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49-060 (2) .1,v,... , 5 3 GLENDALE RD. COMMONWEALTH OF MASSAt.,,J SE ITS '•--- Map:Block:Lot: 49-060-001 CITY OF NORTHAMPTON Permit: New Build PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS I DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-1753 PERMISSION'S HEREBY GRANTED TO: Project# Contractor: Ltceizse: Est. Cost: 295000 103381 Coast.Class: Exp.Date:08/01/2023 Use Group: Owner: MS HOMES LLC Lot Size (sq.ft.) . Zoning: Applicant: MS HOMES LLC g 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 Plumbilr!, Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: t Rough:3—//.2,7_ Rough3- ) d House # Foundation:-7 11-2`i,,zt Kid, ' , 95-‘,--, Pt3'o o..i r -ri-taZ Pitt, _ ______^. -Final: oaf: Final: Rough Frame: r %b--6--2,e 7. 5,- 9- ? ow 3 /y. ZZ / Cas: Fire Depart:r Fit Fireplace/Chit:tnev: Rough:! ��,� Oil. Insulation:t;, L. "3 "i8."�2 VP car ,45 ..per-' : Srno (9/tG^ /, 3'v)� nn'' C, Final: j-/f-23 WI? THIS PERMIT 4AY B i REVOKED BY THE CITY OF NORT`HAMPTON UPON VI01,A.TION OF i- ' ANY OF ITS RULES AND REGULATIONS. 7 rir+-✓friC A Signature: , ' 4 ' V i .512 - 3- ,, . _, 0 - Fees Paid: $1,100.00 12 Main Street. Pi,u.-e 5c> --1240,Fa (4131 CV' •-'" Of:,:-: '1 t , ' f. /1 S'49rr H czOgfeivri J r(k?)d 'A c\e) 0 AS -agfINVO - 3-S,90A Doi k h /115.14t`dvfz.1_1, — c t Q e • ZvAy fwm721 -1kfro.21 _ ztibf/ci c-7zteldat� .a '�t�.e69 7 p 7 aa�/!�/1. o&o7 rr4r r # � , The Commonwealth of Massachusetts , lTL. T , City of Northampton ®.x of Occupancy 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 MS Homes LLC BP-2021-1753 Identify property address including street number, name, city or town and county Located at 237 Glendale Rd. HERS Rating Florence, Hampshire, Massachusetts 54 Use Group Classification(s) Single Family Dwelling Unit This Certificate of Occupancy is hereby issued by the undersigned to certifr that the premise, structure or portion thereof as herein specified has been inspected for general fire 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 Kevin Ross Date of Final Map/Plot: Building Official Inspection 01/11/2023 Signature of Municipal Date of 49-060 Issuance Building Official01/12/2023 Home Energy Rating Certificate Rating Date: 2022-11-15 Final Report Registry ID: 945290296 Ekotrope ID: jL9aw4zL HERS° Index Score: Annual Savings Home: St Your home's HERS score is a relative 237 Glendale performance score.The lower the number, 1 7695 Northampton, � � the more energy efficient the home. fo Builder: learn more,visit www.hersindex.com *Relative to an average U.S.homeMS -]( LC Your Home's Estimated Energy Use: This home meets or exceeds the Use [MBtu] Annual Cost criteria of the following: Heating 72.4 $732 2018 International Energy Conservation Code Cooling 0.6 $13 Hot Water 2.7 $64 Lights/Appliances 24.8 $534 Service Charges $108 Generation (e.g, Solar) 0.0 $0 Total: 100.5 S1,451 HERS Index Home Feature Summary: Rating Completed by: More Inorgy Home Type: Single family detached Model: Colonial Energy Rater: Pali(Della-orre ice rK,sr;„� I : Community: Northampton RESNET ID: 8776762 Homes . F7 Conditioned Floor Area: 2,998 ft2 Rating Comp-ny: Energy Compliance Ser Ices '° Number of Bedrooms 4 27 Hudson Dr..Southwick MA 01077 "i° 413-427-2423 Reference 100 Primary Heating System:. Furnace•Propane•95 AFUE Home Primary Cooling System: Air Conditioner•Electric•13 SEER Rating Provider. Building Efficiency Resources ea Primary Water Heating: Residential Water Heater•Electric•3.45 Energy Factor p0 Box 1769 Brevard,NC 28712 •�° House Tightness: 645 CFMSO(1.58 ACHSO) 800-399-9620 i .-., Ventilation: 67 CFM.10 Watts ir si This Homo Duct Leakage to Outside: 14 CFM.a 25Pa(0.58!100 ft2) 30 Above Grade Walls: R-21 Ceiling: Attic,R-49 � //,' . Zero Energy so Window Type: U-Value:0.3,SHGC:0.28 Pau/ f ier,Q l[[Si Nome 0 Foundation Walls: R-13 Paul DellaTorre,Certified Energy Rater i...won Framed Floor: R-30 Digitally signed:11/16/22 at 1:56 PM 111 e of�� E-kot rop e RATER Version .0.2.3033 T he Energy Rating Disclosure for this home is available from the Approved Rating Provider. his report does not constitute any warranty or guarantee_ Home Energy Rating Certificate Rating Date: 2022-11-15 Final Report Registry ID: 945290296 Ekotrope ID: jL9aw4zL Index Score: Anna s Home: lt Your home's HERS score is a relative :: �; �aei iCalC' S performance score.The lower the number 73 4 Northampton, the more energy efficient the home.To r .,a Builder. learn more, visit trvav,hersindex,eo I elative to an average U.S.horn*5 MS Homes L . Your Home's Estimated Energy Use: This home meets or exceeds the � >3 a Annual cost criteria of the following: UsHeating 62.6 $633 2018 International Energy Conservation Code Cooling 0.6 $15 Hot Water 2».7 $64 Lights/Appliances 24.6 $528 Service Charges $108 Generation (e.g.Solar) 0.0 $0 Total: 90.5 $1,348 HERS Index Home Feature Summary: Rating Completed by: Mambo/If Home Type: Single family detached Model: Colonial Energy Rater: Paul Deula Torre 350 E,:xw.mg . 1.4 Community: Northampton RES IET 1.03 8776762 Elornel r Conditioned Floor Area: 2,998 ft` Rating Company; Energy Compliance Services ,z Number of Bedrooms: 4 27 Hudson Dr.Southwick MA 01077 ne Reference Primary Heating System: Furnace.Propane=95 AFUE 413-427-2423 Horne "V Primary CoolingSystem, Air Conditioner y y Rating Provider: Building Efficiency Resources ---,go Primary Water Heating: Residential Water Heater•Electric=3.45 Energy Factor PO Box 1/69 Brevard,NC 28712 ..........ro House Tightness: 645 CFM50(1.58 ACHSO) 800 399-962U let Ventilation: 67 CFM• 10 Watts so 40 Thks Hore+e Duct Leakage to Outside: 14 CFM @ 25Pa(0.58/100 ft2) Above Grade Walls: R-21 ro Ceiling: Attic,R-49 r' Zero Energy 10Window Type: U•Value;0.3,SHGC:0.28 Pat .. T le pome e Foundation Walls: R-13 Paul DellaTorre,Certified Energy Rater Alp L..Iowa Framed Floor: R-30 Digitally signed:11/16F 22 at 1:56 PM II roEkotrope RATER-Version:4.02.3033 TheEnergy Rating Disdoswe for this home is available from the Approved Rating Provider. This report does not constitute any warranty Energy savings cakulated without modifications to the energy model.(As Modeled) guarantee. 237 Glendale St Northam.ton MA HERS.Index Score; Rating Date: Nov 15,2022 54 HERS Registry ID:945290296 Annual Estimates: Rating Company: Electric(kWh): 7,9011 Energy Compliance Services Propane(Gallons): 98.4 Rating Provider: r(Tons): 9S Building Efficiency Resources Rating Provider Address: Approx.Energy Cost: $1,548 Box 1769 Brevard,NC 28712 HERS Index Home Feature Summary: r Single family detached,4 bedrooms,2,998 ft2 fw nci x # :., Heating:95 AFUE }loves Cooling: 13 SEER 12i Hot Water:3.45 Energy Factor Reference 200 Home Air Leakage: 645 CFM50(1.58 ACHSO) ithu Ventilation:67 CFM•1O IV Duct LTO: Tyr, 14 CF s =25Pa(0.58 t 100 ft2) F i Above Grade Walls:R-21 Ceiling:Attic.R-49 iera nHome ergv 0 Window:U:0.3•SHGC:0.28 q. Watson* Foundation Walls:R-13 Liiikrupe RATER Netsiott ekotrope f • 447 2483 IECC 2018 Performance Compliance Property Organization Inspection Status 237 Glendale St Energy Compliance Servic 2022-11-15 Northampton, MA 01062 Paul DellaTorre Rater ID (RTIN): 8776762 Model: Colonial RESNET Registered Community: Northampton Builder (Confirmed) MS Homes LLC 0216_ Sergey Savonin_237 Glendale Rd_Northampton_221014 0216_ Sergey Savonin_237 Glendale Rd_Northampton_221115 Annual Energy Cost Design IECC 2018 Performance As Designed Heating S2,743 $2,595 Cooling $96 $66 Water Heating $130 $130 Mechanical Ventilation $62 $13 SubTotal - Used to determine compliance $3,030 $2,804 Lights &Appliances wlout Ventilation $1,027 $1,027 Onsite generation SO $0 Total $4,057 $3,831 R405,3 Source Energy Exception: The proposed home uses 10.5 MBtu LESS source energy than the reference home. Requirements O R405.3 Performance-based compliance passes try 9.6°o The proposed house meets the IECC 2018 Performance rejference energy bill requirement by$226.36(10.5 ME3tu). • R402 4 1.2 Air Leakage Testing Air sealing is 1,58ACH at 50 Pa It must not exceed 3.00A H at 50 Pa Qr R402.5 Area-weighted average fenestration SHGC Area-weighted average fenestration SHGC is 0 332 The ximum allowed value is [No Limit]. O R402.5 Area-weighted average fenestration U-Factor O R404.1 Lighting Equipment At least 90 0%of fixtures shall be high-efficacy lamps,curr ntly 100 0%are high- efficacy O R403 6 1 Mechanical Ventilation Efficacy ei Mandatory Checklist Mandatory code requirements that are not 2018 IECC Mandatory Checklist must be checked as corn ete. checked by Ekotrope must be met The 2018 International Residential Code for 1-and 2-Family Dwellings requires mechanical ventilation to provide fresh air at a similar rate to that recommended by lRC M1505.4.3 Mechanical Ventilation Rate ASHRAE 62 2-2010,This design currently may not meet that requirement.For more information please look at ASHRAE 622.2010 compliance'or at the 2018 IRC section M1505.4.3 O R405 2 Duct Insulation All ducts outside the thermal envelope must be insulated tol at least R6.0 Design exceeds requirements for IECC 2018 Performance compliance y 9.6%. As a 3rd party extension of the code jurisdiction utilizing these reports I certify that this energy code compliance document has been created in accorda a With the requirements of Chapter 4 of the adopted international Energy Conservation Code based on HAMPSHIRE County.It rating is Protected,I certify that the building design d scribed 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 ferenced above has been inspected.Rested and that the mandatory provisions of the IECC have beef installed to meet or exceed the intent of the IECC or will be verified as such by nother party. Name: Paul DellaTorre Signature' ` ? /7 Organization: Energy Compliance Services Digitally signed: 11r16/22 at 1:56 PM Ekotrope RATER-Version 4.0.2.3033 IECC 2018 Performance 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 . . .in,,;,.*::.**..":"..t.::**s.s.',...._1.,,.,,:*:,•,.,.42..i.,,.t*.*,*;,,,t*,,4:0 t*.,.,e..*:.***,',$:,,,.17; ;:4 s",:*.,+:""%:`,,1.`t,;::""*.'„*"...'t',', i't :'4*t'04' ., .... ... .... 237 Glendale St . . ..,. ..... ..,, .._ Northampton, MA 01062 .:'. Builder: MS Homes LLC -:- Model: Colonial Community: Northampton .,!;.. .., --- . -' THIS HOME IS CERTIFIED TO MEET THE 4:.:.• ) 4: ,..) 4.., •••': *. 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 14 CFM @ 25Pa (0.58/ 100 ft2) — .-: ...., •:- - • --' Foundation Walls R-13 Total Duct Leakage 135 CFM @ 25Pa (Post-Construction) • 4 . Framed Floor R-30 Heating Furnace s Propane •95 AFUE .:-. . :-: --. .. ,,-. '.•- Slab R-0.0 Perimeter, R-0,0 Under Cooling Air Conditioner• Electric• 13 SEER .,. s.:- * ..:•,* —- Infiltration 645 CFM50 (1.58 ACH50) Water Heating Residential Water Heater• Electric• 3.45 Energy ... Factor --, .... ,,•-: Window U-Value: 0.3, SHGC: 0.28 -- ., :-: ,....,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 HAMPSHIRE County If rating is Projected,I certify that the budding 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 •(,:: '0 il :;::...10 .., .., .... •-' Name: Paul DellaTorre Signature: Pau/Pell'a T)4,, ,.., :...:. , . ,:-... 0 r g a n i z a t i a n:' Energy Compliance Services Digitally signed: 11116/22 at 1:56 PM ..... .- . ... ...-... :-: -:- Ekotrope RATER-Version 4.0.2.3033 -.- •-- 2018 IECC compliance results calculated using Ekotrope R.AT ER's energy and code compliance algorithm Ekotrope RATER is a RESNET Accredited HERS Rating Tool.AN results are based on data entered by Ekotrope users Ekotrope disclaims ak liability for the information shown on this report - • ., ,.. . . .... :.-`.,..,°,' 1 i:•irf,, .-.. .fi- t• '1:i• ..,70, i:,- f ii"f:. ,.*;,. s ,'4.:!'ll `f.sft •:',%,.. li:' ' ' '' 04 ". 444';''" 4.44•A*,* 7,,..,!.!4W; !' * .., ,4,''.**,,!. .' ' *.*• . • , s r lECC 2018 Label 237 Glendale St Model: Colonial Ekotrope RATER-Version:4.0.2,3033 HERS:czi,' Index Score: 54 Building Envelope peciitUIU1IIIII1Il1II Ceiling: R-49 Above Grade Walls: R-21 Foundation Wails: R-13 Exposed Floor: R-30 Slab: R-0 Infiltration: 645 CFMSO(1.58 ACH50) Duct Insulation: Supply: R8, Return: R8 Duct Lkg to Outdoors: 14 CFM @ 25Pa (0,58 100 Window & poorSpëLUJJIU U-Value: 0.3, SHGC: 0,28 Door: R-6 Mechanical Equipment Specs Heating: Furnace Propane •95 AFUE Cooling:Air Conditioner• Electric• 13 SEER Hot Water: Residential Water Heater•Electric• 3.45 Energy Factor Average Mechanical Ventilation: 67 CFM Builder or Design Profewitto Signature: L+✓,i ♦1.0(-GIvYyl1� /�-U j Commonwealth o///lai iachaielte Official Use Only I q7) r;� cc�� �7 Permit No.elP 2022 7 O D q 5� m s t 2epartment o/,}ire Services MI Occupancy and Fee Checked 14/,5 m BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) co APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR l2. 0 MPLEASE PRINT IN INK OR TyfE A.j INFORM�ITION) Date: t" City or Town of: o �j 1^ To the Inspector of Wires: By this application the undersigned gives notice of s or her intergionito perform a electrical work described below. Location(Street&Number) / 6 (P(^ CJI r Owner or Tenant Tepltele No.2'((- O 3 j h • Owner's Address (� c . a ��' e t4, - J'l( - , J Is this permit in conjunction wi a buildin ermit? Yes No eck Appropriate Box) Purpose of Building .��ty- Utility Authorization No.'3D 5q 3 a'i-7 Existing Service Amps / Volts Overhead ❑ Undgrd Ell No.of Meters New Service 2 Oct Amps 12.0 /)J-f Volts Overhead if Undgrd n No.of Meters / Number of Feeders and Ampacit\ Location and Nature of Proposed Electrical Work: �e Li _ / /e._N (...-._(,.6 oce_ w:v-1,.. 2©C (At �'erut Completion of the following table may be waived by t e Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:Sus u.(Paddle)Fans No.oof TVA 1 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ gIrn-d. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS NIs of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devic No.of Ranges No.of Air Cond. Total No.of Alerting Devi g Tons No.of Waste Dis posers Heat Pump Num_b er Tons KW No.of Self-Containe p Totals: Detection/Alerting Devices C- 'k-- \ No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Ot 1 Connection F Security Systems:* �`._ . • ' No.of Dryers Heating Appliances KW No.of bevices or Equivalent c+'' ''- No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications N fDevices or Equivalent g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10.and upon completion. INSURANCE COVERAGE: Unles •aived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili I insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify) I certify,under the ins and penalties �erf�ty�^,that the information on this application is true and complete. FIRM NAVE: O tl e3 y I LIC.N O.:2 2 1 e, Licensee:V, SVKwuS c Signature LIC.NO.:j{'2 i LI IT 11 a livable ent "tempt"in the license fiber lin us.Tel.No.: .f PP 1 P '/,� Address: a �Cec1 sra LsJ //"i o © It.TeL No.!-AS c/.5�1 el *Per M.G.L.c. 147.s -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 I PERMIT FEE: $2b&.'= Signature Telephone No. . ,/ re ,b S _J' 05 t��C) fi"nN �.\.�Z? • S no.p Z C 'r "F U -CC -C )1'- Th-„)-. 'V `f r-riv n;\a1 r // .M -1i,S[r-n Yj"? 5 ,tr. 7coab l t° t 1).1.00 Tr)b - 71O O) --Y)) sn shoI) Z Z ti :41 Cra49(f 745(3 d -2 - ck 41343 -> izz MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK MA. D TE J PERMIT#PP-2,022 -00 3 "�•w•= CITY ' yv JOBSITE ADDRESS OWNER'S NAME POWNER ADDRESS: TELEZ71/-507034FAX: TYPE2 OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW: M] RENOVATION: ❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXUTRES 1 FLOORS Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1 _ CROSS CONN DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS DEDICATED WATER REUSE SYS DISHWASHER _ _ _ DRINKING FOUNTAIN _ FOOD WASTE GRINDER UNIT - - FLOOR/AREA DRAIN _ _ INTERCEPTOR INTERIOR _ KITCHEN SINK LAVATORY `d +� ROOF DRAIN SHOWER STALL — NORTHFPTON SERVICE I MOP SINK NOT APPROVED TOILET 1 f •—; URINAL _ ` WASHING MACHINE CONNECTION WATER HEATER ALL TYPES / _ ` WATER PIPING 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 have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY 0 OTHER TYPE INDEMNITY El BOND ❑ 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 ❑ 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 accurat to the best of Knowledge and that all plumbing work and installations performed under the permit issued for this application will b ertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME: Vitaliy Davidenko LICENSE# 15996 SI ATURE COMPANY NAME: Advanced plumbing Ilc ADDRESS: 1505 Southampton rd CITY: Montgomery STATE: MA ZIP: 01085 FAX: TEL (413)352-8518 CELL: EMAIL: MASTER[1] JOURNEYMAN 0 CORPORATION 0# PARTNERSHIP 0# LLC•# 3465 744Ad Ct-7214:d Z2 . to' 9n n Z Z-/ ( ' - ia MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT cTOoP R(.FORM G S FITTING WORK K ®"1_(_. CITY Northampton I MA DATE 03/18/22 I PERMIT#6 P-2o 2-2-0/(-1Y JOBSITE ADDRESS 237 Glendale Road OWNER'S NAME MS Homes LLC G ' OWNER ADDRESS 231 W School Street,W Springfield MA 01089 I TEL 413-244-0336 IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL 0 EDUCATIONAL 0 RESIDENTIAL PRINT CLEA4Y NEW: .0 RENOVATION:Q REPLACEMENT:® PLANS SUBMITTED: YES 0 NO0 APPLIANCES 1 FjLOORS-+ BSM 1 2 3 4 5 6 IIIF 7 IB 8 9 10 11 12 13 14 BOILER IMIINIII BOOSTER - IIIIIIFIIIIIF WWI _ M I ' CONVERSION BURNER IIIIIIIIIFIIIIFIIIIIIFIIIIIIIIII, ! 111111WEIIIII IIIII.W.11111111 COOK STOVE iiiii iii.MN IIIM.NMI IIIIII MI !IIIIII OMB IE. ON NMI IIIIIIIIIIIII DIRECT VENT HEATER InerwiiimorwmerwisorammerWillit111111111111111111.1111 DRYER 1111111.twwwwiormerwrwinruerwimmer FIREPLACE 11111111.111lWillIllFmrwAnrwwairuorumtwmmr FRYOLATOR immErwrounnerowwwwerienunorworwincomr FURNACE IIIMEIMIE.NM iliilt iliiii ElniI NS MN MN IMMO GENERATOR INN GRILLE IIIIIIIIIIIIIIMIIIIIFIIIIIIIIIIFWIIIIIIIIIIIIFWIIIIIIIIIFWWWIIIIIIFIIIWWIIIIIIIFIIIIIIIF INFRARED HEATER LABORATORY COCKS1111111.111111111F111111.WINIMIIIIIIIIIIIIIIIIIIIIIMIEWwwwwwr MAKEUP AIR UNIT wwwwwwwwwwwillillillilill.11111111111111101111111111111 OVEN j p i =i a POOL HEATER USI ROOM/SPACE HEATER111111111R11111111111111IRARM , ROOF TOP UNIT TEST I `'- I I� -INN UNIT HEATER 1111.111I.1111111111111111111111111111.1.11111011111WINFIIIIIIIIIIIIIIIIIIIII111111 UNVENTED ROOM HEATER WATER HEATER j [ OTHER IUG Line II I 11111 ( I !I �I�f �'MN MN 1w 11111111_( Iwo _ IMI�I I�I�INN Inii I I f hI I- INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES El NO Q I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Ej OTHER TYPE INDEMNITY Q BOND Q 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 0 AGENT 0 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 Plumbing Code and Chapter 142 of the General Laws. r PLUMBER-GASFITTER NAME Stephen Constantine I LICENSE# 3063 I SIGNATURE MP® MGF® JP® JGF 0 LPGI IS CORPORATION®# PARTNERSHIP®# i LLC EI# COMPANY NAME:Osterman Propane LLC ADDRESS 339 Amherst Road CITY Sunderland I STATE AM ZIP 01375 TEL 413-549-1000 I FAX N/A CELL N/A EMAIL N/A ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES , � /c- ? ?w i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 41 CITY /vet h _ MA DATE /0/ 61 ? — aJ?( 3aZ PERMIT# JOBSITE ADDRESS C. !' 1ckQ.J� OWNER'S NAME .57 !�'c1 ., 5�Jc.I\ i ._ GOWNER ADDRESS TEL U / FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAIV PRINT CLEARLY NEW: V RENOVATION: : REPLACEMENT: .__ PLANS SUBMITTED: YES NO APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER I � �- ''t I �4, �I DRYER , FIREPLACE / FRYOLATOR OCT 3...14)2 FURNACE 1 L 1 GENERATOR . _ .. .... __ . {� ar 4r'rntIt1rir'ti,:" �,nc7n b T.IA Th. -., . F i GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT 1 OVEN I POOL HEATER ROOM/SPACE HEATER PLUMBING & GAS INSPECTOR ROOF TOP UNIT NORTHAMPTON TEST APPROVED NO AHrPHOVEO UNIT HEATER '47 UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES I uNO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY N7 OTHER TYPE INDEMNITY BOND 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 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 Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME VI i DON,rcle4 lt-d LICENSE#J5-ys6 SIGNATURE MP ✓MGF JP JGF LPG' CORPORATION # PARTNERSHIP,_._ # LLC v# 9%5— COMPANY NAME: ,v`nL .... elVU""P:% ADDRESS /St ?T SQL^7" et../ip( .. ! _,_,W_� ...,_..-..... CITY 4Q �?�' _... .__. _ STATE _/ / ZIP dip-12_, --1_TEL y/ 3 5/2 � 1.71 -........' FAX ..,._ _ CELL.,,, EMAIL ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ LI FEE: $ PERMIT# PLAN REVIEW NOTES 9-3d -Zz 721-2s41-AC Tira T. /G -G - zz ��