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36-367 27. 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 • 28. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 29. Ignition barriers in place before final. 780 CMR R316. 30. Dwelling /Garage fire separation. An attached garage (within 3' of main structure) is required to have %z drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have Y2 drywall and the ceiling 5/8" drywall. 780 CMR R302.6 31. 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. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity, which you must create. 32. 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 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. 33. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 34. 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. 35. Smoke and CO detectors as required. 780 CMR R314 and R315. 36. Closets beneath stair which have doors must be drywalled with Y2 " . 780 CMR R302.7 37. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22" x 30" is required to be located in an accessible place. It must be insulated, gasketed, and secured in place. 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 for • . r cooperation oil these matters. r Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement a. LVLs b. l -joist and or Floor Truss c. Roof truss 14. A braced wall plan identifying appropriate braced wall areas where required (R301.1) 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. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4) the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. 15. When nailing sheathing make sure your pneumatic nailer's pressure is properly set. Nails set too deep, essentially perforate the sheathing weakening it and contribute to building damage in high wind events. 16. 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 17. 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 18. 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 19. 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 20. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ", maximum riser 8 % ", 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 1 /4 " 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. 21. 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. 22. 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, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole. Notches are different. 23. Drilling or notching of more than 50% of the wall plate width of an exterior wall or Toad bearing partition requires a 16 GA 1 %" strap across the area and 6" beyond each side with 8 - 10nd nails. 780 CMR R602.6.1 24. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 25. Dryer duct maximum equivalent length is 25' or per manufacturer's specs. 780 CMR M1502.4.4.1, no screwed connections. 26. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 City of Northampton Massachusetts § DEPARTMENT OF BUILDING INSPECTIONS Ar - 212 Main Street • Municipal Building Northampton, MA 01060 ply a y ` INSPECTOR Kohl Construction September 20, 2012 31 Campus Plaza Road Hadley, MA 01035 Subject Location: 151 Emerson Way Map Block: 36 -367 Mr. Lloyd, Your building permit application and plans dated 8 -30 -12 have been approved as drawn and per this memo. All work must meet all applicable codes whether noted or not indicated in this memo. Please follow up on the following items: These items which will need to be accomplished as the project moves forward; 1. A heat detector is required in the garage and an additional smoke /CO within the unfinished basement. 2. The sunroom has reduced insulation requirements and also requires a sunroom exemption attached. 3. The two center piers under the main carrying beam need to be larger. Likely 3' x 3'. 4. All Non prescriptive materials require engineering, LVLs, I- joist, and Truss. 5. Initial and final HERS rating as well as a signed Thermal Bypass Checklist. 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 intended to be comprehensive, nor is it 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. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be 1/2" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 8. Emergency escape is required out of every basement whether habitable or not. 780 CMR R310.1 9. 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. When there is neither of these a structural ridge is required with a load path to the foundation. 10. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/ CMR R802.3.1 11. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 12. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 13. All framing materials which are not code prescriptive must have stamped engineering. MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton, MA 01060 587 -1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 151 Emerson Way, Lot #19 The Oak's Inquiry Made By: Kohl Construction/Richard Lloyd 256 - 032114 110 Date of Inquiry: 9/6/12 u ' Number of Type of Single Family X Type of Private X Units: 1 Unit(s): A part. Ownership: Condo Multi- family Rental (Annlicant to fill out the ahovel Municipal Water Main in Existing service to Front of Location? Yes: X No: site? Yes: X No Size of Water Main: 8" Material: Ductile Iron Age: 2008 Approximate Static Street Flow Test Conducted: Yes: No: X Pressure: 55 If done attach results Size of Service Connection 1" Suggested Meter Size: 3/4" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. • A corresponding water entranc ee shall be paid prior to making any connection to the municipal water ste . • Arr gements of suc 'i stall. ion shall be made with the Northampton Water Department with a minimum of working days a tificati ,n. • 1 work sal con : ■• . o h Mo Water Department specifications. David W. Sparks, Superintendent of Water Dept. Water Entry $200.00 Meter $150.00 Radio $ 100.00 cc: Ned Huntley, Director cc: Louis Hasbrouck, Building Commissioner Note: If this availability is for a new construction, it must be hand delivered to the Building Inspector. rr�� :'��+' 6V srnb(` :;��frr,ir�`;Peer3ii3;��.Watt °r 1pi�l €cati�>ri'atc�� ;�� ��, :�h?1` +?�;.t�c =t, MUNICIPAL SEWER/ AVAILABILITY APPLICATION Northampton Streets Department 125 Locust Street Northampton, MA 01060 587 -1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 151 Emerson Way, Lot #19 Inquiry Made By: Kohl Construction /Richard Lloyd Construction 413 - 256 -0321 X 11 N( t Date of Inquiry: 9/6/12 CO q Reason for Hook into Utilities ,,,,, Request: Municipal Sewer Main in Front of Location: Yes No Municipal Storm Drain Available: 5 1 /2 deep Yes No Size of Sewer Main: Material: Age: Depth of Sewer Main: Size of Service Connection: Type of Service Connection: Tie -in to Sanitary Main Tie -in to Sanitary Stub Comments: e\ va - , 9 G'/a -- Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a • minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. John al 1 --6 Sewer Department cc: Ned Huntley, Director DPW Louis Hasbrouck, Building Commissioner PLOT FILE CREATED: 8/30/2012 10:08:32 AM REVISIONS # Revision /Issue !nit Date M.92,Z0.tON 1 ,Sc' l l l 19 1 ► 12,467 s.f. ► 1 i i 1 1 , N. ► U) a t) CJ! , J I I I� N A � • CA , -P II ,IN i� N _9; re i 1 27.0'f I I I v � v ` 1i 1 mil, VIII � 1 , _ 1 i 1 4 ipt , _.T\ '5IV I l O % `��+ i 7 1 CO °' • . � � ' I -- ---. 1 . - =32 81' • h `);. 00'08 = O g �1 - - -�;" v -/ - \ 3 3 -g - \ 3 3 g5�, 3 \\ O Way rson - -; - -_ ___ - -E e 3 y ' I ...„ i' 0 ,. i 2" / \ A11AAAAAA AANma... --- ..... 0 ' 1i ' 15 20' ' 40' Kohl Construction JOBNA DATE ZAGORSKI RESIDENCE [Iot #19] 08.30.2012 SP -1 31 Campus Plaza Road, Hadley, MA 01035 TITLE SCALE Emerson _ 20' ph (413) 256 -0321 fx (413) 256 -0130 Emerson Way, Northampton, MA _ 20 of COPYRIGHT © KOHL CONSTRUCTION, INC f L, M, R, S, J, K, N P, Q, T, U ENCOMPASS DH 2/4 x 5/0, no grilles 11 E ENCOMPASS CSMT 4/0 x 3/6 LR, no grilles 1 EXTERIOR DOORS 3'0" X 6'8 ", #6863, FIR, INSWING, FJP 6 -9/16" JAMBS, INSULATED CLEAR 1 SIMPSON GLAZING, MAHOGANY 1 SILL, NO CASING, DOUBLE BORE, SATIN NICKEL HINGES 2'8" X 6'8 ", S -2100, FLUSH GLAZED ,INSWING, 6- 9/16" 06 THERMA -TRU FJP JAMBS, NO CASING, 1 SINGLE BORE, STANDARD FINISH HINGES 2/8 X 6/8, S -2000 SMOOTHSTAR, FULL LIGHT, LOW E INSULATED 5 THERMA -TRU GLAZING, INSWING, 6 -9/16" 1 FJP JAMBS, NO CASING, DOUBLE BORE, SATIN NICKEL HINGES 2'8" X 6'8 ", TS -210 STEEL 6 PANEL DOOR, INSWING, 6- 04 THERMA -TRU 9/16" FJP JAMBS, NO 1 CASING, DOUBLE BORE, SATIN NICKEL HINGES 9'0 "" X 7'0 ", INSULATED STEEL FLUSH PANEL 05 HAAS GARAGE DOOR, BELT 1 DRIVE OPENERS, REMOTE OPENER, KEYPAD Kohl Construction www.KohlConstruction.com 31 Campus Plaza Road, Hadley, MA 01035 ph (413) 256 -0321 fx (413) 256 -0130 WINDOW & EXTERIOR DOOR SCHEDULE Zagorski Residence 151 Emerson Way Northampton, MA September 10, 2012 WINDOW SPECS: PELLA ENCOMPASS 25 WHITE VINYL, DOUBLE HUNG, CASEMENT AND AWNING WINDOWS, LOW E ARGON, 6- 9116" PREFINISHED WHITE JAMBS, WHITE INTERIOR, SCREENS, WHITE HARDWARE FINISH, GRILLES AS NOTED KEY # MFGR & TYPE MODEL # COUNT WINDOWS PELLA L2 ENCOMPASS DH 2/0 x 3/6, 2w x 2h 1 E, F ENCOMPASS DH 2/8 x 3/6, 3w x 2h 2 V F2 ENCOMPASS TEMPERED DH 2 /8 x 4/6, 3w 1 x M2 ENCOMPASS DH 2/8 x 4/6, 3w x 2h 1 (AO, D ✓ ENCOMPASS TEMPERED DH 2/8 x 5/0, 3w 2 V, W ENCOMPASS DH 2/8 x 5/0, 3w x 2h 2 A2, B2, C2, G2 ENCOMPASS DH 5/4 x 4/6, 3w x 2h 4 X ENCOMPASS DH 5/4 x 5/0, 3w x 2h 1 A ENCOMPASS DH 2/8 x 5/0 -3/4x 5/0 -2/8 x 1 5/0, 3w x 2h V E2 ENCOMPASS TEMPERED AWN 2/0 x 2/6, 1 2wx2h Y, Z ENCOMPASS AWN 2/0 x 2/6, 2w x 2h 2 B, C, D2 ENCOMPASS AWN 3/0 x 2/6, 3w x 2h 3 J2 / ENCOMPASS AWN 8/0 x 2/6, 4w x 2h 1 H ✓ ENCOMPASS TEMPERED, DH 2/4 x 5/0, no 1 grilles Alow QUICK ANALYSIS REPORT Date: September 05, 2012 Rating No.: 12 -376 Building Name: 151 Emerson Way Rating Org.: CET Owner's Name: Phone No.: 413 - 586 -7350 Property: 151 Emerson Way Raters Name: Romney Biddulph Address: Northampton, MA 01062 Raters No.: 3874197 Builder's Name: Weather Site: Northampton, MA Rating Type: Based On Plans File Name: 12 -376 151 Emerson Way per Upgrades 9- 5 -12.b1 Rating Date: 8 -27 -12 Codes Programs IECC 2012 Performance: Fails EPA ENERGY STAR 2.0 Pa: IECC 2009 Performance: Passes EPA ENERGY STAR 2.5 IECC 2006 Performance: Passes EPA ENERGY STAR 3.0 F IECC 2004 Performance: Passes Tax Credit F IECC 2003 Performance: Passes HERS Index IECC 2001 Performance: Passes IECC 2000 Performance: Passes IECC 1998 Performance: Passes ECC of NY Performance: Fails ECC of NV Performance: Passes 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 v13.0 This information does not constitute any warranty of energy cost or savings. © 1985 -2012 Architectural Energy Corporation, Boulder, Colorado. s, ENERGY EFFICIENCY PLAN 2. Preliminary Home Energy Rating Results Based on the assumptions described above, we have calculated the following Preliminary Home Energy Rating results. Preliminary HERS Index: 68 Preliminary Improvement Over 2011 -4Q Massachusetts Reference Home: 20.3 ENERGY STAR HERS Index Target: N/A Note that Confirmed Home Energy Rating results may vary from the Preliminary Home Energy Rating results due to changes in building plans, energy features installed in the home, RESNET standards, software changes, and other factors. 3. Services Requested CET will provide a Confirmed Home Energy Rating for the purpose(s) indicated below. CET will charge fees for these activities based on the Price List attached to your Home Energy Rating Services Agreement. ® Stretch Energy Code compliance ® Utility company incentives for the Massachusetts New Homes with ENERGY STAR program — Tier 1 or 11 ❑ Utility company incentives for the Massachusetts New Homes with ENERGY STAR program — Tier 111 ❑ ENERGY STAR version 3 certification As part of these services, CET will verify that your home meets all the requirements listed in the attached Program Description. I have reviewed and understand this Energy Efficiency Plan. I have reviewed the assumptions in part 1 and confirm that the assumptions are correct. Signature: Date: Printed Name: Company: CET internal Use Only HERS Rater: Evan Dick Date of Preliminary Rating: 8 - 27 - 12 REM /Rate File Name: 12 376151 Emerson Way per Upgrades 9 -5- 12 Form v2012 -02 -13 Page 2 of 3 - Please send signed form to the Center for EcoTechnology Tel (413) 586 -7350 ext242 - Fax (413) 586 -7351 - greenhome a(�.cetonline.orq F [J � CENTER FOR EcoTechnology we make green make sense- ENERGY EFFICIENCY PLAN Project Address: 151 Emerson Way, Northampton MA Conditioned Floor Area 2430 Building Type Single Family, Detached Bedrooms 3 1. Assumptions for Preliminary Home Energy Rating CET has completed a Preliminary Home Energy Rating with the following assumptions: a) The construction plans you have provided are accurate, including window dimensions and locations. b) Energy features not listed below in part c will meet the prescriptive requirements of the IECC 2009. c) The home will be built to incorporate the following energy features: B'ildinct�Envel`ope Specifications Used in Analysis Basement Condition Multiple Types Basement Ceiling Insulation Type = Fiberglass R- Value= 30 Foundation Wall Insulation Type = Rigid Foam R- Value= 10 Slab Edge Insulation Type = Rigid R- Value= 5 Rim & Band Joist Insulation Type = Rigid & Fiberglass R- Value= 5 & 21 Above Grade & Walkout Was Insulation Type = Cellulose R- Value= 19 Grade =1 Windows U -value = 0.30 SHGC = 0.30 Glass Doors U -value = 0.30 SHGC = 0.30 Exterior Doors R -3.6 Ceilings Insulation Type = Cellulose R- Value= 44 Flat & 37 Sloped Blower Door Test* 4 ACHSO or better* Thermal Enclosure Checklist Sections 3 5 Meet ALL Checklist Requirements as verified by a HERS rater at pre- drywall and final inspection * The 2009 /ECC requires a blower door test result of 7 ACHSO or lower. The number listed here requires significant improvements in air sealing beyond the base energy code. Mechanical Systems Specifications Used in Analysis Heating Equipment Type: Nat Gas Furnace 75k Efficiency: 95 AFUE Cooling Equipment Type: Central A/C 3.5 Ton Efficiency: 13 SEER Water Heating Equipment Type: Nat Gas Standing Tank 40 gal Efficiency: .67 of Duct Leakage 6% or less leakage to the outside at final inspection Duct Location In conditioned space or Insulated with R -8 Whole House Ventilation (ASHRAE 62.2) 54 cfm continuously 24/7 or approved equal Lighting & Appliances Specifications Used in Analysis Lighting 80% or more compact fluorescent bulbs Refrigerator 555 kWh per year or Tess Dishwasher .66 Energy Factor = or better Page 1 of 3 Kohl Construction www.KohlConstruction.com 31 Campus Plaza Road, Hadley, MA 01035 ph (413) 256 -0321 fx (413) 256 -0130 Northampton Building Permit Fee Schedule Building Location: ZAGORSKI, Lot 19, 151 Emerson Way, Basement @ .20 per Sq Ft x 1003 = $200.60 1 Floor @ .50 per Sq Ft x 1199 = $599.50 2nd Floor @ .30 per Sq Ft x 1014 = $304.20 '/2 Floors @ .20 per Sq Ft x X = Finish Attic @ .20 per Sq Ft x X = Garage @ .20 per Sq Ft x 360 = $72.00 Deck/Porches @ .20 per Sq Ft x 456 = $91.20 Total Permit Fee: $1,267.50 The Commonwealth of Massachusetts = Department of Industrial Accidents f = , 4 11= Office of Investigations =IA= 600 Washington Street t�:l =_ � Boston, MA 02111 ww».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. Si I am a employer with 14 4. ❑ I am a general contractor and 1 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 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 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 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs insurance required.] t 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. 1 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 2012 Expiration Date: 02/10/13 Job Site Address: 151 Emerson Way City/State /Zip: Northampton, MA, 01062 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 the pains and penalties of perjury that the information provided above is true correct. l ue and correc Signature: r�C Date: 4 1 ( 2 Phone #: 256 -0321 111 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 : i"+tC1A2 le 1) b . Lt,o Cs J License Number faU R-rH- Ave • NQuKP t vV114- 8 / I / 201 ‘4- Address Expiration Date (4 • 4,9 5 (23 Signature Telephone 9. Registered Home Improvement Contractor: 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 build g 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 ( I Replacement Windows Alteration(s) I I Roofing Or Doors 0 Accessory Bldg. 1 1 Demolition 1 1 . New Signs [0] Decks [q Siding [0] Other [0] F Brief Description of Proposed ork: ■ AAA. 4 .A. WO , 'A . A .r /_ 1_. . Alteration of existing bedroom Yes X No Adding new bedroom Yes X o Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll - Sheet 6a. If New house and or addition o' existing housing,' complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: g Number of Bathrooms 2 c. Is there a garage attached? yes C k 3 ,L c� / / d. Proposed Square footage of new construction. 3 `"f �� Dimensions 6 U e. Number of stories? 2/ . Ala —. f. Method of heating? t\/ *. E7A5 /Qo12C ' PO Fireplaces or Woodstoves 7// Number of each g. Energy Conservation Compliance. N r 8 - Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes NO No. Is construction within 100 yr. floodplain Yes No ' / 7_ j. Depth of basement or cellar floor below finished grade '7' k. Will building conform to the Building an Zoning regulations? `e6 Yes No I. Septic Tank City Sewer Private well City water Supply V SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, R 1 CJ. - j - /J2r) \MAO cl.A3 ri Zz , as Owner of the subject property / hereby authorize R►Ci{A2f) 47• LLV 1 t) to act on my beh If, . all matt r ^ rela " o work authorized by this building permit application. q 72_. vi z._.-• Signature of Owner Date I, - Rtc-t-1 AQS) t) • (rt.-0 l , 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. 12. CGf1.4 tick Imo. moo( ID Print Name `9 � -v►► 9 9 � Signature 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 t ._. •cam .�-- / .( �C• • r Frontage Setbacks Front 1 a J Side L : ...5.... R :-._Z L: ,,._ R: .._.... Rear Building Height / Bldg. Square Footage Open Space Footage p!j (Lot area minus bldg & paved OTwT' parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO # DONT KNOW 0 YES 0 IF YES, date issued: YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW (0 YES 0 IF YES: enter Book "i Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO r„ DON'T KNOW Q YES O 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO 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 Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. � Department use only GG V d City of Northampton Status of Permit: �` etQe Building Department Curb Cut/Driveway Perm it Q \ % 2 Main Street Sewer /Sept S Room 100 Water/WeltAvaila � � Northampton, MA 01060 Tvro Sets of Still- cturl Plans �` phone 413_587_1240 Fax 413 - 587 -1272 P1ot/Site Plan`s , . Other= Specify. APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: 2 //' Lo 1 l vl f 051 € AJ Sts i WAY Map .3 6 Lot 3 G Unit N- ( -140"P i at 1nAA 01o6 Zone Overlay District C ¢o2Nit.'E2t..`( oak_ RIDGE. 1200JO) Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: ORK Uzi � lac.)Ab t t.�- lZtcHA2p W1��vw�'C'�/ }{ , tut. , G1 , Name (Print) i / Cu Mailing Address: r l l SD UTAA(N S f 3RD (�oD� -I N'�AtMA ,, , jx►P • Telephone tL p� d Signature -411 C'T (�j� 5.62_ l 1 - C, kr I Cip 2.2 Authorized Agent: '�tck -E.n2_ 1J . I— L° 1'c .- ( C.Awk PL&s t�lA -A "R- I Name (Print) Current Mailing Address: - "Y"iVtO, 0-(2,) ZSb 032( xi ((a Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building �0 V a O / (a) Building Permit Fee 2. Electrical t I (b) Estimated Total Cost of O a Construction from (6) 3. Plumbing 4 ( ( O O a - Building Permit Fee ) 4. Mechanical (HVAC) U t) Cp 5. Fire Protection / 6. Tot. = (1 +2+ +4 +5, _� - I 4 + 0 — Check Number ' -?. r ; T $7)0147 S) fri.�ow , �. - Th Section For Official Use Only s r i ,o'� i - - Building Perm' Number: I sssuu ed: Signature: Building Commissioner /Inspector of Buildings Date r File # BP- 2013 -0275 APPLICANT /CONTACT PERSON KOHL CONSTRUCTION ADDRESS/PHONE 31 Campus Plaza Rd HADLEY (413) 256 -0321 PROPERTY LOCATION 151 EMERSON WAY - LOT #19 MAP 36 PARCEL 367 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filed out . 7 A /, n6 7 0 - 6 Fee Paid ��(Q ! of Typeof Construction: CONSTRUCT SFH W /ATT GARAGE/DECK (L New Construction Q Non Structural interior renovations (es Addition to Existing ego' ^� Accessory Structure g Building Plans Included: Owner/ Statement or License 96576 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON / INF ATION PRESENTED: �G: 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 Ageox - • Sigma re of Build 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. 151 EMERSON WAY - LOT #19 BP- 2013 -0275 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 367 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- 2013 -0275 Project # JS- 2013- 000447 Est. Cost: $154000.00 Fee: $1267.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KOHL CONSTRUCTION 96576 Lot Size(sq. ft.): 12458.16 Owner: OAK RIDGE ROAD LLC C/O RICHARD MADOWITZ/HPMG Zoning: Applicant: KOHL CONSTRUCTION AT: 151 EMERSON WAY - LOT #19 Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256 -0321 Workers Compensation HADLEYMA01035 ISSUED ON:9/21/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT SFH W /ATT GARAGE /DECK 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 9/21/2012 0:00:00 $1267.50 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner Remove this label after final inspection; SAVE for future reference Pella Corporation � _ 25 Premium New Construction NFRC `` . Double Hung 1 4 4 :- ilki Tempered Encompass .44• One Wide bY111* National Fenestration Advanced Low — E Rating Council® Argon Gas ERTIFIED PEL —N- 109 -00050 -00001 ENERGY PERFORMANCE RATINGS u- Factor Solar Heat Gain Coefficient 0.30 1.70 0.28 ... (U.S. /I —P) (Metric /SI) ...:......:.. ..:,_: ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.53 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental condition and a specific product size. NFRC does not recommend any products and does not warrant the suitability of any product for any specific use. For more information, call (641)621 -3114 or visit the Pella web site at www..ella.com or visit the NFRC web site at www.nfrc.o . ; x 151 EMERSON WAY - LOT #19 BP -2013 -0275 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 367 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- 2013 -0275 Project # JS- 2013- 000447 Est. Cost: $154000.00 Fee: $1267.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KOHL CONSTRUCTION 96576 Lot Size(sq. ft.): 12458.16 Owner: OAK RIDGE ROAD LLC C/O RICHARD MADOWITZ/HPMG Zoning: Applicant: KOHL CONSTRUCTION AT: 151 EMERSON WAY - LOT #19 Applicant Address: Phone: Insurance: 31 Campus Plaza Rd (413) 256 - 0321 Workers Compensation HADLEYMA01035 ISSUED ON:9/21/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH W /ATT GARAGE /DECK 3Le -/l/i 9 , f �� (2 1 ns e" POST THIS CARD SO IT IS VISIBLE FROM THE STREET � i OG� ��- Inspector of Plumbing Inspector of Wiring D.P.W. Building pecttor Underground: Service: Meter: / .c- Footings: C / - / ���� 2 � Rough: f 4 -i - 3-42. k'S Rough: 0, - JLf - 42, House # Foundation: j fr/O -9�f a C "~ R o-n Driveway Final: Final: ,1 a Final: 0 k i a' �S - 3 Rough Frame: y` i c`'2 Rcpt► Gas: Fire Department Fireplace /Chlrnney: Rough: Oil: Insulation: Q t )2 - 2C- f Z d Final;- 6 --( . 4 ( Smoke: ? - ),6 "A.01? Final:O k ' - 7--( c--- I 477- exctior R e cue d / c f/c� THIS PERMIT MAY BE REV • 1 1 BY THE CITY OF NORTHAMPTON U PON V IO L A ON OF ANY OF ITS RULES AND ', ;,i ,4 /" Qvc.0 - /t1�' Certificate of Occupanc / / i g nature: FeeType: Date Paid: Amount: CC Lsc-$e ot 3- I -1 30, Building 9/21/2012 0:00:00 $1267.50 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck - Building Commissioner O Q a Cis . JQ 04-, oa; r .. ) u, to 0 cn 1 4 J (D CL "' § . — 0 5' a o o w p4- P � o cn 0 ' CA n 0 sr � A � y ' , 2 CA •p fin' 17 w y 0 •• CD C N `C A. F1 "' v H A V co ce i0 ' t m .4- 17i .i. 6 g CD a ,,„, Po fD S'¢' =� Z cC C A. t o �o 0 sa i ar i � ( o * b 0 oq Q.-9 OA % y fD O A : O N CD O m .. p.a $y % M ` J h fD _ C! D rt 5 5 0 @ sz. A lig 14' ° M g 1 ° m z 2 ) P n — — w A 0 • o o 8 2 O P 1.h 4 (1) r : n " .° X = 0 ' * y eh in `C 5. 5 0 to .4 o O Eij O � � y c 0 � y E. Mr y d N ti O A. �.. A. 0 (D 0 ° � . m ai Z .. k. V3 ° w cD o O ro I rD rt O O N .r . 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