Huntington Building Inspection

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1 Huntington Building Inspection George W. Peterson Building Inspector PHONE APPLICATION SOLID FUEL BURNING DEVICE (Wood Stove or Pellet Stove) in a One and Two Family Dwelling (Residence) Only The Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts Building Code 780 CMR, 8 th Edition (effective Feb. 4 th 2011) Wood Stoves and Pellet Stoves Mass Building Code CMR 780 R Exterior air. Factory-built or masonry fireplaces covered in this chapter shall be equipped with an exterior air supply to assure proper fuel combustion unless the room is mechanically ventilated and controlled so that the indoor pressure is neutral or positive. R Factory-built fireplaces. Exterior combustion air ducts for factory-built fireplaces shall be a listed component of the fireplace and shall be installed according to the fireplace manufacturer's instructions. R Masonry fireplaces. Listed combustion air ducts for masonry fireplaces shall be installed according to the terms of their listing and the manufacturer's instructions R Exterior air intake. The exterior air intake shall be capable of supplying all combustion air from the exterior of the dwelling or from spaces within the dwelling ventilated with outside air such as non-mechanically ventilated attic spaces. The exterior air intake shall not be located within the garage or basement of the dwelling nor shall the air intake be located at an elevation higher than the firebox. The exterior air intake shall be covered with a corrosion-resistant screen of ¼ mesh. R Clearance. Unlisted combustion air ducts shall be installed with a minimum 1-inch (25 mm) clearance to combustibles for all parts of the duct within 5 feet (1524 mm) of the duct outlet. R Passageway. The combustion air passageway shall be a minimum of 6 square inches (3870 mm2) and not more than 55 square inches (0.035 mm), except that combustion air systems for listed fireplaces shall be constructed according to the fireplace manufacturer's instructions. R Outlet. Locating the exterior air outlet in the back or sides of the firebox chamber or within 24 inches (610 mm) of the firebox opening on or near the floor is permitted. The outlet shall be closable and designed to prevent burning material from dropping into concealed combustible spaces. The permit fee will be $50.00 for installations costing less than $8, Completed applications may be submitted during office hours, or mailed to: Huntington Building Inspection P.O. 430 Box Huntington MA Office hours at Huntington Town Hall Wednesdays 7:30 pm.

2 The Commonwealth of Massachusetts Town of Huntington Massachusetts State Building Code, (780 CMR) Eighth Edition Building Permit Application Install a Solid Fuel Burning Device (Wood stove or Pellet stove) in a One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: Revised January 2015 Building Official (Print Name) Signature Date 1.1 Property Address: 1.1a Is this an accepted street? yes no 1.3 Zoning Information: Zoning District Proposed Use SECTION 1: SITE INFORMATION 1.2 Assessors Map & Parcel Numbers Map Number Parcel Number 1.4 Property Dimensions: Lot Area (sq ft) Frontage (ft) 1.5 House Numbers YES Massachusetts General Law Chapter 148 section 59 requires verification that house numbers are properly displayed on the home and are visible from the street. Numbers shall be a minimum of 3 inches tall in a contrasting color. If not visible from the street, signage is required at street level and at way points as necessary until numbers on home are visible. Failure to meet this requirement will result in a failed inspection and the need to reschedule. 2.1 Owner 1 of Record: Name (Print) SECTION 2: PROPERTY OWNERSHIP 1 City, State, ZIP No. and Street Telephone Address SECTION 3: DESCRIPTION OF PROPOSED WORK 2 (check all that apply) New Stove Existing Stove Used Stove Pellet Fuel Wood Fuel Manufacturer Model # Top Loading Side Loading Front Loading Brief Description of Proposed Work 2 : SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Stove Cost $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Exaust Gas Flue $ Standard City/Town Application Fee Total Project Cost 3 (Item 6) X.006 = 3. Intake venting $ 2. Other Fees: $ 4. Floor protection $ List: 5. Misc $ Total All Fees: $ 6. Total Project Cost: $ Check No. Check Amount: Cash Amount: Paid in Full Outstanding Balance Due:

3 5.1 Construction Supervisor License (CSL) Name of CSL Holder No. and Street City/Town, State, ZIP Signature Telephone address 5.2 Registered Home Improvement Contractor (HIC) SECTION 5: CONSTRUCTION SERVICES HIC Company Name or HIC Registrant Name Address Signature License Number Expiration Date List CSL Type (see below) Type U R M RC WS SF I D Description Unrestricted (Buildings up to 35,000 cu. ft.) Restricted 1&2 Family Dwelling Masonry Roofing Covering Window and Siding Solid Fuel Burning Appliances Insulation Demolition HIC Registration Number Expiration Date address Telephone SECTION 6: WORKERS COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c C(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 to act on my behalf, in all matters relative to work authorized by this building permit application. Owner s Signature _ Date SECTION 7b: OWNER 1 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. Owner s Signature or Authorized Agent _ 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 Information on the Construction Supervisor License can be found at

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