17C-045 �
Permit Nu 2003
MECcheck Compliance Report
Massachusetts Energy Code
n`f•• 4
i
MECcheck Software Version 3.2 Release la Checked By/Date -
TITLE:ADDITION TO HOGAN
CITY: Northampton
STATE:Massachusetts
HDD:6404
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE:Other(Non-Electric Resistance)
DATE: 12/31/02
DATE OF PLANS: 31 DEC.02
PROJECT INFORMATION:
NORTHAMPTON
COMPANY INFORMATION:
P&D
COMPLIANCE: Passes
Maximum UA= 321
Your Home=320
0.3%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 643 0.0 39.3 15
Wall 1:Wood Frame, 16"o.c. 2279 19.1 0.0 104
Window 1:Wood Frame,Triple Pane with Low-E 500 0.340 170
Door 1: Solid 20 0.310 6
Door 2: Glass 26 0.310 8
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 643 39.3 0.0 17
Air Conditioner 1:Electric Central Air, 10 SEER
Furnace 1:Forced Hot Air,78 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 MECcheck Version 3.2 Release la.
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.
Builder/Designer Date
FROM U.S Builders INC. PHONE NO. + 533987 Dec. 13 2002 03:21PM P1
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DEPARTMENT OF DUILDI1,TG INSPECTIONS
212 Main Street ' Municipal Bud(lini;
Northampton, Mass. 01060
WORKER'S C0MPENSA'n0N INSURANCE. A FMAVIT
(lie
Se CJ rmItta,)
with a principal place of businesslresidence at
do hereby certify, under the pains and penalties of perjury, tha:
O I am an employer providing tile followim-, cOlnre:'sai;;n coverage for lily
employees wol-king on this job:
(Insurance Company) (P,--11c;Nu,-ntrr) (Expimtion Daty)
O I a_rI a sole proprietor, general contractor or homeowner (,circle oue) and have hired
the contractors listed below who have the follo•,'YiI1Q Workers policies:
(Name of Contractor) (Insurance Coinnany,Policy Numl-:r) (Exuimticn Date)
(Name of Contractor) (Insurance CompanytPolicy Number) (Expiration Date)
(Name of Contractor) (In_nrrauco Comin2ny/Policy NuIDli--; (Expiration Date)
-----------
(Name of Contractor) (Insurance Comp.-TTy/PoGcy Numb:-) (Expiration Date)
(ataada itiocal L:cct ifnccrtary to inc}uc}c i:Sorms:ioa pcctaining t�rill c=r -adoo)
i
O I tun a sole proprietor and have no one ",:
t
SECTION 8 -:CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :__.'1,yaeJ_&A, 419 i, �G—�
License Number
Address Expiration Date
gnature Telephone
Not A
> Applicable
9 istered Reg Home-�IrtiprovemenYCoritra'ctor � pP El
Company Name T Registration Number
Address Expiration Date
Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
1.
m e," '1 �
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 fcr 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 T� Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition r XU _.New Signs [ ] Decks [ ] Siding [ ] Other
Brief Description of Proposed ---
Alteration of existing bedroom Yes _ No Adding new bedroom _ Yes No
Attached Narrative❑ Renovating unfinished basement -Yes No
Plans Attached Roll U - Sheet U
sa: If>',N 'ou"se and or'addition to existing housin co Clete the:followin7:
a. Use of building : One Family_-_—,V— Two Family Other
b. Number of rooms in each family unit:__ _ Number of Bathrooms_.
c. Is there a garage attached? )!'-/"S—
d. Proposed Square footage of new construction. __ Dimensions /c _ !-_ XIS
e. Number of stories? — —
f. Method of heating? QC--Z,„ `C Fireplaces or Woodstoves L__ Number of each
g. Energy Conservation Compliance. _ Mascheck Energy Compliance form attached?
h Type of construction 41d64�_
i. Is construction within 100 ft. of wetlands? Yeses No. Is construction within 100 vr. floodplain Yes NO
j. Depth of basement or cellar floor below finished grade S /d
k. Will building conform to the Building and Zoning regulations? _ _Yes _ No .
I. Septic Tank City Sewer_1,,-' 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 or
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
as Owner/Author,zed 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.
r
P�Ne
-- ---- Q -- — ------
Signature of Owner/A nt
DatA
{ f
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION J,
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size ��-
r �
Frontage /�S�lfi 71
Setbacks Front 15Od
Side L:&5' R:_.7ff' L:1 R:
Rear ?� op 7 j 11
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved 6
parking)
�J �
#of Parking S aces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 31" 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: _ _—_
r
��
City of Northampton Status of Permr:t '` ``��
--------=-48bH ng Department Curb Cut/Drveway
!�7 "; Main Street Sewer/Sep{A
a Boom 100 Wa` er/WelI�Avat
I nn N Hh °t ipton, MA 01060 7wa Sets of St�r`Uc ura(p ans
�p�oy1 �7 1240 Fax 4-13-587-1272 Plot/Site Plans � � s
" Other Spe6!fy7" i$ a } ,
-- – ----_
APPLICATION TO C �1'STRU T, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be com leted b office
1.1 Property Address: p y
c Map— 77�____ Lot Unit
Zone Overlay;District
Elm St. District_----------_ CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
! 2.1 Owner of Record:
Nani r,(Print)
i Signature -
2.2 Authorized Agent: �fs �,?Up��Sf•�
a
Name (Print) Current Rriai!irlg Addrecsss:,,`
Signature __— — IL���-���–'`��1,? �dB'!4�-L>�•5�=�.�"`�nZ elephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
------completed by permit applicant
1. Building (a) Building Permit Fee
2. Eleclncal �— (b) timated Total Cost of
_ iz?� p�� Construction from 6
3. Pl-!mhing Building Permit Fee
4. Mechanica! (HVAC; --- – – ----
5. Fire Protection
6. Total = 1 + 2 + 3 + 4 + 5) Ali
( I —\ � `�1�--- Check Number –
_ This Section For Official Use Only
Building Permit Number: _ D 3 Date Issued:
—
! Building Commissioner/Inspector of Buildings Date
File#BP-2003-0511
APPLICANT/CONTACT PERSON LEONARD LAIZER
ADDRESS/PHONE 410 EAST ST (413)533-9817
PROPERTY LOCATION 35 HILLCREST DR
MAP 17C PARCEL 045 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building,Permit Filled out
Fee Paid '
T_ypeof Construction• CONSTRUCT 32 X 18 KITCHEN FAMILY RM ADDITION&8 X 25 ADD TO FRONT
OF GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included• -
Owner/Statement or License 025269
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IT$F9AMATION 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
OS 2aQ,j
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.
z ;. BP-2003-0511
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: ADDITION BUILDING PERMIT
Permit# BP-2003-0511
Project# JS-2003-0852
Est.Cost: $86000.00
Fee: $250.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: LEONARD LAIZER 025269
Lot Size(sq. ft.): 19602.00 Owner: HOGAN WILLIAM S III
Zoning.URA Applicant: LEONARD LAIZER
AT. 35 HILLCREST DR
Applicant Address: Phone: Insurance:
410 EAST ST (413) 533-9817
SOUTH HADLEYMA01075 ISSUED ON:116103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 32 X 18 KITCHEN, FAMILY RM
ADDITION & 8 X 25 ADD TO FRONT OF GARAGE
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 1/6/03 0:00:00 2975 $250.40
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo