17C-024 -NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
E
z
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
M#ONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED CAN
T HE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER DEPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY
—NOTE—
SURVEYOR: �... ...�.�i.�.,
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
—MOffQ,6QE LQ6N lNSEECTIQN PLAT-�
of
RAN PREPARED FOR
E. a ;:GEORGE W. KRIEBEL, jR
1fZ
t�nERTpa+�y 1 NOVEMBER
"' HAROLD L. EATON AND ASSOCIATES, INC.
r-12 �
E03..Z �E N_�?VSE
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-RbOM Rdc m
r,
M' 41 BAD
aN
YM+,_
*YAQT> FOR
AA
• 4�IE`�1C ; p,VENIJC*` O`L6§t-kCF CASKE-r (tO.
t,4 AT
KING AV MP-2004-002.9
O E A L"I'll F ' S AC .T TT'
CITY OF NORTHAMPTON
\`'ap- 17 c
ZONING PERMIT
t';Mm t,r {f' si4 009 RE"1011ISSION IS HEREBY GRA N ITV TO.
Coll gractor:
gg�� c� i g^p'p 4 g g y @ g;,�^ ON: ..Y.,�.�.�...�.bz,..,.�...«�..,.�..». s, }fir,q ! {
�+.Sx R4,:YL.D OA {.� '`C_`�l {;.i:' 15 T ..'4"AFED E�:/1l�$ �A..A.:tR [.�(af�.
THE FOLI-MVING14-ORK:
1-111S PE'RMIT MAN" HE REVOKEDBYTI-11, ('11 Y Ou"NOR U1iAN, 111T(,)N UPON VKWATIONN 0,11'
'ANY OFFFS RULES AND RE(11,11,8,,TIONS
R,.ceivt Nw Date ilaid. Check No—, kits rttt>s:
,. ri rc. ,it ei C CuC� ..�
�.I �,h�'1 IF,�„' ti u...,.,.�.. 3=4� 7; ,� , r! ��
r
• Insulation/vapor barrier: recycled cotton batts w/6 mil poly vapor barrier. Walls
insulated to minimum R-19; ceiling/roof to minimum R-30, floor at ovP�.tA
minimum R-19.
• Interior wall/ceiling surfaces: '/2" drywall at walls and ceilings; moisture resistant
board(greQnboard) as required in bathroom. Walls and ceilings finished smooth.
Work includes (1) coating of white primer paint.
• Interior doors: (4) solid wood panel, new or used. Cost is for fitting new doors—used
doors may require more time (and expense) to install.
• Interior trim/woodwork: door/window jambs, casings, sills, aprons, plinths,
baseboards, closet shelf/pole, etc. to be of select grade white pine or better.
• Wood flooring: 3-1/4" fir T&G strip flooring installed using 2" flooring staples @ 8"-
10" intervals; sanded and finished in place—min.(3) applications of finish.
• Tile flooring: floor grade tile thinset-bonded to min. I/4" Durock or similar cement
board attached to sub-floor w/coated screws @ min. 6" triangular spacing.
Specifications
• Foundation: (3) 12" sonotubes w/ 30" fan-footings placed min. 4' below grade.
• Columns: (3) structural 6"x 6" treated posts encased within 1"x 8" cedar stock.
Includes detailing such as chamfered or coved edges; enlarged bases; crown or cove
at column tops; brackets between columns.
• Floor frame: 2"x 12" spruce @16" o.c.
• Sub-floor/decking: 3/4" T&G plywood installed w/polyurethane adhesive and 8d
galvanized ring-shank nails.
• Wall frame: exterior walls-2"x 6" spruce @16" o.c.; interior walls-2"x 4" spruce
@ 16" o.c.
• Exterior wall sheathing: '/2" CDX plywood installed w/ 8d galv. ring-shank nails.
• Roof/ceiling frame: 2"x 8" spruce rafters @ 16" o.c.; 2"x 6" spruce ceiling joists @
16" o.c.
• Roof sheathing: 5/8" CDX installed w/ 8d galv. ring-shank nails.
• Roofing: 30-year architectural grade w/GAF or similar"water and ice" barrier
installed at downside overhangs and valleys.
• Exterior trim: (fascia, soffits, frieze, corners, window casings) 1"x
primed/backprimed stock. Cut ends/edges to be primed prior to installation.
• Sidin ouse wrap: Canadian white cedar shingles(installed using existing sidewall
shingle'spacing) over Tyvek or similar building wrap material.
• Windows: (2) 30"x 60"(approx.)double-hung aluminum or pvc clad windows by
Andersen, Pella, Harvey or similar; (2) 24"x 24" (approx.)operable aluminum or pvc
clad octagon windows. All windows include screens.
• Skylights: (2)2'x 2'-3' nominal (approx.) operable by Velux or Andersen.
• Plumbin heating: new supply/waste/drain/vent piping and necessary modifications
to existing plumbing system components to accommodate installation of new 3-
fixture bathroom. Work includes installation-of 2-piece toilet; 2-piece pedestal sink
and faucet set; pre-fabricated shower floor, walls, enclosure, and mixing
valve/controls and shower head;steam leg from existing heating system to
accommodate (1)new radiator location. Does not include cost for new radiator unit.
• Electrical: New 100A- 150A service breaker panel(capacity limited to existing
service cable size); outlets and lighting locations per NEC (National Electric Code)
requirements or better; exhaust fan/light(12"-round 110 cfm fan w/light and night-
light by Nutone;timer switch to activate fan); (4) switched lighting locations
(bathroom wall over sink, closet, bedroom ceiling,existing bedroom ceiling);{1)
phone jack location; (3) 20A outlets for AC units(1 at new bedroom, 1 ea. at two
existing bedrooms); (1)GFCI outlet at new bathroom;new circuit(s) as required for
new work; (7) interlaced smoke detectors located throughout existing and new living
space per NEC and local requirements. Includes $260 allowance for lighting fixtures.
a
Y
-
� � � i � !� 9 �....»aw.maw ww:.•s.+-an..'n*�o-:ar.+.��rtw..�mnaerv�'. � ' - .. ,_�_.»
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Im
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5 King Ave.
Florence
R..
R ! F F t
i
i
i
North Elevation
3/i6" T
5 KkV Ave.
� k i
k�.
South i
w� e
n
5 19rq lam.
Fk nco
F11
Ell
w
East Elevation
311 ' i'
CLOSET
n n ,
I, I
EXISTING BEDROOM
ii 2nd Floor
— 3/16" = 1'
(,SD)
i
DOWN
n --
CLOSET
CHIMNEY
D
SD) EXISTING BEDROOM
i
�...
SDI VIII
EXISTING BEDROOM
EXISTING
BATHROOM
CLOSET
l
I I �
L (SDI
PROPOSED a
BEDROOM and BATHROOM
12'X 20'(approx.)
I III l' -
il
CLOSET
� III
4 �
'
~
CLOSET
DEN i
LIVINGROOM
LAUNDRY
UP EXISTING DECK MUDROOM SUNROOM
`
Table 1: Minimum Insulation Thickness for Circulating-Hot Witter Pipes.
Insulation Thickness in Inches by P ,S�i e
Heated Water Non-Circulating Runouts Circulating Mains and Runouts
Temperature(F) _ Up to 1" Up to 1.25" 1.5"to 2.0" r2"
170-180 T— 0:5 - LOL L5 2.0
140-160 D.5 0.5 1.0 --1.5
100-130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipa&
Fluid Temp. Insulation.Thickness in Inches by Pike Sizes
Piping Systera Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4"
Heating Systems
Low Pressure/Tempwrature 201-250 1.0 1.5 _15 2.0
Low Tempeotura 120-200 0.5 1.0 1.0 1.5
Steam Condensate(for feed water) Any 1.0 1.0 L5 .1.0
Cooling Systepns
Chilled Water,Refrigerant, 40-55 0_5 0.5 0.15 _10
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD(Building Department Use Only)
[ ] I Joints,penetrations,and-all oiher_such_Openings in_the buildin nvelope that are snnrces nfair
leakVe-mustbe sealed_
[ ] I When installed-in the building.envel%x,_recessed lighting fixtures
shall meet am of the followingrequirements:
1. Type IC-rated,manufactured with no-penetrations between the inside of the-recessed fixture
and aciling 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 than2.0_cfm fO.944
L/s)air movement from the the-conditioned space to the ceiling cavity.. Thelightingf tore
shall have.heen tested.at 75 PA or 1.57 lbs/ft2.pressure.differenceand shall..belabch-A
I
Vapor Retard,
[ ] I Required on the warm-in-winter side of all non-vented-framed ceilinigs,walls,and floors.
Materials Identification:
[ ] I Materials and equipment must be identified so that compliance-can,be-determined.
[ ] ( Manufacture-manuats for all installed heating-and cooling equipment and service water heating
equipmantsauLbe provided.-
[ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications.
I
Duct Insulation:
[ ] I
DuctsshalLbe-insulated per Table J4.4.7.1.
Duct-CossUmction:
[ ] I All accessiblejoints,seams,and connections of supply and return ductwork located outside
conditioned-space;includw&studbays or joist cavities/spaces used.to transport air;shall be.sealed.
using mastic and fibrous backing tape-installed according to the manufacturer's installation
insbiw.:.,� Mesh tape-may be omitted where gaps are less than 14 inch. Duct tape,is not permitted.
[ ] I The HVAC ystem must provide a_means for balancing air and water systems.
I _
Temperature Controls:
[ ] I Thermostats are required for each separate HVAC system. A manualuautomatic.means io
partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment-Sizing:
[ ] I Ratedoutputcapacity,of I tiuglcooling system is-not greater than 125%of the design load as
specified in Sections 780CNM 1310 and J4.4.
I .
Circulating Hot Water Systems:
[ ] I Insuhue<circulatiing hot water pipes to the levels in Table 1.
I
Swig pools:
[ ] I All heated swimming pools must have an heater switch and require a cover unless over 20%
of the heatingenergy is from non-depletable sources. Pool pumps require a time clock.
I
Heating and Cooling Piping Insulation:
[ l I I4VAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the
levels in Table 2.
REScheck Inspection Checklist
Massachusetts Energy Code
REScheck Software Version 3.5 Release lb
DATE: 11/12/03
TITLE: George Kriebel, 5 King Avenue,Florence,MA 01060
Bldg.
Dept.
Use
I
Ceilings:_
[ ] I 1. Ceilin&L lat Ceiling or Scissor Jms R-30-0ravit3 insu ation
Comments:
I
Above-Grade Walls:
[ ] I 1. Wall 1:Wood Frame; 1W. oc.,R-19.8 cavity insulation
Comments:
I
Windows-
[ ] I 1. Window-:Wood Frame:Double-Pane-with.Lovs E,U_n factor:0.033
For*indows without labeled U-factors,describe,features:
#Panes Frame Type Thermal Break?j ]Y-es_[ -]_No -
Comments:
[ ] I 2. Windpw2 Wood Frame-Double Pane withLowE,UAactor-- 0.033
For vy?indows without.laheled-U-factors,describe features:
#Par}es __._ Frame Type Thermal B.r_eak2j ]Yes-1 -]No
J Comments:
[ l i 3. Windpwa- Wood F_rame:DoublePan . U-factor:0.034
For windows without labeled U-factors,describe features:
#Panes Frame Type Thermal Break?_1 __]Yes_j -].No
Comments:
[ ] ( 4. Winer w.4- Wood Frame DDouble Pane,ll-factor:4 034
For*inflows without labeled.U-factors,describe features:
#Panps ._ Frame Type Thermal Break?j ]Yes-1 No
Con euts;
I
Skylights:_
[ ] I 1. Skyli 1:Wood Frame:Double Pane._withLow-E,_U-factor:_0 036
For sLyll"ghts without labeled U-factors,describe features:
#P }}e� _ Frame Type _Thermal Break?_j _j Yes_j A_No
Commme -.
I —
Floors:_
[ ] I 1. Floorl:�ll-Wood loist/Truss:Over_Girtside.Air,.R25_Q-cavitv-insilation
Comments,:
I —
Heating and Cooling Equipment:
Boi4w l:-Gas-FiredS -7S AFLiE or Uigher
Make and Model Number
I
COMPLIANCE STATEMENT: The proposed budding-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.Mssachusetts Energy Code requirements•in REScheck Version 3.5
Release lb (formerly MECcheck)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 Desigu.Conditions found.in-the Code- TheUNAC equipment selected_to,he-at or,cod
the building shall be no greater than 125%of the design.load,as-specified in Sections 780CMR 1310 and
J4.4.
Builder/Designer Date / /?00
Permit Number
REScheck--C-omptianee Ctrtificate pecked By/Date
Massachusetts Energy Code
REScheck Software-Version 3.5 Release-lb
Data filename: C:\Program Files\Check\REScheck\Kriebel.rck
TITLE: Geode Kriebel,5 King Avenue,Florence,MA 01060
CITY:Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION-TYPE: I ox2Family,_Detached
HEATING SYSTEM TYPE:Other(Non-Electric Resistance)
DATE: 11/12/03
DATE OF PLANS:November 10, 2003
PROJECT INFORMATION:
2nd Story Adlition, 12'x 20'BedroomBathroom
COMPANY INFORMATION:
Eco-Rcnovatiaus/David A. Gardner
13 Plain Street,Easthampton,MA 01027
COMPLIANCE:Passes / G 5
Ap
Maximum U4=49
Your Home"=32
34.7%Better Than Code(UA)
Gross Glazing
Area or Cavity Cont.. or Door
Perimeter R-V41ue R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 260 30.0 0.0 9
Skylight 1:Wood Framc:Double Pane with Low-E 4 0_036 0
Wall:1. Wood 1~ram, 16"o.c. 330 19.0 0.01 19
Window 1: WQp -ram:Double-Pane-with-L,ow-E -8 _0433 -0
Window 2: VU�Framc:Double Pane with Low-E 8 0.033 0
Window 3: Wpod-Frame Double Pine 1 0.034 0
Window 4: Woed ii a:Doable Pane 1 0:034. 0
Floor 1: All-Wxod3aist/-TniwOverpoLu e-Air _105 25.0 0.0 -_4
Boiler 1:Gas-Fired Steam,75 AFUE
�T�
172-V
4�ttAMP�O
�O ° s
-
$ B �:saacflnsctta'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORMER'S COMPENSATION INSURANCE AFM' AV r
FzAaP--D t 4 E-jz-- -
(l i censee/permi ttee)
with a principal place of business/residence at:
(phone#) ��d
(tL=t/city/staWzip)OVA 01OZ'7 —
do hereby certify, under the pains and penalties of perjury, that.
( ) I am an employer providing the following wor'rier's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who leave the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Numbcr) (Expin6oa Date)
+r.
(Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expira on Date)
(Name of Contractor) (Insurance Company/Policy Number) (ExpL-a[ion Date)
(attach additional sheet tfneccssary to include infocmition pertaining to all ooatma rz)
7�q am a sole proprietor and have no one work .ng for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that whilo homcowvcra who employ pose=to do mx inf m ncc construction or rcpair work on a dwelling of
not morn than three units in which the homoowncr raids or on the grounds appurtenant thado arc oot wally oocmdacd to be
employers under the worica'a comg=sation Act(GL152,m 1(5)�application by a homeowner for a liocusc or permit may evidence the
legal datuo of an employer under the Workeet Compensation AcL
I understand that a copy of this rtatcmcut any be forwarded to the DcpacVi"of Industrial Ar6dm&Office of Inst —for the
coverage verification and that failure to secure covaago under section 25A of MGL 152 can Iced to the imposition of criminal penali es
consisting of n Sae of up to S 1,500.00 and/or imprisoamad of tip to one year and evil pcnittiq in the form of a Stop W errs OniG and a
find
0(3100.00&.&Y against mo.
For dqurtn�uao only
permit Number
f ermittea e
.. t
SCT�O �COS RI�CTION 779
z
8 1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder 9
License ONumber
s 3 / 910
Address / 0102--7 Expiration Date
Signa Telephone
r:'" � � ,.-,A,I G011 ;� �RIW.,�� . Not Applicable ❑
A > o 9 3 zo
Company Name Registration Number
l0
Address Expiration D to
Telephone
SECTION 10 WORKE„ '"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...... ❑
4 .
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
"r , 'ik
PRROSE Dw6Rk'T chi c at a itc'able �� A "
gill
-_ 11 Mb
New House ❑ Addition - Replacement Windows Alteration(s) ❑ Roofing ❑
j Or Doors ❑
Accessory Bldg. ❑ Demolition❑ a New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: 2>17-192N
Alteration of existing bedroom Yes -.-c- No Adding new bedroom Yes No
Attached Narrative o Renovating unfinished basement Yes 70< No
Plans Attached Roll ❑- Sheet
5 If Ne Vio ii° `Wr di:tion W,_existing.hour'ins: complete the fall,a�rin' :
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?_P4 0 _
d. Proposed Square footage of new construction. Z-q 0 Dimensions Z-)(- Zo
e. Number of stories? Z
f. Method of heating? �"C�A1+�1 1Z#%PlAffVP_Fireplaces or Woodstoves�_Number of each
g. Energy Conservation Compliance.YF Is Mascheck Energy Compliance form attached? Y&S
h. Type of construction FJR E. CVYodp)
i. Is construction within 100 ft. of wetlands? Yes _ '>(,,No. Is construction within 100 yr. floodplain Yes_>eNo
j. Depth of basement or cellar floor below finished grade a
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer_A, Private well City water Supply_2!5�1
SECTION 7a OINNER,AUTHORIZATION -TO BE COMPLETED WHEN
O,INNERS' AGENT ORM,,,TRACTOR,:APPLIES;FOR'BWLbING PERMIT
�( as Owner of the subject property
hereby authorize G S &'> Mr to act on
my behalf, in all matters relative to work aut r' ed by his building permit`application.
Signat re of bwnerV Da e
1 Tb f f D as Owner/Authorized Agent
hereby declare that the statements an 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.
O d
Print Name
Signature of Owner/Agent Date
a
f
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
n Building Department
Lot Size ` 150 �.( ` L9 v oO D
-Frontage 8 0 0 75'
Setbacks Front O d Z p
Side L: 5 R: 33 L: 5 R: 33 5
Rear 2 9� 2 to
Building Height 1 7 I ,l 2
Bldg. Square Footage L 1 �, 1 9 2.0 -10-10 Z
l e
Open Space Footage (O X% /
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 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 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:
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060
phone 413-587.1240 Fax 413-587-1272 to
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
rg This secti n to be completed lijr o ftce
1.1 Property Address: 3s y
c
AW F,4Nt V M a Lot h
aQg=F'1'1 0 1 0 (v 0
M;
A�71WX
Zone Ov r a�D�st�c ° �
,EIm StDistrlct- ,ir �isrict
SECTION,2-.PROPERTY OWNERS HIP/AUTHORIZED°AGENT
2.1 Owner of Record:
G-F-o1z.CTE W- K R I e �2 AEt � �
Name(Pri ) Current Mailing Address:
t M�Ar 010400
- j 10 Telephone 141 _S
Signature r —
2.2 Authorized Agent:
�1�,v i P A DP�� 13 'MAI 4 �'� ��
Name rint) Current Mailing Address:
MA o,O Z"7
Si ure Telephone
SECTION 3 - TIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building 2,70 ' ,b (a) Building Permit Fee
2. Electrical // 450 (b) Estimated Total Cost of
�� 1A Construction from 6
3. Plumbing l O Building'Permit Fee
4. Mechanical (HVAC) 1 -12
5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) Check Number Q
This Section For OfficialUseOnl
Building Permit Nurriber Date'Issued:'
—77777'7,77177 , 77
ignatOre . a
6te
Builtlmg;CoinmtssiQ',der/In�pgctoi-of,BUil' . ..... '
File#BP-2004-0586
APPLICANT/CONTACT PERSON David Gardner
ADDRESS/PHONE 13 Plain St (413)529-0741
PROPERTY LOCATION 5 KING AVE
MAP 17C PARCEL 024 001 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 (� — 719—
Typeof Construction: CONSTRUCT 2ND FLR 12 X 20 BEDROOM/BATH ADDITION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 059846
3 sets of Plans/Plot Plan
THE rLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF RMATION 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 Co ssion
Q�
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.
i
"t City of Northampton
BUILDING INSPECTION LABEL
�OL-CS
1:10 PROVE [3
- nspect r
Date
BP-2004-0586
5 KING AVE
COMMONWEALTH OF MASSACHUSETTS
GIs#: - CITY OF NORTHAMPTON
MO Block: 17C-024
Lot: -001
Permit. BUildinQ BU ILDING PERMIT
Q99-01y—'.
Permit# BP-2004-0586
Project# IS-2004-0816
Est Cost: $36027.00
Fee: $72.00 PERMISSION IS HEREBY GRANTED T
Contractor: License:
Const. Class: 059846
use Group: David Gardner
Lot Groii :. ft.): 6490.44 Owner: KRIEBEL GEORGE w JR
pp
Alicant rd
• David Ganer
Zonin :URB
AT: 5 KING AVE Insurance:
Phone:
App licant Address: (413) 529-0741
13 Plain St
EASTHAMPTONMA01027 ISSUED ON:11119103 0.00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2ND FLR 12 X 20 BEDROOM/BATH
ADDITION
POST T HIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of wiring
D.P.W.
Service: 51, Meter:
Underground: Footings:
Rough: '
House# Foundation:
h:
Driveway Final:
Final:1 ^„ —���If?Final;`�aZ/P�� Rough Frame�k 7 2,0
Fire Department Fireplace/Chimney:
Gas:
Insulation:
Rough: Oil: —
Final: S moke: Final:a9
��/� 1�/3®/a,c�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
J
Si nature:
Certificate of Occu anc - Check No: Amount:
Feel e: Receipt No: Date Paid:
11/19/03 0:00:00 2205 $72.00
Building
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo