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41-016 (5) 25. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5'from the duct outlet for all fireplaces 26. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302. 27. Ignition barriers in place before final.780 CMR R316. 28. 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 1/2" drywall and the ceiling 5/8" drywall. 780 CMR R302.6 29. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. Energy information including mechanical equipment posted on the electric panel. d. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Building Option Package. 30. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier.An air barrier is intended to stop air flow(convection)a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99%of the moisture in a structure.This is evident every time one exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 31. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 32. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:ThruLoks are engineered for post attachment supporting a railing. 33. Smoke and CO detectors as required. 780 CMR R314 and R315. 34. Closets beneath stair which have doors must be drywalled with Y2".780 CMR R302.7 Relevant items must be submitted to the building department for approvals before inspections and or CO can be signed. Other items are intended to avoid costly issues at inspections. Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email address is: cmiller(a�northamptonma.gov Thank you fo your coop-ration o hese matters. uck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 10. Steel straps over the ridge or 1x4 minimum collar ties are required 4'OC in the upper 1/3rd780 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 and braced wall method being used.780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. 15. Ceiling heights minimum 7'for habitable spaces, 6'8"for bathrooms includes tub/shower area if a shower head is used, 6'8" for basements, 6'4" at beams/ducts.780 CMR R305.1. MA amended 16. Hazardous glazing locations, within 24" of a door, or within 60" of a stair,or across from hot tubs,spas, bathtubs within 60" if not 60" above the walking surface, and other locations.780 CMR R308.4 17. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule.Order restrictors. 780 CMR R612.2 18. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape.780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft at 1st floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees,one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7%"from the top of the threshold and only in-swinging doors. 780 CMR R311.3 19. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 8%", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8"on balustrade, 6" in the triangle. Graspable rail 1'A" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780 CMR R311.7. 20. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36",4" sphere rule.780 CMR R312.1. 21. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, in bearing walls if more than 50%of a plate is cut or notched a 1'A" 16ga. strap must extend a minimum of 6" past the cut both directions and be nailed with 8-10d per side, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom. Notches are different. 22. Dryer duct transition is limited to 8'of aluminum flex and must be exposed. 780 CMR M1502.4.3 23. Dryer duct maximum equivalent length is 25'or per manufacturer's specs.780 CMR M1502.4.4.1, no screwed connections. 24. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 __ City of Northampton _ .0,,,,• 5 Sf Massachusetts v,S -`e , *,iti; rv'. DEPARTMENT OF BUILDING INSPECTIONS :. fir: 0 212 Main Street • Municipal Building �.e.:- ' Northampton, MA 01060 .rs r -,,s INSPECTOR Teagno Construction, Inc. August 14, 2013 228 Triangle Street Amherst, MA 01002 Subject Location: 1253 Westhampton Road Map Block: 41-016 Mr.Teagno, Please follow up on the following items: 1. All windows in a hazardous locations requires them to be tempered the following are location which appear to need tempering. a. Media Library, Master Bath, Mudroom, Kitchen, Main level stair vestibule, doors and sidelights. 2. Stamped structural drawings are required for all none code prescriptive framing.Some examples are I-joist, LVLs,floor or roof truss. 3. Wood Stoves require make up air and air tight glass doors. 4. Please provide structural information for the glass bridge. 5. Any soffits must be fire stopped every 10',All double wall sections must be fire stopped at the top and every 10'. 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.cyberregs.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%Z" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. Foundation walls require horizontal reinforcement 2#4 bars one within 12"of the top and one in the middle if 8'or less and 3#4 bars at top and 3rds if over 8'. 780 CMR R404.1.2(1).Also see vertical reinforcement requirements. 8. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 9. Ceiling joist are intended to prevent spread,once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8-16nd common are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is required with a load path to the foundation. I t .11,-.411g' St - jlfiassa[!tStffs _ Imo- ����+ DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building '0,,, um INSPECTOR Northampton,MA 01060 LOCATION 1 6.-- tk/r5 1 t VVI P - f2 D Nd 776 SQUARE FOOTAGE AMOUNT BASEMENT @ :20 — "--1 - --r()A ST ` q 3 c 1 F LOOR @ 50 . . ... ......_ 2ND FLR @.30 V2 FLOORS, FINISH ATTIC,GARAGE @.20 fir Dr. 114 I , 0 DECK/PORCHES @ :20 73U 114LP OTAL. #1) d d- 3 . 1a b X Residential Stretch Energy Code Requirements'for: pr fir. } Y a -s =,, ycx ,. ,V: i ., _ • m° 42t4i zr∎ e a e0 l ! • i ., a F e p e _ a 1'aV 3 s irsi2F,. I :.A s:,fr a ' Prescriptive Performance Prescriptive Performance Conformance to IECC HERS Rating2 w/same I}accessing the HERS Rating* 2009,Chapter 4,and area requirements as building envelope, • 85(o—1,999 s.f.) fenestration U-factor new home performance follow prescriptive requirements of path requirements for 8o 2,000 s.f.) ENERGY STAR Homes additions,plus... b b a ,4 ENERGY STAR ENERGY STAR ...meet or exceed 2009 ENERGY STAR Thermal Bypass Thermal Bypass IECC insulation levels Thermal Bypass Checklist3 Checklist 402.1.1,or fully insulate Checklist cavities zR=3.5/inch-_ Duct tightness Duct tightness requirements,see note requirements,see note below below NOTE on Ducts: EXAMPLES of Renovations/Alterations See code wording on back.If ducts are part of a new • If you are replacing windows and opening part of heating system in an addition or renovation,then the a wall cavity when remodeling a kitchen or stretch code duct standards would apply;if ducts are bathroom,the windows and wall insulation must added to an existing heating/cooling system,then meet the Stretch Code as the envelope is opened; ducts would not need to be tested. appliance choices are exempt;other energy EXAMPLE S of Additions features of the existing home could be left as is. • Stretch Code applies to additions of any size. If replacing a heating system,efficiency • specifications would be exempt from the Stretch • Using the prescriptive option,only the addition Code and other efficiency upgrades like windows, has to meet the Stretch Code and the Thermal insulation,water heater,etc.would not be Bypass Checklist;energy upgrades are not triggered. required for the existing home(e.g.,new heating • Adding wall insulation must be at least an R-value system,new windows,more insulation,etc.). of 3.5 per inch,but will not trigger window or • If the builder chooses the performance option for heating equipment upgrades,for example. compliance,a HERS rating on the whole house, including the addition,would be required at the EXCLUSIONS same HERS Index as a new home(65/70). • Storm windows installed over existing windows; EXCLUSIONS repairs to existing windows • Heating/cooling and water heating equipment • Re-roofing or re-siding over uninsulated roofs or located in the addition,because they are walls(when sheathing is not exposed) regulated by the Federal Government,not the • Existing ceiling,wall or floor cavities of the State. building envelope,exposed during construction, • Appliance choices for a kitchen located in a new provided empty cavities are filled with insulation addition are exempted by the Stretch Code. at least R3.5 ' '•.. '''Kitchen appliances This handout was compiled on 4.12.10 and 7-26-10 by the Center for Ecological Technology(CET)using materials from BBRS,DOER and statewide Energy Code Training materials. www.cetonline.org 2 HERS ratings can only be done on a whole house 3 Unless one is seeking true ENERGY STAR certification,(the Stretch Code is not ENERGY STAR),then a HERS Rater is not required to fill out the Checklist and only the Builder has to verify Checklist items. ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: � -6 )b ezutjcpu.crtoj Site Address: ( "5. iti6-s rmj l Pte, print Town: .&4 z 7 114P7 ' Applicant Phone: . Aip,.., of % ea 3 wow Applicant Signature: ' ' •" Date of Application: / 7f3 • NEW CONSTRUCTION , choose ONE of.tlie followvin two o tions g P ) Bowl . 'ECC "r Io ,t H PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM - MINIMUM Ceiling-or Slab — II Option l: Basement Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wail R-Value AFUE HSPF SF.F,R R-Value R-Value and Depth R_3 p National Appliance Energy .35 R-38 R-.1, l R-10 R-10, Conservation Act(NAECA)of ),- OR R:+I c.. 'r7 O�A'ft. 1987 as amended,minimums or M N R—f 9 - greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: q REScheck Version 4.1.2 or later variant software analysis must be completed (sorso CMR4E04111 6Ioi . 1 I V I REScheck-Web which can be accessed at http:iiwww.energycodes_Rovirescheck/ ADDITIONS ORAL TERA IO �TO E STING BU DIN S OVERn.5 YEARSI OLD* g�< 3� *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the%of glazing: (a) Gross Wall&Ceiling Area equals - Formula: (100 x b_a) _ SF 100 x — _ %of glazing (b)Glazing area equals SF b a f lazing °S*40%use=d echartbelo lia lflil ;is 40 proceed tt a'`SIl> OOM sect%in-,: , . . . 780 CMR TABLE 61013 PRESCRIPTIVE ENVELOPE.COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS Ilv UM ❑ Fenestration Ceiling and Wall Floor Basement Wall Slab Perimeter Exposed floors R-Value U-factor R-Value jlI „vbeefy R-Value and Depth.9 ,'so R-3$ a mn'R-19 R-10 R-10, eet( MAXIMUM -30 ceiling insulation may be used in place of R-3$if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls,and including any access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit where the total 1 glazing area of said addition exceeds 40%of the combined gross wall and ceiling area of the K addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120.P) Ve i G6`I Fcc i V I I �1� Y ENERGY EFFICIENCY PLAN 2. Preliminary Home Energy Rating Results Based on the assumptions described above, we have calculated the following Preliminary Home Energy Rating results. Preliminary HERS Index: 54 Preliminary Improvement Over 2011-40 Massachusetts Reference Home:42.% ENERGY STAR HERS Index Target: n/a Note that Confirmed Home Energy Rating results may vary from the Preliminary Home Energy Rating results due to changes in building plans, energy features installed in the home, RESNET standards, software changes, and other factors. 3. Services Requested CET will provide a Confirmed Home Energy Rating for the purpose(s) indicated below. CET will charge fees for these activities based on the Price List attached to your Home Energy Rating Services Agreement. ® Stretch Energy Code compliance ® Utility company incentives for the Massachusetts New Homes with ENERGY STAR program-Tier I or II ❑ Utility company incentives for the Massachusetts New Homes with ENERGY STAR program-Tier III ❑ ENERGY STAR version 3 certification As part of these services, CET will verify that your home meets all the requirements listed in the attached Program Description. I have reviewed and understand this Energy Efficiency Plan. I have reviewed the assumptions in part 1 and confirm that the assumptions are correct. Signature: d " `/ l" Date: 8103 J��3 Printed Name: r' v'.,c°v'D 77/-14k-601/4r0 ( Company: Th t(l4J ) 0" t.1; / CET Internal Use Only HERS Rater: Date of Preliminary Rating: REM/Rate File Name: Form v2012-02-13 Page 3 of 3-Please send signed form to the Center for EcoTechnology Tel(413)586-7350 ext.242- Fax(413)586-7351 -oreenhome @cetonline.orq ENERGY EFFICIENCY PLAN Refrigerator energy star- kWh per year or less Dishwasher energy star- Energy Factor=or better Page 2 of 3-Please send signed form to the Center for EcoTechnology Tel(413)586-7350 ext.242- Fax(413)586-7351 -oreenhomePcetonline.orq L.0 CENTER FOR EcoTechnofogy we make green make sense- ENERGY EFFICIENCY PLAN Project Address: 1253 Westhampton Rd, Northampton, MA Conditioned Floor Area 2867 Building Type single familiy Bedrooms 4 1. Assumptions for Preliminary Home Energy Rating CET has completed a Preliminary Home Energy Rating with the following assumptions: a) The construction plans you have provided are accurate, including window dimensions and locations. b) Energy features not listed below in part c will meet the prescriptive requirements of the IECC 2009. c) The home will be built to incorporate the following energy features: t r� fio Specifications Used in Analysis si n Basement Condition Walls Insulated Finished Foundation Wall Insulation Type = rigid foam+ batt R-Value= R10+R19 Slab Edge Insulation Type = rigid R-Value= R20Under,R10at perimiter Rim & Band Joist Insulation Type = Open cell foam R-Value= 14.4 Above Grade &Walkout Walls Insulation Type =closed cell foam +cellulose R-Value= 48 Grade=1 Windows U-value = .28-min SHGC = .28 tbd Glass Doors U-value = .3- min SHGC = Skylights U-value = N/A SHGC= Exterior Doors 4.4 R minimum Ceilings Insulation Type = flat 16" Cellulose R-Value=59 Blower Door Test* 4 ACH50 or better* Thermal Enclosure Checklist Sections 3 5 Meet ALL Checklist Requirements as verified by a HERS rater at pre- drywall and final inspection *The 2009 IECC requires a blower door test result of 7 ACH50 or lower. The number listed here requires significant improvements in air sealing beyond the base energy code. M@c�lantCa! Systems Specifications Used in Analysis Heating Equipment Type: ground source heat pump) Efficiency: 14.7 min EER Cooling Equipment Type: ground source heat pump Efficiency: 3.4 min COP Water Heating Equipment Type: elec tank Efficiency: 99 or higher from heat pump Duct Leakage 6% or less leakage to the outside at final inspection Duct Location all within insulated basement Equivelent of 66 cfm exhausting continuously- using an exhaust fan that is rated for continuouse use and has an automatic timer on unit or in Whole House Ventilation (ASHRAE 62.2) wall. -talk to your rater for more guidance and ideas to accomplish this.- Panasonic makes a very quiet variable speed fan which works very well and avoides the need for a wall timer. '� tg�itinc# &Appttances p c t� S e ifica 'ons Used in Analysis Lighting 90%or more compact fluorescent bulbs Page 1 of 3 City of Northampton (�, r S' ` Massachusetts{ :: ,.'e. :' '}}1w ) Nag id 1 r] '�; DEPARTMENT OF BUILDING INSPECTIONS 2�, M ,�r °�. e°«� 212 Main Street • Municipal Building yt;',,,. I �'t'ti, w,.� Northampton, MA 01060 s °�--^�..''i't " a-- !'jY ei 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/footinqs (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 an. ,.. '�� Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): A d act%) S 712..tt--e4-1,(l C Address: 2-2-9 7R-1 (t City/State/Zip: AtcC S Phone#: `fi -.511 --t2 0 3 Are you an employer?Check the appropriate box: 1. I am a employer with / y 4. [] I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑Building addition required.] 5. [I We are:a corporation and its 10.❑ 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 12.0 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. tHo meowners 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. //jj Insurance Company Name: --/ {� (,{ _. $ &2 Policy#or Self-ins. Lic. #: w i41 Z--tl) ZZ 3 C.) / 2-013 Expiration Date: 6 ct k//l T Job Site Address: /24-3 CS1 t1MPd1) Qi t Aiea-77 iPP1City/State/Zip: Add lb p%) 0 t 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 herebytify /• •r the pains and penalties of perjury that the information provided above is true and correct. Signature: * Date: U I-51/3 Phone#: tt13 3(al- c 7 6, F 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: 9, Not Applicable £ Name of License Holder: ct-C.14) p � License Number (,t (L-6 , / S— O l©0`-e--7,z i- Addr Expiration Date Signature Telephone :9 Registered Home Improverrient Contractor Not Applicable £ rr-Orqh)j cf4-r-J 1ti Company Name Registration Number 2 j 8 7YZ r /bv'C-L - S i-- AO t - [ Ol if Address Expiration Date Telephone 3 W7 (i'idy 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 £ 11 '`Home Ovvner: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 cNiK1 Addition Replacement Windows Alteration(s) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [[] Siding[0] Other[0] Brief Description of Proposed Work: C ur/rgrna.e t'"'k/uj(.S)/J ,ir Omit/U/ timItt° Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _ No Plans Attached Roll -Sheet Ba, If New house and.or addition to-existing housing, complete the following: a. Use of building:One Family_ X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms 3 c. Is there a garage attached? ' S d. Proposed Square footage of new construction. Dimensions e. Number of stories? / S (At . : 8y1S c� f. Method of heating? CAERI nib �auecClfi✓/9 PM$lP'-;,cyltlt.e5 ur Woo__dstwes l t S Number of each_ g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 02-4/W - L Is construction within 100 ft. of wetlands?_ Yes X No. Is construction within 100 yr. floodplain Yes VNo j. Depth of basement or cellar floor below finished grade, 9A to k. Will building conform to the Building and Zoning regulations? X, Yes No. I. Septic Tank City Sewer Private well X , City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, FO--t1 ,l C-K F!� , as Owner of the subject property �j ,��� hereby authorize. S -G( ICJ 'k C_ to act on my be alf, ' all natters relative to work authorized by this building permit application. Signature of Owner I Date P-C)A{ b T(_ - .AK) '�►'t �j l�� l(� 3 b Clll -L-GI�IJ, as�wrreer'/Authorized Agent hereby declare that the statements dnd information on the foregoing application are true and accurate,to the best of my knowledge and belief. Sig e• under the pains and penalties of perjury. Print N- Date Signature of Owner/Age RA i Q , 20 i3 --i 2 y Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning C This column to be filled in by fv1IJ)All—Celli AP,' Building Department Lot Size I _ i s i I ___ Frontage _....._ _.__.._._..___...__...._.._.__..._.._.__.__.__ _._..............._..___......___._....___.._............___.3 Setbacks Front I { E E._,.,_,J Side L:'__._.._. R:= L: R:E...._..._' I .....,_ I .. Rear Buildin g Height i _...._. ' g l Bldg. Square Footage _._.............., % --._......_._._.I l Open Space Footage _ r._.._ ,.. 1 c 1 77 (Lot area minus bldg&paved I_........._...._..1 1....____..._._-, t._._,...:,.. parking) #of Parking Spaces Fill: I '_. (volume&Location) L.__ .. A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO 0 DONT KNOW YES IF YES, date issued:; IF YES: Was the permit recorded at the Re istry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book l Pagel and/or Document#I __ _1 B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , Date Issued: C. Do any signs exist on the property? YES Q NO 0 IF YES, describe size, type and location: i D. Are there any proposed changes to or additions of signs intended for the property? YES i NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO }j�Q�(� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. e J `` A: �N +' �v, °Depa 1ent.use oil T ; City of Northampton Status ofPermfl i -a®..( i A 'fir ...f §x� s x ��! t":, v'sK'-!'" w ,r tin 'av Building Department Ctirl�eut/iriewa Pelrrft# ` E �203 '� 212 ain Street `v� v'' � `� i SeyVBr/Septic avatl`abtlity Room 100 WaterfVltell Availability GNS : ,t pE r c„ � oN'-'n� Aso rthampton, MA 01060 T�±io Se#s bf Struc#ural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans , 4 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: ;'j;)s'3 i,v651717vyt Piv it) ie 1) ove PI , 114 A Map Lot -Unit Zone - O:verlay District EIm St District CB District SECTION 2-.PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: f r G\/f F1,, '.� to oo -i2-t< s Ftv ati rc-e`-. Name(Print) Current Mailing Address:, I p q '. f, . A G Telephone Signature �- 4...-7A; 2.2 Authorized Agent: 17- Vh N p Cen✓.s J W c tz N BAs t✓ 2 r fi� � s -��- (#-g-s Name(lb n Current Mailing Address: ice . ,I,) ,W t r 3 - 4f —o�v 3 Signature l Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Cv 3i�r v-� ng Permit Fee 2. Electrical (b)Estimated Total Cost of CV/4 77V Construction from(6) 3. Plumbing �� Building Permit Fee 4. Mechanical(HVAC) cy (� 5. Fire Protection /U, (7 } r6. Total=(1 +2+3+4+5) / O o1 Ono Check Number /5g,5 s/ This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-0133 APPLICANT/CONTACT PERSON TEAGNO CONSTRUCTION NC ADDRESS/PHONE 228 TRIANGLE ST AMHERST (413)549-0803 PROPERTY LOCATION 1253 WESTHAMPTON RD MAP 41 PARCEL 016 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out '6(5 b?v1 6, 6 Fee Paid /V Typeof Construction: CONSTRUCT SFH W/ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildint Plans Included: Owner/Statement or License 82248 , / 3 sets of Pans/Plot Plan ‘‘7-siedYff/ THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay .40 7--/V-/Y Signature of Buil ing Of icial 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. 1253 WESTHAMPTON RD BP-2014-0133 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:41 -016 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: demolition BUILDING PERMIT Permit# BP-2014-0133 Project# JS-2013-002010 Est. Cost: $900000.00 Fee: $1223.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: TEAGNO CONSTRUCTION INC 82248 Lot Size(sq. ft.): 2147508.00 Owner: FIERST FREDERICK U&EVA C Zoning: Applicant: TEAGNO CONSTRUCTION INC AT: 1253 WESTHAMPTON RD Applicant Address: Phone: Insurance: 228 TRIANGLE ST (413) 549-0803 Workers Compensation AMHERSTMA01002 ISSUED ON:8/14/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SFH W/ATT GARAGE/DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/14/2013 0:00:00 $1223.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner