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17C-219 -43 _45 0 , ('? 4/ ‘'(-.c. 4 i C ''.".:. le _._.; 1 . i , . i • ‹,=- •-• -----,-/ OE —,.."=', • • .._.... 'ct!to 6.1 . -......... • • .. (....) --...„7 . , ..., 19 1 ; ved } ',. l i ! ci 4- - -4- — — — " 1 .1 I . 9 / 0 i ) ) ■ (j ) ;, IN. ‘cii • a L, .,,, ,.. \t• ■ C V C' ! i L ..„/' , ( / ... ,.„ .....› 1 t s ...... , . ..- \..,- , PIPE SIZES (in.) NON - CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F): RUNOUTS 0 -1" 0- 1.25" 1.5 -2.0" 2.0 +" 170 -180 0.5 I 1.0 1.5 2.0 140 -160 0.5 I 0.5 1.0 1.5 100 -130 0.5 I 0.5 0.5 1.0 - -- -NOTES TO FIELD (Building Department Use Only) 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: [ J Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities /spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. 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 1250 of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] 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. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0 -1" 1.25 -2" 2.5 -4" Low pressure /temp. 201 -250 1.0 1.5 1.5 2.0 Low temperature 120 -200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40 -55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): • MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 2 -27 -2003 Bldg. Dept. Use CEILINGS: [ ] 1. R -38 Comments /Location WALLS: [ J 1. Wood Frame, 16" O.C., R -19 Comments /Location BASEMENT WALLS: [ ] 1. Conc. 9.0' ht /5.0' bg /9.0' insul, R -19 interior cavity Comments /Location WINDOWS AND GLASS DOORS: [ ] 1. U- value: 0.32 For windows without labeled U- values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments /Location DOORS: [ ] 1. U- value: 0.28 Comments /Location SLAB -ON -GRADE FLOORS: [ ] 1. Unheated, 2.0" insul., R -7.2 Comments /Location Slab insulation to extend down from the top of the slab to at least 2" OR down to at least the bottom of the slab then horizontally for a total distance of 2 ". HVAC EQUIPMENT: [ ] 1. Furnace, 80.0 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. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L /s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs /ft2 pressure difference and shall be labeled. MAScheck COMPLIANCE REPORT Massachusetts Energy 1fofel 2nn3 Permit # MAScheck Software Version 2. V l Checked by /Date CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non - Electric Resistance) DATE: 2 -27 -2003 COMPLIANCE: PASSES Required UA = 198 Your Home = 195 Area or Cavity Cont. Glazing /Door Perimeter R -Value R -Value U -Value UA CEILINGS 400 38.0 0.0 12 WALLS: Wood Frame, 16" O.C. 684 19.0 0.0 41 BSMT: Conc. 9.0' ht /5.0' bg /9.0' insul 285 19.0 0.0 15 GLAZING: Windows or Doors 120 0.320 38 DOORS 21 0.280 6 SLAB FLOORS: Unheated, 2.0" insul. 82 7.2 83 HVAC EQUIPMENT: Furnace, 80.0 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 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 1250 of the design load as specified in Sections 78OCMR 1310 and J4.4. Builder /Designer /L�' ��'C Date �� —�� . ......- i csitAmp 2 ...... . ..e.frzeil..,...p. qi.±N of Nartliantritan , -_-. --..z_.„, , w y � /(ir B assn Cltnsett5 r!�' " T St eloTi "'W DEPARTMENT OF BUILDING INSPECTIONS • ' — , 212 Main Street • Municipal Building ' e - = _ Northampton, Mass. 01060 err' WORKER' S COMPENSATION INSURANCE AlelimAVTT I, oea Pc- P C /A i tree (li p ) with a principal place of business/residence at: • a 3N./'1q ) e_ S1 f/O re '1 c n, 44 U /0 -C3 (phone #) YL? -ST' / / 7a (street/city /state/zip) 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 j the contractors listed below who have the following worker's compensation policies: R► , (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) s . • r . (Name of Contractor) (Insurance Company /Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if necessary to include information pertaining to all contractors) (v I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. - NOTE: please be aware that while homeowners who employ persons to do maintenance, constnutioa or repair work on a dwelling of not more than throe units is which the homoovencr raiders or cc the grounds appurtenant 1hemto are not generally considered to be ernployera under the worker's compensation Ad (GLIS2,ss 1(S)), application by a homeowner fora license or permit may evidence the legal ctatua of an employer under the Wodeces Compensation Art I understand that a copy of this etatemmt may be forwarded to the Department of Industrial Accidents' Offioo of Insunmos for the coverage verification and that failure to secure coverage under section 25A of MOIL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,500.00 and/or i:aprisonmeat of up to one year and civil panties in the form of a Stop Work Order and a fine of 5100.00 a day against enc. . For dga¢tmrntsl use only Permit Number � �Y /7 Map# Lot# Signature of Liccnsee/Permittce • Versionl.7 Commercial Building Permit May 15, 2000 ® *awe B 3 Independent Structural Engineering Structural Peer Review Required Yes ❑ No 13' S, C,T10 'f a1N lE ..ligr OM O :-'e2, i � 9). P ED H r ail!. E 14 OR . 9 ; A O ,4 a. , ..}; I, , 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, R 0 , , • c A r is , as Owner /# #sit hereby declare t 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. e /( 7 0 , 5 Y° r U • ti CickrIC Print Nam e Ci�� , .y7,7/(5, 3 Signature of Ow erG Date 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : ROefaf f 6 l etr k Q a � 3/ 0 J License Number f', D, Bo 3 1 7c Lee / /LJ/i 01 5 0`/ —a- — may Address Expiration Date �,„ ,. C W3—s7 V - / / 7b Signatur&' Telephone FOP iitt'ij a_: as 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 ❑ Versionl.7 Commercial Building Permit May 15, 2000 pvr 3N1 h7 � . � f ° $ A3d .06 �^ '� (drill) r £ m �` iaz»4�1`% r.a -me_ ��u. ,. F�4. - ro va,n..s �r... .,., ro Cc1 , > _ ..:J` ..- ...... _ �...:,1 _�.� fin.,,» ,.. a�. 9.1 Registered Architect: Not Applicable ❑ ' Name (Registrant): Registration Number i Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Versionl Commercial Building Permit May 15, 2000 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: I Public 7.3 Sewage Disposal System: ha Private ❑ Zone: Outside Flood Zone [a' Municipal l7 On site disposal system ❑ 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 7? a . S 5/p, 3 t r ,,,e Frontage `71 '' 55441 0 Setbacks Front L / Si r-d. 0 Side L: ,,zir R: 3 D'� " L: 64 -"'‘e-- - R: sar' 0 Rear 5C 1 g'3 r n Building Height ll / 3a-' s4 ,t Bldg. Square Footage % 0?Vo a a Ys - ?o,1 Open Space Footage % (Lot area minus bldg & paved lv 5'a .2 . s g'Q 6 Ya ).-- 7f, 9 parking) # of Parking Spaces I S Sec". Fill: / �/ (volume & Location) -WO n L (/ OIt e— A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW r/ 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 V 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: J, '' Versionl.7 Commercial Building Permit May 15, 2000 rte: O ® voififivfp:4--1c,liA • G :S i4 5- ®e ® F zit, s 7 , ,� - 'F�''t ' ' rte - .- ,tc f, �s. -tr i.;L'.'ttsw'rv� Interior Alterations Existing Wall Signs Existing Ground Signs Additions fir Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] /(off - L •rise lve-'41. Reino ea '5�) q 1� -�( $ ar4 i r ) l' oarl w�rov►ue f an 1 4 b�[ r no >n. a� fi � d ty o ' a USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ' ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business I ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I -1 ❑ 1.2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential RI R -1 ❑ R -2 0 R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B I 17" • U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: f F.: a s e *I'''' . „ 3i, '3€ a 1 3� r G.°M, s� a_ 1 _ . I. DE RE DO T 1 § ® �G � 41,14 Existing Use Group: IZ —� Proposed Use Group: S Yrt e Existing Hazard Index 780 CMR 34): a " Proposed Hazard Index 780 CMR 34): 5 v).1 o BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor (sf) 1 t ii�f a¢, I 1st a679< .. .r)l i 2 No YI 2nd /a 4 -0 S , r)' 3rd /yon 4th M nte 3rd /hone 4th /re, Total Area (sf) 3 3 02 3--- 5 ( 9, p ( ) Total Proposed New Construction sf � 0 yoo n' f Total Height (ft) 3a T 4, — Total Height ft NOS Versionl.7 Commercial Building Permit May E 15, 2000 - ' - Y' City o Nor thampton .., ,. ; ° • „� Building Department €� „E9a, .212 Main Street e� Room 100 OO , V i f fwi' \' r' � � � • Ai' 1 7 ��` ortha mpton, MA 01060 ,...„ s� �� v _ 4 phone 413 - 5 87 1 240 Fax 413-587-1272 ���r '4*."':.::::,,:,:;.1:: -,---- --: APPLICATION TO CONSTRU RE f s A2, RENOVATE, CHANGR OCCUP OF, OR DEMOLISH ANY B UILDING OTHER THAN A ONE O R TWO FAMILY DG E THE USE OWELLIN 1.1 Prop erty Addre z Flo r ,/L9 D /o6� o �m �, ) , �`� a '-a��'th `� � °»`�'`�w,','F�` �.axar ' A s .� ��� ,'4�, s , , � °` ,��' � � TY NI I�R �] 0 D AG KI ,-g 2.1 Owner of Record: QQ p �O -'c'' U • 614( PDi JD�( 3 L �e S /IA p /DS3 Name ( P rint) Current Mailing Address Signature T elepho ne 2.2 Authorized Agent: Telephone Name (Print) Current Mailing Address: Signature ® , kJ� T � ®' o '; ® ®. ° '' :� .�_. yr, Item Estimated Cos (Dollars) to be y "® i ' = -7, , com b •ermita••licant � W.' ' t - �C� gy. 1. Buildin �� . 4' 30 000 k a la ,l a � u IL 2. Electrical • • • �,�� � � �� �� � ,., ` � �,; 3. Plumbing t r rni �31i c h ar � 'ka�.�,k6 ., { �' - , _.: 4. Mechanical (HVAC) a P �� /DUO ° 5. Fire Protection ' , .,; . 6. Total= (1 +2 +3 +4 + 5 ) , 3 _X00 4 � t • 4` �� 7 1 �' �� s '{ �. i s a a+ � t K� v k i i u i i a -:. x P s7 '.� sail i��a � . '�;. ,�"`'"+ 6 i N I fl � .... �,._ Via, c - '. i 1 , , � v � di d :00,h17 ne'r/ e 0 ' , ® � ` aye [) $< 4 t, ,, - - x }3 ,_�.& e,. °, g zh 4 . , k tr . d - i_5 , r. w � _ 3 'y„, a , t File # BP- 2003 -0903 APPLICANT /CONTACT PERSON Roger Clark ADDRESS/PHONE P 0 Box 34 (413) 584 -1170 PROPERTY LOCATION 21 NORTH MAPLE ST MAP 17C PARCEL 219 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid ,2- 52510 Tvpeof Construction: REMOVE ATT /GARAGE, CONSTRUCT 25X 16 ADDITION (1ST - INGROUND POOL, 2ND ADD (2) BEDROOMS) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 021310 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PAESENTED: Approved /Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND /OR Special Permit With Site Plan n Major Project: Site Plan AND /OR Special Permit With Site Plan / ZONING BOARD PERMIT REQUIRED UNDER: § q.3 , Finding l7 Special Permit Variance* c2 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 Stree ' e 'ssion Ere.r% 2 ivi 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.