23A-253 (2) ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J
Applicant Name: (Ahti 6 HT Bo i t - PER $ S ite Address: j k 0)4011 .K S
Applicant Address: y$ RATES City/Town: FLORENCE, N1A
Ne,RTA 49 - 0 J IAA O(Oco Use Group: • ►Jt71.6 ' L
Date of Application: 10 VE tl
Applicant Phone: 1 4f' S86- $2 i Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package (Limited to 1- or 2- family wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.1b): • Heating Degree Days (HDD from Table J5.2.1a:
(For items d. through i., fill in all values that apply from Table J5.2.1b:)
a. Gross Wall Area sq.ft f. Wall R -value R-
b. Glazing Area' sq.ft. g. Floor R -value R-
c. Glazing % (100 x b 4- a) % h. Basement wall R-
d. Glazing U -value U- i. Slab Perimeter R-
e. Ceiling R -value R- j. Heating AFUE
❑ Component Performance: "Manual Trade -Off" (Limited to wood or metal framed buildings only)
Climate Zone (from Figure J6.22) ❑ Zone 12 ❑ Zone 13 0 Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable]
❑ MAScheck Software
Attach Compliance Report and Inspection Checklist printouts
❑ Home Energy Rating System Evaluation
Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher)
❑ Systems Analysis OR ❑ Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall + Ceiling Area 1 i5:5 sq.ft. b. Glazing Area' 12 sq.ft. c. Glazing % (100 xb _ a) 22 %
[ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM U -Value MINIMUM R- Values
Fenestration 2 Ceilin g ' Wall Floor Depth
Wall Slab Perimeter, De th
030 R -38 R -20 _ R -30 R -10 Continuous R -10, 2 ft
I Glazing Area may be either Rough Opening or Unit dimensions.
2 Based on NFRC listing. Applies either to every unit, or to area- weighted average of all units.
3 R -30 ceiling insulation may be used in place of R - if the insulation achieves the full R -value over the entire ceiling area
(i.e.- not compressed over exterior walls, and including any access openings.)
❑ "SUNROOM" addition (greater than 40 %glazing- to-wall and ceiling gross area)
Attach "Consumer Information Form" from 780 CMR Appendix B.
Official's Name: Official's Signature:
Application Approved ❑ Denied ❑ Date of Approval/Denial:
Reason(s) for Denial: (provide additional details as needed on back side)
Muller /Ravett 10-13- I
K ey Rea Florence, Ma. 9:09am
J
1 of
:eyBeam's 4.507f
rnBeanEngine 4.509s
,Iaterials Database 1314
Member Data K j>'cHE•
Description: 36AM Member Type: Beam Application: Roof
Top Lateral Bracing: Continuous Slope: 0.00 / 12
Bottom Lateral Bracing: None
Standard Load: Moisture Condition: Dry Building Code: IBC / IRC
Dead Load: 15 PLF Deflection Criteria: L/360 live, L/240 total
Snow Load: 50 PLF Deck Connection: Nailed Member Weight: 14.0 PLF
Filename: KYB1
Other Loads
Type Trib. Dead Other
(Description) Side Begin End Width Start End Start End Category
Replacement Uniform (PSF) Top 0' 0.00" 11' 6.00" 13' 0.00" 10 50 Snow
Additional Uniform (PSF) Top 0' 0.00" 11' 6.00" 2' 6.00" 10 50 Snow
Additional Uniform (PSF) Top 0' 0.00" 11' 6.00" 1' 6.00" 10 50 Snow
It f1`
/ /
11 6 0
O O
/ /
11 6 0
Bearings and Reactions
Input Min Gravity Gravity
Location Type Material Length Required Reaction Uplift
1 0' 0.000" Wall Steel 5.500" 1.500" 5547# --
2 10' 8.750" Wall Steel 5.500" 1.500" 5547# --
Maximum Load Case Reactions
Used for applying point loads (or line loads) to carrying members
Dead Snow
1 987# 4560#
2 987# 4560#
Design spans
10' 8.750"
Product: 1- 314x9 -112 VERSA -LAM 2.0 3100 SP 3 ply
Component Member Design has Passed Design Checks. **
Design assumes continuous lateral bracing along the top chord.
Design assumes no lateral bracing along the bottom chord.
Allowable Stress Design
Actual Allowable Capacity Location Loading
Positive Moment 14879.'# 25040.'# 59% 5.36' Total load D +S
Shear 4728.# 10898.# 43% 0.01' Total load D +S
Max. Reaction 5547.# 21656.# 25% 0' Total load D +S
TL Deflection 0.4109" 0.5365" L/313 5.36' Total load D +S
LL Deflection 0.3378" 0.3576" L/381 5.36' Total load S
Control: LL Deflection
DOLs: Live =100% Snow =115% Roof =125% Wind =160%
Design assumes a repetitive member use increase in bending stress. 4
Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives
All product names are trademarks of their respective owners
Copyright (C)1987 -2011 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED.
Passing is defined as when the member, floor joist, beam or girder, shown on this drawing meets applicable design criteria for Loads. Loading Conditions, and Spans listed on this sheet. The
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NorthaInDton, Kass. 01060
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WRIGHT/I_ BUILDERS
INCOR PO R A T E D
48 BANES STREET
NORTHAMPTON, MASSACHUSETTS 01060
October 19, 2011
Rebecca Muller
Abraham Ravett
193 Nonotuck Street
Florence, MA 01062
RE: Renovations
Dear Abraham & Rebecca:
Thank you for your confidence in Wright Builders and for the opportunity to work
together and be of assistance.
The Scope of the Project: The scope of the work is as outlined below.
Renovations to existing home including gut of east wing to framing but retain ceiling for
application of new drywall. Reframe as planned with relocation of bath and laundry,
breakfast extension over porch and reinforcing underneath, along with relocation of porch
steps and removal of existing deteriorated railings, no longer needed for code.
New Cherry wood cabinets, laminate counter, wood flooring, new and re-used bath
fixtures and cabinetry, kitchen sink and faucet. Interior and exterior primed only.
Relocate existing waste piping, connect to sewer entry line outside, with sidewalk repair.
Insulate crawl space walls with 2" Demilac heatloc Soy R14. Eliminate current rear
kitchen entry and add 5-4 x 6-8 terrace door off dining room. krill basement window
and move hose bib.
Costs: Costs for the project are as shown on the attached estimate summary and Wright
Builders, inc. makes substantial efforts to secure and hold pricing on all aspects of the
work. Volatile items such as, but not limited to, wire, copper piping, plastic products, oil
based products and lumber are beyond the control of Wright Builders, Inc. and the
customer agrees to pay for incremental cost changes that exceed those unit costs
contained within the quoted package, by change order, should such conditions arise.
IELEpHoNE 413 5bc b2 FAX 413-587-cr27L FLEC1RONIL MAIL: ir
•
'SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction S Suuaer rv visorr: / ,��Q� ,/may Not Applicable ❑
Name of License Holder : Vv r 6 }► y t i c/ V 1-s /mA APP. `�4` I��� c V 9/ / h,
License Number
A Al 6 kn-t-,AtmP) /q//3
-
Address Expiration Date
c- g g 9
S ignature Telephone
4. 114.A14_,L4
9. Reaistered Home Improvement Contractor Not Applicable ❑
OPA 61)(4 / Ma. ?W' -- t1 C3b
Comnanv Name Registration Number
Y-7 QPt- S S s N o it fl- '+ei -N 1,1c)-4,11)-
Address 'Q p Expiration Date
Telephone S - ° a y� 9
-
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 >IC No ❑
11. - Home Owner Exemption
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 -vear 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
,
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition P51 Replacement Windows Alteration(s) X Roofing n
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [E] . Siding [0] Other [D]
Brief
Work Description of Proposed t ' b v . o 14,c (IJcL /DIN* � T" 1 ' ie t ecPAt h 1
Alteration of existing bedroom Yes ' 1 No Adding new bedroom Yes /( No r'' Oti
Attached Narrative Renovating unfinished basement Yes �1 No eXisil l*
Plans Attached Roll - Sheet
-r.to-t-
6a. If New house and or addition to existing housing, complete the following: N
a. Use of building : One Family K Two Family Other ' ('may
L A I ,Q L
b. Number of rooms in each family unit: r' ' ( (9 V l /� umber of Bathrooms ` l.,'� (1 -f/ V W �O 5e-o Nil—
c. Is there a garage attached? N b Yrrr't#4
J
d. Proposed Square footage of new construction. 5 1 Dimensions ( f 7 i(
e. Number of stories? 0 ("
f. Method of heating? tit (STl f"��((
E Fireplaces or Woodstoves N /A Number of each ( R I g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? iter
h. Type of construction ' D
i. Is construction within 100 ft. of wetlands? Yes y No. Is construction within 100 yr. floodplain Yes x No
j. Depth of basement or cellar floor below finished grade /14 /N'
k. Will building conform to the Building and Zoning regulations? .>c+ Yes No .
I. Septic Tank City S wer X Private well City Supply
PAri N (- !�, Ne . ( + (' - SEPA,L tN/ t?W •
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, +G
I, D tE `-, /14 V ( A-el - , as Owner of the subject
property ' �/' / /
hereby authorize v' p'&1r A]'i/w Q
NPQ"
to act on my behalf, in all matters r ative to work authorized by this buil permit application.
�N1 -- t t7 1'l,t ti
Signs of Owner Date ■
I, _ f i 1 4 ►.a - AI , U -C1X , as Owne r• uthorized
• gent ereby declare that the statements an• information on the foregoing application are true and accurate, to the best o m •w edge
. • •elief.
Signed under the pains and penalties of perjury.
Prinfttlarne .......„,„...%.........x. . 3v.,...4_01_,A...4./te
i
fo14S6(
Signature of Owner /Agent Date
`r
r
rLeif fl- �Ppav� �IJ�' 1� PA-TED.
7/0///
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Informatio
Existing Proposed Required by Zoning
This column to be fill- • ' by
Building Dep. 1 • -
Lot Size
Frontage
Setbacks Front
Side L:,. R: L: R:
Rear
Building Height
Bldg. Square Footage Y
Open Space Footage °
(Lot area minus bldg & paved
parking)
# of Parking .. ces
Fill
•fume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW ►`f YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO �i DONT KNOW YES l
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES (C) NO pi®
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
•
ti
•
K ° Department use only
�
�' �— of orthampton Status of Permit
ui sin. Department CurbCut/DrivewayPermit
?.. 2 2 In Street Sewer /Septic Availability
°C • _ m 100 Water/Well Availability
1 - , n, MA 01060 Two Sets of Structural Plans
' =''' :• -120 Fax 413 - 587 -1272 Plot/S P
Other Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: This section to be completed by office
I 9 A( 4 N b l U _ ` 2t- Map Lot Un
F t, g_t w f Zone Overlay D
Elm St. District CB D
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
ta �c- M UL(2- 1', VONotve C-r) R-e-
Name (Print) /�/ , ` ).9 Current Mailing Address: r-+�/ J / p'
l . D �, - ∎ Telephone Q Sign ture `
2.2 Authorized Agent:
(PA i - - "� ( c' M 4. L l- Wat qg s Sr j fVbf'M�r pro )
Name.(Print Current Mailing Address
2(.(.
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building ' (, f `t! 111. -- (a) Building Permit Fee
2. Electrical {j 7t (b) Estimated Total Cost of
3 , p ° Construction from (6)
3. Plumbing r r Y13. .. Building Permit Fee
1�+
4. Mechanical (HVAC) 1 1 'f( 4- • -
5. Fire Protection (� ,g
6. Total = (1 + 2 + 3 + 4 + 5) if J G t 5:-/4- Check Numbers -� T 7 Y�'�
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
,
File # BP- 2012 -0432 . , L i 1 1
APPLICANT /CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116) '
PROPERTY LOCATION 193 NONOTUCK ST
CP
MAP 23A PARCEL 253 001 ZONE URB(100)/ \�
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �
Fee Paid (�'` r / 7 ` >t 3 3 /
Tvpeof Construction: EXPAND & RENO KITCHEN & BATH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 047146
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved 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 PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
C- l (0/27/0
Signature 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.
.
l
193 NONOTUCK ST BP- 2012 -0432
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A - 253 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Zoning Permit BUILDING PERMIT
Permit # BP- 2012 -0432
Project # JS- 2012- 000498
Est. Cost: $56516.00
Fee: $319.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 047146
Lot Size(sq. ft.): 10672.20 Owner: RAVETT ABRAHAM & REBECCA J MUL
Zoning: URB(100)/ Applicant: WRIGHT BUILDERS
AT: 193 NONOTUCK ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586 - 8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:11 /1/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: EXPAND & RENO KITCHEN & BATH
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 11/1/2011 0:00:00 $319.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner