Loading...
49-061 BP-2021-1755 , t{<•GLENDALE kD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 49-061-001 CITY OF NORTHAMPTON Permit: New Build PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-1755 PERMISSIONIS HEREBY GRANTED TO: Project# Contractor: License: Est. Cost: 295000 103381 Const.Class: Exp.Date:08/01/2023 Use Group: Owner: MS HOMES LLC Lot Size (sq.ft.) Zoning: Applicant: MS HOMES LLC Applicant Address Phone: Insurance: 21 WEST SCHOOL ST 4132440336 WEST SPRINGFIELD, MA 01089 ISSUED ON:11/01/2021 TO PERFORM THE FOLLOWING WORK: NEW SINGLE FAMILY HOUSE 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. Signature: 1110 3-1 b • 1 Fees Paid: $1,100.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts °r r Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: "p;I A-17c, Date Applied: I•' i Y► .9• To ►'i I/iAi Building Official(Print Name) Signature *P e 2,4' SECTION 1: SITE INFORMATION 7r0pertv Ad re s: 1.2 Assessors Map& Parcel Numbers -) &len 4Ie sCH !s this an accepted street?yes noMap Number Parcel Number oning Information: 1.4 Property Di ensions: Resialen414) Ili G 'Ss{. 1 A3. if Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) L1asfe( beU dorm en+ Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Wate.Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public E( Private❑ Zone: Outside Flood Zone? Municipal❑ On site disposal system [_B'/ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: P1.5 HeN,es u.G Wes4 • r'inj'(eld , MA 0/0 ? ? Name(Print) City,State,Z a1 Weil school sfee4+ 418-31/Y- 0334 Sa venioSt yahoo.coM No.and Street Telephone Email Ad ress . SEC,TION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 7 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': $ t;14 TWo sforw colonist 1 3 bed Neon Woo 9a4h(06in , oo srff. 4 ttacLedy 340a3e, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ aso 0 DO I. Building Permit Fee: $ Indicate how fee is determined: / 0 Standard City/Town Application Fee 2. Electrical $ /f, 0040 0 Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 15 1 00 O 2. Other Fees: $ 4. Mechanical (HVAC) $ li/ ODD List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ (kb0.� 04, Check No3410? Check Amount/(pa— Cash Amount: 6.Total Project Cost: $ a h7. 000 0 Paid in Full 0 Outstanding Balance Due: • • • • •• 4 • : U! "" ..!.• •!. .•••z_ „. • ly: • ‘• 0' ' '4. • ' -4. • •4) ^1 • z• ..".• . , • J• . SECTION 5: CONSTRUCTION SERVICES 5.1[Construction Supervisor License(CSL) L S— 103.381 S� e y Sa V o n l n License Number Expiratio Date Name dfCSIIolder at ides T Sc l oo I S,hear List CSL Type(see below) No.andStreet A Type Description 1 esi St (iq(l Q /f l�t y., T i M D I Q 6-9 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,Mite,' R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding 0 ( SF Solid Fuel Burning Appliances y13 • Jim- 6 J�+av 6n�n Sey�Aoo.ce, I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 17, 79 7 Li/Zia/so. pi S. H om e;, L LGii S e(�yet .SQ tlO fI in HIC Registration Number piran Date HIC Company Name or 1C Registrant a ies+ school sleet* Sa vonin se yahoo. cowl No.andSt et Welt 5Pn e 1I MA0 Wort yl3 - yy• 034Emai address City/Town!StafefZIP Telephone SECTION 6: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 Issua ce of the building permit. Signed Affidavit Attached? Yes 11 No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S 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. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this appli send accurate a best of my knowledge and understanding 0//a0a. uthorized Agen 's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) 2 4100 s' (including garage,finished basement/attics,deck r porch) Gross living area(sq.ft.) 1 tr/a f Habitable room count 111 Number of fireplaces I Number of bedrooms Number of bathrooms 1•$ Number of halFbaths l•,� Type of heating system $.0 Number of decks/porches Type of cooling system Ca f t4 I A,;f Enclosed _Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton er::‘ ( i Massachusetts s c, _.c 171 • ,,,.'i;, DEPARTMENT OF BUILDING INSPECTIONS • f 212 Main Street • Municipal Building Northampton, MA 01060 slh � CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Vies T SP c1 td ft e Id j mot The debris will be transported by: Name of Hauler: &(een leaf l is pps4 1 ah d I e c j e Ii n , J Signature of Applicant. Date: q /! 4Od.( The Commonwealth of Massachusetts `'l„�e Depur/ntent of Industrial Accidents _ ;;; I Congress Street,Suite 100 =ail*r ' yl Boston,MA 02114-2017 k- IVlvtt?ntass.gov/dia 11otkers'('untpensation Insurance:Affidavit:Builders.1ContractorsiElectrician,ll'luiubers. rc)aE FILED li trip THE PERMI'l-iIN(i Atrr$IORfrr. Applicant information Please Print 1st ibis Name(uusincss.organizatiowlndividual): MS t?br,est LL.0 .Se¶Q (/ Savo n 1 I') Address: a I Itl4.S School S f eel iJ `f City/State/Zip: \e54 SPci jTit Id, PM 016eir Phone#: q 03— a yY-d33b Are far on cvrp ki erF Check the apprv(rrlalc but Type ojproject(required): 1.� ant a employer with ____ engrloyces(full andtor part-time)_• 7. Now construction � I ant a sole pruprietor or puttneriltip and have no employee.winking fur me in g. [J Remodeling any eameity.INo%wrieritu cup.uoraii uee iv-quirt:di +--� 9. ® Demolition 0 I am a hunn]rwter dome all'Hurl my lf.INo wotkcxs'comp_ironra ee nze uired.l° i a Q Building addition •I.❑l ant a htntsoowner and will be huts enruradmrxlu conduct all wtak on uty property_ I will cumin:that all eVlaitrac-dun either hale workers-evairph7Laation'insurance or arc sole 1 I.a Electrical repairs or additions proprieIota with no employees_ i 2.0 Plumbing repairs or additions SC:i I am a general cuntraetor anti I line e hired the sub-cuntr:e'tOnt listed out tlx:attached died_ 130 RtXtf repairs Tlicsc oath-euutractura kw":employes-.and have winter.'cutup.ua.uranca= 14.El Other 60 we are a evaporation and it,otftc'cn,have exercised their rigln of e':tdtirplit n per AICtL e. —'__ IS'!§t(A),and we have no crt:)rluysci.[No winters'coup.insurance tequila) 'Any applicant that cheeks box irl moo also till out die txxtioai helms showing their workers compensation policy information_ t Iloaneowner%who suhincl this atndas it indicating they arc doing all work and then lure outside eoltiraictora must auhntit a new offulat it indicating such. tCuntractors that cheek thu box roust atta ela:d an additional shed showing the none of the sulr•cumaractors and state whether ur riot Hulse eniitiea have employees_ lithe sull-cunlracttn,lose eitlplo.,ect.they must provide their workers'oomp.pulley number_ am an employer that is providing n°or ers'compensation insurance for my rntploj ees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address.: CitylStateiZip: 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 c. 152,§25A is a criminal violation punishable by a fine up to S1,500.00 anchor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250.00 a day against the violator_A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify wider the pod at the information provided ere i.s true and correct. Si.nature- Date: a 11 a 6 a. Phone#: '113- ANN- 033b Uncial use only. Do not write in this rrre°li,10 is completed by city or town official. City or Town: I'►rntit l iceitse# Issuing Authority (circle one): I. Board of Health 2.Building Department 3.('itytl'own Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton Massachusetts '+ .a... ce( I77Pff t. 4 yi i �p J. " ',, , a DEPARTMENT OF BUILDING INSPECTIONS Z .4 p1 212 Main Street • Municipal Building yJl:, Northampton, MA 01060 ss' ,`�O� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT i, Se e,ti CA,V on I n (insert full legal name), born (insert month, day,year her-Ay depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualifyy under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the • ' o per jury on this day of of K,4S f' , 20 11. CITY OF NORTHAMPTON SETBACK PLAN MAP: 11 f LOT: I /q "o b I LOT SIZE: 16/ 6 7 s REAR LOT DIMENSION: REAR YARD Sew 'PI Plan . " Bec hsAI(e b esi5n &('our // SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE I a2 3• Home Energy Rating Certificate Rating Date: 2021-07-21 Registry ID: Projected Report Ekotrope ID: pdWxj36v HERS® Index Score: Annual Savings Home: 237 Glendale St. 52 Your home's HERS score is a relative performance score.The lower the number, 1 935 5Northampton, MA 01062 the more energy efficient the home.To Builder: learn more, visit www.hersindex.com *Relative to an average U.S.home MS Homes LLC (Sergey Savonin) Your Home's Estimated Energy Use: This home meets or exceeds the Use(MBtu) Annual Cost criteria of the following: Heating 47.0 $618 2018 International Energy Conservation Code Cooling 0.7 $29 Hot Water 13.5 $185 Lights/Appliances 21.8 $910 Service Charges $192 Generation (e.g. Solar) 0.0 $0 Total: 83.1 $1,935 HERS Index Home Feature Summary: Rating Completed by: 41116.. More twerp Home Type: Single family detached rso Model: Colonial Energy Rater: Paul DellaTorre Existing iO Community: Northampton RESNETID 8776762 Homes !30 RatingCompany: Noonan Energy Conditioned Floor Area: 2,420 ft2 P r tea „n Number of Bedrooms: 4 ReferenceHom 100 Primary Heating System: Furnace•Natural Gas•95.1 AFUE Moore 90 Primary Cooling System: Air Conditioner•Electric•14 SEER Rating Provider Building Efficiency Resources Primary Water Heating: Water Heater••Natural Gas••0.96 Energy Factor PO Box 1769 Brevard,NC 28712 800-399-9620 w•'�+•. w House Tightness: 3ACH50 .,7 `',h`; S0lllt Ventilation: 80 CFM•10 Watts 'M Is '"O1"° Duct Leakage to Outside: 16 CFM @ 25Pa(0.66/100 ft2) `s* 4«.. ."`;!, 30 3 . 20 Above Grade Walls: R-21 �DD,,T '°+•4..��`�f Zero Energy to Ceiling: Attic,R-49 De/ 11 ` - Home 0 Window Type: U-Value:0.3,SHGC:0.28 Paul DellaTorre,Certified Energy Rater D10U NI SKl `�` i""E°"" Fou ndation Walls: R 13 Digitally signed:7/21/21 at 11:11 AM Ie kot ro a Ekotrope RATER-Version:3.2.22713 p The Energy Rating Disclosure for this home is available from the Approved Rating Provider. This report does not constitute any warranty or guarantee. 237 Glendale 5t. Northam•ton MA HERS"Index Score: Rating Date: Jul 21,2021 52 HERS Registry ID: Annual Estimates: Rating Company: Electric(kWh): 6,699.8 Noonan Energy Natural Gas(Therms): 602.0 Rating Provider: Building Efficiency Resources CO2(Tons): 7.8 Rating Provider Address: Approx.Energy Cost: $1,935 PO Box 1769 Brevard,NC 28712 HERS Index Home Feature Summary: ultExisting �,� Single family detached,4 bedrooms,2,420 ft2 Heating:95.1 AFUE Homes Cooling: 14 SEERO eat ED10 Ventilation:80 CFM•10 W Duct LTO: 16CFM@ZSPa(0.66/100ft�)This Home Above Grade Walls:R-21 Ceiling:Attic,R-49 _ Window: U:0.3•SHGC:0.28 zKo Nome Foundation Walls:R-13 ..Dow Olt.NSW Fk3ikt 4 IP RAM-VecNinne i ekotrope 3.2.2-2713 This report does not constitute any warranty or gua antee. 1 IECC 2018 Performance Compliance Property Organization Inspection Status 237 Glendale St. Noonan Energy Results are projected Northampton, MA 01062 Paul DellaTorre Model: Colonial Community: Northampton Builder MS Homes LLC (Serge HERS 0073 1236 Sergey Savonin) Savonin_237 Glendale This report is based on a proposed design and does not confirm field enforcement of design elements. Annual Energy Cost Design IECC 2018 Performance As Designed Heating $723 $752 Cooling $78 $70 Water Heating $293 $293 Mechanical Ventilation $57 $13 SubTotal - Used to determine compliance $1,152 $1,128 Lights &Appliances wtout Ventilation $930 $930 Onsite generation $0 $0 Total $2,082 $2,058 Requirements el 405 3 Performance-based compliance passes by 2 1% aR402 4 1 2 Air Leakage Testing Air sealing is 3 00 ACH at 50 Pa It must not exceed 3 00 ACH at 50 Pa tii) R402 5 Area-weighted average fenestration SHGC I0 R402 5 Area-weighted average fenestration U-Factor ® R404 1 Lighting Equipment Efficiency ® Mandatory Checklist Mandatory code requirements that are not checked by Ekotrope must be met la IRC M1505 4 3 Mechanical Ventilation Rate aR403 F. 1 Mechanical Ventilation Efficacy • R405 2 Duct Insulation Design exceeds requirements for IECC 2018 Performance compliance by 2.1%. As a 3rd party extension of the code Jurisdiction utilizing these reports,I certify that this energy code compliance document has been created in accordance with the requirements of Chapter 4 of the adopted International Energy Conservation Code based on Climate Zone 5 IT rating is Projected.I certify that the building design described herein is consistent with the building plans specifications, and other calculations submitted with the permit application If rating is Confirmed I certify that the address referenced above has been inspected/tested and that the mandatory provisions of the IECC have been installed to meet or exceed the intent of the IECC or will be verified as such by another party Name: Paul DellaTorre Signature: Paul Vella,Tiooiye Organization: Noonan Energy Digitally signed: 7/21/21 at 11:11 AM Ekotrope RATER-Version 3.2.2.2713 IECC 2018 Performance compnance results calculated using Ekotrope RATER's energy and code compliance algorithm Ekotrope RATER is a RESNET Accredited HERS Rating Tool All results are based on data entered by Ekotrope users Ekotrope disclaims all liability for the information shown on this report. IECC 2018 Building UA Compliance Property Organization Inspection Status 237 Glendale St. Noonan Energy Results are projected Northampton, MA 01062 Paul DellaTorre Model: Colonial Community: Northampton Builder MS Homes LLC (Sergey HERS 0073 1236 Sergey Savonin) Savonin 237 Glendale This report is based on a proposed design and does not confirm field enforcement of design elements. Building UA Elements IECC Reference As Designed Ceilings 26.3 21.4 Above-Grade Walls 109.4 106.4 Windows, Doors and Skylights 71.6 69.5 Slab Floor: 16.9 16.9 Framed Floors 10.2 11.0 Foundation Walls 47.7 52.6 Rim Joists 9.5 7.9 Overall UA(Design must be equal or lower): 291.6 285.7 Requirements ® 402.1.5 Total UA alternative compliance passes by 2 0%. ® 402 3 2 Glazed Fenestration SHGC ® R402.4 1 2 Air Leakage Testing Air sealing is 3 00 ACH at 50 Pa It must not exceed 3.00 ACH at 50 Pa • R402 5 Area-weighted average fenestration SHGC ® R402.5 Area-weighted average fenestration U-Factor ® R404 1 Lighting Equipment Efficiency ® Mandatory Checklist Mandatory code requirements that are not checked by Ekotrope must be met. • IRC M1505 4 3 Mechanical Ventilation Rate • R403.6.1 Mechanical Ventilation Efficacy • R403.3 3 Duct Testing ® 403.5.3 Hot water pipe insulation Design exceeds requirements for IECC 2018 Prescriptive compliance by 2%. Name: Paul DellaTorre Signature: real DellaTe,z1e Organization: Noonan Energy Digitally signed: 7/21/21 at 11:11 AM Ekotrope RATER-Version 3.2.2.2713 IECC 2018 Prescriptive compliance results calculated using Ekotrope RATER's energy and code compliance algorithm Ekotrope RATER is a RESNET Accredited HERS Rating Tool All results are based on data entered by Ekotrope users Ekotrope disclaims all liability for the information shown on this report. •� •�•i1•.•.�Ii••,. _ •I'*,$,••.�111'1. - •••1• • Ii�' ^ • •r•, • 1. .1f•. .••/•- •••' "111' •/r,... , .,;•.., ^ .• f„/ ,••••44 1. .{ 4,44'04,4•,/ /.o. w 44 .. f If fr .• r • •• ••�� •. •r•r• •/r •. •1 •• •• fr • •a,` tJ.1 • • l^: / 1 .4.:, {•rf•• 1 •� '•r 1• ,•• • i�.tr ,�'1.1.1•f1••1111;�.\1 ;•11••••••1.1•,I;• tJ •.•,,• • .: 237 Glendale St. -... ::. _. Northampton, MA 01062 • Builder: MS Homes LLC (Sergey Savonin) Model: Colonial Community: Northampton This report is based on a proposed design and does not confirm field enforcement of design elements. _ f I. :.:• THIS HOME IS CERTIFIED TO MEET THE 2018 INTERNATIONAL ENERGY CONSERVATION CODE Building Features -• • Ceiling Attic, R-49 Duct Supply R-8.0, Return R-8.0 Above Grade Walls R-21 Duct Leakage to Outside 16 CFM @ 25Pa (0.66 ' 100 ft2) Foundation Walls R-13 Total Duct Leakage 49 CFM @ 25Pa (Post-Construction) Framed Floor R-30 Heating Furnace • Natural Gas • 95.1 AFUE Slab R-0.0 Perimeter, R-0.0 Under Cooling Air Conditioner • Electric • 14 SEER �f Infiltration 3ACH50 Water Heating Water Heater • Natural Gas • 0.96 Energy Factor Window U-Value: 0.3, SHGC: 0.28 •• As a 3rd party extension of the code Jurisdiction utilizing these reports I certify that this energy code compliance document has been created in accordance v.'ith the requirements of Chapter 4 of the adopted International Energy Conservation Code based on Climate Zone 5 If rating is Projected.I certify that the building design described herein is consistent with the building plans, specifications and other calculations submitted with the permit application. If rating is Confirmed,I certify that the address referenced above has been inspecteditested and that the mandatory provisions of the IECC have been installed to meet or exceed the intent of the IECC or will be verified as such by another party Name: Paul DellaTorre Signature: Pull DerfaT�,a,te ;:• Organization: Noonan Energy Digitally signed: 7/21/21 at 11:11 AM Ekotrope RATER-Version 3.2.2.2713 2018 IECC compliance results calculated using Ekotrope RATER's energy and code compliance algorithm Ekotrope RATER is a RESNET Accredited HERS Rating Tool All results are based on data entered by Ekotrope users Ekotrope disclaims all liability for the information shown on this report IECC 2018 Label 237 Glendale St. Model: Colonial Ekotrope RATER-Version: 3.2.2.2713 Ceiling: R-49 Above Grade Walls: R-21 Foundation Walls: R-13 Exposed Floor: R-30 Slab: R-0 Infiltration: 3 ACH50 Duct Insulation: Supply: R8, Return: R8 Duct Lkg to Outdoors: 16 CFM @ 25Pa (0.66/ 100 ft2) U-Value: 0.3, SHGC: 0.28 Door: R-6 Heating: Furnace • Natural Gas -95.1 AFUE Cooling:Air Conditioner• Electric • 14 SEER Hot Water: Water Heater• Natural Gas • 0.96 Energy Factor Average Mechanical Ventilation: 80 CFM Signature: • Commonwealth of Massachusetts City/Town of Northampton Nu 21-20 � p Number WOW-OW- Disposal System Construction Permit Nir SO Form 2A DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Permission is hereby granted to: Important: Alex Popov API Construction When filling out Name Name of Company forms on the 100 Meadow Street computer,use only the tab key Address to move your Westfield MA 01085-3204 cursor-do not City/Town State Zip Code use the return key. to perform the following work on an on-site sewage disposal system: 0 Construction ❑ Repair or replacement ) ❑ Repair or replacement of system components 237 Glendale Road(Cluster Lot 1) Facility Address Northampton MA 01060 City/Town State Zip Code Sergey Savonins 413-244-0336 Owner Telephone Number The work to be performed is further described in the Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions: Septic System Design for Cluster Lot 1,dated 4/6/21 Install inspection prior to backfill. All construction must be completed within three years of the date below. A Q 9/21/2021 Ap rov:d by Date Public =.It' tor Title t5form2a.doc•06/03 Disposal System Construction Permit•Page 1 of 1