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38B-117 (2) LI Acheson Company W 6 N Main St Williamsburg, MA 01096 Y1/ F //-..--/ IP TIP p 7 "------7-i I , � 1 1 G 1 1 /I O a,;l o 1 I OA/ Q._ , 1/1.elP i ilt-= / -Q,Kt - 2___2 / / 1 / 1 4 3 V7 1 / )i..7 C-,-,-,-e/i-- AP-ely <- 3 El 3e 1 �(iU ■ V-rr---? \ l_ ■ \ I 1 1 'gwi _______ p ' r F r, ---4 ' . ti 1 II 1 1 1 t7 :�% i f p J # E { f Alicia Guidotti Date: it /19 /1 19 East St .. St. Attic i)esign: Orion Q . T .,, r -,,.-, Dam 28. Dwelling /Garage fire separation. An attached garage (within 3' of main structure) is required to have 'A" 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 29. 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. 30. 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. 31. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 32. 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. 33. Smoke and CO detectors as required. 780 CMR R314 and R315. 34. Closets beneath stair which have doors must be drywalled with % ". 780 CMR R302.7 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(a�northamptonma.gov Thank you for your cooperation on these matters. Chuck er City of Northampton Assistant Commissioner and Zoning Enforcement 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. a. LVLs b. Hoist and or Floor Truss c. Roof truss 14. 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. 15. 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 16. 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 17. 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 18. 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 19. 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 %" 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. 20. 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. 21. 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. 22. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3 23. Dryer duct maximum equivalent length is 25' or per manufacturer's specs. 780 CMR M1502.4.4.1, no screwed connections. 24. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 25. 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 780 CMR IECC R402.3 26. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 27. Ignition barriers in place before final. 780 CMR R316. City of Northampton - �' Massachusetts A DEPARTMENT OF BUILDING INSPECTIONS # 212 Main Street • Municipal Building fi '" Northampton, MA 01060 INSPECTOR Dean Acheson November 29, 2012 6 North Main Street Williamsburg, MA 01096 Subject Location: 19B East Street Map Block: 38B - 117 Mr. Acheson, Your plan dated 11 -29 -12 has been approved as noted and per this memo. Please follow up on the following items: 1. Hard wired interconnected smoke and CO detector on the 3 floor level and the same in the vicinity of the bottom of the stair thus located at the 2 floor level. 2. One emergency exit window on the 3 floor level or a recorded affidavit stating the 3 floor will not be used as a sleeping room. 3. All work must be to current energy codes, Northampton is a stretch code community. 4. A continuous rail is required at the stair. 5. Please read items 16, 17, 18, and 19 below. As of August 4 2011 the 8 Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not a substitute for purchasing and reading the MA codes. 1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group 1 soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. 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 %2 and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. Foundation walls require horizontal reinforcement 2 #4 bars one within 12" of the top and one in the middle if 8' or less and 3 #4 bars at top and 3rds if over 8'. 780 CMR R404.1.2(1). Also see vertical reinforcement requirements. 8. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 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 / 3rd 780 CMR R802.3.1 11. Ridge boards must be the full depth of the cut. 780 CMR R802.3. SECURITY WARNING: THE FACE OFTHIS DOCUMENT FEATURES A COLORED BACKGROUND AND MICROPRINT BORDERS -THE REVERSE SIDE FEATURES ARTIFICIAL WATERMARKS IV No. 20124+4 '�l'�i ql 531168!2118 � r '. A TE NO er 2012 1 ♦ .f � h Ili I i s�aL_ PeR � 1VV Z '' iII Iii �I�II �I� � i liil i MONE : � ORDEF PAY TO THE r - 'l 1A \ \ i II ' II 11 l i I'.I�IiI� i �I � ' ':':'''':''\',,'I','' QR � R O Ii i �--� N'-- -� _�"� %_ i��- ' Il,li , lli�l II I I I I�'�l i II lip �j 'Fi lll�il�i I (/ ' �� ii I I� Ip' 1 ' I � ce '" _ � _ - roar � I III I - I � �� �. �'� �IArT (1():0,,,:,:';,$,„:1 � I I i � ' � I '1"''' **- i r k * - -Z— * * #*a_kir * -=7 * , -' I II I I i I I ' , Il i , u V it �' l i I .. ll ID, 1 Ji��illif i t III� i il Ili '� ' � �� ' . i Hu an d 00/1 - _ +t* kirat 'k* lllll� i � �l �ll�� l h',iil� l I II` d�l� IUI�II u C I _ _ - II i t I '� iIII °I IC '; i� liilo I ,II� I i 'I I �i' .. I i DO LL A RS l ' MEMO -4- , '�"� —' I ,i c--------- i - s I OT VALID OVER $1000.00 . t 1 _— — — ' �I I �il l l I �� II ' - MI ��II� � I � I I�h i t I _ = V lid �' „,, I I I III �Iil �� II _ _ _ ll i 'III� I I a�ili v i I U — tS z I l ! _ _ I �� i i,l l ii it jai,' — _ i ill 20 L 24 �: L La? L 6881 : L9800567 • • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation Home Improvement Contractor Registration Program 10 Park Plaza, Suite 5170 � Boston, MA 02116 APPLICATION FOR RENEWAL OF REGISTRATION ' "..,4x ' HOME IMPROVEMENT CONTRACTOR OR SUBCONTRACTOR MGL Chapter 142A, 201 CMR 18.00 REQUIRED RENEWAL FEE: $100 1. Name of Applicant as listed on Current Registration: "-- L NEB 30 c saw A\)--) 2. Registration Number: I 3 r c� Go 3. D /B /A used by Applicant (if different from current registration): You must provide a copy of the Business Certificate filed with the City of Town Clerk. 4. Address/Telephone Number of Applicant (if different from current registration): t', O 10 C 2 € is.% 04'0—SI'Telephone No.: Cfj 7 Lt (:)(f6, ls-� X11 �sw�S bu ) ' LX A t - i c�j (� •"IC)S ( [ j f 6 "C% to 5. No. of Employees (if different from current registration): 11-- \ 6. If Applicant is a Partnership, Corporation, or Trust indicate the name of the individual responsible for A pplicant's work (if different from current registration). ' \ . " c ) Social Security No. `1 L t -36 —) First Middle Last t Telephone No. . 1 J 3 `► '0 T s1 7. Does the Applicant hold any other construction - related licenses or registrations? _ Yes No Construction � 0 63 Tei; Expires: Supervisor Lic.: Motor Vehicle Expires: Repair Shop: CHANGE IN LAW ABOLISHES CSL's HIC REGISTRATION FEE EXEMPTION. As a result of a recent change in the law (Section 80 of Chapter 27 of the Acts of 2009), the holders of Construction Supervisors Licenses are no longer exempt from the HIC Registration fee. CONSEQUENTLY, ALL CONTRACTORS, INCLUDING CSL's WHO ARE RENEWING THEIR HIC REGISTRATIONS MUST PAY A REGISTRATION FEE OF $100.00, 8. Registration Renewal Fee enclosed: $ / " �- . Make all certified checks or money orders payable to "Commonwealth of Massachusetts." ONLY CERTIFIED CHECKS OR MONEY ORDERS WILL BE ACCEPTED Pursuant to Massachusetts General Laws Chapter 62C § 49A, I certify under the penalties of perjury that, to the best wledge . • • - , 1 have filed all state tax returns and paid all state taxes required under Signature of Applicant Title held, if applicable Da e A FALSE ANSWER TO ANY QUESTION IN THIS APPLICATION CONSTITUTES GROUNDS FOR SUSPENSION OR REVOCATION OF THE APPLICANT'S REGISTRATION. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803 (800) 876 -2765 NCCI NO 40959 POLICY NO WCC 5008653012012 PRIOR NO WCC 5008653012011 ITEM 1 The insured Dean Acheson dba Acheson Company Mail Address: 6 North Main Street Williamsburg MA 01096 Street No Town or City County State Zip Code FEIN xxxxx7262 ®Individual ❑Partnership ❑Corporation ❑Joint Venture ❑Association ['Other Other workplaces not shown above: 2 The policy period is from 10/01/2012 to 10/01/2013 12:01 a.m standard time at the insured's mailing address. 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states fisted here; MA B Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3 A The limits of our liability under Part Two are: Bodily injury by Accident $ 100,000 each accident Bodily injury by Disease $ 500.000 policy limit Bodily Injury by Disease $ 100,000 each employee C Other States Insurance: Coverage Replaced By Endorsement WC 20 03 06A D This policy includes these endorsements and schedules: SEE SCHEDULE 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating plans All information required below is subject to verification and change by audit Classifications Premium Basis Rates Code Estimated Per $100 Estimated No Total Annual Of Annual Remuneration Remuneration Premium INTRA 178602 SEE E (TENSION OF INFORMATION PAGE Minimum premium $ 500 00 Total Estimated Annual Premium $ 8,863.00 As indicated interim adjustments of premium shall be made: Deposit Premium $ 780.00 ❑ Annually 0 Semi Annually ❑ Quarterly ® Monthly MA Assessment Chg. $7,386.15 x 4 2000% $310 00 This policy, including all endorsements, is hereby countersigned by 08/24/2012 Authorized Signature Date GOV GOV KIND PLACING CLAIM NAME SAFETY Axis Insurance Services STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP 933 East Columbus Ave MA 5645 25 502 Springfield, MA 01105 • WC 00 00 01 A (7 - 11) Includes copyrighted material of the National Council on Compensation Insurance used with its permission City of Northampton Massachusetts d 4 4 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building x " Northampton, MA 01060 Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner • HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and /or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location „ , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street .5 Si 1 2 .. Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): C\\Q_) SC?v` (?� l _ Address: 0 \, -k- City /State /Zip: t �� \�� ,� J . C � [ �`' Phone #(. ( ( .g 7 4- ( Are you an employer? Check the appropriate box: Type of project (required): 1. R'fam a employer with 2 _ 4. 111 I am a general contractor and I 6. E1 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. L'Itemodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing re 3. ❑ I am a homeowner doing all work g airs or additions p myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13. ❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ��� �� � a' C — S- r� r -mot? co— , c Policy # or Self -ins. Lic. #: �— XL' SC'x� c �`' 1 Z. Expiration Date: 16 r O t (,7 Job Site Address: 1 1 6 t t-55 s'cs Ci ty /State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ' er the pam • , • • •ties of perjury that the information provided above is true and correct. Si • iature: ___.. Date: Z-- Phone #: — ►► �'/� 'f1 3 . 711 C5 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 1 8.1 Licensed Construction Supervisor: /� Not Applicable ❑ Name of License Holder : �f. c'— C reTWK- `j t LLC. License Number Addres �/ 0C Expiration Date • E+ u� ignafure Teleph • 41111111111LOP / 3 9.?Reciiste ed Home lmprovemerit Coritractor ,,,..__ _ , „7a,12, ,, ; : 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 ❑ 1 1. ..1Hoe Owner Eteintstion 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 • A SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [CI] Other [O] Brief Description of Proposed / Work: Cc�v a �� g.,V�ec. W .4i� o C_ Vx�iJ� \\A Zt.._ or- •v. • 1: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa if Newhous a nd o r addition toexisting:housinq comp 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 7i ,-,OWNER AUTHORIZATION,- TO BE COMPLETED WHEN OWNERS`.AGENT OR CONTRACTOR APPLIES FOR BUILDING, PERMIT ,cf=6 � C.. �� ` c k 0 -1/4-4- l , as Owner of the subject 1 c\ j property hereby authorize \ThC'c.L ," C oy■ to act on my beha , in all matters relative to work authorized by this building permit application. / t —t-- -- Signature of O _ . T — Date , 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. Print Name Signature of Owner /Agent Date • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information k Existing Proposed Required by' Zoning • This column to be filled in by Building Department . i S ,a Lot Size _ . Frontage __._� Setbacks Front Side L:. R:__... L: ..`=. R: _ Rear I Building Height Bldg. Square Footage % ... ........ __...... . Open Space Footage __ _..._.. (Lot area minus bldg & paved parking) 1 # of Parking Spaces Fill: ._ __ _ _ (volume & Location) ! A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 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 • YES 0 IF YES: enter Book i Page' I and /or Document # B. Does the site contain a brook, body of water or wetlands? NO \ni 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 , Date Issued: C. Do any signs exist on the property? YES 0 NO :2.) 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 IF YES, describe size, type and location: d 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. z Departmemt use only t i B p_- � � City of Northampton sta of P x -a ' — I Building Department Curb CuffDnv ecml 2012 s 212 Main Street Sewer1SepticAValiablhty �s NOV 2 8 2012 Room 100 W Av y } Northampton, MA 01060 T�no u f�St ru ctural F lans k r , , ,, €- & tea ' lg -T5A - R , *c- rtf! a , h EPT. of Bu�LDING �NPECTIoNSp le 413- 587 -1240 Fax 413- 587 -1272 PI a IS , e fans �..: ' ; 24 � NORTHAMPTON, MA 01060 Other Specify`-_ APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: ;Thi sec tion to be completed by office : " tT x f 61 2 -.N(=. ' Lot Unit. '� G'- -s(l�A- ` Zone Overtax Distric Elm St. :District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: / -1t--\-- yn� Name (Print) � Current Mailing A ress: C y13 z i6- - - 7 Telephone Signature —.. 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 .:ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a)' Pertt mee 8 WC) 2. Electrical (b) Estim Tot Cost of:: 2 C � r. ' Construction frort i (6 , ) ' 3. Plumbing "' Building Per mit Fee 4. Mechanical (HVAC) -- 5. Fire Protection — . 1 +2 +3 +4 +5 ) t j ©1 00 ( G Check Numbers 1 7 i 6. Total= "'- T his Section For Official Use Only - Building Permit Number ' .Issued: Signature: Building Commissioner /Inspector of Buildings Date • File # BP- 2013 -0605 APPLICANT /CONTACT PERSON R DEAN ACHESON ADDRESS/PHONE 6 NORTH MAIN ST WILLIAMSBURG (413) 268 -0246 PROPERTY LOCATION 19B EAST ST MAP 38B PARCEL 117 000 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 . Fee Paid ■) 31/ 440 Typeof Construction: ADD KNEEWALLS & DRYWALL (GREAT ROOM/OFFICE /STORAGE) New Construction Non Structural interior renovations Addition to Existing __ Accessory Structure Building Plans Included: Owner/ Statement or License 83968 3 sets of Plans / Plot Plan De6,/ye e THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 jir 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. 19B EAST ST BP- 2013 -0605 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B - 117 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0605 Proiect # JS- 2013- 000968 Est. Cost: $10000.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: R DEAN ACHESON 83968 Lot Size(sq. ft.): Owner: GUIDOTTI ALICIA Zoning: URB(100)/ Applicant: R DEAN ACHESON AT: 19B EAST ST Applicant Address: Phone: Insurance: 6 NORTH MAIN ST (413) 268 -0246 WILLIAMSBURGMA01096 ISSUED ON:12/3/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD KNEEWALLS & DRYWALL (GREAT ROOM /OFFICE /STORAGE) 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 12/3/2012 0:00:00 $60.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner