify that the chimney is in accordance with clearance specifications container in NFPA 211, other recognised major building codes and the manufacturer's installation instructions. The minimum inside dimension of the chimney shall not be less than 4 inches square. The minimum height of the chimney shall not be less than 8 feet and not exceed 60 feet. This is done by using a three (3) feet test length of liner which is the same diameter as that which is to be installed. To insure easy installation, a three Necessary height of chimney abovethe toot line foot length should be fitted with a nose cone and suitable lengths of rope, one of which should be passed through the passage way prior to attaching the nose cone to the liner to be installed. The T 2, check/test should then be conducted by pulling the test length through the chimney passageway in the IF WITHIN 10' proposed direction of the installation of the liner. The 3 length of chimney flue liner required can be determined by dropping a weighted line down the chimney and taking measurements, making allowances for offsets. The Magnaflex liner can be cut using snips, a hacksaw, or with a disc cutter. The liner should be placed on a flat surface and clamped before cutting commences. The liner should+be cut at 90d to ensure a straight edge for instaYfation. INSTALLING THE LINER The Magnaflex liner should be either lifted on to the roof or positioned at the-base of the chimney, depending from which end of the chimney it is to be installed. A rope should be passed through the chimney passage way and connected to the nose cone through the centre hole which should.be connected to the liner with self-tapping screws and then duct taped to the liner. The liner should then be guided into the chimney by pulling the'rope through the passageway. One person should stand at the point of entry of the stack to guide the liner through during installation. The liner should project from the base of the chimney by just sufficient length to connect to the base tee or to the appropriate liner connection as necessary. The liner should be securely fixed at the base of the chimney using suitable means, and clamped at the top of the chimney using the liner support and flashing which should then be mortared or fastened by suitable means at the top of the chimney. The safe operation of the Magnaflex lining system is based on the use of parts supplied by Magnaflex. The performance of the lining system may be adversely affected if parts not tested with the system are used. Installing the lining system is not required, placement of insulation or other materials in the spaces surrounding the liner is not recommended. Acceptance of the lining system and the warranty"are void if the installations are not followed. Precaution should be taken, on the firing of the appliance that is vented through the chimney liner. Insure that the installation label for gas fired appliances is posted where the connection is made to the appliance. CHIMNEY MAINTENANCE The frequency of chimney sweeping will depend on many factors, i.e. type of fuel and quantity used, and method of operation of the appliance; however, it should be swept at least once every 2 months. Failure to maintain a clean chimney can result in the emission of toxic gases into the dwelling or structural damage from possible chimney fires. It is therefore necessary to sweep chimneys at regular intervals. The interval will be determined by user experience but under no circumstances should this be less frequent than once a year. It is advisable that all chimneys should be swept during the heating season and at the end of the heating season. Having selected the correct equipment for any particular nstallation it is important to ensure that the brush head passes throughout the length of the flue including any terminals. For the best results the brush head should be polypropylene or natural bristle. After the cleaning operation has been completed, it is essential to ensure that any deposits that may have 'alien down the chimney or flue pipe into the appliance below are removed. Particular attention should be given to the cleaning of the flue pipe ente ing the appliance. The use of chemical chimney cleaners cannot be recommended as a substitute for sweeping. Chimney Fires-if a fire does occur, professional advice should be sought regarding the condition of the chimney. CREOSOTE AND SOOT FORMATIONS & NEED FOR REMOVAL When wood is turned slowly, it produces tar and other organic vapours, which combine with expelled moisture to form creosote. The crrtusote vapours may condense on the inside of the chimney liner during slow-burning firing periods. As a result, creosote residue accumulates on the chimney liner When ignited, this creosote makes an extremely hot fire. , VENTILATION It is very important that sufficient air for combustion and ventilation is provided to the room containing the appliance to enable correct and efficient working of the appliance and chimney. Warnock Hersey covers the Magnaflex Liner for all fuel application and Underwriters Laboratories list the Magnaflex Liner for oil. Magnaflex, Inc. Mt. Sterling, Kentucky The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www:ntass.gov/dla Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information - Please Print Le bl Rt�t�:ci ie�rcL rapt>r Mcef�cz rTlt�nt• n Name(Busincss/OrganicationAndividuaq: Z lc}— �'I,('VM •%7ffddCp` Address: I _� 1L sit-ee+— `P. City/State/Zip: n�>?�S:I�{f� Qlr3 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with�— 4. El am a general contractor and 1 6. ❑New construction employees(full and/or part-time).• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition , [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑.Plumbing repairs or additions myself.(No workers'comp. c.152,§I(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.91 Other comp.insurance required.] *Any applicant that cheeks box#1 must also fill out the section below showing their workeri wmpeoration policy infomration. I Homeowners who submit this affidavit indicating they am doing all work and then hire outside couuactors must submit a new affidavit indicating such. tCoametors that check this box must attached an additional sheet showing the name ofthe subcommcmra and their workers'comp.policy information. 1 am an employer that is providiag workers'compensation insurance for my employees. Below is the poficy and job site information. Insurance Company Name:_-_-Aaad�ra. ;-nsJ(6t cpi Policy#or Self-ins.Lie.±d:_._,. �.O- -f• Expiration Date: If -f Y--/B lob Site Address: �i 040 0116rl ("(J'(s 1 City/Stwe/Zip: 521f(T)11 e�11 I 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. l do hereby certi u d the p 'as d p mites of perjury that the information provided above is eme and correct. L mature: (�Vy. ��}} -Date. Phone#: q-)s M - 15S61,1;L. Official use only. Do not wHte in this area,to be completed by city or town ofrretai City or Town; PermitfLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Fown Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other ., Contact Person: Pbone#: Department of Code Enforcement Debris Disposal Affidavit In accordance with the provisions of GL,c.40, sec.564,a condition of permit p is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defintdd by .OL,c. 11).sec. 150A. The debr;s will,or has been disposed of at: Location of Facility _ _AIR NKW i �3 0001d(CA) Otxx+ J &'efY1, 014)c) Location of action/jobsim (Street Address) Signature of a eontracto� Date WARM TRADITIONS STOVE SHOPPU 144 Pine Street P 0 Box 2081 Danvers, NM 01923 978-777-5562 FAX 978-777-5887 TO Pl.a.ul1..",.Ma.1.1i.Qn.e.k...-..,.,...I ..........I.......... ............Inv Qiced BATE 8=117-12........................... JOB NO. ................................. .................................................................. ..................... JOB NAME ......................... 5.a lam.j M.A............Q.19 7 Q..................................................................................................................... JOB LOCATION. ........... .......................... TERMS Serial # 00701502079 �777'777 WOUN"', > 1 Q/F Santa Fe Insert Pellet Stove $2 , 478 ,Loo ........... ........... ......................................................................................... ................ ........ .........111.11.1...........- I.................... 1 Standard Surround - Black Nickel Trim --- : ................. .............. ... ................ ........... .................... ..................... ..................-............ .................I...............................I................ ................ ........... ................Less. .Co..T...........0 on ... ..looloo ............................... . ................... ......... ........................................................................................ ................................................................................................................................................................ 1 3" X 251 SS Liner Kit $ 425LOO ................................... ..............................I.......... ................................................. ..........I....................................................... .......................... - ..................-.................... ............. ........... 1 Blockoff Plate $ 75LOO ............. .................................................................................................................................................................................................................. . ...... ........... ................... 1 Tube of Silicone $ 18LOO .................................. ....I......................I................ ........... ...................................................................................... ............................. .... ..................................... .......... Pellets $ 18100 ...................................................... ........................ ................................................................................. � Installation Labor $ 850LOO .................................-.1-1.......................................................................... .............................................................................. .................................................................... ..... ....................................... Buildinq...E��.K��it $ 25 L 00 ............................................................ .................... .............-................................................................................................................................. ............ ..................... ............ NO TAX - SALES TAX HOLIDAY --- I .............._...................................................................................................._................................,..................,................................................................................................................................................_. .............................................................................................. ......................................................................................... ........... Total $3 , 789L00 ........................... -.1.1-1.....................;....................-............................................................................................... ............ ........................... ............... Paid 8-11-12 Check #1491 -$3 , 789L00 ..........................-.11.11111..........I. ..... ............................... ........................................... ........................................... ............... > ............. go .................................................I--.......................................................................-....................... ..................................................................................................................-.......... . ..... ................ ............................................................... .............-..................................................................................................... .......................................................I...................... We propoSt hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: Three Thousand Seven Hundred Eighty-Nine and 00/00 dollars($ 3 , 789 .00 1. Payment to be made as follows: $200 .00 at time of acceptance and balance due on installation . All material is guaranteed to be as specified. All work to be completed in a workmanlike hi a �:Authorized q manner according to standard practices.Any alteration or deviation from above specifications Si narure%�- ve Involving extra costs will be executed only upon written orders, and will become an extra Charge over and above the estimate. All agreements Contingent upon strikes, accidents or delays beyond our control.Owner to carry fire, tornado and other necessary insurance. Our Worke a we fully Covered by Workman'.s Compensation Insurance Acceptance of Contract —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature todo the work as specified. Payment will be made as outlined above. Date of Acceptance: Signatire