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25C-178 (4) ,- /79 . . .1 I J i I \ ) / / e r ,77 0 c f fit 11 f I . , \ \ - 1 ( ?)_ !/ I. //lL ?IOLd% 5 60.-- ieA- 4),a(L- e ISIJ 7!7$'.v' ua- UiJTs/ ttKw/wLt. 01/3/2013 07:46 p T0: +1 (978) 6525560 FR0I7 :5083978939 Page: 2 NORTH STREET 80' -0" PROPERTY LINE I � 1 - r l CV �) FRONT LOT SET BACK I EXISTING PORCI -I � 1 1 1 I 1 I � i I I i 9 5 , EXISTING 14' - ). RESIDENCE , I, oz I F— T I u I LLLI a_ ml ? fY s r { I ` e _, j u _ 'I Z LL I OLD PORCH �! 0 - o PORCH , pi 1 1.____ j a e { , ill . 'd NEJJ DECK I 15' AND STAIRS ; o IW 1 ° I I I 1 I ' N I REAR LOT SETBACK EXISTNG \ 1 ) GARAGE NORTN 20' X 20' @ `A N �� \ ____ _ ._ \ 80` -0" PROPERTY LINE ( ) FL NORTH A CONCEFni 4 1 F 0 F AN �� SCA_E. 1L -0�� a 10 -0II THIS IS NOT 4 CERTIFIED PLOT PLAN. 714E PROPERTY LIVE DATA WAS TAKEN FROM DEED BOOK 11101 PAGE 104 PAGE 3 OF 3 Page 1 Residential Heat Loss and Heat Gain Calculation 1/2/2013 In accordance with ACCA Manual J Report Prepared By: Premier Supply Group For. SKM / DJ BUTLER CONST 117 NORTH NORTHAMPTON, MA 01060 Design Conditions: NORTHAMPTON Indoor. Outdoor. Summer temperature: 68 Summer temperature: 95 Winter temperature: 74 Winter temperature: -10 Relative humidity: 50 Summer grains of moisture: 88 Daily temperature range: High Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,760 sq.ft. 17,724 3,582 21,306 60,905 (2tons) First Floor 10,404 1,970 12,374 40,329 Bedroom 1 140 sq.ft. 1,787 358 2,145 7,161 Bedroom 2 140 sq.ft. 1,557 239 1,796 5,063 Bedroom 3 120 sq.ft. 1,904 299 2,203 5,473 Bathroom full 36 sq.ft. 1,242 239 1,481 3,807 Bathroom half 15 sq.ft. 0 0 0 197 Kitchen 120 sq.ft. 811 119 930 4,101 Living Room / Dining 400 sq.ft. 2,418 358 2,776 10,353 Entry Foyer 50 sq.ft. 685 358 1,043 4,174 Second Floor _ 7,321 1,611 8,932 20,578 Living Room 225 sq.ft. 2,555 597 3,152 7,154 Bedroom 2 168 sq.ft. 1,212 179 1,391 2,635 Bathroom full 50 sq.ft. 635 119 754 1,926 Entry Foyer 80 sq.ft. 765 358 1,123 3,640 Bedroom 1 120 sq.ft. 1,354 239 1,593 3,465 Kitchen 96 sq.ft. 800 119 919 1,758 Whole House 1,760 sq.ft. 17,724 3,582 21,306 60,905 (2tons) HVAC -Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736 -1101 Load calculations are estimates only, actual loads may vary due to weather and construction differences. �• ►�:;; A Division of Maki Ccr •, — 1.11 NFRC Duragard XT Double Hung National Fenestration MAK — K — 030 Rating Council ® Vinyl " Double Giaz'i� c� E cEi3FFIEO y g '' Argon Fill * Grid; ENERGY PERFORMANCE RATINGS U- Factor (U.S. /I -P) Solar Heat Gain Coefficient 0.28 0.27 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 • 48 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a faced set of environmental conditions and a specific product size. NFRC does not recommend any product and does not warrant the suitability of any product for any specific use Consult manufacturer's literature for other product performance information. www.nfrc.org • ver REScheck Software Version 4.4.3 E item(' Compliance Certificate Q 2013 1 6L.F1,7- _ -- NO -TH FT:), :,i,; Project Title: Basil Residence Renovation 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: 117 North Street Northampden, MA Compliance: Passes Compliance: 0.5% Better Than Code Maximum UA: 365 Your UA: 363 The % Better or Worse Than Code index reflects haw dose to compliance the house is based on code trade -off roles. It DOES NOT provide an estimate of energy use or cost relative to a minimum -code Frame Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Ceiling: Flat Ceiling or Scissor Truss 958 38.0 0.0 29 Floor: All -Wood Joist/Truss:Over Unconditioned Space 958 30.0 0.0 32 Wall: Wood Frame, 16" o.c. 2873 21.0 0.0 145 Window: Wood Frame :Double Pane with Low -E 286 0.280 80 Door. Solid 36 0.350 13 Wall @ stair: Wood Frame, 16" o.c. 624 13.0 0.0 48 Window: Wood Frame:Double Pane with Low -E 17 0.280 5 Door. Solid 21 0.500 11 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 budding 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. Name - Title Signature Date Project Title: Basil Residence Renovation Report date: 12/26/12 Data filename: C: \Documents and Settings \Stephen Fleshman\Stephen Fleshman ArchitecttProjects1Basil Northhampden \Basil Res Check.rck Page 1 of 1 (7) An accessory. apartment may not be occupied by more than three people. (8) Three off - street parking spaces must be available for use by the owner - occupant(s) and tenants. (9) The design and room sizes of the apartment must conform to all applicable standards in the health, building, and other codes. (10) Zoning permits issued under this section shall specify that the owner must occupy one of the dwelling units. The zoning permit andthe notarized letters required in Subsection B(11) and (12) below must be recorded in the Hampshire County Registry of Deeds or Land Court, as appropriate, in the chain of title to the property, with documentation of the recording provided to the Building Commissioner, prior to the occupancy of the accessory apartment. (11) When a structure which has received a permit for an accessory apartment is sold, the new owner(s), if they wish to continue to exercise the permit, must, within 30 days of the sale, submit a notarized letter to the Building Commissioner stating that they will occupy one of the dwelling units on the premises as their primary residence. This statement shall be listed as condition on any permits which are issued under this section. (12) Prior to issuance of a permit, the owner(s) must send a notarized letter stating that the owner will occupy one of the dwelling units on the premises as the owner's permanent primary residence, except for bona fide temporary absences. (13) Prior to issuance of a permit, a floor plan of 1/4 inch to the foot must be submitted showing the building, including proposed interior and exterior changes to the building. § 350 - 10.10. Accessory.apartments.' An accessory apartment, or in -law apartment, is a self- contained housing unit incorporated within a single - family dwelling (not within accessory structures, except with a special permit) that is a subordinate part of the single - family dwelling and complies with the criteria below. A. The intent of permitting accessory apartments is to: (1) Provide older homeowners with a means of obtaining rental income, companionship, security and services, and thereby to enable them to stay more comfortably in homes and neighborhoods they might otherwise be forced to leave; (2) Add moderately priced rental units to the housing stock to meet the needs of smaller households and make housing units available to moderate - income households who might otherwise have difficulty finding housing; (3) Develop housing units in single - family neighborhoods that are appropriate for households at a variety of stages in their life cycle; (4) Protect stability, property values, and the single - family residential character of a neighborhood by ensuring that accessory apartments are installed only in owner - occupied houses; (5) To provide housing units for persons with disabilities. B. The Building Commissioner may issue a zoning permit authorizing the installation and use of an accessory apartment within an existing or new owner - occupied, single - family dwelling and the Zoning Board of Appeals may issue a special permit authorizing the installation and use of an accessory apartment in a detached structure on a single - family home lot only when the following conditions are met: (1) The apartment will be a complete, separate housekeeping unit containing both kitchen and bath. (2) Only one accessory apartment may be created within a single - family house or house lot. (3) The owner(s) of the residence in which the accessory unit is created must continue to occupy at least one of the dwelling units as their primary residence. The zoning permit or special permit for the accessory apartment automatically lapses if the owner no longer occupies one of the dwelling units. (4) Any new outside entrance to serve an accessory apartment shall be located on the side or in the rear of the building. (5) The gross floor area of an accessory apartment (including any additions) shall not be greater than 900 square feet. (6) Once an accessory apartment has been added to a single - family residence or lot, the accessory apartment shall never be enlarged beyond the 900 square feet allowed by this chapter. City of Northampton Massachusetts F ! DEPARTMENT OF BUILDING INSPECTIONS 4 ., 212 Main Street • Municipal Building ' Northampton, MA 01060 `sEh' 4 . 4 . Daniel J. Butler , 20 Riley Switch Rd Phillipston, MA 01331 December 27, 2012 Dear Mr. Butler, , I have reviewed the building permit application you submitted to add an accessory apartment to a single family dwelling at 117 North Street. The floor plans submitted by Stephen Fleshman dated 12/21/12 meet the area requirements for an accessory apartment. I've attached a copy of the zoning regulations; there are other conditions that must be met for a certificate of occupancy. The building code requirements for an accessory apartment are the same as for a two family dwelling. We need plan details for the proposed fire separation of the two units and fire separation of the common egress areas (2009 IRC R302.3). We will also need plans showing locations of smoke and carbon monoxide detectors for both units and the common areas (2009 IRC R315 with Mass amendments). We will need the heat load calculations and HVAC equipment sizing information, and window and door specifications (Mass stretch energy code). It appears that the proposed porch and deck on the rear of the house will extend past the existing structure. We need a plot plan showing the setbacks of the existing and proposed structure. The setback requirements for that district are 20' front and rear and 15' sides. We do not require a survey plan but the plan must be easily readable and accurately dimensioned. Feel free to contact me if you have any questions. Respectfully, Louis Hasbrouck l e fg -- t•-'° Building Commissioner City of Northampton (413) 587 -1240 lhasbrouck@city.northampton.ma.us Louis Hasbrouck From: Louis Hasbrouck Sent: Thursday, December 27, 2012 2:52 PM To: Daniel J Butler ( djbutlerconstruction7 ©yahoo.com) Subject: 117 North St Attachments: 117 North St Permit Review 2012- 12- 27.doc Dan, Here's the plan review letter (attached and copied as text) I have reviewed the building permit application you submitted to add an accessory apartment to a single family dwelling at 117 North Street. The floor plans submitted by Stephen Fleshman dated 12/21/12 meet the area requirements for an accessory apartment. I've attached a copy of the zoning regulations; there are other conditions that must be met for a certificate of occupancy. ' The building code requirements for an accessory apartment are the same as for a two family dwelling. We need plan details for the proposed fire separation of the two units and fire separation of the common egress areas (2009 IRC R302.3). We will also need plans showing locations of smoke and carbon monoxide detectors for both units and the common areas (2009 IRC R315 with Mass amendments). We will need the heat load calculations and HVAC equipment sizing information, and window and door specifications (Mass stretch energy code). It appears that the proposed porch and deck on the rear of the house will extend past the existing structure. We need a plot plan showing the setbacks of the existing and proposed structure. The setback requirements for that district are 20' front and rear and 15' sides. We do not require a survey plan but the plan must be easily readable and accurately dimensioned. Feel free to contact me if you have any questions. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 (6) Once an accessory apartment has been added to a single - family residence or lot, the accessory apartment shall never be enlarged beyond the 900 square feet allowed by this chapter. (7) An accessory apartment may not be occupied by more than three people. (8) Three off - street parking spaces must be available for use by the owner - occupant(s) and tenants. (9) The design and room sizes of the apartment must conform to all applicable standards in the health, building, and other codes. (10) Zoning permits issued under this section shall specify that the owner must occupy one of the dwelling units. The zoning permit and the notarized letters required in Subsection B(11) and (12) below must be recorded in the Hampshire County Registry of Deeds or Land Court, as appropriate, in the chain of title to the property, with documentation of the recording provided to the Building Commissioner, prior to the occupancy of the accessory apartment. (11) When a structure which has received a permit for an accessory apartment is sold, the new owner(s), if they wish to continue to exercise the permit, must, within 30 days of the sale, submit a notarized letter to the Building Commissioner stating that they will occupy one of the dwelling units on the premises as their primary residence. This statement shall be listed as condition on any permits which are issued under this section. (12) Prior to issuance of a permit, the owner(s) must send a notarized letter stating that the owner will occupy one of the dwelling units on the premises as the owner's permanent primary residence, except for bona fide temporary absences. (13) Prior to issuance of a permit, a floor plan of 1/4 inch to the foot must be submitted showing the building, including proposed interior and exterior changes to the building. the building code requires that all dwelling units have 2 separate and independent means of egress leading directly to grade; not through another unit. 350 - 10.10. Accessory apartments. An accessory apartment, or in -law apartment, is a self- contained housing unit incorporated within a single - family dwelling (not within accessory structures, except with a special permit) that is a subordinate part of the single - family dwelling and complies with the criteria below. A. The intent of permitting accessory apartments is to: (1) Provide older homeowners with a means of obtaining rental income, companionship, security and services, and thereby to enable them to stay more comfortably in homes and neighborhoods they might otherwise be forced to leave; (2) Add moderately priced rental units to the housing stock to meet the needs of smaller households and make housing units available to moderate - income households who might otherwise have difficulty finding housing; (3) Develop housing units in single - family neighborhoods that are appropriate for households at a variety of stages in their life cycle; (4) Protect stability, property values, and the single - family residential character of a neighborhood by ensuring that accessory apartments are installed only in owner - occupied houses; (5) To provide housing units for persons with disabilities. B. The Building Commissioner may issue a zoning permit authorizing the installation and use of an accessory apartment within an existing or new owner - occupied, single - family dwelling and the Zoning Board of Appeals may issue a special permit authorizing the installation and use of an accessory apartment in a detached structure on a single - family home lot only when the following conditions are met: (1) The apartment will be a complete, separate housekeeping unit containing both kitchen and bath. (2) Only one accessory apartment may be created within a single - family house or house lot. (3) The owner(s) of the residence in which the accessory unit is created must continue to occupy at least one of the dwelling units as their primary residence. The zoning permit or special permit for the accessory apartment automatically lapses if the owner no longer occupies one of the dwelling units. (4) Any new outside entrance to serve an accessory apartment shall be located on the side or in the rear of the building. (5) The gross floor area of an accessory apartment (including any additions) shall not be greater than 900 square feet. 99 APPLE ROAD BRIMFIELD, MA 01010 PHONE: 508.347.7188 STEPHEN EPHEN FLESHMAN ARCHITECT ECT, LLC FAX: 508.347.8939 Fleshman @SF - Arch.com New Construction - Second Floor Constructed new walls as indicated on plans Install new GWB on all walls and ceiling Install new doors and hardware Install new replacement windows Frame and sheath fireplace chimney floor opening Install all new plumbing fixtures and plumbing as required Install new kitchen cabinetry plumbing and electrical as required Construct new deck and stairs including all framing, railings, foundations etc. New Construction - Attic Constructed new walls as indicated on plans Install new GWB on all new walls. Install new door and hardware 2 of 2 99 APPLE ROAD BRIMFIELD, MA 01010 PHONE: 508.347.7188 STEPHEN FLESHMAN ARCHITECT, LLC FAX: 508.347.8939 Fleshman@SF-Arch.com PROJECT SCOPE DECEMBER 1,2012 BASIL RESIDENCE RENOVATION PROJECT North Street, Northampton, MA SCOPE OF PROJECT Demolition - First Floor Remove walls and doors as indicated on drawings as required for the new construction Remove all interior wall and ceiling finish Remove all existing windows as required for installation of new replacement windows Remove existing fireplace, mantel, hearth and chimney Remove all bathroom plumbing fixtures and plumbing back as required for new plumbing work Remove existing kitchen cabinets, sink, etc. and plumbing as required. Remove existing rear porch, railings, roof and foundations as required for new deck structure Demolition - Second Floor Remove walls and doors as indicated on drawings as required for the new construction Remove all interior wall and ceiling finish Remove all existing windows as required for installation of new replacement windows Remove existing fireplace chimney Remove all bathroom plumbing fixtures and plumbing back as required for new plumbing work Demolition - Attic Remove existing fireplace chimney New Construction - First Floor Constructed new walls as indicated on plans Install new GWB on all walls and ceiling Install new doors and hardware Install new replacement windows Frame and sheath fireplace floor opening Install all new plumbing fixtures and plumbing as required Install new kitchen cabinetry plumbing and electrical as required Construct new deck and stairs including all framing, railings, foundations etc. 1 of 2 Details Page 1 of 1 Licensee Details Demo : ra • hic Information Full Name: DANIEL J BUTLER Gender: Owner Name: License Address Information Address: 20 RILEY SWITCH RD Address 2: City: PHILLIPSTON State: MA Zipcode: 01331 Country: United States License Information License No: CS- 051355 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: Issue Date: 10/9/2010 Expiration Date: 10/9/2012 License Status: Expired Today's Date: 12/5/2012 Secondary License: Doing Business As: Status Change: 17 Prerequisite Information No Prerequisite Information Discipline No Discipline Information Documentum http: / /elicense.chs. state. ma. us / Verification /Details.aspx ?agency_id =1 &license_id= 240316& 12/5/2012 Northampton, MA Property Detail Page 2 of 2 Interior /Exterior: Poorer Condition/Desirability /Utility: FR Vacant /Dwell /Oby Status: Dwelling Additional Features: Brick Trim: 0 X 0 Stone Trim: 0 X 0 Remodeling Data: Year Remodeled: 0 Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type F et Value no Prime information Site 9,680 133,560 Type Qty Year Size 1 Size2 Grd Cond RG1 1 1925 1 400 C A Acreage Type Street/Road Type Acres Value no no information information Sales Info Permit Info Date Type Price Validity Date Permit # Price Purpose no information I no information http : / /www.northamptonassessor.us /noho /propertyd etail.php ?map_no =25C -178 -001 &page... 12/5/2012 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record t New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 25C -178 -001 Zoning: Assessment: Location: 117 NORTH ST Neigborhood: 8 Land: #Living Units: 1 Deed Book: 1423 Building: Class: R -101 Deed Page: 093 Total: Dwelling Information Building Sketch Style: Conventional Year Built: 1900 Story Height: 2 23 - Attic: Part Finish '--- �` 7 B Basement: Part 24 Total Rooms: tf 11 11 Bedrooms: (-_ Full Baths: 4 4 Half Baths: 0 12 FA /2Fr 12 Exterior Walls: Asbestos 4 � I C I 4 Unfinished Area: 0 Ground Floor Area: 984 Total Living Area: 2214 14 14 Finished Basement Living 0 X 0 24 Area: 23 C 7 Basement Recreation Area: 0 X 0 Woodburning Fireplace 1 / 1 Stacks /Openings: - --'_ Metal Fireplace 0 / 0 Stacks /Openings: Addition Information: Heat /Central A /C: Basic � Heating System: Warm Air Lower 1st Story 2nd Story I Fuel Type: Gas Basement One Story Frame One Story Frame Fin Quality Grade: C+ Open Frame Porch E Physical Condition: Average Open Frame Porch C http:// www. northamptonassessor. us/ noho /propertydetail.php ?map_no = C -178 -001 &page... 12/5/2012 --.PL— ........._,,,,,;„,......,..— ?Lfro1/4.) --' , , 1 ° i I , j i / 6 * ) 1 , ; V , --------------------?b' I i 1 - , 1 ' 1 . ...-- _ t 0 ,' , 1 i .....„.44 i : t i 1 t 1 ; t• t I i 1 # 97 , - . i 1 F 1 ) \ \ 1 (3 \ NI --, t • 1 , lig '..... ■ 1 .^.. 1 * I 1 0 ---- ! 1 ,,..... , ‘ - - --..) , 1 I , k , , 1 t ; i City of Northampton Massachusetts /4+;'. ttk; DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building vi Ba Northampton, MA 01060 h TO INS PECTOR 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 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 I �:� 600 Washington Street 01111111 V44 .4016_ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors/Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization/lndividual): _ Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. n I am a general contractor and I 6. 111 New construction e oyees (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 g. Demolition any for me in employees and have workers' b Y ca ac P it . Y 9. n Bu2ding addition [No workers' comp. insurance comp. insurance. required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 3. C 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. 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. 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: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ��--r i Date: J� -i/ – Phone #: 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 : () IttytO t! ( "S TS t j ` l,e 1` S / c3 S License Number a ca R 1 leysLA, Te A. RD (01 y aid 2 Address Expiration Dat Signature r Telephone �..._ _ Ho om � te 9.°Redistered me 1mprovement Contractor ; ..,_ v w _ Not Applicable ❑ Company Name Registration Number n P O lc y r� [, � ►J I 1 Se o t Address • Expiration Date l irs ret , - Telephone y 7 g •W e - 7 • 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 ❑ ,n : „ 1, 1.. 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 n Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors 113' (-1 Accessory Bldg. I 1 Demolition ❑ New Signs [I]] Decks [[ Siding [O] Other [El] Brief Description of Propo e / r w Work: Ike/1'404r. / ) s7oRy (3u1 LJ Oti A cli, , Iy 3 N os,., Add /.cy 7, an f'( ,rj,, Alteration of existing bedroom ✓ Yes No Adding new bedroom l Yes No Attached Narrative Renovating unfinished basement Yes i ,, , - ---- Rio Plans Attached Roll - Sheet sa. IfkNeW house and 'or addition,to.existingih uo s` inq completed efollowing: a. Use of building : One Family Two Family V Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? LIO d. Proposed Square footage of new construction. Dimensions e. Number of stories? a f. Method of heating? Ck l 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 1, 41/9 he'i, /1.1 t�1 if (o -- , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. ' MA- (t( Signature of Owner Date #2. 3 /2- i, DPAl/ t . 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. ,TD4-Iii lec- ct Print Na ��C., ---. ..0 / �/ d/ 2 - Signature of Owner/ ge/� gent Date 2. 4 . Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by . i ' oning This column to be filled in by Building Department it 1 Lot Size f : _ — . _ Frontage ------ -- _ . — Setbacks Front Side L:- . R:--- L: ; R:____ Rear Building Height . . Bldg. Square Footage , V:, Open Space Footage ---_ (Lot area minus bldg & paved ..... .........._. parking) , r---, 1----7 . , if 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 DON'T KNOW 0 YES 0 , . IF YES: enter Book ; : Page ; and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 ' YES 0 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 0 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 0 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 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Depa rtment use only f City of Northampton Status of Permit C � y. - '� Building Department Curb CutlDnveway Permit � � �� _� w 212 Main Street eer/Spticvatlabdltjr , i y � Q�Z Room 100 Water/1l�lell Availability No hampton, MA 01060 Two S of tr Plans x !y..}° 2 " 4 87 - 1 240 Fax 413- 587 -1272 PI Pl an s - " � � � o � N, Other' Specify Pi N PPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This sec tion to be completed by office 1.1 Property Address: Ma " Lot Unit Ni ,)0z�i� s : Zone" " Overla District y E lm St. Distr CB D SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Own / er of Record: blame Print) Current Mailing Address: �f �1 Telephone Signature = 2.2 Authorized Agent: /�� Q� Dew) ‘e ; ! 1�7.e {Z r 1 ')1,(1/. w, 7%! J / �( �GLI�Srf Name (Prin Current Mailing Address: / ' - .� -�-r- 7 79( ,d // Signature / Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Co st (Dollars) to be Official Use Only completed by permit applicant 1. Building Building Perrmit Fee 9Q. act. to 2. Electrical (b) Estimated Total Cost of- oD' U0O Cons truction from (6 ) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) ti,■r C 0 ,o01 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) / So -o'aJa • ."3 Check This Section For Official Use Onl Date Building Perm Nu mber: Issued Signature :' Building Commissioner /Inspectorof Bu Date • i ; is/ . ^ y li 4 r .. t f a. The sum of the gross horizontal area of the several floors including basements of a principal building and its faces of the walls. It does not include cellars; unenclosed porches or attics not used for human occupancy; malls within a shopping center utilized purely for pedestrian circulation and /or decorative 'purposes between individual ' shops of the center; any floor space in an accessory or principal building intended and designed for the parking of motor vehicles in order to meet the parking requirements of this chapter; or any such floor space intended or designed for accessory heating, ventilating and air - conditioning equipment. f2 f .- i '' . tr )`, f ' • 2 'NI' Lo Too -Pt p2 f3CCf.cn �5( W0R MIA LI `1 A1-50 6( Tier) LA S- 97? A , Cam, n r M, 11J G1 s /' Fore__ a C.o o,, 4JC (L 5t41. T mot, P( l it-Le poo Ztr wtuu ADD b As( Ak6 t.ic trizcA , is , s7:ti_i_ _., t _. _ __ ._ , ‘ , _ __ ,::i r ti `h" t e ����� ._ ' A e ) i ( �_ � (✓' � I �, r i i .i .i ` tr ? ._- / l L. :- ' � - -' ' 11 t 1 File # BP- 2013 -0627 APPLICANT /CONTACT PERSON DANIEL J BUTLER ADDRESS/PHONE 20 RILEY SWITCH RD PHILLIPSTON (978) 790 -7011 PROPERTY LOCATION 117 NORTH ST MAP 25C PARCEL 178 001 ZONE URC(99)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / f �f �/ 9 a) • p+rAc 0 Fee Paid (p V o r ( tt Typeof Construction: CONSTRUCT 2 STORY DECK/EGRESS,CONSTRUCT ACCESSORY APARTMENT, 3 ' RENOVATE 2ND FLR & INSTALL REPLACEMENT WINDOWS s f 1 ^J y� New Construction �1 Non Structural interior renovations 1201 P-!;3_ Addition to Existing t (%, Accessory Structure r�'` Building Plans Included: tic Owner/ Statement or License 51355 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO'IATION PRESENTED: I Additional permits required (see below) f PLANNING BOARD PERMIT REQUIRED UNDER:§ _. / '> f 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 1' Permit from Elm Street Commission Permit DPW Storm Water Management I �'( ,1. Demolition Delay 0 ( O. 7 ( (('-' 05 /7„..L.11 0 A Signature Building Official Da - g b 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. 117 NORTH ST BP- 2013 -0627 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C - 178 CITY OF NORTHAMPTON Lot: -001 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 -0627 Project # JS- 2013- 000839 Est. Cost: $150000.00 Fee: $900.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DANIEL J BUTLER 51355 Lot Size(sq. ft.): 9670.32 Owner: BASAL MOHAMMED Zoning: URC(99)/ Applicant: DANIEL J BUTLER AT: 117 NORTH ST Applicant Address: Phone: Insurance: 20 RILEY SWITCH RD (978) 790 -7011 PHILLIPSTONMA01331 ISSUED ON:1/17/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY DECK /EGRESS,CONSTRUCT ACCESSORY APARTMENT, RENOVATE 2ND FLR & INSTALL REPLACEMENT WINDOWS 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 1/17/2013 0:00:00 $900.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner