17B-020 (3) o � € ts7
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a Down, Down 1 i
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Orderin g Logic �3�
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SERIES WATTAGE LAMP SOURCE LAMP VOLTAGE
FPS 42 NLX=High Pressure Sodium(NPF) L= Lamp 1=120
70 HFL=Compact Fluorescent Furnished
100
150
HID units supplied with clear medium base lamp.
SERIES WATTAGE LAMP SOURCE LAMP VOLTAGE
( a FPM 57 MA=Metal Halide(CWA) L= Lamp 1=120
70 LX=High Pressure Sodium (HX-HPF) Furnished 8=120/
100 HFL=Compact Fluore*cent 208/
150 PMA=Pulse Start Metal Halide(HX HPF) 240/ -
175 277
HID units supplied with clear medium base lamp.
SERIES WATTAGE LAMP SOURCE LAMP VOLTAGE
FPL 250 MA=Metal Halide(CWA)` L=Lamp 1=120
400* LX=High Pressure Sodium(CWA) Furnished 8=120/208/
Supplied with clear mogul base lamp. 240/277
*Requires reduced outer jacketed lamp.
Dimensional Data
i i
O 5-7/8" O 6-5/8"
I
10" 11-1/2' 12" 12-7/8"
�J =l
a
_
.'
v
See back page for conversion charts
FPS 150N"L-1
45 -
25
30
o - —
h
15_
k"t I
4 - T
5
j
"t+ 45
36 15 0 15 30 45
5 k _
` FPM 175MAL-8
rtiz
30 1 M
i
s Ala
15
I
15
t
' 45 30 15 0 15 30 45
When wall-mounted in the 0° position,the FloodPak replaces a FPL400MAL-8
standard wallpack fixture for use in perimeter and security lighting.
The IESNA-rated cutoff optics provide wide distribution with up to 45 - 251
6:1 spacing ratio for maximum distance between.fixtures,while-
meeting stringent Dark Sky requirements. The FloodPak can also be
pole mounted for use in site and area lighting with an optional arm, 15 hog'
or it can be rotated 180°for dramatic wall-washing effects. o =;
axiom .
5
F
30 .-.
45
M
45- 30 15 0 -' i5 30:_ 45
f`
Wait Wash Indirect Site Lightirtg
�" CEP'�T�f NT GF EUIrD1�G LNSPEr,'TIONs �/
INSPECTCP
2 M u
12 ain.Strt , Muuic:ipal Building
Northampton, MA 01060
iii^v13M O% NER EMEMP TION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3)A to
act as l is`rler construction sup... ::;cr. The s-a . defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
&,veiling, 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 thew`Own construction super ism; 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 worm at various stages, which include foundation/footings (before back-MI ).
sonotube holes (before Dour). a rough building insaection (before work is
con-c€.-flecl.i-nsulation inszaection (if required) and-aTmal_buildinzinsDection. 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 occupancv
until-the-work canine-inspect-ed..
Ifthe 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 \
understand the above.
J (Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
The Commonwealth of.lJIassachusetts
—n Department of Industrial Accidents
'M Ojilce ofInvesti-,moons
600 Washington Streer
Boston,ALL 0 111
www.mass.gov/dim
N orkers'Compensation Insurance AflldaN-it: Builders,Contractors/Electricians/Piu nib ers
Apalicant Information Please Print Lesibly
VaMe(Easiness/Orz=ization/ladividua:l):
Address:
City/State/Zip: Phone-:
ire you an emplover?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4• ❑ I am a gene.-al contractor and I
empioyees (full and/or part-tine).*
have hired the sub-contractors 6. ❑New construction
n listed on the attached sheet. 7. ❑R--mode ink
., I a..�a sole proprietor or parer-
ship and have no employees These sub-contractors have 11 g. ❑Dzmoliuon
'orlon- for me m any capacity. employees and have work--s'
9. ❑Building addition
� Ln;o wt;�ers'cow.ipsuanca comp.insurance.-'
requ red] S. ❑ 'We are a corporation and its i 0_lJ i lect=cal repairs or additions
_ I an a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [N No workers'comp. r ght of exemption per 11yIGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp.insurance required-]
vox r n;t:st ask oat the soon oe:ow saowm�their woric.°rs'cottmettsanon poficr informaiioa.
- --.....
-Horr=wners who submit this alIIdavit u:dicatinz they are doing aU work and then hire outside contractors mustsubffit a new affidavit indic t n9 such.
*Contractors that ca-a this box must=caed an additional sheet showing the name of the sub-contractors and smote whether or not those entities have
crI'T'ovees. If the sub-:on=ctnrs have errpioyers,they mint provide rhea worrie=s'comp.poacy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sue
information.
Insurance Company Name:
Policy T or Self--ins. Lic.=: Expiration Date:
Job Site Address: City/State/Zip:
attach a copy of the workers' compensation policy declaraf:on page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 1f2 can Iead to the imposition of criminal penalties of a
ae up to S 1 ;00.00 and/or one-year i=m- onzneat, as well as civil Penalties in�e form of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the O:ice of
Investigations of the DLA for inssance covera!ze verificatiorL
I do hereby ceri fy under the pains and penalties of perjury that the cnformaz on provided above is true and correct
i/ mate l
Phone T:
II uUx=use onIY- loo not wrzte to this area,to be compLered by city or town-ofJ?ciaL
City or Town:
--Permit/License
Issuing uthority(circle one):
1.Board ot'Heaith 2.Building Department ?. City/Town Clerk 4.Electrical Inspec*.or 5 PIumbing Inspector
6. Other
( Contact Person: D uo3e_:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M'.G.L.c. 152,§25C(S))
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. - Horne Owner 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.CNIR 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-vear 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 Land State of Massachusetts General Laws Annotated.
Homeowner Signature�i '1uu� L�
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing ❑
Or Doors D El I
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding [o] Other[CI]
rief Desr iption of Proposed
Work: ` �� ?e�' 'i �U ) ii1 2 -) ,11= ' (� .
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a- If New house and or addition to existing housing, 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
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature 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.
P Name
Signature of Owner/Agent Date
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
Side L. R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage �.
(Lot area minus bldg&paved
narking)
#of Parking Spaces
Fill:
(volume&Location) _ _.w... . .. ...... ._
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
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 0
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 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0
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 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Department use only ,
City of Northampton Status of Permit:
Building Department Curb CuttDriveway Permnit
212 Main Street Sewer/;SepticRvaitability
Room 100 Wate6VVell Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-5$7-1240 Fax 413-587-1272 PlottSite Plans
Other Specify .
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
.1 Property Address: This section to be completed by office
�y� �/`� �Cy, Map Lot Unit
d Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
9 1 Owner of Pernrrl
7i&U iCAS vt(-V
Name Print) Current Mailing Address:
Telephone
Signature
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
Building , . � (a)Building Permit Fee
2. Electrical ��—� (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 o257—
This Section For Official'Use Only
Date
Building Permit Number: Issued:
Signature:
Building,Commissioner/Inspector ofBuildings ate
1
447 BRIDGE RD BP-2008-0588
_Gls #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17B- 020 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-2008-0588
Proiect# JS-2008-000903
Est. Cost: $3000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group Homeowner as Contractor
Lot Size(sq. ft.): 9234.72 Owner: GULOW JONATHAN A&PATRICIA A
Zoning: URB Applicant: GULOW JONATHAN A & PATRICIA A
AT- 447 RRInC-F RD
Applicant Address: - �� Phone: Insurance:
FLORENCEMA01062 ISSUED ON.1211912007 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOMSTORM
DOORS, SIDING
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:
Rougli: Oil: Insulation:
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULA ONS
Certificate of Occupancy si nature:
FeeType• Date Paid: Amount:
Building 12/19/2007 0:00:00 $25.0061-61. _
212 Main Street,Phone(413) 587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo