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05-042 (2) 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 I" 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 l" 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) i Heating and Cooling Equipment: [ ] 1. Air Conditioner 1: Electric Central Air, 13 SEER or higher Make and Model Number [ ] 2. Boiler 1: Other(Exept Gas-Fired Stearn), 80 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 cfm (0.944 Us)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. [ ] Insulation R-values,glazing U-factors,and cooling 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: 06/28/02 TITLE: Alterations to 243 Audubon Rd., Leeds Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling(no attic), R-38.0 cavity insulation Comments: dining room cathedral +flat Above-Grade Walls: [ ] 1. Wall 1: Wood Frame,24" o .c., R-19.0 cavity insulation Comments: dining [ ] 2. Wall 2: Wood Frame,24" o .c., R-19.0 cavity insulation Comments: dining high [ ] 3. Wall 3: Wood Frame,24" o .c., R-19.0 cavity insulation Comments: kitchen bump walls [ ] 4. Wall 4: Wood Frame, 24" o .c., R-19.0 cavity insulation Comments: basement gross Windows: [ ] 1. Window: Pella 2'-6x5'-6 DH: Wood Frame, Double Pane with Low-E, U-factor: 0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: dining main level [ ] 2. Window: Pella awning 2525-2: Wood Frame, Double Pane with Low-E, U-factor: 0.280 For windows without labeled U-factors, describe features: #Panes Frame Type _Thermal Break? [ ] Yes [ ] No Comments: high dining [ ] 3. Window: Pella Architect 2941 DH: Wood Frame, Double Pane with Low-E, U-factor: 0.280 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: family room [ ] 4. Window:Pella casements: Wood Frame, Double Pane with Low-E, U-factor: 0.280 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: kitchen casements Doors: [ ] 1. Door: Pella 3068: Glass, U-factor: 0.330 #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Pella Architect 3068 door, dining room Floors: [ ] 1. Floor 1:Unheated Slab-On-Grade,4.0' insulation depth, R-8.0 continuous insulation Comments: family room Slab insulation to extend down from the top of the slab to at least 4.0 ft. OR down to at least the bottom of the slab then horizontally for a total distance of 4.0 ft. [ ] j 2. Floor 2: All-Wood Joist/Truss, Over Outside Air, R-30.0 cavity insulation Comments: kitchen bump-out Window: Pella casements: Wood Frame, Double Pane with Low-E 20 0.280 6 Door: Pella 3068: Glass 20 0.330 7 Floor 1: Unheated Slab-On-Grade,4.0'insul. 212 8.0 149 Floor 2: All-Wood Joist/Truss, Over Outside Air 30 30.0 0.0 1 Air Conditioner 1: Electric Central Air, 13 SEER Boiler 1: Other(Exept Gas-Fired Steam), 80 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 l b 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. Builder/Designer Date Q"� S' 200 J i Permit Number NOT 0F F'J MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheck Software Version 3.3 Release I Data filename: Untitled TITLE: Alterations to 243 Audubon Rd., Leeds CITY:Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 06/28/02 DATE OF PLANS: 5/24/02 PROJECT INFORMATION: Ducharme major renovation COMPANY INFORMATION: Gougeon& Locke Builders 26 South St. Williamsburg, MA 01096 NOTES: This energy compliance check is for the addition only,but includes the central air and the boiler in the house. COMPLIANCE: Passes Maximum UA=271 Your Home=264 2.6% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 250 38.0 0.0 7 Wall 1: Wood Frame,24" o .c. 368 19.0 0.0 22 Wall 2: Wood Frame,24" o .c. 27 19.0 0.0 2 Wall 3: Wood Frame, 24" o .c. 116 19.0 0.0 7 Wall 4: Wood Frame,24" o .c. 368 19.0 0.0 8 Window: Pella 2'-6x5'-6 DH: Wood Frame, Double Pane with Low-E 151 0.280 42 Window: Pella awning 2525-2: Wood Frame, Double Pane with Low-E 9 0.280 3 Window: Pella Architect 2941 DH: Wood Frame, Double Pane with Low-E 35 0.280 10 0 �, ' a f �s- r S � N �.S o64r- � � z 4 �r , �ve�N 'i�HpT� B B Alsaxc4nsclta' DEPARTMENT OF BUIL)ING INSPECTIONS 212 Main Street ' Municipal Building ,o Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFMI AVIT (Iicensee/permittee) with a principal place of business/residence- at: J 2erVV y' 7 9, 09,029- &,Of Al (phone (street/ci ty/staie/2�p) do hereby certify, under the pains and penalties of pequry, that (iam an employer providing the following worker's compensation coverage for my employees working on this job: Gass a-nce Company) (Policf Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Cornpany/Pohq Number) (Expim6oa Date) r (Name of Contractor) (Insurance Company/PoLicy Number) (Expiration Date) (Name of Contractor) (Insurance CompauyiPolicy Number) (Expiration Date) (Name of Contractor) (Lnsurance Company/Policy Number) (Expiration Date) (attach a&Etiocu shcd ifncc--y to iachuic iafbrm oa pa a rig to all oca'ractots) O I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that wile homcor�,ixrs who employ pcao--,to coo _sjatcaxac,,cal�acucn ar repair work on a dNN'- rig of not moee than thmo units in which the hou-a mcr resides oc oa the uour :pWrtcn.:at tlxrtt arc not Eczxrilly coasicicrcd to be cmployaa uncr the Act(GL152,ss 1(5)�replication by a horncowna for a liccasc oc pc rnut may n i&moe the legal status of an employee under tho Woc�e Compensation Act I undalvnd thst a copy of this axt.cmcut may bo foxwwu L&d to tho Dcpartn caf of Indcuirial Ac6&d Off o0 of In--u3co for tho coverage wnf-p2ioa and that fidum to azure coverago unckr scctioa 25A of MGL 152 can lead to tho impos oa of aimintl pcaalties oomiitin of a fine up to S1,300.00 eadlor impr-iso�of up to one year and civil pcaaltia in the form of it stop Work Ord3—and a firm of S 100.00 1 day ttg&iaA me For&Ps:Rr�ermit —only p Number 6 ?f � map, Lot# Signature iccuseelpermiuee SECTION 8-,CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder : `� � lye l` ` G License Number Address Expiration Date Signature Telephone "". °'+mac's e Not Applicable ❑ Regiseyed}�ome fmnrovementContractor .-_ , Company Name Registration Number 26 �rZrZ Z" 57; 1,�1C la` ��� 1116-- 6 —1 z —.0 Z- Address Qy Expiration Date Telephone ��j 7 Z'�j 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...... ❑ ll:rHome.Owner Ex`empfron 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) M - Roofing C>� Or Doors I_ Accessory Bldg. ❑ Demolitio ❑ New Signs [ ] Decks Siding [Other [ Brief Description of Proposed Work: WJA& �-V !Mi /�D�ri6e, 40� - /� ��'l/l�; Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement —wf_-Yes No Plans Attached Roll P"Sheet❑ ^' IM-r- o If`New`Fiouse~and=or addition .to°existing dousing 'complete the following: a. Use of building : One Family ✓ Two Family Other b. Number of rooms in each family unit: Number of Bathrooms 3 c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? Ai13t-yr yLJ- 64Xe,*ceft-1'14a e.1 f. Method of heating? G't / /A, 14_74 �! Fire r Woodstoves�_Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? ' h. Type of construction 4yew y r9014�e'" i. Is construction within 100 ft. of wetlands? Yes '� No. Is construction within 100 yr. floodplain Yes e/ No j. Depth of basement or cellar floor below finished grade V"l fiFs -7 t 4c X14"1- k. Will building conform to the Building and Zoning regulations? v 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 _-oWJAA47 d14 of 024 JL9 Z_j27$ iO ,eC A� as Owner of the subject property hereby authorize AJ 9- _ to act -)n my be alf, in all matters/ ivrk authorized by this ct lding permit application. Pj15 Qj , Ou, ISignatu of Owne Date .j J"465 Vic',,"_ , as Owner, thorized Ag hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name / Signature of Owner/A t 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 ' ' j / b Frontage Setbacks Front 6-7 & Side L: S'7 R: 3! L: 'St=�R:__ d 0 Rear l '01-0 t f fi d Building Height 2-6 Z� Bldg.Square Footage % , ci 0 y Open Space Footage q31/q7'- % p p (Lot area minus bldg&paved .y !' �p �o parking) 2- #of Parking Spaces C'vtG�C Fill: J /I �J - volume&Location l" !t' 1� A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW ✓ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T 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: s i Ci orthamptonata,fe- = JUi�1 2 8 2002 Bui Department 12 a i n Street �Sewer7Septi F 1. - R m 100 uVa erhVe I 'vSp CTIONS tham on, MA 01060 TwosS et, s - p�ione 413-587-1240 Fax 413-587.1272 Plot/Ste Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section#o be completed by off'ce ; 1.1 Property Address: p ZZ-,- Map Lot`yUn�# Zone Overt y District SECTION'2 - PROPERTY OWNERSHIP/AUTHORIZED AGEN' �.� y 2 If 2.1 Owner of Record: Name P `&t) �/C aGK✓ ...-telephone..a_ Signatur 2.2 Authorized Agent: �Ilf fi (-0 7.� �St�! ( �T• <G� ii c`tJ�3 t/rc G— Name(Print) Current Mailing Address: Z Io 8 - 9 7-3 Signature Telephone SECTION`3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building /2 x (a) Building Permit Fee 2. Electrical F 7 —M (b) Estimated Total Cost of Construction from 6 3. Plumbing �f �$(� Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) Check Number d This Section For Official Use Only Building Permit Nu be _ Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2003-0002 APPLICANT/CONTACT PERSON James Locke ADDRESS/PHONE 26 South Street (413)268-9323 ``L PROPERTY LOCATION 243 AUDUBON RD MAP 05 PARCEL 042 001 ZONE RR � `q THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Typeof Construction: CONSTRfJCT 18 X 14 ADDITION(DINING RM)& 14 X 17 DECK,REPLACE WINDOWS,DOORS,SIDING,ROOFING New Construction Non Structural interior renovations Addition to Existiniz 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 INF RMATION 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 Str ommission Signature of Building Official 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. I k-7 i- 243 AUDUBON RD GIg: COMMGNWEALTH OF MASSACHUSET 002 Lot:-0 ock:os-042 CITY OF NORTHAMPTON Ts Lot: -001 Permit: Building Cate orv7 BUILDING PERMIT I'ernut# BP-2003-0002 Froc,t# JS-2003-0002 Est. Cost: $164780.0 Fee: $629.80 PERMISSION IS HEREBY GRANTED TO: Cons Contractor: Use Group- James Locke License: Lot Size(sq.ft.): 51836.40 001992 Owner: DUCHARME LOIS B Zoning:RR Applicant.. James Locke AT: 243 AUDI DON RD App 'cant Address 26 South Street Phone: Insurance: Compensation 413 268-9323 Workers WI LLIAMSBURGMA01096-9726 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 18 X o14 ADD TION DI & 14 X 17 DECK, REPLACE WINDOWS, DOORS, SIDING, ROOFING (DINING 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: Rough: Footings: Rough: q House# _ 9 I Foundation: -! Driveway Final: Final: Vf( f?V2 � ll�%�Final: i 9a1�yL />A/I, / Rough Frame: —� .0;� Gas: '/72I.z �2 �i C3 g-� o a;� ����� Fire Department Fireplace/Chimnev: Rough: Oil: Insulation: 9,K q Final. '[?ff R11" ?7 I l3`vA Smoke: Final:el 11,c THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT N OF ANY OF ITS RULES AND REGt7T,ATIONS. Certificate of Occu anc T Fee T e: Si nature: Receipt No: Date Paid: Check No: Amount: Building 7/16/02 0:00:00 11716 $629.80 212 Main Sheet,Phone(413)587-1240,Fax: (413).')87-1272 Building Commissioner-Anthony Patilb