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32C-206 (9) 17V/4Z' OL'/oz* OL'/oz, £L'/£z' £L'/£Z' EL'/Ez' €L'/£z' EL'/£z' £L'/EZ' EL'/Ez' £L'/Ez' £L'/£Z' £L'I£z' £L'/£z' L 60'/ZZ' 60"r ZZ' 60'/ZZ' 60'/ZZ' 60'/ZZ' 90'/6L' 90'/6L' 4o'/6L' 90'/8L' OL'/£Z' or/£z' OV EZ' OL'/£z' OL'r£Z' OL'/Ez' L' OL'/LZ' £L /6Z' EL /4z' CV/17z,90'/6L 9o'/6L L OL'/EZ' OL'IEz' 0V/£z' OV LZ' Or/£Z' 90'/Oz' 90'/OZ' 9 L'/9z' 9V/9z' 9V/9z' 9V/9Z' 9V/9Z' 60'/LZ' 60'1 Lz' 9L'/9Z' BL'/9z' RV 9z' Or 9z' SL'l9z' 8L'/9z' 8L'/Sz' 8L'/9z' 9L'/9z' V 60'/LZ' 60' Or BL'/Sz' 9L'/9z' BL'/9Z' 9L'/9z' 8L'/9Z' 8L'/9z' 8L'/9Z' 8L'/9Z' 8L'/9z' L' 60'/9L' 60'/9L' 60'/9L' 60'/9L' 9L'/zZ' 9L'/ZZ' SL'/ZZ' 9L'/ZZ' SL'/ZZ' 9L'/5z' 8L`/9z' 8L'/9z' 9L'/9Z' 8L'/9Z' 8L'/SZ' 60'/8L' 60'/8L' 9L'/ZZ' 9L'/ZZ' 9L'/ZZ' 9L'/ZZ' SL'/zz' SL'1ZZ, 60'/9L' 9L'/ZZ' 9L'/ZZ' SV/zz' SL'1ZZ, 60'/9L' 60'/9L' 60'/9L' 94'/ZZ' SL'/Zz' SL'/zz' SL'/ZZ' SL'/ZZ' SL'/ZZ' 9L'/zr 60'/8L' 60'/SL* SL'/ZZ' SL'/ZZ' SL'/ZZ' SL'/ZZ' SL'/ZZ' 9L'/ZZ' SL'/ZZ' SL'/ZZ' 9L'/ZZ' 60'!9L' SL'/ZZ' SL'/ZZ' SL'/ZZ' SL'/Zz" 60'/SL' 60'/8L' 60'/8L' 9L'/ZZ' 9L'Izz' 9L'/ZZ' 9L'/ZZ' 60'/OV 9L'/ZZ' SC/ZZ' 9L'/ZZ' SL'/ZZ' 60'/9L' 60'/SL' 60'/9V SL'/ZZ' GV ZZ' SL'/ZZ' OL'!OZ' 9L'/9z' 9L'/9z' 9L'/SZ' 9L'/9z' 9L'/9Z' 60'/9L' 60'/8L' 9L'/ZZ' SL'/ZZ' SL'/zz' SL'/ZZ' 60'/SL' 60'/SL' 9L'/ZZ' SL'/ZZ' SL'/zz' 9L'/zz' L' 60'/9L' 60'/8L' SL'/zz' SL'/ZZ' 9L'/Zz' 9L'Izz' SL'/zz' 60'/9L' 9L'/ZZ' 9L'/ZZ' 9L'1zz' 9L'/zz' 9L'/zZ' 60'/9L' 9L'/zz' SL'/ZZ' SL'/ZZ' SL'/ZZ' 9XZZ OLXLZ OLXZZ Z9X8 SLXLZ Of? 9EX9 LZXZZ 9EXZZ 9EXZZ 9EXOZ 9EXZZ 9SX0Z b9Xbl � I E== 0-� ❑ ■ ❑ ❑ I Door Collection/Glass Design IS I •s a er as sr ti tze c es 22x64 20x64 16x64 22x47 14x6 i 20x56 2206 Keystone- .25/.21 .22/.15 Blackstone .27/.26 .251.21 .22/.15 Crystalline- .27/.26 .27/.26 .25/.21 .22/.15 Sedona /. .27 TT 6 .251.21 Sedona Art .27/.26 /.26 1 .251.21 .221.15 Salina ' �':' .291.23 .25/.16 Element / Maple Par / .25/.21 .22/.15 AvoNea. / .26/.21 .22/.15 Sarat a.. 1• .25/.21 .22/.15 Ards / .251.21 .22/.15 Texas Star .25/.21 .22/,15 Non-Im aCt wellesle N / .25/.21 .251.21 .22/.15 p Concorden .25/.21 .251.21 .221.15 .22/.15 Kensington- / .25/.21 .22/.15 crystal Diamonds.. / /• 6 .251.21 .22/.15 .221.15 Frosted Images,, .291.25 .25/.18 .261.16 Prlvac IN* .25/.21 .25/.21 .22/.15 Clear Glass .291.25 .261.18 .25/.18 .261.18 Clear with Interns Blind .29/.25 .251.18 Clear wlthSlmtlated DIvlded Chas .291.25 .261.18 .26/.18 Clear w h Grilles Between as .30/.22 .29/.22 .261.16 .26/.16 Clear Low-E Glass .26/,14 23/.14 .231.10 .21/.10 .231.10 C e r Low-E with Irt.r.1 B Inds 1 .27/.17 .241.13 Clear low-E with S!mu ated Divlded Lftes /• .261.14 .23/.14 .231.10 .23/.10 Clear Low-E with Grl es Between Glass /• .251.12 .23/.12 .221.09 .221.09 Keystone- .29/.23 .26/.18 .23/.13 Blackstone .29/.23 .29/.23 .261.18 .23/.13 GrystalllneT. 29/23 1 .297.23 .26/.18 .231.13 Salinas,, .31/25 .28/.19 OF .201.10 Element / 8321 Premium Double Hung Air,Water,Structural Performance (per AAMANVDMA/CSA 101/I.S.21A440-05&08) mar. Water Air Size Structural Infiltration 2 Infiltration y Tested � Rating(DP) Pressure e H-R50 75.19 e 7.52 0.12 44 X 60 H-R30 45.11 6.06 0.12 54 X 70 H-R35(mull) 52.63 7.52 0.01 80 X 80 twin H-050 75.194 7.52 0.11 52 X 72 Im act Model Rahn -DP50,Large Missile Impact,Wind Zone 4,52"x 72"TTT Structural Test Pressure(psf)tested to at least 150%of DP rating 2 Water Infiltration(pst)tested to at least 15%of DP rating 3 Air infiiltrationunits=scfm/ft` 4 Requires"EP"upgrade SRequires reinforced rails upgrade 8321 Premium Double Hung Thermal Performance per NFRC 100&200 Unit u-value u-value FF Unit SHGC a Unit VLT s r Glass Type ---t-- ----i--- ----r--- r-- al - w»'w/Gods Nom'w/Grids 'w/Grids s w/Grids a Z `2 Clear insulating lass clear/clear Cr v Clear 0.45 0.45 1 0.43 0.43 1 0.60 0.53 0.62 0.55 Clear/ImpactIr 1 0.48 10.491 N/A I N/A 1 0.50 10.451 0.59 10.53 Standard Low E insulating glass(RLE 270 or Impact 7113812 low e/c/ear,surface#2) RLE 270 0.32 1 0.32 0.30 10.30 0.28 10.25 0.53 10.47 RLE 270/A on 0.28 1 0.28 0.26 10.26 0.28 1 0.25 0.53 10.47 RLE 7138 1Argon/Impact 11 0.34 0.36 071 1 0.33 0.28 0.25 0.51 10.46 F NG RLE 7138/Krypton/Impact 11 0.27 ' 0.29 N/A ' N/A 0.34 10.30 0.51 ',0.46 , Additional Performance Glass Options Low E insulating glass(RLE 6313112 low e%lear,surface#2) RLE 6331 0.31 ' 0.31 0.29 ' 0.29 0.24 '0.22 0.47 '0.42 RLE 63311Ar on 0.28 ' 0.28 0.26 ' 0.26 0.24 '0.21 0.47 10.42 RLE 6331/ArgoMmpact 11 0.31 ,0.32 N/A , N/A 0.31 ,0.28 0.46 ,0.41 G Reversed Low E insulating glass(clear/RLE 270 low e,surface#3)9 RLE 270 0.32 0.32 0.30 ' 0.30 0.35 '0.31 0.53 ' 0.47 RLE 270/A on 0.28 , 0.28 0.26 ,0.26 0.35 ,0.32 0.53 , 0.47 Triple insulating lass 270 low e%lear/270 low e,surface#2,#5 RLE 2701CLRIRLE 270 1Argon a 0.25 , 0.25 0.23 , 0.24 0.24 10.22 0.41 , 0.37 RLE 2701CLRIRLE 270/Blend 8,10 0.22 0.22 0.20 0.20 0.24 0.21 0.41 0.37 RLE 2701CLRIRLE 270 1Krypton a 0.20 10.201 0.18 10.18 0.24 10.22 0.41 10.37 s Solar Heat Gain Coefficient a Visible Light Transmission 7Optional Foam Insulation. F indicates EnergyStar qualification with foam insulation option. a Subject to glass size limitations G indicates EnergyStar qualification only with grids. s Low E coating on surface#3 to increase SHGC NG indicates EnergyStar qualification only without grids. 10 Blend for triple IG is Krypton in one airspace,Argon in the other. ,1 Laminated glass used in Paradigm Impact windows meets the requirements of ASTM C 1172 12 63131 Low E glass has a lower SHGC than 270. 8321 Premium Double Hung Acoustic Performance (per ASTM E 90-99 Glass Configuration STC Value Clear SS-Clear SS 29 Clear SS-114"Lami 33 Note:Some listed options may require special pricing and have extended lead times All data subject to change without prior notice Last Published:4/2/2013 V1� ME" i Y a i A .Y i sir PN G 1 1�Jftnn�44M � Oo Y Ly oCl aS -PG t15 e Moo 'oo.-A Q +' 1 i c e� Nv �� �y DEAF) )ZIus -t—a J �t a a �. � .tY As \ Fo.c ��f G��`a Q.'P-•J tv. ! !f-rte y r-G r� 0 Re v5ed LEr--r View Rt 1-1 T VI r,- 'E �+ r i �1 roe. •\ Ll ,` 0 , iwt Jell Vol 1 ri -aon uw+.un.v.. ewr:.r.' . .mrnewa., a IrY.S••:�.� "" t I ib i4� cl, -its h v u Vi �v d� c� 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size C1 Lo S Frontage Setbacks Front Side L: O�J R: /s2 L: �(�� R: 1 2� L: R: Rear a G G Building Height Building Square Footage � �� Open Space: (lot area minus building & paved a 3j parking #of Parking Spaces #of Loading Docks F i l l: \•1(��—— (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. _ Date: 10 / >'��-� Applicant's Signature NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W:\Documents\FORMSI original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 OCT 1 62013 j File No. rr,I. P,z» Ro a ONING:PER1VlIT�APPLICATION: r,or;,a,,-„.,;. pe or print all information and return this form to the Building Inspector's Office with the $15 Ming fee (check or money order)payable to the City ofNorthampton 1. Name of Applicant: .4 '' r- / Address: / /fm' !,l 's 4 Telephone: ��y /�� 7 9 9 2. Owner of Property: e ! !� P Address: Telephone: 3. Status of Applicant: Owner G�Contract Purchaser Lessee Other (explain) 4. Job Location: / �K 5W &6 r � ,, Parcel Id' Zoning Map# Parcel# District(s): In Elm Street District In Central Business.District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) . 5. Existing Use of Structure/Property: 80—M C 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): e x 't-� ► :J ��4�'1 ate\ �P � �Y f 0 r calA C tmxA 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON?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# 9.Does the site contain a brook, body of water or wetlands? NO L/ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained date issued: (Form Continues On Other Side) W:\Documents\FORMS\origins(\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/20D4 File#MP-2014-0039 kaTe , NEED APPLICANT/CONTACT PERSON BROTHERTON SCHIFFER ELYENA ADDRESS/PHONE 1 KARY ST (413)695-7199() PROPERTY LOCATION 1 KARY ST MAP 32C PARCEL 206 001 ZONE URC(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: ZPA-REPLCE PORCH W/LARGER ALL SEASON PORCH&RELOCATE DOOR& STAIRS 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 INFORMATION PRES,ENTED: 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 a IJ CO N F6kAA4 —y ZONING BOARD PERMIT REQUIRED UNDER: § -�D /�3 C6,(—,� (,T6-T6,A-C-4C,5_) Finding Special Permit V Variance* GHAWjC CP6ftJ Received&Recorded at Registry of Deeds Proof Enclosed Pd 2GK rt0 cc i0 Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management /iK , 14-�-� 0 - 101/17 ! 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 the Office of Planning&Development for more information. Northampton, MA Property Detail Page 2 of 2 Additional Features: Brick Trim: 0 X 0 Stone Trim: 0 X 0 Remodeling Data: Year Remodeled: 2011 Kitchen Remodeled (Y/N): Yes Bath Remodeled (Y/N): Land Data IFOutbuilding Info Square Foot Type Utilities Type FQ t Value no Prime information Site E]76,2 Type Qty Year Size 1 Size2 Grd Cond RG1 1�0� 1�360 ©0 [Acreage Type Street/Road Type Gres Value no no information information Sales Info Permit Info ate Type Price nE—] Date Permit # Price Purpose 04/30/2009 Land+Bldg 150,000 06/17/2011 1058 8,000 REMDL KIT http://www.northamptonassessor.us/noho/propertydetail.php?map_no=32C-206-001&pagec... 6/5/2014 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record Card New Search Properly ype Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map-Block-Lot: 32C-206-001 Zoning: Assessment: Location: 1 KARY ST Neigborhood: 16 Land: #Living Units: 1 Deed Book: 9791 Building: Class: R-101 Deed Page: 338 Total: Dwelling Information JFBuilding Sketch Style: Conventional Year Built: 1900 Story Height: 2 16 5 Attic: None 5 C ! 5 Basement: Full 5 13 Total Rooms: 6 7FUB 35 Bedrooms: 3 15 2FFIB 27 642 Full Baths: 1 Half Baths: 0 14 Exterior Walls: Asbestos Unfinished Area: 0 31 Ground Floor Area: 642 1R EFP 6 Total Living Area: 1284 6 56) Finished Basement Living 0 X 0 Area: Basement Recreation Area: 0 X 0 Woodburning Fireplace Addition Information: Stacks/Openings: 0 /0 Lower 1st Story JF2nd Story Metal Fireplace 0 /0 Basement One Story Frame One Story Frame Stacks/Openings: IFrame Utility Heat/Central A/C: Basic Open Frame Porch Heating System: Warm Air [=Enclosed Frame Porch Fuel Type: Oil Quality Grade: C- Physical Condition: Average Interior/Exterior: Same Condition/Desirability/Utility: AV Vacant/Dwell/Oby Status: Dwelling http://www.northamptonassessor.us/noho/propertydetail.php?map_no=32C-206-001&pagec... 6/5/2014 BERGERON RENOVATIONS & REMODELING A Division of N.R.Bergeron Drywall Contractor,Inc. 1106 EAST MOUNTAIN ROAD WESTFIELD MASSACHUSETTS 01085 PHONE: (413)568-0962 Mobile: (413)531-1033 MA CS #: 76686 MA HIC #: 103718 CT HIC#: 603077 For: Larry& Ellie Brotherton 1 Kary Street Northampton Anticipated scope of work to convert the three season porch into a mud room/office. • Support the existing roof structure • Remove the existing wall framing, door,windows, plank ceiling and plank floor. • Resupport the existing floor framing on new poured concrete piers,with 4"x4"pressure treated posts &beams. • Reframe the walls with 2"x4"construction, moving the door to the driveway end of the structure and reducing the number of windows to 4. • Reuse stone steps to the new door. • Add electrical; switched lights, receptacles and heat • Insulate the roof,exterior walls and floor with closed cell foam • Exterior vinyl siding and lattice • Interior 1/2"drywall on walls and ceilings • Finish trim package for doors, windows and baseboard. The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations - 600 Washington Street Boston,MA 02111 M y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Alp �d,,-J.- ,tT 17 c 91-11 "v Address: 1166 _70.,t4c, Re,,�/ City/State/Zip: 6,_—a-4(';a-/,/ A14-4 �'` ' `� Phone#: y/,3 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with /0 4. ❑ I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.'Z Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. E] We are:a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ( "� _ f /C F r J, / ) Policy#or Self-ins.Lie. #: 0 ✓✓G r F_N 2,Z-3 3 Expiration Date: 0'-// V Job Site Address: / kl-, ry S'1 City/State/Zip: I,4, 01 cl�o Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Si ature: �� �—�' Date: C7�, " /"Z— Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable £ Name of License Holder: _f± :- � '�r- 2J�' `l �' Cy� 3 ' 9 License Number �I�,� Address 0 R I Expiration Date ignat r Telephone 9.12egistered Home<Impr ovement'Contractor Not Applicable £ 's �� Company Name Registration Number r Address Q 3s Expiration Date Telephone 1113 �- 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. Home Owner:Exempt><oij 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. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors I7-1 Accessory Bldg. ❑ Demolition New Signs [0] D cks [[:] Siding–g Other[0] Brief Description of Proposed Work: Alteration of existing bedroom Yes 2�—No Adding new bedroom Yes 'X N Attached Narrative Renovating unfinished basement Yes _No Plans Attached Roll -Sheet 6a. if-New house'and'or addition to�existing.houslnu, complete the:following': a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 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 a " On Y\ as Owner of the subject property hereby authorize to act o y behalf, in all matters relative to work auWorized by fM building permit application. ign a of Owner Date (0 as Owner/Authorized Agent hereby decl a that the state ents 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 5ignatur 0 / t Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 71iis coliimn to be filled in by Building Department Lot Size Frontage Setbacks Front Rear Building Height Bldg.Square Footage 0110 Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces (volume&Location) A. Has a Special Permit/Vahance/Rnding ever been issuedfor/on the site? � � NO «_~�� DONTKNOM/ ��� YES v�~� � |F YES, date ioupdJ � IF YES: Was the permit recorded at the Registry ofDeeds? NO K ) DON7KNOVY YES C) _ ==- IF YES: enter Book Page and/or Document� �� �� B. Does the site contain a brook' body of water urwetlands? NO h�� DDN7 KNOW «~� YES �~� IF YES, has o permit been or need to be obtained from the Conservation Commission? Needstobeobtained »— \ Dbtained »~� Date ��� �_� ' . C. Oo any signs exist nn the property? YES 0 NO C�J |F 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 (ocation: ^ > E Will the construction activity disturb(clearing, g excavation,or filling)over 1 acre or\aU part ofa common plan ' that will disturb over 1acre? YES NO & IF YES,then o Northampton Storm Water Management Permit from the DPW im required. ^ — ' � ' r 5� Department use onl�r ,- k t � -_City of Northampton i i f hr r4 5� k a i fii� r 7 k it uilding Department Cttrl�Cut/Dr(ve+nrayFerrrslf t�` 3 7 212 Main Street SewerlSepticf�vairabllity` JUN 5 2014 — 1 � Room 100 eltRvatlablhty { � �/VaterfNt ---ICJ rthampton, MA 01060 Two 3ef`s of Struct�ufal Plans" �� Electrkc, N �Tnq --pka 41 -587-1240 Fax 413-587-1272 PIo/Site Plans"' L� y +N I~,IVr I�Ih -U W^..°'tllCbrRs APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office ' Map Lot Unit Zone .. � :,: Overla District ' Y _ Elm St District CB District SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.11 Owner of Record: CSa�P'*/ `�' �L_���, l�('<.o-'ft'r.P_r-t�;1/ f�..r=!- �-I•�P17_ Name(Print) Current Mailing Addr ss: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address C�a_�ht, zf'� / t' d;•'°a 3-5' J 5 6a igna Kur Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building �O (a)Building Permit Fee 2. Electrical 0 (b)Estimated Total Cost of / Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2014-1296 APPLICANT/CONTACT PERSON NR BERGERON DRYWALL CONTRACTOR INC ADDRESS/PHONE 1106 EAST MOUNTAIN RD WESTFIELD (413)568-0962 PROPERTY LOCATION 1 KARY ST c 2 `( MAP 32C PARCEL 206 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tyneof Construction: CONVERT 3 SEASON TO MUDROOM/OFFICE(SAME FOOTPRINT) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 076686 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR ION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management o . . n elay Signature o u ding 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. I KARY ST BP-2014-1296 GIs#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 32C-206 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv: renovation BUILDING PERMIT Permit# BP-2014-1296 Project# JS-2014-002178 Est. Cost: $22000.00 Fee: $132.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NR BERGERON DRYWALL CONTRACTOR INC 076686 Lot Size(sq. 1): 3702.60 Owner: SCHIFFER ELYENA P&MARK B Zoning: URC(,100)/ Applicant: NR BERGERON DRYWALL CONTRACTOR INC AT. 1 KARY ST Applicant Address: Phone: Insurance: 1106 EAST MOUNTAIN RD (413) 568-0962 WC WESTFIELDMA01085 ISSUED ON.61912014 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONVERT 3 SEASON TO MUDROOM/OFFICE (SAME FOOTPRINT) 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 Del? rtment 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 6/9/2014 0:00:00 $132.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner