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32A-195 (4) I I i r , z i N 3 i .k"--P"2 7DVO _. W w e i e � 3 3 3 X 5 c' 1W $ y �� s [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure—sensitive tape may be used for fibrous ducts . 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. HVAC 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 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) --------- MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 phillips place DATE: 9-21-2001 Bldg. Dept. Use CEILINGS: [ ] 1 . R-30 Comments/Location WALLS: [ ] 1 . Wood Frame, 16" O.C. , R-19 Comments/Location WINDOWS AND GLASS DOORS: [ ) 1 . U—value: 0 . 35 For windows without labeled U—values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Furnace, 90 . 0 AFUE or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. 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 type IC rated and installed with no penetrations or installed inside an appropriate air—tight assembly with a 0. 5" clearance from combustible materials and 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 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—values, 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-8 . 0. DUCT CONSTRUCTION: MAScheck COMPLIANCE REPORT IRCLSEP 2 � 2001 M assachusetts Energy Code Permit # MAScheck Software Version 2 . 0 MON,MAPO 060 S Checked by/Date CITY: Amherst STATE : Massachusetts HDD: 6614 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non—Electric Resistance) DATE: 9-21-2001 DATE OF PLANS: 9/21/01 TITLE: phillips place PROJECT INFORMATION: 2 story addition COMPANY INFORMATION: DAVID FORTIER BUILDERS COMPLIANCE: PASSES Required UA = 297 Your Home = 176 Area or Insul Sheath Glazing/Door Perimeter R—Value R—Value U—Value UA CEILINGS 576 30 .0 0.0 20 WALLS: Wood Frame, 16" O.C. 1728 19 .0 0 . 0 104 GLAZING: Windows or Doors 71 0 . 350 25 FLOORS: Over Unconditioned Space 576 19 .0 27 HVAC EFFICIENCY: Furnace, 90 .0 AFUE ----------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. 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 1 0n�J4 4 . Builder/Designer Date 2-31 O 3 fy S Q t r- of K( rc ti 7—C) L l ce./ t-t- ��c TC14 fz•�f � /Jt��:2��� S F4^14 Y i � (I 9 s 4 _ y 9 i 4 t +. s i i F l i a P t tt i Y J�� rN 7/nR r .e. •. T _e.-t.... ..mm..si«.u�.can++s«.,�.+wn.. ,. n i 3 � F } az- iK- sup .i w l _.. _.._.. �� a LJ r1h r-4 L4 3 q *3 �!00 7 �J 2,15 --144 h Z 5/-C-L7 rV 0 -J 0 ' 7 30R-REF 24.0 W3315 W183 I I I All dimensions size clasignwimM given am subject to verification on job site mid adjustment to fit job oonditio" ^0 � 40 1 -47--4 This is an original design and must not be 0 released or copied unless applicable fee Fp I Printed:9/19_!01 has boon paid orjob order placed. Drawino*I iII Scale:0 1/4" 11 go ----144 4, IL LJ '-E13030 LBS ,Lill LTSCS 24,E)ISHVV ,1224) --144 h Z 5/-C-L7 rV 0 -J 0 ' 7 30R-REF 24.0 W3315 W183 I I I All dimensions size clasignwimM given am subject to verification on job site mid adjustment to fit job oonditio" ^0 � 40 1 -47--4 This is an original design and must not be 0 released or copied unless applicable fee Fp I Printed:9/19_!01 has boon paid orjob order placed. Drawino*I iII Scale:0 1/4" 11 c Eck E 5EP 2 4 2001 ��NORTNAMPION,MAPO 060 S p � r .. } n a €rte i P PTO o y a� a Crx#Y af Xart4aillp f oil �ASEACI(aE[IIE DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (IicetLSeelpermittee) with a principal place of business/residence at: Q/06 d L s2^. PTOA.) . (!hone#) (strMet/city/statelrip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Comparry/Policy Nutmbcr) (E)#ration Date) (Name of Contractor) (Insurance Compauy/Poky Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additiocal s:t�ifnccc=Ary to include informition pertaining to all oocdmzton) Nama sole proprietor and have no one worming for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homcowvcra who cmplay pc:som to do mx_, �won or rtpair work on a dwelling of not meet than th—units m wfvch the homoostvcr r=dcs of oa the grounds appurtanwA thereto me not generally comiducd to be employers under the worker's oXWC=atica Act(GL152,sa 1(5)),application by a homoownna for a Uccax or permil may evidence tb: legal natur of an employs under the Wockocjs Compomai Art I understand that a Dopy of this rt&tcmoci may be forwarded t4 tho DcQnrtmcnQ of lmi,t al Aocidmt�Off o0 of 1—urw oa for the covaagc verification and that failure to seatrt coverago under Unction 25A of MGL 152 can lead to the i ioa of aimiml pcnaWCS 00asuting of a f nc of up to S 1,300.00 aad/oe isuprisoaa of up to one year and civil pcnattia in the focm of a Stop Work Ord—and a fum of s 100.00 a day ag&inst mr— For 1 C(4/t use only � 02��� � ( Permit Number Map-4 Lot# r; ... Stem ofucrosee/permittee e Ir --- EC2Ti0 M'.Clj��� 5TRUCTlDN S�R1/I ES'� � 3 , 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder :_04u(0 /"• �oz t (KA ©® G'2 License Number Z L . ., d�c..} Address �- Expiration bate Signature Telephone Ov veme r Not Applicable ❑ Company Name Registration Number 3 '2_ 1,9-u4PL . t. /° 3 'F ? j Address Expiration Date Telephone SECT,ION'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 affid< 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)famili� and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner aet� 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. 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 , r , " aa.. SECTION L.,D S:3 P71PROP,.OSED- R 1 a pica a ? 3 , n3 p4 n9 NY 3 3 3MS r"a ^VON � G MA'+'f4kd s13a, 4,11""'c'!4111%' kv ljgy,r'le�lvl""4usi . :' New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolitione New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: Alteration of existing 4edroom Yes No Adding new bedroom Yes No Attached Narrative N' Renovating unfinished basement Yes No Plans Attached Roll o - Sheet❑ I. , E o or dd'dit°onnA-0 a i" iffW sin AA Co n`lei ""b f iTlow'n a. Use of building : One Family '� Two Family Other b. Number of rooms in each family unit: 14 Number of Bathrooms r c. Is there a garage attached? lld d. Proposed Square footage of new construction. Site S tk f f- Dimensions e. Number of stories? f. Method of heating? +C&CAO 140T u%AT04, )Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? S h. Type of construction U)D,:10 F2R#y6_ i. Is construction within 100 ft. of wetlands? Yes VI"No. Is construction within 100 yr. floodplain Yes j. Depth of basement or cellar floor below finished grade r? k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer V' Private well City water Supply EG'�10000 lax ©WNER q04-hoRIZATION TO BE COMM ETED WHEN OYV,N QSIAGEN1`OR ONTRAGTOR APPLitt,,FOI BI1NI.n11 G;p RIVIIT" Cas Owner of the subject proper hereby authorize t e4, to act my behalf " all mat ers relative to work authorized by this building permit application. Signature of Owner U Date U(� ��/� �f;►l�T /� as-&"er/Authorized Agent I, e - 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. U 'U 4-c 2Z v2 Print Name 23 Signature of Owner/Agent Date f 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 Building Department Lot Size g D S� '? SEC) $ Frontage h ' ° ( v Setbacks Front 12.t(, " '(0 '(0 4 d l 1 Side L:ac`i i R:� L: 32 R: `� Rear / 8 ( /� Building Height ( a,3 i /b Bldg. Square Footage !q�')' fr % 11 3 Z Open Space Footage % (Lot area minus bldg&paved �`, 1?� S �( 1(9 3 3?7o v parking) / «l #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 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 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: City of Northampt Building Departm SEP 2 212 Main Street Room 100 Northampton, MA 0 060 DENORTORT NORTHAMPTON, p NHAAMPTON,, phone 413-587-1240 Fax 4 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 61 -SITE INFORMATION A�This sectioftozbecompl�ted:bifr!ce 1.1 Pro ert I Address: " •p M yp Zone OtrerlayDistr�ct Elm St. District CB.•Distr TIC t'! SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ,0 —( t-f P_ i'� F_Ly/vA Name Point) Current Mailing Address: Telephone '5_9 1-1 _ � 11 ?(/ Signature l 7 _ 2.2 Authorized Agent: / — DAU jo- AJ Fo .:L-j i K �Z_ 3 t4 0&j?_L Name(Print) Current Mailing Address: 29 Signature Telephone _ SECTION.3 - ESTIMATED CON5TRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ,3 f�o b Q (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 = (I + 2 + 3 + 4 + 5) J Check Number This Section For Official Use Only Building Permit Number: � 333 Date Issued: Signature: Building Commissioner%inspgctor of Bui)ifirigs Date File#BP-2002-0333 APPLICANT/CONTACT PERSON David Fortier ADDRESS/PHONE 32 Laurel St (413)586-8965 PROPERTY LOCATION 24 PHILLIPS PL MAP 32A PARCEL 195 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out OQ 9 _ Fee Paid Typeof Construction: DEMO 166"X 24' CONSTRUCT 24'X 24'ADDITION W/BASEMENT FOR MOTHER- IN-LAW APARTMENT(KITCHEN,2 BEDRMS,FAMILY RM&BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 008026 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFJGRMATION PRESENTED: Approved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding I 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 Commiss' Ile Zo v� Signature o uilding Offici 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. ssee chili 24 PHILLIPS PL BP-2002-0333 GIs#: COMMONWEALTH OF MASSACHUSETTS Map Block:32A- 195 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:ACCESSORY APARTMENT BUILDING PERMIT Permit# BP-2002-0333 Project# JS-2002-0507 Est.Cost: $121600.00 Fee:$345.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: David Fortier 008026 Lot Size(sq.ft.): 7884.36 Owner: FLYNN CHRISTOPHER T&AISJAH T Zoning: URC Applicant: David Fortier AT.• 24 PHILLIPS PL ApplicantAddress: Phone: Insurance: 32 Laurel St (413) 586-8965 NORTHAMPTONMA01060 ISSUED ON.•10/1/010:00:00 TO PERFORM THE FOLLOWING WORK.-DEMO 16'6" X 24', CONSTRUCT 24' X 24' ADDITION W/BASEMENT FOR MOTHER-IN-LAW APARTMENT ( KITCHEN, 2 BEDRMS,FAMILY RM & BATH 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: Fin al: ;1 r = Rough Framer h )- ,2y .od U z �= Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation:©k / a9YD� Final: Smoke: zf �G d % C� Final: ©k THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu anc - Signature: Fee TVpe: Receipt No: Date Paid: Check No: Amount: Building 10/1/010:00:00 3789 $345.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo