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2009 IE Energy
Efficiency CC Certificate
Insulation Rating R-Value
Ceiling/Roof 41.00
Wall 23.00
Floor/Foundation 37.00
Ductwork(unconditioned spaces):
Glass&Door Rating U-Factor SHGC
Window 0.30
Door 0.27 NA
Heating&Cooling Equipment Efficiency
Heating System:
Cooling System:
Water Heater:
Name: Date:
Comments:
D Pool heaters operating on natural gas or LPG have an electronic pilot light.
D Timer switches on pool heaters and pumps are present.
Exceptions:
Where public health standards require continuous pump operation.
Where pumps operate within solar-and/or waste-heat-recovery systems.
• Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a
minimum insulation value of R-12.
Exceptions:
Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source.
Lighting Requirements:
• A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following:
(a)Compact fluorescent
(b)T-8 or smaller diameter linear fluorescent
(c)40 lumens per watt for lamp wattage<=15
(d)50 lumens per watt for lamp wattage>15 and<=40
(e)60 lumens per watt for lamp wattage>40
Other Requirements:
• Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting
off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is
above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c').
Certificate:
❑ A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window
U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility
of the circuit directory label,service disconnect label or other required labels.
NOTES TO FIELD:(Building Department Use Only)
Project Title: GARAGE CONVERSION Report date: 07/23/13
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(d)Floors:Air barrier is installed at any exposed edge of insulation.
(e)Plumbing and wiring: Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or
sprayed/blown insulation extends behind piping and wiring.
(f) Corners,headers,narrow framing cavities,and rim joists are insulated.
(9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall.
Sunrooms:
LI Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum
skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope
requirements.
Materials Identification and Installation:
D Materials and equipment are installed in accordance with the manufacturer's installation instructions.
D Materials and equipment are identified so that compliance can be determined.
O Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided.
Li Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.
Duct Insulation:
LI Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are
insulated to at least R-6.
Duct Construction and Testing:
O Building framing cavities are not used as supply ducts.
LI All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means
of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or
UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically
fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three
equally spaced sheet-metal screws.
Exceptions:
Joint and seams covered with spray polyurethane foam.
Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the
joint so as to prevent a hinge effect.
Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa).
LI Duct tightness test has been performed and meets one of the following test criteria:
(1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area.
(2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2.
(3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area.
(4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area.
Temperature Controls:
• Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary
heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle.
LI Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the
compressor can meet the heating load.
Heating and Cooling Equipment Sizing:
LI Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code.
LI For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial
Building Mechanical and/or Service Water Heating(Sections 503 and 504).
Circulating Service Hot Water Systems:
LI Circulating service hot water pipes are insulated to R-2.
LI Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the
system is not in use.
Heating and Cooling Piping Insulation:
LI HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3.
Swimming Pools:
LI Heated swimming pools have an on/off heater switch.
Project Title: GARAGE CONVERSION Report date: 07/23/13
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C.IREScheck ction Software Version 4.4.3
Inspe Checklist
Energy Code: 2009 IECC
Location: Northampton,Massachusetts
Construction Type: Single Family
Project Type: Addition/Alteration
Heating Degree Days: 6404
Climate Zone: 5
Ceilings:
❑ Ceiling 1:Cathedral Ceiling,R-27.0 cavity+R-14.0 continuous insulation
Comments:
Above-Grade Walls:
❑ Wall 1:Wood Frame,24"o.c.,R-23.0 cavity insulation
Comments:
Windows:
❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor:0.300
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break? Yes No
Comments:
Doors:
❑ Door 1:Glass,U-factor:0.270
Comments:
Floors:
❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-37.0 cavity insulation
Comments:
Floor insulation is installed in permanent contact with the underside of the subfloor decking.
Air Leakage:
Li Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are
sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or
solid material.
❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between
window/door jambs and framing.
Li Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk
between the housing and the interior wall or ceiling covering.
Li Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or
damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed
to maintain insulation application.
❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air.
Li Automatic or gravity dampers are installed on all outdoor air intakes and exhausts.
Air Sealing and Insulation:
Li Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7
ACH at 50 pascals OR 2)the following items have been satisfied:
(a)Air barriers and thermal barrier: Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or
repaired.
(b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed.
(c)Above-grade walls: Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier.
Project Title: GARAGE CONVERSION Report date: 07/23/13
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REScheck Software Version 4.4.3
Compliance Certificate
Project Title: GARAGE CONVERSION
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:
50 Manhan Street Jami and BethAnn Albro+Fisher Peter Frothingham
Northampton,MA 01060 50 Manhan Street Office of Peter Frothingham RA
Northampton,MA 01060 181 Main Street
Suite One
Northampton,MA 01060
413 585 5910
pf @pfra.us
Compliance:Passes
Compliance: 15.6%Better Than Code Maximum UA:64 Your UA:54
The%Better or Worse Than code index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Gross Cavity Cont. Glazing UA
Assembly Area or R-Value R-Value or Door
Perimeter U-Factor
Ceiling 1:Cathedral Ceiling 351 27.0 14.0 8
Wall 1:Wood Frame,24"o.c. 491 23.0 0.0 24
Window 1:Vinyl Frame:Double Pane with Low-E 20 0.300 6
Door 1:Glass 27 0.270 7
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 351 37.0 0.0 9
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in
REScheck Version 4.4.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Name-Title Signature Date
Project Notes:
Revision 01,23 July 13
Project Title: GARAGE CONVERSION Report date: 07/23/13
Data filename:C:\Users\Peter\Desktop\CURRENT DATA\PFRA\PROJECTS\1304AFR2\rescheck 01 rev 01.rck Page 1 of 4
�- City of Northampton
s c'
f74.M6.1 ,4*,‘" , Massachusetts ' f * ff��'
A i. w•
ri
t
�; DEPARTMENT OF BUILDING INSPECTIONS :41
6).
�,w y';.-a - 212 Main Street • Municipal Building O' .."•
Northampton, MA 01060 'E'W t`-
INSPECTOR
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
�.:
e1= .
kr. -it.... { Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual) r,.� ,K7/ 74�•L t7` s7. ✓r fj
Address: ,/e..
City/State/Zip: ,f, ,v-,v--74-•� 'Al/� 0/d�i - Phone #: if/5 "z- ` !✓�,
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.El
am a sole proprietor or partner- listed on the attached sheet. 7. n Remodeling
ship and have no employees These sub-contractors have g. n Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance p.insurance.
required.] 5. We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ 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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify nder the pains and penalties of perjury that the information provided above is true and correct.
f
Signature: � /�/ c.•�--- Date: / /
Phone#: /'i r
—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: �.d y f (—
License Number
// .�� f /c ', r0.1-71 �-46--/�.
Address Expiration Date
Signature Telephone / �'�,�j`it
9.Registered Home Improvement Contractor ° W4 y ! ;! Not Applicable ❑
/.�1/e- � '<7_ i,lit- (�-�'/trt d► ;--..s r, ,./T ,n t'. / 7 �/ Zi ,•
Company Name Registration Number
Address
------------ Expiration Date
..r Telephone Z'4" 6 7-7:1-1.
.
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG L.c. 152,;§25C(6)).
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes ❑ No ❑
11. ;'Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside;on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
J
SECTION 5-DESCRIPTION OF PROPOSED.WORK(check all applicable) w
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing n
Or Doors 0
Accessory Bldg. ❑ Demolition Fr New Signs [o] Decks [C] Siding[C2e Other[Q!j`
Brief Description of Proposed , `
Work: ..✓• vrt> 7i /!i . / rc` /r ?A,G-if
Alteration of existing bedroom Yes • No Adding newrtiedroomi." Yes No
Attached Narrative • Renovating unfinished basement Yes v No
Plans Attached Roll -Shee
611w useland or``addition to existing housing,complete the following:
a. Use of building : One Family Two Family _Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each '
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-:OWNER AUTHORIZATION-TO BE COMPLETED WHEN -
'OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,
6 n�J PCrV -te) -6S' ?-.__ , as Owner of the subject
propert
hereby authorize I C-til t n►.Jr=- (t5"CC'_00 2V i LE--c T-t%..)c;.
. to act y b�q in matters relative to work authorized by this building permit application.7 2/2_c>t-3
Sig f Owner D to
\���f ✓� x c.� „' , as Owne Authorized
!Cge he e y declare that the statements and information on the foregoing application are true and accurate,to the best of my nowledge
OR. belief.
',•s. nder the pains and penalties of perjury.
) "t , �...✓1Y.C_..eA / .
Print Name ;
kiA#-) (::::-..../-2-46"------- 7/7/ '..)Signature of Owner/Agent Date
j-g- f-- / 47L 7.././/in(i',h e/te#441(j
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
b
Existing Proposed Required by'Zoging
This column to 1$e felled in by
/0
Z /S/ 7 o, z...-7.!.....5„.1.:4„, Building Department
Lot Size r- — j I !
Frontage ��° ` 1
Setbacks Front .' ., i (3. FI
r
Side L7'91( R:;/371
i 1 �T R'/1" `
2
Rear `: � ,
Building Height /If, t s r71 f
Bldg. Square Footage )T1-06 .- ---7--'.. % i�T' .fs' ; 1
Open Space Footage -� %
(Lot area minus bldg&paved ,∎,-; ,'rte j' er ?7, i
parking)
#of Parking Spaces nr..-
Fill: }
(volume&Location) _
A. Has a Sp al Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 0 YES Q
IF YES, date issued:.
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book I Page; 1 and/or Document#!
B. Does the site contain a brook, body of water or wetlands? NO e DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES 0 NO ICJ
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: r
E. Will the construction activity disturb(clearing, grading,exc.•ation, 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.
... ,,
- . , - , Departrnemt use only
-
t
RECEIVE, Dc' Y 0 Northampton Status of Permit:.
1321 ■ Main Street
■k
- -'- 1 -
r----------- 111
ildi g Department Cut/Driveway
ha ,pton, MA 01060
, T
3 • Curb Cut/Driveay Permit
Sewer/Septic Availability
1 6 2013 ooWater/Well
Water/Well Availability.
No 4 Two Sete of Structural Plans
DEI-1" (,H.. ' no i N 87- 240 Fax 413-587-1272 Plot/Site"Plans' -: '.","- - ---:'3,-.1::-:='- .- ''',' ,:-:'-----:.,,,:',"s';',;.:'-t-•":1=-'4:4
NOR I-=4,AqviTON.MA 01060
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:
........._3"--el „ ,,f,„,. /1,4,1 14-1- "1-1-
,-
Zone '• --.,-, ‘. -- - Overlay District
Elm St.District ."-- = - -', L CB DiStrict•
-.'SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT - -------
. -. . _ .
. _ .
2.1 Owner of Record:
1 .4_. • •
- di •dk A IPA i•1/11& A AI 101.4 . () N\cA.v-Ile,a ill S .
Name(P'. Current Mailing Address:
xC ----4----,..;.,e___,.._____. Telephi - ( 2-) 5--
Sign
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 --7 (a) Building Permit Fee
C 7." ,r 00.. ex)
2. Electrical (b) Estimated Cost of
5 ,..t , 9
* 4 4,, ,.
. , .
Construction from(6)-, _: .
3. Plumbing Building Permit Fee - ---- -- - - -- ----- - -- - - . -
„
4. Mechanical (HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) 77 f--- ,--/e7 d -Check Number 71-',
3 - giii"), -
' -
. '-.-, - -,:-..---- ,--- ---- - , '- -, -_- This Section-For•Official Use Only .- ------ _- - `-",- -
Building Permit Number ' - ',--------- ---- - -;' - - -- - ' Issued - - ' -, - - - ---- -,- - - --
Signature:- - ,,50, „„,,,isfiaLs,.......°,1466,.A„,..- ,_ .: _ . _ - _-,- _ ___ .--- .- ,_ _ __:_. -_ ._ -. . -,.., ..,- . . _ ,.;•._ , _. . .
Build g arn issioner/InsPector of Buildings _
. , . .
_.. A./14...../......
(1.
(23k SitsR1 ,,,,,e;4,
File#BP-2014-0009
APPLICANT/CONTACT PERSON DAVID CHICOINE
ADDRESS/PHONE 16 EDGE HILL PLACE AMHERST (413)246-7536
PROPERTY LOCATION 50 MANHAN ST
MAP 38B PARCEL 195 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE �oRS
ZONING FORM FILLED OUT e
Fee Paid • ��d(e
Building Permit Filled out Alt" •� Vo,
Fee Paid Or I((-)1
Typeof Construction: CONVERT GARAGE TO MSTR BEDRM/BATH/OFFICE ( ,5 .
New Construction /
Non Structural interior renovations
Addition to Existing /4I5 6
Accessory Structure
Building Plans Included: 40.4/42(--'Owner/Statement or License 061582 �� �i r
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN.F94 ATION PRESENTED:
tV 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
Demo 'bon Delay
re o Buil mg Offici. 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.
50 MANHAN ST BP-2014-0009
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B- 195 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-2014-0009
Project# JS-2014-000061
Est. Cost: $35000.00
Fee: $210.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DAVID CHICOINE 061582
Lot Size(sq.ft.): 7448.76 Owner: ALBRO-FISHER BENJAMIN&BETHANN ALBRO-FISHER
Zoning:URB(100)/ Applicant: DAVID CHICOINE
AT: 50 MANHAN ST
Applicant Address: Phone: Insurance:
16 EDGE HILL PLACE (413) 246-7536
AM H E RSTMA01002 ISSUED ON:7/24/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT GARAGE TO MSTR
BEDRM/BATH/OFFICE
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 7/24/2013 0:00:00 $210.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner