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11C-007 (3) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONS I"RUCTION and ADDITIONS • 780 CMR Appendix J Applicant Name: "jl v c\t■rQ. Site Address: .7 v\ `•r S� Applicant Address: \at- (LT-4,N ()1 City/Tow ee 5 -- 3 v3 Fk�cc.cc ( OkobZ .•• Use. �up IN E I�,�JJ Date o„ Application: — Applicant Phone: L\1 Applicant Signature: y 4_ Compliance Path(check one): „) AUG - 1 2008 ❑ Prescriptive Package(Limited to 1- or 2-family wood fraiie buildings heated with-fos it fuels only) Package(A through KK from Table J52.1b): Heating 4egree Days(HI?D�)fr& a 1 .la: (For items d. through i.,fill in all values that apply from Table J52.1b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b_a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE ❑ Component Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HYAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDTTIONS ONLY: a_ Gross Wall±Ceiling Area \31l' sq.ft. b. Glazing Area'tO.r J sq.ft. c. Glazing%(10o x b:a)7.11 % 46. ADDITION with Glazing % (c.) up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINI-MUM R-Values Fenestration' Ceiling Wall I Floor Basement Wall Slab Perimeter,Depth 0.392 R-37 R-13 R-19 R-10 R-10,4 ft t G127ing Area may be either Rough Openinv or Unit dimensions. 2 Based on NFRC listing. Arlies either to every-unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and inclwiino any access openings.) "SIINAQQM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Jnformation Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) • 7/31/200811:09 AM FROM: King _Cushman Insur TO: 14133413838 PAGE: 003 OF 003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #7453 7/31/2008'11:09 AM FROM: King _Cushman Insur TO: 14133413838 PAGE: 002 OF 003 Client#: 15874 RAINB • ACORDTC CERTIFICATE OF LIABILITY INSURANCE DATE(MW Dom) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION King&Cushman,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE King& Streets HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR g ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 447 Northampton,MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Peerless Insurance Rainbow Home Improvement INSURER B: Liberty Mutual Ins.Co. 128 Ryan Road INSURER C: Pilgrim Insurance Company Florence,MA 01062 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR INSRE DATE(MM/DD/YY) DATE IMM/DD/YY) A GENERAL LIABILITY CCP8196830 10/03/07 10/03/08 EACH OCCURRENCE $1,000.000 X COMMERCIAL GENERAL LIABILITY PRREEM PREMISES(Ea occurrence) $50,000 CLAIMS MADE © OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY 1--1'ref n LOC C AUTOMOBILE UABLITY PGC00001002872 09/10/07 09/10/08 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS — BODILY INJURY X SCHEDULED AUTOS (Per person) $100,000 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $300,000 PROPERTY DAMAGE $100,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ —I OCCUR Ii CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC231S339542028 06/17/08 06/17/09 I WC IIMIT I IDTH- TORYIIMITS FR EMPLOYERS'LIABILITY E .EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE y OFFICER/MEMBER EXCLUDED? Peter Cabaniol E L.DISEASE-EA EMPLOYEE $100,000 If SPECALPROVI PROVISIONS Tom Malone E.L.DISEASE-POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Elizabeth Walton DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 A DAYS WRITTEN 8 Hefferman Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FALURE TO DO SO SHALL Leeds, MA 01053 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ,�,� A er'-• ZE, E T° � ACORD 25(2001108)1 of 2 #7453 LMB O ACORD CORPORATION 1988 s -NOTE- . THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT .10 BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. ' BUILDING LOCATION ACCURACY IS NOT GUARANTEED lj I x :i (1 _ '_ \\ '�4,1' -5)- P .-, . 0 (\ . f. . r t 1 id ,._:,, ,,„ A. y l .__. TO: MERRILL LYNCH CREDIT CORPORATION & OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN j A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 —NOTE— THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY SURVEYOR: • ....\-2§.- AND DOES NOT CONSTITUTE A PROPERTY SURVEY P��N oF_�ws, —MORTGAGE LOAN INSPECTION PLAT— /4, o,S, NORTHAMPTON, MASSACHUSETTS RANDALL �s„\ PREPARED FOR E. -4 '' FRANCIS N. SHEEHAN o IZER N 135032 / SCALE: 1 "=30 ' JUNE 25 , 2003 �9ti yoe- / HAROLD L. EATON AND ASSOCIATES, INC. SURvE REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS wmumnimmww Home Owner's who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund.Where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Owner:__'L ,r1tAth r► /' AU-- IMF Owner Contractor: -d "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract,the contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Owner: .Mt& Contractor: r!2." ''7"C Contract Rainbow Home Improvement LLC. Proposes to hereby furnish material&labor complete in accordance with the specifications,and for the sum total outlined in estimate number l;t%'-C .Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements are contingent upon strikes,accidents or delays beyond our control.Owner is to carry fire,home owners other necessary insurance.Rainbow Home Improvement will maintain proper liability insurance and workmen's compensation insurance as necessary.Acceptance of Proposal will commence with the home owners signature. Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.Rainbow Home Improvement LLC ETN#30-0104367. 128 Ryan Road Florence,MA 01062.A Massachusetts registered Home Improvement Company#137097.Represented by Thomas Malone,Construction Supervisor#055236 and Peter Cabaniol Construction Supervisor#99861 are entering into an contract agreeing upon the stated construction,reconstruction outlined in the estimate attached here in# 1.0C on this date -OOP D ,by the rightful home owners t,:bc)ch Wc,\ The work is scheduled to begin on i' -(}(� ,The work is to be substantially completed by \Z,,- All home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to; Registration Divison,Program Coordinator One Ashburton Place Room 1301 Boston,Ma 02108 Tel: (617)727-8598 The homeowners have three day cancellation rights under MGL c 93 s 48; MGL c 140D s 10 or MGL c 255D s 14 as may be applicable. All warranties on the owner's rights under the provisions of 780 CMR R6 and MGL c 142A.Home owner will reveal whether any lien or security interest is on the residence as a consequence of this contract Permit Notice:Any and all necessary construction-related permits that it shall be the obligation of the contractor to obtain such permits as the owner's agent. Electrical ✓ Plumbing Building • a -n C-) rn Q 59" / Q —IN ‘, m X -Ti Tl w w >v rn o .... r (TO R., J o•oo _ N �G c Cr < :".-7 C . r- 1 o a� a 33' / N a o 6 • m ' E-1 w u: P CD ° .N a�• z CD• g O N.' W 6)d.,0 < W o C.1 - • o vo I— o Z w 0 3, W cn ,.+ w / 32,6 -- r. • o7 5 r r N ° O ti C w r w / ..f L£ W , 4 O r o D n 71 w +Oro \_,=_ �, vo 2 �o * N 0 D 7Q 7'0- p WO CO O.N CD i - r o w r -n [= a► rn r 2 w co iii W N r=fir o Wo io o Co U r N mz v'< —' o —. cr [... w o 0: E>_1- * r „dpi cn m O f �'� �'z r w r -E i][ O N 'n O o A r C7 A rn too o, " - m !� r • O.5. N N • O A O r3 w-o Ct, a I— w 7'm 0 co { I'01 co CO 0 r w a a) ' 2i-4Z81 0 P.).(Dc O ro II A Z 0££CM-1 CO 0 a \ --- \ a ,s' w ' , w „z 9s / 't d j „ oos / n. , MI I:. a 11 N Cn � D.) / „L£ / o NO N o CJQ o oo Estimate Rainhaiiirsy. �F9 5(14 , ____.y Date Estimate# fPRfn_t-, 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal Material,per job Labor,per job Equipment,per job Subcontract,per job *Project Subtotal *Project Total Total $126,023.70 We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.Ts.s estimat• is good for 30 days. Phone# E-mail 1/ .L-AA_ Signature — 413 885-9038 peter @rainhome.net Page 8 '✓ '� ' Estimate F Date Estimate# 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal 100 LF Shake siding 10 SQ Double-hung insulating glass wood windows 3 Ea Close up window opening,wood frame wall 1 Ea Gypsum drywall, 1/2 in.plain board 576 SF Paint a home interior 3 CSF Electrical work rule of thumb 300 SF Straight stairs 1 Ea Stock glu-lam beams for opening at living room wall 12 LF Laminated glued beams(Glu-lam beams)living room opening 2 Ea Laminated glued beams(Glu-lam beams)living room opening. Install beams with connections attached 12 LF Project material,labor,equipment,subcontract Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion. All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature 413 885-9038 peter @rainhome.net Page 7 • Estimate Date Estimate# 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal 288 SF 2nd floor Carpeting,subcontract Wool Berber carpet(large loop)installed(Allowance$16.00 SY) 32 SY Framing the second floor of a two-story Floor 288 SF Framing the second floor of a two-story Walls 288 SF Framing the second floor of a two-story Ceiling 288 SF Window opening framing,2"x 6 3 Ea Fireblocks,2"x 6 48 LF White wood fascia 1 in.x 8 in.,per LF 28 LF Ice and water shield 288 SF BC plywood wall sheathing 672 SF TyvekTM House Wraps 1000 SF TyvekTM House Wrap House Wrap tape Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total. Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion. All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature 413 885-9038 peter @rainhome.net 1114. Page 6 RE16711, Estimate Date Estimate# 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal 1 Electrical 1 Excavation,foundation and slab Dump fees 4 Ea Remove and then re-install fence 32 LF Window for kitchen 1 Ea Sheet vinyl flooring 18.00 SY allowance 36 SY Hardwood flooring ash,birch or red oak 3.50 SF Allowance 288 SF Second floor related.Removal of wood boards 240 SF Framing the first of two floors,concrete foundation Walls 192 SF Framing the first of two floors Ceiling Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature 413 885-9038 peter @rainhome.net �tf t.t Page 5 Estimate Date Estimate# \!E=fPR04�1�' 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal Bathtub and shower Copper DWV and copper supply rough-in 1 Ea Kitchen sink Double bowl stainless sink 200.00 allowance 1 Ea Kitchen sink Copper DWV and copper supply rough-in 1 Ea Toilet 300.00 allowance 1 Ea Floor mounted urinal Copper DWV and copper supply rough-in 1 Ea Oval pedestal-mount china lavatory sink for master and powder room faucet reused on one sink faucet (Allowance$600.00) 2 Ea Lavatory Copper DWV and copper supply rough-in 1 Ea Medicine cabinet(Allowance$100.00) 1 Ea Closet shelves 12 in.wide shelf,61 4 Ea Shower curtain rod 5 LF Plumber Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature. Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature 413 885-9038 peter @rainhome.net 1- y Page 4 Estimate pR �s Date Estimate# 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal Headers,4 in.x 12 in. 9 LF Fiberglass batt insulation 1250 SF Gypsum drywall, 1/2 in.plain board 1st fl 1167 SF Install interior one panel doors 36 in.x 80 in. 4 Ea Install door locksets glass 4 Ea Install trim Softwood mouldings,casing 9/16 in.x 3-1/2 in. 317 LF Painting Interior surfaces 1161 SF Allowance for cabinets$9,000.00. Cabinets rule of thumb Base cabinets,34-1/2 in.high,24 in.deep 35 LF Cabinets rule of thumb Wall cabinets,30 in.high, 12 in.deep 35 LF Laminated plastic countertops(Allowance$40.00 LF) 31 LF Acrylic three-piece tub and shower enclosure and faucet(Allowance$1100.00) 1 Ea Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature — 413 885-9038 peter @rainhome.net Page 3 Estimate Date Estimate# \off Pfll3 k 1' 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal Removal of linoleum 16 SY Removal of rafters 96 SF Remove existing plumbing fixtures 6 Ea Exterior wall framing,2 in.x 6 in. 48 LF Conventionally framed roof assembly with fiberglass shingle roofing Framing,(w/plywood sheathing) 3 SQ Conventionally framed roof assembly with fiberglass shingle roofing Fiberglass shingle roofing 3 SQ Door framing To 3'wide 3 Ea Window opening framing Over 3'to 4'wide 6 Ea Stud walls 2 in.x 4 in. 250 SF 15 Lite prehung steel exterior door 1 Ea Vented transom windows 6 Ea Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. ofeZPhone# E-mail Signature 413 885-9038 peter @rainhome.net ,+- Page 2 Estimate .__..__ ✓ Date Estimate# 7/30/2008 809 128 Ryan Road Florence, MA 01062 Elizabeth Walton Terms Project On receipt Walton addition 2 st... Description subtotal Building permit 1 LS Removal of wood boards 528 SF Demo existing Base cabinets,34-1/2 in.high,24 in.deep 26 LF Demo existing Wall cabinets,30 in.high, 12 in.deep 26 LF Demo Laminated plastic countertops 22 LF Door Demo 1 Ea Window Demo 115 SF Demo interior wall no sheetrock 2 in.x 4 in. 104 SF Removal of sheetrock 866 SF Demo Exterior Wall assembly sheet rock interior,siding exterior 2 in.x 4 in. 96 SF Removal of ceramic tile flooring 104 SY Total We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as follows: 1/3 of full total upon acceptance, 1/3 of full total upon the start of project and the balance upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified.This estimate is good for 30 days. Phone# E-mail Signature 413 885-9038 peter @rainhome.net Page 1 Version 6.19 INTEGRITY QUOTE *** CAUTION: IT IS RECOMMENDED THAT A MINIMUM OF 1/4 INCH BE ADDED *** TO THE ROUGH OPENING HEIGHT WHEN USING MARVIN SILLGUARD ** *** UNIT AVAILABILITY AND PRICE SUBJECT TO CHANGE *** *** NET PRICE (in USD) *** PROJECT: RAINBOW-08-06-2008-WALTON JOB I AWN - ROTO OPERATING WOOD - ULTREX SERIES CN 2527 RD 25" X 27 5/8" IG - 1 LITE LOW E II W/ARGON GRILLE - RECT - 3/4" - STD CUT 2W2H WHITE FINISH WH HDWE INTERIOR SCREEN WHITE SURROUND CHARCOAL FIBERGLASS MESH NAILING FIN 4 9/16" JAMBS WHITE INTERIOR BRONZE EXTERIOR TOTAL NET PRICE AS VIEWED FROM THE EXTERIOR DIVIDED LITE CUT ALIGNMENT MAY NOT BE ACCURATELY REPRESENTED IN THE MQS GENERATED DRAWING PLEASE CONSULT YOUR LOCAL INTEGRITY REPRESENTATIVE FOR EXACT SPECIFICATIONS 08/18/2008 MOP: 16:46 FAX, 1 913 247 8338 Rugg Building Solutions LI002/002 Attn:Tom/Rainbow 8-18-08 KeyBeasta 4:23pm 1 of 1 KeyBwln5ti 4,503j InnBeamEngine 4.503z2 Materials Database 857 Member Data Description; Member Type:Beam Application: Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition:Dry Building Code: IBC/IRC Dead Load: 10 PLF Deflection Criteria: L/360 live,L1240 total Live Load: 30 PLF Deck Connection:Nailed Member Weight: 9.4 PLF Filename:KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform(PSF) 0' 0.00" 12' 6.00" 12' 0.00" 10 30 Live itr"�S.yF°yl{ rl7fr R�}:� rPl f 07 �1�'}7F I tt n iir- 71 i I i rS'Tf,! rk�ifi t i ri Il t�" < s r!^fr t Y n,.,� +1 R'ri�1, P S'I7 1 '1 , �!4r ;j'jt.�.IT1 t..'S {r„� �t� i �,1 �c st{it;1•r;i ;s{z?•)1, c �t c t'�tt i 3.rs#,si,� ,g.h�°:�$�(t rl 3(E�SH$S{ t {S..�s �t�(I t t'i #�a#"itlf�t�.'t IN{{ Irat`�14 3§�S.`r';tt:. �•uY��ljla� � a�"�isi•ar��i �� �1,12`k{ E l ���a���ti�t,;r�.z�,c- 1.r,��'Fg�,Ar�-��;lfi�d��.•r.�' ? $�4:4aa,., �; �ti� O 12 6 0 ®/ 12 6 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.500" 2952# — 2 12' 0.750" Wall 3.500" 1.500" 2952# — Maximum Load Case Reactions Used for applying point loads(or One loads)to earning members Dead Live 1 780# 2171# 2 780# 2171# Design spans 12'0.750" Product:1 314x9 1/2 Versa-Lam SP 2.0-3100 2 ply Component Member Design has Passed Design Checks." Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 8901:# 13958.'# 63% 6.03' Total load D+L Shear 2564.# 6318.# 40% 11.46' Total load D+L Max Reaction 2952.# 9188.# 32% 0' Total load D+L TL Deflection 0.4661" 0.6031" L/310 6.03' Total load D+L LL Deflection 0.3429" 0.4021" L/422 6.03' Total load L Control: LL Deflection DOLs: live=100% Snow=115% Roof=125% Wind=133% Manufacturer's installation glide MUST be consulted for multi-ply connection details and alternatives All product names am trademarks of their respective owners �si 1" �R b ��I/.r 1!rid"E t. Copyright(C)1989-2005 by Keymark Enterprises,LLC.ALL RIGHTS RESERVED. rEthenISh:S.LLC Passing is defined as when the member,floor joist,beam or girder,shown on this droving meets applwable design criteria for Loads,Loading Conditions,and Spans listed on this sheet The design must he revivalist by a qualified designer or design profassionel as required for approval.This desi„�Lc n assumes product installation according to the mamdachurer$specifications. _ r J 08/18/2008 MON 16:46 FAX 1 413 247 8338 Rugg Building Solutions f;_l]001/002 Attn:Tom/Rainbow 8-18-08 re'fa,; ,�,r� i-- 4:24 pm 1 of 1 KeyBeame4S63j kmBeamEngine 4.503z2 Materials Database 857 Member Data Description: Member Type:Beam Application: Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition:Dry Building Code: IBC/IRC Dead Load: 10 PLF Deflection Criteria: L/360 live,L/240 total Live Load: 30 PLF Deck Connection: Nailed Member Weight: 11.7 PLF Filename:KYB1 Other Loads Type Trib. Dead Other , (Description) Begin End Width Start End Start End Category Replacement Uniform(PSF) 0' 0.00" 12' 6.00" 12' 0.00" 10 30 Live L':;';;'''';,--',- -- -- . a•r..._ 1 . a-t._;-1- r '' i.,.;.,..Z,_.--;:,. �-.. t7 1 12 6 0 0 / 12 6 0 ®/ Bearings and Reactions Location Type input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.500" 2966# — 2 12' 0.750" Wall 3.500" 1.500" 2966# — Maximum Load Case Reactions Used for applying poed loads(or Tire loads)to carrying members Dead Live 1 794# 2171# 2 794# 2171# Design spans 12'0.750" Product:13/4x11718 Versa-Lam SP 2.0-3100 2 ply Component Member Design has Passed Design Checks.*" Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loacfing Positive Moment 8943.'# 21275.'# 42% 6.03' Total load D+L Shear 2479.# 7897.# 31% 0.01' Total load D+L Max.Reaction 2966.# 9188.# 32% 12.06' Total load D+L TL Deflection 0.2398" 0.6031" L/603 6.03' Total load D+L LL Deflection 0.1756" 0.4021" L/824 6,03' Total load L Control: LL Deflection DOLs: Live=100% Snow=115% Roof=125% Wind=133% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives ry All product names areUademarks of their respective owners ', I A ' Copyright(C)1989.2005 by Kermmk Enterprises,LLC.ALL RIGHTS RESERVED. ms 1C,I IC'S lU iL[ "Passing is defined as when the member,floor Joist,beam or girder,sheen on dds drawing meets applicable design criteria for Loads,Loading Conditions,and Spans fated on this sheet.The design must be revieved by a qualified designer or design Professional as required for ap••val.This design assumes product installation according to the manufacturer's specifications. ..... _ -- -- -- ,Cr HONK OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CIVR 108.3.4 to I 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 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 Common 34'ea.ith ©f Mrssacnccsez-rs - Depa.rr:re' of ndiustr al_4 ccidel:is _ - Office of Investigations 600 Washington ton Street Boston, !11.4 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors,EIectricians/Plumbers AtDiicant Information Please Print Legibly Nana e (Business.'Orsanizatior/Individual): Mci t C d Address: \Xt Q- c Ci- Cn:'Statir/Zip: ViNe,■ okolo Z., Phone r;': cS 61a3'( Are you an employer?Check the appropriate b¢x: Type of project(required): j I.❑ I am a employer with 4. ig I am a general contractor and I � employees (full and/or part-time).* have hired the sub-contractors 6. e4°'consnucnon 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. I emodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity.ca P employees and have workers' 9. dBuilciing addition [No workers' comp. insurance comp. insurance.}ui �/ m required.] 5. ❑ We are a corporation and its 10.V eccal repairs or additions 3.❑ q ] officers have exercised their 11. Plumbing repairs or additions I am a homeowner doing all work p• myself. [No workers' comp. right of exemption per MGL I 12. Roof repairs insurance required.] ' c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' i comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 nacre of the sub-contractor and state whether or not those entities have employees. If the sub-contactors have ernnioye ,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 4 or Self-ins. Lic. 4: 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 51.500.00 and/or one-year imprisonment, as well as civil penalties in the fomi of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Invest gations of the DL4 for insurance coverage verification. I do hereby certify under the pains and•enalties of perjury than the information provided above is true and correct. 4ill. Signature: /` / Date: Phone • . 63 • J J cial use only. Do not write in this area, to be completed by city or town ofjaciaL City or Town: Permit/License 4 Issuing Authority(circle one): 1.Board of`H tea���h 2.Building Department 3. Ciry;Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other i i Contact Person: Phone._: 4 s ,• ■SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: le ❑ Not Applicable Name of License Helder: w1( , P 1 c1„i CS SS 2,3 License Number ;acress Expiration Cate LA\�-�i;Ss--�b3�S 3icnature Telephone Recistered Home lmnrrovernent Contractor:. I Not Applicable ❑ v\ t'r-■+VC, 2' d , r t 31 O�i 7 :omoanv Name Registration Number (L . Mk 01062, t .ddress ttr`, Expiration Date Telephone `i1� � ECTION 1.0-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.t52,.§-25C(61) 'orkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result the denial of the issuance of the building permit. aned Affidavit Attached Yes ❑ No ❑ 1.-.1110-11161.0#jjeltEfelitrAtitin The current exemption for"homeowners”was extended to include Owner-occupied Dwellings of one(I) 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. CiVIR 780. Sixth Edition Section 1083.5.1. 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 Ofn racial.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,von 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 I i Alteration Replacement Windows I Roofing f Replacement o �s� Or Doors E i Accessory Bldg. n Demolition X New Signs EMI] Decks (Ll Siding[pI Other( l I Brief Description of Proposed i Work: Kai AD e th l,% 3,� (am -1"150 C.R'it a if c,t.. vAele i V .1 iC n'a ✓ ,la w Alteration cf existing bedroom Yes l/ No Adding new bedroom V- Yes Nc (/�!�/� Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet I ea. If New hoes an ar addition to exist nq hauina.cornl3tete the:-fotio uuina: a. Use of building : One Family V Two Family Other b. Number of rooms in each family unit: Number of 13tthrooms Z Ni c. Is there a garage attached? d. Proposed Square footage of new construction. (A`1 Dimensions Ar\cW— V?..)(Vi- e. Number of stories? Gi f. Method of heating? coCZIA, \NeA--$ tic Fireplaces or Woodstoves INC) Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction / i. Is construction within 1CC ft. of wetlands? Yes V No. Is construction within 100 yr. floodpiain Yes ✓No j. Depth of basement or cellar floor below finished grade t T a /S\c k. Will building conform to the Building and Zoning regulations? V Yes Nc. I. •Sentir Tank City Sewer N7 Private well City water Supply .. _ - ... . .._, i ISECTION 7a-OWNER_AUTHORIZA.TION•-TO 8E COMPL .LbL .WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT i I, E N CiI Y, W akil 1(A , as Owner of the subject it, � property hereby authorize Ra)-0 H-Nyt, ,I h` to act cn my behalf, in all matters relative to work authorized by building permit application. 1 Sig - ure of Owner Date I ( i I �! • .0 ti (et- , as Owner/Authorized A As w;her j declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge •Ih�i� and belief. Signed under the pains and penalties of perjury_ / {`„r,,. ( \C,C/'Q) Print Name (0- 0 l$ Scnat_re of Owner'Acent :ate I ISection 4. ZONING I Alt Information Must Be Compietec. Permit Can Be Denied Due To Incomplete Information ■ Existing Proposed Required by Zoning This coiumn to be filled in by Building Department Lot Size l,��J.. ,...X. + Frontage 9,0 ._......_ ...,.-. I __,_..^. N_/A . ISetbacks Front -"f(d / I T`" y N it -11 �..__n 3,k-_ R:201,1.10 , Rear DA.' S. Building Height i -1 Bldg. Square Footage I % I _... _..._..., Open Space Footage _ N (Lot area minus bldg&paved .J narking) #of Parking Spaces - - Fill: o u/q (voloume&Location] ..._... A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO C DONT KNOW YES IF YES: enter Rein k PasP,._.—..—.-.-- and/or Document#-. ..._._._�.._. ._,_.. .. B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 - NO 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: E. Will the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part of a colninuu pien that will disturb over 1 acre? YES 0 NO i IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • Department use only i City of Northampton Status ofPermit: Building Department ,Cut/Driveway Permt 212 Main Street Sewer/Septic Availability Room 100 iltlater/We l Availability Northampton, MA 01060 Two Sets of Structural Flails I phone 413-587-1240 Fax 413-587-1272 Plat/Site Plans" Other Specify lAPPLICATION 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 t _' r. {-iNcy% �� Map Lot Unit �J�t�J �� Zone Overlay District #1t. Ella District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT .I 2.1 Owner of Record: i. k; c . w&A g (-1-e rrrr�s4- L2406 /4 a 6/6 Name(Print) Current Mailing A dress: 1/4. - Ai _ 1A14 k ) M� Telephone Lt 3 (4- Sa. Signature 2.2 Authorized Agent: "--TVOIN(N4'.a P 0n4\ce",- _ \ t C-L l 0k06a Name(Print) Current Mailing A d .dress: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS I Item I Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building + I ( 7 �a)Building<'Permit;Fee 2. Electrical q 5 o 0 (b) Estimated Total Cost of Construction from-(6) 3. Plumbing I , 5�QO Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2 +3+4+5) I J24,000 Check Number 1 07 This Section For Official Use.Only Building Permit Number Date Issued: Signature: BuildingComm ssioner/Ihspector oBunangs Date HUNTLEY ASSOCIATES,P.C. LETTER OF TRANSMITTAL Surveyors Engineers Licensed Site Professionals 30 Industrial Drive East Northampton,Massachusetts 01060 DATE: 8/8/2008 I JOB NO.: 05-131 (413)584-7444 ATTENTION: Mr.Richard Perry,Maint.Director RE: Luminary Plan(Revised) TO: Northampton Nursing&Rehab 131 Bridge Road Northampton,MA 01060 nn WE ARE SENDING YOU ❑ Attached El Under separate cover via .; �+ AUG I I 2thie$following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ 1S es "`❑ S ations ❑ Copy of letter ❑ Change Order ❑ r; ----- COPIES DATE NO. DESCRIPTION 3 8/4/08 1 Revised Luminary Plan(Per Clients Request) 3 8/4/08 2 Revised Luminary Plan(Per Holophane's Recommendations) THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: SIGNED: Mark McClusky,P.E. If enclosures are not as noted, kindly notify as at once s File#BP-2009-0115 APPLICANT/CONTACT PERSON THOMAS MALONE ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038 PROPERTY LOCATION 8 HEFFERNAN ST MAP 11C PARCEL 007 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: add to existing side room to create bedroom,new kitchen'renovate 1st floor bath and add 1/2 bath New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I FO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability _ Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission - Permit DPW Storm Water Management Demolition Delay V/24 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. „.„ City of Northampton BUILDING INSPECTION LABEL APPR®VEL7 , Inspector �, Date °� 'i /�S—1 6 5 ol< a 9/241” 1-rnti;C / ;437;4, ,„„-• 8 HEFFERNAN ST BP-2009-0115 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11C-007 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&RENOVATION BUILDING PERMIT Permit# BP-2009-0115 Project# JS-2004-00':491 Est. Cost: $126000.00 Fee: $756.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS MALONE Lot Size(sq. ft.): 8450.64 Owner: WALTON ELIZABETH Zoning:URA Applicant: THOMAS MALONE AT: 8 HEFFERNAN ST Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 FLORENCEMA01062 ISSUED ON:8/21/2008 0:00:00 TO PERFORM THE F(LLOWING WORK:add to existing side room to create bedroom, new kitchen'renovate 1st floor bath and add 1/2 bath POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Cf� d /a UPS Q Footings: h- Rough:�"/?043 Rougli: House# Foundation: ok ld �� ��5 /0.-/ —d 6)11,.' ��t _ ✓B/�)Driveway Final: Final: j(-•0^03 j Final: Rough Frame: d� 6� ?,S/��' 1310�. 4-� l l C/< i 6/17/c 3 (`-'14;c Gas: Fire Department Fireplace/Chimney: 1/ • Rough: Oil: Insulation: D/4 9/-V d ! ( 171/CS !R!'?1'\ Final: f(-ef"DiYa Smoke: Final: QK ll/otloy L ikis THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancyc:,-- Signature: FeeType: Date Paid: Amount: Building 8/21/2008 0:00:00 $756.0014.::, 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo