2 FELT ST - BUILDING PERMIT APP - PELLET STOVE/CHIMN. LINER a The Commonwealth of Massachusetts
Board of Building Regulations and Standards Town of
c I
Massachusetts State Building Code, 780 CMR, 7th edition Wilbraham
Building Dept
Building Permit Application To Construct, Repair, Renovate Or Demolish a 413-596-2800
One-or Two-Family Divelling Ext 118
This Section For Official Use Only
Building Permit Number i Date Applied: /2• 2 2 66 _
Signature: �2 Z " U Z>
Buildi4 Commissioner/Inspector of Buildings Date
SECTION 1:SITE INFORMATION
1.1 Property Address• 1.2 Assessors Map& Parcel Numbers I/
a BELT .Fil�fr1 MA y']-Or0
L l a Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
R— 1 0.1�73 RClt£S
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 fH' Private❑ Zone: _ Outside Flood Z ne? Municipal a/On site disposal system ❑
Check if yesv _
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner of Record: ^�
aw—csus ME P SSE�� S jf%,cM�
Name t) Address for Service:
9 7d-7'��—39 q
nat Sigure Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Constmction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
rDemolition ❑ 1 Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify:_
I Brief Desctipfion of Proposed'.York':_ thtSTAL -r TnV19 AN'➢ Cyirm5y 1-1615" --
i
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1. Building g 1. Building Permit Fee: $ Indicate how fee is determined:
CI Standard City/Town Application Fee
2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
��
5. Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ 50040 13 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) Cs 3- 7% i� Ir aaoQ
License Number Expillatiob Date
Name of CSL- der List CSL Type(see below)
�S F'C1IARx Type - Description
Address _ U Unrestricted(up to 35,000 Cu. Ft.)
R Restricted I&2 Family Dwelling
Sig Lure p �y r7 �e-� M Mason Only
�0 — I� / — > > 2 RC Residential Roofing Covering
Telephone - WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name Registration.Number
Address
Expiration Date
Signature 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
1, tG V. {�Sr6Tr / as Owner of the subject property hereby
authorize A&VA _TUZflRAI' TY *)Co.rpE1.tt' 1�/L to act on my behalf, in all matters
relative tow author' d by thi building permit application.
Si nature of Owner D—ate—f
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
1, W pot9 s scm— ,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf. e IC.
Print Na
Signature of Owner or Authorized `Agent Dates
(Signed under the pains and penalties of edu
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 Horne 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 and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 1 I O.R6 and I IO.RS, respectively.
2. When substantial work is planned, provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq. Ft.) - Habitable roc:n 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"
Warnock Kersey MAGNAFLEX
VO
C ® us Installation Instructions for Model LWF C o L US
Stainless Flexible Chimney. Liner ,
PRODUCT INFORMATION
DESCRIPTION
Model LWF
Magnaflex LWF is the standard corrugated Stainless Steel Flexible ohir-r?y liner used for lining.(or relining) masonry
chimneys. The Model LWF Liner is.listed to the stringent UL 1777 a(A the ULC S635 standards in several diameters
ranging from 3" to 8":
APPLICATION
The Magnaflex liner ki r*nufactured 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 and recognised by testing agencies throughout North Americ?!.as 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 (950degC),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 Internal External Approx. Max.Bending
en!orcing authorities having jurisdiction and the Magnaflex Diameter Diameter Weight Radius
installation instructions. Minimum air space clearance to the interior inches) (inches) (lbs./ft.) (inches)
of the masonry to be maintained with the liner is"l" inches. 3^ 3 7/16" 1/2 6"
Clearance to combustible materials must meet;or exceed NFPA 4" 4 7116" 5/8 B"
211. The chimney liner must not be sized less than that specified in 5" 5 7/16" 1 3/16 10"
the appliance manufacturer's instructions. Contact the local 6" 6 7/16" 1 •12"
building or fire officials about restrictions and installation inspection 7„ 7 7/16„ 1 1/8 14"
in your area. 81, 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-tof:he
chimney should then oe checked to ensure that it is clean and dry. The external face must be inspected foi 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 must be checked for cracked, loose or missing bricks, mortar, or other materials that could inhibit correct
nstallation of the chimney lining system. Check the airspace clearances between the masonry chimney exterior and
,ombustible materials and verify that the chimney is in accordance with clearance specifications contained 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 above the hoof 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 z� * w.
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 31
length of chimney flue liner required can T
determined by dropping a weighted line down the T
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-becut at
90d to ensure a straight edge for installation.
INSTALLING THE LINER
The Magnaflex liner should be either lifted on to the roof or positioned at the:base of the chimney,. .ending from which
ssa
end of the chimney It is to be installed. A rope should be passed through the chimney page�a�nd'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 thetstack 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 useof 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 clean
chimney can result in the emission of toxic gases into the dwelling oc.structural damage from possible chimney fires. It is
therefore necessary to sweep chimneys at regular intervals. The interval will be determined by user experience tyut 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
installation 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 fallen down the chimney or flue pipe Into the
appliance below are removed. Particular attention should be given to the cleaning of the flue pipe entering 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 burned,slowly, it produces tar and other organic vapours, which combine with expelled moisture to form
creosote. The cryusote 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.
c
Warnock Hersey wvars the Magnaflex Liner for all fuel application and Underwriters Laboratories list the Magnaflex Liner for oil.
Magnaflex,Inc.
Mt. Sterling, Kentucky