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I I I_______ _____ --- , 1 D 0ONZ I� o I mmrn0 II Ip m I Ozm I rm� 0 f I Sao �I ;u r> m Im-Zi znrwi -wI -n� pp�-1 m W, m b I z x xlo8 mDV�8 m � x=M I a, mwn �c-i D rn �- p m I ON Z.(:) C- r mom Z I I X50 ! �0a)> OHO O z It f z -� - m y� f p r r m , o�� I K_0 �o�umi �? r- m�� n-0z � r — I- < C6 O CAPE HOUSE o z for SOVEREIGN BU1ILDERS WESTHAMPTON, MA n KRAUS-FTICH ARCHITECTS, INC. 0.l 110 PULPIT HILL RD. AMHERST, MA 01002 0 (413)549-5799 Lo q i ---NOTES TO FIELD (Building Department Use Only)------------------------- I and cooiing equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: C 7 I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: C I I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed 1 using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: C I I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating i and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: C 7 1 Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I C I I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I C I I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" 1 Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 1 C ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS 8 RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1.5 2.0 1 140-160 0.5 1 0.5 1.0 1.5 1 100-130 0.5 1 0.5 0.5 1.0 � t MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 DATE: 3-14-2002 Bldg• 1 Dept• 1 Use I I I CEILINGS: C ] 1 1• R-30 I Comments/Location I I WALLS: C 7 1 1• Wood Frame, 24^ 0•C., R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: C 7 1 1. U-value: 0.32 1 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? C 3 Yes C 7 No I Comments/Location I I DOORS: C 3 1 1• U-value: 0.28 1 Comments/Location I I FLOORS: C I 1 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: C 3 1 1• Furnace, 90.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: C I I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1 1• Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: C I I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: C I I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating ,1 r- MAScheck COMPLIANCE REPORT �' --: , �, ;II I Massachusetts Energy Code I ; '. Permit # I MAScheck Software Version 2.01 j'� I a � r I I hecked by/Date I CITY: Northampton -- STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-14-2002 COMPLIANCE: PASSES Required UA = 370 Your Home = 300 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1233 30.0 0.0 43 WALLS: Wood Frame, 24^ O.C. 1488 19.0 0.0 87 GLAZING: Windows or Doors 289 0.320 92 DOORS 55 0.280 15 FLOORS: Over Unconditioned Space 1288 19.0 0.0 61 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- 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 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% f -he design load as specified in Sections 780CMR 1310 and 4 4 Builder/Designer J Date ZF"�Z El " f.RIB 4 of Worf4i`1i11pfo11 DEPARTMENT OF BUILDING INSPECTIONS !" itP�CfiQS2 ;_,1! j 212 Main Street Municipal Duilding I Northainpton, Mass. 6060 " .. ............ Square Footage Amount Basement @ .10 � 1st Moor_ @ -90 �� Q (2- 2nd Floor @ .20 (00 112 Floors, Attic, Garage .10 Deck, Porches .10 _a (o 2.90 TOTAL 50 l�J ased LpCatlo� Pr°p a b9' ZnsP e�te Base Oxaae Z Ye tea by. ay AppTOVa�. OY FBB�ZO WORKS gzanted s u��yc WorVc Tg'E BONS be I __tor Y that Petytya� Xik1ais� Aet�nB �. 2} voted 6385 Yee Paid OeoYge $25.00 SbBSEOT TO slope baS�e Pe and .e not Inere Inspection `ngineernd replace that t l will at any of the e driveway as directed By; ----� Petitioner NOTE; The Plan Public Works In the bowing the Depart�ent Tutu Pro reco by not re tO avo ased drive... that getting approval of actual e expense z grades andovzde a Plans in Which y Will alncur advance. " D24—01 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1) I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2) I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petitioner NOTE: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. MMNMW D24—01 CITY OF NORTHAMPTON, MASS. February 1, 2001 THE BOARD OF PUBLIC WORKS The undersigned respectfully petiition your honorable body for Permission to install driveway at 52 Sovereign Way Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 37 or more. By: Todd Cellura 527-8001 Sovereign Builders 135 Southampton Road, Westhampton, MA 01027 Proposed Location Inspected by: vJ r/ ✓ �f —7 a/ Gravel Base Grade Inspected by: Final Approval: THE BOARD OF PUBLIC WORKS Voted that petition be granted. $25.00 Fee Paid 6385 George Andrikidis, Acting Director Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) NORTHAMPTON SEWER DEPARTMENT 125 LOCUST STREET NORTHAMPTON, MA. 01060 587-1092 Subject: Municipal Sewer Availability Location: 52 Sovereign Way Inquiry Made By: Sovereign Builders 527-8001 Date of Inquiry: Febrnary J - 9001 / Municipal Sewer Main in Front of Location: YES NO V Size/Material/Age of Sewer Main: Depth of Sewer Main: Size of Service Connection: Comments: A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Sewer Department with a minimum of 5 working days notification. All work shall coto ewer Department specifications. George Brehm Super intendent of Wastewater Treatment & Collection cc: Samuel B. Brindis, Director, DPW Gilford Mooring, Assistant Director DPW George Andrikidis, Assistant City Engineer Anthony Patillo, Building Inspector C:\WP51\LETTER\SEWERFOR MUNICIPAL WATER AVAILABH ITY Northampton Water Department 237 Prospect St. Northampton, MA 01060 587-1098 Location: 52 Sovereign Way Lot 19 Inquiry Made By: sovereign Builders 527-8001 Date of Inquiry: February 1, 2001 Municipal Water Main in Front of Location: Yes x No Size of Water Main: $° Material: D.I. Age. 1995 Approximate Street Pressure: 54 PSI Size of Service Connection: 1" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. The city has not accepted responsibility for the maintenance of the water main and service connections as of this date inquiry. A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to N,QFd,iwnpton Water Department specifications. (' " -7R- es Borowski, Superintendent of Water cc: George Andrikidis, Acting Director DPW Gilford Mooring, Assistant Director DPW Anthony Patillo, Building Inspector w 5 ƒ & b \ @ 5 z A / � . "Cl / q� �cz m = - 7 / §_ is § § � » � 2 Q S 7 / \ \ # ) r p cb c W � W M „t�5,��.SO N v D (n _rl 1 OD Z ►f� OD D n m f, W C U cp cn � U Z N 00 4 v cn C,; cn © cn Cc JZJ=,r -,j OD CO m wu Q• r— P OD p 6 .,j (A G1 O o CO 3 s 3 „�5,i�4.50 S 3 �.�'�.b�.50 S 6LTZ QQ'19Z L - z x'05 i JV9'9 L l fur ion -am* riv" x Pal B 1 i +1vP,/rC/ l If 7•, _. _._-._ 4s 3 „b5,btr.SQ s �' 00,9z ,9 'tit' ,. M „���,�b.q0 M „b5,VV.5Q p f z ullu + D 00 Ou II it T L o Olt U C7 0 00 -0. oa ti p � p t TJ ;;u = � v' d0 Qt ' D < O O C7 m � m rn o Z r-- x O o m o- 7; RgliMlP o o Gr1fLy Of Niar-f4a11Yf ou 4 9 B �1:ssacflusitts' DEPARTMENT OF BUILDWG INSPECTIONS 212 Main Street a Municipal Building 'e Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVTr Y S:l Jla���u 1 Lxy (licensee/permittee) with a principal place of business/residence at: LQr4' kampwrle) 62,-7-scoi (st�eticity/slatr/rip) do hereby certify, under the pains and penalties of perjury, that: } (�) I am an employer providing the following worker's compensation coverage for my employees working on this job: } an Tr-k�a I 0 ce s`- g)- » GC-Uv C,;►(-r a S29 a-IS-(D z (Insurance Cony) (Policy Number) (Expiration Date) (�) I am a sole proprieto ent;ral contractor r homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: mPrtca�,��es eq X r So(,,;e"7,cdqo b-Z-o2 (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) L3Y�bl o �fQ 9�Y�P_.✓k� �X�C1,rw, l� S U (�tGO t_bl� �-(S-Ci2 (Name of Contractor) O (Insurance Company/Policy Number) (Expiration Date) �Ou xS t c m ern 0 A! P( (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shoct ifneaesury to indU&infocmatioo pertainin&to all oontrndors) ( ) 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 that whilo homeowners who craplrry pccsom to do maiutcamce,oansuucum or repair work on s dwalling of not moon than three units is which the homeowner resides or on tho putods gTurtenaat tbettw arc not generally coandemd to be employers under tbo woclker`a compensation Act(GL152,ss 1(5)),application by a homeowner for a liccow or permit may cvidenoe tho lt6d statue of an employer under the Wodtoes Compensation Act I understand that a copy of this statement may be forwarded to the Dopartment oflndtmtrial AoadeotY Oboe of Iasurraom for the e>D4 9c vrtificatioa and tbat faau-to soattc ooWmP under smdoa 21A of MOL 152 can kid to tbs imposition of criminal penalties oonaisting of a fine of up to 11,500-00 and/or imprisoom A of up to one year and civil penalties in the form of a Stop Wodc order and a fma a(3100.00 a day against ma For dgmftrntal trso oaty �-' Permit Number 3�b-a2 Mao Lot SECTION.8 CtiNSTR ERVICES 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: -Fom e torn,- Up Q 17 to License Number �� I-Iq -03 Address Expiration Date 3-SZ7-800► Signature Telephone Not Applicable ❑ �e r`eLQn &L Q cs Q �r� Inc- 1 asoso Company.Name�� Registration Number 3 �—:& z .1[7�.n o 4 c� Z �C;�C� l I' lo- 1 -01 Address � pp Expiration Date Telephone SECTION 1f3 VVORKER"W C0lV1pt�JSATION INSURANCE A1=FIf3AYIT(M.G.L.c:i52,§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. Signed Affidavit Attached Yes....... t5( 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 and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature »: . . M New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition[] New Signs [ ] Decks [ ] Siding[ ] Other[ ) Brief Description of Proposed Work: ` Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll 5d- Sheet . a. Use of building : One Family�_ Two Family Other b. Number of rooms in each family unit: -- Number of Bathrooms C9 11--L c. Is there a garage attached? NO Z CU A- Ct- d. Proposed Square footage of new construction. W 10 Dimensions 50 X qa e. Number of stories? 2= f. Method of heating? E14 A P ro pan�e- Fireplaces or Woodstoves (X Number of each / g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? C S h. Type of construction (kDood Ff'affx — i. Is construction within 100 ft. of wetlands? Yes C No. Is construction within 100 yr. floodpiain Yes `C No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? _ X Yes No . I. Septic Tank City Sewer Private well City water Supply X SECTION 7g OWNER AUfAbRIZAtION TO BE.CO IPLETED WHEN . OWNI� AGENT e R CONTRACT' R APPLIES FOR BUILDING°PERMIT 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. S wner Date MM TM(A_C-6'U(a, /b0 VMQ n&k.J&KS 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. 1 Print Name Signature of Owner/Agent Date 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 Lot Size 1 Frontage acJ l Setbacks Front i t Side L: R: L: R: Rear e5' Building Height Bldg. Square Footage % 9310 Open Space Footage % qa (Lot area minus bldg&paved p parking)e #of Parking Spaces / Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO A 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: TLx 6a�ion grml4-4- C3P a0o - C�102 City-Qf Northampton IG18 yi " epartment "�- n Street I 100 �'�� z Ra , MA 01060 c� phone 413.58.12 0 Fax 413-587.1272 APPLICATION TO LTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECT�ON'1 SITE INFbC2MATI0N 1.1 Property Address: "e e-jQr-� �,l l�y LCA 4 q NMI SECT10N-I PROPERTY OWN E IRS 411'/AUTNCJRIZE[�AGENT. .. 2.1 Owner of Record: Name(Print) Current Mai 'ng Address: Telephone Signa ure 2.2 Authorized Agent: �`, _f�►��I��P_� l3'1 C.. 13�J Suez m�cx, � �26"Hn�y►�_(�Ol Z-} Name(Print) Current Mailing Addres : Signature Telephone C�'IbN�3 EstrMA'r�ry co�IStRUCTION ce5���` , Item Estimated Cost(Dollars)to be ©tf[cal Use completed b permit applicant ,. 1. Building X4(0 _ (a)BuilcIngPerrtt�#fie 44 fl 2. Electrical `1500 (b)Etlmated Total GAStf ' r CQttSti'u:CttOil u 3. Plumbing ��— Bull ifng Permit I`ve 4. Mechanical (HVAC) (0 000 5. Fire Protection 6. Total =(1 + 2 + 3+4+5) Checik' u'U ber, ThlsTSet#Mon.,l br Otfitlaf rJs .�iil ' < '1. s s i i xl it u �'M r a,3 vF' R A rats way s a r � a4 i. ��' �41dt �?e1111 NlilYlbBir, te 155U8d e Signe#uie': + t H; _8, ildhg CorrCrr�sidnerltr�sjector of Blailcllri § ., , Date File#BP-2001-0702 APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC ADDRESS/PHONE 135 SOUTHAMPTON RD (413) 527-8001 i PROPERTY LOCATION 52 SOVEREIGN WAY MAP 36 PARCEL 244 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid -, Typeof Construction: CONSTRU T SINGLE FAMILY HOME W DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 060176 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Signature of Buildiniofficial 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. X52 SOVEREIGN WAY BP-2001.0702 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-244 CITY OF NORTHAMPTON Lot: -001 Permit: Buildinl7 Category:New Single Family House BUILDING PERMIT Permit# BP-2001-0702 Project# JS-2001-1318 Est. Cost: $270000.00 Fee: $1004.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 SOVEREIGN BUILDERS INCO60176 Lot Size(sy. ft.): 31232.52 Owner: CELLURA TODD G Zoning: SR Applicant: SOVEREIGN BUILDERS INC AT. 52 SOVEREIGN WAY Applicant Address: Phone: Insurance: 135 SOUTHAMPTON RD (413) 527-8001 Workers Compensation WESTHAMPTONMA01027 ISSUED ON: TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SINGLE FAMILY HOME W DET GARAGE 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/l/010:00:00 6457 $1004.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo �q„'tiVW <'S3 9 t GIt� U iQZ � 11l�t[]It FEB 2 3 2001 ,Lt'lasae�yaaTlti DEP RTMENT OF BUILDING INSPECTIONS INSPEC OP �t Or�w��RD�Hr:, SPECTIONS 212 Main Street ' Municipal Building Rt-. *twjoh{ !�NA OIM Northampton, Mess. 0I060 Square Footage Basement @ .lU ,LSD �Amount lst Floor .40 2nd Floor @ .20 1/2 Floors, Attic, Garage .10 67 Deck, Porches .10 TOTAL tL31 00 a 4 luu N � 00'19Z l 0 0 � }f M „-Vg i,V.90 N rD-- OD U Co Z co A fig 12 3 u � DEPT OF B LAIN NSA !�S � S O� 'h NORT PTON tt* (o Lh zcr) c N 400 II N [� t w p uws� --! Op O oo p Qo - N 4 . v Ln,U U) °° 4 w ° -° ry 6 1 cn -- � awo7 amo g w 00 , f a,ta� I 20 0 U O >p0 W g cn co v J NN II II II GtO 0 j � � Gb O fj 35t�fi.50S S 3 S 66LTZ t,9'9l l 1 1 ` Z t'05 ,00'9Z t err i� ism* 1*1*9 1\bM erG e �,rlvBinenl Il !:,!•ry � .-__ter.- _ . - _... trb.50 S 4 �^ ,g if b�.50 . t „y5,trtr.SO 1 M irr ; � (r Z II II II I+ 3 D ' I 00 I ,. I cn � � �'• p Q z ti criom !I II Ln ' LO 7, �j i p to O W p A C 0 a O 0 p J L Aim . z '— ....a °� O o m n viers o i+ *M,�,y, r` - Z Z n 04�KAMP�O - � 6 �lasascE[nsitta' m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licen-s permittee) with a principal place of business/residence at: (strceilcity/stalrlap) do hereby certify, under the pains and penalties of perjury, that: ( I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) I am a sole proprietor,Q eral contractor' r homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) C irf f✓ P L-tx kx tC_u 6ggn L I z 759 R t S--0i (Name of Contractor) (Insurance Company/Poky Number) (Expiration Date) tf' 0, HatbWe� jtt o i I OL(-oz- 2-(o-01 (Name of Contractor) ansu=ce Company/Policy Number) (Expiration Date) IIIb391-0Z 1- 1 -0,2- (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additiocal sheet if ntcessary to include information pertaining to all ooatrnctoss) ( ) 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 ttut while homeowners who employ pazom to do majatc.,xnc�,c=sbuction or repair work on a dvieLliog of not moco than throe units in which the homeowner raids or on the vvan k appurtenant thereto ate not generally ooander ed to be employers under the worker's oomp=v4on Act(GL 152,ss 1(5)�application by a homeowner for a license or Permit may evidc—the legal ctatua of an employer under the Workeez Compensation Ad. I understand did a copy of this rtLkMent may be forwarded to the Depermxo2 of Industrial A.oadeats'Offioe of Grwuanoe for the oovaige verification and that failure to so=covemgo under section 25A of MGL 152 can lead to the imposition of criminal Pen cs oomutirag of a fine of up to 51,500.00 and/or imprison of up to one year and civil pcn&Wcs in the form of a Stop Work Order and a fine of S 100.00 a day against tnG For deputmww usso only Permit Number Map# Lot# Signature of L1cense&Permittee Date SECTION 8»CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: i Not Applicable ❑ Name of License Holder: tL Cf cc!t 10 rC�- C)L C) 1-7 L' License Number Address Expiration Date Signa ure Telephone `E Not Applicable ❑ -Inc-L i Company Name (� Registration Number C) - 1 -0I Address �. Expiration Date Telephone 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. Signed Affidavit Attached Yes....... tX No...... ❑ UNION, Mr, 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 and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature OP R (check e New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: `' I �` 7 ( •tA J"I , Alteration of existing bedroom Yes No d Yes No Attached Narrative❑ Renovating unfinished b ement Yes No Plans Attached Roll 5d- Sheet . ,: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: i �_ Number of Bathrooms �., c. Is there a garage attached? 1QQ Ock'tiCheCt 2 cr-(" d. Proposed Square footage of new construction. J-310 5�iriS+Dimensions 50 X qa e. Number of stories? 2- f. Method of heating? R4 A Pro P,--)e— Fireplaces or Woodstoves �"+fie Number of each � g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction (.3(YY1 -KKU'Ya- i. Is construction within 100 ft. of wetlands? Yes C�}No. Is construction within 100 yr. floodplain Yes_X No j. Depth of basement or cellar floor below finished grade �/I k. Will building conform to the Building and Zoning regulations? X_Yes No . I. Septic Tank City Sewer Private well City water Supply X— SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT 012 CONTRACTOR APPLIES FOR BUILDING PERMIT 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 L6oei(eton&,k.l._0_cys m(" 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 Name Date Signature of Owner/Agent 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 o f , Lot Size � 1 I Frontage I a�Jl 1�_5 Setbacks Front &p � r Side L: R: L: R:� / 0 Rear 115` 1 Building Height 35 Bldg. Square Footage % a p 01310 Open Space Footage % (Lot area minus bldg&paved co 90 1120 parking) #of Parking Spaces Fill: volume&Location ✓ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO A 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: i y of mpton V Bu WM rtment 3 in S to reet F�8 2 Q on 01060 x: 0 Fax 413-587-1272 N� APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION'-1-SITEJNF'ORMATION hls sectio�i to ► lete� 1.1 Property Address: Na Map unite - e e ZonIay Dlstnt� �. SECTION'2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ��!\I r,- tn Name(Print) �^ Current Mai ing Address: Telephone Signa ure 2.2 Authorized Agent: � v` ► �v'1 kl�( t� '�l3lC� l��� `x: Xtmi , (, t'tL���v� 1Ci Cr 2-3 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 � � c ,p (a) Building Permit Pee 2. Electrical `15�� _ (b) Estimated Total Cost of Construction from 6 3. Plumbing 030 — Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection ) 6. Total =(1 + 2 + 3 +4+ 5) ol10 Check Number c This Section For Official Use Only Building Permit Number* Date Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2001-0702 APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC ADDRESS/PHONE 135 SOUTHAMPTON RD (413)527-8001 PROPERTY LOCATION 52 SOVEREIGN WAY MAP 36 PARCEL 244 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 T_ypeof Construction: CONSTRUCT SINGLE FAMILY HOME(*FOUNDATION ONLY) New Construction Non Structural interior renovations Addition to Existing Accessojy Structure Building Plans Included: Owner/Statement or License 060176 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. J" 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 Board of Health Well Water Potability Board of Health Permit from Conservation C ission Permit from CB Architectur e. o ittee 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. y 52 SOVEREIGN WAY BP-2001-0702 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 244 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2001-0702 Project# JS-2001-1318 Est.Cost:$270000.00 Fee: $183.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: SOVEREIGN BUILDERS INC 060176 Lot Size(sq.ft.): 31 232.52 Owner: CELLURA TODD G Zoning: SR Applicant: SOVEREIGN BUILDERS INC AT: 52 SOVEREIGN WAY Applicant Address: Phone: Insurance: 135 SOUTHAMPTON RD (413) 527-8001 Workers Compensation WESTHAMPTONMA01027 ISSUED ON:311101 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SINGLE FAMILY HOME (*FOUNDATION ONLY) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/1/010:00:00 6457 $183.60 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo