37-064 (8) SAFCO Foam Insulation �G'tNE
126 Mountainview Rd
East Longmeadow, MA 01028
SPIRY FORA NU TI®N
Insulation Site Certificate
Icynene®foam insulation installed on the site listed below is per the following chart:
Classic Max ClassicPlus ProSeal
(LDC50-V2)
ESR# 1826 3500
R13 3.5" 3.25" 1.9"
R20 5.5" 5" 3"
R30 8.1" 7.5" 4.5"
R38 10.25" 9.5" 5.5"
The following areas have been insulated in accordance with the manufacturers
instructions in the amount of:
Product Location R-value
CA-
LC:j( �• i" is w 1Et'l c l 7.`I `
Address: f l� I I-��Yt �Z�iJ 4,(% /Jo 41T44 v,I�,✓ (, � 2�
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Company: SAFCO Foam Insulation 5&a4r 7e4W
(Icynene Licensed Dealer) Authorized Signature Date
Final Construction Control Certification
To be submitted at completion of construction by a
d Registered Design Professional
for work per the 8th edition of the
Q,N sye�
Massachusetts State Building Code, 780 CMR, Section 107.6
Project Title: Phillips Enterprises Repairs Date: 30 July 2014 Perrmit No.
Property Address: 149 Easthampton Road,Northampton,MA 01060
Project: Check one or both as applicable: -- New construction X Existing Construction
Project description: The project is focused on the repair of the exterior envelope of the CNC Building, including the roof
and the interior finishes due to smoke,fire,and water damage.
I, Derek A.Noble Mass. Registration Number 10699 Expiration 31 August 2014 being a registered design professionl,
hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and
specifications concerning:
[ ] Entire Project [X] Architectural [ ] Structural [ ] Mechanical
[ ] Fire Protection [ ] Electrical [ ] Other:
for the above named project. I certify that 1, or my designee, have performed the necessary professional services and
was/were present on the construction site on a regular and periodic basis to determine that the work proceeded in
accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the
building permit and that I, or my designee:
1. Reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by
the contractor in accordance with the requirements of the construction documents.
2. Performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Was present at intervals appropriate to the stage of construction to become generally familiar with the progress
and quality of the work and to determine if the work is being performed in a manner consistent with the
construction documents and this code.
I hereby certify that the above mentioned work has been substantially completed and submit this document attesting to
the satisfactory completion of the above mentioned portion of the work along with any associated code punch list items
remaining to be completed(see attached—if any). 1 hereby attest under the pains and penalties of perjury that all of the
information contained in this document is true and accurate to the best of my knowledge and belief.
Actual "wet"or Electronic signature and seal
of registered design professional: "
�AN
e�
Phone number: 860.627.1923 Email: derekn@steffian.com
Building Official Use Only
Building Official Name: Permit No.: Date:
Version 9-25-2012
149 EASTHAMPTON RD BP-2014-0919
GIs#: COMMONWEALTH OF MASSACHUSETTS
MapBlock: 37-064 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-0919
Project# JS-2014-001357
Est. Cost: $200000.00
Fee: $1200.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: FIVE STAR BUILDING CORP 085319
Lot Size(sq. ft.): 451717.20 Owner: PHILLIPS WILLIAM L TRUSTEE
Zoning: Applicant: FIVE STAR BUILDING CORP
AT. 149 EASTHAMPTON RD
Applicant Address: Phone: Insurance:
17 EAST ST (413) 587-4060 O WC
EASTHAMPTONMA01027 ISSUED ON:31412014 0:00:00
TO PERFORM THE FOLLOWING WORK:STRUCTURAL ROOF REPAIR FROM FIRE
DAMAGE
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: r
Rough Fume��
r
b
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation���—�0
Final: Smoke: C t-. Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON WLATION OF
ANY OF ITS RULES AND R
Certificate of Occuppanc Signature:
FeeType• Date Paid: Amount:
Building 3/4/2014 0:00:00 $1200.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner