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I I I I < E cry EA AOJ ,zczn caNC7F � roO U DEC" A pA z O D A A =b m = a D D D O D D m 3 c�a U � � n n do .+Z� Ax D < EA CS i5 Zr�i oy G) t�ioZSr�t�� ZZ cr t�n �t�i r� zCl tp m m A z D D A O z < • D z D p1 m O � , ► N z O D 3 A AU O n O A a z z A zn ri O Ez D :R z �z0 � ca ;, r- N n m w J Table 1: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 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 Pressurefremperature 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) ADDIOTION FOR NICK WHOLERS � Page 4 of 4 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. ADDIOTION FOR NICK WHOLERS_ Page 3 of 4 J REScheck Software Version 3.7.3 Inspection Checklist Date: 04/26/07 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood JoistlTruss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:85 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,glazing U-factors,and heating equipment efficiency 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. 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. ADDIOTION FOR NICK WHOLERS � Page 2 of 4 Permit# Permit Date IRA& REScheck Software Version 3.7.3 Compliance Certificate Project Title: ADDIOTION FOR NICK WHOLERS Report Date:04/26/07 Data filename: Untitled.rck Energy Code: 2000 IECC Location: Northampton,Massachusetts Construction Type: Single Family Glazing Area Percentage: 14% Heating Degree Days: 6404 Construction Site: Owner/Agent: Designer/Contractor: Ceiling 1:Cathedral Ceiling(no attic): 320 30.0 0.0 11 Wall 1:Wood Frame, 16"o.c.: 624 13.0 0.0 44 Window 1:Vinyl Frame:Double Pane with Low-E: 90 0.330 30 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 320 19.0 0.0 15 Furnace 1:Forced Hot Air:85 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 3.7.3 and to co ply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Company Name Date ADDIOTION FOR NICK WHOLERS _ Page 1 of 4 C� � v^ i , ` V LO N LO L M L T— O C M Lf 00 T- LO N O LO LO M CY 00 �, < C LO LO M Cy O �— U a . 00 00 co N Cfl N ti s co I r- 'co N N 00 M N N UO) co 00 co N O � ' co �p¢� Tp's' ti r (rYty of Norf4amptialr �dSSAC�IIStttS � IJ' r � I n DEPARTMENT OF BUILDD,,1G INSPECTIONS INSPECTOR 212 Main Street • Municipal Building North unpton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCNa 108.3.4 to act as 1-11s/her construction supe: .- 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 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): G, xi"C�04--s (Jo 'rAs Address: J,7- City/State/Zip: l4 c io33 Phone.#: V 3 `)6­7 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. 0 1 am a general contractor and i employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction I am a sole proprietor or partner- listed on the attached sheet. 7. F�Remodeling ship and have no employees These sub-contractors have g, E]Demolition working for me in any capacity. employees and have workers' 9,r Building addition [No workers' comp.insurance comp.insurance.: required.] 5. F_� We are a corporation and its 10.E]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 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. :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 joh site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: 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: `' "�� Date: Phone#: �� �7'�S! Official use only. Do not write in this area,to he 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: Not Applicable ❑ Name of License Holder: , A 1 �����J ��' ��� 99 License Number Address Expiration Date Signature Telephone 9,Reaiste�ed`'Home linproveineirt.Go "t ractor - _4 �a � A : _r Not Applicable ❑ Company Name Registration Number Address Expiratfon Date 01033 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......Cisl 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-vear 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition � Replacement Windows Alterations) E Roofing Or Doors ❑ �- Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[O] Other[0] Brief Description of Proposed Work:_ nV Z S7-0(Lt e L'I`Vr""C Room Acu(`r1,oi-) Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes X_No Plans Attached Roll -Sheet sa:If 6iotase<and..a .addit of to ex€stir cr_ to rsrna°cornuEef k>r*fa[[orn t a: a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms Z- c. Is there a garage attached? d. Proposed Square footage of new construction. V�� S•r- Dimensions 1 ZX I Z y e. Number of stories? bhp sz- f. Method of heating? Fireplaces or Woodstoves V,(,S Number of each ON C g. Energy Conservation Compliance. �/'}} Masscheck Energy Compliance form attached? (, h. Type of construction )c-c. .f7 rn"f�— i. Is construction within 100 ft.of wetlands? Yes � No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? 421—' Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNERAUTHORIZATION-TO-BE'COMPLETED WHEN OWNERS AGENT'OR CONT CTORAPPLIES FOR BUILDING,PERMIT I. as Owner of the subject property / hereby authorize to act on my beh in al atters r lative to vy rk authorized by this building permit application. Signature of O ner Date I, �, , "Glar�S /,)2It-er-5 as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent 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 Lot Size Frontage Setbacks front Rear Building Height Bldg.Square Footage % t -- (Lot area minus bIdg&paved #of Parking Spaces (volume&Location) A. Has a Special Permit/Variance/Fincli ever been issued for/on the site? �� �� NO �� DON7KN0VV �,� YES �~� IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO D0 7K D IF YES: enter Book Page, and/or Document#' / �� �� B. Does the site contain a brook, body ofw/uterorxvet|ands? NO /�2� DON7KNOVV �_� YES �~� ~ IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tubeobtained v_���\ Obtained �~x��� Date' . C. Do any signs exist un the property? YES K ) NO ' IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 N IF YES, describe size, type and location: / E. Will the construction activity disturb(clearing,gdi � .orfiUing)ovnr1 oc�nr��po�o[o common�an matwill disturb over 1 acre? YES Nf)9 IF YES,then a Northampton Storm Water Management,Permit from the DPW is required. • Department use only City of Northampton Status of Permit Building Departmentrarleuttpr�vewajr Pecmrt 212 Main Street Se�nrer/Sept<crar[abrlfty ` Room 100 Clater/ ellAya►tafaiiity ` 1 Y Northampton, MA 01060 luvaSetsofStrucuratta[ans phone 413-587=1240 Fax 413-587-1272 Plot�site glans ©€tier Specrfy - ` APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION' This sectlon'to be compteted hyoffIce 1.1 Property Address: �f Map Lot CJnit olo(n'- Zane � OVertay�Dtstrrcf E1ilt St D°stnct CB District SECTION.2-PROPERTY OWNERSHIPIAUTHORIZED AGENT' 2.1 Owner of cord: n Name(Print Current Mailing Address: Telephone 7 Signature , 2.2 Authorized Agent: ` C1111,115 00� /c/o Name(Print) Current Mailing Address: ©/v 3 yv 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 S_bo / Ur96 Gs� oo v 2. Electrical (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) cJ v V Check Number This Section For Official Use Only Date Building Permit Number. Issued: Signature: Building Comm issionerllnspector of Buildings Date S File#BP-2007-0969 APPLICANT/CONTACT PERSON Nick Wohlers Design Builders ADDRESS/PHONE 388 East State Street GRANBY (413)467-1540 PROPERTY LOCATION 85 WOODLAND DR MAP 35 PARCEL 295 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fpc'Paid "Bpildin2 Permit Filled out Typeof Construction:_Living 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 INFO ATION PRESENTED: ' oved 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 Co sion Signature of Buil ing 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-2007-0969 µGIS#: COMMONWEALTH OF MASSACHUSETTS � irg11 r wa 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-2007-0969 Project# JS-2007-001583 Est. Cost: $65000.00 Fee: $325.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Nick Wohlers Design Builders_ Lot Size(sq. ft.): 38942.64 Owner: JORDAN PETER A&SUSAN J Zoning: SR Applicant: Nick Wohlers Design Builders AT: 85 WOODLAND DR Applicant Address: Phone: Insurance: 388 East State Street (413) 467-1540 GRANBYMA01033 ISSUED ON:4/26/2007 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 400 SQ FT LIVING RM 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 4/26/2007 0:00:00 $325.001545 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 85 WOODLAND DR BP-2007-0969 GIs#: COMMONWEALTH OF MASSACHUSETTS WM-Block: 35 -295 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-2007-0969 Project# JS-2007-001583 Est. Cost: $65000.00 Fee: $325.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Nick Wohlers Design Builders. Lot Size(sq ft.): 38942.64 Owner: JORDAN PETER A&SUSAN J Zoning: SR Applicant: Nick Wohlers Design Builders AT: 85 WOODLAND DR Applicant Address: Phone: Insurance: 388 Fast State Street (413) 467-1540 GRANBYMA01033 ISSUED ON:412612007 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 400 SQ FT LIVING RM 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: C g �e�8� Driveway Final: Final: Final: 7/1'f 7 . Rough Frame: 69f'C Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 13r d `�I U 7 �ou Final: Smoke: Final: a�f 7_'�3 , 0 7-4� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGU ATIO1�: . Certificate of Occu anc , '' Si nature: FeeType• Date aid: Amount: Building 4/26/2007 0:00:00 $325.001545 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo