36-221 (10) City of Northampton
Massachusetts
"" DEPARTMENT OF BUILDING INSPECTIONS .<
212 Main Street • Municipal Building
Northampton, MA 01060
INSPECTOR
Oliver Iselin
Construct Associates February 5, 2015
36 Service Center Road
Northampton, MA 01060
Subject Location: 81 Winterberry Lane
Map Block: 36-221
Mr. Iselin,
Your building permit application dated 2-2-2015 and plans dated 1-23-2015 have been approved as drawn,
noted 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. Smoke,and CO detector is required within the space.
2. An emergency escape window is required within every sleeping room.
3. An air barrier(solid material sealed in place) is required between the shower and the wall cavity.
4. No kitchen or kitchenette will be installed at this time.This space cannot be turned into an
independent living space without first taking a building permit and making necessary changes to
meet code requirements.
Note:The 2012 IECC with MA amendments is the non-stretch energy code and the new Stretch Code
expected to be completed in February 2015.We are currently using the 2009 IECC and Stretch Code.
Read only international codes are available on line at http•//publicecodes.cyberregs.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.
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: cmillerQ)northamptonma.gov
Thank you for your cooperation on these matters.
c Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
IIE � �f �,To fljalliptoil
C 1
rte. DEPAR P,4ENT OF BUILDrNG INSPECTIO! S
212 Main Street ' ATuoicipal uuilding
Northampton, Mass. 010GO
t1'0R1CLWS CO\'II'I NSA`ION MSURA-NCF AFFMAVIT
---------- - (liccusxlpermittcc>
%VILh a pi-M(cipal place of business/residence at:
_3� J ` �'✓� e � � -�,r l�cf i�.�c�� ' re � - done =) ���1Y ! Z1�f
(sax--Ucit)f/staldnp) --
do hereby ceriff;, under the pains and penalties of Pc9tify, .hal
(✓� I am an employer providirng the following \vorkcr's coinoens-nLio;, cove 2ge for Illy
eluplovccs wor�Qng on Luis job.
L-= lion l+irrt 1 4`i LN- .z c:$ A? 7= s J f3 ' M j,
(I�sur-a Corr�`) fPclic: ?v nirr) (r:-p j- ; Jacc)
( ) I aln a sole proprietor, general contractor or homeowner (circle one) and Dave hired
the coo ractors listed below wbo hive-the 50II01VIDQ wor:ens com {ensanon policies
(NQIl7. Oi CO^L:lCiOr) filiR7ialll;:- L.OITlp1;i}""'PGUC'i '.�J_rnrY-:)
- (Name of COnr7ac10r) --- (lns7ranc ComoanwPoLc-,, (-Ex-oir,Lion Date)
(Name of Coaa-acto;) (Laswanc: Compan}"/PoLcy Numb i) (L_xpira000 DaI2)
(Name of Contractor) (LosuranC_- Compalay/PoLiCY Numbj) (Expi-non Dal"-)
(eaacb-1-66tocsl cxct it to v> t? c4 tafor=,zoo p-tr-_•ins to.0
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself
NOTE:plc t;our;o,,-3 wbo C=ploy pczocs w ck cam- c c�Lu•or o r C cL_ o;
aot vo ( t.r_.L=Yj in a ch the Lo uooaoa "mid oc cc the p-ou D6 zppv cr_r tb rn cT 11y occ:d i Io b
cz ployc3 uDx',-theµu1 rf:a=pC Ltim Act(GL!51-,m 1(5)),:TVUa.6co by a hom000,,fc c''_c o xrrzv —Y nrS�x t
leg.]rt,^„of to crployor uod.-r dw Wc,-k�,Co� Ac(_
I unda-v- d dw>copy of thi, zzt.�mty bo forv+nrdi d to Lb,Depatar.Yr or lodursia!/�=d<cr_f OES or I----for th-
covaibc vt�ifi son nod Uu f_1,ac w zc=r covcrasc under sacboa 25A ar R(OL)52 an lc.d to Uw L-, Boa of cnz uj Pc:'Di
ooawS,ing of a fin,of up to S I.500.00�Vcx ra r NQaa3 xl of up to one year taA cavil pcal'Jc, Y fcx of a Stop Wok orris u�d
rtm of S1oo.oa(day(pia--a a,
' f'crui;t Num'�cr t
Lot
c1E;nnumr ofLiceJ]SclllcmuLtcc -��2 --`---
SECTION 8-CONSTRUCTION:SERYIC4
1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : V �� I �`^ S 0-39 O ��
/ License Number
((`�
Address Expiration Date
Signarz: Telephone
Not
Applicable ❑
/o � Tie
Company Name Registration Number
Address Expiration Date
Telephone
SECT10Nj1t1-1i914RKERS'tt1N>kPI:NS 'CtQi+11N1Il1tiTCE AI FIp ,YIT(M GL c
,
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....... 1/ No...... ❑
-A- 91 ma-"AW1111,wffigwfii�
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
ED
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Fl"
13EP1.
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 rk— 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
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:
"E+CTIIGN 5- DESCRIPTION OF PRO MED'WORK"cheek all anolicablel
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work:_ _A�d �l"Oi`'``� �° �'' � �� � �u +'(mil r^� [C¢r, 4:X
Alteration of existing bedroom ',Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No.
Plans Attached Roll 0 . Sheet
a. Use of building: One Famil Y Two Famil
.� 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. Mascheck Energy Compliance form attached?
Type of construction i
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes _I\lo i.
i
J. Depth of basement or cellar floor below finished grade
a
k. Will building conform to the Building and Zoning regulations? Yes No .
i
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - WN,ER Al T,,,,O IR]ZATION TO �l;CO�I�i:ETED WHEN
OWNERS AGENT OR CONTR�ICTOR APPI:�ES �O�t�A U�LDINGP�RM1T
Le
as Owner of the subject property R
hereby authorize to act on
my behalf, ' a atters relative to work authorized by t building permit application.
-fib. 2 Z
Sigrr6ure of bwner 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 t pains and penalties of perjury. I
/S-e C I
Print Name
Signature of Owner/Agent Date
�.
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7
ity of Northampton
uilding Department
212 Main Street
mR`n o�M^aA oso Room 100
Northampton, MA 01060
phone 413-587-1240 Fax 413.587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION l-SITIE,INFORMA ON
1.1 Property Address: � �� �h
•W'F ���^rc l �t "`C ✓a-L.. `��� �L ,d � � '-�`r ""'��� �'�x�2 3r n`g,�� 3� i
SECTION2- PROPERTY OWNERSH.IPIAUTHORIZEt7 AGENT
2.1 Owner of Record: GG
Name Print) Current Mailing Address:
0- Telephone
oignature
2.2 Authori ed/ Agent:
Name(Print) Current Mailing Address:
Signature Telephone Nom
asN�
SECTION 3 ESTIMATED CONSTRUGTI'ON COSTS
Item Estimated Cost(Dollars)to be
I
completed by ermit applicant
1. Building w (a) Buitding Permit F
2. Electrical (b) Estimated Total Cv tf
onstructiort_f,
3. Plumbing suiit Permit F ..
4. Mechanical (HVAC)
v4
5. Fire Protection
6. Total =(1 +2 + 3 +4+ 5) Ghc{ Number '
Thils`5ectian:FttirOfficiaL.lseO.nl
BuildingPermit Number: Date Issued:
'I
I ognature:
Building Commissioner/lnspector of Buildings Date
File#BP-2015-0779
APPLICANT/CONTACT PERSON OLIVER ISELIN
ADDRESS/PHONE 36 Service Center NORTHAMPTON01060(413)584-1224
PROPERTY LOCATION 81 WINTERBERRY LN
MAP 36 PARCEL 221 001 ZONE
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_yneof Construction: ADD SHOWER TO EXISTING BATHROOM&BUILD CLOSETS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 039073
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
_.1-Wproved 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
o ' 1
Si re 6KXinnfFicial 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.
81 WINTERBERRY LN BP-2015-0779
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-221 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2015-0779
Project# JS-2015-001518
Est. Cost: $4700.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: OLIVER ISELIN 039073
Lot Size(sq, ft.): 94525.20 Owner: GARRETSON ADAM D&STEPHANIE D SILVERMAN
zonin Applicant: OLIVER ISELIN
AT. 81 WINTERBERRY LN
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:21512015 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD SHOWER TO EXISTING BATHROOM &
BUILD CLOSETS
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 2/5/2015 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner