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34-024 (7) X �` T � a o � rn o a > -� I Z m � ro Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. r�3 -saw y�fv` Alterations NORTHAMPTON, MASS. -5// T, 1 Additions OF a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owner's name �/lrG� ��� / Address f/ l/,�'� � �� �j 3. Builder's name Address ®.S��`1-7© Expiration Date Mass.Construction Supervisor's License No. P 4. Addition S. Alteration 6. New Porch 7. Is existing building to be demolished? , 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lo[lines i y p � v/' �il��,J j? 6miP, - 12. Type of roof 5 ���5©a'' �� •� � 13. Siding house 14. Estimated cost- oco The undersigned certifies that the above state ents are true to the best of his, her knowledge and belief. Signature o responsible appucanl Remarks C/ 1���� i�JJ 1 /�✓ �i —,�_'- D� t � g MAY I i9 Viz# of Naz#httnipntt $ d �>_ �Tasaacflusrtts PEPT Of DEPARTMENT OF BUILDI\TG INSPECTIONS �. INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 nom" Square Footage Amount Basement @ .10 lst Floor @ .40 %gyp 2nd Floor @ .20 1/2 Floors, Attic, Garage .10 Deck, ,Porches .10 i M TOTAL % a MAY 1 9 1'998 '' jtsattrlansrlts m 1 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION I NSUIZANCE AFFEDA.VTT (l1'censerJpermi flee) with a principal place of business/residence at: _(phone#} cam`7 W10 (strt~Ilci ty/stale/a p) do hereby certify, under the pains and penalties of perjury, that: ('am an employer providing the following worker's compensation coverage for my employees working on this)ob: M. AL�i �s 6- #4.7-f-'-g�p�4193-0l-97 914AR1919 (Insurance Company) (Policy Number) (EExp" Lion ate) ( ) 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) (Insuran(-- Compairy/Policy Number) (Expiration Date) (Name of Contractor) (Insurancti Company/Pcky Number) (Expiration Date) 0 (Name of Contractor) (Insurance Compmy/PoLcy Number) (Expiration Dale) (Name of Contractor) (Insumace Company/Policy Number) (Expiration Date) (ariach additioml sheet if noocaary to inclrldc infermaiioa ycrtainuig to tilt oo(�) ( ) 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 chid wbilo homeowners who employ pc==to do m&adc ern r suction ar rcpait work on a dwelling of not mgro than tbr-units is which ttie hottroowncr r=da or on the grounds appurtenant 2hetdo arc not gcoo lly coandcrcd to be employers tinder the worker`s oompeasatica Act(GL152,ss 1(5)),appticabon by a homeowner for a keener or permit may evidence the legsl rtxttra of an employer under flo Workeet Compomation Ad - I understand that a oopy of this rulcmcat may bo forwarded to the Doput.x of Indrut n al A=dca&Offioo of I'Ar"o for the coverage verification and that failure to ae covcr undo section 25A of MOL 152 can Iced to tbd ia>posi -of criminal penalties oomisbttg ofa fine of uP to S1,So0.00 andlor imprison of up to one year and civil pcnxWcs in the form of a Stop Worlt order and a firm of 5100.00 a day sgainzt me For dcv, trao Doty Pcnait Number s/'J y Map# _Lot# UaUi i S Jg 17 t .t tF��a# a r• �3$�ti.t aX�� rr���_ ���,' xt�a�"s�%� }i S� $ $ i# ' T"a e t-.xia 3< t zA ` v I {,a"i$��s SS `zc z`� tY• ez+ �§�i � � � ��? 5f'"� z Z a q4 r sa a s {�4Y)j Ali z F i*'i t rt x ti • r--- � i� / / � J.--- i� /` /i / y�///''���--J i `Y � `` i i� i /�%� � �'/�; ,,� � `�', M1,,,. � ^- t--- �J---- sue-- � �` � c-- � ��/ ._�` �.\ .\ \ 9� `\ y� ����. �� �\ ,\ �� � - ,, U d z U � O a� o -p LL j - (D (D - Ll1 r i z >1 ry } I Lo iU 00 I I Q LO � C7 � I JQZN p Ur O i m N .N. -C "" " L i Y U Z U U N p Z C t- c F- < a o c�i z O 1-- CTj a ca "J o w < -0 , QI I � L. w O LL Z Q) W I I I I I I ---------- ------- ococ ---- - -- I _ I L- ------------- ---------- \' - --- p C/) Q) z N. p ^ of p1..7.. p 4- CZ c co ) L` L � n� CJ I,-) r i U UJ Cl U tY7 CO OD \\ CO RS to N I N X U U E c-, y LL 0 00 O � I U, i a � I � I \\\ \g \\ I J I\ \Q\ I \ '---"------------------- �-"---"----------------j \ 1 \� A� %A •� �\�\�\;��'�����„ate\ �\��;����,�\\\o���\��\��”'\\ I I Y U Z U0 C U) O (A O d O LL _ Z 'a a — 8Z- Q =FE 0 N -E,zL — ----- ---- . — –ssb m °o aa) 0 zo R-- --------------- --— ------------- co x L- - 11, ......... -- --- --- ------ -------- w J.. ._ co ' \ U D Q) j co Q. 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The HVAC 3 ; 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 design load as specified 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) ------------------------- kAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 One Story Addition DATE: 4-29-1998 Bldg. ; Dept . ; Use CEILINGS: [ ) ; 1 . R-30 Comments/Location WALLS: [ ] ; 1 . Wood Frame, 16" O.C. , R-19 Comments/Location WINDOWS AND GLASS DOORS : [ ) ; 1 . U-value: 0 . 30 For windows without labeled -values , describe features : # Panes 6- Frame Type rh Thermal Break? Yes [ ] No Comments/Location i SKYLIGHTS: [ ] ; 1 . U-value: 0 . 34 For skylihts without labeled U-values , describe features : # Panes :s. Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] ; 1 . Over Unconditioned Space, R-30 Comments/Location BASEMENT WALLS: [ ] ; 1 . 4 . 8 ' ht/3 . 5 ' bg/4 . 0 ' insul . , R-11 Comments/Location AIR LEAKAGE: [ ] ; 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: [ ) ; 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: [ ] ; 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. MAScheck COMPLIANCE REPORT Massachusetts Energy Code " ; Permit # MAScheck Software Version 2 . 0 § MAY 1 9 1'998 Checked by/Date c.FT OF W CITY: Amherst STATE: Massachusetts HDD: 6614 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-29-1998 DATE OF PLANS: 4/28/98 TITLE: One Story Addition PROJECT INFORMATION: Andy Glick ' s Family Room 252 Sq. Ft . Addition 119 Turkey Hill Rd . Florence, MA 01060 COMPANY INFORMATION: GLENN BUILDING ASSOCIATES INC. 18 Ashley Circle Easthampton, MA 01027 COMPLIANCE: PASSES Required UA = 85 Your Home = 83 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 252 30 . 0 0. 0 9 WALLS: Wood Frame, 16" O.C. 363 19 . 0 0 . 0 22 GLAZING: Windows or Doors 35 0. 300 11 GLAZING: Skylights 37 0 . 340 13 FLOORS: Over Unconditioned Space 252 30 . 0 8 BSMT: 4 . 8 ' ht/3. 5 ' bg/4 . 0 ' insul . 252 11 . 0 20 ------------------------------------------------------------------------------- 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 de ign load as specified in sections 780CMR 1310 and J4 . 4 . J' Builder/Designer �' Date 780 CMR Appendix J Manual Trade-Off Worksheet Per mit Builder Name Date Builder Address Checked E Site Address Zone❑12 ❑13 E]14 Submitted By Phone Date PROPOSED REQUIRED Ceilings, Skylights, and Floors Over Outside Air Requited Insulation x Net U-Value Description R-Value U-Value Area =UA (Table J6.2.2*h) x Area = U; Ceiling ft2 (Table J6.2.2a) —' Floor Over Outside Air ft2 (Table J6.2.2a) —' ft2 ft Total Area ft Walls, Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value_ x Area = U Walls ft2 (Table J6.2.2b,c,d) —' Windows — ft2 (NFRC or Table J1.5.3a) —� Doors — ft2 (NFRC or Table J1.5.3b) —� Sliding Glass Doors — ft2 (NFRC or Table J1.5.3a) —' ft2 ft2 Total Area ft2 Floors and Foundations Insulation Insulation x Area or Required Description Depth R-Value U-Value Perimeter = UA U-Value x Area = UA Floor Over Unconditioned (Table ft2 Space J6.2.2e) Basement Wall (Table ft2 J6.2.2f) Unheated Slab ft (Table J6.2.2g) in. Heated Slab ft (Table J6.2.2g) in. ft, ft2 Total Proposed UA must be less Total Total than or equal to Total Required UA Proposed UA Required UA Statement of Compliance:The proposed building design represented in these documents is consistent with the building plans, specifications,and other calculations submitted with the permit application. Builder/Designer Company Name Date DRAFT (for training purposes) 53 MAY ' 9 ENERGY CONSERVATION APPLICATION FORM OR. >OW-RISE RESIDENTIAL NEW CONSTRUCTION 'F"OF 8!' Applicant Name: /ter >n /✓6��- 111W Site Address: Applicant Address: %�:145W1105 /iz;q' City/Town: Use Group: Date of Application: Applicant Phone: —c >/3 15.= #16V0 Applicant Signature: Compliance Path(check one): F-1 Prescriptive Package(for 1-or 2-family residential buildings not heated by electric resistance) Fill in all values that apply from Table J5.2.1 b: Package Number(A through KK): a. Gross Wall Area sq.ft f. Wall R-value R b. Glazing R.O. Area sq.ft. g. Floor R-value R- c. Glazing%(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) Climate Zone (from Figure J6.2.2) M Zone 12 Zone 13 E] Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] (kIMAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis Renewable Energy Sources Attach approved Analysis Official's Name: Official's Signature: Application Approved E] Date of Approval: Application Denied Date of Denial: Reason(s)for Denial: (over for snore) ssRS 12/0s197 '998 91 MAY CITY OF NORTHAMPTON DEPT Of$U BUILDING PERMIT CHECKLIST All 1&2 Family Proj eCtS The following items are to be considered MINIMUM information to be submitted with ALL permit applications A Scaled drawings & details shall be submitted with each application proposing construction, reconstruction,addition, alteration, or repair. The building official may waive the requirements for filing plans when work is of a minor nature.[ ] B. Scaled drawings & details shall indicate&describe all proposed work, including location, size,grade of materials &equipment to be used. [ ] C. PLOT PLAN, property address;map &lot number, zoning district&overlays (such as wetlands) [ ] Show well and septic locations (if applicable) [ Location of lot lines, dimensions of lot, frontage [ Location&dimensions of public easements, public utility easements, railroad right of ways , and established zoning setback requirements. [ ] Locations &dimensions of primary and accessory buildings &structures. [ ] D. FLOOR PLANS, floor plan of each floor and intermediate levels including basements, crawlspaces, terraces, porches garages, carports,and decks, showing existing condition and proposed construction. ( �] Dimensions, locations &matg-als of foundations, footings, columns &piers {including reinforcing when required) Direction, dimensions, spacing &grade of all framing {flooTI roofs, walls, partitions) Location of all walls,partitions, windows, stairs &doors [ Location&description of all electrical equipment and alarm devices [ ] Location&type of all heating and air conditioning(HVAC)equipment. [ ] HVAC schematics (where required check with building inspector) [ ] EXTERIOR ELEVATIONS ron rear&side elevations including foundation and finish grades. [ ] Location&dimensions of windows&doors. [ Description of exterior cladding or siding material. [�] Show exterior stair locations &dimensions. [ ] Show chimney and vent locations [ ] DETAILS & SECTIONS, Sections through exterior walls showing details of construction from footing to the highest point of the building. [ ] Sections through fireplaces &chimneys (show clearances) [ ] Location&details of any roof trusses,glue-lam, or engineered lumber {include connection details and Massachusetts professionals stamp on specification sheet) [ ] Exterior envelope energy requirements:Uo-of walls,roof-ceiling&floors..OR.. R value of walls/roof/floor,also percent of window area to wall area. [ ] 10 Do an signs exist on the roe YES NO Y 9 property?� IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This COIU= to be filled in by the Building Department Required I Existing Proposed By Zoning Lot size �. Lie- J Frontage Setbacks - frnnt - side L: R:� L: �� R: 0150_ 422 C) - rear Building height Bldg Square footage ,� > —.._ ">Y> was �J / 5 n p p %O pen Space: a � (Lot area minus bldg &paved park.Lng) # of Parking Spaces # '6f Loading Docks Fill: 4 volume -& location) 13 . Certification: I hereby certify that the information contained herein �r is true and accurate to the best of my knowledge. DATE: �'' APPLICANT's SIGNATURE NOTE: Issuanoe f a zoning permit does not relieve an app ioan s burden t mpiy wit4 all zoning requirements and obtain all required permits from the Board of Ho ith. Conservation Commission. Department of Publio Works and other applioable permit gr nting authorities. FILE # MAY 1 91998 File No, ,'EPT QF BU '�'C,!`,"TECTIONS �Ii�r ING PERMIT APPLICATION (§I0 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ,✓6 917MAI✓ Address: Telephone: 1 Owner of Property: Address: �,� Jt% 'i'� �`7>d� /'� Telephone: 3. Status of Applicant: Owner //Contract Purchaser Lessee __ZOther(explain): 4, Job Location: Parcel Id: Zoning Map# Parcel# 194 District(s): � (TO BE FILLED IN BY THE BUIL ING DEPARTMENT) 5, Existing Use of Structure/Property S/ del I d LM64)1_44 6. Description of Proposed Use/1Nork/Project/Occupation: (Use additional sheets if necessary): /Z/72 'WV A�11 L ' l 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Per itNadance/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# 9. Does the site contain a brook, body of water or wetlands? N9__k 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: (FORM CONTINUES ON OTHER SIDE) y At rs a,�• Paz-�%-saw � N/F ARMAND !'. Sc qOSL N s0" 4,5'2+',E r � t } i � { ` R.E�AUUN( Jg , cHRISTEF X) . LOT 5 ;�C�T 6 LOT 7 { ; f `�' 3. T 6 AC. 3 3553 AC. �, �o"1214 E S9fi4 AC. 3.¢d58 �C. o , r `x' F 5 w s E , LOT 8 1836E PC. OC 80,000 5-F @ v Ya'rKY}r d - r f04 T7".'' t4 26" • 99.40' 43.93t. '75.00' 125.?5' 44 25 57�•'�' `'tS"� 3; 7C' -,�S82 4 02"ti' 580-3852-W 580 j8'52"W S775 By THIS SURW y 3 'PODS *19C 1 Our 41 LY AO co P-4 090 6�1 I D � n' , FILE # PROPERTY LOCATION: / �_Q_e MAP �34 PARCEL: ZONE THIS SECTION FOR_OFFICIAL USE ONLY: PERMIT APPLICAI`ION_CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MIED OITT Fee Pnid Rn Ming Permit Eilled nut Fee P.9id 0 9 2 ArressnryStriiefiire —1 Tnrhyded- 9 C THVOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: jApproved as presented based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permi Co ervat' Co on _ g Signature of Building Inspector Date NOTE:tanuanoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio WorKs and other appiioable permit granting authorities. k� SAM, UM- Ok MISS!! aAIR,, low A of so moo S IMi t� { x2 F p ¢- .�y "#'MAE j ,Box ni zoom "t t �Ell i � a co . 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