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17C-143 r C C! �;� ;s �. r--- !�t�� �' � ` ±� t � � ' � ° ' a ;; J� :a � f.u V c. S 4 v E�� �,,f i i� ..,�..... l � ! r a v:j _.__. ..__._.._�._ _._,_.._r....._,..:�r 4 NEW FIBERGLASS REINFORCED ASPHALT ROOF SHINGLES OVER 15# FELT. (MIN. 3'-0" ICE & CON'T RIDGE VENT WATER SHIELD AT ROOF EDGE REINF. RIDGE 0 co AND VALLEYS). WITH 2-2X6 = = a 12 z� - EXISTING 2X4 3/4" 9 Q < X EXPOSE EXST. u I RAFTERS, 2 O/C TI ES ° ' Z � OC a VENTILATING SKYLIGHT: W z Zm W H 4" RIGID HIGH R VELUX 106 VS o a a 0 z o INSULATION (R-28) 21 1 /2" X 46 1 /8" 3/4" CLEAR AIR SPACE w zz U U� w „ w � 1 /2 GYP. DW. Ln R- 15 PERFORATED 4 BATT INSUL. VINYL SOFFIT o oC � W �- CONT. VAPOR co Q BARRIER � _ wI EXISTING 2" X 7" z FLOOR JOISTS @ 16" O.C. EXST. 1 ST FL. KITCHEN BELOW Z o ' W > cn o oz UJ w U � o � ao °0o au- DATE DRAWN: 5-16-03 7 STUDY SECTION A3 1 /2))= l ' —O" A3 b ° w ° I- ° Q N co S f .f U z� � v U � LL CC O o, z m LLI W .c Z z p a (j1SOUTH ELEVATION �1NORTH ELEVATION Z t > ° BUILT-IN WALL W ATE LINEN CAB NET ADO TOR SINK —MOUNTED z RELOCATE 1 VENT AS POSSIBLE 2-21" X 46" Q VELLUX L L L -1 ABOVE SST. BATH 'H^ 2'-6 X -�+ v/ Q 6'-6"H i ��.�./.� LL ` INSTALL IN NEW STUDY � USE EXST. � O EXST. OPENING DOOR 34" X 60" W TUB/SHWR. r1WEST ELEVATION z = 2'-6" X J -emu 4'-6" z U) DN Z i o oQ NO w W \ / O Q J 0- LL - w r�EAST ELEVATION r5_1PR0P0SED SECOND FL. PLAN /IN DATE DRAWN: sl<: E A2_j D� DW �rI D -4 �O rri 00 OD om Z Z D O z D� DN \X CN \O � z Il g cn °r 0o O o� z o x o z r � z z O D { m z S d z 0 Cm r x ED o Oz o EXISTING SECOND KLEINBERG RESIDENCE LYNN POSNER RICE, ARCHITECT b FLOOR PLAN & ELEVS. 6 CRAFTS AVENUE-NORTHAMPTON,MA.01060 W Z NORTHAMPTON, MA. Phone 413-586.4483 Fax 413-584-2898 4�tSAMpl, O Oy g� e Crify of Xart4ainptan z � � �lassacltiisctts - mss. DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups::isor. The state defines"Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 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 their own construction supervisor, 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 work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. 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 occupancy until the work can be inspected. If the 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 I, understand the above. (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 1 O`r�y"+NPTp � (1,iftr Jlf Karfljalllpf oll ��cs�rcrh„6ceta ' DEPAIRTMENr OI' £UILDMG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 W0 RICE R'S COi12ENSATION INSURANCE AAFFMANI.T (liters°:Jrc,mittc^) .,Il a principal place of b�usiress/rc:ldcnce !'f___.!` 1,`'n do hereby CCrLlly, unCc1- L}le pains an'l peng1ticl; 01 pc-'rjlir 1 ihi!! afn an employer providing the i0ll0'.viI1'4 v.ol-111:cr`5 coInl)cllSa6011 covcra�'c rOr In)' cluployces working on this job: (IasuranG Coe] m') �c ir. Ntumbcr) (F.xTI .:den D�tc) l ) I am a sole proprietor, yrenera± 51=CTflN „CONST�RUCTIQN SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : W �� License Number Owl 0j Address � �–� Expiration Date y Z/i,3 Signature Telephone `Reis a mA o�rem— °rn rla Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTI$ON�i0 1N0RK�RS' COMPENS410N 1:N NCE AFFIDAVIT(M)G.L.-.c. 152, § 25C.05D 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...... ❑. AN 1 - ail 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 them 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 fo;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 i i i i VE R �* % .; u 4 SEC7i,© i� S P7 Ofi1(Ac ROPOSEDOVGRK C-'6&kM1�a 'iicail'- New House ❑ Addition ❑ Replacement ' dows [Alteration(s) Roofing Cq�� Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 / Renovating unfinished basement Yes No Plans Attached Roll 0• Sheet fY �.itron toe istingho> s:ng, 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. Mascheck 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 Nc 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 �CT® U ER 17��RT IZ% ON TO BE COMPLETED WMEIS OW,NE S ONTRACTOR APPLIES FOR BUILDING PERMIT I, n4 C1 �' ►�� -� as Owner of the subject property hereby authorize to act o 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 in rmation on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Prin ame Signature of Owner/Agent Dat 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 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: R, City of Northampton ail Department ain Street r I` m 100 7 1 Wth't ton, MA 01060 phone 413-58 -1240 Fax 413-587-1272 i C Rip pitrq r v LAPP 1 ATION' P LTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING S,�Ci'iON 1 - SIT.E TNFORMA-TIQN 1.1 Property Address. � Thissectto' o' ,gyp, y fiice s : SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZE046" NT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION,3 ESTIMATED CONSTRU'CTION°'COSTS " Item Estimated Cost(Dollars) to be Official Use Drily completed by ermit applicant 1. Building/ (a) Building Permit Fee' 2. Electrical J (b) E-stimated Total Cost of Construction from 6 3. Plumbing ?� 7�� �-- Building Permit-fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 0Q Check Number r This Section For Official Use,Onl Building Permit Mumber: Date.Issued: j Signature: Building Commissioner/inspector of Buildings Date f File#BP-2004-0215 APPLICANT/CONTACT PERSON Mill River Builders ADDRESS/PHONE 164 Riverside Dr (413)586-1849 PROPERTY LOCATION 122 HIGH ST MAP 17C PARCEL 143 001 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 T eof Construction: REMODEL BEDRM TO BATH&STORAGE TO STUDY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 009224 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 Commissi Signature of Bui ding Official Da e 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. 122 HIGH ST BP-2004-0215 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C- 143 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0215 Project# JS-2004-0314 Est.Cost: $23000.00 Fee: $115.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Mill River Builders 009224 Lot size(sa.ft.): 11891.88 Owner: KI,EINBERG NINA 3 Zoning:URB Applicant: Mill River Builders AT: 122 HIGH ST Applicant Address: Phone: Insurance: 164 Riverside Dr (413) 586-1849 Workers Compensation FLORENCEMA01062 ISSUED ON.8/29/03 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL BEDRM TO BATH & STORAGE TO STUDY 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: 5'� Rough:9//�/o;i�/ House# Foundation: riveway Final: a' �``°" Final: 11"/q-0,3/���°��J nal:d D,� ➢"`'`" Rough Frame: ® k Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation:OK 4'/f Final: 4'/f' Final: ��� � d� Smoke• �� f� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. G� J Certificate of Occu anc �Sfiznature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 8/29/03 0:00:00 405 $115.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo