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MAScheck INSPECTION'CHECKLIST
Massachusetts Energy Code .
MAScheck Software Version 2.01
Hamlin / Meisse
DATE: 4-16-2003
Bldg. 1
Dept. 1
Use I
I
CEILINGS:
[ l 1. R-0 + R-38
I Comments/Location
[ ] 1 2. R-30
I
Comments/Location-
WALLS:
[ ] I 1. Wood Frame, 16" O.C., R-19
I Comments/Location
1
BASEMENT WALLS:
[ l I 1. Conc. 5.0' ht/4.0' bg/5.0' insul, R-19 interior cavity
1 Comments/Location
I
I WINDOWS AND GLASS DOORS:
[ l I 1. U-value: 0.35
I For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ ] Yes [ ] No
I Comments/Location
I
AIR LEAKAGE:
[ ] Joints, penetrations, and all other such openings in the building
I envelope that are sources of air leakage must be sealed. When
installed in the building envelope, recessed lighting fixtures
i shall meet one of the following requirements:
I 1. Type IC rated, manufactured with no penetrations between the
1 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 cfm (0.944 L/s) air movement from the the
I conditioned space to the ceiling cavity. The lighting fixture
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled.
I
I VAPOR RETARDER:
[ ] Required on the warm-in-winter side of all non-vented framed
i ceilings, walls, and floors.
I
MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
I and cooling equipment and service water heating equipment must be
I provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
I
DUCT INSULATION:
[ ) I Ducts shall'be insulated per Table J4.4.7.1.
I
I DUCT CONSTRUCTION:
[ J I All accessible joints, seams, and connections of supply and return
I ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used to transport air, shall be sealed
I using mastic and fibrous backing tape installed according to the
manufacturer's installation instructions. Mesh tape may be
I omitted where gaps are less than 1/8 inch. Duct tape is not
I permitted. The HVAC system must provide a means for balancing
air and water systems.
I
I TEMPERATURE CONTROLS:
[ ) Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
I and/or cooling input to each zone or floor shall be provided.
I
I HVAC EQUIPMENT SIZING:
( ) Rated output capacity of the heating/cooling system is
1 not greater than 125% of the design load as specified
I in Sections 780CMR 1310 and J4.4.
I
[ ) ( SWIMMING POOLS:
I All heated swimming pools must have an on/off heater switch and
require a cover unless over 20% of the heating energy is from
I non-depletable sources. Pool pumps require a time clock.
I
( ] I HVAC PIPING INSULATION:
HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in.) :
I
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
I Low temperature 120-200 0.5 1.0 1.0 1.5
Steam condensate any 1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
I Chilled water or 40-55 0.5 0.5 0.75 1.0
refrigerant below 40 1.0 1.0 1.5 1.5
I
[ J I CIRCULATING HOT WATER SYSTEMS:
Insulate circulating hot water pipes to the following levels (in.) :
I
PIPE SIZES (in.)
NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+"
I 170-180 0.5 1 1.0 1.5 2.0
140-160 0.5 1 0.5 1.0 1.5
100-130 0.5 ( 0.5 0.5 1.0
I
----NOTES TO FIELD (Building Department Use Only)-------------------------
I I
MAScheck COMPLIANCE REPORT I
Massachusetts Energy Code Permit #
MAScheck Software Version 2.01 I
I I
I Checked by/Date I
I I
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 4-16-2003
DATE OF PLANS: 4-15-03
TITLE: Hamlin / Meisse
PROJECT INFORMATION:
12 x 16 two story addition
1300 Burts Pit Rd.
Florence, Ma
COMPANY INFORMATION:
Valley Home Improvement, Inc.
340 Riverside Dr.
fReq�uired
E: PASSES
UA = 97
= 74
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 96 0.0 38.0 2
CEILINGS 128 30.0 0.0 5
WALLS: Wood Frame, 16" O.C. 669 19.0 0.0 40
BSMT: Conc. 5.0' ht/4.0' bg/5.0' insul 40 19.0 0.0 2
GLAZING: Windows or Doors 70 0.350 25
-------------------------------------------------------------------------------
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 requirements of the Massachusetts Energy Code.
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 d 4.4.
Builder/Designer Date / �C
a '
O�I)V�MA�0
a� Fe Grits) of Nart 1jaillp tall
� �aseach«retie ���
m DEPARTMENT OF BUILDINTG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 —
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
f,
._Nelson A. Sviff rintt / tallrgy me_Tmpro`rement,--Tnc_. _ - -
(license6perrriittee)
with a principal place of business/residence at:
? vc� ide t?3 �_..�Jca t�l ampton, Ltd )l Q60 (l�haner=} (�13 c84=_7`A??
��
—t
do hereby certify, under the pains and penalties of perjury, that:
( I am an employer providing the folloWling worker's corripensat on coverage for my
employees working oil thl iob:
American Int' 1 Companies WC00260737000 2/1/04
(Insurance Company) (Polk.Number) (Expiration Date)
( ) I aui a sole proprietor, general contractor or homeowner (circle one) and have ;lined
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Coi ipany/Poticy Numbc:) (Expiration Date)
(Name of Contractor) (Insurance Compauvi'Policy Number) (Expiration Date)
Name of Conlrtctar.; (Insurance CompanyTolicy Number) (Expiration Date)
-(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach ad&t crW shoot ifn<cesary to inchldc informa.'ion pertaining to all coertractors)
( ) I am a sole proprietor and have no one working for me.
( } I am a home owner performing all the work myself.
NOTE:ple aw be aware that while homeowners who employ person:to do maintenance,cowvuction or repair work on it d m1 ing of
not morn than throe units in which the homeowner resides or on the grounds appurtenant tbar are not Cener4y considered to be
employers under the wod='s oaupcnsstion Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidrnoe the
legal siabia of an employer under the Worker's Compensation Ad
I understand that a copy of this ctatemmd may be forwarded to taxi Department of Industrial Aomdaa&Offioo of Lwuranoe for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
000sisti of a fine of up to S 1,500.00 andlor imprison of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against tnc.
Signed this day of :1 03 ,t11fConlY__
CONSTRUCTION SERVICES
I �
ar:s�r Nelson Shfflett 060300
Valley Home Improvement, Inc .
340 Riverside Drive,__-Northampt_on,__MA 01060 _ __ 9/22/04
i
584-7522
Pttgistered ii _}Improvement Contractor;
Valley Home
Inc. _____ _ ___
105543
340 Riverside Drive 7/17/04 _
Northampton, MA 01060 l I :; 584-7522
1 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6))
or e s C,^rr ensatiUn I�st.ir�r;e affidavit r tt�st be completed and d su,)initted with W s apolicmicn. I ailure tr nr_..i_t. : ii I !:'a:t
result -n the ueriial of the jssuarce of the buiidirg perm. t.
�,iu-i d 'fidavit attached Yes....... ]g1 o '
t 1. - Home Owner Exemption
The current exemption ii)r"homeowners" was extended to include Owner-occupied Dwellings ofone(I or W(21) 1'111061C
and to allow such homeowner to engage an individual for hire xilo does not pu; ess a license, provided that the owner acts
as supervisor. C MR 7801 Sixth Ldition Section 108.3.5.1.
Definition of Homeowner: Person(s)who oxvn a parcel of land on which h4'shc resides or intends to reside..on � hich thew
is. or is intended to be, a one or two family clwelling, attached or detached structures accessory to such use anti!OF larrn
structures. A person who constructs more than one home in 'r two-year period shall not be considered a honrew ner-
Such"homeowner" shall submit to the Building Official.on a form acceptable to the I31-iilding(_)fficial,th•.tt he/she shall be
responsible for all such work performed under the building perinit.
As acting Construction Supervisor your presence ore the joh site will be reciuired fi-0111 time to time, durill" and r;{u};i
completion of the work for which this permit is issued-
Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter I S:, (Liability of f-:mp lrt c: to
Employees for injuries not resulting in Death)ofthe AMassachusetts<ieneral Laws Annotated. you may he liable iww ;m,onks'
You hire to perform work for You under this permit.
The undersiLl-ned„homeowner"certifies and assumes responsibility for c-ompliarice with the State: Buildinr�C odc_C to of
;Northampton Ordinances, State and Local 7.oninlo Laws and State of llassacliusetts(icneral Laws Annolate(J.
homeowner Signature
`
� . .
. .
| -------
�CT10tN- QESCR!PI]Q1&{}F PROPOSED WORK
(�hec� aU app!icob g)
��_____-_�
ycp �oum n �^� Rc9\acexentYVindows i iuo[s> R�ofin�
V/ Door, | !
/`ccouswy ��d� idmrO New5|Xns ` i Decks Siding
r + /�.
| usc^ �,�� �� �r�posccv:n,t /��//°'~r��u/ � �1 00/~^;x���/��
ry ~ "
��n/a�io, cfasst��� bcu/oon �os �o Adc���� r�xhecroor�__�_��Yes __ \o
�tt Na,mjve Ronovsbn8L,rfinishod bmsernent
an-, Attached RrU Sheet
Go� (
°,~^- |
a� Jsoufbuiding One FannUy Two [am/ly_ _[t|,u_____ |
i �
| b� �unberof rooms in each 1arn`� ur��_________ Nun�o, o� 8o��rooms_ ______
ihe'e a g araOo attached? /�� ��4#
1"10C , '
d
Proposed 3qoam �m\a8e of now consimction` Dinenso-is
r �om�orn{ s1ores? ____��___
| F� | o �oo�utovc� Njmbv, o' oach
. i �athocdh*aimQ! ' /������ /rspaccs / _______'
| D Fn�r�yConsemai'onComp|ianco __-_- �ascheck �no/QyCo/rp|ianceio,mattached,
�ypco|consUmction V�
| i is construction within l00 f�� ofwot|ands?_ Yes �/� Ko. Is construcion within IO0 y'- ||oodp>am _ Yc�_ Ko
|
Depth ofoasomcn� orcoUa' floor below 5nshed grace
_�,x
Septic lank City Sewer �-Irivate well Ci-ly viate, STJ,-)[);y
SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Joe Hamill Donna Meisse oi the I-'e,
o
o Owner Dale
prov
,e-bv -cc'are that tl�e statements and information on the foregoi-ig aop'ication are true and accurate, to t'le �e.-,t d ;
DJeIooxu Shifflett
| |^ U vnre -
/ �
|
^
-Sectioll 4.
-kL0 JNFORMATiON MDSTBEK-KMPLETED, or PERMITCAN BL
DENIED DUE TO LACK OF INFORMATION
30 cro'o
Lot Size dC
Setbacks Front
Side L:
Rear
m 0. Square Footage
Open Space Footage
A Has Special Porrnit/Varianoo/Findingmvar been issued for/on the site?
=^
NO DON'T KNOW YES _________
|F YES, date isoued:______
IF YES: Was the permit recorded at the Registry ofDeeds?
NO DON'T KNOW YES
IF YES: enter Book Pago --___ and/or Document it
R, Does the site contain a brook, body of water or wetlands? NO ,~_ DON'T KNOW
YES
IF YES, has permit been 0r need tobe obtained from the Conservation Cnrnrnismon?
Needs tobmobtained _ Obtained . Date Ussumd:______
C Do any signs exist on the property? YES NO '�~- '_-
IF YES. describe size, type and |ocotiun:_______
D Are there any proposed changes to or additions of signs intended for the property ?YES
No ____
IF YES, describe size, type and location-.--,,--
«
. .
('-- --�� ----- ------- ------ ------ —�------ USE OrY—' ---
| '�' --- CitY A| �0rthannpiVD ��aius �� �crniC
" :` , Bu |dmXD�V8r|rncnL
- 'r—
2l� K8a.n Si[e6t
� .
| Kn0nn lDO
MA OlO�Q
phoU94l }'—~87-l24O Fax 4{3'587I27 �
he
APPLI CAT 11ON-Ta-CONS-TRUCT. ALTER, REPAIR. RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DVVEI LINC-,
SECTION I - SITE INFORMATION
This section to be completed by office
1.1 Property Address: Map I,---- Lot__ r _C;b __Unit_
130Q Burt Pit RnmA Zone A ___Overlay District_
Floxence, MA 01062
Elm St. District C13 District
SECTION 2 - PROPERTY OWNERS H I P/AUTHORIZED AGENT
2.1 Owner of Record:
1300 Burts Pit Road
Mailing Address:
Name(Pnnt) Current
Telephone
Signature
Valley Home Improvement. P.O. Box 60627, Florence -.-K-A-010 2
Narne(Print) Current Mailing Address:
_VP
r, Te;cphone
SECTION 3,- STIMAIED—CONSTRUCTION COSTS
KS
Item Estimated Cost(Dollars) to be Official Use Only
completed by permjL��Iican_tt _
(a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
5� Construction from (6)
3. Plumbing Building Permit Fee
S. �ire Protection
This Section For Official Use Only
Building Permit Number:__ e
Building,Cornmissioner/Inspector of Buildings Date
File#BP-2003-0881
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P O Box 60627 (413)584-7522
PROPERTY LOCATION 1300 BURTS PIT RD
MAP 35 PARCEL 201 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 16 X 12(2)STORY ADDITION(STUDY/EXERCIES RM)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060300
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQ 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 Perniit 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 Compssion
Signature of Building Offici 1 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.
BP-2003-0881
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0881
Project# JS-2003-1423
Est.Cost: $35000.00
Fee: $150.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot Size(sa.ft.): 46609.20 Owner: MEISSE DONNA&JOE HAMILL
Zoning: SR Applicant: Valley Home Improvement, Inc
AT: 1300 BURTS PIT RD
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON.-5115103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 12 (2) STORY ADDITION
(STUDY/EXERCISE RM)
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 5/15/03 0:00:00 16426 $150.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo