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36-212 IVIGRTGAGE LOAN INSPECTION CrsGn Aq t S3 f,{�usc 1A u ppN nl 4 r 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 er 250167-OOOIA Identificat'on D A ril 3, By: TO THE BAYBANK FIRST EASTHAMPTON, N.A. OWNERS JOHN J. POIRIER AND THE FIRST AMERICAN TITLE INSURANCE CO. LOCATIONS ONL To the best of my knowledge, informa- 25 BIRCH LANE, NORTHAMPTON, MA. ti on and belief, I hereby report that I �0 14UNTLEY JR.Q Ad SMIA have examined the premises -and that this . e _ �° inspection plat shows the improvement or SURVEYORS•ENGINEERS *PLANNERS improvements as located on the premises de- 125PLEASANT STREET P.O. BOX 966 scribed, that the improvement or improve- NORTk"PTON, M"8ACNUSETT6 01060 ments are entirely within lot lines , and that there are no encroachments upon the $ premises described by the improvement or `M Of improvements of any adjoining premises, e )t as indicated. I further report that DOUGLAS DATE, tht#,e are no easements of record affecting THOMPSON the tract shown hereon, ept as noted. No. 28oea rs�AFCISTEa�o�,� JOB NO.= THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY a 7 y i s, IVIGRTGAGE LOAN INSPECTION It +1 2aq Aq R r \N qq� '6 r G.9ivSC7- 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 er 250167-OOOIA Identificat'oZnD at FA ril 3, By: TO THE BAYBANK FIRST EASTHAKPTON, N.A. OWNER$ ' AN JOHN J. POIRIER D THE FIRST AMERICAN TITLE INSURANCE CO. LOCATION# ONLY— To the best of my knowledge,, informa- 25 BIRCH LANE, NORTHAMPTON, MA. tion and belief, I hereby report that I R fiUNTLEY have examined the premises -and that this . e JR.4k ASSMIATUN INC. inspection plat shows the improvement or SURVEYORS•EN6INEERf •PLANNERS improvements as located on the premises de- I25PLEASANT STREET P.O. BOX 566 scribed , that the improvement or improve- NORTMAMPTON„ M"SACMUSETT6 OMO ments are entirely within lot lines , and that there are no encroachments upon the $ premises described by the improvement or a improvements of any adjoining premises , +��" e )t as indicated. I further report that DOUGLAS IDATEI th,,,e are no easements of record affecting W. the tract shown hereon, ept as noted. THOMPSON D d- - 62 a / 9 g N o. 28088 psi�FCISTCRQ �`'� JOB NO.; At LAN All THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY Date Filed File No. ZONING PERMIT APPLICATION Zoning Ordinance Section 10.2 1 . Name of Applicant: _Barron & Jacobs General ContracrnrG Address: 241 King St. , Northampton, MA. Telephone: 586-8998 2 . Owner of Property: Dr. Allison Ryan/Dr. Amelia Stevens - Address : 25 Birch Lane, Northampton, MA. Telephone: 586-7444 3 . Status of Applicant: XX Owner Contract Purchaser j Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel/ Zoning District (s) Street Address 5 . Compliance with Zoning: Existing Proposed Use of Structure/Property Home 12' x 12' sunroom addition Size of Structure (sq. ft. ) 3,201 sq. ft. 156 Building height 27 18' % Building Coverage 4.3% 4.6% Setbacks - front 350' 350' - side L: 100' R: 85' L: 100' R: 73' - rear 70' 70' Lot Size 73,700 SF 0 Frontage 275 Floor Area Ratio % Open Space 45.7% 45.4% Parking Spaces N/A N/A Loading Spaces N/A N/A Signs none none Fill (volume & location) 6 . Narrative Description of Proposed Work/Protect: (Use additional sheets if necessary) 12' 4j" projection X 12' Sj" Length Modular (3' O.C.) redwood and glass enclosure using insulated safety glass framed by clear, all heart redwood 4X construction 7 . Attached Plans : XX Sketch Plan XX Site . Plan 4 8 . Certification: I hereby certify that the information ained ,1J herein is true and accurate to the best my know, edg . P Date:-9/16/91 Applicant ' s Signature: THIS SECTION FOR OFFICIAL USE ONLY Approved as presented Denied as presented Reason for Denial: Signature of Building Inspector Date � � o O �• C � d ►Lf o• r °W t1i o 5 y 7 �• b z tri o �• C o 1.0 I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. September 16 19 91 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 25 Birch Lane Lot No. Z. Owner's name Drs. Allison Ryan/Amelia Stevens Address 25 Birch Lane 3. Builder's name Barron & Jacobs General Contractors Address 241 King St. , Northampton, MA. Mass.Construction Supervisor's License No. 030739 Expiration Date June 30. 1993 1. Addition 12' 4V X 12' 5V sunroom i. Alteration N/A i. New Porch N/A 7. Is existing building to be demolished? no 3. Repair after the fire no >. Garage no No.of cars Size ). Method of heating - forced hot air Distance to lot lines front = 350 left = 100' right = 73' rear = 70' !. Type of roof shed Siding house N/A Estimatedcost:- $38,065.00 The undersigned certifies that th ve statements are true to the best of his, her knowledge lief. S n ure of responsible applicant ,marks / PHINUSH NT�SNOP `W £4 y .. �, j" t`C _ y F f`' r 3 5 Y,s ,.?�of .r k A., e- � 6. x i n ^� K s� 7$ " Xz K � a ,a i' r £� 1 q4 y , t h 3 .s. r, 3",xrs'a.aer" L '! 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R" Y' t a-:�v�?'rl -,$,y�'.y :F `4�, + w �- M _ = '"„,' ,rte?:. „� .t 1 a ' •. w�?:7 4 '.+t S e iE`�' i x e C.R 3'� ':.r * �t, Fz 1;:. ,:a•. ^� � `t.'r c �'t�^^�' :;�� 3':° '.+H:'"F 'K°" '° -,.r z r 4 > a a .�11 a r`' 'Y°` 7"''�.. ,kg' aka 1 x? � � 4 °� .; "I'�� s '�a t d , v yy n r' STEIGER ENGINEERING INC. 254 Fort Pleasant Avenue • Springfield, MA 01108 • (413) 737-1851 October 7, 1 � a1 °� X/s- '.9ark Wine):.>ur� 2_1 Wirieburq De._ 1gn Assoc- iate,s 53 West Street Northampton, MA 011060 2e: Ryan/Stevens Residential Addition Pea r M1 . Wing 1)urq : The main beam for the above referenced Project must be 2 - 1 "° x 11 7/8 " M=L LVL or equivalent . We also make the fol.lowin14 comments about the structure : 1 ) The floor joist connection to the house must. be designed for uplift as well as downward loads . We suggest an appropriately fastened ledger board and suitable joist larIcler r: . Steel reinforcing should be included in the concrete Pie-is . 'The columns need to be. laterally braced with x- or knee brad ng . 4 ) Solid bridgina is needed between the floor ,foists at the main beam . 5 ) The floor joists should be 2x10 @ 12 " o . c . or 2}:12 @ 16" 6 ) The footing for the column under the cantilever should be a 2 ' -6 " x 2 ' -6 " concrete footing . If you have any questions please feel free to call us . .`_sincerely , Yob L e e t Steiger Engineering Barron&Jacobs '-eptember 17. 1991 Mr~. Frank. Sinkiewicz , Building Commissioner- City of Northampton 212 Main St . Northampton. [IA. O1O6CJ Dear Mr. Sinkiewicz . Enclosed please find a building permit application for Drs. Allison Ryan and Amelia Stevens of 25 Birch Lane. Norttiampt.on. Also enclosed is check #6305 for $62. 40. If You have any questions, please contact me at 5<36-8998. Please mail the building permit to: Barron & .Jacobs 241 King Street Northampton, MA 01060 Th Yo , ,,Y � Ce_ 1 R. Jacobs CRV rs Enclosures A Tradition of Building Satisfaction 241 King Street,Northampton,MA 01060•(413)586-8998,In CT(203)527-4773 Barron & Jacobs DESIGN . BUILD . REMODEL Established in 1986 December 10, 2008 Anthony L. Patillo Building Commissioner Office of the Building Inspector City of Northampton 212 Main Street Northampton, MA 01060 RE: New Building Permit Dear Tony, In 1991 we erected a sunroom on this house. I am enclosing the original building permit and related correspondence. Si ly, e it R. Jacobs P esident Design Center: 70 Old South Street,Northampton,MA 01060 • Telephone: 413.586.8998 • Fax: 413.585.8715 www.barronandjacobs.com r � Barron &.Jacobs DESIGN . BuILD . REMODEL Dear Code Official, Enclosed please find an application and related documents and information for a requested building permit. Our client will be out of town. 1 am enclosing a self-addressed, stamped envelope for vour convenience. Please mail the building permit to our office. Thank you. Sincerely, ecil Jacobs President A Tradition of Building Satisfaction 70 Old South Street, Northampton, Massachusetts 01060 413.586.£998 www.barroriandjacobs.com 2006 IRC Energy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 30.00 Wall 38.00 Floor/Foundation 68.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Skylight 0.33 Door 0.32 NA Cooling'Heating & Heating System: Cooling System: Water Heater: Name: Date: Comments: Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Fi Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-8. ❑ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: ❑ Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. ❑ All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. ❑ Building framing cavities are not used as supply ducts. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. ❑ Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: F-1 Thermostats exist 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 is provided. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Mechanical Code. Circulating Hot Water Systems: ❑ Circulating hot water pipes are insulated to R-2. Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-2. Certificate: F-1 A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title: Ryan � � __�.._�....�.-_.--.__..__.�.... Report date: 12/09/08 Data filename: H:\RYAN\Ryan.rck Page 3 of 3 Ab CNJ( REScheck Software Version 4.1.4 Inspection Checklist Date: 12/09/08 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity+R-19.0 continuous insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Skylights: ❑ Skylight 1:Wood Frame:Double Pane with Low-E,U-factor:0.330 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Skylight 2:Wood Frame:Double Pane with Low-E,U-factor:0.330 #Panes Frame Type Thermal Break? Yes No Comments: ❑ Skylight 3:Wood Frame:Double Pane with Low-E,U-factor:0.330 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor:0.320 Comments: ❑ Door 2:Glass,U-factor:0.320 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Outside Air,R-38.0 cavity+R-30.0 continuous insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5'clearance from combustible materials and a 3"clearance from insulation. Project Title: Ryan Report date: 12/09/08 Data filename: H:\RYAN\Ryan.rck Page 2 of 3 CNJ( REScheck Software Version 4.1.4 Compliance Certificate Project Title: Ryan Report Date: 12/09/08 Data filename: H:\RYAN\Ryan.rck Energy Code: 2006 IRC Location: Northampton, Massachusetts Construction Type: Single Family Glazing Area Percentage: 32% Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 25 Birch Lane Allison Ryan Cecil Jacobs Florence,MA 01062 25 Birch Lane Barron&Jacobs Florence,MA 01062 70 Old South Street 413-586-4145 Northampton,MA 01060 413-586-8998 mb@barronandjacobs.com Compliance: Compliance:2.9%Better Than Code Maximum UA:82 Your UA:80 Gross Assembly or D•. Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 382 30.0 0.0 12 Skylight 1:Wood Frame:Double Pane with Low-E 14 0.330 5 Skylight 2:Wood Frame:Double Pane with Low-E 14 0.330 5 Skylight 3:Wood Frame:Double Pane with Low-E 14 0.330 5 Wall 1:Wood Frame,16"o.c. 382 19.0 19.0 9 Window 1:Wood Frame:Double Pane with Low-E 80 0.300 24 Window 2:Wood Frame:Double Pane with Low-E 26 0.290 8 Door 1:Glass 9 0.320 3 Door 2:Glass 9 0.320 3 Floor 1:All-Wood Joist/Truss:Over Outside Air 382 38.0 30.0 6 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed bu;i? g has been designed to meet the 2006 IRC requirements in REScheck Version 4.1.4 and to comply with the mandatory requirements listed ction Checklist. Name-Title Signature Date Project Title: Ryan Report date: 12/09/08 Data filename: H:\RYAN\Ryan.rck Page 1 of 3 The Commonwealth ofMassachusetts ❑ ❑� � Department of Industrial Accidents 600 Washin-ton Street 7" Floor Boston,Mass. 02111 L 11'01-kers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors Applicant information: Please PRINT legibly _ name: F?kx- t ' t G Y j-�:t tj t;? UL.i A-fL`7, lJ� -------- -- address: �c, city state:_ f'i t � - --- zip _ (,c ' __phone#_ tivork site location full address): ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction [_]Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition I am an employer providing workers' compensation for my employees working on this job. t J 1 f J �{ 7 !>✓ ti p%"'t`a�i,7 t/J eompan 'name: A`i _ f t trt _ - - - address: '(fi Gi 1 U: -- 5-oig-wk "- -- - --- TM AV--'a.?� a' /1 '' hone CIt1" U 6f- y,. tt insurance co. 'r lic'_#__tai -- ❑ I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name_ address: ------ city: -- - _— II_hone#: --- insurance co. poliev# company name: — - --- -_—_--- address- city• - -- -- Phone#: -- _ -_-- insurance co. _ policy# Attach additional sheet if necessary _ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification_ I do hereby certify unde Ithe aie n pe ties ofperj yj,that the information provided above is tme..�andd correct -( 3 Signature Date _ --- -- Print name lit $ = Tl v __ Phone#— " C y official use only do not write in this area to be completed by city or town official E` city or town:— - __— permit/license# ❑Building Department s ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office V Health Department �-` contact person:_ phone#; ❑Other E,�! (revised Sept 2003) - - ~ACDRD_ CERTIFICATE QF L1AB1LiTY INSURANCE , 0 01/24/08 oaucER TNIS CERTIFICATE IS lS5UE0 AS A MATTER OF INFORMATION RM Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE carry M. Stephens, CPCU HOLDER THIS CERTIFlCATE DOES NOT AMEND,EXTEND OR 75 North Main St.-P o Box 569 ALTER THE COVERAGEAFFOROED BY THE POUCiES BELOW. East Longmeadow MA 01028 Phone: 413-759-0010 Fax:413-759-0017 +INSURERS AFFORDING COVERAGE NAIC4 INSURED INSURER A Safety Insurance Co 39454 94SL ZER B Cef tcel Snsu:ance Corpanles 20230 Barron & Jacobs Assoc. Inc. INSURER C 70 Old South Street INSURER D Northampton MA 01060 -- -- -- INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHF WSIRED NAMED ABOW FOR THE POLICY PERIOD W GATED.NOTW aWANDM ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE WS RANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.E)CCLUSIONS AND CONDITIONS OF SUCH POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LT_R TYPE OF INSURANCE POLICY NUMBER DATEY POLICY{G4UD0/Y1') OATS(MM/D91ATI LIMITS GENERAL LL481 ' EACH OCCURREIM s 10 0 0 0 0 0 B } COMMERCVAL GENERAL LIABUITY CLP7933761 03/09/08 03/09/09 . PREMISES(Ea ounrwxo) ;300000 CLAIMS MADE a OCCUR MED EXP(NNW one prsmn) ;50 0 0 PERSONAL B ACV IN.ARY 1*1000000 X GL Plus Endo f,ET RAI AGGREGATE s 2000000 GEM AGCREGAT'c LMT APPLIES PER'. PRODUCTS-COW1W AGG $3000000 IEECCT { LOC X7 POLICY AUrOMO81.E LIABILITY COMBINED S94GLE LwrT ;50 0 0 0 0 A ANY AUTO 2399802 06/22/07 06/22/08 (`sMC016e0) _ ALL OW LED AUTOS BODILY iNX RY X SCHEDULED AUTOS I (Perpersm) s X HIRED AUTOS BOM Y INJURY X NON-OWNED AUTOS (Per&=Kwt) ; PROPERTY DAMAGE ; (Par eaidwt) GARAGE LLtBtLM AUTO ONLY-EA ACCIDENT ; ANY A ITO OTHER THAN EA ACC AUTO ONLY AGG i EXCESSA)MBRELLAL)A9ILTTY EACHOCCURRE C $1000000 B X OCCUR D CLAwtsMAA' CXS7933762 ' 03/09/08 03/09/09 AGGREGATE ;1000000 S DEDUCT)BL'c X FETENTION $10000 WORKERS COMPENSATION AND X TORY L= UER 1 B EMPLOYERS'UABLRY WC837586811 03/01/08 03/01/09 EXECHACCIDENT $500000 ANY PROPRIETORIPARTN(R&KECUCIVE OFFICEPAAEMBEREJCCLVDED? E.L.DISEASE-EAEI.PL.OYEE $500000 Ityes describe under SPEd1ALPROVISIONSbelow El-DISEASE-POLICYLIIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCA'nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OMMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING PHSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 1 For Proof of Insurance Only. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,EUT FAILURE TO DO SO SHALL IMPOSE NO OB J"MN OR LIAELRY OF ANY Koo vkN THE INSURER,rm AGwTS OR REPRESENTATIVES. AUTHORgED REPRESENTATIVE -. IRM Insurance Agency Inc. ACORD 25(2001108) PCOPY ®ACORD CORPORATION 1988 Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 30739 Resft ion: 00 BktxMe: 9I20H941 Exphadw: 9r21r2= Tri 2778 CECIL R JACOBS 70 OLD SOUTH STREET ---- --- — — --- - - __ NORTHAMPTON, MA 01060 - — - -- Update Address=W x am card.Mark remm for dmV ,,ddrm - Remeww ._._ Lost Card Beard of BaBdimg RMakdow aad$taadards come Suparekor,License r LN NM. CS 30739 9/2011941 Expkadm &21=9 Trd 2778 Ron' Win 00 CECIL R JACOBS 70 OLD SOUTH STREET — -'� NORTHAMPTON.MA 01060 Cosrinioner �� - o Boa tan s One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100809 Type: Private Corporation Expiration: 6/232010 Tr# 268444 BARRON & JACOBS ASSOCIATES, INC. Cecil Jacobs ----- ------------- 70 OLD SOUTH STREET ---_ - — --- ------- NORTHAMPTON, MA 01060 — -- Update Address and return card.Mark reason for change. Address -1 Renewal R Employment F-1 Lost Card DPS-CAI tj 5OM-07/07-PC8490 �u -�awnaa9zufealll a�� 2'faasu�lauaetla Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration- 100809 Board of Building Regulations and Standards Expiration: 62 One Ashburton Place Rm 1301 3/2010 Tr# 268444 Boston,Ma.02108 Type: Private Corporation BARRON&JACOBS ASSOCIATES,INC. Cecil Jacobs 70 OLD SOUTH STREET NORTHAMPTON,MA 01060 Administrator Not valid 790"t signature SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suvervisor: Not Applicable 0 Name of License Holde License Number 54;& rExpiration Vale Signature Telephone 9.Registered Home Improvement Contractor. Not Applicable C Company Name RegistralioK Number' SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.1152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit Vvill result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...— 0 11. - Home Owner Exemi)tion The current exemption for-homeowners-was extended minclude one(}) mtwo(2)families and m allow such homeowner m engage unindividual for hire who does not possess ulicense,provided that the owner acts as supervisor.CM R 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,orio intended m be,u one o,two family dwelling.attached or detached structures accessory to such use and/or fann 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 shaH be resi)onsible for all such work t)erformed under the buildins!i)ermit. As acting Construction Supervisor your presence unthcjob site will be required from time m time,during and upon completion nf the work for which this permit ioissued. Also he advised that with reference,"Chapter )52(Work rm' Compensation) and Chapter \53(Liability v[Employers w Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated.you may be liable k`,pcmnn(s) you hire u`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 u[Massachusetts General Laws Annotated. Homeowner SN%nmtmmo___ SECTION 5-DESCRIPTION OF PROPOSED WORK(check all nPlicabiet New House ❑ Addition Replacement Windows Alterations) ❑ Roofing ❑ Or Doors In Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M Siding[0J Other[C j Brief Des iption of Prop,sed Worts: �c� ,,: ty L��r! cl, °" �/, t>> i Alteration of existing bedroom Yes No Adding new bedroom Yes No !1 El Attached Narrative Renovating unfinished basement Yes No U Plans Attached Roll -Sheet sal New house and or addition to existing housing, complete the following: a. Use of building: One Family Two Family Other Auk 4-1 b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? 17 ' ., d. Proposed Square footage of new construction. 7 r Dimensions e. Number of stories? I f. Method of heating? ZAL Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance._ C' Masscheck Energy Compliance form attached? h. Type of construction D r Y 4 r(,/5> i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes___KNo j. Depth of basement or cellar floor below finished grade '�i ti C2`' 61'k f t-°[Z•v S k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank-_;L City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date QC_' �i�¢C_C✓/J,r' 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. Print Na i Signature of Owner/Agen 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 he tilled in by Building Department Lot Size Frontage Setbacks Front f- i Side L: K:_ L: R: f , ! Rear ,�� ► \v� Building Height Bldg. Square Footage % Open Space Footage ON (la)t 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 O DONT KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained O 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 D, 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 ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: Building Department Curt:CutlDriuewayPermit 212 Main Street Sewer/SepticAvailability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 PiotlSite Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: ` This section to be completed by office Map Lot Unit Zone Overlay District Elm St.District Ce District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �i r Name(Print) Current Mailing Address: S 41 he 1 �,� _._ Telepho 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 6. Total=(1 +2+3+4+.5) r" j 1 Check Number r / This Section For Official Use Only Building P it Number: Date Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2009-0596 APPLICANT/CONTACT PERSON BARRON&JACOBS ADDRESS/PHONE 70 OLD SOUTH ST NORTHAMPTON (413)586-8998 PROPERTY LOCATION 25 BIRCH LN MAP 36 PARCEL 212 001 ZONE SR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 40 444 um 4q Fee Paid Typeof Construction: REMOVE SUNROOM&CONSTRUCT ADDITION&EXTEND DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 030739 /�i�� 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IU1FIATION 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 Permit DPW Storm Water Management Demolition Delay IcW 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. 40100 BP-2009-0596 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2009-0596 Project# JS-2009-000858 Est. Cost: $115000.00 Fee: $740.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BARRON & JACOBS 030739 Lot Size(sq. ft.): 77101.20 Owner: RYAN R ALLISON Zoning: SR(100)/ Applicant: BARRON & JACOBS AT. 25 BIRCH LN Applicant Address: Phone: Insurance: 70 OLD SOUTH ST (413) 586-8998 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:11812009 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE SUNROOM & CONSTRUCT ADDITION & EXTEND DECK 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 1/8/2009 0:00:00 $740.0014067 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 25 BIRCH LN BP-2009-0596 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-212 CITY OF NORTHAMPTON Lot: -00i PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Petnnit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: V I.�DI PERMIT Permit# BP-2009-0596 Project# JS-2009-000858 Est. Cost: $115000.00 Fee: $7«0.00 PERMISSIONI S HEREBI'GRANTED TO: Const._Class: Contractor: License: Use Grout;: BARRON & JACOBS _030739 Lot Size(sU. ft.): 77101.20 Owner: RYAN R ALLISON Zoning: SR(100)/ Applicant: BARRON & JACOBS AT: 25 BIRCH LN Applicant Address: _Phone: Insurance: 70 OLD SOUTH ST (:413 j 586-8998 'v'orkers Compensation NORTHAMPTONMA01060 ISSUED ON:11812009 0:00:00 TO FERFORM THE FOLLOWING WORK:REMOVE SUNROOM & CONSTRUCT ADDITION & EXTEND DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building;Inspector Underground: Service: Meter: 2V©4 / S O , Footings: /\ "G Rough: Rough s:(_-l['/y L House# Fotndation:71 V;5� U,,iL �u 1 Driveway Final: L�ls 71 . ', 1I° Final: Final: 'V- Rough Frame:0� 07.0 9 Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: AAr '� Final: Smoke: Final: 01.-� ;) (�glob !e*Lff THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of OCCU .,.IlC ,/ =' Signature: FeeT .,e, _ Date Paid: Amount: Building 1/8/2009 0:00:00 $740.0014067 212 Main Street,Phone(4 13) 587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo