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O N Q C re s a D ,� x '^ , A < ° c —1 0 CCD O 38. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22"x 30" is required to be located in an accessible place. It must be insulated,gasketed, and secured in place. Relevant items must be submitted to the building department for approvals before inspections and or Certificates of Occupancy can be issued. 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 Miller City of Northampton Assistant Commissioner and Zoning Enforcement in joist are a maximum 1/3 the depth not closer than 2"from the top or bottom or to any other hole. Notches are different. 23. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition requires a 16 GA 1%"strap across the area and 6" beyond each side with 8- 10nd nails. 780 CMR R602.6.1 24. Dryer ducts must terminate outside of the building, have a backdraft damper, cannot include a screen, and require 3'clearance from windows. 780 CMR M1502.3 25. Dryer duct transition is limited to 8'of aluminum flex, must be exposed, and the proper UL listing.780 CMR M1502.4.3 26. Dryer duct maximum equivalent length is 25' less 5' per 90°elbow or per manufacturer's specs.780 CMR M1502.4.4.1, no screwed connections. 27. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 28. 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 and airtight doors. 2009 IECC 402.4.3 29. Fire and draft stopping shall be completed before rough inspection.Typical locations, top (ceiling) and bottom (floor) plates,soffits, and every 10'within enclosed cavities.780 CMR R302. 30. Ignition barriers in place before final.780 CMR R316. 31. Dwelling/Garage fire separation.An attached garage (within 3' of main structure) is required to have%2" drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have%" drywall and the ceiling 5/8" drywall. 780 CMR R302.6 32. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity,which you must create. 33. 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. 34. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 35. 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. 36. Smoke and CO detectors as required. 780 CMR R314 and R315. a. Smokes in each bedroom,within 10'of a bedroom door,and at the bottom of a stair leading to a finished floor above. b. CO within 10' of bedroom doors, at each level,for every 1200 sqft, except if there are no fossil burning fuels. c. Heat detector in attached garage, and other large unfinished unconditioned spaces. 37. Closets beneath stair which have doors must be drywalled with%2".780 CMR R302.7 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. 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. I-joist and or Floor Truss c. Roof truss 14. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. NOT PNEUMATIC NAILS 15. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep perforate the sheathing weakening it and contribute to building damage in high wind events. 16. Ceiling heights minimum 7'for habitable spaces, 6'8" for bathrooms includes tub/shower area if a shower head is used, 6'8"for basements, 6'4" at beams/ducts.780 CMR R305.1. MA amended 17. Hazardous glazing locations, within 24" of a door, or within 60"of a stair, or across from hot tubs, spas, bathtubs within 60" if not 60" above the walking surface, and other locations.780 CMR R308.4 18. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 19. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape.780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft at 15t floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees,one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7%" from the top of the threshold and only in-swinging doors. 780 CMR R311.3 20. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 8'/<", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8"on balustrade, 6" in the triangle. Graspable rail 1'4" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. Rails must be continuous and returned to the wall if not to newel post. 780 CMR R311.7. 21. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36",4" sphere rule.780 CMR R312.1. 22. Educate the plumber and electrician about maximum notch and hole sizes, and placement.780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes City of Northampton f i 14: ,.' Massachusetts * �'t3 ' ." DEPART7�NT OF BUILDING INSPECTIONS t 212 Main Street • Municipal Building ty, ,±.� a t—' Northampton, MA 01060 �s ;t ,'`.�'. INSPECTOR Roger Clark July 26, 2013 PO Box 34 Leeds, MA 01053 Subject Location: 71 Florence Street, MA Map Block: 11C-040 Mr. Clark, Your building permit application and plans dated 07-7-13 have been reviewed and approved as noted and per this memo.All work must meet all applicable codes whether noted or not included within this memo. Please follow up on the following items: These items will need completed before a CO can be issued; 1. If the wall noted as one hour is intended the doors through the wall would need to be 45 minute doors to achieve the rating. 2. The foundation insulation needs to stop the thermal bridging, R-10 insulation should be a minimum of 2' down and 2'out from the top of the foundation wall. 3. The window at the bottom of the stair in the drawing studio should be tempered if within 60" of the bottom tread. 4. The windows next to the cat walk will need to be tempered per R308.4#3 5. The existing rafter ties in the painting studio are too low to be considered collar ties so collars ties must be installed in the upper 1/3`d or straps over the ridge.These are only required every 4'. 6. Northampton is a stretch code community. 2009 IECC energy requirements, Energy Star windows, and a signed Thermal Bypass Checklist are required.Air sealing must be completed before permeable insulation is installed in. 7. There will need to be a heat detector in the storage space and a smoke/CO detector in each studio. As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes. Read only international codes are available on line at http://publicecodes.cvberregs.com/icod/one must also consider the MA amendments to these codes which can be found at www.mass.gov/dps/bbrs . The current relevant building codes are: 2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 IECC, AA115, MA amendments. 1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3.except those in group I soils(table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be%" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 8. Emergency escape is required out of every basement whether habitable or not.780 CMR R310.1 6-28-13 ....ey__ e 1' it 10:06am 1 of 1 KeyBeam®4.600d kmBeamEngine 4.600y Materials Database 1415 Member Data Description: Member Type: Beam Application: Floor Top Lateral Bracing: Continuous Bottom Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Live Load: 40 PLF Deflection Criteria: L/360 live, L/240 total Dead Load: 10 PLF Deck Connection: Nailed Member Weight: 9.4 PLF Filename: KYB1 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Additional Uniform(PSF) Top 0' 0.00" 26' 0.00" 12' 6.00" 40 15 Roof e ;�. A ^# � rr e e - '-a- r3'f�; '�'°P a fl 9 ` l w„_ , .� _ I I : / 1300 1300 P 2600 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall Steel 5.500" 1.500" 3738# -- 2 13' 0.000" Wall Steel 5.500" 4.246" 11147# -- 3 26' 0.000" Wall Steel 5.500" 1.500" 3738# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Roof Dead 1 221# 2759# 979# 2 631# 7884# 3262# 3 221# 2759# 979# Design spans 12' 7.375" 12' 7.375" Product: 1-3/4x9-1/2 VERSA-LAM 2.0 3100 SP 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nails at 12.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 9863.'# 17447.'# 56% 5.43' Odd Spans D+Lr Negative Moment 14061.'# 17447.'# 80% 13' Total Load D+Lr Shear 5014.# 7897.# 63% 13.01' Total Load D+Lr Max. Reaction 11147.# 15422.# 72% 13' Total Load D+Lr TL Deflection 0.4968" 0.6307" U304 19.94' Even Spans D+Lr LL Deflection 0.3992" 0.4205" L/379 19.94' Even Spans Lr Control: LL Deflection DOLs: Live=100% Snow=115% Roof=125% Wind=160% ,/ All product names are trademarks of their respective owners / Copyright(C)1987-2012 by Keymark Enterprises,LLC.ALL RIGHTS RESERVED. K E Y M A R K **Passing is defined as when the member,floor joist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet. The design must be reviewed by a qualified designer or design professional as required for approval.This design assumes product installation according to the manufacturer's specifications. 1111111111 111111111111 11111111 2013 00016070 Bk: 11375Pg: 56 Page: 1 of 1 Recorded: 07/05/2013 01:22 PM Restrictive Covenant form- must be notarized and recorded at the Hampshire Registry of Deeds That Charles S. Lewis and Karen J. Lewis, owners of the home at 71 Florence Street, Leeds, MA, more particularly shown as Doc: 992002488 or/5881/0284 dated 02/09/2000, being the same premises described in the deed recorded in Hampshire County Registry of Deeds, Book 3387,page 152, hereby Covenant and Agree that "The renovated barn on this site plus a shed to be added will be used for storage and as a artist studio. It will not be used as a dwelling unit or sleeping space without first obtaining a special permit from the Zoning Board of Appeals" Executed as a sealed instrument this Charles S. Lewis Karen J. Lewis cJ e J 1 e`0 PRUZy- �� O E 2 off F1�s'f' On this,�j day of ,20 13 �:�oJ� ,2a,,. 4—)before me, the undersign d notary public, �N personally appeared Gj, ,p Sim.( j� - tT S • ono ct L �c[y1-Lip .{. [p ti It (name of ti• Vs::O ,° document signer),proved to me through _ OT-gSSACN�.• �;���� satisfactory evidence of identification, qRy P�� ►' which Here N A 0 L ••jai iiiiiii� to be the person whose name is signed on the preceding or attached document in my presence. a!"--1. 14 eVt+`Zv'Vt.s • mac:EAmpspaRE, �iL4..r _.�:�. , REGISTER MARY h LBERD(Mt City of Northampton /4,.;,._;: r r,x1 's",,------4:-(0),~ 1 Massachusetts f, .wig f" 9 �M .tip �1 Ali +a+; �, �� ° DEPARTMENT OF BUILDING INSPECTIONS ! rx° 212 Main Street • Municipal Buildingvti �� O4,7: r< Northampton, MA 01060 '�` ; �1'; 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 ' spire=1 NNW 600 Washington Street 4) Boston, MA 02111 ' WWW.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (•- ,'Qrg /Individual): 1 .O 9 e,c- P, c l a c k' _ Address: 1 • D. 8 O ' 3 I/ City/State/Zip: Le.eQS ,4f 4 O/O6-3 Phone #: V/3— S-7(..---/ `f9/ 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 employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.g I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. employees and have workers' g Y p ty. 9. ❑ Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.17 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 c_40,._tY'fr employees. [No workers' 13.� Other�cr 7c{a [�O�IJ �OC'f` • comp.insurance required.] r it svjate t dry =,�I/ �h *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 ofperjury that the information provided above is true and correct. Signature: Xel,ti Date: 243/,3 Phone#: t--/l 3-5110-/ y"/ 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: f Not Applicable El of License Holder: R O P: C(&ck CS— can/ o License Number P D . 'Qo( Y C-eds, M/4 4 /(.3--3 014)-3/N Address Expiration Date r „� y/ 3--5 Q6,--/fq I Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ R 6I• -e r C-Irk G'-cntc-4� Coh et r / OfF.9 Company Na a Registration Number D- 3 /U, Map (e S 1- 06/a9/iY Address M n Expiration Date �f o (1 Cc' 0/0 6 Telephone ifr3_5- c,-/`fg 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 Cam' No ❑ 11. Home Owner Exemption The current exemption for"homeowners" was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing n Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs D] Decks [❑ Siding O] Other[EL] Brief De ri tion of Proposed ltpVP� �� Work: Yv�r cc)(1c re-�e. F\� u sae.r 4,cs;it c\ 6u �1 Alteration of existing bedroom Yes x No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes )c^ No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other S-IrZ/ck•O b. Number of rooms in each family unit: \ Number of Bathrooms N c. Is there a garage attached? 0-.4to d. Proposed Square footage of new construction. '. C O Dimensions '01 e. Number of stories? Na ft f. Method of heating? (y-6.S Fireplaces or Woodstoves #c Number of each N r g. Energy Conservation Compliance. le S Masscheck Energy Compliance form attached? h. Type of construction WO0 eXiS1'^t i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes VNo 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 I, • L-e—\P-AS 4 GN4N0-4-A -S S • 'S , as Owner of the subject property hereby authorize U[[��O4?.� r- Ckr k to act on my behalf, in all m' tters relative to work authorized by this building permit application. /Ca v/eA )..4 C%� i -ems✓ . o Signature of Owner Date — Q\ I, g C►I er P C f a c_`e , as Oimper4Authorized Agent here 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. j P r- f' C ige k Print Name at/1,AL /.0I 2h 3 Signat re of r/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning ' )� w o This column to be filled in by Building Department . Lot Size L 5 ee.re„S S AN1 L Frontage 2,50 SAM Er- Setbacks Front Side L: 15 R: / L: s R: 4/ Rear % 35I 1 O $ Building Height 2 Or\e5 Bldg.Square Footage rn 1 •18 _ 2-033 Open Space Footage % (Lot area minus bldg&paved parking) �LIZZ 6 0, 212_C-16(. #of Parking Spaces Fill: (volume&Location) no e� A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW ® YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW 13 YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO Ig) DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO ® IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YEE O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. F ,, ;-0 Department use only � °'"' City of Northampton Status of Permit: I 3 202 Building Department Curb Cut/Driveway Permit �UL i 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability DEFT.QFgUILD�ONNO Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office ')\ f-%o t'C.(1 Le._ "alt , Map Lot Unit \__ )5 , rn et 0\0 S 3 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ' .3..,-.e_,./ J-ISw S C--\04- e.5 .1"e.W\'s '11 1/4.-e. "S\k, L..e-cc)c`` I "e`f Q\63_.3 Name(Print) Current Mailing Address: bp.e..0.4 ✓`jl�� S j S, LQC•Vj/> Telephone r$Ca'c‘r 1 O Signature 2.2 Authorized Agent: CC a r f),CA O.05- FC?, 60x 3 f L 6—D s, ,MA C/O S Name(Print) Current Mailing Address: f leggy Li/3 -S?6--/Yq1 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee c ( ode oc3d 2. Electrical (b) Estimated Total Cost of S, QOO Construction from (6) 3. Plumbing Q Building Permit Fee / OcD 4. Mechanical (HVAC) 5. Fire Protection rlj PO O / 6. Total = (1 +2+3+4+5) $ \ \r1_i 00 O Check Number ‘/lpz- 41170- - Th Section For Official Use Only Building Permit Number: Date g Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0062 V: APPLICANT/CONTACT PERSON ROGER CLARK 0-1:1:04,V.t ADDRESS/PHONE P O Box 34 LEEDS (413)586-1491 0 �'� PROPERTY LOCATION 71 FLORENCE ST MAP 11C PARCEL 040 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out OM D� Fee Paid O Typeof Construction: REMODEL ATT BARN TO STUDIO&ADD 10 X 20 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 021310 3 sets of Plans/Plot Plan THE FO WING 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 emolition Delay 7 r„„.• 7—,r(�� 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. 71 FLORENCE ST BP-2014-0062 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11C-040 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ADDITION BUILDING PERMIT Permit# BP-2014-0062 Project# JS-2014-000140 Est. Cost: $117000.00 Fee: $702.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROGER CLARK 021310 Lot Size(sq. ft.): 63554.04 Owner: LEWIS CHARLES S&KAREN J Zoning:URA(100)/ Applicant: ROGER CLARK AT: 71 FLORENCE ST Applicant Address: Phone: Insurance: P O Box 34 (413) 586-1491 0 LEEDSMA01053 ISSUED ON:7/29/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL ATT BARN TO STUDIO &ADD 10 X 20 SHED 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 7/29/2013 0:00:00 $702.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner