25A-148(1) ,i
t
i
0
w °
p � o 0
p p Z ao
[Y W H� O W Q
d
O tY —.► W F—
W Q LY
40 V
Z V � o \ O 'er Q
Lli
Ix ix AO
a
W
17 71�
LL
I L4
i
I � D
.o
i o w
CL ca
Lu
co W cz
� m
+�
,
\ - z
W ,
� H /
L
W W,>-r== >
,n W
v
00
X
m �
ac
� O
H �
W
O
4
Q
m
U— a
O
W
Z
f
Orr
� �i. � � iii � • O
-1. {
•t � ! � � ;'iii � I � ��
1
e
I
I � Ii s i II
jjr I I /i"
OFF
Cy
\
IK
r
i
I
i I
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit #
MAScheck Software Version 2.01 I I
I I
I Checked by/Date I
I I
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance)
DATE: 10-30-2001
COMPLIANCE: PASSES
Required UA = 157
Your Home = 120
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 988 38.0 0.0 30
WALLS: Wood Frame, 16" O.C. 1024 19.0 0.0 62
GLAZING: Windows or Doors 80 0.360 29
-------------------------------------------------------------------------------
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% of the design load as specified in
Sections 780CMR 1310ry and
J4.4
Builder/Designer ///% �/y(�/fi(// 162 jd'Gj Date
manufacturer's installation instructions. Mesh tape may be
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:
[ ] 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:
[ ] I Rated output capacity of the heating/cooling system is
I not greater than 125`0 of the design load as specified
I in Sections 780CMR 1310 and J4.4.
I
[ ] I SWIMMING POOLS:
I All heated swimming pools must have an on/off heater switch and
I require a cover unless over 20`a of the heating energy is from
non-depletable sources. Pool pumps require a time clock.
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"
Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
I Low temperature 120-200 0.5 1.0 1.0 1.5
I Steam condensate any 1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
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
I
[ l 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 & RUNOUTS
I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
170-180 0.5 1 1.0 1.5 2.0
I 140-160 0.5 ( 0.5 1.0 1.5
I 100-130 0.5 I 0.5 0.5 1.0
I
----NOTES TO FIELD (Building Department Use Only)-------------------------
C7
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01
DATE: 10-30-2001
Bldg. l
Dept. l
Use I
I
I CEILINGS:
[ ] I 1. R-38
I Comments/Location
I
I WALLS:
[ ] I 1. Wood Frame, 16" O.C., R-19
I Comments/Location
I
I WINDOWS AND GLASS DOORS:
[ ] I 1. U-value: 0.36
I For windows without labeled U-values, describe features:
I # Panes Frame Type Thermal Break? [ j Yes ( ] No
I Comments/Location
I
I AIR LEAKAGE:
[ ] I Joints, penetrations, and all other such openings in the building
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:
I 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.
I 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
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:
[ ] I Required on the warm-in-winter side of all non-vented framed
I ceilings, walls, and floors.
I
I MATERIALS IDENTIFICATION:
[ ] I Materials and equipment must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
I and cooling equipment and service water heating equipment must be
I provided. Insulation R-values and glazing U-values must be clearly
I marked on the building plans or specifications.
I
I DUCT INSULATION:
[ ] I Ducts shall be insulated per Table J4.4.7.1.
I
I DUCT CONSTRUCTION:
[ ] 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
I using mastic and fibrous backing tape installed according to the
� 6 �asaac�nsctta
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street a Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVTr
I, _'nelson A. Shifflett / valley Home Tmprovmwnt, Inc.
(licenstrlpelmittee)
with a principal place of business/residence at:
'20 Riverside Drive, Northampton, MA 01,060 {phone) (47.3) 581-7522
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 iob:
American International Companies WC 6554540 00 02/01/2002
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have lured
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) V (Insurance Company/Policy Number) (Expiration Date)
_ (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Immmce Company/Policy Number) (Expiration Date)
(suach addition!shoes if necessary to iocg)de informshon perbduing to all 000rradaa)
{ ) 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 awes that while hcu=vmera who employ persons to do masase um ceaguctm err repair%writ on a dwelling of
not more thaw throe units in which the homwwucr r=dea a on tae grounds gvurtenwtthaetto ass oa gcommily comWend to be
employes under the wodut's onapensdiaa Act(GL152,=I(5)).application by a homeowner fora ficem or permit may evidcuce the
lepai status of an=+loysr under dw Wodreez Compeasatiou Act
I undetuand that a copy of this stag may be forwarded to the Departmmt of Industrial Aomdar&Offioo of Ir:9euanoe for the
oovaage vmfic dm and that failure to seem ooverago under section 25A of MG3L 152 can lad to the imposition of mmi[W penalties
oonsivatg of a fine of up to S 1,500.00 anNor hmprisotmnart of up to am year ad civil pcaattia in the form of a stop Worst order and a
fum of 5100.00 a day against tnc
Signed this ____day of c� , 2001 Fora ,wu..nty
Permit Number
y t Lot 4
Signahuf0f 1: 1'WM
SECTION 8-'CONSTRUCTION SERVICES---]
.1 Licensed Construction Supervisor: Not Applicable ❑
Nelson Shifflett: 060300
Name of_License Holder: _
Valley Home Improvement, Inc. License Number
320 Riverside Drive 9j02
Address Expiration Date
Northampton, MA 01060 _
i
Signature Telephone
584-7522
Not Applicable ❑
Valley Home Improvement, Inc. 105543
Company Name Registration Number
320 Riverside Drive 7/17/02
Address Expiration Date
Northapton, MA 01060 Telephone 584-7522
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....... E No...... ❑
11: - Here nertion
The current exemption for"homeowners"was extended to include Owner-occupied Dwellinps 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 buildine permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local honing Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
'ECTION 5-DESCRIPTION OF PROPOSED WORK(che£k all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) M__� Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ I
Brief Description of Proposed Work: j `�(� &% C zwoo
Alteration of existing bedroom —,,.-,,.--Yes No Adding new bedroom 4----Yes No 3
Attached Narrative Renovating unfinished basement Yes 11" "
Plans Attached Roll Sheet 6 LrJCZJ k +AJ)gA)
6a. If Now house a nd-or additi/! 4 housing, completethe f 11 ...
a. Use of building : One Family v Two Family Other
b. Number of rooms in each family unit:, --_.___ Number of Bathrooms�_____�,_,_y_
c. Is there a garage attached?
1
d. Proposed Square footage of new construction.,-_ Dimensions
e. Number of stories? d
if. Method of heating? eS �` �L'` Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. 4zf tsf Mascheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. of wetlands? Yes 4`'�lo. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
1. 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 Rosalind Torrey & Mark Staples _ as Owner of the subject property
herebyauthorize Nelson Shifflett, Valley Home Improvement, Inc. ------ to act on
my behalf, in all__ aatters relative to work authorized by this building permit appli ation.
Signature o ner I D to
Nelson Shifflett, Valley Home Improvement, Inc. _ as Owner/Authorized Agent
he_reby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
I
Signed under the pains and penalties of perjury.
Nelson Shifflett
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
AIV
Lot Size
Frontage
Setbacks Front Jr
Side L: R: -..__. R:_.
Rear
V
Building Height
Bldg.Square Footage %
Open Space Footage %
(I.nt area minus bldg&paved
parking)
tt of Parkin S aces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO L,'�_ 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 j 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: __..__ _- —
Y
1a; k 4.
u a
n� Cit of
u Northampton A
fl V
�$ Department
'J 1 Main Street
!
om 100 `
L NOV
2 20011or pton, MA 01060
phone 413 87 240 Fax 413-587-1272
UEPi Of BUILClNG INSPEUJO a F
APPLI , ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
This section to be completed by office
1.1 Property Address:
Map Lot Unit
45 Northern Avenue
Zone Overlay District
Northampton MA 01060
Elm St.District CB District-
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: 45 Northern Avenue
Northampton, MA 01060
Rosalind Torrey & Mark Staples --
Name(Print) Current Mailing Address:
586-7597
Telephone
Signature
2.2 Authorized Agent: Nelson Shiff ett
Valle Home Improvement . n P.O. Box 60627, Florence, MA 010.62
Name(Print) Current Mailing Address:
Y 584-7522
Signature Telephone
SECTION I.- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building ' (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
7;d� Construction from 6
3. Plumbing /G/ Building Permit Fee
4_ Mechanical(HVAC)
5. Fire Protection E�/L"d _
b. Total = (1 + 2 + 3 + 4+ 5) SC% -d o Check Number
This Section For Official Use Only
Building Permit Number: � w Date Issued: -
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2002-0482
APPLICANT/CONTACT PERSON Valley Home Improvement, Inc
ADDRESS/PHONE P O Box 60627 (413)584-7522
PROPERTY LOCATION 45 NORTHERN AVE
MAP 25A PARCEL 148 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 0 15
Typeof Construction: CONSTRtfCf 2ND FLR DORMER(3 BEDROOMS)& 1 BATH)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060300
3 sets of Plans/Plot Plan
THE FOL OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 Comm' on
2 C.t7
Signature of Building Official Dat
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.
BP-2002-0482
CIS#: COMMONWEALTH OF MASSACHUSETTS
g1 :25A- 14a CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: ADDITION BUILDING PERMIT
Permit# BP-2002-0482
Project# JS-2002.0730
Est. Cost:
Fee: $250.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot Size(sq. 1): 5009.40 Owner: TORREY ROSILAND&MARK STAPLES
Zoning: URB Applicant: Valley Home Improvement, Inc
AT: 45 NORTHERN AVE
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON:1119101 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2ND F L R DORMER (3
BEDROOMS) & 1 BATH)
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 11/9/010:00:00 14193 $250.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo
u.. 773 r i
z
Y
}
i t
r
{
""""„""w.'y
"way Sly
S
d
i R
a;
Any
7g v
Now
MA wa�A{ 1,
s
A out,
a
777,
� :TWQATV TWO
M OVA
lot 5
not WI
Woll
ik
� 5
u
F
p
7d
om
M
Al
i
ON
WWI
J � r s�'� •`fib av,� ,�, y - 3 s 'w�i�"" ,k.3`,.a�,
r„
ram
ply "juil
45 NORTHERN AVE BP-2002-0482
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map.Block: 25A- 148 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: ADDITION BUILDING PERMIT
Permit# BP-2002-0482
Project# JS-2002.0730
Est. Cost:
Fee: $250.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 060300
Lot Size(sq. ft.): 5009.40 Owner: TORREY ROSILAND&MARK STAPLES
zoaing UP Applicant: Valley Home improvement, Inc
AT. 45 NORTHERN AVE
Applicant Address: Phone: Insurance:
P O Box 60627 (413) 584-7522 Workers
Compensation
FLORENCEMA01062 ISSUED ON.11191010:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND F L R DORMER (3
BEDROOMS) & 1 BATH)
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:G1/ r' `� ' Rough: `2 �'v 1 House# Foundation:
Driveway Final:
Final: Final [� n
Rough Frame D! '
Gas: Fire Depart:n_nt Fireplace/Chimney:
Rough: Oil: Insulation: —lp -O/'�C
Final: Smoke:a Z-/7-1 6 AFinal:0X a_t K 4;?
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTT f6 4ATJ T=V OLAT1-Q F
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc Si nature:
Fee Type: Rece>< t No: Date Paid: Check N • Amoun .
Building 11/9/010:00:00 14193 $250.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo