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ENERGY CONSERVATION APPLICATtO44 FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 Apper4dix J4-e. _tive 3/1/98)
ppplic?nt name: -�� A ����W �AV_ Site Address. SZ� QWSf i
r'
Appl�urntt,.ddress' ���Q'\►JSQ•N �l� C,ty/To'xn: ��iQA1CQ,��_
Use Group:
Date of Apphcallon: _
CO{it�E f4CC �t}C(C f*e! k etn1S):
1 PrvscriptiL-e P3,1 ge ('_irnizen IO ]- or Z- tarn0y wood f;L.TiE Uudd:ngs healed with fossil fJeZ S Only
PacF,af-e (A throw KK from Table J5.2. lb) __ Hea+.ing Degree D2)rs (HDD s) fTDm Table J5.2 la:
(For items a. t`,rougn i., fill in all values tiat apply from Table J5.2)
a. Gross Wtii 1ar�. sq. ft f. W21i R=Va}rc g,
b GIa in¢hrea7 ft Fic;r R Ja.Lia
-�• �,C. GiEZing%(1 CYO x b tea) h. Easement. wall -
d, Glazing 1l-vat r !!_ Sldb Fer Meier K
e. C�;ting Ft-value R j. Hezling AFUL
u vniiy� trill R6'�fi?5ance: 'Uanual Trade-Crif' (Limited to wc-od or rnetal fram!d buildings only)
Ctirnate 2orre(frozrn F urr•u6.2.2) D Zone 12 ❑ Zone :3 r1 Zo-e
Attach rraJ_--G'f fur `2r`om Aoperidij� J,(and HVAC TraD"e-On Vi',rrSneet• if appliczblej
�
j fAA&c'hao-k
A=ch CU'rP1ia1)ce F;epc4 and fnspec ich Checklist printouts.
r-.
LJ J�vfCtS$ iArialy5[s OR Q Renewable Snerg_y Seufc=_s
Attach Mars Registered Arc.hit-_-t or Enginy_—r Anaivsis
ALTERNATIVE FOR A-DDITTDNS OW v_
a. Gross waII 4 Cciiing Ajet� s�. ! . fi. Glazing Area,
sq-11 C. Gt22ing :ro (.ICJ x b,a)
[� ADDMON 4rt 1 Giz-7mE % (c,)up to 4C ray use 780 CMR 7atile J1 1.2.3.1 below:
MAXIMUM U-Valuo Minim, um R Valucz
Fenestration ceili'q Wall l Floc{ Bastrr,•nt Wall ; Slab PerimeTer- Dept
� t7:3S � R-37 ( R-13 � R19 R10 1R-10.aft.
-SUNPOOM- adCitron (gr"Ivi-than 4C4A eialing-to wall anti c"_;Ing gro s areb)
Attach -C.ansumer !nf-,rmation Form-from 7S- Cam?Ap,7-nd;r B.
Official's (i`3me: Crficial's Signature
Applica-tron Approved [] Denied ❑ Date of
Cn yr�itiai:
t / (prcivide additional details as needed an back side)
L3nis-
Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes
Insulation Thickness in Inches by Pipe Sizes
Non-Circulating Runouts Circulating Mains and Runouts
Heated Water
Temperature(°F) Up to 1" Up 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 Thickness in Inches by Pipe Sizes
Piping System Types Range ff) 2"Runouts 1"and Less 1.25'to 2.0" 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 and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD:(Building Department Use Only)
Page 4 of 4
Y
Duct Construction:
❑ 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 181 B.
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 off the
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 a 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/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:
❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table
2.
Page 3 of 4
t
REScheck Software Version 3.7 Release 1 b
Inspection Checklist
Date: 04/19/06
Ceilings:
❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-40.0 cavity insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.310
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Solid,U-factor:0.250
Comments:
Floors:
❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation
Comments:
Crawl Space Walls:
❑ Crawl 1:Solid Concrete or Masonry,4.0'ht/3.3'bg/4.0'insul,R-5.0 cavity insulation
Comments:
Heating and Cooling Equipment:
❑ Boiler 1:Gas-Fired Steam:75 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.
❑ 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 for all installed heating and cooling equipment and service water heating equipment must be provided.
❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
Duct Insulation:
❑ Ducts in unconditioned spaces must be insulated to R-5.Ducts outside the building must be insulated to R-6.5.
Page 2 of 4
Permit#
Permit Date
NotREScheck Software Version 3.7 Release 1 b
Compliance Certificate
Report Date:04/19/06
Energy Code: 2000 IECC
Location: Northampton, Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 13%
Heating Degree Days: 6404
Construction Site: Owner/Agent: Designer/Contractor:
31 DREWSEN DR. JOSH THIBEDAU GERALD ARCHAMBAULT
FLORENCE,MA 01060 ARCHAMBAULT BUILDERS
Glazing
or D..
Ceiling 1:Flat Ceiling or Scissor Truss: 400 40.0 0.0 12
Wall 1:Wood Frame, 16"o.c.: 528 19.0 0.0 26
Window 1:Vinyl Frame:Double Pane with Low-E: 68 0.310 21
Door 1:Solid: 21 0.250 5
Floor 1:All-Wood Joi st/Truss:Over Unconditioned Space: 400 30.0 0.0 13
Crawl 1:Solid Concrete or Masonry: 400 5.0 0.0 49
Boiler 1:Gas-Fired Steam:75 AFUE
Compliance Statement:Statement of Compliance: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 3.7 Release 1 b and to comply with the mandatory requirements listed in the
REScheck Inspection Checklist.
Builder/Designer Company Name Date
Page 1 of 4
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
i
0
0: FLEET MORTGAGE CORP. &
FIRST AMERICAN TITLE INSURANCE CORPORATION
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR.
COMMUNITY # 250167
-NOTE-
SURVEYOR: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
ESN ,� -MORTGAGE LOAN INSPEQllQN PI--
OF
NORTHAMPTON, MASSACHUSETTS
RANDALL �� PREPARED FOR
E.S iZER +i JOSHUA P. & KRIST.IN M. 1HIBEDAU
035032 SCALE: 1 "=30 ' DECEMBER 14 , 199
HAROLD L. EATON AND ASSOCIATES, INC.
Su
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSEil
stw ao- -r
now
..................
x �s0` ` 9
G �
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(t1AAtP � +wc,,
Off` TO
Grity of Nart4aluptan L
� � �i tassRC3�usrtts
., DEPARTMENT OF BUILDING INSPECTIONS /-
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as l:is/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),
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
VOW
I tw r p
�0� loy
F E QrJ.Tf77 laf NTarf11aII1 011
A E �R143 sit chnrctla'
o DEPARTME11T OP BUILor)\C INSPECTIoI.'S
212 Alain Strcct Municipal Building
Northampton, Mass. 01060
r
%VOMCCR'S COMPENSAZZON MSURA_NCE Al, AV1-j'
I
(li txnsxJperzn�ttcx)
\%,]Lb a pruilicipal place of business/residence at:
— (phone:')
_ (sit/city/sialc/ap)
do hereby certify, under Lhe pains and penalties of pef7ury; :hat
( ) I
an an employer providing the folio,,vine worker's comocns-ndon coverage for 111)
etuployces «-ortDng on this job:
(Instzr an Conracy) (Pclic: Nu-nab-cr) (r;pirztior Dam)
O I am a sole proontror, general contractor or homeowner (Clicie one) aid 1?2ve hired
the coan-aciors listed below who have the following worker's comoensa 'on policies:
AQ, 4AU� d�,lA�S
(Nam-, of Co'a^cior) (lnstranc; Coinoa,7)'!l�GUCi ?�rlLII1�C:) �_X>liJ�Q DatC)
i (Name of ConlT2cior) `JIS'JIMCC Comoaz-vpoUc- Nuncer) (L\Dimilon Date)
(Name of Conirractor) GmsLuaac- Compan)•/poc-q- Nasb, (Expimdoa Datc)
(Frame of Contractor) ansuramc-- Comran-y/PoUcy Numbr) (Expirttion Date).
(aau3r�di�'ocal bccc.if n��•to c�cud_iaforma;oc pctainias to.11 oo�-so:a)
{ ) I am a sole proprietor and have no one work-iog for me.
( ) I am.a home owner performing all the work myself.
NOTE:plea be aw-arc tb-.k4�te lx mcn�vm u�p lay
ant moct tit ` oe �in u'aie�the bomoo+wcr rc3da orlon thc��to di c• -• c�e�oo c rc;Qv—arx oo c d..ell_y of
cmployca t>r>2e the..ai t�s ROLL>,:b LSD tT ox��.tty oo=d= ,to be
�*=-ica Act(GLt 52=l(5)�=pp inAoo by a bamco vo=ry a bczr_-=or permit rty e rdm tLn
j legal ctaau of as exptoyx under dao Woct:olr Compomal Aac.
I :ndesiaad did a copy of tbu mt®ant may b.for xnrd<d to tbo popertmea!of In�rnJ ncod..&Off o0 of tr__foe th.
ooYcr-*' vcirctioc and tart Uu c to u c=u covRy�tzndrt soclioa 25A of M(3L 152=lmd to ttx irnp x oa of c-imiaLt!K-Jli-
M^ o of a line or up to S 1 Soo.00 andlor cats tson or up to ooe year t od civil pmi-jm w 6e form of a Sum Wort Order aad a
rim OrS100.00 a d_y tpiast t>x
For dp� ,..1,t ux only
Pcrmlt Numbcr
1%/,Z p."-- LOl r :
Sig atum of Lic=zc-JPcrmiucc —I)BM 1
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
9 Reastereil Flo'ra`e lmciro`ve'nent Contractor Not A livable .❑
Company Name Registration Number
Address Expiration Date
Telephone
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...... ❑
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,S to and Local Zoning Laws 4nd State of Massachusetts General Laws Annotated.
Homeowner Signature J�
V
M
SECTION 5 DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing ❑
Or Doors E3
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M Siding[0] Other[01
Brief Descrip#�',n of P`oposed - �
Work:_ e- s 1 a�N &!�t' C-,An 2
Alteration of existing bedroom Yes ',�&No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Ye No
Plans Attached Roll -Sheet
say 1f lVew°hopse ands ro cicl tiairxfo.exis# ng l ousrn A314i tai Gw ng:
a. Use of building:One Family NY\— Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?�J t
II�
d. Proposed Square footage of new construction. LO Dimensions
e. Number of stories?
f. Method of heating?_ t � �Q �AaT A1 (L Fireplaces or Woodstoves ^Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
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
k. Will building conform to the Building and Zoning regulations? `�_Yes No.
I. Septic Tank _ City Sewer Private well City water Supply
SECTION 7a-OWNERAUTHORIZATION-;TO BE COMPLETED WHEN
OWNERS
-'AGENT OR CONTRACTOR APPLIES FOR.BUILDING PERMIT
I, �}l�J�V�Q �t-�1� QU as Owner of the subject
property
hereby authorize
to ct on my behalf, in all matters relative to work authorized by this building permit application.
Signatu of wn r Date
I, J s�U (� t'i►,l�MAy as OwnedAuthorized
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.
Print e \K
Sign a ure f byyQetgent Date
4
t►
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
q-
Side L — R:'. L:y)� R: Y ^..
Rear Zia
Building Height /
Bldg. Square Footage % •
Open Space Footage %
(Lot area area minus bldg&paved
parking)`
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 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 t`0,
IF YES: enter Book Page;; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 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: v
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.
G
1
icy of Northampton
it U ding Department a
2 Main Street
oom 100
-v No mpton, MA 01060
phone 413J87-1240 Fax 413-587-1272fo
A�L,18iA'f10 C u CT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: \�
?J Tfiis section to be completed by office
�t��'�5 N[ap 'Cot Unit
e, District
E1in St distri ct .' C6 District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
1 1c�5�� A `r4�� U 3 cJGIQ�,.�S�.N �4� Fl�6ten1�-2_
Name(Print) _ Current Mailing Ad ress-
Telephone
SicjnatuZ
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
com feted by ermit applicant
1. Building (; n,� (a)Building Permit Fee
2. Electrical I �J V V (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
-Date
Building Permit Number Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2006-1086
APPLICANT/CONTACT PERSON THIBEDAU KRISTIN M&JOSHUA P
ADDRESS/PHONE 31 DREWSEN DR FLORENCE (413)582-1413 Q
PROPERTY LOCATION 31 DREWSEN DR
MAP 35 PARCEL 121 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out ,�„ r.
Fee Paid
Typeof Construction:_CONSTRUCT 16 X 25 FT FAMILY ROOM ADDITION
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:
proved 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
° 06.
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
R
31 Rt ': EN Dk BP-2006-1086
GIS#: COMMONWEALTH OF MASSACHUSETTS
{ CITY OF NORTHAMPTON
Lot: -001
Permit: Buildinq
Category: BUILDING PERMIT
Permit# BP-2006-1086
Project# JS-2006-1600
Est. Cost: $19000.00
Fee: $200.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin: Homeowner as Contractor
Lot Size(sq.ft.): 10497.96 Owner: THIBEDAU KRISTIN M&JOSHUA P
Zoning: SR Applicant: THIBEDAU KRISTIN M & JOSHUA P
AT. 31 DREWSEN DR
Applicant Address: Phone: Insurance:
31 DREWSEN DR (413) 582-1413 O
FLORENCEMA01062 ISSUED ON:412112006 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 25 FT FAMILY ROOM
ADDITION
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 4/21/2006 0:00:00 $200.00725
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
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31 DREWSEN DR °`�` � yx r BP-2006-1086
GIS#: COMMONWEALTH F F MASSACHUSETTS
Map:Block:35- 121 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Catesory: BUILDING PERMIT
Permit# BP-2006-1086
Proiect# JS-2006-1600
Est.Cost:$19000.00
Fee: $200.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
I_ot,S»F L,,. t.)- 10497.96 Qwngr: TH16E1 -`,-T 4STIN M&JOSHUA P
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Zoning: : t ,.?FitcxDti: rr-418'��'r•.°��.• 'KWiS 1 S yi & i0S1 U A P
AT. 31 DREWSEN DR
Applicant Address: Phone: Insurance:
31 DREWSEN DR (413) 582-1413 Q
FLORENCEMA01062 ISSUED ON.412112006 0.00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 25 FT FAMILY ROOM
ADDITION
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: 01<0$11-110,6 �OAJ {
Rough: Rough: 7 3/.*G House# Foundation:0�, 5-�3 •!j 4
Driveway Final:
Final: Final
Rough Frame:Q`c' g-, C, 4AAV%
Gas: Fire Deaartment Fireplace/Chimney:
Rough: Oil: Insulation:,m 5'
Final: Smoke: Final: Qk /o't'l�j-Oli
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIO
Certificate of Occupancy- <SiEnature:
FeeType: Date Paid: Amount:
Building 4/21/2006 0:00:00 $200.00725
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo