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24C-171 1 i F11■11111■111111111•1111111111•1 - s o'a'-0" E,1. ` 'I Z - • I CO DJ s a a v 2 32`- 3/4" — \ L_L FAO \ , 1 tosstd 4:" U) (n n iv r—r. cn CD - a) II = i 91 Stockbridge Street KENNEDY RENO of UNFINISHED SPACE S`pAsNoted DATE 06/01/11 chq Hadley. Ma 01035 Rev non 413- 259 -6785 59 MAIN RD. Al .6 Fax 877 -258-2359 WESTHAMPTON, MASSACHUSETTS DRAWN BY BUII D AG & f LD ODE INC, [,_c design @chagnon br - com GC — CF."'.." , . 4 1 1 1 I I i i = .. 1 ..\ \ s L ; II • , .. L F j JI II L' 1 %%e -1(-- - 11 ' l ,/°: , ,, r , _ z M. �, ,� � , / 0 / � T-91/2" rp B z o CD >c = n ro 0 3 Cn rDv, o 5.E =moo o o `< < o `� -c3 0 tr, -* 5 .. r.•,, 5 33 a . . � Q • -, `� co ii cu o n 6 O r. 91 Stockbridge Street KENNEDY RENO of UNFINISHED SPACE S °A ANO ,ed DATE osi 7i1 na o H 7 413- 259 59 -6788535 Re 5 59 MAIN RD. Al .rJ Fax 877- 258 -2359 WESTHAMPTON, MASSACHUSETTS °R ""' "BY' BUILDING & REMODE ±..ING design @chagnon- br.com f I I i j ! 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Al .3 Fax' 877- 258 -2359 WESTHAMPTON, MASSACHUSETTS DRAWN BY GC B UILDING & REMODELNG ._, design @chagnon br.com LtGEND j N .,_,. r NEW CONSTRUCTION � 3 EXISTING �_. _I � I Q - _ _ _ 2 DEMO WALLS/BEAMS I I SHORT WALL EXIST /NEW .., /-,- -"..;. EXIST /NEW BEAM ABOVE 'T' w — - -- - - - FLOOR BREAKS o i Tub /Showerto remain _ ' , �- Existing windowto remain w i1 Proposed Plan �'f .2 Scale: 1/4" = 1 '_O" L 'C —,-,..— L19 H CO l ` 2 2 (n 2 j i 2 U m z il X im Existing doorto remain o 2 LE \l z z w O __T____ OP I 0 zi 9 , - V Ct a a . � c z2 1 s , _ a.., w w Li Frame new wail and ¢ match depthto existing 1 - a s _ o co y U 8 y i ::,% 'V ��� v d vJ (n M LC) C M p O u1 N O Pad existingfloor Frame in old window Y N structureas needed �� , �' `, ! � loactionand finish • 1 bothsides w $ CJ w tfS �._ le 1 o 1 co C R " — C c? 5'-6 3/" 1 m 1 / kir, 1 E€ �''C '� ` 6 Remove existing closet 1 Exist/Demo Flan windowand dump. _ / -- p A1 V Scale: 1/4" = " 1 ' -0" o n BEDROOM 3 w Q , 1 a co Remove existing toilet o and sink, Tub /Showerto — .� _ D remain - i 5'- 13/4" u) i ' LI CI 1 ' Existi 28" Door to Remain . ! Li z ca I _l D < o z B o a T® f r r z cc Q IC z a, M w z = :2� \ - - — z 2 w w laj / E 4/ N Demo wall for access to N o up N o new expanded toiletarea °o a ° N CO E g N I` G / O " Il o tr' c O O IM °' @ " . a Re windowto new / ® � - 6 BEDROOM 1 LL bathroomwall. BEDROOM 2 U cv r1 o " Relocate windowto - 0' walkin closet bedroom3. J i .� LL- i r Frame in openingand >c c u, CO z J finish bothsides �" ''� tisof 2009 l'ECC,' Energy Efficiency Cof i Insulatkat Rats ; t =Value Ceiling / Roof 30.00 Wall 16.30 Floor I Foundation 0.00 Ductwork (unconditioned spaces): t r , Raring s t) SHGC Window 0.30 Door Meiting & Cooling p ' 'efficiency Heating System: Cooling System: Water Heater: Name: Date: Comments: I J Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar- and /or waste - heat - recovery systems. J Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a minimum insulation value of R -12. Exceptions: Covers are not required when 60% of the heating energy is from site - recovered energy or solar energy source. Lighting Requirements: Li A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a) Compact fluorescent (b) T -8 or smaller diameter linear fluorescent (c) 40 lumens per watt for lamp wattage <= 15 (d) 50 lumens per watt for lamp wattage > 15 and <= 40 (e) 60 lumens per watt for lamp wattage > 40 Other Requirements: Li Snow- and ice - melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement le). Certificate: LI A permanent certificate is providea on or in the electrical distribution panel listing the predominant insulation R- values; window U- factors; type and efficiency of space- conditioning and water heating equipment. The certificate does not cover or obstruct the visibility of the circuit directory label, service disconnect label or other required labels. NOTES TO FIELD: (Building Department Use Only) Project Title: 207 Crescent Street 2nd Floor Bathroom Addition Report date: 06/01/11 Data filename: Page 4 of 4 (c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d) Floors: Air barrier is installed at any exposed edge of insulation. (e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed /blown insulation extends behind piping and wiring. (f) Corners, headers, narrow framing cavities, and rim joists are insulated. (g) Shower /tub on exterior wall: Insulation exists between showers /tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U- factor of 0.50 and the maximum skylight U- factor of 0.75. New windows and doors separating the sunrcom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. Li Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R- value. Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. • Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications. Duct Insulation: • Supply ducts in attics are insulated to a minimum of R -8. All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R -6. Duct Construction and Testing: Li Building framing cavities are not used as supply ducts. J All joints and seams of air ducts, air handlers, filter boxes, and building cavities used as return ducts are substantially airtight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or UL 181B and are labeled according to the duct construction. Metal duct connections with equipment and /or fittings are mechanically fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet -metal screws Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). L Duct tightness test has been performed and meets one of the following test criteria: (1) Postconstruction leakage to outdoors test: Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3) Rough -in total leakage test with air handler installed: Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4) Rough -in total leakage test without air handler installed: Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: Li Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. L) For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and /or Service Water Heating (Sections 503 and 504). Circulating Service Hot Water Systems: • Circulating service hot water pipes are insulated to R -2. J Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping insulation: • HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 3. Swimming Pools: • Heated swimming pools have an on /off heater switch. U Poo! heaters operating on natural gas or LPG have an electronic pilot light. Project Title: 207 Crescent Street 2nd Floor Bathroom Addition Report date: 06/01/11 Data filename: Page 3 of 4 Mfa � Y Generated by REScheck-Web Software Inspection Checklist Ceilings: a Ceiling: Flat or Scissor Truss, R -30.0 cavity insulation Comments: Above - Grade Walls: ❑ Rear Wall: Wood Frame, 16in. o.c., R -13.0 cavity + R -3.3 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments. Li Side Wall: Wood Frame, 16in. o.c., R -13.0 cavity + R -3.3 continuous insulation Continuous insulation specified for this above -grade wall has consistent R -value rating across full area of the wall. Comments: a Marriage Wall: Wood Frame, 16in. o.c. Exemption: Framing cavity filled with insulation. Comments: a Demo Wall: Wood Frame, 16in. c.c. Exemption: Framing cavity not exposed. Comments: Windows: a Window: Vinyl Frame, Double Pane, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type _ Thermal Break? Yes Nc Comments: Floors: Floor: All -Wood Joist /Truss Over Uncond. Space Exemption: Framing cavity filled with insulation. Comments: Air Leakage: Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or solid material. a Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs /showers, and in openings between window /door jambs and framing. a Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. a Access doors separating conditioned from unconditioned space are weather - stripped and insulated (without insulation compression or damage) to at least the level of insulation on the surrounding surfaces. Where loose fili insulation exists, a baffle or retainer is installed to maintain insulation application. L1 Wood - burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7 ACH at 33.5 psf OR 2) the following items have been satisfied: (a) Air barriers and thermal barrier: Installed on outside of air- permeable insulation and breaks or joints in the air barrier are filled or repaired. (b) Ceiling /attic: Air barrier in any dropped ceiling /soffit is substantially aligned with insulation and any gaps are sealed. Project Title: 207 Crescent Street 2nd Floor Bathroom Addition Report date: 06/01/11 Data filename: Page 2 of 4 ✓ • Generated by REScheck-Web Soft are Compliance Certificate Project Title: 207 Crescent Street 2nd Floor Bathroom Addition Energy Code: 2009 IECC Location: Northampton, Massachusetts Construction Type: Single Family Project Type: Addition /Alteration Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner /Agent: Designer /Contractor: 207 Crescent Street Mark and Catherine Ames Gary Chagnon Northampton, Massachusetts 01060 207 Crescent Street Chagnon Building 7 Remodeling LLC Northampton, Massachusetts 01060 91 Stockbridge Road 413 - 585 -9464 Hadley, Massachusetts 01060 cames2011@gmail.com 413 - 259 -6785 gchagnon @chagnon - br.com Compliance: 8.3% Better Than Code Maximum UA: 12 Your UA: 11 The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade -off rules. It DOES NOT provide ar estimate of energy use or cost relative to a minimum -code home. Grose avty Corti- ` # Itesernbly ; : Area or ',A-Value R -Value or Door Perim U-Factor Rear Wall: Wood Frame, 16in. o.c. 95 13.0 3.3 5 Window: Vinyl Frame, Double Pane 8 0.300 2 Side Wall: Wood Frame, 16in. o.c. 38 13.0 3.3 2 Marriage Wall: Wood Frame, 16in. o.c. - -- - -- Exemption: Framing cavity filled with insulation. Demo Wall: Wood Frame, 16in. o.c. - -- - -- - -- Exemption: Framing cavity not exposed. Ceiling: Flat or Scissor Truss 60 30.0 0 0 2 Floor: All -Wood joist/Truss Over Uncond. Space Exemption: Framing cavity filled with insulation. Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2009 IECC requirements in REScheck -Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name - Title Signature Date Project Title: 207 Crescent Street 2nd Floor Bathroom Addition Report date: 06/01/11 Data filename: Page 1 of 4 r= N. Ia,•achtl,tttN- Dtl +:!s t, t.i i „t Psnihli. `sai," B ear d �i Bu ild ii,t R •:_tii.ito'Is .. 1t : i, " License: CS 60175 GARY J CHAGNON ■ 91 STOCKBRIDGE RD HADLEY, MA 01035 c --� - Expiration: 9/30/2012 . r Tr= 2274 :Jize Lr , Oe Z/,C�z i /�y O ffice of Consumer A ffairs & Bdsi e ss R at a T — HOME IMPROVEMENT CONTRACTOR l' s'7,11- Registration: , 112751 Type: t Expiration: 4121/2013 Ltd Liability Corpo C GNON BUILDING & REMODELING LLC GARY CHAGNON 91 STOCKBRIDGE RD. ��"-- __,__ HADLEY, MA 01035 Undersecretary k ARTICLE 23 TERMINATION 23.0 If the Contractor shall: (a) be adjudged bankrupt, (b) persistently or repeatedly refuse or fail, except in cases where extension of time is provided, to supply enough properly skilled workmen or proper materials to perform the work, (c) persistently disregard laws, ordinances, rules, regulations. conditions of any public authorities having jurisdiction over the WORK, or (c') be guilty of material violation of this Agreement, then the Owner shall be entitled, upon seven (7) days prior notice, unless the Contractor shall cure such violation during said seven (7) day period, to terminate this Agreement and take possession of the Site and all materials and equipment thereon and finish the WORK by whatever method Owner may deem expedient. ARTICLE 24 GOVERNING LAW; EFFECT This Contract shall be construed and enforced in accordance with the substantive law of the Commonwealth of Massachusetts without giving effect to the conflicts or choice of law provisions thereof, and shall have the effect of a sealed instrument. This Agreomen executed on the day and year first written above. Contractor CHAGN N BLIDIN _ > REMODELING 1_1,c By / / It's reside t Owner A V i t \ V ‘.. , 0 ' (;ti Contractor Initia;s: Owners Init_als. Pa 7 of i_ Copyright© 2011 Chagnon Building & Remodeling LLC Created on 7 20] 1 9.30.00 -A'C Arne.; 2,1 F Ir BATHROOM Ren,nd, Ccat:aot 0427i 1 'w4kA 4r S The Commonwealth of Massachusetts Department of Industrial Accidents ` , z _ t ' Office of Investigations v= ," ,, ,s 600 Washington Street • Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (B C/ usiness /Organization /Individual): 4 6/LId/1" f3t//Ca� /,rtC f Rej ecie / ,,ti, 1 -‘6 Address: 9/ 54 ii-/3,rt cd p 4, Cit /State /Zip: f y , /^i,4 0/0 Phone #: 4/,' - ?5 — 78T Are you an employer? Check the appropriate box: Type of project (required): I. [ ( a employer with / 4. ❑ I am a general contractor and 1 employees (full and /or part - time).* have hired the sub contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. J[�'Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition I working for me in any capacity. employees and have workers' 9. n Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.[ Electrical repairs or additions 13. ❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] c. 152, § 1(4), and we have no 1 employees. [No workers' 13.❑ Other I comp. insurance required.] *Anti applicant that checks box #1 must also till out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state w hether or not those entities have employees. If the sub - contractors have employees, they must provide their w orkers' comp policy number. 1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: hig/ f - 4/ 1114 ‘.7 ( 6.4t_1< —_ — Policy # or Self -ins. Lic. #:_ f 950 Expiration Date: (�'/3,3/a Job Site Address: eX ' C' $Ctivf 5/ / /444 City/State /Zip: MIA riti) /trv it 1 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify All der the puiiins,aandpenalties of perjury that the information provided above is true and correct. Si nature: / .., ., G'w Date: 6//// Phone #: Iii 3 4 /7 , - Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit /License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: i SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 2- C . ' ■424V 60/ 7f License Number 9/ $T/ c 3,, y r y ,A 1 /i o/ 3 " 9 /3o /a Address �� Expiration Date �/'✓ 6 i'i- - 0 - , .�9'6 76 Signature Tele 9 Registered Home Improvement Contractor. Not Applicable ❑ CA aO,ti i3(u L- ( > i (e/ /�Cit - LGL / 7 / Company Name / Registration Number 5��c ri d7c , / / d l p Yf � ^ ? � (° r y /a/ /3 Address Expiration Date Telephone ‘#) 1 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 mit. Signed Affidavit Attached Yes No ❑ 11 - Homcie Owner Exeant�tion 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 persons) 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 Ti Addition Er Replacement Windows Alteration(s) n Roofing n Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other [0] Brief Description of Proposed Work: ADD a `>t 5 41 tX(51�i; i9� R42 Beet , -, f ulcr) o�pf /S' rti ex(5 5l�fiit �r Alteration of existing bedroom Yes r "..-- No Adding new bedroom Yes L�No Attached Narrative Renovating unfinished basement Yes 4-- Plans Attached Roll - Sheet Ga. If New house and or addition to existing he using, complete the followinc: a. Use of building : One Famiiy Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? AlO , d. Proposed Square footage of new construction. ( Ste Dimensions /0 ' / / X r e. Number of stories? 0 f. Method of heating? Mt (�.'/1`�e Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. es Masscheck Energy Compliance form attached? yes h. Type of construction (VC& i Is construction within 100 ft. of wetlands? Yes loo. Is construction within 100 yr. floodplain Yes loo j. Depth of basement or cellar floor below finished grade A4 k. Will building conform to the Building and Zoning regulations? Ye s - No . I. Septic Tank City Sewer /2 Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT / -' f 2 « f' 0014e.' 4 2°[ as Owner of the subject property J' hereby authorize (a 4-(t_y to act on my behalf, in all mattert relative to work authorized by this building permit application. e 411141 Sr ,t,ep ccaai cl Signature of Owner Date 64 %4,#t'- , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. — �hP. Print Name J Signature of Ow /Agent Date 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 in h Building Department Lot Size / 3 - 3 3 d . 9 2 . - / 5 - 3 3 ( 9 9 0 4 * - - ' Frontage I `71 r Setbacks Front 3? f . f ar " Side L: 1 R: 17 t R: /S r f Rear /d1_`? r? I' Building 'Height r r Bldg. Square Footage ( 7 % Fg'a 7 Open Space Footage 1 T % (Lot area minus bldg & pa■ d /�� 17 /3V5Y S7.5 parking) I 3 3 # of Parking Spaces , Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES C 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 DON'T KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES C 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 0 NO er IF YES. then a Northampton Storm Water Management Permit from the DPW is required. _ _ * IN • • R y_ EIVE Department use only aik I VA\ ity of Northampton Status of Permit: OP : uilding Department Curb Cut/Driveway Permit • 212 Main Street Sewer /Septic Availability • ' Room 100 tlAlaterllNet[ Availability • Northampton, MA 01060 Two Sets of Stfuctural Plans phone 413- 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: d 0 7 G (e5 ANT �S/ " - t e y Map Lot Unit A joiz TA 4iy p /G t-1A Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: e S ac17 C✓rsceA., $1�_ /v i 4M /P1 .+-/ / 1.1 Name (Print) Current Mailing Address: 't ai/ 9,r6 ' Telephone Signature 2.2 Authorized Agent: 6 v C tY4 &r/V / /c a , l /c° - Name (Print Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only I completed by permit applicant 1. Building /6'560 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) / 50 0 Check Number This Section For Official Use Only Building Permit Number: Date Issued Signature: Building Commissioner /Inspector of Buildings Date tlik File # BP- 2011 -0993 APPLICANT /CONTACT PERSON GARY J CHAGNON ' - ADDRESS/PHONE 91 STOCKBRIDGE ST HADLEY (413) 259 -6785 ? � 4 PROPERTY LOCATION 207 CRESCENT ST MAP 24C PARCEL 171 001 ZONE URB(100)/ l „ l � p �5 THIS SECTION FOR OFFICIAL USE ONLY: f �1 os f V PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE l) cE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / - �_ 5 Fee Paid #91 �1/tpCJ � l Typeof Construction: CONSTRUCT 12 X 5 2ND FLR ADDITION (BATHROOM) New Construction C o C Non Structural interior renovations S6 it. Addition to Existing Accessory Structure (6° Building Plans Included: 5 0 Owner/ Statement or License 060175 3 sets of Plans / Plot Plan , un � r 1�� THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF (� ATION PRESENTED: �,.- pproved Additional permits required (see below) L, . F T PLANNING BOARD PERMIT REQUIRED UNDER: § (, 1 11 Intermediate Project: Site Plan AND /OR Special Permit With Site Plan i S Major Project: Site Plan AND /OR Special Permit With Site Plan ,I ZONING BOARD PERMIT REQUIRED UNDER: § ( C k./ 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 67L / 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. • 207 CRESCENT ST BP- 2011 -0993 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24C - 171 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2011 -0993 Project# JS- 2011 - 001619 Est. Cost: $16500.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GARY J CHAGNON 060175 Lot Size(sq. ft.): 14418.36 Owner: AMES MARK S & CATHERINE M Zoning: URB(100)/ Applicant: GARY J CHAGNON AT: 207 CRESCENT ST Applicant Address: Phone: Insurance: 91 STOCKBRIDGE ST (413) 259 -6785 WC HADLEYMA01035 ISSUED ON:6/6/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 12 X 5 2ND FLR ADDITION (BATHROOM) 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 6/6/2011 0:00:00 $60.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner