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23C-071 (4) t !'., iprj s4- + � .+aco u ---- ,, I Go' \ . ( ' ,,�N� J ill/f eed ae1 k3 9' b 'Q 5 -e-4Q ' b -- a.ab - az) 9 j 0 4 f 0 V -9ows -auto ! me 4 1.1,7©] -0�,, qy ,1. � ] /' 4�J ��J`Y 5 _ACV,/ 10 11 - e -?a)-1 4( 71Y1 L9 7 V _1 ( 1 f N Project Title: Silver Badgett Addition Report date: 07/06/10 Data filename: C: \Current Data \PFRA \PROJECTS \1009SBAA \RESCHECK COMPLIANCE.rck Page 5 of 5 (3) Rough -in total leakage test with air handler installed: Less than or equal to 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 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: ❑ 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: u 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: D HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 3. Swimming Pools: ❑ Heated swimming pools have an on /off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. • 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. Li 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: L] 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: Li 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: LI 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: Silver Badgett Addition Report date: 07/06/10 Data filename: C: \Current Data \PFRA \PROJECTS \1009SBAA \RESCHECK COMPLIANCE.rck Page 4 of 5 • 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. (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: • 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: O 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: • 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. O Materials and equipment are identified so that compliance can be determined. • Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R- values and glazing U- factors are clearly marked on the building plans or specifications. Duct Insulation: O 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: O Building framing cavities are not used as supply ducts. ❑ 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 181 B 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). O Duct tightness test has been performed and meets one of the following test criteria: (1) Postconstruction leakage to outdoors test: Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2) Postconstruction total leakage test (including air handler enclosure): Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. Project Title: Silver Badgett Addition Report date: 07/06/10 Data filename: C: \Current Data \PFRA \PROJECTS \1009SBAA \RESCHECK COMPLIANCE.rck Page 3 of 5 RESMeckSoftware 'Version 2.1 Inspection Checklist Ceilings: ❑ Ceiling 1: Raised or Energy Truss, R -56.0 cavity insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above - Grade Walls: ❑ Wall 1: Wood Frame, 24" o .c., R -27.0 cavity insulation Comments: ❑ Wall 2: Wood Frame, 24" o .c., R -27.0 cavity insulation Comments: ❑ Wall 3: Wood Frame, 24" o .c., R -27.0 cavity insulation Comments: ❑ Wall 4: Wood Frame, 24" o .c., R -27.0 cavity insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low -E, U- factor: 0.320 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? _ Yes No Comments: ❑ Window 2: Wood Frame:Double Pane with Low -E, U- factor: 0.340 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: 0.340 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 4: Wood Frame:Double Pane with Low -E, U- factor: 0.340 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: Li Door 1: Glass, U- factor: 0.260 Comments: Floors: ❑ Floor 1: All -Wood Joist/Truss:Over Unconditioned Space, R -45.0 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. Project Title: Silver Badgett Addition Report date: 07/06/10 Data filename: C: \Current Data \PFRA \PROJECTS \1009SBAA \RESCHECK COMPLIANCE.rck Page 2 of 5 • REScheck Software ' ersion 4.3.1 Compliance Certificate Project Title: Silver Badgett Addition Energy Code: 2009 IECC Location: Northampton, Massachusetts Construction Type: Single Family Project Type: Addition /Alteration Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner /Agent: Designer /Contractor: 67 Willow Street Elizabeth Silver and Lee Badgett Peter Frothingham Florence, MA 01062 67 Willow Street Office of Peter Frothingham RA Florence, MA 01062 181 Main Street ' Suite One Northampton, MA 01062 413 585 5910 pf@pfra.us Compliance:PasseS , ,.. ; Compliance: 18.4% Better Than Code Maximum UA: 103 Your UA: 84 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. Crass Cavit7 Co- : Gia tnc 1 A; se ', ,N .I Area 'c i • to €r: E.%iti:U ; 0, Uor Perimeter U - -cc3rt Ceiling 1: Raised or Energy Truss 540 56.0 0.0 10 Wall 1: Wood Frame, 24" o .c. 128 27.0 0.0 6 Window 1: Wood Frame:Double Pane with Low -E 11 0.320 4 Wall 2: Wood Frame, 24" o .c. 184 27.0 0.0 8 Window 2: Wood Frame:Double Pane with Low -E 21 0.340 7 Wall 3: Wood Frame, 24" o .c. 128 27.0 0.0 6 Window 3: Wood Frame:Double Pane with Low -E 15 0.340 5 Wall 4: Wood Frame, 24" o .c. 196 27.0 0.0 6 Window 4: Wood Frame:Double Pane with Low -E 30 0.340 10 Door 1: Glass 37 0.260 10 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 540 45.0 0.0 12 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 require listed REScheck Inspection Checklist. de'ir ( 6 J l0 Name - Title Sig ature Date • Project Title: Silver Badgett Addition Report date: 07/06/10 Data filename: C: \Current Data \PFRA \PROJECTS \1009SBAA \RESCHECK COMPLIANCE.rck Page 1 of 5 1 -J r � --- TT - I - � 1 I I I I I I � 1 I I I I I I I 1 1 1 1 1 1 1 I I I I I -L I '4, �� ..tilia. [ _ e 11 --------- 5 ----' - -N ) ao T.O. CONC WALL ELEV: 100' -7" WORKPOINT: T.O. CONC SLAB ELEV: 100'- 0" (= 30" BELOW EXISTING BACK DOOR THRESHOLD) 1' -2 1 / 7' -0 5/8" _ 17 -2 3/8" 4'-0" 14 11 " ''.\\ , f i PLUMB 1 /\ -\ N 1, - CUT TYP , �� THIS / \ / A �� END --. I /- SQUARE ./ I "_- CUT _, _ _ r TYP I THIS _ END L 1 1 /2" I 18' -2 1/4" _ v _ 9'-9 3/4" 1 1 /2" T.O. CONC WALL ELEV: 100' -7" • - - WORKPOINT: T.O. CONC SLAB ELEV: 100'- 0" (= 30" BELOW EXISTING BACK DOOR THRESHOLD) - BUILDING SECTION AT BATHROOM . 1 •_ a INt i as r ot) tip ( c if 70/ { " ' i,. t ( trti VI ! C 1!!4'1 .it / 71449 i t£` "7 (� ' . )/n ` ifM r -�o <<4, c - cj .4 / CJ c / C u vr Ru,4.4--a. 4 ! u� f � u! Ltnta "v�tt, Uri >0 i �� — S I `i +cfl 1 U w K U 1 1 N 0, 1 w 2__ 73 1 EGRESS I / Subcontractors used on Badgett /Silver job 67 Willow Street. Patios Plus Harris and Gray, Excavating and Concrete PO Box 714 21 Main Street Hatfield, MA01088 Ashfield, MA 413 - 320 -2308 413- 628 -4771 Kim Rescia Mike Gormely Painting 311 Locust Street 15 Clark Street Northampton, MA 01062 Florence, MA 01062 413 - 320 -1831 413 - 584 -1708 Dan Whiteley Inc. 52 Cottage Street Easthampton, MA 01027 413 -517- 1440 AM /PM Plumbing and Heating 46 Prospect Street Hatfield,MA 01088 413 - 247 -5502 K &B Energy Associates 233 College Highway Southampton, MA 413 - 527 -2007 RCI Roofing 6 Line Street Easthampton, MA 01027 413 - 527 -4775 Silver /Badgett Impervious surface calculations Total lot area- 214.5 x 82.5 = 17696.25 . 15 x 17696.25 = 2654.44 . 85 x 17696.25 = 15041.81 17696.25 Existing house- 1212.12 Driveway- 664.50 New construction- 877.75 Garden shed- 96.00 In ground pool apron 300.00 Concrete walks- 114.00 3264.25 Front roof plane on new - 686.50 construction drained to 2577.75 / 17696.25 = .1456 drywell. Total Impervious surface = 14.6% of total lot sq. footage. } 5 Payment Schedule In advance- $10,000.00 Foundation complete- 35,000.00 Garage walls and second floor deck complete- 25,000.00 Garage structure framed and sheathed ready for roofing- 25,000.00 Connector framed, sheathed and ready for roofing, rough 25,000.00 plumbing and electrical complete - Garage and connector slabs, roofing, doors and windows 10,000.00 installed, insulation, drywall and drywall priming complete - Siding and interior finish work complete- 10,000.00 Project complete except for finish painting and asphalt 16,615.00 driveway - Project complete with occupancy permit- 10,000.00 Total amount paid $166,615.00 We the undersigned have read and understand this document consisting of 5 pages. Lee : adgett E lizabeth Silver / � Steve, cchino 4 Project costs Permitting- $500.00 Construction debris removal- 800.00 Demolition, excavating and concrete- 30,000.00 Plumbing and gas piping- 8200.00 Electrical- 4000.00 Roofing- 4500.00 Millwork (doors windows) - 8000.00 Insulation- 5000.00 Drywall and spray priming- 4500.00 General building materials- 22,565.00 Labor- 60,000.00 Project cost- $168,965.00 Deduct A dormer on rear facing roof- 2350.00 Total contract cost $166,615.00 2 Garage wall cavities to be insulated (filled) with 5'/" blown cellulose. Second floor walls to be insulated with 7" blown cellulose. Second floor I joist cavity to be insulated with 11 7/8" blown cellulose. Second floor ceilings to be insulated to R 40 with blown cellulose. 6 mil poly vapor barrier provided on all garage level walls and second floor walls and ceiling. Garage to have 5/8" fire rated drywall on all wall and ceiling surfaces with 3 coats of joint compound. All other drywall to be' /" with 3 coats of joint compound sanded smooth. All drywall to be spray primed ready for paint. Cost of spray priming is covered in the drywall cost not the painting allotment. Exterior doors to be'/ lite insulated fiberglass units with storm doors, passage set, and deadbolt. Second floor center swing patio door to future deck will be a" Pella Proline" wood interior, clad exterior full lite patio door with side sliding screen. Interior doors to be 6 panel pine doors. Door between garage and interior living space to be flat panel steel fire rated door unit. Overhead garage doors to be insulated steel panels with electric openers, style to be chosen by the home owners. Door stops provided and installed by the builder. Garage window trim to be paint grade poplar. Second floor trim to be clear pine standard millwork with clear pine window sills and jamb extensions. Interior stairs to have poplar rises and skirt boards along with oak treads. Handrails to code. Rail along top of the stair opening on the second floor to be a simple ballasted design to code. Finished floors to be determined by the home owner with an allotted amount provided for estimating purposes. Plumbing to include labor and material to install a shower base, water closet, lavatory and electric hot water heater. Also included will be any rough plumbing needed for a future kitchenette installation. A gas supply will be provided for a gas log wood stove to be used as the primary heating source. A $1600.00 fixture allowance is provided to fund the purchase of a shower base, shower valve, water closet and lavatory. Gas log stove and its installation is not included in this part of the job cost. Outside faucets are not included. Tiled shower surround with standard 4" square white porcelain tiles and curtain rod is included. Shower curtain is not included. Towel bars, paper holder, hooks, mirrors and medicine cabinet to be provided by the home owners and installed by the builder. Relocate existing gas meter to the opposite side of the existing street riser. 1 6/23/10 Steven Zucchino 70 Gleason Road Northampton, MA 01060 413 - 584 -3878 Lic. # 21356 HIC# 100199 Project cost for — Elizabeth Silver and Lee Badgett 67 Willow Street Florence, MA 01062 -2639 Scope of work - Demolish and remove existing garage and rebuild new two story building in approximately the same location. Building to be built as per plans provided by the owners with the following specifications. Obtaining all the necessary permitting and inspections is to be the responsibility of the builder. Trim and remove one large limb from the maple tree at the left rear corner of the existing garage. Transplant the two bushes in front of the gas meter to a yet to be determined location. Move and stockpile garden rocks that interfere with the project at the right rear corner of the existing garage. Returning the rocks to their original placement is not included. Foundation to be 8" thick concrete frost walls with vertical 24 "x 2" rigid perimeter foam on suitably sized concrete footings extending at least 48" below grade. Wall framing to be 2x6 KD studs 16" o.c. first floor, 2x6 KD 24" o.c. with horizontal furring 16" o.c. to the interior side. All walls sheathed with %" CDX plywood. Garage floor to be 4" thick concrete slab, second floor to be framed with 11 7/8" I joists and LVL beams sheathed with %" T +G Advantec nailed and glued to the I joists. Roof framing to be engineered trusses sheathed with 5/8" CDX plywood. Roofing material to be 25 year asphalt shingles over snow and ice shield. 8" galvanized drip edge. Full soffit and ridge ventilation provided. Siding to be 5 %" primed fiber cement clap boards with a 4" exposure over %" foam fan board. All exterior trim is to be PVC boards sized to match existing house. Windows to be Pella Impervia fiberglass windows with insulated low -E glass. 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 permits 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, 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 • The Commonwealth of Massachusetts Department of Industrial Accidents -- = Office bf Investigations 600 Washington Street ._..._ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Le2 • Name ( Business /Organization/Individual): 91"-:e yr _ Zuc,1 ,'YI o Address: ' OI t ASoln I Cr IVtJ� t �'I A h, v1 1'1 A C ity /State /Zip: Phone #: 1 11)- S �G /' 3� 7> Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ► I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. ❑New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have g_ ❑ Demolition working for me in aci employees and have workers' g any capacity. n' 9. Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating 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 sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I 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 Self -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 of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 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 Investigations of the DIA for insurance coverage verification. I do hereby cer•t ,, der the pains a d penalties of perjury that the information provided above is true and correct. S ignature: L i Date: (/3 /o) O Phone #: I 5s11- 3s 7g Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit /License # Issuing Authority (circle one): 1. 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 0 Name of License Holder : Jl e.lte'l., Ztxx. l�i.l Ito 2-135 /1 Licen Number 70 (/ /..s I �(a /iJaoii Address Expiratio at i ir 4113 50- 3b-78' Sign. ure Telephone 9. Registered Improvement Contractor �._ �... Not Applicable ❑ 1IC't�, 2J , ►; „ "10 / I (15 Company Name Registration Number - 7 0 afir no„-e Address / Ex it tion ate /10 i' 1 16. 115 rl Telephone �f 3`" aEt f ` 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. — Home © wrier Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition X Replacement Windows Alteration(s) n Roofing n Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [Dl Decks [0 Siding [Dl Other [O] Brief De cripti n of Proposed j� p / n I L Work: D4.`'et p1 c... ` 3:0 w' O tlec`�v :.� Sfrc et,61c - tisikNC.f�o( 4 0 k,J-..,,. 4',AK µ-s ` N t, larco.,..w.v Alteration of existing bedroom Yes X No Adding new bedroom \ Yes No Attached Narrative Renovating unfinished basement Yes X No 1, )( Plans Attached Roll - Sheet fa. If New house and or addition to .existing housing, complete the following: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: g Number of Bathrooms 3 c. Is there a garage attached? ✓ S d. Proposed Square footage of new construction. D / 7 . / S Dimensions A ) (ad 7/5 X' e. Number of stones? p f. Method of heating? (F r 5 I $'four- 4 {.�< / 13✓ .w�. Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction U/JxQ TL wt 42 i. Is construction within 100 ft. of wetlands? Yes 1K �1 No. Is construction within 100 yr. floodplain Yes 4 No j. Depth of basement or cellar floor below finished grade 1� /'/-t k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer X Private well City water Supply A.--- SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, (%'t 2 c„ b P A i 1 v 0 21 '‘ M , U.- if gexof M4 , as OwnePof the subject property �� hereby authorize Att.da'L vCt � 4 it J to a t on my half, in all matters relative to work authorized by this building permit application. • my - 61 zit b Sig ature of Owner Date I e 2VCL i i i t.Q , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. e e, 2,(xx t i Iva Print Na i 6, . ,-, ;...0, 4 Signa re of Owne •nt ate r 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 11 L5 x' -._ .... ._.ry , i ._ .tX..._.. .. -._. e Frontage Setbacks Front 1515 ' * Side L: . ..... 3 R:..Iy_._ Rear '191 13' Building Height 616" Bldg. Square Footage aril J. _ % 2.15_ , , .._...�7 ._ A l _..m _..` Open Space Footage � � (Lot area minus bldg & paved 3 il_.. 3 i 9• .__,_. parking) - # of Parking Spaces _. Fill: 0 (volume & Location) 0 A. Has a Special Permit /Variance /Finding ever been issued for/on the site? NO 44 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 17,4 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained (3 , Date Issued: C. Do any signs exist on the property? YES 0 NO P IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO A IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, gradin• excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO A IF YES, then a Northampton Storm Water Management Permit from the DPW is required. _ , Depart test gse ?[ City of Northampton Sta4of Pe 7 Building Department C C ZDnW Wa y P Fmnit � 3 212 Main Street ' e. verfSeptf &Av ' . k Room 100 Water ttUell Avaira Northampton, MA 01060 wo Sets fStruct a fPlans phone 413- 587 -1240 Fax 413- 587 -1272 Fl i t 1 ns th i APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING JUN 302010 ..Y SECTION 1 - SITE INFORMATION . - section to be completed by office 1.1 Property � Addre i ss: r !� / ] tM t! Ii7� .fi Map _ —i L ot Unit IA Zone Overlay District f r�J L' l � (j / " A �j Q Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: AA , ... !r Lct efiL JT S I ✓p( ri,v, 3Gtii,Rti tog W.t(cAAJ S+ PlvvevA 6All 0106 L Na e _ rii //�� / ��t Current Mailing Address: �JV'� v ` ✓ / / i Telephone) 2 j aS� Z1 4 Sign ture 2.2 Authorized Agent: f /� C-442.vevt G. vCc- 111/ q'° 14"71 / .4Sah Roc), of hn. ! A _14 o1 u Name (P y Current Mailing Address: Sign. ure 9 Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical /Q�� 1%,•- OD (b) Estimated Total'' Cost of – 7 �. Construction from (6) 3. Plumbing a»� Building Permit Fee ti 4. Mechanical (HVAC) 5. Fire Protection "'— J� / 6. Total = (1 + 2 + 3 + 4 + 5) ! iS 4 / ; - Check Number i/ 7� ,�4P A 3° This Section For Official Use Only 111 /// Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -1210 � It 6 APPLICANT /CONTACT PERSON STEVEN ZUCCHINO �E°)� 7 N 1 l ADDRESS/PHONE 70 Gleason Road NORTHAMPTON (413) 584 -3878 ' ?> r , _ ),-, PROPERTY LOCATION 67 WILLOW ST MAP 23C PARCEL 071 001 ZONE URA(100) / /WSP /y' 1 J J S IX, 01 /Z ( / L.. THIS SECTION FOR OFFICIAL USE ONLY � S ,� �� PERMIT APPLICATION CHECKLIST ENCLOSED RI ZONING FORM FILLED OUT ' `` }, Fee Paid Building Permit Filled out s J `� `� Fee Paid fo rtrt Typeof Construction: CONSTRUCT 2 STORY ATT GARAGE W/BREEZEWA (3 'MI ) SPACE) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 021356 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: V 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 Delay c� / Signature of Building Of :icial 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. OW ST BP- 2010 -1210 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: GARAGE BUILDING PERMIT Permit # BP- 2010 -1210 Project # JS- 2010- 001750 Est. Cost: $165615.00 Fee: $568.30 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEVEN ZUCCHINO 021356 Lot Size(sq. ft.): 17685.36 Owner: SILVER ELIZABETH A Zoning: URA(100) //WSP Applicant: STEVEN ZUCCHINO AT: 67 WILLOW ST Applicant Address: Phone: Insurance: 70 Gleason Road (413) 584 - 3878 NO RT HAM PTON MA01060 ISSUED ON: 7/12/2010 0:00:00 TO PERFORM THE FOLLOWING WORK :CONSTRUCT 2 STORY ATT GARAGE W /BREEZEWAY (2ND FLR BEDRM /OFFICE SPACE) 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 7/12/2010 0:00:00 $568.30 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo