25A-194 66 SHERMAN AVE BP-2020-0457
GIS#: COMMONWEALTH OF MASSACHUSETTS
M".-Block:25A- 194 CITY OF NORTHAMPTON
Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:New Single Family House BUILDING PERMIT
Permit# BP-2020-0457
Project# JS-2020-000774
Est. Cost: $310000.00
Fee:$1264.00 PERMISSION IS HEREBY GRANTED TO.-
Const.
O.Const.Class: Contractor: License:
Use Group: C & T CONSTRUCTION 062884
Lot Size(sq.ft.): Owner: KELLOGG CHRISTOPHER
zoning: Applicant. C & T CONSTRUCTION
AT. 66 SHERMAN AVE
Applicant Address: Phone: Insurance:
15 Fairway Drive (413) 586-4965
FLORENCEMA01062 ISSUED ON.10/15/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-NEW 2050 SQ FT SINGLE FAMILY HOUSE
POST THIS CARD SO IT 1S 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:
FeeTyue: Date Paid: Amount:
Building 10/1520190:00:00 $1264.00
I
i12 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
i
File#BP-2020-0457 A
cel
APPLICANT/CONTACT PERSON C&T CONSTRUCTION �i 1'� `'
ADDRESS/PHONE 15 Fairway Drive FLORENCE (413)586-4965 g (o V
PROPERTY LOCATION 66 SH RMAN AVE
MAP 25A PARCEL 194 ZON Q
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLIC LIST
ENCLOSE REQUIRED DATE
ZONING FORM FILLED OUT 5h�
Fee Paid n tex
Building Permit Filled out
Fee Paid
Typeof Construction: NEW 2050 SO FT SINGLE HOUSE
New Construction Q I C
Non Structural interior re ovations
Addition to Existing
Accessory Structure ��
Building Plans Included:
Owner/Statement or License 062884
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 PER IT REQUIRED UNDER: §
Finding Special Permit Variance*
Received& Recorded at Registry of Deeds Proof Enclosed
Othef Permits Required: /
J/ Curb Cut from DPW Water Availability J Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elml Street Commission Permit DPW Storm Water Management
Demolition Del
Sig ture 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. e-/g215'ro P0+(R
�yq -s3 CTGONS yAtib0_ 2`sR - �ti'1 S ,�i mwcy
4d,
Department use only
City of Northampton stat`u$ofPerrnrt I '
Building Department Curb Cur/Drie�uay Permit
212 Main Street S`ewerfSepticAvaiCaf?Ihty
1?? .. .. .
Room 100 3/Uater/VIle7DA'vwd '.1j. .
Northampton, MA 01060 TwaSets afStructural Plans —
phone 413-587-1240 Fax 413-587-1272 PIofJSite Plans } `_ �U"
Other 5pepify 1_" a _� r '�'�
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
Thi§sect4ftiorrto be completed by(ff�ce
1.1 Property Address: r ;,Se
:
"+
66t 6 Map Lot
�� ,p. �'�W�•.'7 Thi fi'�
Zone OverlayP141 Str
-=� may--t � j�� +�-'cjl Nr�y,.Il ',�.p •1 CF
=Efm St�Distnct — _ CB District `:��� r �i, =sn
SECTION 2.=PROPERTY OWNERSHIP/AUTHORIZED AGENT::..
2.1 Owner of Record:
Name Print) f turrent Mailin Addr ss.
Telephone
gnat
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit a plicant
1. Building
U .(a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
zo, Qq Construction`from 6
3. Plumbing � � P� Building Permit Fee 22
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number. Issued:
A.
Signature: Ni
Building Commissioner/I*e'dor'of Buildings: Date
' s
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front �D l
Side LL—j R:` I L:i/6 R:I
Rear
Building Height �`1 F77
Bldg. Square Footage % jc 1 U
Open3----
Space Footage
(Lot area minus bldg&pavedL=—
arldn )
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES Q I
IF YES: enter Book i Page and/or Document#1 .
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 . Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location: !
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO
IF YES, describe size, type and location: L
E. Will the construction activity disturb(clearing, grading, exc— avatio or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO 4-151
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
_ " i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks Siding [O] Other[❑]
Brief Description oPro pQ d lvew -7 / (,
Work: i Tom/
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
a _
L - " qconpeefie– oIfNa ew housean.brart
al_lo–w
tnci:
Use of building : One Family_� Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? Y05 Y L�
d. Proposed Square footage of new construction. 7 Dimensions
e. Number of stories? 2
f. Method of heating? /�ro1Ja Fireplaces or Woodstoves Number of each
—r
g. Energy Conservation Compliances Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yesy No. Is construction within 100 yr. floodplain Yes �No
j. Depth of basement or cellar floor below finished grade
" I ��
k. Will building conform to the Building and Zoning regulations? Yes No,.
I. Septic Tank City Sewery Private well City water Supplyy
SECTION 7a-OWNER AUTHORIZATION:-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES-FOR BUILDING PERMIT
I,
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
/ h as Owner/Authorized
Agent h eclare that the emen s and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signe nder the pains and penalties of perjury. J
Print
a
Sig ature ner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: / Not Applicable £E
Name of License Holder: `� O Z o o
License Number
_ �� �✓/way �✓t'(/� ���1°/tc ai �l� Ol�� /0�3d�Z01 J
Add r Expirat&Date
Si re Telephone
9_Recistered.Homelmprove—me nt Contractor _ .__ Not Applicable £
Company-Name Registration Number
�s �a d��vaj• ter'. ����far-c�.G�1�G��G Z S�Z3�?�z(
Address Expiration D to
Telephone�7s�J 7 p
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...... £
'11 = HomeP.,Qyvner�Egempt><on'
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.
i
I
The Commonwealth of Massachusetts "
Department of Industrial Accidents
- T. Office of Investigations
600 Washington Street
r Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / // Please Print Legibly
Name (Business/Organization/Individual): `1 _is X(f 4J p•/
Address:
City/State/Zip: OveGtee Phone #: 6//.3J S ' —
Are you an employer? Check the appropriate box: Type of project(required):
. am a general contractor and I
1.❑ I am a employer with 4 � I e
6. E2' lew construction
amp
(full and/or part-time).* have hired the sub-contractors
2. I am a sole proprietor or partner- listed on the attached sheet. 7. E]Remodeling
ship and have no employees These sub-contractors have g. Demolition
working for me in any capacity. employees and have workers' 9 Building addition
[No workers' comp. insurance comp. insurance.$
required.]
5. We area corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp, insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners 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. If the sub-contractors have employees,they mustprovide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site
information.
Insurance Company Name:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ido hereby certify under e pains and penalties ofperjury that the information provided ahove is true and correct
Si Lynature:
Phone#:--(4f
Off cial use only. Do not write in this area, to he 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#:
City of Northampton
_5
Massachusetts �,;• s •:lr'.,
DEPA.RT=2VT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building
Northampton, MA 01060 sry .....
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
he/she resides or intends 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."
The building department for the City of Northampton wants any person(s) who seek to use the home
owner exemption, to act as their own construction supervisor, to be aware that by doing so you
become responsible for compliance with state building codes and regulations. The inspection
process requires that the building department be called to inspect work at various stages, which include
foundation/footings (before backfill) sonotube holes (before pour) a rough building inspection
(before work is concealed) insulation inspection (if required) and a final building inspection
The building department requires these inspections before the work is concealed, failure to secure
these inspections can result in failure to obtain a certificate of occupancy until the work can be
inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be
responsible to make sure that the trades hired secure their proper permits in conjunction to the building
permit issued, and that they get their required inspections. Failure of the individual trades to secure
the permits and inspections as required can DELAY the project until such time as the proper permits
and inspections are made
l• understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
4ddress of work location
r
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit-all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: S*!! AAAA Rile--
The
ile -
The debris will be transported by:
The debris will be received by: � .-J'� �/z/C X:;e!9'
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
413-587-1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 66 SHERMAN AVE.
Inquiry Made By: CHRIS KELLOGG 413-563-7841
(Name) (Telephone Number)
Date of Inquiry: 9/3/2019 Fire Line Irrigation Domestic X
Number of Units: 1 Type of Units: Type of Ownership:
Single Family X Private X
Apartments Condo
Multi-Family Rental
Commercial
(Applicant to fill out the above)
Municipal Water Main in Front of Location: Yes X No
Existing service to site? Yes No X
Size of Water Main: 6" Material: Cast Iron Age: 1926
Approximate Static Street Pressure: 115 psi Flow Test Conducted: Yes No X
(If flow test conducted attach results)
Size of Service Connection: 1" Suggested Meter Size: 5/8"
Comments: The Water Department cannot guarantee adequate water pressure during
Teak demand times at elevations above 320'
- A corresponding water enterance fee shall be paid prior to making any connection to the municipal
water system.
-Arrangement of such installation hall be made with the Northampton Water Department within a
minim w irking ays if ation.
-All work shall o fo ort amton Water Department specification q-
OP
(Water Superintendent) (Date)
*Water Entry X ($1,250) Domestic *Meter $ 450 *Radio Read $150
($2,500) Subdivision (fee to be determined)
(Includes fire line if required)
cc: City of Northampton Building Dept./Commissioner
NOTE: If this availablitiy is for a new construction,it must be hand delivered to the Building
Inspector
*Fees will be charged based on current fee structure at the time of entry application
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
413-587-1570
A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any
construction or connection activity associated with this application.
Location: 66 SHERMAN AVE
Date of Inquiry: 09/03/19
Inquirer with contact info: CHRIS KELLOGG 413-563-7841
Reason for Request: NEW CONSTRUCTION
Municipal Sewer Main in Front of Location: Yes No
� s
Size of Sewer Main: Material: V C Age: ( L
Depth of Sewer Main:
Length of Sewer Main: '1,0c '
Size of Service Connection: tl
Type of Service Connection: n AA-- klf�_'-n.
Domestic Tie In: V/($1,250) Subdivision Tie In : ($2,500)
Tie-in to Private Sanitary: $ - N/A Tie-in to Existing Sanitary Service: $ - N/A
Comments: �i✓w se/vfc c. + e f'V-k/, .
rnaii�
City Requires 6" cleanout installed at City Property Line
Note:If this availability is for new construction,this form must be hand delivered to Building Inspector.
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the
municipal sewer system.Arrangements of such installation shall be made with the
Northampton Streets Department with a minimum of 5 working days notificaiton. All work
shall conform to Northampton Streets Department specifications.
1---,` -- Date:
Sewer Dept. Foreman
*Sewer Entry$
*Fees will be charged based on current fee structure at the time of entry application
It
Permit No. D06 -20
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 09/03/19
Check #: t���; �
FEE: $250.00
Proposed driveway must be staked and address andlor lot number posted. Public Shade Trees are
Protected by MGL Chapter 87. Do not cut, trim or remove any trees on City property without the
expressed written permission of the Tree Warden.
The undersigned respectfully petitions The Department of Public Works for: A new Curb Cut
Permission to install a driveway at: 66 SHERMAN AVE
Fifteen (15) foot maximum width from street line to property line. Gutter drainage not to be disturbed.
All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway.
The first one hundred (100) feet of the driveway surface shall be paved as soon as possible if the grade of
the proposed driveway exceeds 3% at any point in the first one hundred (100) feet. Homeowners will be
held responsible for any costs to the City of Northampton in the event of a washout of this driveway. City
is not responsible for culverts installed under driveways in City layout. Code of Ordinances §350-8.8
providing standards for private, individual driveways as most recently amended, must be followed.
No excavation is authorized without a valid trench permit in addition to this permit.
By: CHRIS KELLOGG
Telephone: 413-563-7841
Signature
Superintendent—Tree Warden
Hi wa erintendent Date Forestry,Parks&Cemetery Date
Proposed Location&
Tree Protection n��` ��`}—
Inspections p`J
Tree Protection&
Gravel Base Grade
Inspected
Final Approval
Director of Public Works
Cc: Building Inspector
(SUBJECT TO ATTACHED CONDITIONS 1 & 2)
Permit No. �.
Conditions: Driveway Permit
In lieu of plan approved by the City Engineer I agree to the following added conditions:
1. I will contact the Department of Public Works and have an inspector check and approve the
graded gravel base prior to paving to insure compliance with slope and location;
2. I further agree that if in the inspections, any of the permit conditions are not met that I will at no
expense to the City remove and replace the driveway as directed by the City Engineer.
By:
Name: CHRIS KELLOGG
Address: 15 FAIRWAY DRIVE
FLORENCE, MA 01062
Note: The Public Works Department recommends that you provide a plan showing the proposed
driveway with grades and location in the future to avoid possible expense which you will incur by
not getting approval of actual plans in advance.
For Commercial and Industrial applicants, a plan showing the proposed driveway with grades,
location and Planning Board permits are required.
Cc: Building Inspector
City jorf XarffTamphirn _
� ,�F18gF1r�lI8P�8 ��C
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Buildingi�
Northampton, MA 01060
Fee Calculator for Residential Properties
Location
Square Footage Amount
Basement @ .20 _ V S6 20
111 Floor @ .50
2n' Floor @ .50 5-D
'/ Floors, Finish Attic, Garage @ .20
Deck / Porches @ .20
Total
From: Christopher Kerney christopherkarney��?gmaii.com
Subject: Fwd:Address Assignment Forth-Application
Date: June 21,2019 at 7:27 AM
To: Chris Kellogg etconstC-vyahoo.com
----------Forwarded message--------
From:David Veleta<dv,'h>ti3..y,�.nggN1MQQrinmsZggy>
Date:Fri,Jun 21,2019,6:55 AAA
Subject:Re:Address Assignment Form-Application
To:Christopher Kerney<.vi�rigyh t r ,qR9InaiI,Com>
Cc:Greg Newman ru,i„Hwrtrai>. hamntomna�v>,Chris Kellogg<ctcunsiLa yahoo.cortu
Hi Chris,
The addrcss assignment for Lot I on Shemin Avenue is attached.A hard copy will follow in the mail.
David
David Veleta, P.E.
Department of Public Works
125 Locust Street
Northampton, NA 01060
T: 413-587-1570 ext.4310
C: 413-320-0198
F: 413-587-1576
E: Ave teta_@northamptonma.gov
W: www.northamotonma..ty d w
On 6/1812019 3:39 PM,Christopher Kerney wrote:
David,
Please review the attached application and let me know it you require any additional information.
Ultimately,the remaining land parcel shown in plan book 244 page 53 will be reconfigured to orient on Sherman Ave and then
funher divided to create an additional building lot between the existing house and"lot V Therefore Sherman Avenue will
eventually require three new addresses.
Thank you,
Christopher Kenney,PLS,EIT
CtTYOF NWHAMPTON,MASSACHUSETTS
DEPARTMENT OF PUBLIC WORKS
125 Locust Street
Northampton,MA 01060
071
0
413.587.1570
Pax 413-MY-1576
Donna LaScNata
ofn*.
AMIGNMEtWf OF HOUSE NUMBER
Street: Sherman Avenur
Amessun Map: Nlap 25A,Lot 194
Hammer mmilberif 66
Date: June 20,2019
Remarks: Addrrm assigned to a building lot on Sherman A,c nuc shown as"Lot I"on a
plar,entitled*'Approval Not Required Diviuol of Land,9 Crosby Street,
Assessors Parcel '.SA-1 11,Northampton,MA"prepared by R Levesque
Associates,Inc.and staled by Marc F.Shue-PLS,dated May 20,2019 and
rmorded in the Hampshire County Registry of Oteds in Plan Book 244,Page
53.The number assignment was requested by the owner for permitting
purposes for the c"ruction of a sinigic family cl evl irg.
l;tivid K.Valeta,_PF
City tngrnerr
cc Cetnni D wpatch Board of Ltcalth
Water N"Sios
Sc%cr Div tst<m Neutral Grid
Streets r>n1%Kra Yerimn Telepho c
Inspectors Comeau
Asscuors Columbia Gas of Massachusetts
Police Department Post 015ce(Northampton)
Janycs 1'hcmtpson(US Coordinator)i Pmt flfl'ice(F;aatlampton)
Registrar of Voters School raepartment
Ma sGIS(olmamail) Address Miulagetrent Systems
ApphcanLO.tscr: C4rialopher Kinney
9Croaby Stant
!aturtFuntpton,MA 0p060
Home Ener Rating Certificate Rating Date: 2019-09-30 HIS
JY 9
Registry ID: Unregistered HERS
Projected Report EkotropeID: BdNM5ev
IndexHome:core:
• • Sherman Ave
Your home's HERS score is a relative
' Northampton, 1 1.1
score.performance • ..
home.the more energy efficient the To $ 3r08Builder:
-- 52learn more,visit www.hersindex.com *Relative to an average U.S.home Chris Kellogg
Your Homers Estimated Energy Use: This home meets or exceeds the
Use [MBtu]
Annual Cost criteria of the following:
Heating 47.6 $1,254 2015 International Energy Conservation Code
Cooling 0.9 $49
Hot Water 11.4 $299
Lights/Appliances 21.0 $1,017
Service Charges $60
Generation(e.g.Solar) 0.0 $0
Total: 81.0 $2,679
HERSIndex Home Feature Summary: Rating Completed by:
,-,Idb ►wr•c.•,s Home Type: Single family detached Energy Rater.Adin Maynard
ISO Model: N/A RESNET ID:9463452
F—,Img uo Community: N/A
Homes 130 Conditioned Floor Area: 1,895 ftp Rating Company:H15&HERS Energy Efficiency
12O Number of Bedrooms: 4 Mailing:12 Perkins Ave.Northampton MA 01060
refs—nxf U Primary Heating System: Furnace•Propane•97 AFUE 4136588784 w�
Home wo
90 Primary Cooling System: Air Conditioner•Electric•14 SEER Rating Provider•Energy Raters of Massachusetts :,
8D Primary Water Heating: Water Heater•Propane•0.97 Energy Factor 2 Woodlawn Street Amesbury,MA 01913 r v
978-270-3911
60
House Tightness: 3 ACH50 °3
so
•1• Ventilation: 63.0 CFM•11.0 Watts ti "
.o TMs No" Duct Leakage to Outside: 50 CFM25(2.64/100 s.f.)
30 Above Grade Walls: R-21
20 Ceiling: Attic,R-59
Zero E ey o Window Type: U-Value:0.28,SHGC:0.27
Foundation Walls: N/A Adin Maynard,Certified Energy Rater
t"'r'tom Digitally signed:9/30/19 at 4:37 PM
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Ratinge1witrom- The Energy Rating Disclosure for this home is available from the Approved Provider.
Building Specification Summary HIS
Property Organization Inspection Status HERS
66 Sherman Ave HIS & HERS Energy Effici, Results are projected
Northampton, MA 01060 4136588784
Adin Maynard
Kellogg_framedFlr
Kellogg Prelim Builder
Chris Kellogg
Building Information Rating
Conditioned Area[ft2] 1.895.00 HERS Index 52
Conditioned Volume[ft"] 16,250.00 HERS Index w/o PV 52
Thermal Boundary Area[ft2] 5,794.80
Number Of Bedrooms 4
Housing Type Single family detached
Building Shell
Ceiling w/Attic I R58, Cell, 16", 6-24--attic flat U-0.02 Windows(largest) I U-Value:0.28, SHGC:0.27
Vaulted Ceiling I None Window/Wall Ratio 10.06
Above Grade Walls 12x6 , 16oc R21, FG, G2 U-0.05 Infiltration 13 ACH50
Found.Walls I None Duct Lkg to Outside 150 CFM25(2.64/ 100 s.f.)
Framed Floors 2x10 R-30 Batts>base R-30 Total Duct Leakage 175 CFM25 (Post-Construction)
Slabs I None
Mechanical Systems
Heating Furnace • Propane •97 AFUE
Cooling Air Conditioner - Electric• 14 SEER
Water Heating Water Heater • Propane •0.97 Energy Factor
Programmable Thermostat Yes
Ventilation System 63.0 CFM • 11.0 Watts
Lights and Appliances
Percent Interior LED 100% Clothes Dryer Fuel Electric
Percent Exterior LED 100% Clothes Dryer CEF 2.6
Refrigerator(kWh/yr) 691.0 Clothes Washer LER (kWh/yr) 704.0
Dishwasher Efficiency 270 kWh Clothes Washer Capacity 2.9
Ceiling Fan None Range/Oven Fuel Propane
Ekotrope RATER -Version 3.2.2.2261
All results are based on data entered by Ekotrope users.Ekotrope disclaims all Lability for the information shown on this report.
End Use Energy Costs HIS
Property Organization Inspection Status HERS
66 Sherman Ave HIS &HERS Energy Effici, Results are projected
Northampton, MA 01060 4136588784
Adin Maynard
Kellogg_framedFir
Kellogg Prelim Builder
Chris Kellogg
Annual Energy Cost
$1,200
$1,000
$800
t`v
a�
$600
$400
$200
$0n
Cooling Water Heater Lights & Appliances Service Charges
Ekotrope RATER-Version 3.2.2.2261
All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report.
Component Loads HIS
Property Organization Inspection Status HERS
66 Sherman Ave HIS& HERS Energy Effici. Results are projected
Northampton, MA 01060 4136588784
Adin Maynard
Kellogg_framedFlr
Kellogg Prelim Builder
Chris Kellogg
Heating & Cooling Loads
25
20
15
10
m
5
-5
-10
Above-Grade Infiltration & Slabs & Roofs Ducts Windows & Foundation Internal
Walls Ventilation Floors Doors Walls Gains
Heating
Cooling ■ Ekotrope RATER -Version 3.2.2.2261
All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report.
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