06-064 #66 66 CHESTNUT AV EXT BP-2021-1395
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 06-064 CITY OF NORTHAMPTON
Lot: -000 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-2021-1395
Project# JS-2021-002327
Est. Cost: $345000.00
Fee: $1169.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sq. it.): Owner: FANT GLEN& ANN-M AR1E
7.onittg;_. Applicant: KEITER BUILDERS
AT: 66 CHESTNUT AV EXT
Applicant Address: Phone: Insurance:
35 MAIN ST (41.3) 586-8600 Q __. WC
FLORENCEMA01062 ISSUED ON:6/3/2021 0:00:00
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:/ —2. --Z, Rough:/0 j.-/LI - 9.1 !I-louse# Foundation:
r 1FTh Driveway Final:
Final: Fina! e ?
U Rough Frame: 0, te; 0-Z2- 2 t k (-
V NIN
PO •13r"h4qHet+i
Ri< Hem; cl-k. li- 3 2 I V I'_
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:c ,c )I.3 21 )442,
Final: Smoke: ait- O`a-O?. Final: OK a i O/1 PI
77%.1C,sx------
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AM) F ATIONS.
Certificate of Occupancy __ i 5ja.n:�t,.,r __
FeeType: Date Paid: Amount:
Building 6/3/2021 0:00:00 $1169.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck. Building Commissioner
HAM
: 1' -A
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Certificate of Use and Occupancy
This is to certify that work granted under 780 CMR, 9th Edition of the
Massachusetts State Building Code, allowing the occupancy of use of the premises or
Structure or part thereof located at address below as shown on the Assessor's Map.
Owner: GLEN AND ANN-MARIE (KEITER BUILDERS)
Location: 66 CHESTNUT AVE. EXT.
Permit Number: BP-2021-1395
Construction Type
(780 CMR Table 602): VB
Use Group Classification
(780 CMR 3): R-3
Occupant Load Per Floor
(780 CMR Table 1004.1.2): 200 Square Feet Per Person
Live Load Per Floor
(780 CMR Table 1607.1): 40 PSF
Under the following limitations, special stipulations, and/or conditions of the permit:
NEW SINGLE FAMILY
DWELLING
Issued this: 10th day of FEBRUARY 2022
Northampton Building Inspector(Name): Jonathan S.Flagg
Northampton Building Inspector(Signature): i 5 ►,
ii
This Certificate shall be posted by owner, in a permanent manner and in a visible location, on
all floors designated as use group H, S,M, F, or B, and in every room where practicable of use
group A, I,R-1, or R-2 per the requirement of 780 CRM section 120.5 Posting Structures.
IIIIIIJIIllIIIII
IIIII II II IIII IIIII I
IIIIIIIIIII III
022 00002911
Bk: 14450Pg: 161 Page: 1 of 2
Recorded: 02/09/2022 1 1:24 AM
RESTRICTIVE COVENANT:
KNOW ALL MEN BY THESE PRESENTS
That Glen Fant and Anne-Marie Fant, owners of the real estate at 66 Chestnut Avenue
Ext, Leeds, MA more particularly shown as (deed description, deed date, book & page)
hereby Covenant and Agree that
"The basement space at 66 Chestnut Avenue Ext, Leeds, MA will be used as storage,
office, studio or recreation. It will not be used as a bedroom or sleeping space without
first obtaining a building permit and meeting all the requirements of the Massachusetts
State Building and Health Codes for a newly created bedroom."
Executed as a sealed instrument this date: 7710 z (
Owner's name and signature
Other owner's name and signature 12-/ I G( 2- c 2_
p V1 Iv IAA K E fit
Must be notarized and recorded at the Hampshire Registry of Deeds.
COMMONWEALTH OF MASSACHUSETTS
HAMPSHIRE, ss
On this 10th day of December, 2021, before me, the undersigned notary public, personally
appeared GLEN FANT, who proved to me through satisfactory evidence of identification,which
was a Massachusetts driver's license, to be the person whose name is signed on the preceding or
attached document, and acknowledged to me that she signed it voluntarily for its stated purpose.
Loretta Gougeon, No ublic
My commission ,RAt s""'tT�fg — — — —
GOUGEON
M.,
NOTARY PU BLIC
CoMmamssoancwuesaeltt o
f
L/ MyNoCvommmessi27 Expires
r ,
COMMONWEALTH OF MASSACHUSETTS
HAMPSHIRE, ss
On this 10th day of December, 2021, before me, the undersigned notary public, personally
appeared ANNE-MARIE FANT, who proved to me through satisfactory evidence of
identification, which was a Massachusetts driver's license, to be the person whose name is signed
on the preceding or attached document, and acknowledged to me that she signed it voluntarily for
its stated purpose.
401tri(---
Loretta Gougeon, N Pub
My commission expires: 11/27/2026
LONOTARY RETTA UGBLIEON
GO PUC
Commonwealth of
Massachusetts
My Commission Expires
November 27, 2026
./
Home Energy Rating Certificate Rating Date: 2022-02-03it
Final Report Registry ID: 695413404 ;,,..., tisE
Ekotrope ID: B260zird .r
HERS® Index Score: Annual Savings Home:
Your home's HERS score is a relative 66 Chestnut St
performance score.The lower the number, 1 .959
9 5 9 Leeds, MA 0,053
the more energy efficient the home.To Builder:
4
learn more,visit www.hersindex.com Relative to an average U.S.home Keiter Builders
Your Home's Estimated Energy Use: This home meets or exceeds the
Use[MBtu] Annual Cost criteria of the following:
Heating 48.7 $203 2018 International Energy Conservation Code
Cooling 2.1 $136
Hot Water 13.1 $23
Lights/Appliances 23.3 $1,319
Service Charges $218
Generation (e.g.Solar) 0.0 $0
Total: 87.1 $1,899
HERS Index Home Feature Summary: Rating Completed by:
MweF-- Home Type: Single family detached Energy Rater Michael Bailey
Model: N/A RESNET ID: 0671935
FKItinny , Community: N/A
Homes
I Conditioned Floor Area: 2,943 ft2 Rating Company: Power House Energy Consulting
Number of Bedrooms: 4 PO Box 9571,North Amherst,MA 01059
Reference ! 100 Primary Heating System: Furnace•Natural Gas•96 AFUE 413-835-5162
Hume
Primary Cooling System: Air Conditioner•Electric•16 SEER Rating Provider Energy Raters of Massachusetts
t Primary Water Heating: Residential Water Heater•Natural Gas•0.93 UEF 2 Woodlay.n Street Amesbury,MA 01913
House Tightness: 782 CFM50(1.88 ACH50) 978-270-3911
I —et Ventilation: 64 CFM•39 Watts
Duct Leakage to Outside: 11 CFM e 25Pa(0.37/100 ft2) ..«
i - This Home Above Grade Walls: R-19
,.I
I i Ceiling: Attic P
R-53 �� �� �((/��
Zero Fn,rby i Window Type: U-Value:0.28,SHGC:0.36 J
Home 0Foundation Walls: R-13 Michael Bailey,Certified Energy Rater
-111V- ..,,I,,ty Digitally signed:2/9/22 at 10:03 AM
Framed Floor: R-32 9 ly
111 e kot ro a Ekotrope RATER-Version:4.0.0.2829
P The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This r•••rt does not constitute a warran or.uarantee.
Air Leakage Report
Property Organization Inspection Status
66 Chestnut St Power House Energy Con 2022-02-03
Leeds. MA 01053 Michael Bailey Rater ID i RTIN): 0671935
RESNET Registered
PHEC-2296 66 Chestnut St Builder (Confirmed)
confirmed Keiter Builders
General Information
Conditioned Floor Area [ftzl 2.942.5
Infiltration Volume [ft'j 24.910.9
Number of Bedrooms 4
Air Leakage
Measured Infiltration 782 CFM50 (1.88 ACH50)
ACH50(Calculated) 1.88
ELA[sq. in.] (Calculated) 42.90
ELA per 100 s.f. Shell Area (Calculated) 0.665
CFM50 (Calculated) 782
CFM50!s.f. Shell Area (Calculated) 0.121
Duct Leakage
System 1
Leakage to Outdoors 11 CFM @ 25Pa (0.37 100 ft')
Total Leakage Test Type Post-Construction
Total Leakage[CFM @ 25 Pal 116,0
Total Leakage[CFM251 100 s.f.j 3.9
Total Leakage[CFM25 i CFA] 0.039
Mechanical Ventilation
Rate[CFMJ 64 CFM
Hours per day 24.0
Fan Power 39 Watts
Recovery Efficiency ,; 77.0
Runs at least once every 3 hrs? true
Average Rate[CFM] 64.0 CFM
2010 ASHRAE 62.2 Req. Cont.Ventilation 66.9
2013 ASHRAE 62.2 Req. Cont. Ventilation 99.0
Ekotrope RATER-Version 4.0.0,2829
=iesu'ts ara Da .n an data entered b.Ekoirboe usars ct 5lrnpa disctamts aH ,ab,% .T oor
66 CHESTNUT AV EXT EP-2022-0014
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 06
Lot:064 ELECTRICAL PERMIT
Permit: Electrical
Category: WIRE NEW SINGLE FAMILY HOUSE
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-002327
Est.Cost: Contractor: License:
Fee: $200.00 EPOS SYSTEMS INC Journeyman Electrician 23143
Owner: FANT GLEN & ANN-MARIE
Applicant: EPOS SYSTEMS INC
AT: 66 CHESTNUT AV EXT
Applicant Address Phone Insurance
161 WAYSIDE AVE (413) 241-6895 C-(413) 537-0721 Workers Compensation,
XWS56468433
WEST SPRINGFIELD MA01089 ISSUED ON:7/7/20210:00:00
TO PERFORM THE FOLLOWING WORK:
WIRE NEW SINGLE FAMILY HOUSE
Call In Date: Date Requested Inspection Date/SignOff: Reinspect?:
TrenchfUG: 7 /-3 a2I QP►V,
Special Instructions _?y,
Zucs \-\ — 10
Rough _ 9- 2 6t•01 I %i bV% .- Gv4t Ij to)o , 104't►ci d, f 1,0r.. , g v:5
x J- r • "t 17 - , PIA&iilscsoA ��4.�w�s� Slri c� -
Special Instructions: Of^, �1ts)c (a L ��1�� (�,►.-- C '- a-ge
Final: 9^g " OWN)
SRE Called In: 30414282 tt• a I WM
Signature:
Fee Type:: Amount: DatePaid
Electrical $200.00 7/7/2021 0:00:00 1862
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo
-he 4"C
• — na
�� Ck 20 20 2t d
-= s MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
t
==u i® : _ CIT eds MA DATE 6/23/2021 PERMIT# P1 p-2024-ayL,
=i Q-) JOB JTE ADDRESS 66 Chestnut Ave Extension 1 OWNER'S NAME Glen&Ann-Marie Fant
`9P OWR ADDRESS46 Evergreen Rd#301 Leeds MA TEL 617 291-0861 FAX
kt fl E OR-) OCO`LIPANCY TYPE COMMERCIAL Li EDUCATIONAL RESIDENTIAL[1,1
C'L_P1INT
CLEARLY_ NEIALLI RENOVATION:[ REPLACEMENT:— PLANS SUBMITTED: YES I I NO
F7(TUREST s FLOOR—. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB If 1 _ _ _I rt_ T t A
CROSS CONNECTION DEVICE f ;@_. r -
DEDICATED SPECIAL WASTE SYSTEM i I. 1i 1
DEDICATED GAS/OIL/SAND SYSTEM 111 j
DEDICATED GREASE SYSTEM �_:_
DEDICATED GRAY WATER SYSTEM '�
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER 1
DRINKING FOUNTAIN
FOOD DISPOSER I! `— 1—
FLOOR/AREA DRAIN i
INTERCEPTOR(INTERIOR) I
KITCHEN SINK ( 1
LAVATORY 1 2
ROOF DRAIN — PLUT1AB1NG & GAS tNSVLCI OK
SHOWER STALL l 2 ii MORTHAMPTON
SERVICE I MOP SINK 1 APPROVED NOT APPROVED--
TOILET 1
URINAL ✓ '
WASHING MACHINE CONNECTION 1
1
WATER HEATER ALL TYPES 1 _.�>
WATER PIPING 1
OTHER ------- -- -
w - i _
w L _ - L. L . _
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES i NO I 1
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY[j OTHER TYPE OF INDEMNITY [_j BOND L,_,._1
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ; i
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are tr e and accurate to the best of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in c.iii,•fiance J wit II Pe inee t rovision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. f/ ,
- /
PLUMBER'S NAME�GARY STAHELSKI 1 LICENSE# L9621 SIGNATURE
MPH JP El CORPORATION' i j# 2617C JPARTNERSHIPL I#L LC #L
COMPANY NAME EWS PLUMBING&HEATING INC J ADDRESS 339 MAIN STREET
CITY MONSON STATE MA 1 ZIP 01057 TEL 413-267-8983
FAX r413-26:i-:al CELL l EMAIL i EWSPH COMCAST.NET
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