17C-141 (3) Y
at
r
O I .rn F K I(b
A Gwellh)ltse Frn�iixr knil.
317 1v1eado" Street, Unit 2 Chicopee, MA 01013 * Phone:413-420-0140 *Fax: 413-420-0147
The enclosed permit package is for the proposed building of a three-season sunroom
on an existing wood deck.
Included in this Permit package:
• Building permit application
• Plot Plan
• Deck Framing Plan
• Plans for the sunroom
• Septic Plan (if applicable)
• Homeowners Permission to represent them in securing this permit
• Signed consumer information form for Sunrooms
• Proof of Supervisor License and Home Remodeling Licensee
• Proof of Workers Compensation Coverage
• Debris Removal Plan
Thank you in advance for your assistance. Please call with any additional
information you need.
Best Regards,
Michelle L Grassi
413-420-0140
1
1. 3uildin;nog-j7a:jrne and License or va;ld "or!m+tvldul use oniv
M P F Z�V ailvi—EN7 N 7 1R A Z: R :112 eXi'1j1•a':ior1 dace. If'found remrn to:
Board 0f 81111din.' Re-su!Vions and Standards
One kshburl.nn Place R;1 1301
vat)=.
AdmInIstrkror
BOARD OF BUILDING REGULATIONS
License: CC1�STRjCT;CNSLJPERV1SC)R
Number: CS C82450
Sirthdale: L7'C81971
Expires: Tr. no: 82450
Restricted:
CHARLES E CC F FEE Y
8 0-, R AR-:E R ET
EAST Lr,r,'GM64DC1V, MIA C1023 Administrator
02/12/2063 10: 42 7346528101 JPIACKEONE PAGE 02
ACORD CERTIFICATE OF LIABILITY INSURANCE ° 122d/00/YYI
oul2rzoo4
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Joseph McKeone HOLDER! THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
JP McKeone Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 333 INSURERS AFFORDING COVERAGE
Ann Arbor, MI 48105-0333 _
—_-- INSURER A: Hartford.Insurance_of the.Midwest
INSURED Patio Rooms of Springfield
dba BetterLiving Patio Rooms INSURER 8
317 Meadow St. iNSUREx
Chicopee, MA 010132242 INSURER 0:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID!CLAIMS,
TYPE OF INSURANCE POUCY NUMBER I PDATE MFUD� MI DALE M/ UW8
A GENERAL LIABILITY 35 SBA PA3963 0111512004 01/15/2005 EACH OCCURRENCE s_ 2.000,000
COMMERCIAL GENERAL LIABILITY Rln^E DAIAAGF(My ono Arn) j S 300,000
! 1 CLAIMS MADE �OCCUR MED EXP(Any one PmTn) 3 10,000
PERSONAL a ADV INJURY _ S_- - 2,00Q000
GENERA!AGGREGATE S _ —2,000,DDD
L GENT AGGR: GA^EI,1VIT APPtJES?EP:I FRODUCTS_COMP/0?AGG—^r __ _ ODD, •D
POLICY{ JET 1.00 {
A
[7AVrOI*06IUELIAWLrrY 35 MCC 413819 COW NEDSINGLELIMIT g
01!1512004
.nNV auTO 01/1512005 (Ea as aenn j
-----.�. -.._._.. _J ALL OVINED AUTOS BODILY INJURY i S
(Pry Pc raon) ___.._....
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SCHEDULED AL?p!<
X HIRED AUTOS I BODILY INJURY i
'� j (Por a=dovnt)
NON-C'MaE!AJTDS
.PROPERTY GAAI,A3E
GARAGE LIABILITY !' AUTC ONLY-EA ACCIDENT_
ANY AUTO OTHER THAN ,FA ACC 5
AUTO ONLY: ,AGG S j
EXCESS LIABILITY
EACH OCCURRENCE - S
AGGREGATE
!OCCUR _ CL!IMo^MADE _
JDEDUCTIBLE
RETENTION b wC STAG OTH.
A WORK"$COMPENSQTKJN AND I 01/1512004 1 01/1512005 �. TORY LlMfrs ER .......
RAPLOYERB'LIABJUTY E.L EACH ACCIDENT $ '1
35 WBC F1 244046 E.L DISEASE.EA.EMPLDYI ri E 1 000.Q0
! El C'SEASE.DOLtCvLIMIT $ 1,000'aa: �
OTHER I {
DESCRIPTION OF OPEm noNSf OCATTONS/VEMICLES/FXCLUSIONS AODEQ SY ENDORSEMENT!$PECIAL PROVISIONS j
f
i
GERTIFICA i E HOLDER f oDM3WA INSURED.INSURES LET-Erc CANCELE.A.TION
I SHOV..D ANY OF THE A9,yJE DE';MBED P^JUCEf BE:ANCE-:EG EEFOPE 7NF:EXPIRATION
j DATE TNEP,EOF,'7/E ISSLXMG INSURER MnLI ENPSA'/'JR TG MAIL Gyve y,1RI"TC,,
I!yj�)PE✓ �'�,,�aY NOTICE TO THE CEF.TI Y'ATE MOLD EF.NAMEL TO rMF,wFT,BJT FAI'.'J RE TC D:8L SHA-_L
i
IMPOSE NO CBLIGATK7N OP.L;4BILfTY OF ANY KIND UPON THE IN9UR ER,ITS AGENTS OF.
I R.EP SENTtTTJE$, I
,' t EL REPRESE�.:rr�+E
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1112
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-1'1\ dis'Vsc Will
N'P, I L)I)L J -----------
Icer)"od a"It l' '
by I S 150.A.
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QC1101'11% iTIC SL]11rC)c)Tj`)S of sicrialure of Sj-)j-jjjcfield
_PCI-Tilit Aj)pl'
17 lei'LIM • SIT-Oct. Unit 2. Cilicni2ee.
Si"nJ11.11-C Of PC.,-:Il* -N I.A
Address
Effect'\c Sel"C"'ber 1 '. 1991 ihc Dop,,,rimenj of Health/Code Enforceplel)t actin`
Chapter 2 An 1cle 13 c) in Linder
3 f ihc 1986 Worccstei- Re\ iced 0:-d'
cl'SPL).�al of dchris generated as a result of this I II,in ces requires Proof 0 f
Signed receipt Pel-mit. T110proot'sh:ill be a dated and
from the licensed disposal facil"l-N, Containing the follow,ng i
111.0"Mation.
A description of the debris, [ho \\ei`ht and \olurne of the debris and the l��ration of the
disposal facili I V.
Fzj;**lure 10 complY v,1,Lh the requirements Of 1his Ordinance will result In cnfo:-cement
acilon by the cilv.
,I
CONSUMER INFORMATION FORM - "SUNROO-MS"
Massachusetts State Building Code(780 CMR, Appendix J, Section J1.1.2.3.1)
w
The Massachusetts State Building Code (780 CAM) includes provisions to ensure that houses and
house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION
FORM is to be filed as part of the building pennit application when a builder/contractor or homeowner,
constructing'installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a
special energy conservation exemption option for "sunroom" additions to an existing house(780 CMR,
Appendix J, Section J1.1?.3.1). This FORM is not intended to prevent a homeowner from selecting a
"sunroom" of any size, configuration, orientation, form of construction or percent glazing, but rather is only
intended to assist homeowners in becoming aware of some of the important energy conservation and year-
round comfort considerations involved in selecting and utilizing a"sunroom"addition.
The connection of "sunroom" structures to residential buildin;s may create comfort and energy
consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In
the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list
of product and design considerations that a homeowner may wish to consider before actually
constructing./installing a "sunroom". It is recommended that consumers carefully review these options with
their designer, builder, or contractor, in order to minimize potential energy consumption and/or house
discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired
are important considerations.
PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SUNROOMS"
• Solar Orientation and Natural Shading
• Type of Glazing
• Insulating value
• Solar heat gain
• Frame materials
• Glazing to frame sealing and gasketing materials/seal durability and/or
weather tightness of the sunroom
• Adequate ventilation- Operable windows and fans
• Applied Shading Systems
• Insulation level in floors,walls, and ceilings
• Possible Sunroom isolation from the main house via a wall and/or door or slider
• Heating and Cooling Methods: Efficiency,Zoning and Controls
Homeowner Acknowledgment
The Massachusetts State Building Code, Section 11.1.2.3.1, requires that the actual property owner (not the
owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to
issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential
building. In accordance with this requirement. the undersigned hereby acknowledges that she!he has read
the i
lao ation in this document concerning sunroom comfort and energv conservation.
rgnaturc of Actual Building 0kkiicr Date
Print Name .Address oh Permitted Project
Owner Address (if different than proiect location) 0WIler's telephone number
Property Owner 'Must Complete and Sign This Section If Using A Builder
I. �"i , as 0,.k-ner of the subject property
hereby authorize Betterliving Patio Rooms (d.b.a. - Patio Rooms of America) to act on
my behalf_ in all matters relative to ,vork authorized by this building permit application
for(addre s Pf job))
Signature of.Owner Date
Owner or.Builder (as Agent of Owner) Must Complete and Sign This Section
I, — &y7&-' , as Owner/ ed
ant herebv declare that the statements and information on the foregoing application for
(address of job) _� ��� ,5,7 FiorrF,c���- are true and
accurate, to the best of my Lnow ledge and belief.
Signed under the pains and penalties of perjury.
Print ?Na,is
Signature of 0 ones
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Mass 02111
Worker's Compensation Insurance Affidavit
JApplic—antInformatio,n PLEASE PRINT LEGIBLY-----
Name: ,Z5&F>`fJill
Location: /&,? /7/ 1757/EFT
City Phone#
❑I am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
i am an employer providing workers'compensation for my employees working on this job.
Company Name:' :!t%t�eDO.cac
Address: ��7° M&A100 rc./-
City: 91114011--E Dlel& Phone# Zlj-
Insurance Co. Policy# 55 W8L' aSIMP
❑1 am a sole proprietor,general,contractor,or,homeowner(circle one)and have hired the contractors listed
below who have the following workers'compensation policies:
Company Name:
Address:
City: Phone#
Insurance Co. Policy#
Attach additional list if necessary"
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine
up to$1500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of
S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the
DIA for coverage verification.
1 Do hereby certify under the painsv and penalties of perjury that the information provided�aboi w is true and correct
Signature, /° . �,,�� ' Date
c/
Print Name /�-/die A C Phone#_Z.3'1,t-D//0 Ea'r ,S',/
Official use only do not write in this area to be completed by city or town official
City or Town: Permit/License
El Building Department
F-1 Licensing Board
❑ check if immediate response is required F-1 Selectmen's Office
Contact Person: Phone# El Otherh Department
(revised 3195 P/A)
LAYOUT GLANS WALL SECTIONS
EX151ING BUILDING
Q
D 4.5
n 45 45-
r ~ _� -1
t � �J
�n LL
a STUDIO SIDE WALL(A) STUDIO SIDE WALL(C)
DM
Eh lu:::�fo 4$� E
4.5D 4.5'D ASSEMBLY DETAILS
B WALL �I �' �S PI
SEE At LOAD
10 'll , 0 TABLE FOR PANEL 51ZE5
STUDIO FLOOR PLAN '
U
ot 010
Q MINIMUM SLOPE 1:12--
` GUTIEP FASCIA- - f�
xPo
&'N190" HEADER 5UPPOPT BEAM
1 TFAN50M(OPTIONAL
5LIDING POOP )
STUDIO FRONT WALL(B) OR WINDOW
ALLOWABLE LIVE LOAD �AgLE FOR 11 FT. f ANAL WITH 10 FT,OR LE S5 SPAN
20 P5F 25 PSF 30 P5F 35 P5F 40 P5F 45 P5F 50 P5F 55 P5F 60 PSF I EMPEKED GLA55 -
�'HC 511G 3"11C 31 IC 3"HC 3--HC 3"HC 3"HC+H 3"FIG-FI FLOOR CHANNEL
------ ---------—
°'EPS�-li ?'EP5+FI 3"EPS4-H 3"EPSrH 3"EP5+H 3"EP5+1J 3"EP5+H 4.5"EP5+H 4.5"EP5+H
NOTES FOP 5TUDIO CONSTRUCTION
1,ALLOWABLE LOAD5 ARE BASED UPON 8.PANELS MAY ONLY BE U5ED IN POOF5 AND WALL5 WHERE 16.ABBREVIATIONS: VEGK/5/SLAB
THE LESSOR OF THE ULTIMATE LOAD/2.5 GLA55 B OR GLA55 II INTERIOR FINI5HE5 ARE PERMITTED D=DOOR CBM=GPAPL-BILT MANUFACTURING
OR THE LOAD AT 5PAN/120. BY CODE. DM=DOOR MULLION P5F=POUNDS/50.FOOT TYPICAL STUDIO SECTION
2.HC/EP5 REFERS TO CBM 5TKUCTUP.AL W=WINDOW FT=FEET B
PANEL5 WITH ALUMINUM SKIN5 BONDED TO 9.HORIZONTAL JOINTS BETWEEIJ THE ENDS OF PANELS APE WM=WINDOW MULLION BG=BUILDINA CODE
HONEYCOMB/POLYSTYRENE GORES v',4/Z^ NOT PERMITTED. HIS=HONEYCOMB PANEL5 IBC=INTERNATIONAL BC c�
( 10.CONTRACTOR TO PROVIDE FALL PROTECTION PER LOCAL CODE5, EP5=POLYSTYRENE PANELS UBC=UNIFORM BC
AND 6"IN TFiiCKNE55).ADJACENT PAIJELS FOR 5UNROOM5 WITH A FINISHED FLOOR.LEVEL OF 30" H=THERMALLY-BROKEN NBC=NATIONAL BC 0
ARE CONNEGTED USING VINYL CLEATS OR He. OR GREATER ABOVE AN EXTERIOR 5UPFACE. ALUMINUM H-STIFFENER 515C=5TANDARD BC Q'�■
3.NINETY(90)MFFI UE51GN WIND 5PEEP, it.5TRUGTURAL FRAMING AND CONNECTIONS TO BE IN5TALLED L"=WALL HEIGHT MFG=MANUFACTURER
EE5IGN.E A OP.B. PER APPLICABLE CODE5 AND CBM/MFG5 SPECS. MPH=MILES PEP.HOUR 5PEC5=5PECIFICATION5
4.DE51GtJ ROOF PANEL DEAD LOAD=5 PSF. 12 CONTRACTOR TO INSPECT ALL EXISTING CONDITIONS MAX=MAXIMUM
5.DOOR AND WINDOW LOCATIONS ./SIZES ARE PROJECT: CONTRACTOR: 19 a
Q
INTERCHANGEABLE PER MFG'S 5PEC5. AND A5 I4ECE55APY REPAIR AND/OR REPLACE ALL F&r4�.
Co.WIDTH OF B-WALL MAY VARY PER MATERIALS AS REQUIRED TO RENDER THEM 5TPUCTUKALLY �O X 1O Joss POOP./WINDOW LAYOUT UPT 0 24FT. 5OUND AND COMPLETE. G J. ��
7.PANEL5 MAY ONLY BE U5ED IN POOFS 13.L"=96-3/8"(MAX)FOR ALUMINUM ENCLOSURE. s UCTURAt STUDIO ENCLOSUf�E
AND WALL5 OF ONE STORY BUILDINGS OF L"=107-1/4"(MAX)FOP.VINYL ENCLOSURE. 4024 DRAWN BY;CJJ DWG NO.:
CONSTRUCTION:TYPE VB(FOR IBC/NBC),
TYPE VI(FOR 513C)AND TYPE VN(FOR UDC). 14.AUTHORIZED FOR BETTEPLIVING DEALER/MATE p (JJJLY, O(67> em50-10x10 GENERAL LAYOUT
15.5TUDI0 FLOOR PLAN&5EC(ION NOT TO 5CAL 5CALE:V=4' DATE:4/30/2003
N01�:
NO ACCE55 PpOVIPrL,INTO DOOM,
0*.IFF TO INSTALL P00P Af
FUTTp 121E
FXi511N6 FLECK 10'X14'(APPF0X)
17 I.2X10 Pf FLAME @ 16"OC,
2,5/4"X 6"Ff 7cCKING
(mil✓}.► IO' 3" !"J015f NAMTF5
4.6X6 P0'-f5
I2"o X 481, 7EEl'FIG W/NdQ ?5
6.TPIPLE 240 F'f GT.Q
IF
8 F F0F05E17 UP6PA2F5 fO EXI`fIN6 G�g
7 "1 4 2 X "I I,fO AM 5fAF5
2.fO FFFLAa N 4I MOOP
TOP05En 3 5EA5GN PGPCN
10'X 14'(A2IT0X)
STUDIO STYLE ENCL05ln
3"EP5+ N FOOF 5Y5TEM
(10'SPAN)
4
® 36"NIGNf'.PJL O
I I"1T?EAl7
1-3/4"RISE
4"m[-u5fEp 5FACE
Protect: Scale; I/8"=I'-0" Drawirq:
etterliving �T5mNa
SUN ROOMS 1-2 NIGH 51PEE( A-1
317 MEADOW ST UNIT#2,CMCOFEE MA 01013 FI CFFNCE,MA01062
Phone(413)420-0140 Fax(413){20-Of47
Date: 41 01�/04 Sheet I CFI
--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
J
3.5�ASO,tlSdc!?.D�y
ac/,u&w
` I �
TO: EASTHAMPTON SAVINGS BANK &
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS_ NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
_ —NOTE—
SURVEYOR: .�- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
—MORTGAGE LOAN INSPECTION PLATT—
°ti NORTHAMPTON, MASSACHUSETTS
RAN PREPARED FOR
E. �' LISA A. BACHAND
IZER
135032 SCALE: 1 "=310 ' JANUARY 31 , 2002
SU RS y£�� HAROLD L EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
935 Pt ISgFI 1 lrTRFF T -- WAr)l GY — ►teccerui icI:71rF c
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: ES__{ � -------_-------------------- -----yd—�&o
--------------------
License Number
----------------- -----7- -----------------
Address Expiration Date
--- - -a w
----------------------
Signature Telephone
8:Assiisternd Home Imi►rovement'Corttractor-, Not Applicable ❑
_ 11_4 19111 IVA_(16�_ r✓!?dfly_s�------- --- lLJ 7l----------
Company Name Registration Number
-_--- lv -os
----------------- --------------------------
Address '/ '/ Expiration Date
--------------------------------------------Telephone /-��d�i�d
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....... 2- No...... ❑
11. --Home Owner ExeYnption
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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Ir Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ N�Sw Signs [ J Decks J Siding[ Other[�'VV
Brief Description of Proposed
Work:2LAzM RI Yi�/' E1�SOrt/S�itI�OD Q /STit1Cf���.r w/Tin/(/�.Qi�l7ES Zx#� KlAq- &�-it/O
ELE&ZIC� AebWd„✓y
Alteration of existing bedroom------Yes No Adding new bedroom—_____Yes � _ No
Attached Narrative Renovating unfinished basement -------Yes
Plans Attached Roll -Sheet
6a.!fi New house and ar addition to exis t in” houslng cbrmplete ttte fottowing
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.__________ /,/0 _ Dimensions
e. Number of stories? /
--------------------------------
f. Method of heating? ------------- Fireplaces or Woodstoves_-_ —__ Number of each
g. Energy Conservation Compliance.-------------------- Mascheck Energy Compliance form attached?__ 7e-_
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 City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I'------ 6466W-O------------—---------------------------------------
propert y as Owner of the subject
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
-------4R- 14-2W-MW-----------------------------------X-6-4 -------------------------------------
Signature of Owner Date
-- _____ _ , as Owner/Au 'd
Aq.§�O 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.
�1-------------------------------------------------------------------------------
Print Name
---- L�� _
Signature of Owner/Agent Date
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
c Building Department
Lot Size
Frontage
Setbacks Front
Z�
Side L: R: L: R: � e-
t-
pr rs
Rear 7 a00 G�rP ZO
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 _Z DON'T KNOW
YES >107- PUAl S-,-IO S A10 K1,q rF�
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:
• t
1�a itSE33tFI
�Git of Northampton ,
11 V-
$Btl p S�d Fitt
ding Department t6rfl-O D ewayFisfmtt
21? Main Street Siarr �
s
7 �.' Y
doom 100 atrtyelt Avtlabtty R
Northatipton, MA 01060 Two Sets of Structural k x
, bhe 413-587-1240 Fax 413-587-1272 PIotlSta i3tans
O#ttr Secrf!
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map==--=--� Lot Unif
�j�yST �or2Eit/cE Zone Overlay District
Elm St.district CB district
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
c�F?Cy/tiL�------------------------------- -t�� sS _z
Name(Print)�J Curre t Mailin A ress: /D
-- { �-------------------------- -- _ _ _ -----------------
Telephone--
Signature
2.2 A'u/thorized Agent:
Name(Print Current Mailing Address:
U1eli
----------------- -/[,�;5 -v-Q -----------
Signature ----------------------
Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed b permit applicant 1. 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) 0 100- Check Number
This Section For Official Use Only
Building Permit Number:_—_— Date
------------------ Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2004-0993
APPLICANT/CONTACT PERSON BETTERLIVING SUNROOMS/PATIO ROOMS OF BOSTON
ADDRESS/PHONE 317 MEADOW ST,UNIT 2 CHICOPEE (413)420-0140(5) "
PROPERTY LOCATION 132 HIGH ST
MAP 17C PARCEL 141 001 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
Typeof Construction: INSTALL 10 X 14'SUNROOM ON EXISTING DECK WITH UPGRADES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 125168
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P &SENTED:
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
Ste'%
ZONING BOARD PERMIT REQUIRED UNDER: § !7. -31
Finding f/ Special Permit Variance* c
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 Commi ion
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.
ZONING BOARD
DECISION City of Northampton
Date: June 28, 2004
1,Carolyn Misch,as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board
Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on
June 28,2004
1 certify that a copy of this decisions has been mailed to the Owner and Applicant.
�T
The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty(30)days from the date
of the decision. All appeals are heard by the full Zoning Board of Appeals.
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.
a .
` "ZONING BOARD �
DECISION city of Northampton
Date: June 28, 2004
APPLICATION TYPE: SUBMISSION DATE:
ZBA-Finding 512812004
Applicant's Name: Owner's Name: Surveyor's Name:
NAME: NAME: COMPANY NAME:
Lisa Bachand Lisa Bachand
ADDRESS: ADDRESS: ADDRESS:
132 High Street 132 High Street
TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE:
FLORENCE MA 01062 FLORENCE MA 01062
PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE NO.: FAX NO.:
EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS:
Site Information:
STREET NO.: SITE ZONING:
132 HIGH ST URB
TOWN: SECTION OF BYLAW:
FLORENCE MA 01062 Section 9.3(1)(D):Pre-existing Nonconforming Structures or Uses May be Changed,Exten
MAP: BLOCK: LOT: MAP DATE: ACTION TAKEN:
17C 141 001 Denied
Book: Page:
3442 032
NATURE OF PROPOSED WORK:
10 x14'3 season sunroom on existing deck with upgrades. ;.
HARDSHIP: I
CONDITION OF APPROVAL:
f
FINDINGS:
The Zoning Board of Appeals Zoning Administrator denied the request for a Finding based on the information in the application and
statements taken during the public hearing.
The Zoning Administrator determined that a Finding could not be granted based on evidence that the proposal did not constitute a pre-
existing non-conformity because the existing structure was free-standing and not attached to the house.Additionally, there was no
evidence that the deck had been in place at the time that the URB setbacks were established. Thus construction of an attached
sunroom/porch would constitute a new violation, which requires a variance.
COULD NOT DEROGATE BECAUSE:
FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE:
61312004 611712004 71712004
REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE:
611012004 81112004 612412004 71812004 711812004
FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE:
611012004 612412004 612412004 6/2812004
SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE:
611712004 4:00 PM 912212004 71812004
MEMBERS PRESENT:
David Bloomberg v es to Deny
MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION:
David Bloomberg 1 Denied
MINUTES OF MEETING:
Available in the Office of Planning&Development.
GeoTMS®2004 Des Lauriers Municipal Solutions,Inc.
�Z`M-0564
132 HT('.T-T q-T
Cc µ, �a � ,'�%:�r li'1 OF jNA—ASL ACHUSETT
MiaBlock: i/C - 141 CITY OF NOR7fHiAMPTON
Lot:-001
Permit: Building
BUILDING PERMIT
Category:
Permit AL BP-2003-0564
Pro•ect# JS-20010927
Est Cost $11000.00
PERMISSION IS HEREBY GRANTED TO:
Fee: 55.00 License:
Cons Contractor: 074570
Use Group: HAYES DALTON
Lot Size(sa ft.): 5488.56 Owner: BACHAND LISA
zoninURB Applicant• HAYES DALTON
1 �.1�n1_� C`T
AT; y32 1111171 . Ji
Phone: Insurance:
Applicant Address: (413) 582-0445
129 SOUTH ST
EHESTERFIELDMA01012 ISSUED ON:12120102 0.00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 14 X 10 SUNROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector of Plumbing Inspector of Wiring
D.P.W.
Service: Meter:
Underground: Footings:
Rough: Rough: House#
Foundation:
Driveway Final:
Final: Final: Rough Frame:
Gas:
Fire Department Fireplace/Chimney:
Insulation:
Rough: Oil:
Final:e
Final: Smoke* -6�4 3
b "
THIS
PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. .&",
re:
Certificate of Occu anc Check No: Amount:
Fee Type Receipt Si natu
t No: Date Paid:
12/20/02 0:00:00 1213 $55.00
Building
212 Nfid,]:Street,Phone(413)587-1240,Fax: (413)587-1272
13uilc u^Comniissioner-Ai thoiiy 1'aiillo