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10D-023 (2) V / :1 ' C � exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 27. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 28. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note: ThruLoks are engineered for post attachment supporting a railing. 29. Smoke and CO detectors as required. 780 CMR R314 and R315. 30. Closets beneath stair which have doors must be drywalled with % ". 780 CMR R302.7 Relevant items must be submitted to the building department for approvals before inspections and or CO can be signed. Other items are intended to avoid costly issues at inspections. Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday through Friday, 8:30 am to 4:30 prn, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiiler(c�northamptonma.aov Thank yo for your cooperation on these matters. • Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 13. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 14. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20 "x41" exception 5 sqft at 1 floor. Minimum clear opening 20 "x24" or 24 "x20 ". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36 ", maximum step 7 %" from the top of the threshold and only in- swinging doors. 780 CMR R311.3 15. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ", maximum riser 8 '4", maximum overall variance for the run is 3/8 ", 4" sphere rule on risers except where the total rise is 30" or Tess 780 CMR R311.7.4.3 Exception, 4 3/8" on balustrade, 6" in the triangle. Graspable rail 1 minimum and 2" maximum rail, height minimum 34" maximum 38 ", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780 CMR R311.7. 16. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36 ", 4" sphere rule. 780 CMR R312.1. 17. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40% of a stud no closer than 5/8 to the edge, In interior non - bearing studs holes not larger than 60% of a stud no closer than 5/8 to the edge, in bearing walls if more than 50% of a plate is cut or notched a 1 /2" 16ga. strap must extend a minimum of 6" past the cut both directions and be nailed with 8 -10d per side, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom. Notches are different. 18. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 19. Dryer duct maximum equivalent length is 25' including the transition section or per manufacturer's specs. 780 CMR M1502.4.,4.1, no screwed connections. 20. Concealed dryer ducts are required to have a label within 6' of the dryer connection stating the equivalent length and risk of fire. See CMR 780 M1502.4.5 21. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 22. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces 23. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 24. Ignition barriers in place before final. 780 CMR R316. 25. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. Energy information including mechanical equipment posted on the electric panel. d. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Building Option Package. 26. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier. An air barrier is intended to stop air flow (convection) a vapor retarder or barrier is intended to stop molecular moisture transfer (diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99% of the moisture in a structure. This is evident every time one City of Northampton Massachusetts 4 it OTO DEPARTMENT OF BUILDING INSPECTIONS - 212 Main Street • .Municipal Building ,rr Northampton, MA 01060 Batt INSPECTOR Roger Clark May 9, 2012 PO Box 34 Leeds, MA 01053 Subject Location: 39 Florence Street Map Block: 10D -023 Mr. Clark, The following items are code requirements which need to be addressed: 1. UL 1 hour fire rated system separating the units. 2. Engineering for any none prescriptive structural members. 3. Confirm bedroom 1 window meets emergency exit requirements. © �C f `'�'" 4. R -10 basement insulation shall consist of a continuous type. 5. Confirm that the basement stairway window is tempered. 6. An air barrier must be continuous behind the shower. As of August 4 2011 the 8 Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not a substitute for purchasing and reading the MA codes. 1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group 1 soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8 -16nd common are required at each connection. 780 CMR R802.3.1. 6. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1 / 3rd 780 CMR R802.3.1 7. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 8. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 9. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I -joist and or Floor Truss c. Roof truss 10. A braced wall plan identifying appropriate braced wall areas and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window /door layout may require special solutions. b. All corners must be appropriately attached to the foundation. 11. Ceiling heights minimum 7' for habitable spaces, 6'8" for bathrooms includes tub /shower area if a shower head is used, 6'8" for basements, 6'4" at beams /ducts. 780 CMR R305.1. MA amended 12. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs, spas, bathtubs within 60" it not 60" above the walking surface, and other locations. 780 CMR R308.4 QUICK ANALYSIS REPORT Date: May 03, 2012 Rating No.: 029 -12 Building Name: 39 Florence St Rating Org.: Power House Energy Consulting Owner's Name: ftepi t; jl;c Phone No.: 413 - 835 -5162 Property: 39 Florence St Rater's Name: Matt Turcotte Address: Northampton, MA01053 Rater's No.: 1497133 Builder's Name: Roger P. Clark Ceneral Cont. Weather Site: Northampton, MA Rating Type: Based On Plans File Name: 029 -12 39 Florence St plans.blg Rating Date: 5/3/12 Codes j Programs IECC 2009 Performance: Fails ! EPA ENERGY STAR 2.0 Fails IECC 2006 Performance: Passes EPA ENERGY STAR 2.5 Passes IECC 2004 Performance: Passes ! EPA ENERGY STAR 3.0 Fails IECC 2003 Performance: Passes Tax Credit Fails IECC 2001 Performance: Passes ! HERS Index 66 IECC 2000 Performance: Passes IECC 1998 Performance: Passes ECC of NY Performance: Passes ECC of NV Performance: Fails MEC 1995 Performance: Passes MEC 1993 Performance: Passes MEC 1992 Performance: Passes ASHRAE 90.2 Performance: Passes REM/Rate - Residential Energy Analysis and Rating Software v1226 This information does not constitute any warranty of energy cost or savings. © 1985 -2011 Architectural Energy Corporation, Boulder, Colorado. KATHLEEN M. ELLIOTT 39 Florence Street Leeds, Massachusetts 10153 April 27, 2012 Louis Hasbrouck, Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 Re: Accessory Apartment at 39 Florence Street, Leeds City of Northampton Zoning Ordinance §350 -10.10 Dear Mr. Hasbrouck: Please accept this letter as my agreement, pursuant to §350 -10.10 of the Zoning Ordinance of the City of Northampton, that I will occupy one of the units at 39 Florence Street, Northampton (Leeds), Massachusetts as my permanent primary residence, except for bon fide temporary absences. I further agree that I will impose a permanent restriction on the property that the cellar on the premises shall not be used as habitable space. Prior to the occupancy of the accessory apartment, I will record the zoning permit and this letter in the Hampshire Registry of Deeds imposing the above restrictions as a matter of record title on the premises at 39 Florence Street, Leeds. Very truly yours, Kathleen M. Elliott Commonwealth of Massachusetts Hampshire, ss. On , before me, the undersigned notary public, personally appeared Kathleen M. Elliott, who is known to me throw• I atisfactory personal knowledge of her identity over a period of time sufficient to ens ,; '1 ::thEbp `" e person whose name is signed on this document, and who acknowledged to m- �� r cti, %sluntarily for its stated purpose. 1 * 1 , ,- .r�-c- - ��� '�=J Thomas M. Grown ski 4RY PU9 7> /EA'J i N of l Notary Public ��y: Seal of Notary 2)) S e„ --z 1 4cc l Q. Ji- . f 5 _ A - j �1 :t,2 1 �a hN13 1 _ y ,G \ "4-7-- 4 11 ! Aim ` \ � t \ k � , , A210)-G 2 i\ '‘‘',,\\ k — • 1 Ai ; 1 it md..vd i ... '01116.00, 3.S1/2 0 tyl o to I* —+ - ,5171 • .,, e ms. $ r'� a_� sa sits 0 � , 1 ' ? DEPARTMENT OF BUILDING INSPECTIONS • o _ INSPECTOR 212 Main Street e r Building Northampton, MA 01060 all 5. • • LOCATION - 7 Hare e-L 5 - - ____ _ SQUARE FOOTAGE AMOUNT BASEMENT @ • . 20 P%9 /7 ?J0 1 @ .50 � 1/99 2 @40 - 44/9" Nil . % FLOORS, FINISH ATTIC, GARAGE @ 20 //4 i 11/A • DECK/PORCHES @ :20 •. - .S`f - /a i 0 . TOTAL.. $ q / ° ' • City of Northampton s Massachusetts - � l' ii ' ' Al ,, max: i ( ji - DEPARTMENT OF BUILDING INSPECTIONS x' &`.ter ; 212 Main Street • Municipal Building JA. ', '' ? ,' Northampton, MA 01060 �N INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner 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 owner." The building department for the City of Northampton wants any 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 x : Office of Investigations • 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information (� Please Print Legibly Name (Business /Organization/Individual): 1L U j � {- 0 ( i Ark- Address : {3© b. 3 L( City /State /Zip: L-cey , ✓9 i / os"3 Phone #: y13—s 1 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. n I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. 2 construction 2. (-rI am a sole proprietor or partner - listed on the attached sheet. 7. El Remodeling ship and have no employees These sub - contractors have 8. [I Demolition working for me in any capacity. employees and have workers' 9. [v] Building addition [No workers' comp: insurance comp. insurance.$ required.] 5. [1 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. Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 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 certify under the pains and penalties of perjwy that the information provided above is true and correct. Signature: `s ue Date: 3 / / Phone #: 13 y 9( y 3 —3 4 Y ' --6D. 1 D-- 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 ❑ Name of License Holder : R c E C e-J4 ( C Sd,�L3 / 0 J License Number o i< 3y LE Is M4 b /65 / /a 31le Address Expiration Date K� ,1 —/ y X 1 /3 -36 y - 6: , Signature Telephone Req steredrHome lmAr'`ovement Contractor. ? r g ' ',,'! Not Applicable ❑ ,(?r �� ( /4r: ex- �J �_..W ,� r& fe o/f2q Company N'me Registration Number ox 3 y L/2 b s /t/✓+ Pio -3 0 /A91.101. yj3 3 � Address Expiration Date � y-6 .2311T AM � ST FLO RENCE - /Teephone 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 C1}' No ❑ 1 Z : ,nome ner- xema pt ron 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 1083.5.1. 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) b . ,r New House n Addition CZ Replacement Windows Alteration(s) 1 1 Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition LI New Signs [O] Decks E0 Siding [CI] Other [CO Brief Descripfon of Proposed °I. ��s :'- r7 Work: CL ck,pr.,r rnr.nt Z ? S Alteration of existing bedroom O Yes - ✓ No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll - Sheet fi ti tam ^;t.- e€�v4,..:x =a + mss, .,,, 4 . . .: -. Nr y '.;, ^m,"'^^:'"2r .,`;e'^" M = "^ sa.Plf' trseIand or addit]o -rill zisti-ngfi — i:Z inq,xcompiefethe fiof]owinq: a. Use of building : One Family _ Two Family / Other b. Number of rooms in each family unit:_Number of Bathrooms "t c. Is there a garage attached? 1 /1 f ''- d. Proposed Square footage of new construction. Fe/ / Dimensions e. Number of stories? 0 NE f. Method of heating? &'& 5 Rot /1) r Fireplaces or Woodstoves 6&S Number of each / g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction Wr7eA i. Is construction within 100 ft. of wetlands? Yes ]✓ No. Is construction within 100 yr. floodplain Yes No r j. Depth of basement or cellar floor below finished grade ev k. Will building conform to the Building and Zoning regulations? ✓ Yes No . I. Septic Tank City Sewer ✓---. Private well City water Supply SECTION Ta OWNER. AUTHORIZATION TO B_ E COMPLETED WHEN 1 :OWNERS AGENT =OR CONTRACTOR.. APPLIES FOR BUILDING PERMIT 1, lf/i-rt-( 0 .. 7 m - ( �777 C , as Owner of the subject prope hereby authorize G ( C (.74/e( l to act n my behalf, in all matters relative o work authorizeis building permit application. �Cd e4 - - - " /i Date /ice Signature of I, .0 6 ,e_C- r, C - I4C ; as f /Authorized Agent hereby dec re 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 . Print Name .r.,, e (7‘` / .5/1 /) Signature of Own /Agent Date J Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed ' roposed Required by 'Zoning '�'r , This column to be filled in byig Building Department:: r` . Lot Size i (,)_o 0 s - ; L s ,4M L' i ■ Frontage 1 S /9-Pi E Setbacks Front a 7'1 i a ,.?', Side L:. F0 ` R:` `/ L::._/..61. ? R: s ---- Rear i yp Building Height 3 51 35-1 Bldg. Square Footage j l / 3 51 h/ ,cj i % ap&' LT-, Open Space Footage (Lot area minus bldg & paved :4/ f : 5S, / t d OGC [ W.791 9; parking) # of Parking Spaces E Fill: , / .. -.� i ._ __ _ _.. ____ (volume & Location) ! Y ; , A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:( 3/i0 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ± 1 Pagel ! and /or Document #1 i B. Does the site contain a brook, body of water or wetlands? NO 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 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: I i D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO kol IF YES, describe size, type and location: I E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. fir,_ � 'r ; °� j'• .. � ' t _ D use and 4 '' ,' V ��,..... �.ry " F� Y �3 b ry G g �".ri `si � z� to City of Northampton Sta o f Per � t , -, w � � � d , 12'�l, Building Department Curb L r via Pe it • • 212 Main Street Sewer ep I a iIity 7.� , 64' � N �PEc 1 Room 100 W ater . e l vat A vaila bil i t y f��' ' " I � " oF� P�OC1, Northampton, MA 0 4 1 1 0 3 6 -5 0 87- wo - o t to 1 Pta .. - • . N phone 413 587 -1240 Fax 1272 I to S t axi h � � x �"� "_� . . a p p .a,,,,,,,,---,,y4."4-....4 k 9d j",, ` � '° ` , other Sperafyal ' _ . . APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE, INFORMATION This section to be complet d by office 1.1 Property Address: , , 3 x x ^,, ` . c a .. £Y c � r,� �� e ST ��P � • � t L ott � � � �, Un►fi .: � Le_& Zone O . ,,,' - f Distr�et „, "Elm StDistrict CB Distrait S ECTION 2 - PRO OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: � > ' l C 07� �(Ca,��� C C- sr- ( Ee/ s Name (Print) Curren M ling Address: � �� Telephone Sig at • e`r { 2.2 Authorized Agent: c��yy,�� C���� go x 3 y L -emi M,4 0/06"- Name (Print)-' 1 Current Mailing Address: __ ) Y 9 i p _ x-/13 — ') '- / c), Signature Telephone SECTION 3 - ° E STI MATED CO COSTS Item Estirated Cost (Dollars) to be Offic -Use Only •` completed by permit applicant (a) Building Pe rmit Fees 1. Building f /`f3S .2S,00 2. Electrical 3 -00 (b Est Tot Cost of � :Construction from (6) . 3. Plumbing 1 Bu Pe rmit Fee -" 4. Mechanical (HVAC) 7 ( , O Q 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) d/]® p pp, �Ct Check Num ber s This Section' For Official Use Only Building Permit Number: - Date Issued: Signature:. ` Building Comm omm'issionerllnspector of Buildings Date • 0 File # BP- 2012 -0951 - c� E 4 i 4 IA APPLICANT /CONTACT PERSON ROGER CLARK ADDRESS /PHONE P 0 Box 34 LEEDS (413) 586 -1491 0 PROPERTY LOCATION 39 FLORENCE ST MAP 10D PARCEL 023 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �f - Fee Paid r a /O. l O Typeof Construction: CONSTRUCT IN -LAW APT ADDITION/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 021310 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 ; l �, 5-5)-402 ignature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 39 FLORENCE ST BP- 2012 -0951 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 10D - 023 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Zoning Permit BUILDING PERMIT Permit # BP- 2012 -0951 Project # JS- 2012- 001345 Est. Cost: $170000.00 Fee: $640.10 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROGER CLARK 021310 Lot Size(sq. ft.): 26353.80 Owner: ELLIOTT KATHLEEN M & KATHLEEN M ELLIOTT TRUSTEE Zoning: URA(100)/ Applicant: ROGER CLARK AT: 39 FLORENCE ST Applicant Address: Phone: Insurance: P O Box 34 (413) 586 -1491 () LEEDSMA01053 ISSUED ON:5/10/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT IN -LAW APT ADDITION /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 5/10/2012 0:00:00 $640.10 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner