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17A-152 (5) Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2 Runouts V and Less 1.25 to 2 2.5 to 4 Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) [ ] Insulation R-values,glazing U-factors, and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.3 Release lb DATE: 03/25/04 TITLE: Addition/Alterations to 54 Fox Farms Rd. Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-40.0 continuous insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-20.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: ( ] 1. Door 1: Glass,U-factor: 0.340 #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Boiler 1: , 82 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] ( Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Builder/Desi ner ,°` y `t�( Date g r ee n i Permit Number I MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release lb Data filename: C:\Documents and Settings\Jim\My Documents\Evans-Stenson\addition efficiency.cck TITLE: Addition/Alterations to 54 Fox Farms Rd. CITY:Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 03/25/04 DATE OF PLANS: 3/24/04 PROJECT INFORMATION: Evans-Stenson addition+remodel COMPANY INFORMATION: Gougeon&Locke 26 South St. Williamsburg,MA 01096 COMPLIANCE: Passes Maximum UA= 131 Your Home= 125 4.6%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 640 0.0 40.0 15 Wall 1: Wood Frame, 16" o.c. 648 20.0 0.0 28 Window 1: Wood Frame, Double Pane with Low-E 139 0.340 47 Door 1: Glass 42 0.340 14 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 640 30.0 0.0 21 Boiler 1: , 82 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The heating load for this building, and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I t E ril A R 2 U c. E'} 15 FOB - ins &V >r �'Tari(janlptoll --�_— �taasnchncrlta' _ o DEPARTMENT OA DUIL D,\'G INSPPCTIOI:S — 212 Alain Street ' Municipal Building Northampton, Mass. 01060 �VOPJCEWS CONIPENSA T.TON LNSURA-NCE A=AVIT (li�lpc:rm�ttcc} V.,ith 2 pf-Mcipal place of busiuess/residence at: ZiP ._ � ' 1 t 74"S* O hone') c� O ' 77 Z`� (SQ-C tWcity/slatc'rip) do hereby certify, under che.painS and penalties of pegury, h:i (CrI am an employer providing the followine worker's comocns-nuon cove age for Iny empluvices tvorUng on this job r�'s�/�� ������ w�C Sera 7�8t►1?�� �'� 6 � (lnsur_a CocZrasl) (Pelic:NtL r) (r:-pirztion Date) ( ) I,am a sole proprietor, general contractor or homeowner(ci cie one) and Lave hired the cooiractors fisted below who have the following worker's co=ensanon policies: (Nam-, Oi Con-^Maor) (In-uralic CoInDam-i'lo6c NL1IIl^ r) �_?;)liJ:i0 1 l�ilC] - MamC of Contractor) -- (UIS' -ancc Company/Pollcy Nu.mcrr) (-Bpir:tion Date) (Name of Conrraclo,) (Insuranc: Compan)•/Polic�' Numbzr) (Expiraoa Daic) (Name of Contractor) (Lasufancz- Company/Policy Numb-i) (T-xpu-.,6on Date). (ada.(� c`j chcct if aco--to inc?ud_inforev.5oa --_in-&to..0 O I am a sole proprietor and have no one worming for me. ( ) I am.a home owner performing all the work rnyself. NOTE:pl=; be LP x,Lb-.Nt-,k�,,,,�ba QapIQy pc- Q to 63 r Y c=—,:c oo cr rcpau..ork oo.d,,c1L g of ant moor lb-.p t _--in uIziCb the bomoawna rr do or oa the UVUCcAa z�purtcv.:1=tbeceo�•c Coe arrd=cd to be caiployc-s A, the .tzi cz a o LOa Act(GLI52-,s l(5)�appUm.6cro try.bomcoavc fm c bc=----or pertnn rr--y c.-tdco=the I cgad tavc of ea cr.,loyx under tt n',V i ,Compom. O Ace_ 1 uodQTlnod Ihsi a Copy of this catcm-1 may bo foc-,urdod to tba Dop.rtmcat of l—i—z id Ac 11� Off o of Ir-unoca for the covcr-&&t vcr czuoa and that Lxlta•e to soam`covrTt�tinder soc6oa 25 A of h(GL 152 ran ImA to the boa of aimiaA pcaa - ooa"Vmg of L tine of up to S 1-300.00&n&or m� orup to one y=tnd civil pca.'jc io 6c form of a Stop Wort Ord-.nd. rim of S 100.00•day LpjaA a)r_ For d ^^L..=1 use ody �� ,sr, PGTIDIt I`It1IDtX7 -- /' /L i gyp::_ Lot r, SiP>na of Lilpermittct e SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Sup ervisor: Not Applicable 0 Name of License Holder: AA4 c6lj 2— License Number Address Expiration Date Signature Telephone 9.Reaiste'red..Home ltilbrovement,C ntractor: , Not Applicable ❑ Company Name / l Registration Number d-111 z-ky Address Expiration Date Telephone Z�' -?35 2-3 SECTION 10-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...... ❑ 11--- Hoal v Owner'Egemptio l The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own 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. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-[DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ®' Replacement Windows Alteration(s) [FJ� Roofing Or Doors [--] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[0] Other[�] Brief Description of Proposed Work: IA-t e o.e r re tytV 41.4 5- 2 , X Z 7 11C�l G/7 J L'zf Alteration of existing bedroom y� Yes No Adding new bedroom Yes No r Attached Narrative Renovating unfinished basement Lam'" Yes No f dAIX Plans Attached Roll -Sheet 6x If New`�hduse afi<d or add ition,to existina.hdusina.:c0M01dte the:toilowina: a. Use of building:One Family t' Two Family Other b. Number of rooms in each family unit: Number of Bathrooms " c. Is there a garage attached? 7 d. Proposed Square footage of new construction. Dimensions e. Number of stories? // - f. Method of heating? l'(j'S �G ll e 164W 6. �2 ireplace�sr Woodstoves y Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?",01 `7LIA' h. Type of construction Elk ��= r-l�`t�� ,3��e,� /WO/T)Ln/U t"e-f7ftAr i. Is construction within 100 ft. of wetlands? Yes tl"" No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 16 5 f k. Will building conform to the Building and Zoning regulations? L�'p Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property , hereby authorize � �✓� G-G'(mil' GL' -�'�.'�f �— 'C � ��"�f to act on my ehalf,in all matters relative to work authorized by this building permit application. LL Signature KOwner ate I �/ s as Owner/Authorized gent reby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge ancf�"elief. Signed under the pains and penalties of perjury. Print Name /L— Sign ture of Owne gent V Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size r "4 t Frontage F Setbacks Front f 36 Side L: 1 R: I Q L: I R: �� '- Rear Building Height 4� e /37 Bldg.Square Footage 1197 13 % ? 17 Open Space Footage pp (Lot area minus bldg&paved �� /b 5 150 parking) 7- 1A ejetrife r r #of Parking Spaces 3 t rt Gf!c",rr+.'4 Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 4 DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property?YES_ No IF YES, describe size, type and location: E; n Mi ._ ity ` 1\lorthampton �ttt ,. t p, 9 , Buildin Department Ctirt� Ot e�t'eiit� P�fA R 2 �C 2�2 ain Street ����tAllablt .. 4 Room 100 �� itl ��� �� y Northampton, MA 01060 tb �ttzt�uCtlr x phone 413-587-12x40 Fax 413-587-1272 IotIS �� a r ) 5)«ti? ify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: This section to be completed by office f—� v jt- ri� Map Lot Unit Zone.._--&a& Overlay District 114A Elm St.Di tri' CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: JA,A1"VAfV S 4- ( Ik SAS z Name(Prin Current Mailing Address: Telephone Signatur 2.2 Authorized Agent:Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)Building''Permit Fee 2. Electrical •�= S (b)Estimated Total Cost of Construction from 6 3. Plumbingj��t z,, : Building Permit Fee 4. Mechanical(HVAC) ( 'Z 5. Fire Protection 6. Total=(1 +2+3+4+5) Ldp $i 0 1 Check Number This Section For Official Use Only ny�( _�j L� ate Building Permit Number: �// y / !� / IIsssued: Signature: Building!Commissioner/Inspector of Buildings Date File#BP-2004-0909 APPLICANT/CONTACT PERSON James Locke ADDRESS/PHONE 26 South Street WILLIAMSBURG (413)268-9323 PROPERTY LOCATION 54 FOX FARMS RD MAP 17A PARCEL 152 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERM_IT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ig Fee Paid Typeof Construction: CONSTRUCT 32 X 20 MSTR BEDRM FAM RM ADDITION,INTERIOR RENO& FINISH 2 BASEMENT ROOMS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 001992 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Signature of Buildin fficial Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 54 FOX FARMS RD BP-2004-0909 GIS#: COMMONWEALTH OF MASSACHUSETTS MapBlock: 17A- 152 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2004-0909 Project# JS-2004-1357 Est.Cost: $120945.00 Fee: $562.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: James Locke 001992 Lot Size(sa. ft.): 15681.60 Owner: STENSON ERIK L&JANE R zoning:URA Applicant: James Locke AT. 54 FOX FARMS RD Applicant Address: Phone: Insurance: 26 South Street (413) 268-9323 WILLIAMSBURGMA01096-9726 ISSUED ON:3126104 0.00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 32 X 20 MSTR BEDRM, FAM RM ADDITION, INTERIOR RENO & FINISH 2 BASEMENT ROOMS 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 3/26/04 0:00:00 12893 $562.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo