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Dear Thomas&Amy Quinn, You submitted an application to construct a 22x20 addition(living room/bathibedroom)&8 x 20 screen porch.The application was not approved.I have tried to call on several occasions(584-0283)and was not able to contact anyone.I left a message with Manley electrical as well. The reason permit is not approved is that you are adding a bedroom to a existing building,the building code requires that when you add a new bedroom the existing house must be come into compliance for smoke detectors.I need a floor plan of the existing house showing the locations of smoke detectors.Once I receive this information your building permit can be issued. Please contact this office upon receipt of this letter. Sincerely, b ' ._- _,.__z-704../,<( z--- '''''' Anthony Patillo f Building Commissioner City of Northampton —CAL . cJ z 1 -,, c-N nCro L — I 0 1 F---------Ii-----------------------________ x c-,O r 1 1 Q) I o AS I !SU) ) O o s (Th x 1 Cl 7s O S O 0 x O 1 N i , Q I O — >' O r— P..J O 1 s Qom, ! � y 1 a z I f Q Q _t —5_ z z N <_1 ,c) \ 0 _ v O C11 - \ \\ --7 O - \ \\ 7C3 0 10 i � ' 0 10 ---\ J L__ I. (---N--' 7v 411I , O v -- 7 � o \� \ `x o > � \ \\ u, - Q0 ---\ -- N C N \._ O a J I \ \\ O �� Q _ u c, O 0 Ss.- 2 Z nl (-) CT\ z j O L. . 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City of �d'ortIIantpton �� _* �, ice` r,. w = i . -ten"►,':i 1� * :; �`__('j a Massachusetts __� �_ DEPARTMENT OF BUILDING INSPECTIONS =•; rf INSPECTOR 212 Main Street • Municipal Building 'c =- July 10,2003 Northampton,MA 01060 ��w ow s`e Thomas Quinn PO Box 247 Leeds,MA 01052 RE:Building permit application for 57 Upland Rd. Dear Thomas&Amy Quinn, You submitted an application to construct a 22x20 addition(living room/bath/bedroom)&8 x 20 screen porch.The application was not approved.I have tried to call on several occasions(584-0283)and was not able to contact anyone. I left a message with Marney electrical as well.The reason permit is not approved is that you are adding a bedroom to a existing building,the building code requires that when you add a new bedroom the existing house must be come into compliance for smoke detectors.I need a floor plan of the existing house showing the locations of smoke detectors.Once I receive this information your building permit can be issued. Please contact this office upon receipt of this letter. Sincerely, X Anthony Patillo Building Commissioner City of Northampton Addition to house would be 20'x 22' 1 / stories of conditioned living s a addition would be a cape style with a w full do p ce - the Second floor n stairs will living will have a doer for room and bath a bedr 3 and the unconditioned s bedroom A screened porch g'x 20 pace would run on the back side ' of Work also would include re of the first floor, placing existing kitchen cabinets, rf I 4� t T1IT7 1ILL! s .. RN 30 f l .�np7uA ' ON air itt( __..J • Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to I" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) , t • Floors: [ ] 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ) 1. Boiler 1: Other(Except Gas-Fired Steam),87 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 must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm (0.944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ) All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required 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 shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120°F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release ld DATE: 06/23/03 PROJECT TITLE: upland rd addition Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 2. Wall 2: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ] 3. Wall 3: Wood Frame, 16" o.c.,R-l9.0 cavity insulation Comments: ] 4. Wall 4: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: [ ) 5. Wall 5: Wood Frame, 16" o.c.,R-19.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 2. Window 2: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 3. Window 3: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 4. Window 4: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 5. Window 5: Wood Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ) 6. Window 6: Vinyl Frame:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.340 Comments: Builder/Designer Datezzzao". ~ ° \ ;' 1 1 r ' it Number JUll 3 0 3303 REScheck Compliance Certificate 1 s� s Ch: ked By/Date DEP Massachusetts Energy Code "0 REScheckSoftware Version 3.5 Release 1d Data filename: C:\Program Files\Check\REScheck\Untitled.rck PROJECT TITLE: upland rd addition CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 06/23/03 DATE OF ' • • - 6/2303 t OMPLIANCE: Passes Maxi • • • = 142 Your Home UA= 109 23.2%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 412 38.0 0.0 12 Wall 1: Wood Frame, 16" o.c. 160 19.0 0.0 3 Window 1: Wood Frame:Double Pane with Low-E 15 0.340 5 Window 2: Wood Frame:Double Pane with Low-E 15 0.340 5 Window 3: Wood Frame:Double Pane with Low-E 15 0.340 5 Window 4: Wood Frame:Double Pane with Low-E 15 0.340 5 Window 5: Wood Frame:Double Pane with Low-E 12 0.340 4 Window 6: Vinyl Frame:Double Pane with Low-E 12 0.340 4 Door 1: Glass 21 0.340 7 Wall 2: Wood Frame, 16" o.c. 160 19.0 0.0 10 Wall 3: Wood Frame, 16" o.c. 168 19.0 0.0 10 Wall 4: Wood Frame, 16" o.c. 160 19.0 0.0 10 Wall 5: Wood Frame, 16" o.c. 168 19.0 0.0 10 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 412 19.0 0.0 19 Boiler 1: Other(Except Gas-Fired Steam),87 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 Massachusetts Energy Code requirements in REScheckVersion 3.5 Release Id (formerly MECchecA and to comply with the mandatory requirements listed in the RESchecklnspection Checklist. The heating load for this building, and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I , =,t*:, # 21ia55aclitsetts � ' � ? 'WV"441•• DEPARTMENT OF BUILDDNG INSPECTIONS .1 i /./ INSPECTOR 212 Main Street G Municipal Building iA,y So, • Northampton, MA 01060 . r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup__. .: sor. 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)s 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 6J26/?' Address of work location S� '/' ,.-/ .2e7 /r-r% ePlD-e-13 • • -- ),....1„..1._,._ (---- ._ . 0_1,1 IA) tli 1 . ?-' .. :,,"5 V.;• / . _____yi ,ifis.55Rchut,rIte 01: 1,L1111)1,',;(I 11-L;1)1(:I IC)1;;; 21 2 Main Strcct ' :"■itinicipttl t'----;'-'-'‘ Northm aton. i'',1m,s 01 060 -' \V()1Z.1<._it',1:.'S ( OM IIIN;-;Ari'l OH INSIIIZA H( 1,1 A FII1 DAVIT (I;;.-=.-:...n:;_'c.E.-:::,.:c.:-.-., ilicipal DI.:Ic '. oE businc:ssir, :,1(iell,s-t.2 [..,.: ,i, Ilci tiI), t i 2.),. ,.::::i..i: ',11:: rO'ifl.:, ',tild ft.:Ct:IL,: 0: :,t'llll■,., I alll :111 111 ' Ii: pi VIlll (liC '20110V;;T::■.; - ,-.'.': :, ,-'■';;il' -:; ,.:',1'..:: , tr,', ..,::,:'' IL': :lly t2,111i)leyCCLi V,M1 ::IIIi!, 'II C:11;; ll;1). (I its•u_rtmc--:...-_-, Company) (1-'(-.,:-_T, '' 11.,,,-27' (:•1):r,:1-,: i:-■2 D2t..-__,) . , ( ) I 1111 II Y,oic pi.01):2ct..01 :ftt:it.'.)ai C,-.)11'.1-2c1c:- ::- H-,:nle(),,,,,-Iler. 'clici.c ,._)T.1. ,) '<'.T.1(: 1::',' , 1111-(=-0 il CD (11(!, coil:1-actoi.-s listed below \vh(-) 11;:ve 'die 10 ',-,,,.::::: v.r'ol.te,-S c2, 1,::)er.-1Sr..;:c:-. /....s----?.7s---/ ---"--2-,/<: -.3- 1:593 2 C,--)!It-c.-1._:- .-i) Tilt,t-T.:-.--..]1).::-_-, ‘'ormt,.1.-.. -: h_-, NIII;It ;' ,i',-::', .:::',1,-T. Ihte) -,,-?--•,/-0_r 4 . --x.:.:,,.y..,.-,.., ii._ _e-.6--z./ ./-‘.,,F-x 9/:/s--/..2- (.1.-s,„,, tf(-,)„,,,::::,.),-, , s,,_:,--,:„,:, co,,,:--„,.H --, ,„,,,...,,,: (iI,Y', .11-=':-. :Th:t:-) (-Nanic. of Comace:-) ;ins-umnce c'om-,-.:,.!-ro:'o1I.-.-. (Oct Ler) :: ',-:,,,:::; Date) 7 —-- - -- - - --- (Name of Contractei) ijaSUITHIC::'. C0111'2,-::.:3)':"P()Ilcy (liltn12,-2-)) itt.:1:1 ..tic.-2, Date) ( ) 1 nu zt .-,()Ic vi kri)t.1,..',01 :::::..i havc no ;)11;:. -;•,•,,:':,:m.:.; fo: :no c 1 I 0111 ..1 110120 c.\-..-.:'::: ,,: :::( 7.-1:-Iin::.. :lit th:_'. ',,•,...1.- in'. :‘.ii 1-111)1 E.pic,s,1,-...ft',11,: ; ,',:1],..:1,CV.:),,,.),,'3\IrD<::::;)!oy-,,,,,..,,.u.to,T ui.,:.:::::laur..,,,,,--.1:1-:,,:-.00 ol:epau-,,, it:Imre th.in thioc it iii t‘fl:c,li ll),..i.l..,...o.,YieLl-rot ,,,,e oo U- .7:---■:rteuie.,:-.ttl,oeceo,r,r>:<i:eno,rall y o:,,,u',uz,„:1,-_,hi cotp105-c-3 un,i,i.r1.1).,!,\k'Cir-I'.-.coe:7-.-izili.e...litl not(61.152 :l I(5)),,-j",1,,,,:%'-':.'r,"',h,-..n,-,,,vuor:c1 e I.,-,-,-.,•:-1,-1:::::,•.-... legal 0.2.tue of rai ee:14:loyee under the Woe ii.or'L Comp.cerAt loll 4.d._ I underhand the a copy of th,a,t a t,,,,,,,,,,,,, nay he fewl,‘,110.3 to the:ries,,inlet,:of lo,h,ltr lel Aec-v!,..-_,:3'eflioe of 1,-,reft-te for the covet-ago VC:if:IC-1110Q And th.e.t fz-ilarc.to.y.c.,11::covc-t-r.ge.,tin.ikr motion 25A of 51(21,152 can iced to the:Unposilion,I c-z-unne_l v•ettsllict oo.al.i_sting of a floc of up to SI. C.(,)00 a:1---Yor t7.ipti-,:xeu,-,eiii..of up to c:o:re_.,-en.1 civil po-rulti cc in'..:,i.:-,eon of a St,-,,`1.,',A fine:of-S(00.0Q 3,day tgtarot inn Cifi -1,K li,V1111,-1":11 1.11,■r11) Pcr mit Ntinityzs .; - :II(if;natuzc (A i.ic(-:;.-,-(11)c 1 in-dt,-- 1-;:. - I / SECTION 8-.:CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : _ License Number Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor ,giV „',H .., Not Applicable ❑ Company Name Registration Number f —4 2.077 - G/® Address Expiration Date Telephone- 4—)6P7-?' 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 ❑ ,.h g1i i ie .caner=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 Stat' of Massachusetts General Laws Annotated. Homeowner Signature _ __ SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) - New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ J� Ne/w-Siig/ns ( ] Decks [ ] Siding [ ] Other [ ] --- --- ----- Brief Description of Proposed Work: ,„C? j(,�Jc! � d,. 1r. t rh �A/__XJd Alteration of existing droom _Yes_ No Adding new bedroom V Yes No Attached Narrative V Renovating unfinished basement Yes V=No Plans Attached Roll ❑ Sheet Lc 6a. If New:"hou se""arid or addition to existing housing, complete`the following: Use of building : One Family �/ Two Family a. Other b. Number of rooms in each family unit: 2 of Bathrooms_____] c Is there a garage attached? 44_ d Proposed Square footage of new construction /0 Dimensions O ,) f e Ir��?�SG 'v atar41i e Number of stories? / f Method of heating? K.::.•S l�o� w��r/�—_ Fireplaces or Woodstoves Number of each g Energy Conservation Compliance. Uaschec'f, Energy Compliance form attached? e-T h Type of construction 1,venve( Is construction within 100 ft. of wetlands? Yes V No Is construction within 100 yr. floodplain `'es E./ r -- I. Depth of basement or cellar floor below finished grade 2--_b'___. Will building conform to the Building and Zoning regulations? V Yes - - -- No/. I Septic Tank City Sewer V- Private well City water Supply (. SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , as Owner of the subject oroper% hereby authorize to my behalf, in all matters relative to work authorized by th ,_,iidino permit application. Signature of Owner Date ti I, ���.,,.r� ,.;�„� , as Owner/Author ized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of Amy knowledge and belief. Signed under the pa nd pen • f perjury. Print Name �-- ✓ Signature of Owner/Agent Date -_ Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by [3uilding Department Lot Size _ //otr^/ /iD °.-` le,60O Frontage / ./w-e7 ` 7,5-- Setbacks Front 7' 1 *e7 Side 1,: G R: :7y 1,:/C R: 3�t i 30 /s-- Rear 7O/ SO Building Neight 35- Bldg. Square Footage % f3.7(fl/ Open Space Footage (Lot area minus bldg&paved ',j per. t/, /�)� parking) / '17 !.2 /1,69 vJ# (!� #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO V DON'T KNOW 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 # B. Does the site contain a brook, body of water or wetlands? NO V 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES ._ No IF YES, describe size, type and location: _____ E ,,Departrrfetatt'use.�nl City of NorthamptonStatus of,Permr -6,4 ` -� '� „ ,:'� Building De Dartrnent Curb Cur/Drrvewa 212 Main Street Sewer,Septic Avarlabl}ty "„k "� .- Coo n 100 Water/Well AvarIabrllty� Northampton, 51$ 01060 Two_Sets of Structural P,larls.wi` �� phone 413-537.1240 Fax 4 3 '8 P . ' ,w..: `s ; z b r c r ra ■1 kg ' 1111. ' '-'7-'2.-—.'!-::::'!- -.I;A:,-.,-"-2,c,!!!':Ii'-'7..,.—,,, , . - - ! r APPLICATION TO CONSTRUCT, ALTER, REI� I !"'.i• \ OR DEfr'IOLI ONE OR TWO FAMILY DWELLING t nn { 3‘.1's, 3 0 �,,''3 t 1 r } SECTION 1 SITE INFORMATION ' L_____"""��,}” �� t`C+r�t'+5 — 1.1 Property Address: L_^ -F - section to be completed by office Map _ __//t9 Lot Unit Zone _ Overlay Distric _ t Elm St. District_ CB District 1 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: a�u 2.2 Authorized Agent: j I SECTION 3 ESTIMATED CONSTRUCTION COSTS 1 It=!!! Estimated Cost (Dollars:, Official Use Only completed by e r t 1,, — � t' 3 ding Permit Fee r �� 1a?a Total Cost of I I '. _ r r atruction from .I. l)1: r ' ''' Building Permit Fee a. Fie L rot on srPC4 in Fetal - ` 2 I 3 + 4 + 5) 1 f cdZ uck Numk er /3 j This Section For Official Use Only __` Building Permit Number: /91-3 Date Issued:_,__- Signature: L Building Commissioner/Inspector of B,uluings Date File#BP-2003-1232 APPLICANT/CONTACT PERSON QUINN THOMAS F ADDRESS/PHONE 57 UPLAND RD (413)584-0283 0 PROPERTY LOCATION 57 UPLAND RD MAP 11A PARCEL 074 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / Fee Paid �/jp� Typeof Construction: CONSTRUCT 22 X 20 ADDITION(LIVNING RM/BATH/BEDRM),&8 X 20 SCREEN PORCH New Construction 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: ' 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 l2 % %/ - `7—/4-e' Signature of Building ficial 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. • 57 UPLAND RD BP-2003-1232 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11A-074 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-1232 Project# 3S-2003-1904 Est.Cost: $25600.00 Fee: $324.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 20124.72 Owner: QUINN THOMAS F Zoning:URA Applicant: QUINN THOMAS F AT: 57 UPLAND RD Applicant Address: Phone: Insurance: P 0 BOX 247 (413) 586-0283 () LEEDSMA01053 ISSUED ON:7/14/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 22 X 20 ADDITION (LIVNING RM/BATH/BEDRM), & 8 X 20 SCREEN PORCH 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: Receipt No: Date Paid: Check No: Amount: Building 7/14/03 0:00:00 1362 $324.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 57 UPLAND RD - - BP-2003-1232 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11A-074 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# :BP-2003-1232 Project# JS-2003-1904 Est.Cost: $25600.00 Fee: $324.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 20124.72 Owner: QUINN THOMAS F Zoning:.URA Applicant: QUINN THOMAS F AT: 57 UPLAND RD Applicant Address: Phone: Insurance: P 0 BOX 247 (413) 586-0283 () LEEDSMA01053 ISSUED ON:7/14/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 22 X 20 ADDITION (LIVNING RM/iii/BEDRM), & 8 X 20 SCREEN PORCH 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:/// I/o L1 Q' 4' House# Foundation:O. .. //.63 J✓'" Driveway Final: ; HOLES ©k 17 a o3 — Final: Final: ,:C1,; 3-/j: / % 7i /6.:,.):-/I). Rough Frame: 0 ir, 1--//4 '.' ‘ _4_ Gas: Fire Department Fireplace/Chimney: Rough: Oil: insulation: On /- a $'© Li } - Final: Smoke: ;�I 0) D{ Final: 0 /07.._.(2_s'0 y-,Z irl THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPOP ViO/ )N OF ANY OF ITS RULES AND REGULATION .giis� Certificate of Occupancy . Al_� SJnature: . Fee'I'' pe: Recei it t No: Date Paid: Check No: Amount: Building 7/14103 0:00:00 1362 $324.00 212 Mai;Sec•et,'.'1d:'.,.:(;13)537-12.0,Fa::: (413)587-1T72