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29-600 (5) W CONSUMER INFORMATION FORM - "SUNROOMS" d Massachusetts State Building Code (780 CMR,Appendix J, Section JI.1.2.3.1) The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom" of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner (not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. to Signature of Actual Building Owner Date VA 6��, (C., Print Name Address of Permitted Project 5 2- M Owner Address (if different than project location) Owner's telephone number • Jf1 .82'b x'1 5. QL ION � � M�1r1 �n1L'7°,��r7'�►'�� s� " i r 4 J d: L -°.� ••us vans' SFr Z90 o �►�l 27 MMOIA 4yot QVtIIS 3Nnlei 05 �� �N a -�►�i��y &STONE P-1066 PQA40 � � � o 6WcE KA occ,6Z ^ x:. a a +Rn'1Sbti�GW mss- °� � e � 4 j e ?s+lnb 9 wmwox x z!/ ,✓ "� �n^c F - e y � waviax wqw.. m .;b:.�ni�iy i rw�'��� �^ti✓.�.waw+.^++"�' '"^�-�w.'tt-�nsrs.�a,�S*,i' ���pFC.'TIVfc V1�cw � � NOT -tn 6CALt, 1•?8.14 --i sloti RID t y� ►l.• J� l n r` SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ c/ Name of License Holder: 1 /t-,�j �� '(^ �,10�1, L C C N — (j J-. 7 b 2 License Number J� �)Tt4 fie..- -J 2 L2 c i� ,�.tr7 a eu j o Address Expiration Date Signature Telephone 9.Reg stered::Home Irrlorovement Contractor: Not Applicable ❑ Company Name Registration Number Address l Expiration Date Telephone_ SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§26C(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...... ❑ 11. - .Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. DeCnition 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition E] Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [p Siding[❑] Other[❑] Brief Description of Proposed t� Work: (4ox-U ©D 12–Y-, Alteration of existing bedroom Yes No Adding new bedroom Yes —1.::��No� /, Attached Narrative Renovating unfinished basement Yes _! No Plans Attached Roll -Sheet ,eS Ga. If New house and or addition o existing housina, complete the following: 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? 1 e ' 2 d. Proposed Square footage of new construction. �al Z_ J' Dimensions '7C �o e. Number of stories? , f. Method of heating? N Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. NJ A'– Masscheck Energy Compliance form attached? N h. Type of construction i. Is construction within 100 ft. of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade P-,E-- k. Will building conform to the Building and,Zoning regulations? Yes No I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, M as Owner of the subject property hereby authorize q'V y4i T to act on my behalf, in all matters relative to work authorized by this building permit application. -1l l I Signature of Owner Date 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. T-<3G ` -'Uti VV - L 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 Building Department Lot Size 1 t'P Z� N� c-( Fronta eU Setbacks Front 7b L � Side L: R:, 46. L: 70 R:4" Rear S'S(o Building Height Bldg.Square Footage t 1.00 `t's % Open Space Footage L (Lot area minus bldg&paved �l _LZ c ,!1% +9 parking) #of Parking Spaces ? Z Fill: volume&Location ', ` A. Has a Spe 'al Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 0 YES IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES IF YES: enter Book Page and/or Document#; B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , 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. Will the construction activity disturb(clearing, grading,exca tion, 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. ,,. ='� ��� jf�.�T � kS ���.may:; � � #t yy �i�',f= a A ^�.���...5 . » ..i Department and City of Northampton Sttu of Permit Building Department Gtirlsutliyefay" rrnit 2 9 2014 212 Main Street e, rl5eptrlvatbiiity Room 100 Watet%11Uetilva)iball � orthampton, MA 01060 T Sets of trtactctrel Pfirr , Wetft piumwng$�' �l3-587-1240 Fax 413-587-1272 Plo#x t flans Northam n,M^fl1 her Spedfy' APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office' GTvr`'V- (Zt 064F— ` r-t vr,_ Map Lot Unit Zone Overlay District Elm St.District CB District.. SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: M AAV— %A T l-iP�'fir e'L b t`'� 2 t O� D(L Name(Print) r Current Mailing Address: Signature Telephone 2.2 Authorized Agent: IZA41- Uv +cs�,t� 31� S�R-u► Ci��• 1�0 1,�. wo Name(Print) Current Mailing Address: � `S8'-I- Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only complete by ermit applicant 1. Building � 'j 360. (a)Building Permit Fee 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) Z S`Q. Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date r File# BP-2015-0370 APPLICANT/CONTACT PERSON ROBERT WALKER , ADDRESS/PHONE 36 Service Center NORTHAMPTON (413)584-1224 PROPERTY LOCATION 50 STONE RIDGE DR �^.�,, m� MAP 29 PARCEL 600 001 ZONE 9 ` THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REMOVE DECK&ADD 12 X 16 SUNROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildiny,Plans Included: Owner/Statement or License 034783 3 sets of Plans/Plot Plan THE F,QL L, WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON II F MATION PRESENTED: t 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 Permit DPW Storm Water Management olit' n ay Signature of Building dfficial 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. 50 STONE RIDGE DR BP-2015-0370 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 29-600 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2015-0370 Project# JS-2015-000679 Est. Cost: $32050.00 Fee: $96.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT WALKER 034783 Lot Size(sq. ft.): 81021.60 Owner: BAIRD LAWRENCE J&IRENE F C/O MARGARET R SLATER Zoning: Applicant: ROBERT WALKER AT. 50 STONE RIDGE DR Applicant Address: Phone: Insurance: 36 Service Center (413) 584-1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:1011612014 0:00:00 TO PERFORM THE FOLLOWING WORK.REMOVE DECK & ADD 12 X 16 SUNROOM 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 10/16/2014 0:00:00 $96.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner