36-400 (5) • ••- Massachusetts - Department of Public Safet■
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 64539
THEODORE E PARKER,
26 WOODLOT RD
AMHERST, MA 01002
Expiration: 5/25 /2012
( mum issioner Tr#: 3973
Fred Meyer
From: Romney Biddulph <Romney.Biddulph @cetonline.org>
Sent: Thursday, April 19, 2012 12:30 PM
To: Fred Meyer
Cc: Megan McDonough
Subject: 72 Emerson Way Bonus room Addition
Hi Fred,
The results of adding the Bonus room to the house is that it pushes your project into a different size bracket for Energy
Star certification. Though your HERS rating actually does better (was 69, now 66), your index has lowered (was 70, now
65). You continue to be below the threshold for Stretch Code, and your Utility Incentive percentage remains in the 17%
range which continues to qualify for Tier 1 incentives. I looked at several scenarios to bring you back into compliance for
Energy Star, and since your insulation values were already good, the only change I saw was to switch to an instant hot
water heater. With an instant hot water heater with an efficiency of 80% you would reach a HERS of 64. I hope this
information is helpful.
Thanks,
Romney
W CENTER FOR
t EcoTechnology -
* make gregn rank* svnscr
Romney Biddulph 1 Energy Analyst
Center for EcoTechnology 1 320 Riverside Drive - 1A 1 Northampton MA 01062
413 - 586 -7350 ext. 235 1 413 - 347 -2077 (cell) 1 413 - 586 -7351 (fax)
www.cetontine.org 1 Sign up for EcoUpdates!
1
GPL ROOF WINDOW EGRESS INFORMATION VELUX&
Sicyllgits
GPL Product Information
VELUX OUTSIDE FRAME RESCUE OPENING NET
PRODUCT DIMENSION DIMENSIONS CLEAR
TYPE (W x H) 1W t 1 I H I OPENING
GPL M08 30 5/8" X 55" 27 3/8" 34 1/2" 6.56 SF
GPL S06 44 7/8" X 46 7/8" 41 5/8" 28 1/4" 8.16 SF
Meets Code - Egress Requirements
GPL
CODE REQUIREMENTS M08
S06
IBC, IRC, UBC
5.7 SF Min. Net Clear Opening YES
24" Min. Net Clear Height Dimension YES
20" Min. Net Clear Width Dimension YES
NOTE: 44" Max. Finished Sill Height from Finished Floor
NOTE:
GPL sash opens 45
i1. m ;� degrees maximum.
i
f /lir
Kohl Construction
moon NNE www.KohlConstruction.com
31 Campus Plaza Road, Hadley, MA 01035 ph (413) 256 -0321
6< (413) 256 -0130
72 EMERSON WAY WINDOW SCHEDULE
Window Specs: Pella Encompass Series 25, 3- 11/16" jambs, low E argon, standard hardware
color, screens
KEY # MFGR & TYPE MODEL # COUNT
Pella Flashing tape $25.16/150' roll
NA* Pella Encompass DH 2854 -2 1
* *Note Window is existing from original construction
SKYLIGHTS
1 VELUX GPL M08 1
The Commonwealth of Massachusetts
w . Department of Industrial Accidents
_ ;?l t Office of Investigations
° ° , _= y 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): Kohl Construction, Inc.
Address: 31 Campus Plaza Road, Suite 3
City /State /Zip: Hadley, MA 01035 Phone #: 256 -0321
Are you an employer? Check the appropriate box: Type of project (required):
1. 0 I am a employer with 11 4. ❑ I am a general contractor and 1 6. ❑ New construction
employees (full and /or part- time).* have hired the sub - contractors
2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet. $ 7 El Remodeling
ship and have no employees These sub - contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, § 1(4), and we have no 12. ❑ Roof repairs
insurance required.] t employees. [No workers'
comp. insurance required.] 13.0 Other
*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 their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: AIM Mutual Insurance Company
Policy # or Self -ins. Lic. #: WMZ 800287201 2010 Expiration Date: 02/10/13
Job Site Address: 72 Emerson Way City /State /Zip: Northampton, MA 01060
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 pee�nalties of perjury that the information provided above is true and correct.
�
Signature: T /. ;�O/,C! .vj Date: 04/23/2012
Phone #:
256 -0321
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: n � l
Not Applicable ❑
Name of License Holder : 1EO H Iii^ E. PAr/c
. D 4J5 J
License Number
SI CAMPUS PI- AZ-A / H /A.oi.ey IIA 0/035" 5.07 s z.
Address Expiration Date
)
Signature Telephone
S. Realstered Home Improvement Contractor T.... ,„_ 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. - dome Owner 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 ® Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs ID] Decks [[7 Siding [0] Other [0]
Brief Description of Proposed C0nr1/41E-1 LNFI i'As41E1 /3E.O/Z ° °M" 1 SP € A/J4 E6
Work: /too F Nn! rN40t-c) LODE ELe rfrikE l-/VA C i/ iI /./!"/bale / /N /S1
Alteration of existing bedroom Yes X No Adding new bedroom x Yes No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll She
6a 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: / 3 Number of Bathrooms Z . $-
c. Is there a garage attached? y
d. Proposed Square footage of new construction. )?6 Dimensions 1 " I t / )c Z2
e. Number of stories? / EauSTI �lG SAAGE ova !; A R�46 � ^" � a
STO tz�S
f. Method of heating? ! DR1 At f - , !-Eft. a kc Fireplaces or Woodstoves /Y Number of each
g. Energy Conservation Compliance. T Masscheck Energy Compliance form attached? /',
h. Type of construction 1/ij .. .
i. Is construction within 100 ft. of wetlands? Yes ( No. Is construction within 100 yr. floodplain Yes X No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building an d Zoning regulations? Y Yes No . /
I. Septic Tank City Sewer ✓ Private well City water Supply I/
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, AJOw \TZ , as Owner of the subject
property
hereby authorize 1 £ . PARK �l2"
to act on my behalf, in all matters relative to work authorized by this building permit application.
4 7 - 23. 12..
Signature of Owner Date
I, "f/Pnbo6 E. PA1 ?K '� , 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.peryalti -s of perjury.
7 '
Print Name
of Owner /Agent Date
)/ „
44
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 1 t (
Frontage
Setbacks Front 1—..-7 r
I_
----1 L1 Side L:i.„.._,I R: ' i
Rear --61,,,LTA:j
I , J
Building Height ; % l I
Bldg. Square Footage 1,Z7....q1 r r - : %
L.,.._ 1.!
Open Space Footage ,0 ., 4 .. %
(Lot area minus bldg & paved L .,--I [ J
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW C. YES 0
IF YES, date issued:[
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
L , , ;
IF YES: enter Book 1 Page 1 and/or Document #r -- 1
B. Does the site contain a brook, body of water or wetlands? NO tir. DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained
0 Obtained
0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO TO
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 .74
a
IF YES, describe size, type and location:
, .... _
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 Al
a
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Departme use onl E Ili
-7:::> \ \ Z C of Northamptontu� f1 #� , % S Q OS �, °"g Building Departm Gurbi/r(y
\/'''
f B V ° oN M ° ° � 212 Main S treet Sir e ,
,
v� N oP� Room 1 00 �tet •tl
No rthampton, MA 01060 Tfro e#a r>f AT 'tat.' s �
phone 413 - 587 -1240 Fax 413 - 587 -1 272 :T *t it ��tt t , ' r,
Q th ci
APPLI TO C ONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMIL DWELLING
SECTION 1 - SITE INFORMATION
1.1 Prop Address: This section t b completed by office
7 2, M �tzso W Ay Map Lot Unit
No i t Ar'► `i�o A M MA Zone over District
Elm St. District ' CB Dis trict
SECTION 2 - PROPER OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: M
�AMI�t}li: ?poi". Mc- R� c.i& MA (fib MAt,,i Si Np�TiiA�IY� l�t?1� M 01060
Name ( ' ..../....—
Current Ma iling Address
Telephone 5/� 3 5f3 �(7 ZD X !O 1
Signature
2.2 Authorized Agent:
THm � E PA ,ek �,� 3 t G y► bus A2A fLAb y, 1 A
Name (Print) Cu rrent Mail Address:
Signature Telephone
SECTION 3 - ESTIMATED
Estimated CO {ON COSTS I
Item Cost ( Dollars ) t o be Offic Use Only
completed by permit ap
1. Building u �� O � (a) B uildin g Pe rmit Fee
2. Electrical — (b) E stimated To Cost of
-it �J �� Construction from ( 6)
3. Plumbing 0
Bui l ding Permit Fee
4. Me chanica l (HVAC) 50 0
5. Fire Protection
0
6. Total = (1 + 2 + 3 + 4 + 5) /Q+ 5-6C7 This Section For r Official Use Only
Date
Building Permit Number. Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2011 -1016
APPLICANT /CONTACT PERSON KOHL CONSTRUCTION
ADDRESS /PHONE 31 Campus Plaza Rd HADLEY (413) 256 -0321
PROPERTY LOCATION 72 EMERSON WAY - LOT 56 - OAK RIDGE RD
MAP 36 PARCEL 400 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 3[ 9 2
Fee Paid �J� J
Tie-, • s •. • 1, 2 STORY SFH W /ATT GARAGE /DECK & PORCH,
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 064539
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION PRESENTED:
!
/Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
Demolition Delay
f 17- z-
Signatu 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.
72 EMERSON WAY - LOT 56 - OAK RIDGE RD BP- 2011 -1016
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36 - 400 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: New Single Family House BUILDING PERMIT
Permit # BP- 2011 -1016
Project # JS- 2011- 001647
Est. Cost: $163500.00
Fee: $2576.66 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: KOHL CONSTRUCTION 064539
Lot Size(sq. ft.): 12196.80 Owner: OAK RIDGE ROAD LLC
Zoning: Applicant: KOHL CONSTRUCTION
AT: 72 EMERSON WAY - LOT 56 - OAK RIDGE RD
Applicant Address: Phone: Insurance:
31 Campus Plaza Rd (413) 256 -0321 Workers Compensation
HADLEYMA01035 ISSUED ON:7/12/2011 0:00:00
TO PERFORM THE F I OWING WORK: CONSTRUCT 2 STORY SF 4 /ATT
GARAGE /DECK & PORCH,, ENDED 4/24/12 FINISH BONUS RM TO BED" •• I
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 7/12/2011 0:00:00 $2576.66
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner