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38B-282 (2)
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OA +0 50641C, • , 1 / ' / 1401455 - 11 G� STS n� i�!!kCU M_ PINY _ -- E�ctsji( `.e4 ice- -6 -- )(Q din�1-Lrup 46:44 np-oO, MA "rom ,nSan 13--C ers z "X[ do e. f t is, unn- e r 141 '' -t-3" --'� �' ` "p9 r`� /40,44, Flevtd-ipri 1!� 1,Jinc14 hrup S4rief )or .mp4on, MA —1-o-t►I„+son E,tua ers Inc , No-' +0 1 • EXIS'-, uSe„ 7 / 1 i f F444 Efe veer ✓1 /4 VIIIIdfIc"u.p Skee* Ailetitamphon r MA - 1-rr0erts /t &wafers. -6 Scala-- 2006 IECCEnergy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 30.00 Wall 21.00 Floor/Foundation 37.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 0.32 Door Heating&Cooling Equipment Efficiency Forced Hot Air Furnace 78 AFUE Water Heater: Name: Date: Comments: • D Ducts in unconditioned.spaces or outside the building are insulated to at least R-8. Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. D Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: L3 Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: D Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Circulating Service Hot Water Systems: D Circulating service hot water pipes are insulated to R-2. 13 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: O HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: D A permanent certificate is provided 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. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 05/29/09 Data filename:C:\Program Files(x86)\Check\REScheck\Winthrup addition.rck Page 3 of 3 REScheck Software ction Version 4.2i.2 Ceilings: Inspe Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:All-Wood Joistffruss:Over Outside Air,R-30.0 cavity+R-7.0 continuous insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:78 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. 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 sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: ❑ Materials and equipment are identified so that compliance can be determined. ❑ 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 dearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: Project Title: Report date: 05/29/09 Data filename:C:\Program Files(x86)\Check\REScheck\Winthrup addition.rck Page 2 of 3 r=- REScheck Software Version 4.2.2 Compliance Certificate Energy Code: 2006 IECC Location: Northampton,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 16 Winthrup Street Katherine Gerstle Tim Tomlinson Northampton,MA 01060 16 Winthrup Street Tomlinson Builders inc Northampton,MA 01060 452 South Shelburne Rd. 584-9586 Greenfield,MA 01301 413-256-0694 builditdoc@aol.com Compliance:Passes Compliance:8.7%Better Than Code Maximum UA:23 Your UA:21 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 80 30.0 0.0 3 Wall 1:Wood Frame,16"o.c. 184 21.0 0.0 9 Window 1:Wood Frame:Double Pane with Low-E 24 0.300 7 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 30 30.0 0.0 1 Floor 2:All-Wood Joist/Truss:Over Outside Air 50 30.0 7.0 1 Furnace 1:Forced Hot Air 78 AFUE 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 2006 IECC requirements in REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date:05/29/09 Data filename:C:\Program Files(x86)\Check\REScheck\Winthrup addition.rck Page 1 of 3 • A IC 1 • -5 ;o 3 Descriptor/Area S' 16 A:2Fr/B ',c- -_6 728 :�qfk i B:1Fr B pr_F 1 B �— 196 s�fk To PrcPerI C:0 FP IcIL. Lche..• 192 :qfk D:EFP 10 80 sgfk $ 2Fr/B 728 10 iE FP 8 8 •(80) • Quick Open Space Calculations Coverages 16 Winthrop St existing 0 Lot area existing proposed existing 0 10400 3000 3080 House existing 1800 Accessory existing 400 Open Space 7400 7320 Driveway existing 800 total 3000\ Open % 71.2% 70.4% Zone URB addition new 80 Req'd 50% new new total 3080 The Commonwealth of Massachusetts .- Department of Industrial Accidents Office of Investigations =sail= 600 Washington Street _"� = Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): otnLSay) Bui raters ')t c_ Address: 45A S.Sttel 17w✓►t1•. Rd.. City/State/Zip: ace,..,—t e,11 ma._ 01301 Phone#: 415 25(o -D 69 4- Are you an employer?Check the appropriate box: Type of project(required): 1 ,I am a employer with 3 4. 0 I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. Et Building addition [No workers'comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 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: 455061a4e41 er, 1 nSt tvGe 00 . Policy#or Self-ins.Lic.#:- --.Wc50Dt 3(7 X91 g001 Expiration Date: '4I l I .QlO Job Site Address: i6 W 1 11447 raj, %eJ City/State/Zip: kiell'iltikKit4dm '7L. 0 14 b D 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature:6��C�N. 109.eau�aJ, , 14s. • Date: 5/9-7/0/ Phone#: 4!3-Z51 -0697 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: rr Not Applicable ❑ Name of License Holder: t1 A'l f'tat otafin 17945 License Number (SA S.sAie,16Nru. ✓.taff*ttll t dt381 4171?pto Address 4101;4414.4:4-) Expiration Date yl3 -fib f Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 14/0151 i3a414314es fnc. WW W i lto Company Name , Registration Number 4S?. 5 t/bi eAG rce Ciet.utfid- / M.. o 1,540 1 11//7/?0/0 Address Expiration Date Telephone 25b-obe y 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 X 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 0 Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition [ii] / New Si. [EA Decks [• -iding 1.] Other[ . , / / / I. --- ' ' "%/ '� '^ /////' a �` r "j4": Brief Description of Proposed Work: expand pantry and add a 8'x1°.mom over the parry,that will be openinto the Master bedroom I / Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet sa.If New house and or addition to existing housing, complete the following: a. Use of building:One Family x Two Family Other b. Number of rooms in each family unit: 6 Number of Bathrooms 2 c. Is there a garage attached? no d. Proposed Square footage of new construction. 95 Dimensions X 1 e. Number of stories? 2 f. Method of heating? FHA off existing Fireplaces or Woodstoves no Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction wood frame / i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes ✓ No j. Depth of basement or cellar floor below finished grade& ' 7 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-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, .:3--e..14;-Per L/U .rte ►— ,as Owner of the subject property II hereby authorize 0ri9!1145r4 eu.r t rr d/S h i-c- to act on my behalf, in all matters relative to work authorized by this building permit application. Signatur f r a Date 5/a q/ I, /0(4 015011 [viers IAL_ ,as GottmeriAuthorized 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. 1 r J osti trtso n 4, i''?essac - Print N-me •yf nature of prreNAgent 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 by Building Department Lot Size Frontage Setbacks Front 15. /5 Side L: .915 R: L: ?5 R: 50 l S 15- Rear 3 Building Height alp Bldg.Square Footage alr0 % $0 Open Space Footage % �J �• J sE (Lot area minus bldg&paved 5-0 (a �-�{p parking) /�'`I`<i 3 i- #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 10 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW 0 YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 34 DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0:11 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability (, ../ KG9 Rom 100 Water/Well Availability Northa ton, MA 01060 Two Sets of Structural Plans phone 41-3j587- 240 Fax 413-587-1272 Plot/Site Plans Other Specify J APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Ib w�irthrup s�rc¢/ Map Lot Unit Zone Overlay District Eim St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: gtc1,errrto_. aersile_tieti teener /4 0J14-1Art,1p 51. Name(Print) Current Mai nddress salt -g Ayssb Telephone Signature 2.2 Authorized Agent: —7;t111,015/4 U-414/3 I rt. (ICA S.S/abu✓ita 4f artur t1 e1d I dLso Name(Print) Current Mailing Address: ,6� r, 641;ti if�3-aS6 -06 9 nature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building .30t 000 (a)Building Permit Fee 2. Electrical (b)(b)Estimated Total Cost of Construction from(6) 3. Plumbing _-_ Building Permit Fee 4. Mechanical(HVAC) 1 400 5. Fire Protection --8— 6. Total=(1 +2+3+4+5) 34, Iffy Check Number 33 2,4-, /9 2-, CO This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-1003 APPLICANT/CONTACT PERSON TIM TOMLINSON ADDRESS/PHONE 452 SOUTH SHELBURNE RD GREENFIELD (413)256-0694 PROPERTY LOCATION 16 WINTHROP ST MAP 38B PARCEL 282 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 33 d trr r �'0 gffia. c� Typeof Construction: EXPAND PANTRY,ADD 2ND FLR(8 X 10 MSTR BEDROOM) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 017965 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: L,Xpproved 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 6l, 7/0 Signature of Buildin_ 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. • BP-2009-1003 GIS#: COMMONWEALTH OF MASSACHUSETTS f` :~f J811'-282 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-1003 Project# JS-2009-001446 Est.Cost: $32100.00 Fee: $192.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TIM TOMLINSON 017965 Lot Size(sq. ft.): 10410.84 Owner: GERSTLE KATHERINE&JENNIFER WERNER Zoning: URB(100)/ Applicant: TIM TOMLINSON AT: 16 WINTHROP ST Applicant Address: Phone: Insurance: 452 SOUTH SHELBURNE RD (413) 256-0694 Workers Compensation GREENFIELDMA01301 ISSUED ON:6/17/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:EXPAND PANTRY,ADD 2ND FLR (8 X 10 MSTR BEDROOM) 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 6/17/2009 0:00:00 $192.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo