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23A-296 (2) Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email address is: cmiller( northamptonma.gov Thank . • o c•operation on these matters. Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 24. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition requires a 16 GA 1%" strap across the area and 6" beyond each side with 8- 10nd nails.780 CMR R602.6.1 25. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 26. Dryer duct maximum equivalent length is 25'or per manufacturer's specs.780 CMR M1502.4.4.1, no screwed connections. 27. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 28. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5'from the duct outlet for all fireplaces 29. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 30. Ignition barriers in place before final. 780 CMR R316. 31. Dwelling/Garage fire separation. An attached garage (within 3' of main structure) is required to have 1/2" drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have 14" drywall and the ceiling 5/8" drywall.780 CMR R302.6 32. Energy aspects shall comply with the stretch energy code.780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity, which you must create. 33. Vapor retarders.Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier.An air barrier is intended to stop air flow(convection) a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99%of the moisture in a structure.This is evident every time one exposes fiberglass insulation and finds black insulation,which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 34. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 35. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:ThruLoks are engineered for post attachment supporting a railing. 36. Smoke and CO detectors as required.780 CMR R314 and R315. a. Smokes in each bedroom,within 10'of a bedroom door. b. CO within 10' of bedroom doors, at each level, at the bottom of a stair leading to a finished floor above,for every 1500 sqft, (plumbing code in the mechanical room) Except if there are no fossil burning fuels. c. Heat detector in attached garage, and other large unfinished unconditioned spaces. 37. Closets beneath stair which have doors must be drywalled with%2". 780 CMR R302.7 38. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22"x 30" is required to be located in an accessible place. It must be insulated,gasketed, and secured in place. Relevant items must be submitted to the building department for approvals before inspections and or Certificates of Occupancy can be issued. are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is required with a load path to the foundation. 11. Steel straps over the ridge or 1x4 minimum collar ties are required 4'OC in the upper 1/3rd 780 CMR R802.3.1 12. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 13. A complete window and header schedule is required.780 CMR Table R502.5 for header sizing and number of jack studs required. 14. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I-joist and or Floor Truss c. Roof truss 15. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. 16. When nailing sheathing make sure your pneumatic nailer's pressure is properly set. Nails set too deep, essentially perforate the sheathing weakening it and contribute to building damage in high wind events. 17. Ceiling heights minimum 7'for habitable spaces, 6'8" for bathrooms includes tub/shower area if a shower head is used, 6'8" for basements, 6'4" at beams/ducts.780 CMR R305.1. MA amended 18. Hazardous glazing locations, within 24" of a door, or within 60" of a stair,or across from hot tubs,spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4 19. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule.Order restrictors. 780 CMR R612.2 20. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft at 1st floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees,one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7%" from the top of the threshold and only in-swinging doors. 780 CMR R311.3 21. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 8%", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8" on balustrade, 6" in the triangle. Graspable rail 11/4" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing.780 CMR R311.7. 22. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36",4" sphere rule.780 CMR R312.1. 23. Educate the plumber and electrician about maximum notch and hole sizes, and placement.780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes in joist are a maximum 1/3 the depth not closer than 2"from the top or bottom or to any other hole. Notches are different. a City of Northampton Hrr . Massachusetts ° r Iv - DEPARTMENT OF BUILDING INSPECTIONS . t m 4,41 212 Main Street • Municipal Building Northampton, MA 01060 Pi, To%�� INSPECTOR David Fortier April 19,2013 32 Laurel Street Northampton, MA 01060 Subject Location: 172 Nonotuck Street Map Block: 23A-296 Mr. Fortier, Your building permit application and plan for breezeway,garage, and patio cover dated 4-15-13 have been approved as drawn, noted, and per this memo.All work must meet all applicable codes whether noted or not included within this memo. Please follow up on the following items: These items will need to be accomplished as the project moves forward and before rough inspections; 1. A complete electronic set of the revised drawings showing the revised size and layout. 2. Stamped engineering for all non prescriptive materials and or systems. (LVLs and truss) 3. A heat detector installed in the garage tied to the house system. 4. A fire separation between the garage and house, including an appropriate door. 5. The beams supporting the patio cover are undersized and must be adjusted. 6. The patio cover post and beam load paths must have tie downs to manage uplift at base plates and post to beam connections. As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes. Read only international codes are available on line at http://publicecodes.cvberregs.com/icod/one must also consider the MA amendments to these codes which can be found at www.mass.gov/dps/bbrs The current relevant building codes are: 2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 IECC,AA115, MA amendments. 1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3.except those in group I soils(table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be%2" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. Foundation walls require horizontal reinforcement 2#4 bars one within 12" of the top and one in the middle if 8'or less and 3#4 bars at top and 3rds if over 8'.780 CMR R404.1.2(1).Also see vertical reinforcements requirements. 8. CMU foundations require 3/8" parging before damp proofing.780 CMR R406.1 see exceptions. 9. Emergency escape is required out of every basement whether habitable or not.780 CMR R310.1 10. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8-16nd common F Executed as a sealed instrument this 2.1( day of December,2012. DA J. BARCOMB HARLES K. BARCOMB JR. COMMONWEALTH OF MASSACHUSETTS Hampshire, ss On this 28 day of December, 2012, before me, the undersigned notary public, personally appeared LINDA J. BARCOMB and CHARLES K. BARCOMB JR., proved to me through satisfactory evidence of identification, which were UA V ip tM4cc DG'j , to be the persons whose names are signed on the preceding or attache document in my presence. BRIAN T.CONWAY Notary Public 4 \ 1 Commonwealth of Massachusetts I My Commission Expires December 14,2018 • ATTAIN': HANIPBEERR, �{• R2 PATRICIA A. P7�� N 32°39'04" along land now or formerly of The Lucy A. Mirabello Revocable Trust, and land of the Grantees herein, a distance of 253.35 feet to an iron pin located at the Northeasterly corner of land of the Grantees herein on Nonotuck Street,the place of beginning. BEING a portion of the premises conveyed to the Grantors herein by deed of Linda J. Barcomb dated October 2, 2006 and recorded with the Hampshire County Registry of Deeds in Book 8899, Page 242. IIII I IINIIIIIIII1'I 11IIII 2012 00031 Bk: 11171 Pg:240 Page: 1 of 3 Recorded: 12/31/2012 12:18 PM MASSACHUSETTS EXCISE TAX Affected premises:Lot on Nonotuck Street,Florence, MA Hampshire District ROD#13 001 Date: 12/31/2012 12:18 PM ctrl#028927 19065 Doc# 00031934 Fee: $13.68 Cons:$3,000.00 KNOW ALL PERSONS BY THESE PRESENTS THAT WE, CHARLES K. BARCOMB,JR. and LINDA J.BARCOMB,both of 160 Nonotuck Street,Florence, Hampshire County, Massachusetts, for consideration paid,and in full consideration of the sum of THREE THOUSAND AND NO/100 ($3,000.00) DOLLARS, grant to JOHN C. RHOADES and LISA M.RHOADES,husband and wife, as tenants by the entirety, both of 172 Nonotuck Street, Florence, Hampshire County, Massachusetts, with QUITCLAIM COVENANTS A certain tract of land situated on Nonotuck Street in the Village of Florence in the City of Northampton,Hampshire County,Massachusetts,more particularly bounded and described as follows: BEING known and designated as "Parcel A 5,386+ SQ.FT." on a plan of lots entitled "Plan of Land In Northampton,Massachusetts,Prepared For John C. And Lisa M. Rhoades Scale:1"=30'November 13, 2012 Harold L. Eaton And Associates,Inc. Registered Professional Land Surveyors"to which reference may be had for a more particular description. Said Plan is recorded with the Hampshire County Registry of Deeds herewith, ?1 A N 13 G o►c 2,Z B pA 1 D 4. Said parcel is more particularly bounded and described as follows: BEGINNING at an iron pin in the Southerly side of Nonotuck Street, in said Florence, which said pin marks the Northeasterly corner of land of the Grantees and running thence S 63°06'01" E along the southerly side of Nonotuck Street 7.00 feet to an iron; thence turning and running S 26°16'06" W a distance of 256.13 feet to an iron pin; thence turning and running N 56°33'34" W a distance of 35.44 feet to an iron pin at the Southwesterly corner of land now or formerly of The Lucy A. Mirabello Revocable Trust; thence turning and running .. ............., .. .......____...,______ ! 1 1 i i Y , I . 1 . r" imill f r— ; N .4.- ....-. 1 , ; 4i> 10 x.61 t; 4 Ig 4.5 Of I —01b 1 ,...‘ C''' (34P ,.,,,.... Nr+ , Z 1 4' cti. 1 . ... n t1.4j,„'Dfs i 4 603 zff-t, .---- ,....-- p APR/17/2[I31 ED 08: 20 AM FAX No, P. GIi11/001 ACt7RC CERTIFICATE OF LIABILITY INSURANCE CATE(MWDDNYYYY 04/17/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder hi lieu of such endorsement(s). PRODUCER CONTACT NAME: Webber & Grinnell Ins, Agency, Inc. LUC No,Estl: 413.586. 111 j��c, No;413.586.6481 —1I 8 North King Street ADDRESS: Northampton, MA 01060 PRODUCER 00023133 CUSTOMER ID e: INSURERIS)AFFORDING COVERAGE NAIC 1 INSURED INSURER Peerless Irdemnity 18333 David Fortier INSURERS Peerless Insurance DBA) dba David Fortier Builders INsueeRC: Peerless Excelsior 32 Laurel Street D. T— ---:i Northampton, MA 01060 INSURER E: __.7' INSURER F: -------- ---._--- — i --- COVERAGES CERTIFICATE NUMBER: Exp 2013 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR'I— LTR I TYPE OF INSURANCE e,ISR lAI POLICY NUMBER I(T5wDDI YY) (MMSDDNN!V) I LIMITS I GENERAL LIASILr/ . CBP1069313109104f2012 110910412013 I EACH OCCURRENCE 1$ 1,000,005 CONVERC AL GENERAL LIABILITY DAMAGE TO.RE iEb $ 100 0001 I PREMISES(Ea:;courrsnoa, CLAIMS-MADE [j OCCUR ! MED EXP(An,ono Rers r $ 15,000' A PER`_ONAL e GAO IN.JLRY $ 1,000,000 _I i I I GENERAL Ar3GR°GAAr! 1 5 2,000,000! 3.N'_A3GRE,ATE LIM'�T APPLES PER LPRODUCTS-COMP;O=AGG $ 2,000,000 ______I 'nil PO-T fl LO^ $ AUTOMOBILE LIABILITY 1 ,COMEINED SINGLE LIOLT $ (Ea accidert 1,000,000 uaY AUTO BA8921065 10109/2012 10108/2013 BCDILYI\IJLIP.Y(Par person) I$ ALL OWNED ALIAS �1 BODILY NARY(Per acadertl 1$ C X SCHEDULED AUTOS PROs ER-'r DAM✓3GE —y X ,HIRED AUTOS I(Per acciden:) $ Included! X I NON-OWNED AUTOS I �I $ I I $ h�LeABRELLALIAB I OCCUR I EACH OCCURRENCE f$ E(CESSLIAR I CLAIMS-MADE I AGGRE3ATE 18 DEDJCTISLE I I$ H I RETENTION $ j$ WORKERS COMPENSATION WC1069314109/0412012 09104/2013 X ORY�LMITS 1-ER AND EMPLOYERS'LIABILITY YIN ANY PROPR_ETORIPARTVERF_KECUTIVE 7� E,L.EAC!'ACCIDENT 1$ 100,00 B OFFICER/MEMBER EXCLLDED? I NIA (Mandatory In NH) !E I_,DISEASE=EA EMPLOYEE $ 100,0001 yya descri'oe under DESCRIPTION OF CPEPA oNS OeA v. I I r I DISEASE-PAL ICY LMIT I$ 500,0-0 t DESCRIPTION OF OPERATIONS I LOCATIONS(VEHICLES(Aftacl ACORD 101,Addltlanai Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Northampton AUTHORIZED REPRESENTATIVE Building Dept, is-s-- Main Street Northampton, MA Barbara Grynkiewlcz/BARBG ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD • City of Northampton / a Massachusetts " ^ ^�g ' DEPARTMENT OF BUILDING INSPECTIONS tar 212 Main Street • Municipal Building b Northampton, MA 01060 s $ INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing &gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth of Massachusetts ,,�*�,-I.,_,�„ Department of Industrial Accidents l ::.��. l Office of Investigations 4 1,,.. ~~....4 : , ."'''"-.--'-a..,,i +�,_ �' 600 Washington Street ,� y Boston,MA 02111• ►;I• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): jpvt o 1= i'Ll(g.11- Address: 3.aUaEl“ Ce, City/State/Zip: k ozi, ,44,40/t Ite[ ©16 Co" Phone#: II/1- e r 79 6 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with L{ 4. ❑ I am a general contractor and I 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. 1=1 Remodeling These sub-contractors have ship and have no employees 8. ®Demolition working for me in any capacity. employees and have workers' 9. D-51 Building addition [No workers' comp. insurance comp.insurance. required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ) Insurance Company Name: 1 it R.L 5 Lip'S — Policy#or Self-ins. Lic.#: SJ�C- 1 0 3 ( 1 Expiration Date: 1 'i /1 Job Site Address: 17 2.. &Oi.h r uc r. 9 T. City/State/Zip: 1-tOse.ei,tal r1A.0r044. 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' under;h pains and penalties of perjury that the information provided above is true and correct. Signature: Date:- -_ // - ' 1 ? 1 ,7 ....... I Phone#: 913 Vis 112,— C Official use only. Do not write in-this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ...- Nott Applicable ❑ & C Name of License Holder: O f (O f��`L'' S 00'Da /� License Number L1 / �o (40Ai/1VO Ul 06/0 of• j '( Addre Expirati Dat Signature Telephone es is tere.8 omen m•rovemen ontra o:; , t , ,a ; Not Applicable ❑ OA 1,0 4v AI I t gu 103q`(cZ Company Name ' r,( Registration Number as tint-0,2 1/),A,Zl4A of Le 0 r J i c 1 i'� Address Expir tion ate Telephone`f 6 -C-I i-$(l4.g 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 VI No ❑ ® Ojjf _e i e-r xeil ption 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 • C ' SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing n Or Doors 0 Accessory Bldg. V4 Demolition New Signs [D] Decks [0 Siding[D] Other[0] Brief Description of Proposed c/o Work: 0 ENO SztNCo f¢(omit AA*, !3e Rcz2 Fo,//e`� /4 �s14G W(i t/ N Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes A No Plans Attached Roll -Sheet . A `eve h'QUS&a ad: ddit an.to'existincjrliousir�q;compete. he otlow ng a. Use of building :One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? (' d. Proposed Square footage of new construction. 121>A -l Dimensions 9.0 a �( 642P 6t O VI& Covilrox a EAT(J e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each ' g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction S';(ctC, (/2AOf& i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a OWNER.AUTHORIZATION-70 BE COMPLETED WHEN ` ,„ `' OWNERS AGENT OR CONTRACTOR:APPPES FOR BUILDING PERMIT ; e\ U/I e. ,as Owner of the subject property hereby - .thorize �U Q i (ILA-- to a -on y be;-lf, in all ratters r iv o work a horized by this building permit application. Cj 471'1‘ 02�L3 Sig J;f, re of Owner Date I it!/�✓t f 6/L•�t(i+� , as-ewer/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. DAMN Fac�Ltl�if2 Print Name Signature of Ov aer(Agent Date A , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information e Existing Proposed Required by'Zoning , This column to be filled in by Building Department Lot Size I 9.0 y I II i 1 I ! M Frontage I Ii0 I i1 1 Setbacks Front I Lir I i "1 1 ! , Side L:' t' I. b R:'74 L:∎fl I R:'902 i 1 ' j I Rear � v I Building Height 30 1 EZ5i 7-1 Bldg.Square Footage A 14 6 b tai. % I,T, BM 1 Open Space Footage % ��g�p (Lot area minus bldg&paved l7 335 . r E / 18�. i----1 parking) #of Parking Spaces 1 7-7 _ Fill: i` ___�_ �_ __ _-I (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW 0 YES 0 IF YES, date issued:} IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ! I Page 1 and/or Document#1 i B. Does the site contain a brook, body of water or wetlands? NO 47i DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ® , Date Issued: C. Do any signs exist on the property? YES 0 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 Q 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 0_ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. - v �� t6JPAs .� i 1 ei` a elf use ,., : 1 City of Northampton St us . eo D i Building Department C W = 0�t �,` .. ..k 2013 i 212 Main Street � Sew `• T a ,6'"� . � J Room 100 �a I`a`n '� �. _: bePT.OF BUILDING LV i crioivs Northampton, MA 01060 aa ' NORTHAMPTON,MA 01060 a phone 413-587-1240 Fax 413-587-1272 �� 7,,''.:,- $�� � -. �1 - s APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - INFORMATION N ,t x . Thi_s section to be completed by office 3 1.1 Property Address: , F i_ h ! £ ' . .4 t. i q}' aiz„ s l � 43 ; s S :-..m o. 7 j() Q- /V / Y D i t L r\ C.T MN I^ "X 4 ,,,, Imo ,,A k„,„A., 5 ,. Unit 1-$ , ,p, . , ,E ,- 4 one A1 � � OverlayDstrict , 3X t $ e4k:-s �rvtt v w ir rs # ky x A.lt, ' t 4 1 - 4s 4 u i ytN qt *. - 5,f .:we y g s, tnl S Ds ?7s ... ;.x r CB)DistricT t z -x .r, SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: e C- iel-a, 3 /Z gx/a7r/G1k5 /e�A2E . Name ' Current M i' dr 0/0 Telephone Sign?' re 2.2 Authorized Agent: // �'t� y1 DR1 tcN`. 1,l c��S,L st / e91 oov ' Y4. OtDO Nr ` PrQPk , - 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 (a)'Building'Permit Fee 1��tX�l7. UU - 2. Electrical (b)Estimated,Total Cost of 3000, 60 ..-'Construction fr`oin(6) , . . 3. Plumbing Building Permit Fee .-:':,-,--,.-:-.f.... ' ''-'-',--;.„-'-'-',- :,'''' .-11,:..-:_.... - -:... .. -./ , .:--'".-:;-.1 : : . 4. Mechanical(HVAC) 4. 5. Fire Protection ._ , . 6. Total=(1 +2+3+4+5) 4 I ODO. oO Check Number This Section For Official Use Only Date Building Permit Number: Issued. Signature Building Commissioner/Inspector of Buildings Date • pFile# BP-2013-0956 96 t APPLICANT/CONTACT PERSON DAVID FORTIER ADDRESS/PHONE 32 Laurel St NORTHAMPTON (413)586-8965 `tF( MAPPROPERTY 2 A TPARCEL LOCATIO NONOTUCK ST URB(100)/ o THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid l/ 4 h 2'ar) 6 l ZLI Typeof Construction: Demolish and rebuild attached garage New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 008026 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOX4ATION 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 'ermi o • El Street ,smmission Sign of:uildmg •fficial 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. 172 NONOTUCK ST BP-2013-0956 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A-296 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: GARAGE BUILDING PERMIT Permit# BP-2013-0956 Project# JS-2013-001604 Est.Cost: $61000.00 Fee: $230.40 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: DAVID FORTIER 008026 Lot Size(so.ft.): 15028.20 Owner: RHOADES JOHN C&LISA M Zoning:URB(100)/ Applicant: DAVID FORTIER AT: 172 NONOTUCK ST Applicant Address: Phone: Insurance: 32 Laurel St (413) 586-8965 NORTHAMPTONMA01060 ISSUED ON:4/23/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:Demolish and rebuild attached garage 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 4/23/2013 0:00:00 $230.40 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 172 NONOTUCK ST BP-2013-0956 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-296 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: GARAGE BUILDING PERMIT Permit# BP-2013-0956 Project# JS-2013-001604 Est.Cost: $61000.00 Fee: $230.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DAVID FORTIER 008026 Lot Size(sq. ft.): 15028.20 Owner: RHOADES JOHN C&LISA M Zoning:URB(100)/ Applicant: DAVID FORTIER AT: 172 NONOTUCK ST Applicant Address: Phone: Insurance: 32 Laurel St (413) 586-8965 NORTHAMPTONMA01060 ISSUED ON:4/23/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:Demolish and rebuild attached garage 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 4/23/2013 0:00:00 $230.40 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner