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36-246
E C _E � o o � o g g o o � 0 0 0 0 0 -.,z -g � 0 0 O O O V) 4n O p to kn O V) V1 Vl Vl O O O C 0 M !� t- 00 00 n t- t- fl- � r- n t- ko ko �o t, f`• C- 3 =� Ev oa o o to tA kn in to W) -n to Wn kn tn kn tn O kn kn to j( = N N M M M M M M M M M M M M M 'T M M M 1CG m L Y O O O O O O O V1 Vl in V) v1 O M to V1 O C O d' 00 V) M — — m EE O O N N 0 O N in V1 V1 V1 V1 C O O V1 O O N '-+ .. .-+ N N E c 4n Cl 0 0 0 0 (D kn kn v, &n -n Cl o 0 0 %O m Z Z 0 0 0 C o o kn o to o 0 0 0 0 0 0 .� 0 U 0 �. z N .N-. kn N 9 O O O CO s. 0 O in � 9 � N cl 00 t- CT O l� [- + ..+ LL � N O P� E t6 z pO U Q t p ci OO p f O p nZ Z ; o o n 0 0 0 00 00 o O v " O o 0000 t; v M ° o A w � w El a. a o ° S m o o Q �m cu C) cu 0 00 U o�D w El � N ° 91 A Z y y 0 ° v o v' " 0 0; H ow wo Ei cd Ei 4'. ° o ' a o O a o o >'� .n %° v i ' o _ d o ° v a 0 0 `� .� d os oo b U U �p a ea m O O U 00 O Of Ova q . I. eon a`i as ° y o v - ¢ O 0. 0 AvQoa° > ¢� � � .A w Q .°a °' cn ' •2 a��pro� BOARD OF HEALTH OFFICE OF THE MEMBERS BOARD OF HEALTH ROSEMARIE KARPARIS,R.N.,MPH XANTHI SCRIMGEOUR,MHEd,CHES JAY FLEITMAN,M.D. STAFF 212 MAIN STREET Ernest J.Mathieu,R.S.,M.S.,C.H.O. CITY O F NORTHAMPTON NORTHAMPTON,MA 01060 Director of Public Health Richard Meczywor,R.S.,Sanitary Inspector Patricia Abbott,R.N.,Public Health Nurse MASSACHUSETTS 01060 (413)587-1214 FAX(413)587-1221 MEMO Date: November 20, 2006 To: Wright Builders From: Ernie Mathieu Re: New Front Porch Addition- 27 Spruce Lane, Florence, MA This letter is to inform you that the new front porch entry addition installed in the front of the dwelling located at 27 Spruce Lane complies with all the minimal distance requirements and setbacks of Title V. Please feel free to contact me if you have any questions. e ' 28. No disposal of soils or other materials shall be allowed within: a 100-year floodplain; 40 feet of the 100-year floodplain elevation; any wetland; or any area within 100-feet of a wetland, unless such areas are specifically approved by the Commission, in accordance with 310 CMR 10.00, and City of Northampton Ordinances - Chapter 24 29. Ongoing conditions that shall not expire with the issuance of a Certificate of Compliance are as follows: 30. Upon completion of the work covered by this Order, the applicant shall submit an as-built plan, signed and stamped by a registered professional engineer or land surveyor, together with a written request for a Certificate of Compliance. The plan and written request shall specify any ways that the completed project differs from the plans referenced in the Order. The as-built plan shall include, at a minimum, and as applicable to the project: elevations of all pipe inverts and outlets, pipe sizes, materials, and slopes; all other drainage structures; limits of clearing, grading, and fill; all structures, pavement, and contours within 100 feet of wetland boundaries; all alterations within the wetland resource areas; and all dates of fieldwork. 31. The owner of the property described in this Order must advise any potential buyer of the property that any construction or alteration to said property, including brush cutting or clearance, may require approval by the Northampton Conservation Commission. Any instrument conveying any or all of the owners' interest in said property or any portion thereof, shall contain language similar to the following: "This property is subject to the Northampton Wetlands Protection Ordinance and/or Wetlands Protection Act. Any construction or maintenance work performed on this property requires an Order of Conditions, and/or a Determination of Applicability from the Northampton Conservation Commission. 32. Three groups of 3 to 5 shrubs and trees shall be planted in the permanent "No Disturb Area". Shrubs are to be spaced 5 feet on center and trees are to be spaced 10 feet on center. There shall be 20 feet between groups. "ATTACHMENT A" 19. Prior to the initiation of any work, the applicant/owner shall submit a letter of understanding to the Commission stating that he/she has received, read, understands and shall comply with these Orders. The applicant, and, his or her contractor, foreman and/or construction manager shall sign the letter of understanding. 20. Prior to the initiation of any work, the applicant shall submit to the Commission a sequencing plan for constriction, and erosion and sedimentation control installation. 21. Prior to the start of any site work, excavation or construction, a pre-construction conference shall be held on the site, between the contractor conducting the work, the site/project engineer, the applicant, and a member or agent of the Conservation Commission, in order to ensure that the requirements of this Order are understood by all parties. Prior to the pre-construction meeting, all erosion control devices must be installed. 22. All required permits must be obtained from the Army Corp of Engineers (Section 404, Water Quality Certification), Planning Board, Zoning Board, Department of Public Works, or Building Inspector prior to the start of any project. 23. A copy of this Order and associated plans shall remain on site during all construction and/or building activities. The project manager and all equipment operators shall be familiar with the approved plans, and shall be informed of their location on the site. This location shall be accessible to all contractors whenever work is occurring on site. 24. All revised plans, referenced within this Order of Conditions, shall be approved by the Conservation Commission and incorporated into the permit by reference and shall be followed during the course of construction. 25. The areas of construction shall remain in a stable condition at the close of each constriction day. 26. Soils exposed for periods greater than two months shall be stabilized with erosion control blankets and netting, a covering of straw mulch, or a temporary cover of rye or other grass to prevent erosion and sedimentation. Drainage ditches shall be stabilized and seeded with a native perennial grass mixture. Any stabilization materials such as jute netting shall be firmly anchored to prevent them from being washed from slopes by rain or flooding. Preference should be given to biodegradable materials. 27. All disturbed areas shall be graded, loaned and seeded, or stabilized with erosion control blankets or netting, and a covering of straw mulch prior to November 30, of each year. No disturbed areas or stockpiled materials will be left unprotected or without erosion control after this date. Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 F. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants.seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or Determination, or providing written information to the Department prior to issuance of a Superseding Order or Determination. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. Section G, Recording Information is available on the following page. wpaform5.doc• rev.311/05 Page 8 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of this form shall be submitted to the Conservation Commission listed below. Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. To: Conservation Commission Please be advised that the Order of Conditions for the Project at: Project Location DEP File Number Has been recorded at the Registry of Deeds of: County Book Page for: Property Owner and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument number identifying this transaction is: Instrument Number If registered land, the document number identifying this transaction is: Document Number Signature of Applicant wpaform5.doc• rev.3)1/05 Page 9 of 9 Massachusetts'Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E. Issuance This Order is valid for three years, unless otherwise specified as a special Dot—�lXo condition pursuant to General Conditions#4, from the date of issuance. 1. Date of Issuance Please indicate the number of members who will sign this form: V This Order must be signed by a majority of the Conservation Commission. 2. Number of signers The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office, if not filing electronically, and the property owner, if different from applicant. Signature Nato Acknowledgement ' Commonwealth of Massachusetts County of is �t On this 15ay Month Year Before me, the undersigned Notary Public, NULL VJFM,16� personally appeared Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of 1�olr cC T**-1 Conservation Commission Cityrrown YD�f��i J 9NF �'C . V� * � Si nature o0�\'p�O'rRY pJ' (Z� � �• Y�� �4 ONYJUSF� � Printed Name of Notary Public Place notary seal/and1drlJA\ stamp above 9 (' My Commission Expires(Date) This Order is issued to the applicant as follows: M by hand delivery on by certified mail, return receipt requested, on Qo htdJdo�b ao Date Date wpaform5.doc• rev.M/05 Page 7 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands CEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No 2. The Northampton hereby finds(check one that applies): Conservation Commission 3. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: a. Municipal Ordinance or Bylaw b.Citation Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. 4. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: Northampton Wetlands Ordinance Chapter 24/25 Code a. Municipal Ordinance or Bylaw of Ordinances The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. If you need more C. The special conditions relating to municipal ordinance or law are as follows: spacefor p g p y additional See "Attachment A" conditions, select box to attach a text document ❑ wpaform5.doc• rev.3/1/05 Page 6 of 9 • Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General Conditions Under Massachusetts Wetlands Protection Act 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 18. All work associated with this Order is required to comply with the Massachusetts Stormwater Policy Standards. Special Conditions: If you need more See"Attachment A" space for additional conditions, select box to attach a text document ❑ wpaform5.doc• rev.311/05 Page 5 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General Conditions Under Massachusetts Wetlands Protection Act (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number 246-598 wpaform5.doc- rev.3/1/05 Page 4 of 9 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 1 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings (cont.) Resource Area Proposed Permitted Proposed Permitted Alteration 'Alteration Replacement Replacement 7. ❑ Bordering Land Subject to Flooding a.square feet b.square feet c.square feet d.square feet Cubic Feet Flood Storage e.cubic feet f.cubic feet g.cubic feet h.cubic feet 8. ❑ Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet f.cubic feet 9. ❑ Riverfront area a.total sq.feet b.total sq.feet Sq ft within 100 ft c.square feet d.square feet e.square feet f.square feet Sq ft between 100-200 ft square feet h.square feet i.square feet 9� q q q j.square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 1o. ❑ Designated Port Areas Indicate size under Land Under the Ocean, below 11. ❑ Land Under the Ocean a.square feet b.square feet c.cu.yd dredged d.cu.yd dredged 12. ❑ Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13. ❑ Coastal Beaches a.square feet b.square feet c.c/y nourishmt. d.c/y nourishmt. 14. ❑ Coastal Dunes a.square feet b.square feet c.c/y nourishmt. d. c/y nourishmt 15. ❑ Coastal Banks a. linear feet b. linear feet 16. ❑ Rocky Intertidal Shores a.square feet b.square feet 17. ❑ Salt Marshes a.square feet b.square feet c.square feet d.square feet 18. ❑ Land Under Salt Ponds a.square feet b.square feet c.cu.yd dredged d.cu.yd dredged 19. ❑ Land Containing Shellfish a.square feet b. square feet c.square feet d.square feet 20. ❑ Fish Runs Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterways, above a.cu.yd dredged b.cu.yd dredged 21. ❑ Land Subject to Coastal Storm Flowage a.square feet b.square feet wpaform5.doc• rev.3/1/05 Page 3 of 9 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollution d. ® Private Water Supply e. ❑ Fisheries f. ® Protection of Wildlife Habitat g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control 2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: a. ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: b. ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order of Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. C. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) 3. ® Buffer Zone Impacts: Shortest distance between limit of project disturbance and 83 wetland boundary (if available) a. linear feet Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. ❑ Bank a. linear feet b. linear feet c.linear feet d. linear feet 5. ❑ Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 6. ❑ Land Under Waterbodies a.square feet b.square feet c.square feet d.square feet and Waterways e. cu.yd dredged f. cu.yd dredged wpaform5.doc• rev.311/05 Page 2 of 9 Massachusetts 'Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 246-598 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. General Information Important: Northampton When filling From. 1.Conservation Commission out forms on the computer, 2. This issuance is for(check one): a. ® Order of Conditions b. ❑ Amended Order of Conditions use only the tab key to 3. To: Applicant: move your cursor-do not Kathleen Carlson use the return a. First Name b. Last Name c.Company key. 27 Spruce Lane d. Mailing Address Florence MA 01062 e. City/Town f.State g.Zip Code relnn 4. Property Owner(if different from applicant): a. First Name b. Last Name c.Company d. Mailing Address e. City/Town f. State g.Zip Code 5. Project Location: 27 Spruce Lane Florence a. Street Address b.City/Town 36 246 c.Assessors Map/Plat Number d. Parcel/Lot Number Latitude and Longitude, if known (note: electronic filers will click for GIS locator): e. Latitude f. Longitude 6. Property recorded at the Registry of Deeds for(attach additional information if more than one parcel): Hampshire a.County b. Certificate(if registered land) 6929 88 c. Book d. Page 10/12/2006 11/09/2006 11/21/2006 7. Dates: a.Date Notice of Intent Filed b.Date Public Hearing Closed c. Date of Issuance 8. Final Approved Plans and Other Documents (attach additional plan or document references as needed): Site Plan with Replication Planting a. Plan Title Wright Builders b. Prepared By c. Signed and Stamped by 10/12/206 1"=30' d. Final Revision Date e. Scale f.Additional Plan or Document Title g. Date wpaform5 doc• rev.3/1/05 Page 1 of 9 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS r,' 780 CMR Appendix J Applicant Name: W L4'� Site Address: CM s ef.0� L44je Applicant Address: S T' City/Town: PA1QreNC.V . MAI N6 R-1-)+&30jPTt fji Al Use Group: t '�- Date of Application: 1 0 Applicant Phone: ? 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.Ib): Heating Degree Days(HDD6,)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- e. Glazing%(loo x b a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE ❑ Component Performance:"Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Are4__ q _sq.ft. b. Glazing Area' 0 sq.ft. c. Glazing%(100 x b_a) ADDITION with Glazing% (c.) up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-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 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM"addition(greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) III C"a-,IIp ig 212 Maim Street Muni6pal Building Northampton, Mass. 01060 Sct:ar= Fcct_c= ?�,cLnt 'Ba--cement @ • I�J 1st __ccr ` , �C' e w'T"7 ST b 2rd _=ccr @ •3� 1/2 _lccrs, Attic, GarBCe 15 b n Deck, Fcrc".es . 15 :,15 YF *3 • pow r 6-t LAIJ IV'�'�• 9rob • ' Iz � 101 X WRiGHT.-� BUIL ® ERS �: F. IIf.A'�11'� ':, `:1 '•, , � f' ' ,ITIS nl ,rn November 14, 2006 Dr. Kate Carlson 27 Spruce Lane Florence, MA 01062 RE: Entry & Baths Dear Kate: Thank you for your confidence in Wright Builders and for the opportunity to work together and be of assistance. Our quote is based on the scope of work outlined below. The Scope of the Project: The scope of the work is as outlined below: Renovations to include the addition of a entryway at the front of the house with closet. doors. window, vinyl siding, shutters, atop piers, landing with columns and balusters. gutters and related roofing. Modify both upstairs baths and first floor powder room new cabinetry and counters. Painter's work is included. Landscaping work to include new paving brick walkway, lighting locations and wetland plantings. Costs: Costs for the project are as shown on the attached estimate summary and makes substantial efforts to secure and hold pricing on all aspects of the work. Volatile items such as, but not limited to, wire. copper piping. plastic products. oil based products and lumber are beyond the control of Wright Builders. Inc. and the customer a<7rees to pay for incremental cost changes that exceed those unit costs contained within the quoted package, by change order, should such conditions arise. Optional Work: Options for material or costs savings. if applicable, are included in a separate Options Summary page. They may be selected at time of original contract, and will then be incorporated as a Change Order. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervlsor: Not Applicable ❑ Name of License Holder: �� " r)1 f�� �[ii'y '`�— ' ("�*t'J 0 License Number 14 QAf Sr,,b At A-- Address Expiration We Sin ure Telephone 9.ReaTstered`Nome ImurovementCo'ntrac or` �_, _� _,_ _ •___,, ;;� ,_ Not Applicable ❑ W lam' Ali��, �NC.- 161 S3 b Company Name Regis lion Nu ber Y r t L 4L Addr s J '1� Expiration Date V TelephoneV 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....... No....., ❑ 11. �Iome'Own er�x emp�io in 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.CM 780, Sixth Edition. Section 108.15J. 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 thistpermit 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. Hoheowner Signature S— CTION 5-DESCRIPTION QF PROPOSED WORK(check all applicable) , h New House .❑ Addition Replacement Windows"` Alteration(s)'o Roofing ❑ Or Doors C3 r—I Accessory Bldg L.-_t - Demolition ❑ New Signs [p] Decks: Siding-(CJ] Other[= Brief Description of Proposed � Work: MeY`aA' J l/�td d M,0 *`C4v�64 Alteration of existing bedroom Yes No Adding new bedroom Yes Attached Narrative Renovating unfinished ba sement Yes No�No TOO 1 p C-\J Plans Attached Roll -Sheet �._R-'>^�3'.•.L Fti'tR"iF'SiF+VXSi:rNPP__•.- ...^f!n^ C,'a`.,.�-t � .fJ4-_.�.i5. salt New house and or add[tion to"exlstmq housing,comalefe the following a. Use of building:One Family Two Family Other b. Number of rooms in each family unity: 1 Number of Bathrooms N f c. Is there a garage attached? !' 7 X JI Sir- d. Proposed Square footage of new construction. A S Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each D �p g. Energy Conservation �o�m(pfliance. Masscheck Energy Compliance form attached? -EJ h. Type of construction ✓ o . a pr,,�.e_ !� . i. Is construction within 100 ft.of wetiands? Yes At/Neon Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade I'//� (�N� r!e*' (b k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I• e b i" as Owner of the subject property r,�, /� `- hereby authorize VV P ats rTT to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of er Date I, W 61t< 1,• W ,as Owne/Authonze -ft9'eng'hereby declare that the statements and informatio6 on the foregoing application are true and accurate.to the best of my knowledge VKa belief. Signed under the pains and penalties of perjury. Print Name Signature o edAgent Date Section 4. ZONING AIL Information Must Be Completed.Permit Can Be Denied Due To,In.-omplete Information Existing Proposed Required by Zoning / 4 Thi3 column to be filled in by V(0 Building Department Lot Size Frontage Setbacks Front Side L: L: R: V7 JE_ Rear Building Height i W- 1 4 13C Bldg.Square Footage W- ilt� lzao . _Tly 76 > #� Open Space Footage % All:V_ (Lot area minus bldg&paved 4, parking) #of Parki4g Spa= 7 Fill: (volume&Location) A. Has a Special Permit/Variance/Findini ever been issued for/on the site? NO r 0 DON71(149W' *§ YES , 01 IF YES,,datg issued% IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON7 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 DON7 KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Date Issued: AffA-VVJ�7b co co C. Do any signs exist on the property? YES 0 NO' IF YES, describe size, type and location: 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: E_ Will the construction activity disturb(clearing,grading, excavation,or filling)over I acre or is it part of a common plan that will disturb over I acre? YES (D NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 104 - C-0 N9 Co A V 61E)> -tv "fr-o W IN-ir ff4f&&VI> Vtok V tle 0LA-t(-t1 r tjO ft"N�- IkA*-K�- L4PS IN ewt_ ,Vb 54('T Cwt, z44#4 A:4- A= C-t.,C/ 'Rio City of N iampton 8tatusofPermit �� Building Department COO urb'G C Onvewa Permit 212 Main Street seew$ ep dAvailabiiit}f� Room 100 WatarNVell Avaitat Gty Northampton, MA 01060 x ts6fS ` ra s': Two'�Sets of Structural Plans ;���'�=•- �- ;-�r , phone 413-587-1240. Fax 413.-587-1272 Plate,£l�S16V ana Other S eaffa ,. K� ICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SITE INFORMATION This section to be completed by office Address: ��•,U� �G MaP Lot Unit Zone Overlay District Elm St.District CS Disfdct 2-PROPERTY OWNERS HIPIAUTHORIZED AGENT er of Record: Tint) Current Mailing Address: Telephone ire ithorized Aoent: (Print) Current Mailing Address: Q! is un Telephone .CTION 3=ESTIMATED CONSTRUCTION COSTS " Im Estimated Cast(Dollars)to be Official Use Only • comoleted by ermit applicant Building q ¢r b b j (a)Building Permit Fee" 2. Electrical . K d' 0 ,. r (b)Estimated Total Cost of t ?� �` Construction from(6) 3. Plumbing J!� Q"g• Building Permit Fee 4. Mechanical(HVAC) I fl , -'" ��f^'? K 3•�� S. Fire Protection J 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number. Issued t -"`/ Signature: Building Commissionertinspector of Buildings Cate -0579 ,70NTACT PERSON Wright Builders TONE 48 Bates St NORTHAMPTON (413)586-8287 LOCATION 27 SPRUCE LANE tCEL 246 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE `ORM FILLED OUT 'ermit Filled out ;onstruction: Entry addition,bath reno :rstruction ion Structural interior renovations addition to Existing accessory Structure rg Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON �IRMATION 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 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. ,�a�c6n, 5'3 r CE LANE BP-2007-0579 COMMONWEALTH OF MASSACHUSETTS ck: 36-246 CITY OF NORTHAMPTON 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT # BP-2007-0579 # JS-2007-000850 ast: $85671.00 )3.00 PERMISSION IS HEREBY GRANTED TO: Class: Contractor. License: ;coup: Wright Builders ize(sq. ft.): 46173.60 Owner: CARLSON KATHLEEN E !g_sR Applicant: Wright Builders AT. 27 SPRUCE LANE licant Address: Phone: Insurance: Sales St (413) 586-8287 RTHAMPTONMA01060 ISSUED ON.121812006 0:00:00 O PERFORM THE FOLLOWING WORK.-Entry addition, bath reno 1ST THIS CARD SO IT IS VISIBLE FROM THE STREET pector of Plumbing Inspector of Wiring D.P.W. Building Inspector derground: Service: Meter: Footings: ,ugh: Rough: House# Foundation: Driveway Final: nal: Final: Rough Frame: ;as: Fire Department Fireplace/Chimney: tough: 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: FeeTyUe: Date Paid: Amount: Building 12/8/2006 0:00:00 $93.00025257 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo ti5 N/Jf�T City of Northampton BUILDING INSPECTION LABEL A PR VEn Inspector Date_ BP-2007-0b t y COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS ,ig DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT ?007-0579 ?007-000850 PERMISSION IS HEREBY GRANTED TO: Contractor: License: Wright Builders 3173.60 Owner: CARLSON KATHLEEN E Applicant: Wright Builders SPRI ?^ +E ress: —� - Phone: Insurance: _ (413) 586-8287 ITONMA01060 ISSUED ON:121812006 0:00:00 FORM THE FOLLOWING WORK.-Entry addition, bath reno S CARD SO IT IS VISIBLE FROM THE STREET Plumbing Inspector of Wiring D.P.W. Building Inspector id: Service: Meter: Footings: Rough:, ' House# Foundation: Driveway Final: Final: 7 Rough Frame: '(�tC pDIZCN ,O ,kr Lea« Fire Department Fireplace/Chimney: is Oil: Insulation: G 7 — UY ti l: Smoke: Final: cqr\- " 0,7 IIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF' vY OF ITS RULES AND REGUL TIONS ;ertificate of Occu anc Signature: r eeType• Date Paid: Amount: Building 12/8/2006 0:00:00 $93.00025257 212 Main Street,Phone(413)587-I240,Fax: (413)587-1272 Building Conunissioner-Anthony Patillo ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J r,I Applicant Name: W b 8�i L4 ep-s Site Address: CM S Plloc-C LA+S Applicant Address: IA-ms -r City/Town: PA jQ4C15 f M/r N6 R--7-It&361jo Tb N, MAY Use Group: Date of Application: 0 Applicant Phone: 7 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.lb): Heating Degree Days(HDD6,)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 £ Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- e. Glazing%(100 x b=a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE ❑ Component Performance:"Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone(from Figure 16.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J,[and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: �g a. Gross Wall+Ceiling Area�_sq.ft. b. Glazing Area' V sq.ft. c. Glazing%(100 x _a) L� ADDITION with Glazing% (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling' Wall Floor I Basement Wall Slab Perimeter,De th 0.39' R-37 R-13 R-19 I R-10 R-10,4 ft 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM"addition(greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of ApprovaUDenial: Reason(s)for Denial: (provide additional details as needed on back side) il A 3$A Cizllt Its 212 Maim_ Street Municipal Building Northampton, Mass. 01060 'Bate-meat @ 13� Flccr S—b 2nd F-1--cr @ 1/2 F-1ccrz, Attic, Garace 15 LAV 114 rj WRiGHTy� BUIL ® ERS 4;i k FI ti ti F R I f. I November 14, 2006 Dr. Kate Carlson 27 Spruce Lane Florence, MA 01062 RE: Entry & Baths Dear Kate: Thank you for your confidence in Wright Builders and for the opportunity to work together and be of assistance. Our quote is based on the scope of work outlined below. The Scope of the Project: The scope of the work is as outlined below: Renovations to include the addition of a entryway at the front of the house with closet. doors, window, vinyl siding, shutters, atop piers, landing with columns and balusters. gutters and related roofing. Modify both upstairs baths and first floor powder room new cabinetry and counters. Painter's work is included. Landscaping work to include new paving brick walkway, lighting locations and wetland plantings. Costs: Costs for the project are as shown on the attached estimate summary and makes substantial efforts to secure and hold pricing on all aspects of the work. Volatile items such as. but not limited to. wire, copper piping. plastic products, oil based products and lumber are bevond the control of Wright Builders. Inc. and the customer agrees to pay for incremental cost changes that exceed those unit costs contained within the quoted package. by change order. should such conditions arise. Optional Work: Options for material or costs savings. if applicable. are included in a separate Options Summary page. They may be selected at time of original contract. and will then be incorporated as a Change Order. � R SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suap�ervisor: NotAppllii�caCbie ❑ Name of License Holder: �� rl 1 1/� 1 V�V i`�► ` 1"*�'{`� V 1 �� License Number 11-f QAI-Vf Sr ti r1 A-- Ova off' Address Expiration Oat; Si§h ure Telephone 9.ReaTstered home Imaiovement Co'ntrac4or'_ _ .__ u ;_ Not Applicable ❑ W 9h#7_ i yv, -t. INC_ I d !S3 b Company Name Regis lion Nu ber ���a8 Add s Exp ra lion Date Telephone SECTION.10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152,§25C(6)j 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...... ❑ 11omeYOwner. xemt 77A�V oil 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.CM 780, Sixth Edition. Section 108.3.5.i. 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 OtTicial,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 thris;penniL 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. Hoimeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK{check all applicable) New House .❑ Addition Replacement Windows Alteration(s)' Roofing Or Doors ❑ Accessory Bldg. ❑.,• Demolition ❑ New Signs [pj Decks[❑. A Siding�(01 Other(01 Brief Description of Proposed Work: mew /-{ t o a N(O � 1-� �� f•0 Alteration of existing edroom Yes No Adding ew bedroom Yes Attached Narrative g Renovating unfinished basement Yes No Plans Attached Roll -Sheet ._.,ate......,.:._T k""T..?=S,'.'LTL"SFiF^SitX'cOY��Ni.p-�-r.-..-...�NI�..�:T.'sC'.. T.....y��. S f...., .. ..._v _ .. .. .. s .. ia' f New house.and or addition f "exlsting housing,comglefe the followirig: a. Use of buildinig :One Family Two Family Other ft lo! .l-it . « . b. Number of rooms in each family unit: ('' �.'K Number of Bathrooms N f c. Is there a garage attached? d. Proposed Square footage of new construction. 6 S i Dimensions e. Number of stories? f. Method of heating? I" 1 f�l �+'� Fireplaces or Woodstoves Number of each so e� � g. Energy Conservation Compliance. El tec Masscheck Energy Compliance form attached? h. Type of construction ✓ o i. is construction within 100 ft.of wetlands? Yes No.d�Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 1' ri — e/b N - Nei— FpV tj "J k. Will building conform to the Building and Zoning regulations? _�Yes No . I. Septic Tank City Sewer Private well City water Supply S oo--*V SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject properly rA'//�� �►� t- hereby authorize VV t�"�is FiT /�'V1e��Qi6 to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of OAer Date as Owne fAuthonze gen ereby declare that the statements and informatioA on the foregoing application are true and accurate, to the best of my knowledge belief. Signed under the pains and penalties of perjury. Print Name / Signature de/Agent Date a , 9 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To,Incomplete Information i Existing Proposed Required by Zoning O� 0 This column to be filled in by Building Department Lot Size �t�'! 0 �._.....__.......__ Frontage Setbacks Front -� Zf 4 -f► ,�„ Side L:&0=—R: - L: �?'"R: �'? j Rear 30- Building Height q I .; i (-{_, Bldg.S e Footage % i ? i -�9 76 Open Space Footage % _y_` /� (Lot area minus bldg&paved 6$ ��i �2 ,QL.b parking) #of Parkigg Spaces Fill: ..---- (volume&Location) --- -'-----._-_ ______._....._ A. Has a Special Permit/Variance/Findin ever been issued for/on the site? » NO O DON'T KNOW ' YES .01 ; IF YES,,dale issued% IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page - and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O YES ' IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained N211 , , Date Issued: A I/f /o(6 co ce lt+ C. Do any signs exist on the property? YES O N0 39� 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: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acne or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. `04 - C o NS Co M V 61-6-1> -to "Pe—o W -rH-5- V 16k tab k o- i rpmt4r w"W T416 Cor►ixtt�O d -V,--- Two Br gu-e-P'e ANC ft"t4-- MA4-kf-- tivS iN ehtt- "- N 6 r •L.r .1-Nc� (�•�Qut R�• GoP�j 6 N — b-t' CoNpi7h'eNS- -� �- t City of N Campton Status of"o f Permit Building Department Cuu bCtr/On ew�a° Perm a 212 Main Street Sewer SeptcAvatfability Room 100 WaterMlell Availability Jr j r Northampton, MA 01060 Twoets�ofStiuctu' a1P�ans hone 413-587-1240 Fax 413-5 7-1272 o s1te �A."—' P $ Plol/Stte Plafn�s Other APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1hProaeM Address: This section to be completed by office Map Lot Unit MA- one Ove rlay District Elm St.District r CB Distdct SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: A-te eta dt� PAIG-N Name(Print) Current Mailing Address: / /, .,, 7 Telephone (p "� ignature 2.2 Authorized Agent: —VL�- &V I' Z &-I/u tr M tf "Eg- efm�ry 14 Name(Print) Current Mailing Address: �}/ -,iK �a� J; b` g w g Signs ure Telephone SECTION 3=ESTIMATED CONSTRUCTION COSTS"' Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building a ( )8uiiding Permit Fee 2. Electrical (b)Estimated Tctal Cost of b Construction from 6) 3. Plumbing / g"S. �. Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =0 +2+3+4+5) �' Check Number' This Section For Official Use Only Building Permit Number. Date Y , Issued;, 1 Signature: Building Commissionerlinspector of Buildings Cate File#BP-2007-0579 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586-8287 PROPERTY LOCATION 27 SPRUCE LANE MAP 36 PARCEL 246 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT F Paid VBuildinR Permit Filled out 44 A no ee Paid ;1' Typeof Construction: Entry addition,bath reno 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 INF JQIRMATION PRESENTED: _Vr_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 l f; Signature of Building Official Date I 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. �o��n, s3 �- gobs r 27 SPRUCE LANE BP-2007-0579 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-246 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-2007-0579 Project# JS-2007-000850 Est. Cost: $85671.00 Fee: $93.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Wright Builders Lot Size(sg. ft.): 46173.60 Owner: CARLSON KATHLEEN E Zoning: SR Applicant. Wright Builders AT. 27 SPRUCE LANE Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 NORTHAMPTONMA01060 ISSUED ON.121812006 0:00:00 TO PERFORM THE FOLLOWING WORK.-Entry addition, bath reno 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 12/8/2006 0:00:00 $93.00025257 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo � � t 'k3 City of Northampton BUILDING INSPECTION LABEL kF F31H VEn Inspector Date l;2 — � 27 SPRUCE LANE BP-2007-0579 GIs #: COMMONWEALTH OF MASSACHUSETTS Map.Block: 36-246 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-2007-0579 Project# JS-2007-000850 Est.Cost: $85671.00 Fee: $93.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Wright Builders Lot Sizetsa. ft.): 46173.60 Owner: CARLSON KATHLEEN E Zoning: SR Applicant: Wright Builders A '- i7 SPRI t ,A. ,IF Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 NORTHAMPTONMA01060 ISSUED ON.12/8!2006 0:00:00 TO PERFORM THE FOLLOWING WORK.-Entry addition, bath reno _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: /; �Z 65 07 g Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: ��pp� �-- ��G 7 Final: Smoke: Final: Or- �5—50 " �Z THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF' ANY OF ITS RULES AND REGUL TIONS - y Certificate of Occu anc Signature: FeeType: Date Pa d: Amount: Building 12/8/2006 0:00:00 $93.00025257 212 Main Street,Phonc(4 1')) 587-1240,Fax: (413)587-1272 Building Convnissioner-Anthony Patillo