35-286 (9) n
RECEIVED JUN 2 2 1998
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS
780 CMR Appendix J (effective 3/1/98)
Applicant Name: V�'I4bg i -B ke.l kpU S Site Address: SAwhO LW 5
Applicant Address: 4AB 3A'Ie�S ST- City/Town: (ftUf-b-NC,0
0MTyt ftnfj,bM, MA- Use Group: s Frco►L
Date of Application: 0
Applicant Phone: Lh3-S$ Applicant Signature:
Compliance Path (check one):
❑ Prescriptive Package (Limited to 1- or 2-family wood frame buildings heated with fossil fuels only)
Package (A through KK from Table J5.2.1b): Heating Degree Days (HDD65) from Table J5.2.1a:
(For items d. through i., fill in all values that apply from Table J5.2.Ib:)
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. Stab 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) E] Zone 12 Zone 13 [j Zone 14
Attach Trade-Off Worksheet from Appendix J, (and H;<4C Trade-Off Worksheet, if applicable]
F1 MAScheck Software
Attach Compliance Report and Inspection Checklist printouts.
7 Systems Analysis OR F� Renewable Energy Sources
Attach Mass_Registered Architect or Engineer_Analysis-
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall +Ceiling Area SO 2- sq.ft. b. Glazing Area' S0 sq.ft. c. Glazing% (too r b_a)
ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM ti-value MINIMUM R-Values
Fenestration Ceiling Wall Floor Basement Wall Slab Perimeter,Depth
0.39 R-37 R-13 R-19 R-10 R-10,4 ft
"SUNROOM"addition (greater than 40% glazing-to-wall and ceiling gross area)
Attach"Consumer Information Form" from 780 C'NIR Appendix B.
Official's Name: Official's Signature:
Application Approved Denied Date of Appr epa
Reason(s) for Denial: (provide additional details as needed on bactS—�
t �
i
' Glazing Area may be either Rough Opening or Unit dimensions. vol �"" C`�G "�`' �"� ' i3s 06/1'J98
p.02
Monday,August 09,200410:38 PM Nancy Schwartz(413)256-0068 ��(\/)
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Member Data
Description: Member Type;Beam Application:Floor
Lateral Bracing:Continuous
Standard Load: Moisture Condition:Dry Building Code:UBC
Live Load- 40 pif Deffeation Criteria: U340 live,U240 total
Dead Load: 10 plf Deck Connection:Nailed Member Weight 10.9 plf
DOL: 100% Filename:KY51
Non-standard Loads
Type Trib. Live Dead
(Doscrlptlon) Begin End VVM Start End Start End 00L
Replacement Uniform(pst) 0' 0.00" 5' 0.00" 10' 0.00" 40 10 115°16
Replacement Uniform(psf) 0' 0.00" 5' 0.00" 7' 6.00" 20 10 100%
Replacement Uniform(psf} 0' 0.00" 5' 0.00" 7' 6.00" 30 15 WrA
Replacement Uniform{psf) 0' 0.00" 5' 0.00' 3' 3.00' 40 10 115°/0
Replacement Uniform(psf) 0' 0.00" 5' 0.00" 3' 3.00" 20 10 100%
Point lbs 6' 0.00" 0 350 115%
T
780
760- - — -
Bearings and Reactions
Input Mittlrrrutn Worst Case
Location Type Erg.length Oro.Letmth Total 116% 1 " #load Total
1 0' 100' W.-IN NA 1.78" 488410 1797#! 1509# 13390 466401
2 r7.i5" WON N/A 1.50" 26070 8920 62710 899## 28079
4esign spans.
r 7.75'
Product: tl 7/5' 1.0E G-P 1,AH LVL 2 ply
X"imu%4 1.76^ ):eating required at bearing 9 1
.1ni— 1.50^ bearing requirrd at Saarlmr N
Allowable Stress Design
Actual Allavrable Ctrpaclty Laeatfon Load l"
PoSi&e Moment 6155.1# 22493.'# 36% 3.44• Total Toed 115%
Sheer 3345.1r 9081.4 36% ,01' Total load 115%
LL Deflection .0580" .2549' L/o99+ 3.82' Total load 115%
TL Denecden 0847' .3823' 11999+ 3-ST Total load 115%
Condo•Stwer
ManufSeruWs rrub,"atiion outdo MUST W conautted for multi-ply mmetw details and aNemaYaee
n ,
A50e/�p nYha r+O'k0a►a�+N 041 nuuN••wra�. � •. ���
lumnor
Gwaxiclifir, 010Y%WW&em-wft Iti.ack. TS ..—....- Wpb^.
pFlr n�E1111t?t °G!N�^ EP S
..•Y� N; ?;aAPPION,Wx 010r0
• 4
10. Do any signs exist on the property? YES NO
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 column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size h 2 ' p
Frontage
Setbacks Front
Side L: 8 R: 1 i� L: `Z R: I2 V L: R:
ZO
Rear
yo
Building Height
3s
Building Square Footage 1�VS�s tai==Z4�i �� ESD�i�=1�ti3�'(V i V
Open Space: (tot area
minus building&paved parking / t
# of Parking Spaces
# of Loading Docks
Fill: _
(volume It location)
12. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 0 Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit
granting authorities.
OOO.pdf
File No. X5-`64
ERMIT APPLICATION 01 o.2)
jr 1 information and return this form to the Building
s ctor's Office wi a $15.filing fee (check or money order)payable to the
JUL - 7 2004 City of Northampton
Address: gf � � r�c-l�'-Thi't,/�CT elephone:
2. Owner of Property: Lk4LUN _bA001IN V,i 11L f �4 n q
Address: s t VPc0 0\� ' ]�'L��GE If MIN, Telephone: / b
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)C`G
4. Job Location: Sy�ya�iJ L� ' To*e JCS 1 MIN
Parcel Id: Zoning Map# Parcel# District(s):_
In Elm Street District In Central Business District
TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: 'Fwl t q �' M F-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
d(11 g S spy ND-D Vn o i1J Tb >✓v f&-M-D k-tlCt+EtA
7. Attached Plans: Sketch Plan _ Site Plan - Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW_k YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO X 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)
l
File#MP-2005-0006
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY LOCATION 34 SYLVAN LN
MAP 35 PARCEL 286 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ILLED OUT
Fee
Building Permit Filled out
Fee Paid
Typeof Construction: ZPA-ADDITION TO EXPAND KITCHEN
New Construction
Non Structural interior renovations
Addition to Existing
AccessoKy Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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
a2-
Signature of Building Official Date
le-
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 the Office of
Planning&Development for more information.
. ^
SECTION,8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: hILT fi(AbM15 0-C, 0(0 CO, 16
License Number
Address Expiration Date
Signature phone
9.Re istered Home Improvement Contractor: Not Applicable 0
Com any Name Registration Number
A4ddres Expiia �DAtE
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.
11. - Home 0W`n-ekTxem1Dfion
The current exemption for^bomeu*uc,s"was extended tninclude one(1) or mvoCDfamUieo
and to allow such homeowner»o engage ouindividual for hire who does not possess ulicense,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
ouocxu,co. .
Such°bomeonucr'shall submit to the Building Official,nou form acceptable tu the Building Official,
responsible for all such work performed under the buildine permit.
As acting Construction Supervisor your presence vo the job site will hc required from time»n time,during and upon
completion of the work for which this permit ioissued.
Also ho advised that with reference»nChapter }52(VYurkem`Compensation) and Chapter 153 (Liability o[Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable 0orpe,suu(o)
you hire on perform work for you under this permit.
The undersigned°homoovmo''ocuifioo and assumes responsibility for compliance with the State Building Code,City n[
Northampton Ordinances,State and Local Zoning Laws and State o[Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) T ofing ❑
Or Doors C]
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks M Siding[O] Other[p]
Brief Descri tion of Proposed
Work: ONt S"fl1fj 1kmino1N -9 EdAn ,64�
Alteration of existing bedroom Yes _No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a.If New house and or addition to existing housing, complete the following:
a. Use of building: One Family X Two Family Other
b. Number of rooms in each family unit: t'J Number of Bathrooms 2
c. Is there a garage attached?
d. Proposed Square footage of new construction. q ' Dimensions 2�} �f
e. Number of stories?
f. Method of heating? W f19t—V) WAI�-M X112 Fireplaces or Woodstoves NQ Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? 6c
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 tYA o f nS(-" fir.- N>r>MO N 4 CR-kN1,S
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer C Private well City water Supply_>
SECTION 7a,-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, L'pu J �lA �`I� as Owner of the subject
property /►,,, p
hereby authorize
to act on my behalf, in all matters relative to work buthorized by this building permit application.
I b
Signature of Owner Date now
I, ;by \ k ht"��T� 1 Ub as Owner Authorized en he declare that the statements and information on the foregoing application are true and accurate,to the best o my knowledge
nowledge
and belief.
Signed under the pains and penalties of perjury.
APT f�c ,
Print Nam r't- - 7/
b�
Sign tur wner Agent Date
Section 4. ZONING All Information 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
Setbacks Front
Side L: R: L: R:'',
Rear
Building Height
Bldg. Square Footage %
Open Space Footage
(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 0 DONT KNOW � YES 0
IF YES, date issued:'
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page, and/or Document#1
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES i
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
YX
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES t NO 0
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 common plan
that will disturb over 1 acre? YES 0 NO
yy
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department us6, ly
City of Northampton Status of Permit 1
Building Department Curb CuVOriueway Permit
212 Main Street SewerlSeptic Avatiablllty
y
Room 100 Water/Well Ay il4" (Itty
Northampton, MA 01060 Twa Stf Structural Phis
phone 413-587-1240 Fax 413-587-1272 PIotlSite Plans DF
Qther Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE�OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION �`� E U U LS Dn
1.1 Property Address: (� This section to be completed by office
S�i.VN L U l I E P - S 2Qap Lot unit
I l VA A e Overlay District
DEPT OF BUII nm wpEcTIONS
N^?THAHPTpy,MA St.Distri t CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
L tR-r,-W -Do 0 C4&-(13 S4 SA,VP�N (A �10-616-0 C-t i M l""r
Nam?(Print) �? Current Mailing Address:
4� Z tom`—°"� `��i OL( Telephone r /� q
Signature YJ -1 — L 1
2.2 Authorized Agent:
4-T 4J(b Bpi S ST. N.*TRf+4m 0 , t A
Name(Pr'.t)°" Current Mailing Address:
4- Sate M63
Sig a Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS Cj rj = 2S
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) P5 2-r,O Check Number
This Section For Official Use Only'
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2005-0282
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287
PROPERTY LOCATION 34 SYLVAN LN
MAP 35 PARCEL 286 001 ZONE SR
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: ADDIT1014 TO EXPAND KITCHEN
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 068185
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO,RMATION 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�Q
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.
34 SYLVAN IN BP-2005-0282
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block 35-286 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 BUILDING PERMIT
Permit# BP-2005-0282
Project# JS-2005-0035
Est.Cost: $56250.00
Fee: $255.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 068185
Lot Size(sa.ft.): 52576.92 Owner: PETERSON BILL E&LAUREN E
Zoning: SR Applicant: Wright Builders
AT. 34 SYLVAN LN
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON.919104 0:00:00
TO PERFORM THE FOLLOWING WORK.ADDITION TO EXPAND KITCHEN
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• Receipt No: Date Paid: Check No: Amount:
Building 9/9/04 0:00:00 19490 $255.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
FROM SSDS
FAX N0. 14135842351
Sep. 27 2004 10:49AM P1
FAX
To' Tony Patillo Fax: 557-1272
Building Commissioner
Date: 9/27/04 Pages including this cover- 2
From: Linda
Dunean/Yeterson residence:
34 Sylvan Lane
Florence, MA
., Z . ' tin AA� Q �firU
FI
Hi Tony,
This memo is notification that we will not be doing tie Pr(ljc4t at -1 Sylrra,
Lane, Florence. Please cancel' this Building Permit (copy attached).
Please call if you have any questions or ;-cc- l ;;;formation.
Thank you.
�a 5S,v-ra
1s,3 �i4L.
48 Bates Street
Northampton, MA 01060
Tel: 1-413-586-8281
Fax: I-4:1;-587-9276