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29-460 (2) • 25' 37 5'5 4'4 11'8 T5 —T 21 - 4'10 6' 10 o N F- co b so CV to r- M CV C14 rl L— C14 1T5 —DN SD co 4'11 1119— 8'4 LIVING ARF=,A 600 sq ft 25 c 4(Y 15'2 24'10 KITCHEN DINING CLOSET EXISTING 34 n BEDROOM FIRST 137 sq ft FLOOR 0 960 sq ft 04 ENTRY 610sqft u I p + 0.. CLOSET LIVING 10sqft CLOSET BEDROOM 20 sq fl 146 sq ft L-162 24'10 -40' tA, CX cc"A , �5 r L ILI E� t ' i r p j i A to." +4 T3 r7 16 a 7f IT' v rik ICo V�vi V4T NN 'ltl A �r in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ---NOTES TO FIELD (Building Department Use Only) ------------------------- a MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 DATE: 2-5-2002 Bldg. Dept . Use CEILINGS : [ ] 1 . R-38 Comments/Location WALLS : [ ] 1 . Wood Frame, 1611 O.C. , R-19 Comments/Location WINDOWS AND GLASS DOORS : [ J 1 . U-value: 0 .35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ) Yes [ ] No Comments/Location AIR LEAKAGE: [ J Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ J Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ J Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS : [ ) Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ) Rated output capacity of the heating/cooling system is not greater than 125% of the desiqn load as specified 9 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Amherst STATE: Massachusetts HDD: 6614 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-5-2002 DATE OF PLANS: 2/5/02 TITLE: PROJECT INFORMATION: Michon 63 Crestview Dr Florence COMPLIANCE: PASSES Required UA = 113 Your Home = 86 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA - CEILINGS 600 38 .0 0 .0 18 WALLS: Wood Frame, 1611 O.C. 784 19 .0 0 .0 47 GLAZING: Windows or Doors 60 0 .350 21 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125$ of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer '��� ^ ," " Date ' c� v 5 l „ x : ., ..� i._ _.Y-... ,.. 't. -. ;tr, ..±...i ;;.^' r. ♦..:i�� '.:f. A" �?=±gi. u-f i.�i FS�d s Pi "�S 0 .. ♦Y�,/ j•v'K' 6 i �J`, ! '�-i?I } P'-.T�' d'.wr$l.l .1�r �<y.ti t k # ^ S 'i A 6.F i� 0 , ..P 'F, °'r t $ .. ;t t.t y t fi w _ ��,�� ' �� �t tai! ✓ �!!!F ral `i}`� .'; `�`S" P!��Fl(%C)bX9 pV�(� c - r °° .�► ii - L�u��E��KJYi«E 4R�''�r,.+,� r ,,^f a +� � ,. #_t 3 °� �9 t ! ...t?t +° 4' t•�1:�intii t ci�� ..►�{L e' '(� I'{ flo, Tit . ..r;}A,,}'trt aV V 1 'TM AHT 6 ( li i .?t"J $b g! �4 aa�� r,l,..._.._, ............ .....,,.,..._.... _..:�.-....,..,,..... ...-� '7T ...... .�..,..r,........._. .,..... ,;b .,'t! w ou ♦Q;'j, 3 `�A <= ) 3 /M.top't +'Lo r 52'' "Lor 5l'' '`Lor 5D'' I J770EY WIF S �1OI'JSE !n3 ►� �� I v � IDO.DD't i Del VE I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on Department of H.U.D. Federal Insurance Administration Maps, Community Number 250167 0001A Identification Date ARIL 3, By t TO THE FLORENCE SAVINGS BANK OWNERS CHERYL FORHAN AHD THE LAWYERS TITLE INS. CORP.-ONLY L AT QN+ To the best of nay knowledge, informa- 63 CRESTVIEW DRIVE FLORENCE tion and belief, I hereby report that I �MERN•t•L .� S�C�AS� INC. have examined the premises and that this . -SURVEYORS-ENGINEERS - LANDSCAPE ARCHITECTS inspection plat shows the improvement or improvements as located on the premises de- 30 INDUSTRIAL DRIVE EAST P.O. BOX 568 scribed, that the improvement or improve- NORTHAMPTON,MASSACHUSETTS 01060 ments are entirely within lot lines, and that there are no encroachments upon the SCALE' premises described by the improvement or t1k improvements of any adjoining premises, except as indicated. I further report that OATEN there are no easements of record affecting JI)AVEY l9, 19,�3 the tract shown hereon, except as noted. WAMD It - a :X16'ri1,�-Gw -ROOF � f : , t NCB t` 5 xCa fi;,-f&-V o r iJ U 16" C3,G i(�K S:C� .. ��T v ac, +r w, � V-c�c� 716" -fJT �ea� Jc>is�5 I6'� ©�. 1,q �5 � �R?ei,Te°�ki �v�i✓��-I�ES b3/°1�er �c�P�E?r VIP-'� Fly BOA c 1�� --t e--s R 3� cC-k1,V%.-C) 42' GJ�iaT 11N r� AR 1 tJ4 Uk LL s i � UP EXISTING N EXISTING LIVING AREA -- 1008 sq ft New srAIR -IZ> I I i 42' 15X I-s y 11 F-11RSr rLoo"R i� I�--- 25' -�\�-- �I------------------ ---------- Ll 1 i , I I I I o s I I � I I I ATR 7'4x91 IVA3 BDRM J:Dj13 4 x 3' j mill I I I I i CN - - - - - - -- OPEN BELOW N I GJ I�t LL I I I I I I I I I I I j I I � I f I I I I I I ---------------------- ------- NEW SECOND FLOUR 25' LIVING AREA µI&RULAM x 543 sq ft �ec�r r5 wrlA suPP -��1 4-0 42' ------------------------------ ------------------------------------------ — --- ---- — -------- ------- 4-2x8 beam -------- - -- --- ----- - -- ----------- - i columns spaced less than 7' apart L--------- ----------------------- ----I-------------- -------- -- ------ — — ----------------------- - --------------------------------------- LIVING AREA 1008 sq ft 25' F--------------------------------------- II�MASTER BATH 7'4 x 91 MASTER BDRM 13'4 x 23'4 --------- ----------- PE N N BELOW 10'8x3'1 i rl- —DN— (o ------------ W114DOLX, --------------------------------- NEW SECOND FLOOR 25' LIVING AREA 543 sq ft -i'-Raen 5ED 6 cc o S�J'Z> LvO .�ttAMPJ. � 8 Grff� = B �IASEACI(1tECttE• t DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Mass. 01060 ,~ WORKER'S COMPENSATION INSURANCE AFMAVIT (li censcrJpelml tt ee) with a principal place of business/residence at: (streeticity/sWd2ip) do hereby certify, under the pains and penalties of perjury, that: (6 I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Dale) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Inatra.nce Comparr/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (auarh additioml short Ymocssary to incrude information pertaiming to all ooatraciors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ persons to do ma;&�construction or repair work on a dwelling of not more than thrco units in which trx homeowucr resides or oa the gnwnds appurtenant thacto arc not gcow2ily oomidercd to be employers under the woric.ets ccm>p=v4oa Act(GL152,ss 1(5))�application by a homeowner for a Gcrase or P=M may cvidcnm the legs1 status of an employer under the Wodcda Oompomalion Act_ I umdusiand that a oopy of this rblzmcat may be forwwded to the Dopartmm2 of Industrial Acddeatf Oi&oc of In u-for the ooverage vaificatioa and that failure to soa=cowmso under soction 25A of MOL 152 can load to the imposition of aimh al penalties coaust mg of a fine of up to S 1,500.00 andloe imprisoamcrl of tip to ow year and civra pm&Wc,in the form of a Stop Work orda and a firm of 5100.00 a day against tae_ For d —m►Y Permit Number mw Lot 4 Signature of Liamsee/Permitfee • SEC�TJJO 8� COIVSTRl7CTION SERVICES 8.1 Licensed Construction Supe`r`visor: �� Not Applicable ❑ Name of License Holder: t�.i(l\ 1 aM A<0-- " k— C 5 License Number Address Expiration batel 0?54� 03 a Signature Telephone R e _ to r rrem'eri" "nr g � �.,;�, Not Applicable ❑ /6g ao Company Name (( /� Registration Number k+r a tnl 130-- Address Expiratk n c R3 A-Le,s+ "'!-G� " Telephone F?6j& 930 SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.GI.L. c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affid< will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 10105, e,.� net ,ty The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)famili: and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner act: 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( 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��DESCRIP7111� 1 MFR�UR�OSEDii, R Check al a licable � m �"---"P,,, " New House 11 Addition Replacement Windows Alterations) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: 600 s c Alteration of existing bedroom Yes No Adding new bedroom v Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑- Sheet 6 I#�NEWWO' S MIM' oi� "dditi`on/to ezistinghho'using, co�rij�lete fhe�#ollowin�: a. Use of building : One Family Y Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? ` �+ ' h d. Proposed Square footage of new construction. C©6 Dimensions CPZ` XcX� e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction "10 A i. Is construction within 100 ft. of wetlands? Yes _'No. Is construction within 100 yr. floodplain Yes 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 $ECT]0N 7a OWNER,AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR'CUNTRACTOR";APPLIES-FOR.BUILDIIVG PERMIT I, N�f � � /�iC�O�� as Owner of the subject prope. hereby authorize C" to at- my behalf, in all matters relative tow authorized by this building permit application. S v2. Signature of Owner ate as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. WAk t ok V.-%. Print Name l Signature of Owner/Agent D to Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 16,000 s V4" 5 G V"n e Frontage b O �� �a"�� —775—` Setbacks Front 3 3 3 d Side L: _R: ate_ L: R: 15 Rear y3 Building Height //C Bldg. Square Footage (1 lQ % `(0(.c (� 0/0 Open Space Footage (, % v (Lot area minus bldg&paved ' VA parking) #of Parking Spaces 3 Fill: volume&Location)A fJt A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES — No IF YES, describe size, type and location: a m pto n �tg vil artment 212 F" n, Street S e I .�, R 00 e 8 - ; 4t� 2 MA 01060 n gets c .a. iVort�am ., L, p hQpe. 13.5$.7, 240 Fax 413.587-1272 1?a ( Ite APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION_1 - SITE INFORMATION This section to be completed by'o 1 fftce 1. Property Address: " .Map Lot � = llri�t Ov Zone , e"rlay District , Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: 584—=5 ---- — Telephone Signature ---- —2.2 Authorized Agent: 1f -17tkk -go Aw, Name(Pri t) Current Mailing Address: �" i3 930 Signature Teleph one SECTION t3 - ESTIMATED CONSTRUCTION COSTS " Item Estimated Cost(Dollars) to be Official Use Only completed by ermit applicant 1. Building 0G O t10 (a) Building Permit Fee f _ 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee` 4. Mechanical (HVAC) 5. Fire Protection �,r� 6. Total =(1 + 2 + 3 + 4 + 5) �� Check Number Q o�c/ _ This Section For Official Use Only Building Permit'Number: Date Issued: Signature: Date Building Commissioner/Inspector of`Buildings u�, ��� '4 S �, �H��,r''-�d��y���,, G���ea�^ /��j� ��� �-� � s�,�� _�'� �! ---����- -----_-- ' r File#BP-2002-0698 APPLICANT/CONTACT PERSON William Rock ADDRESS/PHONE 23 Amherst Rd (413)256-4930 PROPERTY LOCATION 63 CRESTVIEW DR MAP 29 PARCEL 460 001 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: CONSTRUCT 25 X 24�2ND TORY ADDITION(MSTR BEDRM&BATH) New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included• - Owner/Statement or License 050081 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQItMATION 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 err a £COrr� onservation Commission Permit from CB Architecture Committee Permit from Elm Streetiammission Signature of Buildi g 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. r _� 112 :63 �ft BP-2002.0698 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:'29-460 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ADDITION BUILDING PERMIT Permit# BP-2002-0698 Project# JS-2002-1119 Est. Cost: $26500.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: William Rock 050081 Lot Size(sg.ft.): 10018.80 Owner: MICHON ANTHONY&CHERYL Zoning:URA Applicant. William Rock AT. 63 CRESTVIEW DR Applicant Address: Phone: Insurance: 23 Amherst Rd (413) 256-4930 Workers Compensation PELHAMMA01002 ISSUED ON:2120102 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 25 X 24 2ND STORY ADDITION (MSTR BEDRM & 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:, Footings: Rough:�� &.1 `. Rough: + � j?r House# Foundation: J Driveway Final: Final: /�/]��r� Final: �"F��1)-/7/2-200 _ (.Y"( Rough Frame:G)C ��"� Asr Gas: Fire Department Fireplace/Chimney: Rough: Oil• uv - Insulation: k r Final: Smoke:�� r �% Final: . THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA ION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc Signature: Fee Type: Receipt No: Date Paid: Check No. Amount: Building 2/20/02 0:00:00 3034 $120.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo