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13-101 (11) 120 COLES MEADOW RD BP-2022-0051 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 13- 101 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BASEMENT RENOVATION BUILDING PERMIT Permit# BP-2022-0051 Project# JS-2022-000088 Est.Cost: $53711.00 Fee:$349.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PETE MONAGHAN 047809 Lot Size(so.ft.): 71177.04 Owner: BALL EILEEN Zoning: Applicant: PETE MONAGHAN AT: 120 COLES MEADOW RD Applicant Address: Phone: Insurance: 60 SHAWMUT RD (781) 801-0744 WC CANTONMA02021 ISSUED ON:7/19/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:BASEMENT RENO 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. I J J Certificate of Occupancy Signatnr�a I ✓ FeeType: Date Paid: Amount: Building 7/19/2021 0:00:00 $349.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner ' 1 C �i� The Commonwealth of Ma ach `, Board of Building Regulations h.. St c•• F�'• Massachusetts State Building Code, :! " ,,r/) •SEALITY Building Permit Application To Construct,Repair,Renovate :TSia niqqj , Rev'.ed Mar 2011 One-or Two-Family Dwelling °'�so°4, This Section For Official Use Only Building Permit Number: iiff• ol• 6 I 1 Date Applied: 7Ro al Building Official(Print Name) Signature /Date SECTION 1: SITE INFORMATION 1.1 Property, Address: 1.2 Assessors Map&Parcel Num e f � C2'zS )' � , rZ� 3 l 1.1 a Is this an accepted street?yes Ljno Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 FIood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 1� Zone: _ Outside Flood Zon Municipal 0 On site disposal system I Check if yes SECTION 2: PROPERTY OWNERSHIP' 2.1 ner'of Recor , a ',41vb.ic,cr f z >-- +•t►^1y'— ', 111 , /�6Name(Print) City,State,ZIP J zi egi5 yule rZ`- 6J? _335 C97 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ilf Addition 0 Demolition 0 Accessory Bldg. ❑/J Number of Units Other CI Specify: Brief D cription of Proposed W O2e &,Y4., 4 -x.,,L !?Ce_J-- v#- .s;3 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ ra 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ ��// 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List 5.Mechanical (Fire $ Suppression) Total All Fees -�22 Check No.0Q Check Amours• 4/ Cash Amount: 6.Total Project Cost: $ 5 7' " 1/ ❑Paid in Full 0 Outstanding Balance Due: City of Northampton tM }, ,y Massachusetts ��, DEPARTMENT OF BUILDING INSPECTIONS fr t 212 Main Street • Municipal Building SO O. ate" ,.,,.� .;� Northampton, MA 01060 �Jj ''a;a('a PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS, RENOVATIONS, ROOF MOUNTED SOLAR, ETC. 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work (Digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate (new / replacement windows). 7. Home owner's License Exemption Form (if applicable). 8. Note any Special Permit requirements (if applicable). 9. Energy Code— all new construction (Gut/Rehab) requires a HERS Rater Affidavit SECTION 5: CONSTRUCTION SERVICES 5. uction Supervisor License(CSL) ed t. `i K'� h�f2` License Number Expiration Date Name of CSL Holder J 3 j, i List CSL Type(see below) Y� - No.and Street Type Description 144i/I'S f�js� Gz�s / U Unrestricted(Buildings up co 35,000 cu.ft.) 7 R Restricted 18:2 Family Dwelling City/Town.State,ZiP M Masonry 1 11/0n1r„97114d`'crc sT.v RC Roofing Covering r WS Window and Siding C‹..-v,.,•. 73 5O/(7 14, SF Solid Fuel Bunting Appliances �7 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Con actor(HiC) ✓r4?Jc- ea-,Z7:"S C.(t.Let,•>c 7 HIC Registration Number Expiration Date HIC ompany me or HIC Registrant me , �, , ..;.v , , 6C :5772-ri.._i . <)c-4----, No.od Steel /4/F . 1Zo?c -4 T i •S7?/', Gp‘Gt Email 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 Cl.-------' 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 a on my behalf,in all matters relative to work authorized by this building permit application. • /0 ( •� .2 / Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby atte under e pains and penalties of perjury that all of the information "cf ••ned in this application is truea to the best of my knowledge and understanding. 6. -"a ne,,,,,,,i,,4,../ Pwner's or Authorized Agent's N (Electron Signature) Date 14 NOTES: 1. An Owner who obtains a buildino 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 uwv.mass.govfdps 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"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents 11_ 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH lat.PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Oreganization/Individual): �(;' � ►�*�7ie S Address: li i41 41vT JZj City/State/Zip: 6 ,or "44 e 22( Phone#: I -gZ( Are you an employer?Check the appropriate box: Type of project(required): 1. a employer with 3!/ employees(full and/or part-time).* 7. New construction 2.0 I am a sole proprietor or parmership and have no employees working for me in 8. eErl modeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 10 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.1:3 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.0 We are a corporation and its officers have exercised.their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. lithe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: Q/7`10 Policy#or Self-ins.Lic.#: 1 i 6 j�s(� V �' Expiration Date: S 2 " 2Z Job Site Address: 1 Z© &t y 1 '4 rci TZ-z) City/State/Zip: 1-45iz'-tt ? ''i-$r4&-- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or nment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day�st the violator. opy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification. I do hereby certify er ains and pena 'es of perjury that the information provided above is true and correct Sieriature: \ — &--^-n Date: Phone#: } a Z( GG&01 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r' .3 Tra-,,,,„iTh6-,,\ The City of l thampton ( c1 Building Department ' 212 Main Street �RaTEDJUPE��` Northampton, Massachusetts 01060 Phone (413) 587-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVAT ION PROJECTS) In accordance with the provisions of MGL c40, s54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, s150A. The debris will be disposed of in: 'l(,17 74' C'ZS 6G cs-N ,L+" ? . Location of Facility �` Agy �% Z.- 7i>70- a/ The debris will be transported by: ,q-- 7�7 f1"2 I?)L7e-)L Name of Hauler n Signature of Applicant: 1 ADate: `(S 2 rs •--i City of Northampton H A.ti P:P.: aF � � `' Massachusetts . ( ~ .t t7r DEPARTMENT OF BUILDING INSPECTIONS 15. m 212 Main Street • Municipal Building Northampton, MA 01060 441T 136. S. HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT • I, (insert full legal name), born — (insert month, day,year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold Iegal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition Of"homeowner"as defined at 780 CMR 110.R5.1.2: Persons) 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work •involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. • Signed under the pains and penalties of perjury on this day of , 20_. (Signature) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 137943 LUX RENOVATIONS,LLC. Expiration: 02/04/2023 D/B/A OWENS CORNING BASEMENT FINISHING SYSTEMS OF NEW ENGLAND 60 SHAWMUT RD CANTON,MA 02021 Update Address and Return Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Expiratlorl Office of Consumer Affairs and Business Regulation 137943 02/04/2023 1000 Washington Street -Suite 710 LUX RENOVATIONS,LLC. Boston,MA 02118 D/B/A OWENS CORNING BASEMENT FINISHING SYSTEMS OF NEW ENGLAND PETE MONAGHAN 60 SHAWMUT RD CANTON,MA 02021 Not without signature Undersecretary ett44,e �'1 LUXRENO-01 SCOOTS '4�oRD CERTIFICATE OF LIABILITY INSURANCE °"' 1 THIS CERTIFICATE IS ISIIED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). PRODUCER CONTACT Stephanie Coots Gordon Atlantic InsurancPHONE e 306 Washington Street (Arc,No,Ent):(781)659-2262 204 781)659-4725 Norwell,MA 02061 miss:"A'D .stephani gordonatlanticinsurance.com - .—._ INSURERS)AFFORDING COVERAGE NAIC t INSURER A:American Fire and Casualty 24066 INSURED INSURER B:Green Mountain Insurance Company,Inc. 20680 Lux Renovations,LLC Dba Ower Corning Of New England INSURER C:The Ohio Casualty Insurance Company 24074 60 Shawmut Road INSURER D: Canton,MA 02021 WSURERE: INSURER F: COV GES CT1FICATE NUMBER: REVISION NUMBER: THIS,IS TO CERTI T THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICTED. NOTT)jS� CONDITION ING ANY REQUIREMENT, TERM OR OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IM-MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDfTIONS OF SUCH POUCIES.ADDL S UMITS SHOWN MAY HAVE BEFN REDUCED BY PAID CLAIMS. LiNSR TYPE OF INSURANCE ,INSD WVD I! POLICY NUMBER POLICY rn LINTS A X ►T COMMERCIAL GENERAL uABaY ' I , EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BKA57350449 9/5/2020 9/5/2021 I PRISESoa ocamence) $ 100,000 MED P(Any one person) $ 15,000 EX l PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I$ 2,000,000 POLICY TXI IR& { LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 — (Ea_acaderu) S ANY AUTO 20041276 4/4/2021 4/4/2022 BODILY INJURY(Per person) $ AUTOS ONLY jrD I SCHEDULED AUTOS yy��p BODILY INJURYp (Per accident) $ X A�tlRT ONLY X'AUTOS ONLY ,(PeO )AMAGE $ -- I S� $ C X UMBRELLA LIAR X 1 OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB 7 CLAIMS-MADE US057350449 9/5/2020 9/5/2021 AGGREGATE $ 1,000,000 DEO I X 1 RETENTIONS 10,000 _ $ C AND ECM COMPENSATION Y/N X STATUTE ! ER --- ANY PROPRIETOR/PARTNER/EXECUTIVE XW057350449 5/24/2021 5/24/2022 1,000,000 OFFICER/ME�8ER EXCLUDED? Y N/A EL EACH ACCIDENT $ (Mandatory M NH) E.L.DISEASE-EA EMPLOYES 1,000,000 _ If yes,descrte under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT !$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE For proposals and/or permits THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Lux Renovations,LLC dba Owens Coming of New England 60 Shawmut Rd Canton,MA 02021 AUTHORIZED REPRESENTATIVE IY10146* ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Basement Draftstop Detail - 2x Floor Joist - - y.: if 1/2"Graft if instal' sty ock 2x Sill (ie.sheetrodc plywood,rather) --- Draft blocking detail Foundation Wall - a.r 1 Mien installing a drop ceiling • Blocking in wall at ceiling height - Craft block between framing&foundation wall • 2x Stud Wall - Conc.Slab Floor • • 1. BASEMENT ' � �w ,, r:j ' t 11 < '1a 1 / v • 1 j r k} ?� t 5 x 5,' ' t �Y b M l� i :tQ la* FINISHING SYSTEM 'i' '`,`1 i ; .%5:„, r �zn�, / f,. DESCRIPTION f ., �'7.,.., 41 ,.t. F,,jv� fr ',,, 1,t1,.,,Nc.f3 i4�xri..'t1s4y`hell. ?>?�a•dWitTi1,`� 21, s a,. The Ovens Coming®Basement Firs ung f t;♦' S 5 $k1 R t- t F System." (the"system")e(_�(T�nsed r b4f f' k R�� f i ig ,„,• .,..,::,,A. , F, of lightweight toPl glass panels,PVC - • 'e, ¢ k (v Fahch replace corn�ttiortal frarrwtg)and P,,:,c?� xk>r r j s foamed PVC trim moldings(which replace trim c441t • y, ,y,Y ''g. Trirn c into the m eak dll� '' �„ } a. irroer)_ ornponerrts snap •f -4t' t w� -Kiddie.. rnaiong moldings and wall panels removable ' Ill for acres to a homes foundation walls and o..4 « for adding addition)wiring.Because Vaddional ' '-, • ; k. • wood and paper-based building materials are 1y r c; n. <;:t ��rsarm i m g,I;s ; e} s,'f ; l lf{ �; � Pr replaced with fiber glass and PVC materials.the :a+v+� +f h � . �*Q 6 4.'»"� ;t s Baserrerrt Firushng System' Un&mted offers / '' /,{ *I' •�r +1 ,err• t 1 L,i i it ` 1r . } ' 7 'inherent resistance to mold and mildew.'The , i , t +a+f `:ax. is covered b a lifetime limited war s ? r its `e,. i1 a �rci'jt '{.fl iP t=` Ittiiiitakl ' `'system y � s s ;< ��,.�ST, . 4r ry S r �� � _ r rdniy"`Covering manufacturing defects .i n't •'yy1 z Z,t".-;W5i-Ni.5:5-,4t;',t5itf,V t?5 `�/m6 t t 21 t�� t;,{d�2 t t ,Isola it F . E +V, z. 1- .i.is 3 ct " . " 'h Ft4� {E4f !u y" 4gI 1 .r0 '11q gg e,y� � '�- , cS - fly ,1 Ai r. F i>r� r3 'S,t .4VV.:V) i ?,,.r4t�,7 N-,. USES { ? {i r EE i ir,i+'s t r* ti r 1�rs1 `0. t _ btt,'fS144 ' The Owens Cortung®Basement Finishing xI / • r t 1- :v ram' i{,-`. a P t n, b i r01.? f ti t Ar{ System'Unlimited is an innovative system z)p e t d Ar i i Fry z designed to ir>sulate and finish basement Walls K l i sa F ., %£' fi :` It insulates.acoustically treats,and aesthetically s< t'-=,•'�u xg - . �t m' <-- K , A''; ° �*"�"� y� frvsh�walls in a few simple siepsThe sys- s .t } .cs°.' �r V4a. <r: t tem can be installed over exterior stud,.valls - , - ' and rr[erior walls built with either • �-Ps` 4 - �..`� "� . 1<,, r ....f P ,,d a wood or metal�1 1c Panels can be painted to _ '< b. f4 it .� •` �„�:47� r :s a�.l to the homeowner's preference. - ,,,- igtA 'e44, - t i,�,y il AVAILABILITY { <, v.-- r., Trim Mold n The panels are lightweight fiberglass board PHYSICAL PROPERTIES laminated(using a water-based glue)with a formulated mat C Property Test Method Value sped* are Far Fiber Glass Board tected with a resin hardener for durability. 94"x 48"x'S/r.'Wall Panels Thermal Resistance ASTM C 518 R-4.16 I"Wall)meals WaterVapor Sorption ASTM C I l04 <2%by wt.@ 120NF, Trim Moldir19; 95%RH Cove Molding Compressive Strength ASTM C 165 min. Decor Base Mok6ng ©10%deformation 25 psf Decor Crown Molding ©25%deformation 90 psf Casing Normal Density ASTM C 303 7.0 PCF (Al trim components are availahte in w,hite. For Finished Panel clergy or..rood-grain in various profiles) Code Compliance; Noise Reduction Coefficient ASTM C 423 0.80 KC-ES Evaluation Report No.ESR 1872 at (one coat of primer&one coat of paint) Type A Mount wwwicc-esorg. Surface Burning Characteristics ASTM E 84+ Class A Flame Spread<25 -Meets Class A Burn Rating Smoke Developed<450 •wshae Inc materials and deign oldie D..g s Coming® InteriorTextile Finish Fire Classification NFPA 286 Meets Acceptance Baszmacc Friishig Sin''Unimted resat mold and midewt the System an not prevent cc mitigate nsold if the Criteria rrcestoryIsn,od itoo.ch ccherwise toist n)or Mold Resistance basernert ASTM C 1338 Pass "Sae aot J v.orrar4r for dew$frnraao s and r o,ai,a ASTM G 21 Pass NaiThe Basement r.,,Hirt Systai Unirreed parr)mat, The s+face-burning characteristics of the finished composite panel were determined in accordance with ASTM E 84.This be rrstaied o er wood f aerie portion of wok if wails are a idard measures and describes the ;,�,usa t„loodl cod.rsbcp-.....,.,...d„s„ ,,.per b,,,,;a. P�Per of materials,products or assemblies in response to heat and flame under uczlI s) marl tnzi be idled eilier a.+r metal surd controlledlaboratory conditions.Data from ASTM E 84 testing amot be used to describe or asses the fire hazard or fire cmRrturd far'd;aaon wad or urericr wood or/new ow rote of materials.products or assemblies when considering all of the factors pertinent to an assessment of the fire hazard of CD`istrt'd:ed wails a particular end use.Values are reported to the nearest 5 rating OWENS Owens Corning Basement Finishing Systems CORNING of New England Heller,Caroline Ball,Eileen Contractor / Agent Authorization From 120 Coles Meadow Road g North Hampton,MA 01060 (617)335-6699 (857)225-2203 I, authorize Owens Corning Basement Finishing Systems of Boston to sign the building permit application on my behalf,to perform the work at: Home Owners Signature: Imilivair Date: 7 21, 1 Project Manager Signature: Date: 60 Shawmut Road • Canton, MA 02021 • Phone: 781-821-0060 • Fax: 781-821-8552 • www.ocboston.com • 6attid CONTRACT Customer Name Cam'•/%k I-A/4- f 1,-/cc", Sfri/ Customer Signature �G%✓6` 1- 1�/ie. OWENS SKETCH Contract Date 6-21-1oz/ Sales Representative Signature t— / CORNING . ATTACHMENT Customer Phone 6/7- 3 3 '- G 6 4 f Contract Price 't - 3i 7!/ 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23, 24, 25 26 27 28 29 30 31 32 33 34 35 36 37 38 99 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 2 1 ert? 82/j2� E)// - urn' s� p '. C i A, 11 gam'. ,: .. /7-/- . -41 ° G �rtj,. . I 5 r — d'i'ti 6 7 �iN1i 5-51)- 4,4-- etTiii0-714(4t`` g'ilk,-!111_ , ' 6 1 - sy)3040,0 , . . 12 O L 13 -, if 'A, -. _, ,/// LIMY �eL Y„4. Z�I.4{nS I- 1-_- .I I � ile 14 74 ,i.ikyl:' t 15 _/ /f 7 --I ___„__ I I - -- 1 I i I - 1 I I p ; j /rct, I , T_ I Lt ell ` ,` I I --- r 2, 1 24 l_ 25 PC* I : i_ 1 11 I I 1 I 26 1 - F { 1 - -4 -- - Ni' .. -' .---"--- I 1 J a 2B� vy_.. .. i_ i�f .� � I �.F+- I 1 _-� �-- __._ �__I -i _- --F_-- ._ i_ T t.," t { r 29 ' S tiq v I- ---1-4 I r 1 -}— 1 1 32 --- 1- } —t rt--- f-- 1 ___1__ 35 ! I NOTES: Each box equals one foot unless otherwise noted.This sketch is a good faith representation of the work to be done,it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change if necessary.