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38B-214 (5) January 4, 2011 Joe Kayan 244 Old Wendell Road Northfield, MA 01360 Subject Property: 36 Fairview Avenue Northampton, MA 01060 Mr. Kayan The plans for the Single Family Residence renovation and addition dated 12 -15 -11 have been approved as noted; 1. Stamped engineering for I -joist submitted electronically before rough inspection. 2. Stamped engineering for roof truss system submitted electronically before rough inspection. 3. Building plans submission electronically. 4. Room by room heat loss calculations submitted electronically before rough inspection. 5. Structure conforms to 780 CMR 7 addition 1 and 2 family with 2009 IECC prescriptive requirements or RES Check 4.4.1 and mandatory requirements. 6. Smoke and CO detectors per code. 7. Submission of deck plans before rough inspection. 8. Landing at the exterior of egress • • 4000, . Charles Miller Assistant Commissioner of Buildings fa , p R s < < ( riff of aril $ • • � y �� E �1 R3 /A(h RL[116 -- • isp ��� DEPARTMENT OP DUILDF G INSPECTIONS cttitr 212 Main Street Municipal Building Northampton, Mass. 01060 r WORKER'S COMTENSATLON Th SURANCE AFI LDAVIT (li ccns.^.rIperrni ttec ) \vitll a principal place of business/residef c-c al: 44 0(36 /�/ ��,/ - z-(117 9L- ( 4%/�/,7jL go 4fl2TRzP (Phone) //3 4 / e p (str tfcity /siai_c(zip) do hereby certify, under the pains and penalties of perjury, i.hai ( ) I ari an employer providing the following worker's cornpensznoa coverage ror Inv employees wor dng on tins job. r n Coopac. ,y) (PeLic: Nu ax_r) ( ;pirauon Dare) (fie) I am a sole proprietor enera] contracto or homeowner (circ,e one) ai have hired the contractors fisted below who have the following worker's conpensaaon policies: Ulan c of Co: nci0'1 (In ur311cc.. Company /PG6ci Numb. -:) `•;>li1`. :;Qil D2tc)" (Name of Contractor) (Insirancc Company/Policy Number) (ExThrzi)on Date) (Name of Contractor) (Insw Company/Pol.•c)• Ntlmbu) (Expiraoo Date) (Name of Contractor) (Insurano Compatry/Poticy Numly_r) (ExPiriion Datc) (.Clad) fecal t .cc% u>do4, uaform•_noo p. rtalains to .L oaar- _.c.on) () 1 am a sole proprietor and have no one working for me ( ) I am a home owner performin all the work myself. NOTE: pie be Rw au: u1 lc Ixrnrntwn ubo anploy pc corm to do r ;.- rcpav or oo . d. n''i; of ant mocc tti-n b - l -^lfif In which the berme: wt er r add o co tG g punch Z =f-1 lI)CL'.n LT cot C any ocr.r. . — to be employe} a 1bc .a: eta a[z_lim Act (GLI52.n 1(5)), application by • bomcoavcr far c bcx : or p omit n y c.idcacc tbc legal ctn.:uc of en o - ployor under tho Wort' -o!. Compoos•ion Act- ! undcrrund thy¢ a copy of thin Qxtcco u1 may bo focoenrded to tba Dcpurtmoat of 1, ∎rriRl ncodm& OiLoo of Inah000 for the oovcnisc vaificzlioo and t i L-ihzt to ,coat bovcrtt c under scctioa 25A of MOL 152 can Iced to the . ,wsdion of ai niaal pcn+lticn coosistias of • floc of up to 51 }00.00 •ridtor Sri oament of up to ooc year end aril pearl'uo in tic form of n Stop Work Order Rod R flan o(5109.00 a thy apting coo For dry•rtextval u•e only /2-/ Pcrmi t N um bcs 9 .e4 Nta _ Lot g Sign. Fn: of Lt. , crmiacc Unto - - SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 76.6c.:// CS 2 Y O License Number 2 / AIL/ / 4, / /if 1 7- I ' zo( ( Address Expirati n D to y(3 . ../q 5-702 ©�36a S ture Telephone az. <c � �., r �- Not Applicable ❑ 115730 Company Name Registration Number .)Q ci C� #vZLj y/ 6,,2,0(2_ Address 1 /� /G �/q 2 Lift Expi atio Date 2 - ( ( ( � I C' / u) V►�7/Nf/! — Telephone �7 "Lif 57-•9- 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 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(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 4 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition IS Replacement Windows Alteration(s) t Roofing ja Or Doors II Accessory Bldg. ❑ DemolitionJgf New Signs [ ] Decks [ ] Siding 4c] Other [ ] Brief Description of Proposed Work: //171,/0!1 * .6Z1 '(>►'" /^P.C(/hC GC` f "' J /M/]rs &,C, Alteration of existing bedroom /' Yes No Adding new bedroom Yes X No Attached Narrative ❑ Renovating unfinished basement Yes ) No Plans Attached Roll Is- Sheet ❑ a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? L/ 4 £577 #1( d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? /j/,47: 6/7S Fireplaces or Woodstoves 1 Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes x No j. Depth of basement or cellar floor below finished grade / 'i 12, / / (0/ 1 ) k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank City Sewer X Private well City water Supply X SECTION 7a - OWNER AUTHORIZATION • TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I / , as Owner of the subject property hereby authorize jQ�j l a to act on my be If, in all ers relative to wor authorized by this building permit application. , 4//j,. /2 /2 - /� /D Si ature o Ow er Dat 1, Sf t ?'4 , as Owner /Authorized Agent hereby declale 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. 3 w A git Print Name fir,(, / Signature ner /A�e t Date 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 S S (11 r4 Frontage Setbacks Front 5e S n Side L: R: I' L: R: Rear Building Height 9 Bldg. Square Footage Q �� Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: A 47,1- (volume & Location) 'U - A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW `X 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 X 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. Ar there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: o File # BP- 2011 -0598 APPLICANT /CONTACT PERSON JOSEPH KAYAN f0/44 Ptlo p efRAAAA "s`k €a ADDRESS/PHONE 244 OLD WENDELL RD NORTHFIELD (413) 498 -5727 10 itZ IC PROPERTY LOCATION 36 FAIRVIEW AVE MAP 38B PARCEL 214 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / a Q Fee Paid /4a I Typeof Construction: CONSTRUCT ADDITION & RENOVATION � S � � New Construction /�' /� 2T N 6 c, +V Non Structural interior renovations f� [ Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 052480 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN TION PRESENTED: 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 Demolition Dela - 111 ':nature 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. f • BP-2011-0598 GIS #: COMMONWEALTH OF MASSACHUSETTS ��' 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- 2011 -0598 Project # JS- 2011- 000645 Est. Cost: $170000.00 Fee: $1020.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOSEPH KAYAN 052480 Lot Size(sq. ft.): 11456.28 Owner: REISER AMY Zoning: URB(100)/ Applicant: JOSEPH KAYAN AT: 36 FAIRVIEW AVE Applicant Address: Phone: Insurance: 244 OLD WENDELL RD (413) 498 -5727 NORTHFIELDMA01360 ISSUED ON:1 /S /2011 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ADDITION & RENOVATION 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 1/5/2011 0:00:00 $1020.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner