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, NARROW WALL OVER CONCRETE OR MASONRY BLOCK FOUNDATION
Outside Elevation Side Elevation
Extent of header (two braced wall segments) \
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- )eichertowii, MA
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•
FOUNDATION /GEOTECHNICAL REPORT CONCRETE
1. FOUNDATIONS HOVE BEEN DESIGNED UNDER ASSUMPTION THAT BUILDING I. CAST -IN -PLACE
50 O"
PAD AREA IS COMPACTED STRUCTURAL FILL. OR UNDISTURBED VIRGIN
INORGANIC SOIL CAPABLE OF PROVIDING BEARING CAPACITY INDICATED. a. REINFORCING STEEL CLEAR COVER SHALL BE AS FOLLOWS UNLESS
' " 16. O' A 26 O"
NOTED OTHERWISE:
2. ALLOWABLE SOIL BEARING PRESSURE • 1500 per A5 PER CODE MY
NON - POST - TENSIONED CONCRETE:
O
MATERIALS CONCRETE CAST AGAINST AND PERMANENTLY
EXPOSED TO EARTH "\
eb BARS AND LARGER 2'•
1. THE FOLLOWING ASTM STANDARDS AND DESIGN STRESSES SHALL e5 BARS AND SMALLER - I /2" _
BE USED FOR THE APPROPROPRIATE MATERIALS USED N CONSTRUCTION I
•
OF THIS PROJECT.
2. CEMENT:, ASTM C15O, TYPE I OR II CONCRETE NOT EXPOSED TO WEATHER
3. AGGREGATES: ASTM C33 (NORMAL WEIGHT) OR IN CONTACT WITH GROUND
4. CONCRETE: ALL CONCRETE SUBJECT TO EXPOSURE SHALL BE O O '
AIR - ENTRAINED 5. ./- - I-1/2 % BY vOWME. AIR ENTRAINING SLABS, WALL, JOISTS, 3/4" _ _ - 1+------ --- - - - -4-- ] _
ADMIXTURE TO COMPLY WITH ASTM C -260 II BARS OR SMALLER a LL O
b. CONSTRUCTION JOINTS r CONTROL JOINTS IN SLAB ON GRADE SHALL BE o_ o V
APPLICATION F • 28 DAYS WT (PCF) ARRANGED TO LIMIT MAXIMUM AREA BETWEEN JOINTS TO 1000 SF. / 8' O m -
ALLOW A MINIMUM OF 48 HOURS TIME BETWEEN PLACEMENT OF ADJACENT -
a. FOUNDATION WALLS/ 3000 145 SECTIONS,
FOOTINGS c. NO SLEEVE SHALL BE PLACED THROUGH ANY CONCRETE ELEMENT UNLESS \ \ V _ V 10"
SHOWN ON THE STRUCTURAL DRAWINGS, APPROVED SLEEVING SHOP DRAWINGS , !b 26' O"
b. INT. SLAB- ON-GRADE 3500 145 y® — — � " -
OR SPECIFICALLY AUTHORIZED I N WRITING, BY THE ENGINEER, L
d. NO SPLICES OF REINFORCEMENT SHALL BE PERMITTED EXCEPT AS DETAILED / 1 i -
OR AUTHORIZED BY THE ENGINEER. MAKE BARS CONTINUOUS AROUND CORNERS. m
c, CONCRETE FILL 3500 145 e d - \ ® s
e. WHEN INSTALLING EXPANSION BOLTS OR ADHEHSIVE ANCHORS, THE CONTRACTOR
ON METAL DECK SHALL TAKE MEASURES TO AVOID DRILLING OR CUTTING OF ANY EXISTING
1 as
d. EXTERIOR SLABS 4000 145 REINFORCING AND DESTRUCTION OF CONCRETE. HOLES SHALL BE BLOWN CLEAN
PRIOR TO PLACING BOLTS OR ADHESIVE ANCHORS. , O
f, CHAMFER ALL EXPOSED CONCRETE CORNERS, 3/4" x 3/4 ",MINIMUM, UNLESS NOTED _ / )
5. REINFORCEMENT: OTHERWISE ON ARCHITECTURAL DRAWINGS. O / A
a. DEFORMED ASTM A615, GRADE 60 g . ALL CONCRETE TO HAVE A MINIMUM 28 DAT COMPRESSIVE STRENGH (Pc) AS it u a „
REINFORCING BARS INDICATED SECTION "MATERIALS” ON THIS DRAWING, d m
Q /�
b. WELDED WIRE FABRIC (WWF) ASTM AI65
h. REINFORCING STEEL SHALL BE NEW BILLET STEEL OF INTERMEDIATE OR HARD GRADE - p '.�/,'; !
CONFORMING TO SECTION "MATERIALS" ON THIS DRAWING. SUMP '-
L ALL CONTINUOUS REINFORCING BARS SHALL BE LAPPED 48 BAR DIAMETERS, UNLESS ' FIT Engineering
6. STEEL: NOTED OTHERWISE. �/ : r
CONCRETE SLABS SHALL BE FINISHED FLAT 1 LEVEL, WITHIN TOLERANCE INDICATED / Si Land
a. WIDE FLANGE STRUCTURAL STEEL ASTM 4500, GRADE B, F •46K51 4.512, GRADE 50 J s ow 3s
ON DRAWINGS. CONTRACTOR SHALL PROVIDE ADDITIONAL CONCRETE REQUIRED TO y PPE b. STRUCTURAL TUBING ASTM A Solutions,
c. STEEL PIPE ASTM A53, TTP 'E' OR S'y DUE TO FORM WORK r FRAMING DEFLECTION TO ACHIEVE THIS FINISHED TO OF O DAYLI "../
GRADE B SLAB ELEVATION. - \ . sow a e - Inc. •
k. MAXIMUM ALLOWABLE SLUMP IS 4 i
d. STRUCTURAL SHAPES ■ PLATES ASTM A36 • s °RP
H O
6. HIGH STRENGTH BOLTS ASTM A325 -N - 10 " -
f. ANCHOR RODS ASTM A301 DIMENSIONS
g, WELDING ELECTRODES AWX, A5.I OR A5.5 EIOXXX ®• ^ ^ �'<1
h, GALVANIZED METAL FLOOR DECK ASTM 4.446 1, THE G.G. SHALL VERIFY EXISTING CONDITIONS AND DIMENSIONS IN THE FIELD, Irf/SY
PRIOR TO FABRICATION AND INSTALLATION OF ANY NEW MATERIALS. j.:
2, FOUNDATION MAY LIE IN FLOOD PLANE, ZONE A. CONTRACTOR RESPONSIBLE p - 14131547 -8988
. CONSTRUCTION TO MAKE PROVISIONS TO VERIFY LOCATION r ELEVATIONS. . - \ F'E\X
CONTRACTOR TO ENSURE COMPLIANCE w/ LATEST EDITION OF MASSACHUSETTS a , � (413) b42 -11451
1. GENERAL BUILDING 000E.
a. REPRODUCTION OF ANY PORTION OF THESE STRUCTURAL CONTRACT DRAWINGS FOR \ L. '\
RESUBMITAL AS 51-10P DRAWINGS 15 PROHIBITED. SHOP DRAWINGS PRODUCED N SUCH , " /�� - O •
A MANNER WILL BE REJECTED AND RETURNED. O .Y j:
b. SUBMIT SHOP DRAWINGS AT LEAST IO DAYS BEFORE DOTE REVIEWED SUBMI7AL5 WILL "' �
Da
BE NEEDED. SHOP DRAWINGS SHALL BEAR TOE CONTRACTOR'S STAMP OF APPROVAL < 10" 0
WHICH SHALL CONSTITUTE CERTIFICATION THAT THE CONTRACTOR 14A0 VERIFIED ALL FIELD O ` '�" - O
MEASUREMENTS, CONSTRUCTION CRITERIA, MATERIALS 4 SIMILAR DATA 4 HAS CHECKED - \ A
EACH DRAWING FOR COMPLETENESS, COORDINATION a COMPLIANCE WITH THE CONTRACT. `.
Q o
C IT 15 THE CONTRACTOR'S RESPONSIBILITY TO DETERMINE ALLOWABLE CONSTRUCTION LOADS
AND i0 PROVIDE PROPERLY DESIGNED FORM WORK, STAGINGS, BRACING. SHEETING.
SHORING, ETC. Y
d. IMPLEMENTING JOS SAFETY, CONSTRUCTION PROCEEDURES AND TEMPORARY `"
SHORING ARE THE SOLE RESPONSIBILITY OF THE CONTRACTOR. , ® O
e. CONTRACTOR SHALL REF TO ARCHITECTURAL, MECHANICAL, PLUMBING AND J a J Z
Z
ELECTRICAL DRAWINGS FOR SIZE AND LOCATIONS OF OPENINGS,
SLEEVES, CONCRETE HOUSEKEEPING PADS, INSERTS, AND DEPRESSIONS.
O
f, SEE ARCHITECTURAL DRAWINGS r SPECIFICATIONS FOR DETAILED INFORMATION
O
REGARDING FINISHES, FIREPROOFING, ETC. -"
g. IN CASE OF CONFLICT BETWEEN THE GENERAL NOTES, DETAILS AND SPECIFICATIONS, W m
THE MOST RIGID REQUIREMENTS SHALL GOVERN. F
h. CONTRACTOR SHALL FURNISH DIMENSION COORDINATED SHOP DRAWINGS AT ALL O O
LEVELS SNOWING THE LOCATIONS OF ALL SLEEVES AND OPENINGS REQUIRED BY
ALL TRADES. - O
FOUNDATIONS 4 STRUCTURAL EARTHWORK 1 \
AI ' 8� :� 2 d OA S' 6 .. A1 � 8 ..
9 6 r
I. GENERAL l \ A 11' 6" 14' 6"
a. FOUNDATIONS HAVE BEEN DESIGNED UNDER ASSUMPTION THAT BUILDING PAD AREA IS \
COMPACTED STRUCTURAL FILL, OR UNDISTURBED VIRGIN INORGANIC SOIL CAPABLE OF Id
PROVIDING BEARING CAPACITY. � Z
b, CONTRACTOR SHALL VERIFY ALL EXISTING FIELD CONDITIONS THAT MAY AFFECT THE INSTALLATION SU \ INTERIOR FOOTING DRAIN LAYOUT NOTE: a
NROOM W <
OF THE FOUNDATION SYSTEM AS SHOWN, PRIOR TO STARTING WORK. G ' A � = I/- 1 14)11 > CONTRACTOR TO ENSURE ALL PIPING 15
c. THE SIZE, LOCATION AND DEPTH OF THE UTILITIES ARE NOT KNOWN EXACTLY S F� -�l`-
C
\
AND MAY VARY SIGNIFICANTLY FROM THAT INDICATED. OTHER UNKNOWN UTILITIES NOT INDICATED • PROPERLY PITCHED TOWARDS COLLECTION SUMP
MAY ALSO BE PRESENT. THE CONTRACTOR SHALL BE RESPONSIBLE FOR LOCATING AND \ > SLEEVE ALL STRUCTURAL FOOTINGS TO ACCOMODATE W Z
PROTECTING ALL EXISTING UTILITIES WHETHER INDICATED OR NOT WHICH MAY BE AFFECTED BY THE INTERIOR FOOTING DRAINS CC 0
CONSTRUCTION PROCESS. (088 DIG - SAFE) ' > C TO MAKE PROVISIONS TO "DAYLIGHT" DRAIN. j'
d, ALL FOUNDATIONS SHALL BE PLACED ON UNDISTURBED FIRM, INORGANIC, VIRGIN SOIL OR TEFL °EC > ALL FOOTING DRAINS TO BE 4" e, PERFORATED, 5012 PIPE. Z 1
it sloNEO > CONTRACTOR TO NOTE LOCAL r STATE REGULATIONS W
COMPACTED STRUCTURAL FILL, BEARING ELEVATIONS ARE ESTIMATED FROM SOIL DATA 6 PROVIDED Ew5 \ MAT APPLY FOR DISCHARGE OF DRAINS.
15
BY MASSACHUSETTS BUILDING CODE �— " -'� - - """
a. CONCRETE FOR FOUNDATIONS SHALL BE PLACED ON THE SAME DAT SUBGRADE APPROVAL GIVEN. 0 T.
f, ALL SHORING SHEETING, AND DEWATERING SHALL BE THE TOTAL RESPONSIBILITY OF THE CONTRACTOR, - DETAIL A -2 \
SHEETING AND SNORING SHALL BE DESIGNED BY THE CONTRACTOR'S ENGINEER REGISTERED N MASSACHUSETTS, ;� II NOTICE F
ALL SUBMITALS SHALL BEAR CONTRACTOR'S ENGINEERING SEAL r SIGNITURE, '' " \ f V4.t i � ('� '7' I l,s a re - BASEMENT "'' "' o
Engineering & Land Solutions. Inc.
2. BACKFILL \
These plans are copyrighted and are subject W Z
a, ALL BACKFILL SHALL BE APPROVED GRAVEL COMPACTED TO 554 OPTIMUM DENSITY t9 Copyright protection as an "ARCHITECTURAL
IN ACCORDANCE WITH 45TH 0 -1551, OR AS RECOMENDED BY AN EXPERIENCED LICENSED \ WORK" under Section 102 of the Copyright Act.
STATE OF MASSACHUSETTS GEOTECONICAL ENGINEER- DO NOT USE ON SITE MATERIAL. 17 L19.0., as amended December 1990, and
r b. NO BACKFILL MATERIAL SHALL BE PLACED AGAINST FOUNDATION WALLS UNTIL TSE known as Architectural Works Copyright
CONCRETE 1445 REACHED DESIGN STRENGTH OR ADEQUATE BRACING HAS BEEN INSTALLED. — ' z "
Protection Act 0f 1930. The protection includes
c. WHERE THE FINAL GRADE ELEVATIONS ARE APPROXIMATELY EQUAL ON BOTH SIDES OF 4 WALL, = PAGE
� but Is not limited to fhe overall form as wet as
BACKFILL IN 6" LIFTS TO MAINTAIN LEVEL ELEVATIONS WITHIN 12" ON SOT.. 510E5 AT ANY TIME.
the arrangement and composition of spaces and
elements of the design. Linder such protection,
F a o 4 o Li unauthorized use of these plans, work, or forms
3, STRUCTURAL FILL < SUNROOM SECTION represented can legally' result in the cessation of 3
a. CONTROL FILL SHALL BE PROCESSED AGGREGATE BASE CONFORMING TO M4 DOT. such construction or buildings being seized and/
SCAL or rued.
OF 3
W. P T. SILL PLATE
w/ SILL SEALER h" dla. ANCHOR
INSULATION BOLTS tL O O R S
L POLY. LAB ON Y IV
I" RIGID y Y' ANCHOR •SWCO5 "rDEVELOPMENRT w . , S BREAK
� CRUSH. IONE MECH. COnPAGT� / 50' Gig
G s * NEOESG EB
/ 6 0 26' o" /
\ a BOLTS 4,, B G„
BOLTS +]" O.G. _ _ <_k _ i • CRU6uED STONE
.a PO6ITIV RA NAGS / / \ \ \ \ 1 t
2� �- -, NOTICE
/ G Engineering & Land Solutions, Inc.
M
^ necH coMPACTeD - These plans are copyrighted and am subject
15 • eausHFD SroNe
— .o to copyright protection as an "ARCHITECTURAL • I 1- - - . , r WORK" under Section 102 of the Copyright Act.
7 �0 17 U.S.O.. as amended December 1490, and
1. _ T" ' - T,__ \ in known as Architectural Works Copyright
- I �r ° N Nue REBAR Protection Act of 1990. The protection Includes
�� w z °E EL ° o o D- W 2 22 Eea but is not limited to the overall form as well as
- _ --- �� -
the arrangement and composition position of spaces and
NDAT ON WALLS SEE DETAIL BP s O elements of the design, Under such protection,
FILTER •s CONTINUOUS
.o Foo* N� w/ •s REBAR :o unauth use of these plans, work, at forms
FABRIC G.C. .10. SLL PLATE
R ®aR N FoonNG HoR eoLo represented can legally result the cessation of
.w 2s DEVELLDPnENT .a e' O" / W4 such co n s tmctimr or buiidines being seized andj
L < O TS T
b+ - or razed.
2-•5 CONTINUOUS REBAR \ /
1 w/ 25" DEVELOPMENT \ m �NJ �� 3 - "
\ 0 0 0 \ \ \ 26' O"
0'
N E HEADER / y - l _ _ - I • O
ASPHALT DAMPROOFING \ u o ] MEGU. COMPACTED .°M"PORT CONC I� m c 1 2 GOATS MN AS PER m i K" •CRUSHED STONE = gEE DEr4 L 2 l^a-
\ PR INVERSE BRICK I e _ 17,. nANNF.SPEC F CATON6
_ Y '1***'' 6 FABRG EDGE N A \ \ [
•
•/ • -- / / ORA OVED EOU V. WALL SECT.
vERi CAL EBAR •✓ -� GONTRACT TO � q ~ O
r 5
CENTER L NE OF R WALL ROOF ASE R' = 9 � W RO FUT RE BaiH O
FOUND.
40' O G — NON v BRATORY ROLLER O PLUMB.
OR
COURSE SAND . GRAVEL / ' " / .. 4 \ .. / O / S � 4 ' CONCRETE SL AB O ��� > I ' U n G 0
2 CONTINIOUB REBAR 3' R G O r g VAP T BARR V ! � , 3 r \
w 5" DEVELOPMENT � CRUguED STONE BASE VVV 3 O'
DBL. w .wG TO WALIG OUT WALL .1s,
DOWEL FOUNDATION WALLS SCALE I" a I' -O° ;. � 4 r IW ° __4__.. Engineering
TO FOOTING w/ •9 REBAR • I p & Land
FLT o I � w = . Solutions,
FABR _ I o oN N = ou
4 CONCRETE SLAB ON I r 3 CON? ° FTC. 1= �r Q GID Inc.
•5 GONT NUOU W NTEROR FOOTING INSULATION ON - N. �—
5 / I� e O MIL POLY. vAP. BAR
2 R G D _
DRAINS. SEE LAYOUT MIL POLY. VAP BARRIER U� / OL )-� CRUSHED STONE BAS "`111 �, O O
5 DEEL REBAR N FOOT NG� C RUSHED STONE BASE I
L OPHEN . O / �ove+lw �— W 10 "
• • E n caMP acreD ) ✓ 3
w/ 25" ] I 'r r l J\ l Nf H o
FOOTING DRAIN —\ K' • • USHED STONE 1 \ 1 ' I Iw T I I�
• in
DBL WASHED STONE �0 R 6 } " S.
' �� w 0� � � TWO 1
- -K , Scc. Fs. Toe 1 ,
km PTO o o - D p 1 m QI 1 - - � (4I3) 547 - }i9tl%
c ° Mme a su STONE COMPACTED 1 1 I I'" �x
m - • (413) 642 -0454
1 1 0 ,o;',
_ � �, " MRAFI IBD FABRIC .::
1
OR APPROVED EamV. O
/ o' CONTRACTOR TO ' `N @ IO" O Q 1
■ - MEOW hr CRUSHED STONE PROOF BASE w/ _ 11103-. COL _ e . - -
NON - VIBRATORY ROLLER O }y ALLr COL. B' L
1 1 6E PLATE BRG. LATE BRG. \\ J Q \ - \ \
2 .fl FOUND WALL
ON FOUND WALL Q .
�D 5'
FULL HEICsI -IT WALL 1 1 "'IN:WED-Gil ° - °"
A s I -O 1 1 E OTING B TH
1 . , .:.,
I da STEEL CHANNEL HEADER l z
2 -•5 CONTINUOUS REBAR :
w/ a DEVELOPMENT COIN GAR DOORS GAR ORS
BOLTS 13 O A -� A
.C 4 GONGR � AB ON b \ . \ . - - - I DROP o� FOND °� °APCG�OnND. F O
conPA GRAVEL BASE 1I � "
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2 4
/ ' O / II' 6" �. 14' 6 " /
FOUNDATION PLAN W
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6.WALL
O - - / I 9 TUD5 6" O C. — V
_ f / K" ,1 E4 SIDE ,/t� 1 Z V,
'< PO %Y SET OR MECHANICAL - r•;LE II ,_ '! ^ I! W V
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ANCHOR BOLTS R" O.C. MAX r I O
1 W Z
/ CONTINUOUS REBAR CONCRETE s ON
W
0 ....--,.-___,..4, . 2 - •5 2.G P T � W /
w: 25 DEVELOPMENT GID INSUL TIO ON ELL PLATE NOTE: cc 0
1
q L POE BARRER 1. CRUSHED E e GONC. ■ STEEL DECK ► • FLOOR SL AB TO BE 4' CONCRETE SLAB REINFORCED WITH FIBER MESH CAST ON 'Z
ooce FOUNDATION WALLS ;; DES GNm BY 03000 ' 0 MIL. VAPOR ATOP 2" RIGID INSULATION ATOP MINIMUM 12" LA ER OMPACTED W a
OT NG w/ •s REBAR 1 T G
•5 CONTINUOUS 34 „ D -. \ n3GH COMPACTED I PROCESSED AGGREGATE (95% MP) 45 PER DETAIL (A
Foor N G T o I i . 1 I h ^ . CRUSHED STONE 2. FOUNDATION DESIGN BASED PLANS AS SUPPLIED, HBT CONTRACTOR Q 1.
REBAR N _ o o �� � ' 'AN
w/ e^ DEVELLOPMENT '3 M PAGTED REOU DOTED 10/9/20
♦ r 6 n. o s�EO stoNE
LEVE
PLANS 0 '_'
3. BOTTOM OF FOUNDATION WALL FOOTINGS AND COLUMN FOOTINGS TO BE CAST ON
X F.
\ `�
o " PLANS 12' LAYER OF GOHPAGTED CRUSHED STONE ATOP MIRAFI 150 GEOTEXTILE i Qa
0 0 0 G T FABRIC AS PER DETAILS
ND ua a o
" .r 180 e ,. -3 O NUO. REBAR WALK 4 DOOR PDEVELOPnENT Irvs De r ou LL 5 IF A GONF! IGO g RAGTOR TO REVIEW SIT PLAN BY D.H. BEAN SURV IN G, FOR CONCRETE
li o b AD LOCATIONS. TO BE CONFIRMED w/ OWNER /GENERAL CONTRACTOR Z, Id 0 0 G MEC eAL1Y
oR APPROVED EaJ +. rvo s rrzacroR To CONCRETE CONTRACTOR TO REVIEW ALL DRAWINGS ASSOCIATED WITH THIS PROJECT,
COMPACTED
SHED STONE NOTED, THE DESIGN FIRM 4 OWNER /GENERAL CONTRACTOR 15 TO BE
aD FABRIC nECUaN Caur ooF' BASE w/ NOTIFIED, IN WRITING, BEFORE WORK BEGINS.
oVED EOUIV. COMPACTED N -v BRAT053 ROLLER 6. ALL FOOTINGS TO BE 3000 PSI CONCRETE ON UNDISTURBED 501E
SHED STONE 11
. 3 o aPPR cau T. CONCRETE TO HAVE A MAXIMUM SLUMP OF 4" FOR WALLS 4 SLAB
AGTDR TO ) REBAR FOOTING TO HAVE A MINIMUM 24" EMBEDIMENT
1.1----1 B. ALL 19" FOUNDATION WALLS TO BE 10" THI
/ PAGE
o x 4 0 N v F' BASE y/ INTO ADJOINING FOOTINGS / 3000 PSI CONCRETE UNLESS OTHERWISE SPECIFIED
XX / / o o ' DETAIL A 9. 0 EEO" FROST R 10" TNIGK
° BRaioRr R LEER
PSI CONCRETE ETE UNLESS ESS 5S OTHERWISE SPECIFIED
RENT FLOOR TO BE 4" POUR 3500 P51 CONCRETE o/ FBIBERMESH
V - L.B. INTERIOR WALLS - - = e -I -- REINFORCING ON POLY VAPOR BARRIER.
-.. GARAGE FROST WALL D 1 . GARAGE FLOOR TO BE 4" POUR 3500 551 CONCRETE w/ FIBERMESH
/ ' LE_. F 12, ALL BEAMS BUILT CONTINUOUS OVER COLUMNS
13. CONTRACTOR TO 115E SMOOTH EDGE BUCKET FOR FINAL EXCAVATION. OF
14. CONTRACTOR TO PROOF ROLLER EXCAVATION SUBGRADE w/ NO VIBRATORY ACTION,
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These plans are copyrighted and are subject Id Z
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known as Architectural Works Copyright
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Protection Act of 1990. The protection Includes PAGE
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elements of the desgn. Under such protection,
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unauthorized use of these plans, work, or forms
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OF 3
gi 2009 IECC Energy
Effic Certificate
Insulation Rating R- Value
Ceiling / Roof 38.00
Wall 19.00
Floor / Foundation 11.00
Ductwork (unconditioned spaces):
Glass & Door Rating U Factor SHGC
Window 0.28 0.28
Door 0.28 0.28
Heating & Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
I �
Name: Date:
Comments:
Li Heated swimming pools have an on /off heater switch.
❑ Pool heaters operating on natural gas or LPG have an electronic pilot light.
Li Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar- and /or waste- heat - recovery systems.
D Heated swimming pools have a cover on or at the water surface. For pools heated over 90 degrees F (32 degrees C) the cover has a
minimum insulation value of R -12.
Exceptions:
Covers are not required when 60% of the heating energy is from site - recovered energy or solar energy source.
Lighting Requirements:
u A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a) Compact fluorescent
(b) T -8 or smaller diameter linear fluorescent
(c) 40 lumens per watt for lamp wattage <= 15
(d) 50 lumens per watt for lamp wattage > 15 and <= 40
(e) 60 lumens per watt for lamp wattage > 40
Other Requirements:
U Snow- and ice - melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a) the pavement temperature is above 50 degrees F, b) no precipitation is falling, and c) the outdoor temperature is
above 40 degrees F (a manual shutoff control is also permitted to satisfy requirement 'c').
Certificate:
D A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R- values; window
U- factors; type and efficiency of space- conditioning and water heating equipment. The certificate does not cover or obstruct the visibility
of the circuit directory label, service disconnect label or other required labels.
NOTES TO FIELD: (Building Department Use Only)
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 7 of 7
(e) Plumbing and wiring: Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or
sprayed /blown insulation extends behind piping and wiring.
(f) Corners, headers, narrow framing cavities, and rim joists are insulated.
(9) Shower/tub on exterior wall: Insulation exists between showers /tubs and exterior wall.
Sunrooms:
D Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U- factor of 0.50 and the maximum
skylight U- factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Vapor Retarder:
• Vapor retarder is installed on the warm -in- winter side of all non - vented framed ceilings, walls, and floors; or it has been determined that
moisture or its freezing will not damage the materials; or other approved means to avoid condensation are provided.
Comments:
Materials Identification and Installation:
Li Materials and equipment are installed in accordance with the manufacturer's installation instructions.
Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R- value.
u Materials and equipment are identified so that compliance can be determined.
D Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
D Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications.
Duct Insulation:
• Supply ducts in attics are insulated to a minimum of R -8. All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R -6.
Duct Construction and Testing:
u Building framing cavities are not used as supply ducts.
Li All joints and seams of air ducts, air handlers, filter boxes, and building cavities used as return ducts are substantially airtight by means
of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Tapes, mastics, and fasteners are rated UL 181A or
UL 1818 and are labeled according to the duct construction. Metal duct connections with equipment and /or fittings are mechanically
fastened. Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet -metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists, mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking -type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa).
• Duct tightness test has been performed and meets one of the following test criteria:
( Postconstruction leakage to outdoors test: Less than or equal to 254.9 cfm (8 cfm per 100 ft2 of conditioned floor area).
(2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 382.3 cfm (12 cfm per 100 ft2 of
conditioned floor area) pressure differential of 0.1 inches w.g.
(3) Rough -in total leakage test with air handler installed: Less than or equal to 191.2 cfm (6 cfm per 100 ft2 of conditioned floor area)
when tested at a pressure differential of 0.1 inches w.g.
(4) Rough -in total leakage test without air handler installed: Less than or equal to 127.4 cfm (4 cfm per 100 ft2 of conditioned floor area).
Heating and Cooling Equipment Sizing:
Li Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
Li For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and /or Service Water Heating (Sections 503 and 504).
Circulating Service Hot Water Systems:
ci Circulating service hot water pipes are insulated to R -2.
• Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
• HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 3.
Swimming Pools:
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 6 of 7
LI Window 14: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 15: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
LI Window 16: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 17: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 18: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1: Glass, U- factor: 0.280
Comments:
❑ Door 2: Glass, U- factor: 0.280
Comments:
LI Door 3: Solid, U- factor: 0.280
Comments:
Floors:
❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R -30.0 cavity insulation
Comments:
Floor insulation is installed in permanent contact with the underside of the subfloor decking.
Air Leakage:
❑ Joints (including rim joist junctions), attic access openings, penetrations, and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk, gasketed, weatherstripped or otherwise sealed with an air barrier material, suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units, on exterior walls behind tubs /showers, and in openings between
window /door jambs and framing.
❑ Recessed lights in the building thermal envelope are 1) type IC rated and ASTM E283 labeled and 2) sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
❑ Access doors separating conditioned from unconditioned space are weather - stripped and insulated (without insulation compression or
damage) to at least the level of insulation on the surrounding surfaces. Where loose fill insulation exists, a baffle or retainer is installed
to maintain insulation application.
❑ Wood - burning fireplaces have gasketed doors and outdoor combustion air.
Air Sealing and Insulation:
❑ Building envelope air tightness and insulation installation complies by either 1) a post rough -in blower door test result of less than 7
ACH at 33.5 psf OR 2) the following items have been satisfied:
(a) Air barriers and thermal barrier: Installed on outside of air - permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b) Ceiling /attic: Air barrier in any dropped ceiling /soffit is substantially aligned with insulation and any gaps are sealed.
(c) Above -grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
(d) Floors: Air barrier is installed at any exposed edge of insulation.
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 5 of 7
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 2: Wood Frame :Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 3: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 3 copy 1: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 5: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 5 copy 1: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 7: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 8: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 9: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 10: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 10 copy 1: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 12: Wood Frame :Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
❑ Window 13: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 4 of 7
Cik REScheck Software Version 4.3.1
I nspec tio n Check
Ceilings:
❑ Ceiling 1: Flat Ceiling or Scissor Truss, R -38.0 cavity insulation
Comments:
Above -Grade Walls:
❑ Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 2: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 3: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 4: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 5: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 6: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 7: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 8: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 9: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 10: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 11: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 12: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
❑ Wall 13: Wood Frame, 16" o.c., R -0 (uninsulated)
Comments:
Basement Walls:
❑ Basement Wall 1: Wood Frame, 8.0' ht / 0.0' bg / 8.0' insul, R -19.0 cavity insulation
Comments:
❑ Basement Wall 2: Wood Frame, 8.0' ht / 7.0' bg / 8.0' insul, R -11.0 cavity insulation
Comments:
❑ Basement Wall 3: Wood Frame, 8.0' ht / 0.0' bg / 8.0' insul, R -19.0 cavity insulation
Comments:
Windows:
❑ Window 1: Wood Frame:Double Pane with Low -E, U- factor: 0.280
For windows without labeled U- factors, describe features:
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 3 of 7
Window 18: Wood Frame :Double Pane with Low -E 15 0.280 4
Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 576 30.0 0.0 19
Ceiling 1: Flat Ceiling or Scissor Truss 1140 38.0 0.0 34
Basement Wall 1: Wood Frame 120 19.0 0.0 8
Wall height: 8.0'
Depth below grade: 0.0'
Insulation depth: 8.0'
Basement Wall 2: Wood Frame 888 11.0 0.0 53
Wall height: 8.0'
Depth below grade: 7.0'
Insulation depth: 8.0'
Basement Wall 3: Wood Frame 232 19.0 0.0 13
Wall height: 8.0'
Depth below grade: 0.0'
Insulation depth: 8.0'
Door 3: Solid 18 0.280 5
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 2009 IECC requirements in
REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
' Tt;'ti 144 4 ti— —//
Name - Title S • re 00 010 111°-
Date
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 2 of 7
CI REScheck Software Version 4.3.1
Comp Cert
Project Title: vera house
Energy Code: 2009 IECC
Location: Northampton, Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 17%
Heating Degree Days: 6404
Climate Zone: 5
Construction Site: Owner /Agent: Designer /Contractor:
67 fort st rama development
northampton, MA
Compliance: Passes usin . UA trade
Compliance: 0.6% Better Than Code Maximum UA: 463 Your UA: 460
The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Gross Cavity Cont. Glazing UA
Assembly Area or R -Value R -Value or Door
Perimeter U- Factor
Wall 1: Wood Frame, 16" o.c. 308 19.0 0.0 16
Window 1: Wood Frame:Double Pane with Low -E 46 0.280 13
Wall 2: Wood Frame, 16" o.c. 92 19.0 0.0 3
Door 1: Glass 39 0.280 11
Wall 3: Wood Frame, 16" o.c. 136 19.0 0.0 7
Window 2: Wood Frame:Double Pane with Low -E 15 0.280 4
Wall 4: Wood Frame, 16" o.c. 192 19.0 0.0 8
Window 3: Wood Frame:Double Pane with Low -E 30 0.280 8
Window 3 copy 1: Wood Frame:Double Pane with Low -E 30 0.280 8
Wall 5: Wood Frame, 16" o.c. 320 19.0 0.0 13
Window 5: Wood Frame:Double Pane with Low -E 30 0.280 8
Window 5 copy 1: Wood Frame:Double Pane with Low -E 30 0.280 8
Window 7: Wood Frame:Double Pane with Low -E 46 0.280 13
Wall 6: Wood Frame, 16" o.c. 208 19.0 0.0 10
Door 2: Glass 41 0.280 11
Wall 7: Wood Frame, 16" o.c. 208 19.0 0.0 10
Window 8: Wood Frame:Double Pane with Low -E 30 0.280 8
Window 9: Wood Frame:Double Pane with Low -E 9 0.280 3
Wall 8: Wood Frame, 16" o.c. 192 19.0 0.0 10
Window 10: Wood Frame:Double Pane with Low -E 15 0.280 4
Window 10 copy 1: Wood Frame:Double Pane with Low -E 15 0.280 4
Wall 9: Wood Frame, 16" o.c. 184 19.0 0.0 9
Window 12: Wood Frame:Double Pane with Low -E 20 0.280 6
Window 13: Wood Frame:Double Pane with Low -E 7 0.280 2
Wall 10: Wood Frame, 16" o.c. 304 19.0 0.0 16
Window 14: Wood Frame:Double Pane with Low -E 30 0.280 8
Wall 11: Wood Frame, 16" o.c. 384 19.0 0.0 22
Window 15: Wood Frame:Double Pane with Low -E 20 0.280 6
Wall 12: Wood Frame, 16" o.c. 396 19.0 0.0 21
Window 16: Wood Frame:Double Pane with Low -E 9 0.280 3
Window 17: Wood Frame:Double Pane with Low -E 45 0.280 13
Wall 13: Wood Frame, 16" o.c. 176 0.0 0.0 38
Project Title: vera house Report date: 11/12/10
Data filename: Untitled.rck Page 1 of 7
09/02/2010 09:53 FAY 1 413 883 58 LUDLOW TOWN HALL �,. V J C)s-A 21002
U9/82/2010 07: 52 7815298112 TOWN OF WESTON
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(SUBJECT TO ATTACHED CONDITIONS 1 & 2)
Permit No. D02 -11
Conditions: Driveway Permit
In lieu of plan approved by the City Engineer I agree to the following added conditions:
1: I will contact the Department of Public Works and have an inspector check and approve
the graded gravel base prior to paving to insure compliance with slope and location;
2. I further agree that if in the inspections, any of the permit conditions are not met that I
will at no expense to the City remove and replace the driveway as directed by the City
Engineer.
By: Y.lso, Petitioner Signature
Signature
Name: Louise Vera
Address: 59 Fort Street
Northampton, MA 01060
Note: The Public Works Department recommends that you provide a plan showing the
proposed driveway with grades and location in the future to avoid possible expense
which you will incur by not getting approval of actual plans in advance.
For Commercial and Industrial applicants, a plan showing the proposed driveway with
grades, location and Planning Board permits are required.
Cc: Building Inspector
u r
Fri
Permit No D02 -11
CITY OF NORTHAMPTON, MA
SEP 1 4 2010 = DRIVEWAY PERMIT
Date: 9/8/10
Check #: 9003
FEE: $250.00
THE BOARD OF PUBLIC WORKS
Driveway must be staked and house & lot number posted
The undersigned respectfully petitions your honorable body for: A new driveway /curb cut
permit.
Permission to install a driveway at: 67 Fort Street, Northampton
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All
Drainage shall be directed off the driveway surface to adjacent land and not on the existing
Roadway. Driveway surface to be paved as soon as possible if the grade of the proposed
Driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City
of Northampton in the event of a washout of this driveway. Code of Ordinances §350 -8 8
providing standards for private, individual driveways as amended by the City Council
on October 15, 2009, must be followed.
By: Louise Vera
Telephone: 508- 254 -9211
S nature:
• Week__
Proposed Location Inspection By: ti■tentzi !/47 (f r 6 // 6 71/6
/0
Gravel Base Grade Inspected By:
Final Approval:
THE BOARD OF PUBLIC WORKS voted that petition be granted.
Edward S. Huntley, P.E.
Director of Public Works
Cc: Building Inspector
L
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587 -1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 67 Fort Street, Northampton
Inquiry Made By: Louise Vera
Date of Inquiry: 9/8/10
Number of Type of Single Family Type of Private
Units: 1 Unit(s): Accessory Apart. Ownership: Condo
Multi- family Rental
(Annlicant to fill out the above)
Municipal Water Main in
Existing service to
Front of Location? Yes: X No: site? Yes: No X
Size of Water Main: 8" Material: Ductile Iron Age: 1978
Approximate Static Street
Pressure: 110 -120 Flow Test Conducted: Yes: No: X
If done attach results
Size of Service Connection 1"
Suggested Meter Size: 5/8"
Comments: The Water Department cannot guarantee adequate water pressure during peak demand
times at elevations above 320 feet.
• A corresponding water entrance fee shall be paid prior to making any connection to the municipal water
system.
• __ -A ments of suc' ' sta ation shall be made with the Northampton Water Depat tment with a minimum
of 5 w rking • . notifi .tion.
• All ork ' . onfp to • • hampton Water Department specifications.
David W. Sparks, Superintendent of Water Water Entry $200.00 Meter $100.00 Radio $100.00
cc: Ned Huntley, Director
cc: Louis Hasbrouck Building Inspector Note: If this availability is for a new construction, it
must be hand delivered to the Building Inspector.
l:Yti i .' 1,i0)i(1 )),,111) I,
MUNICIPAL SEWER/ AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
587 -1570 _ g 2010
A Department of Public Works Trench Permit and Sewer Entry Permit shall be required
prior to any construction or connection activity associated with this application.
Location: 67 Fort Street, Northampton
Inquiry Made By: Louise Vera 508 - 254 -9211
Date of Inquiry: 9/8/10
Reason for New construction, Hook into City Utilities
Request:
Municipal Sewer Main in Front of Location: Yes No
Municipal Storm Drain Available: 5 deep Yes X No
Size of Sewer Main: , ' Material: rGeA y Age: f g /
/
Depth of Sewer Main:
Size of Service Connection: 1 1 eVOinto N
Type of Service Connection:
Tie -in to Sanitary Main Tie -in to Sanitary Stub
Comments: f j � /_5 A 1 'Rr jiv K �l l✓C J � �l > CS WRu 77S
PRo tier -Z(
Note: If this availibility is for new construction, this form must be hand delivered to Building
Inspector.
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer
system. Arrangements of such installation shall be made with the Northampton Streets Department with a
minimum of 5 working days notification. All work shall conform to Northampton Streets Department
specifications.
John Hall
Sewer Department
cc: Ned Huntley, Director DPW
Anthony Patillo, Building Inspector
I tiAMF CITY OF NORTHAMPTON, MASSACHUSETTS
o a. -- T
` ' " ; DEPARTMENT OF PUBLIC WORKS
-ti - 125 Locust Street
:_i: Northampton, MA 01060
413 - 587 -1570
Fax 413 - 587 -1576
Edward S. Huntley, P.E.
Director
SEP -9 2010
ASSIGNMENT OF HOUSE NUMBER(S)
Street: Fort Street
Assessors Map: Sheet 38B Lot 317
House Number: 67 Fort Street
Date: September 8, 2010
Remarks: Reference is made to plan titled "Division of Property Northampton,
Massachusetts" by D.L. Bean, Inc. Surveyors & Engineers dated 7 -20 -2010.
House #67 Fort Street is assigned to Lot 1 (containing 13, 415.6 SQ. FT.) on
said plan. This plan was recorded in Plan Book 223 Page 114. The assignment
of a house number for this lot was requested by the applicant for permitting
purposes.
I, ,/
J. es Laurila, P.
ity Engineer
cc: Central Dispatch Board of Health
Water Division Tax Collector
Sewer Division National Grid
Streets Division Verizon Telephone
Inspectors Comcast
Assessors Bay State Gas
Police Department Post Office (Northampton)
James Thompson (GIS Coordinator) Post Office (Easthampton)
Registrar of Voters
Applicant: Louise F. Vera
59 Fort Street
Northampton, MA 01060
K:\House Numbers\
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DEPARTMENT OF BUILDING INSPECTIONS g _
212 Main Street i Municipal Building
INSPECTOR IL. e s . • </
'
Northampton, MA 01060
LOCATION 4 7 t ST A / f"--
SQUARE FOOTAGE AMOUNT
BASEMENT @ : 20 / c) 6 a O al . ‘
700
1 FLOOR @.50 / 4 / a 10 101444* 1 o44*
2 ,5 o-
FLR@ • 103 l , 3 30 9 3
FLOORS, FINISH A 1F11C, GARAGE @ .20
DECK/PORCHES @ :20 ; a 6 • % '5.,,,28'
TOTAL. /3 V31 9�
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. 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 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
iermits 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, JO Gl /S-e Cl� 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
6 7 S i
/(4)/V Mig 0fo1D
_ 7
4 4 -
. ..
The Commonwealth of Massachusetts
..=*=...-..-- Department of In Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
-... -z;..• ... -
-v...„.,,t-z.- • ,
www.mass.gov/dia . .
....
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name pusineseorganizationandivirin.D:
Address: ,. .
City/State/Zip: - Phone.#:
Are you an employer? Check the appropriate box: Type of project (required): /
1. 0 I am a employer with 4. 0 I am a general contractor and I
6. 0 New construction
have hired the sub-contractors
employees (full and/or part-time).*
listed on the attached sheet 7. ID Remodeling
2. 0 I am a sole proprietor or partner-.
These sub-contractors have
• shin and have no employees These 0 Demolition
en:ffiloyees and have workers'
worlzing for me in any capacity 9 El Buildiii,g adition
_ conip._insurance.f .
[No workers' comp. insurance
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3 El I am a homeowner doing all work officers have4xercise4 their . 11.0 u [l Plumbing repairs or additions
.
myself [No workers' COMp. rieit of exemption per MGL
12.0 Roof repairs .
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers'
comP- insurance required-J. .. •
*Any applicant -that checks box #1 must also fill out the section below showitag their workers' compensation policy information_ •
t Homeowners who submit this affidivit inckating 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 sleet showing the name of the sub-contractors and state whether-or not those entities have
employees. lithe sub-contractors have employees, they must provide their workers comp policy number. .
./am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information. .
Insurance Company Name: .
. .
Policy # or Seh`-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 'ofNIGL c 152 can lead to the imposition of "air:Di:nil penalties of a
fine up to $130000 and/or one-year impr]sonment, 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
afeitigations &the DIA for insurance coverage - N - rerifiel - iion. - - — — — '. - — .. — 7 -- .7. - _- _— . -
I do hereby certify under the pains and penalties ofperjury that the information provided:tibovz_iitrne_inutiorre.ct.___
Signature: ' Date; •
. _ .
Phone #: .
Official use only. Do not write in this. area, to be completed by city iir townffi.ciaL
City or Town: ' Permit/License #
Issuing Authority (circle one):
I. 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 :
License Number
Address Expiration Date
Signature Telephone
8: ° e :letemttititue m E Not Applicable ❑
Company Name Registration Number
Address Expiration Date
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 ❑ No ❑
11 .:: }Iome O eriL I m on
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 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 al Zoning Laws and State of Massachusetts General Laws Annotated.
•
Homeowner Signature ��� QZ/.�G
g
1
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House Jam! Addition ❑ Replacement Windows Alteration(s) El Roofing 0
Or Doors ❑
Accessory Bldg. ❑ Demolition El New Signs [O] Decks [[] Siding [0] Other [0]
Brief Description of Proposed
Work: 1 V&) Wl a Cot- 'ale w�.atl.
rr
Alteration of existing bedroom Yes No Adding new bedroom _ Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6a, If New' rifts al atiiaadif i ..,t& kttiit haiasl :::c anir let _th ar6Viai:
a. Use of building : One Family X Two Family Other
b. Number of rooms in each familyIA5 unit: Number of Bathrooms 9
c. Is there a garage attached? p p ( -
d. Proposed Square footage of new construction. a UO il Dimensions J'f f. pkbi c
e. Number of stories? 3
f. Method of heating? AJ Cr sfL Q A Ct S Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. KI S V / 41. 3. 1 Masscheck Energy Compliance form attached? y e S
h. Type of construction Ili 7
i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X No
I Ili
j. Depth of basement or cellar floor below finished grade L - ( •
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
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I,,Q� �� ^ , as Owner /Authorized
Age ereby 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 alties of perjury.
i o cos e Ve,
Print Name
T N-Ar- 9 - G (PLO /b
Signature of Owner /Agent Date
d
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
Frontage t !l a . P 3 H i/ — 54�..
Setbacks Front taLl r µ
Side L: 7�' .` L: j R:? 1
LL_..S h
l
Rear E
Building Height l rr y f i
Bldg. Square Footage 11221' C / (?77 % i
Open Space Footage %
(Lot area minus bldg &paved gR22 ! ....._„i• j . ? l i -,._
parking)
# of Parking Spaces `___:
Fill: i
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW 0 YES 0
IF YES, date issued:1 1
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0 I
IF YES: enter Book 1 P age ' and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO C. DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained 0 , Date Issued �_
C. Do any signs exist on the property? YES 0 NO • 0
IF YES, describe size, type and location: € I
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO 1
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, ex - vation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO C.
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton ®� = i ' ",Z,1 r
Building Department . = R -
212 Main Street ., l
Room 100 "
�� Q te ,
�'� Northampton, MA 01060
c . phone 413-587-1240 Fax 413- 587 -1272 ° � ' z
.tl "
r
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office
1.1 Property Add J I : Address: �—�~
/ 7 Fa r"-r. Map (30 L ot ` ` / } 7 Unit'.
Zone Overlay District
iiicte N, -ror n 010100 j%
Elm Si " District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Lo i n s V1 5 7 Fart' sT A(®r7X 4is �,%"-
Name (Z i n: t) • Cur rer�t�Mailjngkd l es�:
(/
' 0144 Q..e rerp._ Telephone
Signature
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building o) q 8 SO O (a) Building Permit Fee
2. Electrical l 7 (b) Estimated Total Cost of
/e,i 000 Construction from (6)
3. Plumbing , 5 , OO Building Permit Fee
4. Mechanical (HVAC) / 7 0 00
5. Fire Protection 4 / f o 0 ... aa
6. T. :I=(1+2+3+4+5) 3. D 0 v Check Number C/..7 , c 1. , 95
1 I This Section For Official Use Only
/ � — C WV� Date
Building Permit Number. Issued:
Signature:
Building Commissioner /Inspector of Bu Date
UATICe Of 111Vallgaft0fIS
600 Washington Street
= Boston, MA 62111
WWW.mass.gov/dia
'Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
• • cant = f+ r n atlo '1.a.ePri t tt 6
Name (8usiness/Organization/individual): /4/v7/ ars-001_4y 091J L - 1 - C.'
Adcir ess:_e_ivi Or.
City/StateiZip: Phone # 1 1 r-s. rig.e55 075
Are you an employer? Check the appropriate box: Type of project (required):
1.0 I ain a employer with 4. 0 I ani a genent1contractor and 1 6, 0 New construction
ernployoes (full and/or part-time).* have hired the sub-contractors
2.0 I am a sole proprietor or partner- listed on the attached shoot t 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. 4 "(w °ricers' comp. insurance. 9. 0 Building addition
INC) workers' comp. insurance 5. We iu corporation and its
10.0 Electrical repairs or additions
required.) officers have exercised their
3.0 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 1 52, § 1(4), and we have no 12.0 Roof repairs
insurance required.] t employees. [No workers' 13.0 Other
comp. insurance required.]
"Any applicant that checks box Ni must also fill out the section below showing their workers' compensation policy infomultion.
t Homeowners who admit this affidavit indicating they are doing all work and them hire outside contractors must submit a new affidavit indicating such
1 Cootsactors that chock this box must attached an additional shod showing the name of the sub-contractors and their workers comp policy information.
lain an employer that Is providing workers' compensation insurance for my employees. Below Is the policy and Job site
lefformation.
Insurance Company Name:
Policy # or Self-ins. Lic. #: Expiration Date:
7P/17 Ae 0/dge
rah Site Address:
/7 er City/State/Zip:,
Lttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
'este to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
no 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
f up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
tivstigations of the DIA for insurance coverage verification.
to it • .T under the pains and penalties ofperfury that the information provided above is true and correct.
.i• 1d 4 :
ano t I 3 c965 0 ?
Official use only. Do not write in this area, to be completed by city or town official
City or 'Fawn: PertnItiLiccasc if
Issuing Authority (circle one):
I, Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
S. Other
mutant Person: Phone #:
File # BP- 2011 -0206
APPLICANT /CONTACT PERSON VERA LOUISE F J
ADDRESS /PHONE 59 FORT ST NORTHAMPTON (413) 584 -5470 Q
PROPERTY LOCATION D g
67 FORT ST l,%N"'
MAP 38B PARCEL 317 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out _
Fee Paid /'� $/3. 45 ypeof Construction: CONSTRUCT SFH W /GARAGE /D K/PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License /Weld P
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
pproved 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
Demo elay
.r / / — / -76
:nature of Buildi g 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.
67 CIORT ST i BP- 2011 -0206
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: BUILDING PERMIT
Permit # BP- 2011 -0206
Project # JS- 2011- 000362
Est. Cost: $352000.00
Fee: $1343.95 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 Homeowner as Contractor
Lot Size(sq. ft.): Owner: VERA LOUISE F
Zoning: URB Applicant: VERA LOU I S E F
AT: 67 FORT ST
Applicant Address: Phone: Insurance:
59 FORT ST (413) 584 -5470 0
NORTHAMPTONMA01060 ISSUED ON:9/23/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH W /GARAGE /DECK/PORCH
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 11/16/2010 0:00:00 $1343.95
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner