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17D-030 (7) REScheck Software Version 4i.4.3 Comp Cert 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: Tamar Shadur Stephen Ross 51 Straw Avenue Construct Associates, Inc. 51 Straw Avenue 36 Service Center Road Florence, MA 01062 Northampton, MA 01060 413 - 584 -1224 Compliance: Passes Compliance: 11.1% Better Than Code Maximum UA: 99 Your UA: 88 The % Better or Worse Than Code index reflects how close to compliance the house is based on code trade -off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code home. Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Ceiling 1: Flat Ceiling or Scissor Truss 387 38.0 0.0 12 Wall 1: Wood Frame, 16" o.c. 544 21.0 0.0 23 Window 1: Vinyl Frame:Double Pane with Low -E 86 0.270 23 Door 1: Glass 41 0.300 12 Door 2: Solid 20 0.240 5 Floor 1: All -Wood Joist/Truss:Over Unconditioned Space 387 38.0 2.0 10 Crawl 1: Solid Concrete or Masonry 11 0.0 0.0 3 Wall height: 4.8' Depth below grade: 4.0' Insulation depth: 2.0' Inside below -grade depth: 2.0' 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 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Stephen .D. 6.01J - CeAC - co 2 Name - Title Signature Date Project Title: Report date: 08/02/12 Data filename: S:\APPS \MICHAEL \DATA - Programs\ Design \VectorWorks \Ross \Tamar - Bruce \Mills - Shadur 2.rck Page 1 of 1 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: '1 D - 2065 License Number S e-Pvrc -C y(2 0/(3 Address Expiration Date X1 - � [ Signature Telephone (/•vim 9. Re stered Home Improvement Contractor Not Applicable ❑ 42.0. Cwi /,f 0 q ? Co any Name Registration Number 74 Stn/VI C•^t_ Cwt V24 Address Expiration Date Ov �LS... r►• /01.44 Telephone 1 "/' / Z 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 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 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other [0] Brief Description of Proposed Work: , .�, ) Work: f` h(L1t(�fir� dN (�? - STp Jb. ,DDt, - ttcaN L Alteration of existing bedroom Yes X No Adding new bedroom Yes ')( 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 X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? MO i d. Proposed Square footage of new construction. S 5 Dimensions — Z Xk 5 e. Number of stories? bN E f. Method of heating? 131,st✓ e t . Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? N ( . 6 h. Type of construction \MOob ) 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 -o" k. Will building conform to the Building and Zoning regulations? x, Yes No . I. Septic Tank City Sewer x Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T 1.414fR- 6R14Dir'R , as Owner of the subject property hereby authorize Sl • l a- ROSS com CtelkC -TC to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 8‘/' // I, S TE f l-k pOS S , 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. 6Trc? Print Name -.441,7,‘Ar 6 / „ • at of Owner /Agent Date 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 tt. t 33 5 �v Gi-vhN4E Frontage 82.5 ND ukAv 4 Setbacks Front 4t 34 it r r u ;t Side L: 3 O R: '+ L: 3 " �o R: Z -6 -C3 it 111 VI Building Height 1 N0 GtAN AC Bldg. Square Footage ii©¢ % tic`Z Open Space Footage % v (Lot area minus bldg & paved 1687- C� 10 1162. 1®2 `6 89 parking) # of Parking Spaces N Fill: NONE (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T 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 IF YES: enter Book Page! and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Cwt DON'T 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 , Date Issued: C. Do any signs exist on the property? YES NO "41 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 1F 4 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 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. - . _ ,... _ ._ Department use only k - City of Northampton Status of Permit f ; Building Department Curb Cut/Dnveway Permit AUG ' 2012 212 Main Street Sewer /Septic Availability c Room 100 Water/Well Availability, L Northampton, MA 01060 Two Sets of Structural Plans DE BU•,'•,_ PEU NORTHAM= A done . 413 - 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 51 S ?M' ' Ac\r t-1 V- Map Lot Unit /-' fA 0 10 62— Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: C) ( o "z `T Mik r2 i.kik ‘ 5i SIV -A1A) AA' /'`C. . 1.0 Nc-E. AAA Name (Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: STEPH �M X5• ' Co CE'$ tz (2c)^1) b Name (Print) Current Mailing Address: D!/ S8 -- tZZ¢ ign ure Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building av (a) Building Permit Fee (e S vv6 2. Electrical eve; (b) Estimated Total Cost of 3 ,. off '' Construction from (6) 3. Plumbing w Building Permit Fee 4. Mechanical (HVAC) p -- 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) ? , Check Number 3 , 3 L771.s `tc5 Q This Section For Official Use Only Building Permit Number: I sssuu ed: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013- 0146j APPLICANT /CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413) 584 -1224 0 PROPERTY LOCATION 51 STRAW AVE MAP 17D PARCEL 030 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out g j / 2 1-- 50 Fee Paid Typeof Construction: CONSTRUCT 25 X 15 SUNROOM/BATH ADDITION) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 079160 3 sets of Plans / Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION PRESENTED: A pproved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management D emolition 1 - lay r Sig a re 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. 51 STRAW AVE BP- 2013 -0146 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17D - 030 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2013 -0146 Project # JS- 2013- 000239 Est. Cost: $73000.00 Fee: $187.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq. ft.): 16335.00 Owner: HARTE LIAM & EMILY B TODD C/O TAMAR SHADUR TRUSTEE Zoning: URB(100)/ Applicant: STEPHEN D ROSS AT: 51 STRAW AVE Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584 - 1224 () WC NORTHAMPTONMA01060 ISSUED ON:8/10/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 25 X 15 SUNROOM /BATH ADDITION) 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 8/10/2012 0:00:00 $187.50 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner