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05-064 (4) N Q 5 1d 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 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. 28. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 29. 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. 30. Smoke and CO detectors as required. 780 CMR R314 and R315. 31. Closets beneath stair which have doors must be drywalled with %2 ". 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 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiller Thank you for your cooperation on these matters. Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 13. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs, spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4 14. 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 • 15. 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 15t 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 CIViR R311.2 d. Landing at each door 36" out and the width of the door minimum 36 ", maximum step 7 3/4" from the top of the threshold and only in- swinging doors. 780 CMR R311.3 16. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ", maximum riser 8 'A", maximum overall variance for the run is 3/8 ", 4" sphere rule on risers except where the total rise is 30" or less 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 for4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780 CMR R311.7. 17. Guards 36" minimum height above w 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. 18. 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 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. 19. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 20. 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. 21. 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 22. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 23. 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 24. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 25. Ignition barriers in place before final. 780 CMR R316. 26. 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. 27. 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 City of Northampton t s Mas sa ch usetts 4 � '/ R_ DEPARTMENT OF BUILDING INSPECTIONS ? l x' 212 Main Street • Municipal Building ' Northampton, MA 01060 s ; ;,-,y'v INSPECTOR Tyler Bergeron June 4, 2012 7 School Street Gramby, MA 01033 • Subject Location /Project: 412 Audubon Road /Detached Workshop Map Block: 05 - 064 Mr. Bergeron The following items are code requirements which need to be addressed as part of this project: 1. There must be a continuous tie across the building at the bottom of the rafters. If the members are not continuous then appropriate connector must be used to prevent building spread. 2. There are no connection details provided at floor or ceiling joist. These require 1 of bearing. 3. Rafters must be sized per R802.5.1(6). It appears 2 x 10 s may be needed. 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 I soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Foundation anchor bolts must be %2" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 6. 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. 7. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1 / 3rd 780 CMR R802.3.1 8. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 9. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 10. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I -joist and or Floor Truss c. Roof truss 11. 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. 12. 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 \ 7 IP r \ \ 7 1 , 1 8 1 j� ,, P .. ' � '� 'VA. C e0k ' — ' t � „ �`'` LF.p.N " ©4.,,`; -- ---- . ry - . 'HI p �' J B. .....--i _ •. - - V AA 1 0111.. / , .... . 4. I `''Qs= 1 ;.., DRSVEW AY - .,` I , 1.0u • • 4 f,, \ ...„............._ ----„_, ..., .. .. , , , _. - ./ /, # , sv " \ d/ / '� , I o n - ,,, __________i_________,.....„.. . 7 j z 0 .,... • • • Ok EXISTIN 3 CONTOURS BY OTHERS EXISTII\ J CONTOURS PROPOS':?I_} CONTOURS , --- PLAN VIEW SCAT : (1" = 20') AREA = 4.365 ACRES 4CE AND H/' BALE 1 D,' RRIER .2 - ./.-- ,......______ -------,,, R e , f e ,<'' " �-- \_ • Q. 1 "' , ----- ) � _.� , ►IN.) _ .. PR POSED / 1 3 BE ROOM !� • ( . ' HMUSE /. = �tuss.tchusctt. - Deportment of Public S.tlet' I Boar(I nt' Buildin�1 Re��ulatiom anti Standard. N- -+ Construction Supervisor License License: CS 80274 TYLER R BERGERON 7 SCHOOL STREET A GRANBY, MA 01033 ° -��'�— ---- Expiration: 7/28/2013 ( , unmi..i,mcr Tr#: 19327 - /2, , urm, iui,w///r r/ //,-/ ;,n- u , //, Office of Consumer Affairs & Business Regulation MME IMPROVEMENT CONTRACTOR Registration: 147679 Type: 71-,., - ,Expiration: 7/28/2013 Private Corporation BERGERO1J BUILDERS INC. TYLER BERGERON 7 SCHOOL STREET 4�„,, GRANBY, MA 01033 Undersecretary U7 /Lb /LULL WXU LUI Dt1 rAX 4J Dit(bULU Remillard Ins. Agency IQJUU1 /UUL .� "1 BERGE -1 OP ID: LL A 05 /16 ° -. CERTIFICATE OF LIABILITY INSURANCE DATE DfVYVY) 05/16/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C ONTACT FieldEddy Insurance 413- 538 -7862 N Linda Landry FAx 79 Lyman Street 413 - 538 - 7179 No, Ext) ; 413-538 -7862 (A/C No) 413-538-6010 South Hadley, MA 01075 E-MAIL SS: lindaland TY@ f(eldedd com _-- -- --Y =-- Remillard Ins. Agcy., Inc. � INSURER AFFORDING NAIC # INSURER A : Hanover Insurance Company -- 22292 INSURED Bergeron Builders Inc usURERu :Guard Insurance Group Tyler Bergeron INSURER C : Peerless Insurance 18333 7 School Street — - Granby, MA 01033 INSURER 0: INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: --- fiFhIS1S hAT THE - POU s Of1NStiRANCE't1SfiEo 8Et W IAVE SEEN1SSUED -TO-THEiNSCRED-NAMED-A�DUCY PER10D INDICTT D. NOTWITH _ OUIREME T. TERM OR CONDI ( A OTHER RESPECTTO WA CA - THIS - - -- CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR --- __ --- ._ » ABU NBA - -- -- POLICY EFF POLICY EXP ----- -- - - -- -- ---------------------- LTR TYPE OF INSURANCE MSS WVD POLICY NUMBER (MMIDD/YYYY) (MMIDOIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE s 500,000 AMA - ENTEO -......_ C X COMMERCIAL GENERAL LIABILITY CBP1421404 09/12111 09/12/12 PREMISES (Ea occurrence) $ 100,000 ` CLAIMS -MADE [X J OCCUR MED EXP (Any one person) $ _ 15,000 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE 5 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 5 1,000,000 X POLICY -, E O L � - -- — - -- — AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ A _ ANY AUTO AWN9157929 07/14/11 07/14/12 BODILY INJURY (Per person) $ 100,000 - ALL OWNED X BODILY INJURY (Per accident) S 300,000 X HIRED AUTOS X NAUTOS ON -OWNED PROPERTY DAMAGE (Per accident) $ 100,000 $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ . EXCESS LIAe CLAIMS - MADE AGGREGATE $ DED 1 1 RETENTIONS $ , WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY Y t N X TORY LIMITS ER B ANY PROPRIETORIPARTNERlEXECUTIVE BEWC230284 07123111 07/23/12 E. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? I N 1 .L N( A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ 500,000 C Property Section CBP1421404 09/12/11 09/12/12 C Equipment Floate CBP1421404 09/12/11 09/12/12 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IT more space is required) CERTIFICATE HOLDER CANCELLATION CITYNOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton, MA 01060 AUTHORIZED REPRESENTATIVE &j o 1 © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts I Print Form I "" "° "'° " "" " °' "° Department of Industrial Accidents k Office of Investigations 3 _ ,, 1 Congress Street, Suite 100 =; Boston, MA 02114 -2017 9 :: _ - www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): gC Q w•,\cS " TIAC . Address: Z 5c t co\ %„)- tJJ City /State /Zip: co tsh by Phone #: 1')-7 S Ar u an employer? Check t appropriate box: Type of project (required): 1. I am a employer with , 4. ❑ I am a general contractor and 1 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 8. ❑ Demolition working employees and have workers' g for me in any capacity. 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 of rep irs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. Other obi 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. II Insurance Company Name: (7....1 J- 145 (0, Policy # or Self -ins. Lic. #: 0 1E L )2 0 2 i 1 Expiration Date: 7;3 Job Site Address: 10 Vh x f\-cP Le-cls M 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 certi under the pains and penalties of pesjury that the information provided above is true and correct. Signature: l .-- _.------ — 57 0- -- Phone #: 17.- - 0 03 Ef 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 : - 1 — \\c e b c5 n 8e))-71 License Number ' 53,0,, r.e,\.- cpc-,..A. Mo. -- )-x3-13 Address Expiration Date ti X3-1 )- 00 Signatur Telephone 9. Registered Home Imp Contractor: Not Applicabl e ❑ D aco,eq'v h I�tASer5 - 1- rt c • 1 i n 09 Compan Main , Registration Number 7 3c e [ ¶7 t e c k 6,,,b frJ OJ 73 -7- )-x-13 Address Y Expiration Date Telephone /)7 9 i 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 buildin permit. Signed Affidavit Attached Yes No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner- occupied Dwellines • . e (1) or two(2) families . nd to allow such homeowner to engage an individual for hire who does not possess a lice.: provided that the owner acts as - • ervisor. CMR 780, Sixth Edition Section 108.3.5.1. Defini : 1 of Homeowner: Person (s) who own a parcel of land on which he . - resides or intends to reside, on which there is, or is inten• - • to be, a one or two family dwelling, attached or detac• -. structures accessory to such use and/ or farm structures. A verso ho constructs more than one home in • . 'o -year period shall not be considered a homeowner. Such "homeowner" shall • , • it to the Building Official, • • . form acceptable to the Building Official, that he /she shall be responsible for all such work p • ormed under t ■ • uilding permit. As acting Construction Supervisor y .. ire - ce on the job site will be required from time to time, during and upon completion of the work for which this p- - ' issued. Also be advised that with referenc- • Chapter 1 ' Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not re ing in Death) of the . -.. chusetts General Laws Annotated, you may be liable for person(s) you hire to perform wor. or you under this permit. The undersigned " . eowner" certifies and assumes responsibility • ompliance with the State Building Code, City of Northampton • • finances, State and Local Zoning Laws and State of Massa • etts General Laws Annotated. Ho , •wner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. Demolition ❑ New Signs [0] Decks ID Siding [0] Other [0] LOU/ D Brief Descriptipn of Plopoe d o. I Work: nu +kc � l tI . 1 \ 3° ` W oof v..16 t-- �• VD S � p�Q �/ LO (,t 17(.... , • Alteration of existing bedroom _Yes No Adding new bedroom Y s I No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 4 I, O S 14 \, .. C0Ik.g , as Owner of the subject property hereby authorize I yylcr BeArseton to a on my behal irfal a er rti'ative to work authorized by this building permit application. Signa ' of Ovine Date I, — o,( b,„,,,,,,ri , as Owner /Authorized Agent h er b declare that the st8eements 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 j Signature of r/ • gent Date 1 13SO .0 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required Zoning to (y 3� This column to be filled in by Building Department l`to Lot Size I�D i 13( l� 0,1 � c3cS Frontage kn 0 y 0 Setbacks Front lop Side L: R: L: 60 R: Zoor" Rear lob k Building Height Bldg. Square Footage 1 0v0 71 10 Open Space Footage ... �? % pl' (Lot area minus bldg & paved 1971) \ `V r' ' 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 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW (5 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO er DONT KNOW 0 YES o IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES 0 NO d IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO el IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, ex or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO fi/ IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only D City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit ' ,� 212 Main Street Sewer /Septic Availability GW2 Room 100 Water/Well Availability \MAY __ orthampton, MA 01060 Two Sets of Structural Plans DEPT. OF BUILUiNCi iNSP • NORTHAMPTON MA _• • - ' 3- 587 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office I 1 Map Lot Unit Zone Overlay District L ee c1 Ms Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: .� ,3(4 5 434 9)-- Ate► too toesJ5 Name Print) Current Mailin Address: 4 It ei -7 9 -4 , V . Telephone Signatu e 2.2 Authorized Agent: X11 ` (, tI 1 I I M 1 F �1�fi Lf�2ft9� I VApol $lire- Name (Pri Current Mailing Address: 1 11)' 47 8 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 55000 (a) Building Permit Fee 1 2. Electrical (b) Estimated Total Cost of ���� Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) _ �b,000 Check Number ,x 7 4// / ' This Section For Official Use Only Permit Number: Date Building Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012- 1009 O 1` APPLICANT /CONTACT PERSON TYLER BERGERON Fbc�NR�'Ct0 �� ADDRESS/PHONE 7 SCHOOL ST GRANBY (413) 427 -8034 Q \ PROPERTY LOCATION 412 AUDUBON RD MAP 05 PARCEL 064 001 ZONE RR(100) /WSP(100)/WP(51)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out `29 '7 4 ! 7 Y- Fee Paid ` 7a / Typeof Construction: CONSTRUCT 24 X 30 DET WORKSHOP New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 080274 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO p ATION PRESENTED: L./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 Peu from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission _ Permit DPW Storm Water Management Demolition Delay C r r A Signature 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. 412 AUDUBON RD BP- 2012 -1009 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 05 - 064 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- 2012 -1009 Project # JS- 2012- 001744 Est. Cost: $60000.00 Fee: $144.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TYLER BERGERON 080274 Lot Size(sq. ft.): 189921.60 Owner: COHEN JOSEPH D & CATHY J Zoning: RR(100)/WSP(100) /WP(51)/ Applicant: TYLER BERGERON AT: 412 AUDUBON RD Applicant Address: Phone: Insurance: 7 SCHOOL ST (413) 427 -8034 0 WC GRANBYMA01033 ISSUED ON:6/6/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 24 X 30 DET WORKSHOP 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 6/6/2012 0:00:00 $144.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner , r 1 314S "3L3 A, co ua pc 1 L 01 I t a,1 = ,, hi Al V 78 Nos1.VC o . 4 ' 'TO ,,c1 4 / :30Y. 01 it -� . II r • ...,Qc I , ,h7 e „ 4X k 1 I, * 0,1, —> 1 leA°C) v 'A i 1 9 '1 k K 005, ' . 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