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BP-54681SECTION 8 - INSPECTOR'S REVIEW/COMMENTS 1. Date plan reviewed: .06024`"�� 2. DENIED (see project review worksheet): Date: 3. HOLD Reason: /V 1X.1 Date: 4. HOLD subject to Zoning Board of Appeals action: Date: Comments: SECTION 10 -OFFICE/INSPECTOR'S.NOTES - - iLess Application Fee: $2-5--00-- Remaining Balance: $ Total Permit Fee: $ 1 Other $ Amount $ / V TOTAL FEE: Gross Area - New Construction total sq. ft_ Gross Area - Alteration total sq. ft./ ,ten Permit Issued to: . SECTION>11 - ADDITIONAL COMMENTS/SKETCHES RESIDENTIAL ❑ Approval in Part (Per 780 CMR.5111.13) $25.00 APPLICATION FEE IS NON RE -FUNDABLE & NON-TRA.NSFEIIABLE Board o 'Health' *REQUIRES INSPECTOR'S REVIEW BEFORE THE -ISSUANCE O -A-PERMIT DEPARTMENTAL APPROVAL• Zoning Review: Signature: d�� Ge_ _ Date: Energy Report: Signature: Date: Fire Chief: Signature: Date: Board of Health: V16ignature: Date: Conservation Commission: Signature: Date. - Other: Signature: Date: Brief description of work being performed: SECTION 1'_-SITE INFORMATION 1.1 Property Address: �37 Sr»i� �l / V �G Wei 1.2 Assessors Map & Lot Number: Lot Area (sf.) Frontage Map Lot - Required Provided Front Yard 1.3 Historical District ❑ Yes ❑ No Side Yard Has application been submitted to the Historic Commission? Rear Yard ❑ Yes ❑ No Date: 1.4 W er Supply (MGL c40 s54): 1.5 a ag Disposaffi unicipal ❑ Private Well unicipalite Disposal System 0 CONSTRUCTION PLANS SITE PLAN ❑ENERGY REPORT SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2 1 Owner Record: Name (print) �R Contact Address Phone Number 'r),Ck 937 Sn % �.b 50,,,- 7- 9 2.2 Authorized Agent: Name (print) Contact Address Phone Number SECTION 3 -CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number. Address: Expiration Date: Signature: Telephone: 3.2 Registered Home Improvement Contractor: Not Applicable ❑ Are you a Home Improvement Contractor subject to (780 CMRA 10.R6)? ❑ Yes ❑ No If No, go to the next section! Are you claming exemption from the requirements? ❑ Yes ❑ No If Yes, submit the required affidavit! Company Name: Registration Number (if none, state "none"): Address: Signature: Telephone: Expiration Date: 3.3 For Residential Remodel Work Only PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND: QUESTIONS OR COMPLAINTS call or write: " Home Improvement Contractors Registration, One Ashburton Place - Room 1301, Boston, MA 02108, 617-727-8598 ❑ 1 am a Homeowner performing all the work myself. Owners Name (print),/ � l Signatur/ By signing IM51above, he homeo cknowledges that there will be no eligibility to the Guaranty Fund Date IQ- -2 " a00 3.4 Homeowner Exemption - One & Two Family Only FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT 5108.3.5 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual shall be engaged in directly supervising persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of buildings or structures, unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing Construction Supervisors. Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Homeowner engages a person(s) for hire to do such work, that such Homeowner shall act as supervisor. For the purposes of this section only, a "Homeowner" is defined as follows: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a Homeowner. If you are applying and r this section sign below- Signatur Your signature carries certain r o ilities, including but not necessarily limited to, general liability SECTION 4 - WORKER'S COMPENSATION INSURANCE AFFIDAVIT (MGL c 152 § 25) Worker's 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 5 - DESCRIPTION OF PROPOSED WORK (Check all applicable) ❑ Deck ❑ Pool ❑ Repairs ❑ Alteration ❑ Chimney/Fireplace l ❑ Woodstove/Pellet Stove ❑ New Construction* ❑ Accessory Bldg. ❑ Roofing/Siding ❑ Other (Specify below) (Energy report required) (Shed/Garage) ❑ Addition ❑ Replacement window/door ❑ Demolition (Specify below) (Energy report required) No. of windows Doors _ *If new construction, please complete the following: Single Family: No. of Bedrooms No. of Baths Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1 No of Bedrooms Unit 2 No. of Baths Unit 2 ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify): ❑ Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify): ❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other ❑ Air conditioning - (separate unit) ❑ None of the above to be provided ❑ Hot Water: Gas Electric Fuel Oil Other D,6scription of proposed work: ' r r— SECTION 6 -ESTIMATED CONSTRUCTION COST,-,:::, Item Estimated Cost ($) to be completed by permit applicant 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) 5. Total=0+2+3+4) o _ SECTION tA - OWNERAUTHORIZATION (to be completed when owner's agent or contractor applies for building permit) (Please Print) C>>- 1, as Owner of the subject property hereby authorize to act on my b, alf, in all matters a to work authorized by this building permit application. ` f J ZJU t Sign re wner - Date " SECTION 76 - OWNER/AUTHORIZED AGENT DECLARATION 1, �a as Owner/Authorized Agent hereby declare that the statements and information on the=for going application are tru and accurate, to the best of my knowledge and belief. d underthe pains and penalties of,.perl 1nel �/; Z�,, "",-d I - _0Z t/ SibyfaTure wner/Authorized Agent , Date TYPES OF APPLIANCES The GSW Chimney is intended for venting gas, liquid, or solid fuel fired residential type appliances and building heating appliances, in which the maximum continuous flue gas temperatures do not exceed 1000 IF. It has been tested and approved to withstand temperatures of up to 2100°F for three ten minute intervals. PRE -INSTALLATION GUIDELINES Your GSW chimney and connecting stove pipe diameter should be sized in accordance with the appliance manufacturer's recommendations. Plan the installation of your appliance and chimney in such a way that your both your chimney and your chimney connector (stovepipe) run is as short and straight as possible. By having too long and or multiple bend installations you can reduce system draft which can affect the operation, and or performance of your appliance and or chimney system. The chimney should also be located within the building so as to avoid cutting or altering load bearing members such as joists, rafters, studs, etc. If you require to cut or alter an existing load bearing member, special refraining methods are required which often include doubling of adjacent members. If such a case arises, contact your local Building Code Official regarding local regulations and proper installation methods. Sections of the GSW chimney which pass through accessible areas of the building, must be enclosed in a chase to avoid personal contact and damage to the chimney. The chase may be fabricated using standard building materials. Drywall mounted on 2" x 4" studs is typically used in this situation. WARNING: DO NOT PLACE ANY INSULATING MATERIALS OR RUN ANY ELECTRICAL WIRING WITHIN THE REQUIRED AIR CLEARANCE SPACE SURROUNDING THE CHIMNEY. Ensure that you obtain any necessary building permits, and that your installation will conform with all federal and municipal building code requirements. Before commencing installation, Obtain any necessary building permits. Except for installation in one and two family dwellings, a factory built chimney that extends through any zone above that on which the connected appliance is located is to be provided with an enclosure having a fire resistance rating equal to or greater than that of the floor or roof assemblies through which it passes. Authorities require that the chimney extend not less than 3 feet above the highest point where it passes through the roof of a building and not less than 2 feet above any portion of the building within 10 feet See figure 1. The use of locking bands at all chimney joints is recommended for added safety and stability. In geographical areas experiencing sustained low ambient temperatures, exterior chimneys should be enclosed below the roof line. This will help to reduce condensation, creosote build- up and provide for better draft. Do not install the chimney directly at the outlet of the appliance. Interconnecting smoke pipe is required unless the appliance is specifically approved for that type of installation. Use only with an appliance listed by a recognized testing authority such as Underwriters Laboratories Inc., Underwriters Laboratories of Canada or Warnock Hersey. The flue diameter of gas or oil fired appliances should comply with the appropriate NFPA or ANSI Installation Codes; NFPA 54, ANSI Z223.1, and NFPA31. TOOLS Your GSW chimney system is designed for installation using standard building materials and procedures. The following tools will be required: -safety gloves -screwdriver and pliers -safety goggles -plumb line and level -hammer and nails -square -tin snips -spoke saw or power jig saw Other tools or equipment may be required, depending on your chimney location and the structure in which it is to be installed. FRAMING DETAILS: Plan your installation carefully. Lay out and frame in all openings ensuring the specified 2" clearance to combustibles is maintained. See table 1. All openings should be square, plumb and in perfect alignment with each other. See figure 2. For sloping roofs, ensure that the framing dimension is measured in the horizontal plane. See figure 3. 2" Min. i,. 2" Min. FIGURE 2 Typical Joist Framing 2" Min. i ►� 2" Min. FIGURE 3 Typical Roof Joist Framing - Rafter Radiation Shield: JSC RRS - Required when the chimney is enclosed immediately below the roof. - Suitable lengths of Chimney (Model SC). The chimney diameter should be sized to suit the appliance. - 15 or 30 Chimney Elbow (Model SC) - and suitable supports JSC RS, or JSC ES, if required. - Rain Cap: JSC RC or DRC - Standard or Deluxe model EIf r. I -, The GSW Ceiling Support will support up to 50 feet of chimney sections, all of which must be installed above the support. Figures 4 & 5 show the 2 most common types Ceiling Support Installation. Framing Dimensions Chimney Decorator Wall All Other Flue Ceiling (Support) Framing Diameter Support Thimble 6" 123/8 x 123/8 143/8 x 143/8 12 x 12 ...133Js x J 33Js_ 143/a-x 4 43/s _13 ,X 13 8' =° 143/8 x 143/8 1431s x 143/e 14 x 14 TABLE 1 INSTALLATION PROCEDURES: CEILING SUPPORT To complete a proper decorator ceiling support installation, the following parts may be required: - Decorator Ceiling Support: JSC DCS or JSC DCSS - Attic Insulation Shield: JSC AIS, or JSC FAIS - Required where a chimney passes into an unoccupied attic space. - Firestop Radiation Shield: JSC FRS - Required where a chimney passes from a lower living space into an upper living space or occupied attic space - Roof Flashing Assembly: JSC ATC, JSC AAF, or JSC AF2 - Required where the chimney penetrates a roof. Slide the Trim Ring onto the Ceiling Support and slide assembly into framed opening from below. Ensure that the finishing plate is flush with the underside of the ceiling and the assembly is level and plumb. Hammer 3 6d or (2") nails through each of the 4 straps or through the 12 prepunched holes in the support. Lower the first section of chimney into the Ceiling Support ensuring that the male coupler is pointing upwards, as indicated by the arrow on the chimney label. Center this first chimney section in the Ceiling Support and from beneath the support insert the stove pipe adaptor and lock it into place by turning clockwise until tigbt. This will hold your chimney in place while the rest of your installation is completed. Instill additional chimney sections and lock together by turning clockwise until the two sections lock together tightly. Install a locking band to secure the two chimney sections. Continue adding chimney lengths until a height of about 2 feet below the s next ceiling level is achieved. aaincap Storm Collar Ventilated Flashing Roof Joist (Framed all 4 sides) Attic Spacr himney Sections Attic Insulation Shield Ceiling Joist (Framed all sides) Ceiling Support Stove Pipe Adaptor FIGURE 4 Single Story Installation I 2 ELBOW INSTALLATION a WALL SUPPORT ATTIC INSULATION SHIELD An Attic Insulation Shield must be installed where the chimney enters an attic space. It is designed to keep insulation materials away from the chimney and will protect up to a 10 inch thickness of insulation. When an Attic Insulation Shield is required above the Ceiling Support as shown in Figure 4, a regular Attic Insulation Shield (JSC AIS) may be used. Ensure that the base of the shield is flush with the top of the joist framing and nail in place using 1" spiral nails. If the base does not fit flush with the framing, measure the distance that the base is sitting above the framing and trim that amount off of the bottom of the Attic Insulation Shield before nailing in place. When an Attic Insulation Shield is required where the chimney passes from a living space to an attic space, as shown in figure 5, a Firestop Attic Insulation Shield (JSC FAIS) must be used. Install the shield from above and nail in place using 1" spiral nails. Raincap Storm Collar Ventilated Flashing Roof Joist (Framed all 4 sides) Attic Space Firestop Attic Insulation Shield Ceiling Joist (Framed all sk Chimney Sections Living Space Enclosure Floor, Ceiling Joist (Framed all sides) Decorator Ceiling Support Stove Pipe Adaptor FIGURE 5 Two Story Main Floor Installation 3 FIRESTOP RADIATION SHIELD A Firestop Radiation Shield must be installed where the chimney passes from one living space to another living space, as shown in figure 6. It is designed to provide proper firestopping between floors and to keep direct radiation from the chimney away from the joist framing. Install the Firestop Radiation Shield from below the joist framing and nail in place using 1" spiral nails. Ensure no insulation is within the 2" air space clearance around the chimney. This includes the air spaces between the Firestop Radiation Shield and the joist framing. Storm Collar Roof Joist (Framed all 4 sides) Attic S Floor, Ceiling Joist (Framed all 4 skies) Living S Floor, Ceiling Joist (Framed all sides) Living Floor, Ceiling Joist (Framed all 4 sides) Stove Pipe Ada--- incap One pair of (two) 15 or 30 elbows may be used to provide an offset in order to avoid cutting of joists and to clear other obstructions. Each elbow support will support 10 feet of chimney and the Maximum length of chimney allowed between the elbows is 6 feet. The female end of the elbows are not embossed, in order to ensure proper alignment of the chimney system can be maintained. Locking bands must be used at all chimney joints Never install an elbow in a joist area. Chimney sections must pass vertically through framed joist areas. During installation provide supplementary support for the offset section to avoid undue stress on connected elbows. Install an elbow support just above the highest elbow. Attach the Support Band to the chimney with 4 of the nuts and bolts, entilated Flashing and then install the four stainless steel sheet metal screws through the pre -punched holes. Attach the Support Straps to the Support Band assembly and nail the Support Straps to the framing using 6d (or 2") nails. See figure 7. restop Attic elation Shield nney Sections closure estop Radiation Shield nruey Sections closure filing Support FIGURE 6 Two Story Basement Installation Storm Collar Roof Joist (Framed all sides) Chimney Sections Attic Space Ceiling Joist (Framed all 4 sides) Elbow Support Straps — Raimap Ventilated Flashing Firestop Attic Insulation Shield Elbow Support Bands LockingRBands — Elbow Living Space Enclosure Elbow cking Bands Floor, Ceiling Joist (Framed all sides) Decorator Ceiling Support Stove Pipe Adaptor FIGURE 7 Offset (Elbow) Installation lb r To complete a proper Wall 0ntstaltation, the following parts are required: - Adjustable Wall Support: JSC AWS. - Roof Flashing Assembly: JSC ATC, JSC AAF, JSC AF2 - Required when the chimney penetrates a roof or a roof overhang. f - Rafter Radiation Shield: JSC RRS - Required when the chimney is enclosed immediately below the roof. Wall Bands: JSC WB. - Suitable lengths of chimney (Model SC). The chimney diameter should be sized to suit the appliance. - Rain Cap: JSC RC or DRC - Standard or Deluxe model The GSW Adjustable Wall Support will support up to 30 feet of chimney, all of which must be above the support with the exception of the 1 foot cleanout section, which is intalled below the support. Raincap Storm Collar fVentilated Flashing Wall Band -- I i I i 8 Feet (Max) I I wall Thimble Outer Hail Insulated Tee WallThimble — Inner Half --- Stove Pipe Adaptor Locking Band Chimney Section 1 -- Wall Support 3'Minimum —a 1 Foot Chimney Section --Tee Plug z FIGURE 8 Wall Support Installation #f 4