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23A-210 (3) 10. Do any signs exist on the property? YES NO 7 IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size 18, 6LZ 567 i =i 1 8, 6 z spa rT Frontage 64 54- Setbacks Front 3 4' 341 Side L: (4'-io" R: 1Z - 4-" L: i4 R: i 2 • • 4- L: R: 4-4 la ‘'14 2' 7 I N c �: t `p c %aft (it Rear 05' 1 B dtclr Building Height ZA ' 2A Building Square Footage 1 lOvai 3 dec\ 1 , SL- s Z, ► 4o scr ,r Open Space: (lot area minus building £t paved -I 6 °jo Scrjo parking # of Parking Spaces 4 # of Loading Docks NS rv1A Fill: N jA Ni /A (volume at location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 41 1 31 t Applicant's Signature v Ait - pa-i & 6,_)1 t_Dt°'12S iA1 C NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\ Documents\ FORMS\ original \Building - Inspector\Zoning - Permit- Application - passive.doc 8/4/2004 File No. gP/i/g=3_ ZONING PERMIT APPLICATION 010.2) Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the City of Northampton 1 . Name of Applicant: j» I ( 1 L D (2-S i C; Address: ` 3 (A A - 0_ 7 5 o,2 ► a M P i o,1 Telephone: (¢ 6 82-el r 2. Owner of Property: Mita -`. Sri =`i a VA (ZE3 T1%o Address: r l (SEA Cox) r Loa- i�1CC Telephone: ( ) - 5w ° �I 61 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 6 C- 4. Job Location: e 4 6 CA CO 5 ► , r Lo J C , A Parcel I d Zomn Map# Parcel# District(s) in Elm Street Distract `" In Centr Business D trio (TO BE, FILLED IN BY THE BUILDING DEPARTMENT),v 5. Existing Use of Structure /Property: i �� u: t"A M L' G- 6. Description of Proposed Use /Work /Project /Occupation: Use additinal shees if ecessary): 1) Mo vii) i 5TO2 A-D T o J (Szi 2 o 17i✓c � Z ?o�z7 Co T2:��i� of A Nr✓w A-Dc) a a—GA(2- DEC1c Rs iJ Ll. AS A F e 6A IUD %f 1 E K10,1 pr-s- 1 C-tI 7 f 0 ‘Z.,1 t.) 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW I/ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page / and /or Document # 9.Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) 8/4/2004 W:\ Documents\ FORMS \origina l\Building - Inspector\Zoning - Permit- Application- passive.doc File # MP- 2011 -0083 i __ I � Of APPLICANT /CONTACT PERSON WRIGHT BUILDERS 1,15` ADDRESS/PHONE 48 Bates St (413) 586 -8287 (116) N'( ( :1011 PROPERTY LOCATION 74 BEACON ST WRIGHT - MAP 23A PARCEL 210 001 ZONE URB(100)/ 014) ) , THIS SECTION FOR OFFICIAL USE ONLY: Nk't � d PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING F • FILLED OUT 4 . ee •ai• Building Permit Filled out Fee Paid Typeof Construction: ZPA - DEMO ADDITION/DECK & CONSTRUCT 2 STORY, DECK & GARAGE ADDITION l New Construction AILS d4T Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: 1' Approved 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* r- 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 4 /61 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 the Office of Planning & Development for more information. June 8, 2011 Wright Builders, Inc. 48 Bates Street Northampton, MA 01060 Subject Property: 74 Beacon Street Florence, MA 01062 Mr. Ledwell, The plans for the Single Family Residential addition dated 5 -4 -11 have been approved as noted; 1. Structure conforms to 780 CMR 7 addition 1 and 2 family building codes. 2. Energy aspects must comply with 2009 IECC prescriptive and mandatory requirements or an appropriate HERS rating. Northampton has the stretch energy code. (appendix 120AA) 3. The entire structure will have smokes and COs updated. A smoke in each bedroom, a smoke and CO within 10' of bedrooms, a smoke and CO at the bottom of each stair to a finished area. R -314 and R -315 4. Tempered glass must be used in all hazardous locations. (Windows on stair landing) R -308.4 : Charles Miller Assistant Commissioner of Buildings ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS '' f 780 CMR .. p Appendix J Applicant Name: W 1 �� ‘ l� C`i' ` Site Address: ! k* 4 N Applicant Address: r , , ' - S . City/Town: f (/ ' T b N r a I i Use Group: % el< FA+N1 (O 6 Date of Application: P Applicant Phone: 571 ' 2"i'2 9 Applicant Signature: 1 ,mot„,■.∎ GM Compliance Path (check one): , / . ❑ Prescriptive Package (Limited to 1- or 2- family wood frame buildings heate I with fossil fuels only) Package (A through K.K. 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.ib:) 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 = 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 J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ 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: q _ a. Gross Wall + Ceiling Area 742.5 sq.ft. b. Glazing Area' 11-5 sq.ft. c. Glazing % (100 x b ± a) 1 t gc 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' Ce': .,� W s FIo i Basement i Slab P j,„ eter, De I th 0.39' R -3 ,'a ' , ^Tm ' R -10 ,( - R -10 ir 1 Glazing Area may be either Ro : Opening or Unit • ensions. 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 -37 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) • KeyBuild Structure 2.308f Wright Hensley - Level 6 5 -13 -1 1 kmBeamEngine 4.508e1 Materials Database 1271 fdn 12:21pm 1 of 1 Member Data Description: CaIcB4 C Member Type: Beam Application: Roof Comments: Top Lateral Bracing: Continuous Slope: 0.00 / 12 Bottom Lateral Bracing: (See Below) Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 0 PLF Deflection Criteria: L/360 live, L/240 total Live Load: 0 PLF Deck Connection: Nailed Member Weight: 9.4 PLF Filename: UNKNOWN Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PLF) 0' 0.00" 7' 9.00" 683 203 Live Replacement Uniform (PLF) 0' 0.00" 14' 3.00" 70 280 Live Replacement Uniform (PLF) 7' 9.00" 14' 3.00" 60 180 Live Point (LBS) 7' 6.25" -17 -143 Snow I TI It / k / 8 1 0 6 2 0 P 14 3 0 / Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall N/A 1.500" 1994# -- 2 7' 10.875" Wall N/A 2.042" 5361# -- 3 13' 8.250" Wall N/A 1.500" 1059# -- Maximum Load Case Reactions Used for applying point loads or line loads) to carrying members Dead Live Snow 1 465# 1529# -4# 2 1236# 4125# -145# 3 247# 813# 7# Design spans 7' 10.875" 5' 9.375" Product: 1 314x9 1/2 Versa -Lam 2.0 -3100 SP 2 ply Component Member Design has Passed Design Checks. ** Design assumes continuous lateral bracing along the top chord. No lateral bracing required along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 3160.'# 13958.'# 22% 3.16' Total load D +L Negative Moment 3893.'# 13958.'# 27% 7.91' Total load D +L Negative Unbrcd 3893.'# 13958.'# 27% 7.91' Total load D +L Shear 2484.# 6318.# 39% 7.12' Total load D +L TL Deflection 0.0589" 0.3953" L/999+ 3.56' Total load D +L LL Deflection 0.0452" 0.2635" L/999+ 3.56' Total load L Control: Shear DOLs: Live =100% Snow =115% Roof =125% Wind =160% Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives All product names are trademarks of their respective owners Michael Greaney r.k. Miles, Inc. 1 $ Copyright (C)1989 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. West Hatfield, Ma 01088 "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 design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturer's specifications. KeyBuild structure'^ 2.308r Wright Hensley Level 6 5 -13 -11 kmBeamEngine 4.508e1 Materials Database 1271 & "/ fdn 12:20pm 2 of 3 Member Data Description: CaIcG3 Member Type: Girder Application: Floor Comments: Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC / IRC Dead Load: 0 PLF Deflection Criteria: L/360 live, L/240 total Live Load: 0 PLF Deck Connection: Nailed Member Weight: 13.8 PLF Filename: UNKNOWN Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PLF) 0' 0.00" 1' 6.00" 81 0 Live Replacement Uniform (PLF) 0' 0.00" 1' 6.00" 130 325 Snow Replacement Uniform (PLF) 1' 6.00" 3' 0.00" -13 -53 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 7 27 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 13 40 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 130 325 Snow Replacement Uniform (PLF) 1' 6.00" 9' 0.00" 7 33 Snow Replacement Uniform (PLF) 1' 6.00" 9' 0.00" 81 0 Live Replacement Uniform (PLF) 3' 0.00" 9' 0.00" 195 488 Snow Replacement Uniform (PLF) 3' 0.00" 15 2.75" -13 -53 Live Replacement Uniform (PLF) 3' 0.00" 15' 2.75" 7 27 Live Replacement Uniform (PLF) 3' 0.00" 15' 2.75" 13 40 Live Replacement Uniform (PLF) 9' 0.00" 15 2.75" 314 0 Live Replacement Uniform (PLF) 9' 0.00" 15 2.75" 0 675 Snow Point (LBS) 8' 11.44" 263 2 Live Point (LBS) 8' 11.44" 0 934 Snow ■ 1 I ae , � 4 �r a x� � * r l � A qt r r` "+ t F `� �. 5+"g" � r Y gig s >< "�. OMPOn � i E y n ca. � �. ,� ✓ X. � r�. rc � s � - �za�r '�� I fi 1 6 0 13 812 0 1 2 / / 15 2 12 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 1' 6.000" Wall N/A 2.595" 6811# -- 2 14' 10.125" Wall N/A 2.657" 6973# -- Maximum Load Case Reactions Used for applying point loads (or line loads) to carrying members Dead Live Snow 1 2442# 90# 4369# 2 2287# 92# 4686# . Design spans 1' 6.000" (left cant) 13' 4.125" Product: 1 3/4x14 Versa -Lam 2.0 -3100 SP 2 ply Component Member Design has Passed Design Checks.'"` Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 23565.'# 33390.'# 70% 8.96' Even Spans D +S Negative Moment 618.'# 33390.'# 1% 1.5' Total load D +S Shear 5796.# 10706.# 54% 14.18' Even Spans D +S TL Deflection 0.4569" 0.6672" L/350 8.17' Even Spans D +S LL Deflection 0.3064" 0.4448" L/522 8.17' Even Spans S TL Defl., Lt. - 0.1592" 0.2000" 2L/226 0' Even Spans D +S LL Defl., Lt. - 0.1068" 0.2000" 2L/336 0' Even Spans S Control: TL Defl., Lt. DOLs: Live = 100% Snow= 115% Roof= 125% Wind= 160% Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives At product names are trademarks of their respective owners Michael Greaney 4 r.k. Miles, Inc. - `e + k „ . '" Copyright (C)1959 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. West Hatfield, Ma 01088 ' "Passing Is defined as when the member, floor joist, beam or girder, shown on This drawing meets applicable design criteria for Loads, Loading Conditions, ancl Spans Ilsted on this sheet. The design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product Installation according to the manufacturer s specifications • KeyBuild Structure" 2.308f Wright Hensley - Level 6 5 -13 -11 kmBeamEnginc 4.508e 1 Materials Database 1271 fdn 3:44pm 1 of 1 Member Data <A> Description: CalcG1 Member Type: Girder Application: Floor Comments: Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/ IRC Dead Load: 0 PLF Deflection Criteria: L/360 live, L/240 total Live Load: 0 PLF Deck Connection: Nailed Member Weight: 7.1 PLF Filename: UNKNOWN Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform (PLF) 0' 0.00" 1' 6.00" 211 325 Snow Replacement Uniform (PLF) 1' 6.00" 3' 0.00" -13 -53 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 2 9 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 13 40 Live Replacement Uniform (PLF) 1' 6.00" 3' 0.00" 211 325 Snow Replacement Uniform (PLF) 1' 6.00" 15' 2.75" 7 27 Live Replacement Uniform (PLF) 3' 0.00" 15 2.75" -13 -53 Live Replacement Uniform (PLF) 3' 0.00" 15 2.75" 7 27 Live Replacement Uniform (PLF) 3' 0.00" 15' 2.75" 1:3 40 Live Point (LBS) 3' 2.75" 76 35 Snow J"` cao-^ t R sy 5� "^ � t .�` k `� a . ,�. 3 r.. v' M ,' ` `� z 'Cr' tike ti ,,: �. ;` -n. , ... r ' ` .,�" ? . «x,, r �; .. & ~{ " „,, l / 1 6 0 0 1 812 m 12 0 0 0 15 212 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 3' 2.750" Wall N/A 1.500" 2120# -- 2 14' 10.125" Wall N/A 1.500" 252# -124# Maximum Load Case Reactions Used for applying point loads (or Ilse loads) to carrying members Dead Live Snow 1 966# 278# 1155# 2 20# 232# -144# Design spans 3' 2.750" (left cant) 11' 7.375" Product: 1 3/4x7 1/4 Versa -Lam 2.0 -3100 SP 2 ply Component Member Design has Passed Design Checks.°° NOTE: Pass -thru framing is required at point loads over bearings. Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 527.'# 8377.'# 6% 10.78' Even Spans D +L Negative Moment 2831.'# 9634.'# 29% 3.23' Total load D +S Shear 1436.# 5544.# 25% 2.74' Total load D +S TL Deflection - 0.1541" 0.5807" L/904 7.88' Total load D +S LL Deflection - 0.1131" 0.3872" L/999+ 7.88' Total load S TL Defl., Lt. 0.2991" 0.3229" 2L/259 0' Total load D +S LL Defl., Lt. 0.1982" 0.2153" 2L/391 0' Total load S Control: TL Defl., Lt. DOLs: Live =100% Snow =115% Roof =125% Wind =160% Manufacturer's installation guide MUST be consulted for multi -ply connection details and alternatives Point loads over bearings are NOT included in the Design calculations, but ARE included in the Reaction table All product names are trademarks of their respective owners Michael Greaney r = '/' ' r.k. Miles, Inc. *,1' ~'a ';. Copyright (C)1989 -2005 by Keymark Enterprises, LLC. ALL RIGHTS RESERVED. West Hatfield, Ma 01088 ''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 design must be reviewed by a qualified designer or design professional as required for approval. This design assumes product installation according to the manufacturer's specifications. • WRIGHT BUILDERS NC OR P 0 R A T ED 48 BATES STREET NORTHAMPTON, MASSACHUSETTS 01060 May 13, 2011 Mark Hensley Karen Thomas 74 Beacon Street Florence, MA 01062 RE: Two Story Addition and Renovations - Updated Dear Karen & Mark: 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. Remove existing rear porch addition down to masonry, install new 2 story addition with crawlspace and sonotube foundation with insulated interior on all crawlspace - walls, new 2 x 6 wood frame exterior with clapboard and shingle siding, cellulose insulation, Pella or similar windows, 30 year Architectural shingles from ridge to rear roof line, drywall and paint grade trim finishes, wood flooring except for tile at baths and mudroom entry. Reconfigure existing cellar stair to accommodate mudroom space, and new second floor layout with two new baths, hallway, and master suite. Plumbing work is included. Expansion of heating system is direct to owner. Interior painters work is limited to prime coat only at this time, with 2 coats exterior painting for new /disturbed areas only. Owner supplied decorative light fixtures and appliances. Remove asphalt at back yard, loam and seed. New deck with pressure treated structure, STK cedar decking, railings, privacy lattice, and lattice skirt. i j •; LiTCI� � �LlrCiliij LC�i11 _,. �u 3 ` V � 13 �ltTIII2::1 i F ' \:..... �' C E ✓P.::'�t.'d Oc 3L' ? IN °.riiCNS . ` -,' 1:4-- 212 Main. Street_ ' Municipal Building �, (NSr� !OR Northainuton, Mass. 01060 r Scuare Fcctace ?_..cunt . @ O •e • Easement_ , f i . 1 --- c -. . 1. _1ccr @ ,50 l ' �J 3i ! _ 2nd _ ccr @ • 3a a- tit �0 . .)... t _ il _/2 _lcors, htt_c, Caracc, Ii. 1 I Def. Porches 0 ` -g? 1 , /' D I \ —___ . - V ( . 9 0 i 1 ')-y> 1 I f. .37 kz - =7:: : . r 1 I t 6Uce-01 - r• — • I.F7-b4tie . ,' yi4-7,,-,ty,-.1 . ,, .. . , . . efe-- . 1 . , ,t. eost--- . , __ 1 tfir- , l „, . t . . D .. K t / X06 4 3 ° b ” 1 c L i 'I - -.-.. il r f. 1 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ,, ��/ Not Applicable ❑ Name of License Holder : /Or Dn ` i t i l A , M > (Dutiett- b, ' [ 1 License Number BArse . 1 Nb Pm / MA Address Expiration Date gnature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ i U� P '" Iry 11 J �,4 tt� a (S"3 t Company Name ! Registration Number 't q 8A-w Sr.. Nb' - T s 14 t t.)-4 Address �� / ,� Expiration Date M 1 4 �" �v "w Telephone 6 ` — 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 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 -year 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 Replacement Windows Alteration(s) 0 Roofing El Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks K Siding [0] Other [d] Brief Description of Proposed c'_ • �� Ate/ , b� f CQ*$E Sf Work: �/� '_L•_ Alteration of existing bedroom X Yes No Adding new bedroom _ )( Yes No A Attached Narrative Renovating unfinished basement Yes k No Nsc4 f " Plans Attached Roll - Sheet ° ` 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other ^_ b. Number of rooms in each family unit: 0 Number of Bathrooms d" I ?j• • c. Is there a garage attached? ter/re/WI) friA)111 b ; d. Proposed Square footage of new construction. 1 , L4 "`? if Dimensions 1 ' , ? ' / �. e. Number of stories? a'.. ' 6 42- • , y sF . (4 ; 6 f. Method of heating? t N V Fireplaces or Woodstoves •'•" Number of each SI/cr. • it,/ trWl s Sat g. Energy Conservation Compliance. ye Masscheck Energy Compliance form attached? h. Type of construction rV i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade C1 Tet66 -' i t 14/ IVaT N eV•1 D PVC k. Will building conform to the Building and Zoning regulations? X Yes _ No . �A I " C- Do I. Septic Tank City Sewer k Private well City water Supply > itiPitAkteir 'r` OAf 3 , Nil) SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN beotV>°W '". OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 'i 0 1.* M , as Owner of the subject property IN I /'� Q / ,�,, �p� hereby authorize W p V r► 1 p U ( � �V L e-- to act on my behalf, in all matters relative to work authorized by this building permit application. /LL Alf dl . /�I :L * & ' AO ST: ature of Owner — r Date A L tiVf4 " tt'1 .e-()4 (Ay ef4 , as OwnerFuthorized) Agent ereby declare that the statements and information on the foregoing application are true and accurate, to the best o my knowledge belief. Signed under the pains and penalties of perjury. AAA— LWa Print Name . 7 - \-- 1 -- `j.'C't_,./C <SI a >77 Signature of Owner /Agent Date / 4-f ee-D v `211 v h (P/ i / /// Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled y Building Departure Lot Size Frontage Setbacks Front Side L: R: L: ' . Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking S es _ Fil • olume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW ►, YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO w DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained 0 , Date Issued: C. Downy 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 +�f IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, gradin• ex .vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO ip` IF YES, then a Northampton Storm Water Management Permit from the DPW is required. r M / 4".44413 " 7 " 4 1- i i e 1 Department use only 11 City of Northampton Statuso #Pet : � Building Department Curb Cut/Crtveway Permit 212 Main Street Sewer/Sept ity • (.��\ Room 100 Water Well Availa bl y \ s,1 1 ' ■ . ' hampton, MA 01060 Two Seb of Structural Plans * » .413- 587 -1240 Fax 413- 587 -1272 Plot/Ste Plans ,d.„.. � ' Other Specify _ L sTION 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 9y eci AA,,.1 SI . Map Lot Unit R AI Q ij f 1 ,�^ d I` - Zone Overlay District T'"Z, "G ," Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Recor 7t OI -o 5 o p /`f t.6 Name (Pri t) Current Mailing Address: + 4O ( `'r A 4 ..t1c 3 L` /4' Telephone ig a ure 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building .f f / (.j I > q «' r (a) Building Permit Fee L i/ 2. Electrical Estimated Total Cost of 0 3 O (b) Construction from (6) 3. Plumbing • 1, Li Y i Building Permit Fee 4. Mechanical (HVAC) If (( l 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) t Jr ro o t c.- - Check Number V I '' ( cq ---- — This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2011 -0978 APPLICANT /CONTACT PERSON WRIGHT BUILDERS ADDRESS /PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116) PROPERTY LOCATION 74 BEACON ST 0 21ti r MAP 23A PARCEL 210 001 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 Fe Fee Paid id �7 �IV Typeof Construction: CONSTRUCT 2 STORY ADDITION & DECK 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 INF9RMATION PRESENTED: /Approved 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 (� 7-7( Si_ ature 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. 74 BEACON ST BP-2011-0978 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A - 210 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-2011-0978 Project # JS- 2011- 001360 Est. Cost: $126015.00 Fee: $542.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WRIGHT BUILDERS 047146 Lot Size(sq. ft.): 18513.00 Owner: HENSLEY MARK T & KAREN THOMAS Zoning: URB(100)/ Applicant: WRIGHT BUILDERS AT: 74 BEACON ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586 -8287 (116) Workers Compensation NORTHAMPTONMA01060 ISSUED ON: 6/9/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY ADDITION & DECK 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 6/9/2011 0:00:00 $542.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner