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10D-015 (2) t I I : I � _ f i : 1 t I d , 1 i i 4 p lF � c I i ' I L � 1 11 K . d I I i I l +—_• ' I - : j re I l w �- i , JOB tt�1 .�i �O V0 N JEFFREY BOTT CONTRACTING CO. SHEET NO. OF 32 Pine Street FLORENCE, MA 01062 CALCULATED BY DATE (413) 584-9269 CHECKED BY DATE SCALE agnnmm_i rn,w.n ti-mm wwxirrmu-im,mwitprwmn..imrm u.«mom Tnnb wxwcmlmaixvmwuom I ©47 TVK f f J ,JCL ST( U tal4nw.�o g --� 0 <2-0 All '�wE2 o ' 3 _ JOB 'A JEFFREY BOTT CONTRACTING CO. 32 Pine Street SHEET NO. OF FLORENCE, MA 01062 CALCULATED BY DATE (413) 584-9269 CHECKED BY DATE SCALE OOMI I(T M]_f Orui�n��•CM:C10cIN11 N'i YI]�.t O.�n.n ]•cM:n��...��.r.. M..n��] ],.new..GuIWC]n i[OR.YIn.MV.¢]M I ©� \oJA TfK IA i � �.}crs►►rls ,Extsri� J Tj�a�A�w.�o 1 Ilk IV '�wE2 JOB VA JEFFREY BOTT CONTRACTING CO. 32 Pine Street SHEET NO. OF FLORENCE, MA 01062 CALCULATED BY DATE (413) 584-9269 CHECKED BY DATE SCALE Dpn111 Y'!77).1 iDrNN��•[M.C1 Opnf11 p'f M]A.1�DM�./�T ceVX1�_i.i.C.m..a+..D�/lf T+n./..DulIYC ini 1[p[i i.om_MCFDan I I I I I �. 1- f I I J , . 1 I � , , e . > I ii r • Lj- � rt - i : ,g i , I --r-- -— , -- —*-- +---? — —, J I i i 1 i i i I JOB e.11 �G.�1 Yp 1^ JEFFREY BOTT CONTRACTING CO. SHEET NO. OF 32 Pine Street FLORENCE, MA 01062 CALCULATED BY DATE (413) 584-9269 CHECKED BY DATE SCALE wawrrmT-ivwwirmFlVanurrmT4ii irarnn, new.m—nu»TllnwowcmiiMM14 .MM f Proposed Section Brown McNeis 104 Water Street Leeds, MA Main House 18'-6" 11'-13/4" 2x8 rafter 11'span 3.5"pitch 2x6 ceiling joist- 2-1.75 x 14 Ivl beam 15'span 2x4 wall framing i 15'-0" 11'-0" Jeffrey Bott ContrELcting Co. General Contracting and Renovation 32 Pine Street•Florence,MA 01060 413-5846251 Existing Section Brown McNeil 104 Water Street Leeds, MA Main House Kitchen Existing Porch Jeffrey Bott Contra ting Co. GenerL, .,,antracting and Rer ovation 32 Pine Street•Florence.MA 01060 413-5846251 i I Bath _ 6' x14' jCloset I j Kitchen Living room 15' x 25' Sun Space Bedroom 8' x 15' 14'x 15' ( Main House �— 26' x 42' i i � I I Porch ramp 3'x16' j 3 season Porch 11'x 15' I I Existing Floor Plan Brown McNeis 104 Water Street Jeffrey Trott Contractins; Co. Leeds, MA ----. General ContraC and Renovation 32 F'=Sbcd•Floe=k UA 01080 413-584-6251 Floor framing: existing add sleepers to level and R-19 insulation and R-8 foam Walls: Bath 2x4 wood frame 6'x14' 1/2"%ax sheating T R-15 fiberglass insulation Closet fiber cement siding 1/2" GWB interior Kitchen Living room Roof: 15'x 25' Main House 26'x 42' 2x8 rafters Sun Space Bedroom 2x6 ceiling joist 8'x 15' 14'x 15' Remove exterior wall, install lvl beam 5/8" cdx sheating — _ _ - _ — — — — = 30 year fiberglass roof singles Build new J season Porch R-38 fiberglass insulation 6'x6'porch �11'x 15' ----— Windows: Remove Porch ramp 3'x16' convert to heated Integerty double hung livil,g space ITDH 3060 U-.33 typ 4 ea. Door: Integerty french inswing IIFD 3068 U-33 Proposed Floor Plan ale C ®tt Contracting CO. Porch: Brown McNeis 2x6 pt framing 104 Water Street General Cont=Ugg and Renovation 5/4x6" composit decking Leeds, MA 32 Pine Sued a Plot w%NA01060 413-584-6251 and rail system Existing Section Brown McNeis 104 Water Street Leeds, MA Main House Kitchen Existing Porch Jeffrey Bott Contract ng Co. General cont wtbg and Renovation 32 pine Strout•F1=enM NA 01060 413-584-6251 Existing Section Brown McNeil 104 Water Street Leeds, MA Main House Kitchen Existing Porch Jeffrey Bott Contracting Co. General Contracting and Renovation 32 Pine Street•Flora=,MA 01060 413-5846251 Bath 6'x14' - - — — Closet i Kitchen Living room 15'x 25' Sun Space Bedroom 8'x15' 14'x15' Main House 26'x 42' 3 season Porch 11'x 15' Porch ramp 3'x16' Existing Floor Plan Brown McNeis 104 Water Street Jeffrey Bott Contracting Co. Leeds, MA General Contracting and Renovation 32 Pine Street•Fkwewe.MA 01060 413-584.6251 Floor framing: existing add sleepers to level and R-19 insulation and R-8 foam Walls: Bath 2x4 wood frame 6'x14' 1/2"max sheating R-15 fiberglass insulation Closet fiber cement siding 1/2" GWB interior i— Kitchen Living room 15'x 25' Roof: Main House 26'x 42' 2x8 rafters Sun Space Bedroom 2x6 ceiling joist Remove exterior wall, install lvl beam 8'x 15' 14'x 15' 5/8" cdx sheating _ _ _ _ _ _ - i _ = 30 year fiberglass roof singles j guild new, season Porch 1 R-38 fiberglass insulation 6'x6'porch /11'x 15' Windows: Remove Porch ramp 3'x16' convert to heated living space Integerty double hung ITDH 3060 U-.33 typ 4 ea. Door: Integerty french inswing Proposed Floor Plan IIFD 3068 U-33 Brown McNeis Jeffrey Bott Contracting Co. Porch: 2x6 pt framing 104 Water Street General Conbwttng and Renovation 5/4x6" composit decking Leeds, MA 32 Pine street•Fl°�,MA 01060 413-5846251 and rail system a Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(°F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurelfemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: H. Brown Page 4 of 4 Data filename:CAProgram Files\CheddREScheck\104 Water Street.rck Report date: 12/05/07 Duct Construction: All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavitiestspaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. 0 The HVAC system provides a means for balancing air and water systems. Temperature Controls: Lj Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Lj Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: Lj Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: F-I All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: Lj HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Page 3 of 4 R Project Title: H. Brown Data filename:C:\Program Files\Check\RESchecM104 Water Street.rck Report date: 12/05/07 CNJ( REScheck Software Version 4.1.2 Inspection Checklist Date: 12/05/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity+R-4.0 continuous insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor.0.330 For windows without labeled 1-1-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,1-1-factor:0.330 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity+R-5.0 continuous insulation Comments: Heating and Cooling Equipment: ❑ Boiler 1:Other(Except Gas-Fired Steam):85 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ When installed in the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts are insulated per Table J4.4.7.1. Project Title: H. Brown Page 2 of 4 Data filename:C:\Program Files\Check\REScheck\104 Water Street.rck Report date: 12105107 a CNJ( REScheck Software Version 4.1.2 Compliance Certificate Project Title: H. Brown Report Date: 12105/07 Data filename:C:\Program Files\Check\RESchedc\104 Water Street.rck Energy Code: Massachusetts Energy Code Location: Northampton,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 24% Heating Degree Days: 6404 Construction Site: Owner/Agent: Designer/Contractor: 104-6 Water Street Henrey Debbie Brown McNeice Jeffrey Bott Leeds,MA 01053 162 Main St Jeffrey Bott Contracting Co. Leeds,MA 01053 32 Pine Street FRlorence,MA 01062 584-6251 jeffbott @aol.com Compliance:0.0%Better Than Code Maximum UA:50 Your UA:50 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or ■.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 150 38.0 0.0 5 Wall 1:Wood Frame,16"o.c. 296 13.0 4.0 15 Window 1:Vinyl Frame:Double Pane with Low-E 50 0.330 17 Door 1:Glass 21 0.330 7 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 150 19.0 5.0 6 Boiler 1:Other(Except Gas-Fired Steam)85 AFUE Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. 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 1310 and J4.4. Name-Tifle Sign re Date Project Title: H. Brown Page 1 of 4 Data filename:C:\Prooram Files\Check\REScheck\104 Water Street.rck Report date: 12/05107 Brown 12-5-07 Leeds 11:13am loft KeyBeam®4.502g kmBeamEngme 4.502g Matenals Database 746 Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Top Standard Load: Moisture Condition: Dry Building Code:SBC Dead Load: 10 PLF Deflection Criteria: L/360 live, L1240 total 1.000"max. LL Live Load: 40 PLF Deck Connection: Nailed Member Weight: 13.8 PLF Filename: KYB1 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform(PSF) 0' 0.00" 15' 0.00" 13' 0.00" 17 40 Snow Additional Uniform(PSF) 0' 0.00" 15' 0.00" 13' 0.00r' 10 0 Live 15 0 0 i 15 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall N/A 2.553" 6701# 2 15' 1.750" Wall N/A 2.553" 6701# Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Snow 1 2763# 3938# 2 2763# 3938# Design spans 15' 1.750" Product:1 3/4x14 Versa-Lam 2.0-SP 3100 2 ply Component Member Design has Passed Design Checks.`* Minimum 2.55"bearing required at bearing#1 Minimum 2.55"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 25371.'# 33390.'# 75% 7.57' Total load D+S Shear 56684 107061 52% 076' Total load D+S TL Deflection 0.6545" 0.7573" L1277 7.57' Total load D+S LL Deflection 0.3846" 0.5049" L/472 7.57' Total load S Control: TL Deflection DOLS: Live=100% Snow=115% Roof=125% Wind=133% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives All product names are trademarks of their respective owners Copyright(C)1989-2005 by Keyrrark Enterprises,LLC.ALL RIGHTS RESERVED. "Passing is defined as when the member,floorjoist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design must be reviewed by a qualified designer or design rofess,onal as re wired far.a rovnl.This des,n assumes Moduct installalion accordiN to the manufacturer's specifications. p¢ O (rxty of 'Nazt4alliptan z I $ � jtTdassacttusefls �^ DEPARTMENT OF BUILDD,YG INSPECTIONS / INSPECTOR 212 Main Street • Municipal Building ' Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLE EMENT The State\detached usetts allows the homeowner the right u er 780CMR 108.3.4 to act as is s/ tion sup r,. :nor. The stale defines "Ho a wner" as, " Person(s) who owns which he/she resides or intends to b a one or two family dwelling, structures accessory to su use and/or farm structures. A person whs more than one home in a two-ye period shall not be considered a home own The building departmen or the City of Northan-pt „wants any persor.(s) who seek to use the home owner exem tion, to act as their o construction supervisor, to be aware that by doing so you becom responsible for c pliance with state building codes and regulations. The inspects n process requ' s that the building department be called to inspect work at various stage Nouzh hich incl de foundation/footings (before backfill), sonotube holes before our b ildin inspection before work is concealed). insulation inspection Nf r uired and a final buildin2 inspection,The building department requires these in actions before the work is concealed, failure to secure these inspections can resu in ailure to obtain a certificate of occupancy until the work can be inspected/ If the homeowner hires other t des to pe rm work (electrical, plumbing& gas) the homeowner will be responsi e to make sur hat the trades hired secure their proper permits in conjunction to e building permit i ued, and that they get their required inspections. Failure of e individual trades to s cure the permits and inspections as required can DELAY e project until such time the proper permits and inspections are made I, understand the above. (Home own r/resident's signature requesting exe tion) I will call to s edule, all required building inspections nec ssary for the building permit issued to me Date Addre of work locat' n 1 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/PIumbers Appiieaut iniorivadon -{-{- Please Print LeLylbiv Name(Business/Organization/Individual): V' 1 ` C-0 Address: City/State/Zip: ���1 CA- U✓1e4� - phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z 4. ❑ I am a general contractor and I.. employees (full and/or parf-time). * have hired the sub-contractors 6. 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 g. Demolition work':rg :;r me in any capacity. employees and have workers' insurance.$ 9.`�Building addition [No workers' comp.insurance comp. 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.❑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.] -_ *Kity app icant that checICS box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ATEf__)!��o 10 Policy#or Self-ins. L`ic. #:�W(C'v1� /� ��64 Expiration Date: Job Site Address: !OH E — c•� City/State/Zip: W4 >�DS 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 pain nd penalties of perjury that the information provided above is tr and correct. Si afore: Date: � _ Phone#: O G 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: L ` 6� License Number 37— - Gea ©53 (S? Address Expiration Date wt"o°C o l4 C. Signature TelephoneC 9.Re istered a fm "'iovgieient Contraafor_ a : �_ w Not Applicable ❑ �Acc_ (©lZZ-� Company Name Registration Number Address 1 cis / Expiration D to l ` Telephone a - ozs t SECTION 10 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.1521§;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......X No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied D inns of one(1) or two(2)families to allow such homeowner to engage an individual for hire who does not posses icense,provided that the owner acts as su isor.CMR 780. Sixth Edition Section 108.3.5.1. Definition o omeowner.Person(s)who own a parcel of land on whic a/she resides or intends to reside,on which there is,or is intended t a one or two family dwelling,attached or d ed structures accessory to such use and/or farm structures.A per-Son who structs more than one home in o-vear eriod shall not be considered a homeowner. Such"homeowner"-shall submit -Building Official; a form acceptable to the Building Official.that he/she shall be responsible for all such work verforme`&ynder theVnildiftP Dermit. As acting Construction Supervisor your prese e o ob site will be required from time to time,during and upon completion of the work for which this pe i is issued. AIso be advised that with reference to apter 152(Workers'Compens ) and Chapter 153(Liability of Employers to Employees for injuries not resultin in Death)of the Massachusetts General L,a'wa.Annotated,you may be liable for person(s) you hire to perform work for y under this permit. The undersigned"homeo certifies and assumes responsibility for compliance with the Building Code,City of Northampton Ordinance , tate and Local Zoning Laws and State of Massachusetts General Laws A ted. Homeowner Sim tore �. r � , SECTION 5-DESCRIPTION OF PROPOSED WORK(check all:applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[:1 Siding[0] Other[C7] - i Brief Description of Proposed �'�JVJ✓ ` t O CL -t-O Ll VI V S; S?4'C-`e-- Work: �- +el�G 5 'E., fJ[�ir'' _—_ -- ----- —_-- -._.... v Yes No P.!teration of existing bedrp�m yes /`� _ No -- Adding.new�edroom Attached Narrative Renovating unfinished basement Yes -1(, No Plans Attached Roll Shee sa fif i+le�nr hogs ndter addition to existing hoiis np` omptete_the#oTtowin'o: 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?_00 4/ d- Proposed Square footage of new CviiStriiCuvn. l J Dimensions i e. Number of stories? f. Method of heating? }{tJ� yJ+XC�'�� f'ireplaces or Woodstoves Number of each g. Energy Conservation Compliance. 1-4 iA= Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes o. s cons ru ion wi i es / _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 OWNERSAGENT OR.'CONTRACTOR APP LIESFOR BUILDING PERMIT. as Owner of the subject property 1 IFhereby authorize to act on my b in all matter ative t work authorized by this building permit application. 1�' Signatur f Owner Date , as Owner/Authorized Agent hereby declare th t 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 pena ties of perjury. � 2 Print Name Sign Afr/A�g�ent Date 1 I , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size -- - Frontage Setbacks Front — __/r _ Side L R: L:- Rr Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued/fo►�r/on the site? IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW 0 YES 1 IF YES: enter Book Page and/or Document#,__ B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 NO 8 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 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. .Department use only City of Northampton StatusbfPeftni Building Department CurbGutlDrtvewayPe�mit 212 Main Street lSeic aabrGtjr bx� ` Room 100 a Q(1c'11 1,radabil Northampton, MA 01060 Two Sets ofStructtarat°f'[ans phone 413-587-1240 Fax 413-58T'CZ;72- Site Rlans k Other'Sped 9 APPLICATION TO CONSTRUCT,ALTER,REPAIR;RENOVATE OR DEIIAOL H A QNE OR TWO FAMILY DWELLING SECT[QN 1 -'—SITE iNEORMAf16-1N -----] 1.1 Property Address: This section to be completed byof{fice i '5q W&T-, �;T�: "'Map. Lot �v +Unit L a.� ('A Zone Overlay District Elm St..District CS District , SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: E ov—A �-- , c. i c e— WO�A,I of -6T Name(Print) Current Mailin Address: Telephone Q siaKat re V 2.2 Authorized Agent: Name(Print)l Current Mailing Address: Sign t Telephone -- SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ,� L-71nnCD -(a)Building Permit Fee N j 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing �8,� Building Permit Fee 4. Mechanical(HVAC) � 5. Fire Protection 6. Total=0 +2+3+4+5) gC�O d Check Number Sy d This Section For Official Use Onl Date Building Permit Number-. Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-0563 APPLICANT/CONTACT PERSON Jeffrey Bott ADDRESS/PHONE 32 Pine Street FLORENCE (413) 584-6251 PROPERTY LOCATION 104 WATER ST MAP l OD PARCEL 015 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: CONVERT EXISTING PORCH TO LIVING SPACE&CONSTRUCT 6 X 6 PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053157 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 67 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. r BP-2008-0563 GIS#: COMMONWEALTH OF MASSACHUSETTS 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-2008-0563 Project# JS-2008-000855 Est. Cost: $13800.00 Fee: $69.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Jeffrey Bott 053157 Lot Size(sa.ft.): 26310.24 Owner: MCNEICE DEBRA L Zoning:URB Applicant: Jeffrey Bott AT. 104 WATER ST Applicant Address: Phone: Insurance: 32 Pine Street (413) 584-6251 Workers Compensation FLORENCEMA01062 ISSUED ON.1212112007 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT EXISTING PORCH TO LIVING SPACE & CONSTRUCT 6 X 6 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 12/21/2007 0:00:00 $69.005026 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo