29-086 (2) Permit Number
Checked By/Date
Generated by REScheck-Web Software
Compliance Certificate
Project Title: Covert garage to family room
Energy Code: Massachusetts Energy Code
Location: Northampton, Massachusetts
Construction Type: 1 or 2 Family, Detached
Heating Type: Other(Non-Electric Resistance)
Window-to-Wall Ratio: 0.08
Heating Degree Days: 6404
Report Date:
Date of Plans:2/15/05
Project Information: Builder Information:
Convert garage to family room. Gregory J. Krause
compliance- 90 Your I Horne IJA.79 12.2%Better Than Code(UA)
Cav y
- -
Ceiling 1:Flat or Scissor Truss 336 38.0 0.0 10
Wall 1:Wood Frame, 16in.o.c. 245 13.0 0.0 18
Window 1:Vinyl Frame,2 Pane w/Low-E 20 0.300 6
Floorl:Unheated Slab-On-Grade,Insulation Depth:6.0' 70 30.0 45
Statement of Compliance:The proposed building design described here is consistent with the building plans,specifications,and
other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts
Energy Code requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection
Checklist.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 specked in Sections 780CMR 1310 and J4.4.
Builder/Designer Company Name Date
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DEPi1RTMEl-T OP BUILDrNG INSPECTIONS
212 Main Strcct ATunicipal Building
Northampton, Mass. 010GO
j t o lUCE R'S C 0 0Q ENS ATIO N M S URAN CF- Al,T'D�A V�IT
I I
(li ccvsxJperm�iicc)
�� itls principal place of business/residencc at: --�—
(phone")
(Sffr, ucity/sl=ump)
do hereby certify, under thc.pz-inS and penalties of penury, -hat
j ( ) I am an employer providing the followine!ivorkes comocnsado, covemse For im,
employees NvorUng on lies job:
Qa=an=Conr.`cl•) (Pclic:Nu.-nir_r) (---:•pimuor. DzL--)
I
( ) I am a sole proprietor, general contractor or homeow"Der(Cilcie one) and have hired
the contractors listed below wbo have the fobo%VMP- workers cooaen_tation policies:
t
of Con....ciorl
I
(Name of Concaelor) On5w-aner Comoan}vPolier (LSpir lion Due)
1 "
(Name of Connaelo,) (Laurance Compan y/Policy Nwnbu) (Expiration Dale)
f
I
(Name Of Con==dor) (Insurancc Company/PoUcy Numbcr) (Expiration Datc).
-,du::oc=il�uCt.ilncc�u_�•w a,c?uc��inloc•miaoa p zLaisias rn.11
( ) I am a sole proprietor and have no one wor�dng for me.
j �I am.-a home owner performing all the work myself.
NOTE_plf-..tx ewzre t>,..viJe bc�eawvcrs.vbo employ pc-ioai w e1��;,••,--,,•••• c=".:c,ao a rgaa�roric o�.d..c1L:�of
ape more lb--n !ter_=Xi s in w rich the bocoo+wc re=do or oo the pouwc.i+ zgpurten—tbeen c z oo(cca—.11y oo=d.-oi to be
ciiployc�,,.,f the..�-l;a��1im Att(GLI!S2.n 1(5)�:pplitoDOa by a 6ommaac far c tia�_a paznrt cz:y c.•rdcocc the
fleza1 eta-'u-F-P-=ployx u &d dro Woait, ,C,.pomativa A. f_
I asa4--d thA a Dopy of thu �-y ba f---,id uo U.Dcpartmmt of 1...6�ia!Acodaza�'O(r oa of GzaX•nw for ib-
covo�c veincation and tli:u L-il=-c to to=ut'covcrase tn16cr 1,0 l oa 25A cf MOL 151 on lend to the ioip-itioa of eiminfl P'W'
coa L:G Mg or a rMc crup to S 1}00-00 aridtor i=qri of up to ooc yc=r tnd pcwtiio m tic foam a(&Stop W ock Ordc and a
trm of 5100.00 apd_y zptiaA t�
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DEPARTMENT OF BUILDINTG INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton,MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as has/her construction sup..:-.isor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be,a orie or two fame y
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor,to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before back iill),
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
r
V h understand the above.
(Hdine owner esigM is ignature requesting exemption)
I will call to sch ule a required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
r
SECTION 8-CONSTRUCTION SERVICES �
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
5�2e isedto 1di ra�eirtenl=Gantracto Not Applicable ❑
9
Company Name Registration Num a— r ----
Address Expiration Date
Telephone
SECTION 10=WORKERS'COMPENSATION INSURANCE"AFFIDAVIT(MAI;L:
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
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.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 buildine permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,You may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws ao State Massachusetts General Laws Annotated.
Homeowner Signature
a
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [lam] Decks [p Siding[O] Other[E]
Brief Description of Proposed ec'K
Work: (o6=,rJ.-VA - �r�y�-� G ��u (��c�c_s TCl,cOrl
Alteration of existing bedroom V Yes �0 _No Adding new bedroom Yes No .
Attached Narrative Renovating unfinished basement -Yes No
Plans Attached Roll -Sheet
sa°If Nev ra>�xse a o cfr gar t exi<st� c> io sI Coma
a.� Use of building: One Family Two Family Other
b. Number of rooms in each family unit: 15: Number of Bathrooms [
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories? (fin j belie
f. Method of heating? � 1s Fireplaces or Woodstoves Number of each
Cr 1
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction /
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 -v-' City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION TO BE COMPLETED) ;WHEN
OWNERS AGENT`OREONTRACTOR APPLIES`FOR Bt)I[:D(NG PERNfIT
as Owner of the subject
property
here. uthonze
to a t my behalf,in II m tt rs relative to work authorized by this building permit a plicatiop.
S
at4ofw, / ate
as Owner/Authorized
Agent herebyJdeclalie 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.
Print Na G _ , ;4/(_0 �� f
S' 'ature of Ow er/Ag Date
Section 4. ZONING All Informatibn Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage I
Setbacks Front >
Side L:.:�' R: 'L.- 3'�` R:`
Rear
Building Height
Bldg.Square Footage
Open Space Footage %
(Lot area minus bldg&paved I
parking)
a ;
#of Parking Spaces
Fill:
i;
(volume i&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DON'T KNOW 0 YES 0
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T•KNOW 0 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 Q NO 41
IF YES,'describe size, type and location: j
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: s'
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q , NO
i
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
° °
City of NortF ampton P
Building Departments at
212 Main Street
�stiEizr r��.
Room 100
Northampton; MA 01060 wxoes atr
phone 413-587-1240 Fax 413-587-1272 PtStk an � F k
OtiZer Spectiys _
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE-INFORMATION
1.1 Property Address: Thtssect�on to�be catnpleted tZ office
4� r
Li I C;
�` �� Zone, Overlay Distcrot
t �4 ce nce" t ' 4 • o i
ElmrSt D�strrc CB Distract'
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT V
2.1 Owner of Record:
c r 41c� c, c ( ,OLf4 d-
N riieP -) Current Mailin Ald ies
x Telephone
Signature '
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION''3-ESTIMATED CONSTRUCTION COSTS
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 ' y
6. Total=(1 +2+3+4+5) (},p o D Check Number ITI
This Section For Official Use Only
Date
Building Permit Number, Issued:
Signature:
i
Building Commissioner/Inspector of Buildings- Date
File#BP-2005-0797
APPLICANT/CONTACT PERSON KRAUSE GREGORY J
ADDRESS/PHONE 410 RYAN RD FLORENCE Q 586-3413 Q
PROPERTY LOCATION 410 RYAN RD
MAP 29 PARCEL 086 001 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 FRONT DECK(66"X 40)&CONVERT GARAGE TO FAMILY ROOM
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
INYF09WUATION 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
Z Z.00C-�
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.
410 RYAN RD BP-2005-0797
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-086 CITY OF NORTHAMPTON
Lot: -001
Permit: BuiidinQ
Category: BUILDING PERMIT
Permit# BP-2005-0797
Project# JS-2005-1113
Est. Cost: $10000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 12501.72 Owner: KRAUSE GREGORY J
Zoning URA Applicant: KRAUSE GREGORY J
AT. 410 RYAN RD
Applicant Address: Phone: Insurance:
410 RYAN RD 0 586-3413 O
FLORENCEMA01062 ISSUED ON:314105 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD FRONT DECK (6' 6" X 40) & CONVERT
GARAGE TO FAMILY ROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType• Date Paid: Amount:
Building 3/4/05 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo