31A-067 (3) BP-2024-1320
186 ELM ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31 A-067-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-1320 PERMISSION IS HEREBY GRANTED TO:
2023 QUADRANGLE -EMERSON
Project# ENERGY PLANT Contractor: License:
Est. Cost: 80000 COZY HOME PERFORMANCE 102169
Const.Class: Exp.Date: 12/10/2024
Use Group: Owner: COLLEGE SMITH
Lot Size (sq.ft.)
Zoning: EU/URC Applicant: COZY HOME PERFORMANCE
Applicant Address Phone: Jnsurance:
180 PLEASANT ST#200 4135290200 46-845373-01
EASTHAMPTON, MA 01027
ISSUED ON:10/09/2024
TO PERFORM THE FOLLOWING WORK:
INSULATION FOR EMERSON DORM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
l nderground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department i)rncwas Final: 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. �►�
Signature: .72.
Fees Paid: $600.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
IL, OCT - 8 2024 ! !The Commonwealth of Massachusetts
yt
l', Office of Public Safety and Inspections
• ;e•T n=ruu r>!`:r.t•• Massachusetts State Building Code(780 CMR)
— NoimiAr,ii 'Building Fermi application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number '/ /3.0 Date Applied: Building Official:
�y SECTION 1:LOCATION _
( I� r-a�,;Sc,2 /Vn!L htc�..,�, ���L� 10„....ne." Sri
No.and Street City/Town Zip Code Name of�^ Building(if applicable)
t�/ G tL�Assessors Map# Block#and/or Lot # 5 'It'C'�
SECTION 2 PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:_
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No
Is an Independent Structural Engineering Peer Review required? Yes 0 No
Brief Description of Proposed Work: xi^eic ti c.
1 . .__ fit) eA.--
F /"<c r✓,--. ! C ,S C< cAA,..)1c cet n 4ti
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft)
Total Area(sq.ft.)and Total Height(ft)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional 1-1 0 I-2❑ I-3 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA lB 0 HA El IIBO IIIAO IIIB 0 IV 0 VA 0 VB0
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Trench Permit: Debris Removal:
Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site 0
Public 0 Check if outside Flood Zone 0 Indicate municipal 0
A trench will not be Po
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
Introduction
About This Manual
Before operating, maintaining or servicing any
GlasCraft system, read and understand all of
the technical and safety literature provided with This manual provides information for the assem-
GlasCraft products. If you do not have the prop- bly, operation. maintenance and service of this
er or related manuals and safety literature for GlasCraft product as used in a typical configu-
your GlasCraft system, contact your GlasCraft ration. While it lists standard specifications and
distributor or GlasCraft, Inc. procedures. some deviations may be found.
In this GlasCraft technical and safety publica-
tion, the following advisories will be provided In order to provide our users with the most up
where to-date technology possible, we are constantly
appropriate seeking to improve products. If technological
change occurs after a product is on the market.
we will implement that technology in future pro-
NOTE duction and, if practical, make it available to cur-
ls information about the procedure in progress. rent users as a retrofit, up date or supplement.
If you find some discrepancy between your unit
and the available documentation, contact your
CAUTION GlasCraft distributor to resolve the difference.
Is imperative information about equipment GlasCraft, Inc. reserves the right to change or
protection. modify this product as it deems necessary.
WARNING Careful study and continued use of this manual
Is imperative information about personal safety. will provide a better understanding of the equip-
r
ment and process, resulting in more efficient
The information in this document is intended operation, longer trouble-free service and faster.
only to indicate the components and their normal easier troubleshooting.
working relationship typical use. Each assembly
should be directed by a GlasCraft distributor or
made from the GlasCraft assembly instructions
provided.
SECTION 9: PROPERTY OWNER AUTHORIZATION
Naa and Addres 4ey /
perty Owner
Sf t\ 6 h cS 40r/1- -
Name(Print) No.and Street City/Town Zip
4Pro rty Owner Contact Information: 1P`,1
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the prop owner hereby authoi s:
PA44— t62 tri
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0.
Otherwise provide construction control torm.(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) l elephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Ci2 (A72->"---s-c-- Pe,c-rr_11-,Pictelc.,<_. ,. 1.1_C-
Company-N2e
tiA44-14_ LetA.--+ /A 2 10
Name of Perso Responsible for Construction License No. and Type if Applicable /
eA
Street Address 374_) City/Town State Zip
_ 9?:%' 'k irt"%4/ric Cflet
Telephone No.(business) Telephone No.(cell) e-mail ad ress
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor
Item and Materials) Total Construction Cost(from Item 6)=$ i �
1.Building $ Building Permit Fee=Total Construction Cost (Insert here
2.Electrical $ appropriate municipal factor)=$ )
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ C.�y.,k�j I"ur- � 1i
Enclose check payable to
6.Total Cost $ (contact municipality)and write check number here •k 5 1
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
appl. ation is true and curate to the best of my knowledge and u derstanding.
L _-_- li/Vbq
Please print and sign name Title Telephone No. Date
Street Address (...., A43-Cti?y/� State Zip Email Address
.5:_e
Municipal Inspector to fill out this section upon application approval: / 2 /4"9'Z619
Name Date
^
Table Of Contents
'
Introduction
About This Manual 1
Parts & U|ustratioM8
Standard & Optional Equipment 2
Service & Repair Kits 3
2305D-XXPnobarp2 Dispense Gun 5
Safety
Urethane Safe Hondkng and Use of Foam Equipment 7
Installation
How The Gun Works 11
Fluid &Air Line Connection 11
Installing The Prob|erPJOn Equipment Other Than G|asonsft 12
Operation
Pre operation Check List 13
Operating Requirements 13
Spray Technique 14
Maintenance
Checking For Leaks 15
Daily Start-Up 16
Routine Care 17
Piston Throw Adjustment 17
Options
Options and Accessories 20
Notes 22
Limited Warranty Policy 23
Technical Assistance 24
For Your Reference INSIDE BACK COVER
t . The Commonwealth of Massachusetts
°— Department of Industrial Accidents
c. "IN , 1 Congress Street.Suite 100
'� = Boston, MA 02114-2017
` - www.mass.gov/dia
Workers'Compensation Insurance Affidavit:BuildersiContractors/ElectriciansfPiumbers.
TO BE FILED WITH THE YEH1NfrFlNG AtTI101il'I'Y.
Applicant Information Please Print Leff'.My
Name(Business:Organization'Indiv idual): CO 1�;7,0 kLiio PJ b r iG✓1 C....Q.., L L_G
Address: (bo.__f z -k- g- v to A _
Ciry/State/Zip: Lz".cS4-�r.��1 /Mk Phone#: ��� `S` [ `�Zc'<'
Art you ao employer?Check the appropriate host Type of project(required):
I N-t am a employer with Y. employees ifull:WAN,wa-trine).• 7. 0 New construction
2 0 I am e sole propnetoror partnership and have no employees working, for me in 8. ❑ Remodeling
any capacity.(No workers'comp insurance :control)
9. E Demolition
3 0 1 am a homeowner donw ail work myself(No workers'comp.insurance rcquircd.)'
�--� 10 0 Building addition
J
4 1 am a homeowner a d wall be hiring contractors to conduct all work on my.pmpeny I will
ensure that all cormacors either have workers'onmpensation invnarce an are sole II.0 Electrical repairs or additions
'rnprictnrs with no employers
12.0 Plumbing repairs or additions
i❑1 um u gcncrut contractor and I have hired the sub-contractors listed on the reached shoe: 13.Ei Roof repairs
These sub•conractons have employees and have writers'comp insurance•-
G 0 We area cot-;erasion and its officers have exercised their right of-exemption per MGL e.
14. Other Z7s.A cc'`
152.$1(4).unJ we have no employees.[No workers'comp.insurance required.)
*Any applicant that checks lox NI muss also till out the section below showing their workers'compensation policy information
s Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors most submit a new affrchivit mi.liwtrnt such
:Con4'acrors that check this box must attached an additional sheet showing the name of the sub-contractors and state wheth:t or not those entities have
employees If the sch•cnn acinrs'rwe employees,they mint pn,viti:their workers'comp.policy number
.-
I an:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job cite
information.
( l
Insurance Company Name: �1- ,,e - cvl et /.;`t't�V( �p /1 LL
Policy#or Self-ins.Lic.#: � ��KS,3 30 ((, ! Evxpiration Date: Lk. 11
Job Site.Address: _ CityfState.'Zip:
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 e. 152.§25A is a criminal violation punishable by a fine up to S1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may he forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the airs and penalties of perfurr that the information provided above Is true and correct.
mature: Date:
Phone Cif 3 ,51) t — C)Z(7 .)
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 Incpecrnr 5. I'lumhin^incpcdor
6.Other
Contact Person: Phone 4::
e