Loading...
29-107 (3) M Permit No. D20-07 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petitioner/ Theodore D. Towne 26 Church Street, Easthampton, Ma 01027 413-246-6841 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. For commercial and industrial applicants, a plan showing the proposed driveway with grades and location is required. cc: Building Inspector MMOMMINOW a Permit No. D20-07 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: December 26, 2006 FEE: $25.00 CHECK#: 1939 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 540 - 560 Rvan Road Northampton Ma 01060 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway.Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: Theodore D. Towne Telephone#: 413-527-9060 Proposed Location y� Inspected By: !�La Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward Huntley Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector • MUNICIPAL SEWER/STORM DRAIN AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 540 - 560 Ryan Road, Northampton,Ma 01060 Inquiry Made By: Theodore D. Towne Date of Inquiry: 12/26/06 Reason for Request: New Construction Municipal Sewer Main in Front of Location: Yes _ No Municipal Storm Drain Available: Yes No Size of Sewer Main: 'r Material: 4 ,6 Age: Depth of Sewer Main: } Size of Service Connection: ( Type of Service Connection: Tie-in to Sanitary Main ❑ Tie-in to Sanitary Service at Street Line Comments: C O A 21 / °'c —67 S-/-kjz ),S /4 S v re-�,- &-/2 #S(,- C soul . lC' Utz ' Pi,yf�?°���'? _f�.V Note: If this avai i i ity is for new cons ruction,this arm must a and�e ivered to Building Inspector. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Storm Drain Concurrence John Hall Douglas McDonald,Environmental Planner �. Sewer Department Engineering Department cc: Ned Huntley,Director DPW Anthony Patillo,Building Inspector �` C' lE 1tdcw /VAC! ` A 7` Q tTX P126P67%y�e'NC �'/�/t ��,�- ,I�1.S r��ijG.�� ��i-��i� Yc��$ C�c�i✓r✓�c° r , i MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton,MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 540—560 Ryan Road,Northampton Inquiry Made By: Theodore D.Towne Date of Inquiry: 12/26/06 Number of Type of Single Family X Type of Private X Units: I Unit(s): Accessory Apart. Ownership: Condo Multi-family Rental (Applicant to fill out the above) Municipal Water Main in Existing service to Front of Location? Yes:X No: site? Yes: X No Size of Water Main: 12" Material: Cl Age: 1945 Approximate Static Street Flow Test Conducted:Yes: No:X Pressure: 65 If done attach results 3/4» Size of Service Connection: 3/4» Suggested Meter Size: Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet.Existing stub line to property. '/4"copper • A corresponding water entrance fee shall be paid prior to making any connection to the municipal water system. such• ri angements of s ation shall be made with the Northampton Water Department with a minimum of 5 working days o ati0 • All work sh I orm North pton Water Department specifications. David W. Sparks,Superintendent of Water cc: Ned Huntley,Director cc: Tony Patillo, Building Inspector Note: If this availability is for a new construction,it must be hand delivered to the Building Inspector. CITY OF NORTHAMPTON, MASSACHUSETTS ' DEPARTMENT OF PUBLIC WORKS J 125 Locust Street j Northampton, MA 01060 413-587-1570 Fax 413-587-1576 Edward S. Huntley, P.E. Director ASSIGNMENT OF HOUSE NUMBER(S) Street: Ryan Road Assessors Map: Sheet 29 Lot 107 House Number: 552 Ryan Road Date: January 10, 2007 Remarks: Reference is made to Plan of Land in Northampton MA prepared for Theodore Towne by Huntley Associates, P.C. dated 12/14/06. #552 Ryan Road is assigned to Parcel 2 (containing 16,688 SF) on said plan. The house number assignment was requested by the applicant. This plan is recorded in Plan Book 213 Page 80. r James urila, P.E. City gineer CC. Central Dispatch Board of Health Water Division Tax Collector Sewer Division Massachusetts Electric Streets Division Verizon Telephone Inspectors Comcast Assessors Bay State Gas Police Department Post Office (Northampton) James Thompson (GIS Coordinator) Post Office (Easthampton) Applicant: Theodore Towne 26 Church Street Easthampton, MA 01027 KAHouse Numbers\ r Table]: 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( ) Up to 1" Un to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp, Insulation Thidiess in Inches by Pi eR Sizes Piping System Types Ranee(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) J i Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] I All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 18113. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). [ ] 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 offthe heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: [ ] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of circulating system. [ ] Insulate circulating hot water pipes to the levels in Table 1. 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/offheater 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: [ ] HVAC piping conveying fluids above 105 OF or chilled fluids below 55 T must be insulated to the levels in Table 2. REScheck Inspection Checklist 2000 IECC REScheck So$ware Version 3.6 Release 2 DATE: 12/27/06 PROJECT TITLE: Ryan Road Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R42.0 continuous insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-13.0 cavity insulation Comments: Basement Walls: [ ] 1. Basement Wall 1: Solid Concrete or Masonry, 8.0' ht/7.0'bg/6.0' insul, R-10.0 cavity insulation Comments: Windows: [ ] 1 1. Window 1: 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: Solid, U-factor: 0.300 Comments: Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] Recessed lights must be 1)Type IC rated, or 2)installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials. If non-IC rated, the fixture must be installed with a 3" clearance from insulation. 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 installed in accordance with the manufacturer's installation instructions. [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals fer all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Y l � Permit Number REScheck Compliance Certificate Checked By/Date 2000 IECC REScheck Software Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\Ryan Rd.rck PROJECT TITLE: Ryan Road CITY: Easthampton STATE: Massachusetts HDD: 6151 CONSTRUCTION TYPE: Single Family WINDOW/WALL RATIO: 0.13 DATE: 12/27/06 DATE OF PLANS: 12/27/06 PROJECT DESCRIPTION: Three bedroom ranch with two car gargage DESIGNER/CONTRACT OR: Theodore Towne COMPLIANCE: Passes Maximum UA= 216 Your Home UA= 198 8.3%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter $V lue -Value U-Factor A Ceiling 1: Flat Ceiling or Scissor Truss 1378 0.0 42.0 32 Wall 1: Wood Frame, 16" o.c. 1248 13.0 0.0 85 Window 1: Vinyl Frame:Double Pane with Low-E 164 0.340 56 Door 1: Solid 42 0.300 13 Basement Wall 1: Solid Concrete or Masonry 156 10.0 0.0 12 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 6.0' Furnace 1: Forced Hot Air, 84 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 2000 IECC requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. 1 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Site Address: Applicant Address: eZC City/Town: Use Group: Date of Application: !� 2-?46, Applicant Phone: 7 —g0 GU Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days (HDD65)from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.Ib:) a. Gross Wall Area 13YP _sq.ft f. Wall R-value R- t b. Glazing Area' _sq.ft. g. Floor R-value R- c. Glazing%(100 x b-a) % h. Basement wall R- )0 d. Glazing U-value U- • 3 4f i. Slab Perimeter R- e. Ceiling R-value R- 4-7, J. Heating AFUE - gy - ❑ Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] 19 MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b. Glazing Area' sq.ft. c. Glazing%(100 x b_a) ❑ ADDITION with Glazing% (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling' Wall Floor Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft 1 Glazing Area may be either Rough Opening or Unit dimensions. z Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM"addition(greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) �oyc �YFL'J IIf �`�QL�It��lIlJf0i1 �-� DcP,,,R BENT OF BUILDI),�C INSPcr10F.'S —_p c i� I::S ?[�TQ2 212 1-fain p On:Idinp �r — NorlhnmpLon, hfn_c_ 01060 - 'r Square Footage / A.m�un tt 1St door 2nd Floor @ 1/2 Floors, Attic. Garage _� `` 7y[lJ� Deck Porches $_ TOT-3� 60 I ATE(MMIDOlYYI'Y)„ 1 J6 CD P. CERTIFICATE OF LIABILITY INSURANCE Dos/22/2006 PRODUCER (413)586-0111 FAX (413)586-6481 THIS CERTIFICATE IS ISSUED AS.A MATTER OF INFORMATION Webber & Grinnell Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8'North King Street HOLDER.THIS CERTIFICATE DOES NOTAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIC# INSURED Theodore D Towne, Inc. INSURER& NGM Insurance Company 14788 26 Church Street INSURERS: Pilgrim Insurance Co. Easthampton, MA 01027-2529 INSURER c: American Home Assurance/TPA INSURER D: INSURER E: COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY M51767106 0512612006 05/26/2007 EACH OCCURRENCE $ 1,000,000 X' COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50 000 CLAIMS MADE I OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1P000,000 GENERAL AGGREGATE- $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO- JECT F LOC AUTOMOBILE LIABILITY PMC7083220 10/01/2005 10/01/2006 COMBINED SINGLE LIMIT ANY AUTO (EaafCCident) $ ALL OWNED AUTOS BODILY INJURY $ Q X SCHEDULED AUTOS (Per person) 500,000 X HIREDAUTOS BODILY INJURY $ X NON-OWNEDAUTOS (Peraccldenl) 500,000 PROPERTY DAMAGE (Par accident) 100,00 GARAGEUABIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO H OTHER?HAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION AND WC8941387 05/20/2006 05/20/2007 wCSTATU- OTH- EMPLOYERS'UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE -.L.EACH ACCIDENT $ 100,00 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If es,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ !;00,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES 1 L-XCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Theodore D. Towne, Inc. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY 26 Church Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Easthampton, MA 01027 AUTHORIZED REPRESENTATIVE Jenna Rodri ue CISR JER ACORD 25(2001108) ©ACORD CORPORATION 1983 ¢�ttAMpl. O 0 Crxfy of Xart4ainptan z $ � fJt�assac}+usetts - mss. DEPARTMENT OF BUILDING INSPECTIONS /= INSPECTOR 212 Main Street A Municipal Building s ,'• Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as iiis/her construction sup{: .'isor. 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 rouLyh 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 Department of Industrial Accidents Office of Investigations a 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): 'T—U fa r�2 f?�� � ale- Address: City/State/Zip: r7 c p'i.7 Phone.#:__6��7— !�o-a Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. EJ 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. ❑ Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. $ 9. ❑Building addition required.] 5. F� We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1l.❑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 13.0 Other employees. [No workers' 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. tContractors 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: moo _ % 9 '� 4� pt o G — Policy#or Self-ins. Lic.#: by jr- Expiration Date: co — aA Job Site Address: ( �a S k City/State/Zip:' O 10 Z 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: z it. .)p ..,L Date: ZZI6G _ Phone#: 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#: or .. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su ervisor: Not Applicable ❑ Name of License Holder License Number Address E.piration _ 5:;k'7 -yo 0 —(�v_ 24G=6NL Signature Telephone = _ Kam, !T Not A PP licable 9 Rea�ster"ed'iHomempiovemeritContraor. � `M a _ x Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVft(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...... ❑ 1 ,ift' IIo ever � x o» 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 buildine 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 A • SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors 171 Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [[] Siding fo] Other[[:� Brief Descriptign of Proposed Work: (' =•mot .3 .�.+ �2 Cw� �ti •rl� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet : .�`c �.m.. 3 �*^, ,ww��d x» 6^'#. -,r�qC" ',�'�_fix'_:'°,x, .m`" < }c"S 6a*If,New'fiO& anit;or adds#ton.#a exls in'c r�oustngrcornntef+ the f011ouving: 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. / 3Af 8 Dimensions e. Number of stories? �+C. f. Method of heating? r}-(X -4....l AA-If— Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction AAte� i. Is construction within 100 ft.of wetlands? Yes _No. Is construction within 100 yr. floodplain Yes__X_No j. Depth of basement or cellar floor below finished grade 6 1— P r k. Will building conform to the Building and Zoning regulations? N^Yes No. I. Septic Tank City Sewer _ Private well City water Supply X _ SECTION 7a-OWNER AUT.HORIZATION-TO BE`COMPLETED;WHEN OWNERS AGENT O/R CONTRACTOR APPLIES.FOR'Bt1ILDING.PERMIT as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date I, �1 +-} .L' �d•�.-yt,[_ as Owner/Authorized Agent hereby declohe hat the statements and inf rmation on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. ���ODd Rft. f�. `7`c�cdWGr Print Name Signature of Own gent 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 0 R )9 Building Department Lot Size Frontage Setbacks Front Rear L4-eLii Building Height la Bldg. Square Footage j Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces (volume&Location) A. Has a Special Perm it/Vuhunne/Fi riding ever been issuedhor/nn the site? NO 0 DON7 KNOW )IV YES K j IF YES, date issued: IF YES: Was the permit recorded at the Registry ofDeeds? NO �� DON7K O S �~� KNOW ,c IF YES: enter Book Page and/or Document#: �� B. Does the site contain u brook, body nf water orwetlands? NO ��v DON7KNOVV �_� Y[3 IF YES' has a permit been or need to be obtained from the Conservation Commission? Needs tobeobtained �~� Ob«ained � �~� Date «~� k~�/ ' � C. Dn 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 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre oris it part nfo common plan that will disturb over 1 acre? YEG � � NO yUl �� W IF YES,then a Northampton Storm Water Management,Permit from the DPW is required. Department use only City of Northampton 5tafus ofiPestnit `` 4 ,; �$ P Building DepartmentrbaCu€/Dc>rewa 'eo� s 212 Main Streete eptfc b�ti� � � yy� � Room 100 Northampton, MA 01060 hone 413-587=1240 Fax 413-587-1272 P�Site Plans � � � k � n Ottzen,Specify�h"E t+J,! u APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This,section to be completed bx office 1.1 Property Address: R 4 A N ;EMap )=ot Unit Zune ° ' `"'`";Overlay District �Eiin Sty DJstnct �_ . .`.:' �•�CB,Aistr+ct � . ;. SECTION 2-'PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing dress:1 / �/ ��iTL�.�;-ems?�. ��Q.• 0 l Ol 7 .�e.L- Telephone Sign 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED'CONSTRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building -(a)Building Permit Fee �'� DaD 2. Electrical (b)Estimated Total Cost of 4 0 U ,,_-Construction.from''6 3. Plumbing 7200 Building Permit fee 4. Mechanical(HVAC) OU 5.Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number. _Issued: Signature: Building Commissioner/Inspector of Buildings Date a' f File#BP-2007-0679 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 26 CHURCH ST EASTHAMPTON (413)527-9060 PROPERTY LOCATION RYAN RD MAP 29 PARCEL 107 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin,g Permit Filled out 009F 4, Fee Paid Typeof Construction: CONSTRUCT SFH W/ATT GARAGE/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildinjz Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF &MATION 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 o� o 07 Signature of Building bfficial 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. � � Ae y r RYAN RD BP-2007-0679 GiS #: _ COMMONWEALTH OF MASSACHUSETT'S Map:Block: 29- 107 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2007-0679 Project# JS-2007-001026 Est. Cost: $208000.00 Fee: $977.60 PERMISSION IS HEREBY GRANTED T01: Const. Class: Contractor: License: Use Croup: THEODORE D TOWNE 000724 Lot_Size(sd. ft.). 14984.64 Owner: TOWNE THE-ODORS& EVELYN M Zoning: Utz Applicant: THEODORE D TOWNE AT.• RYAN RD cant Address: Phone: Insurance: 26 CHURCH ST (413) 527-9060 WC EASTHAMPTONMA01027 ISSUED ON.1/4/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH WATT GARAGE/PORCH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector° Underground ( l°' ;fit Meter: del Footings: f1 IZou gli:"l— Rough: house# Foundation:t 43/� Driveway Final: final: .` ?<• L Final: �� w7 Rouoh Frame: u 1 S b Gas: Fire Department Fireplaec/Chhuncy: Rouhlt: Oil: t Insulation: Final: Smoke :' _ Final: ,' THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RU VS AND GULATIONS. Certificate of Occupancy _ Sinrrairre: FeeT _e: _Date ITnid: Amount: Budding 1/4/2007 0:00:00 $977.60 212 Ma'n Street, Prone(413)587-1240• Fax: (413)5R7-1272 13uildirl Com:nissioner-Antho:av Putiilo