29-370 (2) cm MFR#063
NFN R
F
Nad Fenestration Lc)w E (14
R g a g Council
0 "k 41
•Energy savings will depend on your specific climate,house and lifestyle
•For more information,call or Visit KFRVs web
site at wwwAmorg
U-Factor Solar Heat Gain
coefficient
----------------
Ro..
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining
whole product energy performance.NFRG ratings are determined for a fixed set of environmental 6,
conditions and speeftproduct sizes.
conditions O'd,l
1 Jq I I tx4f4
JUL 3 2'01
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
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DEPT Or BUILD NG INSPECTIONS
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06-20-00 14:03 DEPT OF PUBLIC SAFETY ID-14134431053 P01/01
----"-• .. . ..., ..v v�..i r:.:bt 191
RGY CON=�CONST-APPLICAT FGRM FOR
LOW• ESl ION AND ADDITIONS
780 QMR Appendix J{effective 3/1/98)
PAO IJ .
1 Applicant Name: `� Site Address:
Applicart Address: 1i City/lawn: /
_ Use Group:
c's� cvw� j M Date of Application: / - I
Applicant Pho+. ,: d3 �jr .Appllca'tion Signatur:
CernpUance Path(check one)
❑ Prescriptive Package(Limitea to 1-or 2-family wood 4rame-buildings heated with fossil fuels only)
Package (A through KK from Table J5.2. lb):_ Heating Degree Days (HDD&s)from Table J5.2 la:
(For items d, through i., fill in all values that apply from Table J5.2)
a. Gross Waif Area �, sq. ft f. Waif Yatac- R a
b. Gla2ingAreLa' sq. ft g- floor °VW-1Le l 4 _
c. Glazing 94,(100 x b+&) _ h. Basement wall g
d, Gla�inv tl-va1Lr. t- i. Saab Perimeier _
e. Ceiling R•value i. Heating AFUE
❑ ComWW, PerformancE_ "Manual 7rode-Off" (Limited to wood or metal framed buildings only)
Clirria-teZO"e(from Figure J6.2.2) ❑ Zone 12 [l Zone 13 ❑ Zone 14
t Attach Trade-Off*tvWeet from Appendix J,[2nd NVAC rrade•Off ftrisheef, if applicable]
` ❑ 1AAScheck Software
Attach Comph ante Report and inspeclian Checklist printouts.
❑ Systems Analysis OR LU Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall +Ceiling AreaZ sq. ft. b. Glazing Areal/_!�rsq.ft. c_Glazing yr,(100 x b+a) A—%
(� ADDITION with Glazing% (c.)up to"may use 780 CMR Yable J1.1.2.3.1 below:
MAXIMUM U-raluv Minimurn R•Valucs
Fenestration Ceiling Wall Floor Basement Wall I Slab Perimeter, Dept
0:39- R-37 R13 R19 ' R-10 R•10,4 ft.
❑ -SUNROOM-addition (greater than 40%glazing-to-wall and ceiling gross area)
Attach `Consumer Information Form" from 780 CMR Appendir8,
Ofilcial°S Name: /,10/0,7/4C0 Official's Signatu
Appticatiart Approved Denied Cl Date of AFpro:at/Denial: 2k1':V
°vason"'s)r`vi i cnial; (provide additional details as needed on back Side)
r a RjDugh(3p mmg or Unit D nu noon s
p � C � ad �
06-jU 8-00 14:A1 PT OF PUBLIC SAFETY
� oI FRON:413 4999444 P0:
DEPT OF BUILDING INSPECTIONS
nT+HAMPTON,MA 01060
'To fl 1 alll p t
oll -
4 Q DEPARTMEITT OF BUILDR\IG INSPECTIONS —
212 Main Strect Municipal Building
Northampton, Mats. 01060
WOMCER'S COit2I'ENSATION INSURANCE AFFMAM
v � �ic:;uscrlperu�ittcc)
\,.rith a piincip._al place of business/residence aat- 1,
yo
suit/dr•/na�P)
( l
do hereby certify, under the pairLS and penalties of perjury, 0121
( ) I am an empioyei providing the follo\vIm-, ,vofkcr's compcns-non coverage for tnY
employees Nvorldng on 1111s job
(Ln=na� Comr.2n-v) 01ct,c;ivtrmicr)
( ) I am a sole proprietor, general contractor or homeovvDu (circle one) LTnd have hired
the contractors listed below who have the iok%Yu' Q worker's couluensz'Ion pohcles:
(Name of Concnctor) (Insurance Compan)vPoue, Numb;) (?_>:auauon Date)
(Name of Contractor) -- (1aSt1iancc ComnazvRobc-�, titlmc�r)-- (Expiration Date)
(Name of Coumcior) Rnsurancc Compan)•/PoUcy Number) Expiration Dale)
(Name of Contractor) (Insurance Compamy/Policy Number) (Expiration Date)
(aaach addition l r'_icd ifn">--y to aichuL infocm�aoc pertaanirig to ell ooa7ac_o")
O I am a sole proprietor and have no one working for me.
( ) I am a home owner perfornami g all the work myseif-
NOTE:plc= c be aw-art diri wlnlo homca v wbo cmplay pcuim to do m .• a�Svc oo c r rcpav w'oric oo i d. LI-M&of
aot mote th::n throo unib in which the bomoawncr rtsdn oc oo the p-vj r appuacatit tScdo arc oo(&�lly ooasidaod to be
employcr3 under the worker's ao3pcu--iioa Act(GL152,m 1(5)�apptintioo by a homeoaver for a tic aye or permit may cvidcaoc the
legal omt"of an amployet under dio Woricoet Compoo�l Ad
I uodcwnd dims a copy of this cutcmci3l may be forwarded to ttw Dcpertmma of I itriaJ Arad-&Offio of tii—for th'
oovcragc vtnGc:s1ioo and that f_iltur-to acauc covcnnsc uodcr sociion 25A of MGL 152 m Iad to the impositioa of aimin-l pca&Wcs
oomisting of a fine of up to S 1,500.00 and/or of up to ooc year end cavil penaltio in the form of a Stop W ofk Ondr and a
fim of 5100.00 1 day egain:u me
For dcp:�.t uic poly
Permit Ntlmbcr
C ,G Map" _ Lot
Signaun-c of icroscr c a ��e
SECTION.8-CONSTRUCTION SERVICES
1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
Ali
Not Applicable ❑
� ..
Company Nime Registration Number
LJA
Address Expiration Date
Telephone 163 T
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.
jm�jgnecl Affidavit Attached Yes....... ❑ No...... ❑
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 d Local Zoning Laws and State of r Massachusetts General Laws Annotated.
Homeowner Signature /
a '°
A �.
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7C ION DES.CRIPTIiQN OF PROF_,OSED WORK(check all applicable)
New House ❑ Addition Ev", Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors a; y
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[kj— Other [ ] ^^
Brief Description of Proposed Work �Q
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
IMAftfollfting:
a. Use of building : One Family V Two Family Other
b. Number of rooms in each family unit: ly -Number of Bathrooms
c. Is there a garage attached?- /rL0
d. Proposed Square footage of new construction. .2 Dimensions / "X J
e. Number of stories? /I
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
Type of construction 'W yt>�
i. Is construction within 100 ft. of wetlands? Yes _�No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply_/�
SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize to act on
rnv behalf, in all matters relative to work authorized by this building permit application.
S' ture of Owner Dat
I , 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.
igned under the pains and penalties of perjury.
/)
Prin e •
Signat of Owner/Agent Date
i
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
/&�� 07'
Lot Size Z5� �9 'y
Frontage
Setbacks Front 2
C.
Side L: R: L:Z(f7 R: �
Rear 7o? b
Building Height
Bldg. Square Footage //�Y %
Open Space Footage % �7-C7
(Lot area minus bldg&paved �
parking)
#of Parking Spaces
Fill:
volume&Location
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:
-- thampton
R Build epartment
I JUL 1 8 2M21 n Street
100
DEPT OF BUILDING , MA 01060
NOVl j0j24 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
i.l Property Address: This section to be�ompieted bYoffi :.
Map
7"/ice . - � '�� — rtn tfa t1ie#rr±t
Elm St.Dist00 CB blsiri t
SECTION 2- PROPERTY OWNERSHIP/AUTIHORIZED AGENT
2.1 Owner of Record:
,Okme(R ' t) Current fling Ares-
` �✓► Telephone ��
Signatur
2.2 Authorized Agent: 77-- t-� -�--
Name(Print) Current Mailing Address: c y r L
'�L-��'Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS 2 r� + (- Cy0 r
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building ��� (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4+ 5) Check Number
This Section For Official Use Only
wilding Permit Number: Date Issued:
Signature:
Building Commissioner/inspector of Buildings Date
,
JUL rr
1 -
DEBT Of BUILD NG INSPECTIONS
IN,MA 01060
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File#BP-2002-0064
APPLICANT/CONTACT PERSON BRINK RONALD A&JOAN M
ADDRESS/PHONE 37 AUSTIN CIR (413)586-4060 Q
PROPERTY LOCATION 37 AUSTIN CIR
MAP 29 PARCEL 370 001 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
Tvpeof Construction:_CONSTRUCT 18 X 12 DINING RM ADDITION
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
INF ATION PRESENTED:
_IZApproved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 Co n
l�
Signature of Building 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.
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37 AUSTIN CIR • BP= flt32�0064
GIS#: OMMONWEALT- . HUSETTS
Map Block:29-37t1 `' d OF
t: 01
Permit: �tdlrra
Category:ADDIT 4 N. WILD 1
Permit# BP= 1$4
awe t#
Est.Cost:522600.00
Fee:$86.40 PE"I `►�`.�0NIS ERE,HY G,� W,
!Q nst:Class:C[�th'fi toy' Li!+ en.e.
Use Lomp:
Lot Siz a ft.)-. 131 Owner.. HR MAN M
_zoning:URA # RMALD N M
_ AT .�'.4011
Annlncanf ddr
�-�-ess•
37 AUSTIN CIR 41 516 Q
FLORENCEMAt I 06,2 ; , 1E�?9AZa1 W�,•l, 1:+UU
TO PERFO"TIM" , F&LOWNG WORK.CONSTRUCT 18 X 12 DINING RM>ADDITION
4
POST THIS Qw,sO BE IS HQMM TIIE TREET ,
Inspector of Plumbing`' InspeeEr r ofwiaring "-w- Inspector of BWkihW
Underground: service: Meter:
Footings:
Rough: Rough: /on house# Foundation: l�
V
' - d�
Final: Final:
1 J Rough dame:
Gas Ire,Department Firepiace/Chimaey:
Rough:
insulation:
Final: Smo e• _
Final Bk••
J4ld7 +� FKA">r oR /A/904 !NsAgc^r-ie,v '
1-4RAY P-4 fvffr•rW sauEgAS wo" w,4C- jt DpAj,15�r
THIS PERMIT MAY BE REVOKED BY OF NORTHAMPTON UPON VIOLAqpN OF sPE�
ANY OF ITS RULES AND REGULATIONS.
Certifiote of Occu nlc Si nature:
Receipt No: Date Paid: 'Check No: Amounts
B�iing 7/20/010:00:00 2792
`- ,,.._.W_:_:_..:�.,:_--_._.-_..,_•212-Itfain Sfr�et,�.�I:13�..�:8;�12.4�Fay: 4?��587-1�7� _ '`
$wilding Cotpm scion ,-Anthony P
.,