36-005 (7) BP-2022-0813
22 FOREST GLEN DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-005-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
UILDING PERMIT
Permit# BP-2022-0813 PERMISSION IS HEREBY GRANTED TO:
Project# 2022 ADD 2ND SFH Contractor: License:
Est. Cost: 151000 AUSTIN GREGORY 116643
Const.Class: Exp.Date:07/13/2025
Use Group: Owner: A GALVAGNI PETER L &KAREN
Lot Size (sq.ft.)
Zoning: WSP Applicant: A GALVAGNI PETER L& KAREN
Applicant Address Phone: Insurance:
11 STANLEY ST
EASTHAMPTON, MA 01027
ISSUED ON:07/15/2022
TO PERFORM THE FOLLOWING WORK:
ADD 2ND 1 FAMILY HOME ON LOT, UTILITIES TO BE CONNECTED TO 1ST HOUSE, AND NO NEW CURB CUT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing InspectoYr of Wiring U.P.W. Building Inspector
Underground: Service:p.�j a Meter:- Footings: K
Rough: Rough: House # Foundation: - •
Final Final•/ 7- e 1C cl/� 3_. - L
/Z—Z�—z� fb a D Final: Rough f rame: ,�4 �T
62Oh"
Gas: yG Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil:AA Insulation:
Smok : b-b Final: F'►�IL ID 31 zZ K&
/� ae $-22 k w
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
ft
Fees Paid: $463.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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The Commonwealth of Massachusetts r� r
City of Northampton
of Occup
ancy
Certificate anc
fp y
In accordance with 780 CMR, (The Ninth Edition of the Massachusetts Residential Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Identify Name of Building of Space Within, Building Owner, or Permit Holder Certificate No.
Issued to
Peter Galvagni BP 2022 0813
Identify property address including street number, name, city or town and county
Located at
22B Forest Glen Drive HERS Rating
Florence, Hampshire, Massachusetts 43
Use Group
Classification(s) Single Family Dwelling Unit
This Certificate of Occupancy is hereby issued by the undersigned to certily that the premise, structure or portion thereof as herein specified has been inspected
for general lire and life safety features. This certificate shall allow for the use as herein described and in conformance with any and all conditions as identified
below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate,failure to comply with
conditions or,tampering with the contents of the certificate is strictly prohibited
Conditions of Use Single Family Dwelling Unit
All fire protection and life safety systems must be maintained, and all means of egress must be kept clear
Name of Municipal Date of Final Map/Plot:
Building Official Kevin Ross Inspection 11/08/2022
Signature of Municipal Date of
Building Official // Issuance 11/08/2022 36-005
Home Energy Rating Certificate Rating Date: 2022-10-24 HIS
Final Report Registry ID: 595085400 HERS
Ekotrope ID: 0vQ4xa4d
HERS® Index Score: Annual Savings Home:
Your home's HERS score is a relative 22 Forest Glenn Drive
43 performance score.The lower the number, 748 Northampton, MA 01062
the more energy efficient the home.To Builder:
learn more, visit www.hersindex.com *Relative to an average U.S.home Backyard ADUs
Your Home's Estimated Energy Use: This home meets or exceeds the
criteria of the following:
Use[MBtu] Annual Cost
Heating 9.8 $629 2018 International Energy Conservation Code
Cooling 0.3 $21
Hot Water 1.5 $95
Lights/Appliances 11.8 $761
Service Charges $120
Generation (e.g.Solar) 0.0 $0
Total: 23.4 $1,627
HERS Index Home Feature Summary: Rating Completed by:
iib, Mote[nem Home Type: Single family detached
iso Model: N/A Energy Rater: Adin Maynard
Existing140 Community: N/A RESNET ID: 9463452
U01114.511, 0 Conditioned Floor Area: 927 ft' Rating Company: HIS&HERS Energy Efficiency
1O Number of Bedrooms: 2 57R Adams Rd.Williamsburg,MA 01039
lib
Reference Primary Heating System: Air Source Heat Pump•Electric•10 HSPF 4136588784
Home 100
0o Primary Cooling System: Air Source Heat Pump•Electric•19 SEER Rating Provider: Energy Raters of Massachusetts
so Primary Water Heating: Residential Water Heater•Electric•3.75 UEF 2 Woodlawn Street Amesbury,MA 01913
70 House Tightness: 474.6 CFM50(2.49 ACH50) 978-270-391100 +�••a•.,
Ventilation: 38 CFM•23 Watts i- 4.s
so
w� Duct Leakage to Outside: Forced Air Ductless w. In
m 30 This Hoe Above Grade Walls: R-30
10 Ceiling: Attic,R-43 G='� .1 �>
Zero Energyc Window Type: U-Value:0.26,SHGC:0.24
Nome Foundation Walls: R-16 Adin Maynard,Certified Energy Rater
"is1nm Framed Floor: N/A Digitally signed: 10/25/22 at 8:20 AM
I ekotrope Ekotrope RATER-Version:3.2.4.3014
The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
Energy savings calculated without modifications to the energy model.(As Modeled) This report does not constitute any warranty or guarantee.
C/� 3 /'
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
f v -ii ccITY /'?r f f(-/Vt�, S/j` Z
- MA DATE /0 . PERMIT# 6321,0
2
JOBSITE ADDRESS 1Zi�, �� OWNER'S NAME
o�--e`er I-��
p `oWNERADDRESS TEL L(13 i'2('-S/2,7 FAX
T PE OR CCUPAN$Y TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL '
PRINT
C IE 'ramARLY NEW T RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES N4
FIXTURES Z //////FLOOR—FFF BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB /
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS,/OIL/SAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER _
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK r
LAVATORY L PLUMBING & GASINSPEC:ION
ROOF DRAIN NORTHArJ1PTON
SHOWER STALL Y APPROVED NOT APP1ROVED
SERVICE/MOP SINK
TOILET Ty/
URINAL
WASHING MACHINE CONNECTION /
WATER HEATER ALL TYPES /
WATER PIPING _
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES( NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY BOND
OWNER'S INSURANCE WAIVER. 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
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true 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 compliance with all Pertinent provision of the
Massachusetts State Plumbin Code and apter 142 of the General Laws.
_._ � �,i"
PLUMBER'S NAME_ iv,/ i �� LICENSE# .i 2C/ Y—J S E
MP JP% CORPORATION # PARTNERSHIP # LLC itti
COMPANY NAME 4-C'4t6j ,P/j _ .,6 ADDRESS pc, Z,,, sue- 7
CITY y✓Or J/ ,�/ STATE .�:_- ZIP 0iv`� TEL r'
FAX CELL 1 EMAIL
ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ _ PERMIT#
PLAN REVIEW NOTES
/o- Z7- zz ,�
G L. r-UisZ----> I (QLt:7 R`/ vti /
Commonwealth.o/Ma33achueelid Official Use Only
cc��rr�� C� Permit No. 6�2192Z " erke(v
' �1— .2)epartment of]ire Jervice6
Tiff ; 33zZ
; Occupancy and Fee Checked
` OS BOARD OF FIRE PREVENTION REGULATIONS
[Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
n_- All work to be performed in accordance with the Massachusetts Electrical Code v1EC),527 CMR 12.00
(PaASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //02/20aa
City or Town of: /✓ore-2rnii To the Inspector of Wires:
By this application the undersigned gives noticeLo is or her intention to perform the electrical work described below.
Location(Streelt&Nu er) ?2 6 resJ Pr)v/ .
Owner or Tenant a� iv arch � V rl/ Telephone No. 9f/ 3- 3a e,., '5, 1 i
Owner's Address 22 f ores', 6/e -, 2 r/ Qi
Is this permit in conjunc on wit a¢uilding permit? Yes [� No n (Check Appropriate Box)
Purpose of Building Modukr Dcaenij (mac/,rni Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd n No.of Meters
New Service Amps I Volts Overhead n Undgrd No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: '11Sl//,0t.j.l; feed v--j4n t/ e -h')ef7,706
* /-/oadu/ar
Completion of the following table may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T
Transformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local LL ❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KN,, Security Systems:*
No.of Devices or Equivalent
No.of Water Kam, No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of 1ec 'cal Work: (When required by municipal policy.)
Work to Start: / Re a, nspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same I. e •ermi 'ssuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Spec' : %'
I certify,under the pains and penalties of perjury,that the inform 'o on th•. a': 'o ._true and complete.
FIRM NAME: 155 Current Electric LLC _ 4' - LIC.NO.:20982A
Licensee: Ryan Martin Signature *' LIC.NO.:12138B
(If applicable,enter "exempt"in the license number line.) /� Bus.TeL No.:413-658-2°47
Address: PO Box 385,Greenfield MA 01302 Alt.Tel.No.:413-775-3788
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $ ,'A ,
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