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05-059 41. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22"x 30" is required to be located in an accessible place. It must be insulated,gasketed, and secured in place. Relevant items must be submitted to the building department for approvals before inspections and or Certificates of Occupancy can be issued. Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email address is: cmiller(c)_northamptonma.gov Thank you for your cooperation on ers. Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 26. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition requires a 16 GA 1 %" strap across the area and 6" beyond each side with 8- 10nd nails. 780 CMR R602.6.1 27. Dryer ducts must terminate outside of the building, have a backdraft damper, cannot include a screen, and require 3' clearance from windows. 780 CMR M1502.3 28. Dryer duct transition is limited to 8' of aluminum flex, must be exposed, and the proper UL listing. 780 CMR M1502.4.3 29. Dryer duct maximum equivalent length is 25' less 5' per 900 elbow or per manufacturer's specs. 780 CMR M1502.4.4.1, no screwed connections. 30. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4 31. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces and airtight doors. 2009 IECC 402.4.3 32. Fire and draft stopping shall be completed before rough inspection.Typical locations, top (ceiling) and bottom (floor) plates, soffits, and every 10'within enclosed cavities. 780 CMR R302. 33. Ignition barriers are required over all thermal plastics and must be in place before final. 780 CMR R316. 34. Dwelling/Garage fire separation. An attached garage (within 3' of main structure) is required to have%2" drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have%" drywall and the ceiling 5/8" drywall. 780 CMR R302.6 35. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity, which you must create. 36. Vapor retarders.Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier.An air barrier is intended to stop air flow(convection) a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99%of the moisture in a structure.This is evident every tirne one exposes fiberglass insulation and finds black insulation,which is dirt filter out of the air moving through the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 37. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 38. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:Thrul-oks are engineered for post attachment supporting a railing. Lateral attachment is required for each deck per section 502.2.2.3. 39. Smoke and CO detectors as required. 780 CMR R314 and R315. a. Smokes in each bedroom, within 10' of a bedroom door, and at the bottom of a stair leading to a finished floor above. b. CO within 10'of bedroom doors, at each level, for every 1500 sqft, (plumbing code in the mechanical room) Except if there are no fossil burning fuels. c. Heat detector in attached garage, and other large unfinished unconditioned spaces. 40. Closets beneath stair which have doors must be drywalled with%". 780 CMR R302.7 13. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 14. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. I-joist and or Floor Truss c. Roof truss 15. All I-Joist need to be protected from fire with%drywall or 5/8 wood structural panel. (R501.3) 16. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. PNEUMATIC nails must be full headed with the temper and shank sizing meeting the strict code requirement. 17. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep perforate the sheathing weakening it and contribute to building damage in high wind events. 18. Ceiling heights minimum 7'for habitable spaces, 6'8"for bathrooms includes tub/shower area if a shower head is used, 6'8" for basements, 6'4" at beams/ducts. 780 CMR R305.1. MA amended 19. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs,spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4 20. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 21. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft at 15t floor. Minimum clear opening 20"x24"or 24"x20".780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7 3/" from the top of the threshold and only in-swinging doors. 780 CMR R311.3 22. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 8%", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8"on balustrade, 6" in the triangle. Graspable rail 1%" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. Rails must be continuous and returned to the wall if not to newel post.780 CMR R311.7. 23. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36",4"sphere rule.780 CMR R312.1. 24. Floor joist systems that are not equal to 1 %" nominal dimension must be covered with %" drywall or 5/8" wood structural panel or equivalent with some exceptions. 780 CMR R501.3 25. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole. Notches are different. City of Northampton r Massachusetts j y DEPARTMENT OF BUILDING INSPECTIONS ;r a r� 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Timothy Seney June 13, 2014 43 Country Road Huntington, MA Subject Location: 341 Audubon Road Map Block: 05-059 Mr. Seney, Your building permit application dated 5-23-14 and plans dated 6-11-14 have been approved as drawn and per this memo.All work must meet all applicable codes whether noted or not included within this memo. Please follow up on the following items: These items will need to be accomplished as the project moves forward and before rough inspections; 1. Fireplaces require airtight glass doors and ducted/dampered makeup air 2. HERS final ratings, duct blast results, and a signed Thermal Bypass Checklist. Note August 16th 2013 begins the newest energy code 2012 IECC with MA amendments with a concurrency period until July 1, 2014 and an expectation of a new Stretch Code. As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes. Read only international codes are available on line at http://publicecodes.cVberregs.com/icod_one must also consider the MA amendments to these codes which can be found at.www.mass.gov/dps/bbrs . The current relevant building codes are: 2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 or 2012 IECC,AA115, MA amendments. 1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group I soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. 5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be%" and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. 8. Emergency escape is required out of every basement whether habitable or not. 780 CMR R310.1 9. Crawl spaces can be treated in three different ways, vented (poor idea), exhausted (similar to exhaust only systems), or treating the space with supply and return. See 780 CMR R408 10. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8-16nd common are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is required with a load path to the foundation. 11. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/3rd 780 CMR R802.3.1 12. Ridge boards must be the full depth of the cut. 780 CMR R802.3. Howard Laboratories 62 Main Street — Hatfield, MA 01038 Tel. (413) 247-5533 Fax (413) 247-9599 WATER ANALYSIS REPORT Henshaw Well Drilling Invoice Number, 17340 Client: TimSeney Sample Location: Audobon Rd, Leeds Audobon Rd, Leeds Date Sampled: 5-7-14 Date Received: 5-7-14 MA DEP/EPA Maximum Parameter Sample Result Comments Contaminant Limit (MCL) Total Coliform Bacteria§ Absent Absent OK E. colA Absent Absent OK § Microbiology Certification #: M-00851 for Total Coliform& E. coli(SM 92236-Colitertg) .......... Additional Water Quality Parameters — Primary Drinking Water Standards Parameter Sample Result Detection Limit MA DEP/EPA MCL Comments Nitrate 0.6 mg/L 0.1 mg/L 10 mg/L OK Nitrite 0.014 mg/L 0.001 mg/L 1 mg/L CK ............................................... Secondary Drinking Water Standards Color 7 PtCo Color Units I PtCo Color Units 15 PtCo Color Units OK Iron 0.12 mg/L 0.01 mg/L 0.3 mg/L OK Manganese 0.010 mg/L 0,001 mg/L 0.05 mg/L OK Sodium 3.0 mg/L 1 mgjL 20 mg/L OK pH 6.68 pH units 0.01pH unita 6.5 to 8,5 OK Conductivity 0.12 ms/cm 0.1 m S/crn No Standard No Standard Turbidity 1.98 NTU 0.5 NTU No Standard No Standard Chloride 30.0 mg/L 0.1 mg/L 250 mg/L OK <50 soft Hardness 75.0 mg/L 1mg/L No Standard >100 hard Parameters marked with an asterisk are above acceptable MCL. For new wells most of the parameters that are over the limit should decline to below MCL after a few weeks. Analyst: SBH Date: 5-8-14 Application for Disposal System x,50.0© Construction Permit � 5 Form 1A #.'A gu ment The undersigned agrees to ensure the construction and maintenance of the aforadescribed on-aft sewage disposal system in accordance with the provisions of Tide 5 of the Environmental Code and not to pfd the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signaturo �DaitA--- ! - - Application Approved Name i?ate tre Application D! rovad for the following reasons: 212 MAIN STREET MA 0106ti 0.8yartem VNIPW=Ud famm ant"dry in That the sewep ditpowi system wart fnsta W Jot WW4=W whb ds epr vvod p1m aad We 1 2).of this is it rotm with the S.A.S.ow4ovowd in Tide 5 fM the SysM Daripw mad OWAW a boom of do Wwavubd ampisarbdta 9fdw IUL 4 No thingo on be prior by both do Syska aar Dwisaw H etad 6*Bowd of Bu titAgaaL t5tbrmta.doc•06103 Application for D4ml System Conetmddion Permit•Pop 3 or 3 #� PERMIT WAIVER APPLICATION City of Northwupton Departn ent of Public Worim 1,Project/Site/Owner Information Project/Site Name: 341 Audubon Road - Lot I Project Street/ Location: 341 Audubon Road - Lot Assessor's Map/Parcel(s): 05105 Owner's Name: Elizabeth vizentin fi Barrett Newaome Owner's Phone: 413-727-3835 Owner's Address: 195 Kennedy Road, Leeds, 01053 Applicant's Name: same as owner Applicant's Phone: Applicant's Address: Total Lot Size(Ft 2): 592,717 Estimated Area to be Disturbed(ft2): 41,850 2. Waiver Type The project described above is exempt from meeting the stormwater performance standards as outlined in the Northampton Stormwater Management Ordinance(Chapter 22 Article 5) for the fallowing reason(please check one): El Land Disturbance will be less than one acre.Construction activity on sites with an overall area greater than one acre must attach written certification by a registered professional engineer or registered land surveyor that the land disturbance will be less than one acre. Q Agricultural activity that is consistent with an approved soil conservation plan prepared or approved by the Natural Resource Conservation Service. Logging activity that is consistent with a timber management plant approved tinder the Forest Cutting Practices Act by Massachusetts Department of Environmental Management. Additions or modifications to existing;single fancily structures. Q Emergency Activity that is immediately necessary for the protection of life property or the envirournent,as detennined by the Department of Public Works. ® Discharges into soil based systems or isolated low areas which will not overflow into a surface flow and has been demonstrated to have a minimum of four-month residence time between discharge point and any waters of the United States by a certified professional soil scientist,hydrologist,or registered professional engineer.Attach certification. Pro gcts permitted and approved by the City or Northampton prior to the effective date of this ordinance, which.is June 17.2004. 4. C+erfirication I herby certify that the information contained herein including all attachments is true, accurate d complete to the best of my knowledge. � )Jrw rer's k nalure )ragrx Applicant's Signature Dole Home Energy Rating Certificate Rating NuumbeID r Regimber HERS-283 Certified Energy Rater Matt Turcotte 341 Audubon Rd Rating Date 5/20/14 Northampton, MA 01053 Rating Ordered For Estimated Annual Energy Cost Use MMBtu cost Percent 5 Stars Plus - Projected Rating Total 131.7 $5235 100% HERS Index: 64 Projected Rating: Based on Plans - Field Confirmation Required. General information Criteria Mechanical Systems Features This home meets or exceeds the minimum criteria for the following: Building Shell features Lights and Appliance Features The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REWRate - Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. 0 1985-2014 Architectural Energy Corporation, Boulder, Colorado. Page 2 of 2 Home Energy Rating Certificate 341 Audubon Rd Northampton, MA 01053 Estimated Annual Energy Cost 5 Stars Plus - Use MMBtu Cost Percent P r / / Heating 86.9 $3248 62% Projected Rating � 7 �3//T Looting 3.2 $162 3% HERS Index: 64 ((( Hot Water 13.2 $490 9% Projected Rating: Based on Plans - Field Confirmation Required, Lights/Appliances 28.4 $1336 26% General Information Photovottaics -0.0 $-0 -0.0 Conditioned Area 3128 sq. ft. House Type Single-family detached Service Charges $0 O% Conditioned Volume 37639 cubic ft. Foundation Conditioned basement Bedrooms 3 Mechanical Systems Features Heating: Fuel-fired air distribution, Propane, 95.0 AFUE. Cooling: Air conditioner, Electric, 14.5 SEER. Water Heating: Instant water heater, Propane,0.95 EF, 0.0 Gal. Duct Leakage to Outside 187.67 CFM25. Ventilation System Balanced: ERV, 78 cfm, 74.0 watts. Programmable Thermostat Heat=Yes; Coot=Yes Building Shell Features Ceiling Flat R-38.0 Stab R-0.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor R-40.5 Vaulted Ceiling R-29.0 Window Type U-Value: 0.300, SHGC: 0.220 TITLE Above Grade Watts R-21.0 infiltration Rate Htg: 3.00 Clg: 3.00 ACH50 Company Foundation Walls R-20.0 Method Blower door test Address City, State, Zip Lights and Appliance Features Phone# Percent Interior Lighting 80.00 Range/Oven Fuel Natural gas Fax# Percent Garage Lighting 80.00 Clothes Dryer Fuel Electric Refrigerator(kWh/yr) 575.00 Clothes Dryer EF 3.01 Dishwasher Energy Factor 0.66 Ceiling Fan (cfm/Watt) 0.00 The Home Energy Rating Standard Disclosure for this home is available from the rating provider. REM/Rate- Residential Energy Analysis and Rating Software v14.4.1 This information does not constitute any warranty of energy cost or savings. C 1985-2014 Architectural Energy Corporation, Boulder, Colorado. � Z Y � � � j�lassacfFzrscffs y DEPARTMENT OF BUILDING INSPECTIONS ( ; 212 Merin Street • -Municipal Building ;INSPECTOR Northampton,MA 01060 LOCATION SQUARE FOOTAGE AMOUNT BASE&MNT @ 1sT FLOOR.@.50 A y t - ND FLR FLOORS, FINISH ATTIC(PARAGE g.20 DECK/PORCHES @ .20 TOTAL. 1 . City of Northampton � � Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 3 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made 1, understand the above. (Home owner/resident's signature requesting exemption) will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): f/��( Fi✓,�y Address: ' City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.R1 I am a employer with / 4. ❑ 1 am a general contractor and I employees (fuiLand/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working or me in an capacity. employees and have workers' g Y p �'• 9. F-1 Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 131-1 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: 111/6-1 Policy#or Self-ins. Lic. #: 1�2G"yc,ci L/Z `/ Expiration Date: �C Job Site Address: f%/ /�.�i � � > i�.�r�S City/State/Zip: 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 painfa�ngpenalties ofperjury that the information provided above is true and correct. Signature: Phone# /7 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: `� �i�i 1 �/ License Number Address Expiration Date 7�r Signature Telephone 9 Registered Home'Imiirovement"Contractor Not Applicable £ L-7" Company ame Registration Number Address Expiration Date Telephone7.% 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 e ...... £ No...... £ ll: Home,Owrier``Exemption 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 rime,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 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding(PI Other[0] Brief Description of Proposed cTW Work: ljiwo Z SA&Y' tCS✓rYIC i'i �Jivr iCCS Alteration of existing bedroom Yes No Adding new bedroom Yes No A auative Renovating unfinished basement Yes No Plans ttached Poll '-,Sheet 6a;If New`house'and,or addition to'existinq housing, complete the>foif"inc a. Use of building:One Family '>e' Two Family Other b. Number of rooms in each family unit: 7 Number of Bathrooms c. Is there a garage attached? vx5 d. Proposed Square footage of new construction. ?C?J Dimensions e. Number of stories? f. Method of heating? __Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. f"t` Masscheck Energy Compliance form attached? y�} h. Type of construction i 0,J FtedHX i. Is construction within 100 ft. of wetlands? Yes _''X No. Is construction within 100 yr. floodplain Yes � No j. Depth of basement or cellar floor below finished grade 1, �/Z i% 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 as Owner of the subject Prop y hereby authorize 7�✓t�- to act on behalf,in all tters relative to work authorized by this building permit application. Signatu^re of Owner Date as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. >Y ra kL i✓ Print Name Date Signature of Owner/Agent ' ^ Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning nis coltznn to be filled in by Building Department Frontage Setbacks Front Rear Building Height Bldg.Square Footage 0/0 Open Space Footage % (Lot area minus bldg&paved E-77] #of Parking Spaces A. Has a Special Permit/Variamce/Finding ever been issued for/on the site? NO t���/ DONTKNOW YES IF YES, dateissue& � IF YES: Was the permit recorded at the Registry of Deeds? NO �� DON7KNOYY YES �~� IF YES: enter Book Pag and/or Document# �� K. Does the site contain a brook, body of water orvmtiands7 NO ��/ DONT KNOW ��, YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tobeobtained '~� Dbtained »—� Date \_� �~� ' �� C. Do any�gnsm�st on the property? YES ��, NO IF YES, describe size' type and location: D. Are there any proposed changes toor additions uf signs intended for the pmpe� 0 y� YES NO IF YES, describe dre' type and location: ( ' E. Will the construction activity disturb(clearing,gradingexcavation,or filling)over 1 acre orisit part ofanommnnplan ' that will disturb over 1 acre? YES NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. — `` De art n e only tl n I i ity of Northampton Sfatus ofPermtt p me t us � 5 t ilding Department Gtrr6 CutlDrivevua'y Permit t 6 �, r 2014 12 Main Street sewer/ epticAvalCablltty Room 100 �er/We1CAvailab hty --A: &Gas inspe S ampton, MA 01060 Safs of5#ructuTal PlaFis Electric Plumbing 7-1240 Fax 413-587-1272 PIof/Slte Plans "� ' Northampton, a E I Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unj L; Zone Overlay District EIm St District :. CB Distract . SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner off Record: J, Name t) Current Mailing Address: Telephone Sign 2.2 Authorized Agent: Name(Print. Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building �� i,CtL j (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of tJG)Cr' Construction from 6 3. Plumbing - �, Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection it clv 6. Total=(1 +2+3+4+5) ,� G`CrLr Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: — Building Comm issioner/Inspector`of Buildings Date File#BP-2014-1245 APPLICANT/CONTACT PERSON TIMOTHY SENEY ADDRESS/PHONE 43 COUNTY RD HUNTINGTON (413)667-0230 (� o"'1 '�' PROPERTY LOCATION 341 AUDUBON RD UAA- MAP 05 PARCEL 059 001 ZONE RR(94)/WP(15)/ P c0 Lk C T Pj N d C,- THIS SECTION FOR OFFICIAL USE ONLY: N r PERMIT APPLICATION CHECKLIST 1C0 rc- ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid S Typeof Construction: CONSTRUCT 2 STORY SFH W/ATT GARAG/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 061088 �G Fleet,,ton/3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of uil mg 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. 341 AUDUBON RD BP-2014-1245 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 05 -059 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2014-1245 Project# JS-2014-002098 Est.Cost: $600000.00 Fee: $1836.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TIMOTHY SENEY 061088 Lot Size(sq. ft.): 595029.60 Owner: NEWSOME BARRETT Zoning-: RR(94)/WP(15)/ Applicant: TIMOTHY SENEY AT: 341 AUDUBON RD Applicant Address: Phone: Insurance: 43 COUNTY RD (413) 667-0230 HUNTINGTONMA01050 ISSUED ON:611312014 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY SFH W/ATT GARAG/PORCH 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 6/13/2014 0:00:00 $1836.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner