17A-107 (3) F LOOFA JOIST SYSTEMS
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158 North Maple 5t.
{� Florence, M—A 01052
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VERTICAL PAQI:LG MUDGILL DEJAILS
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CDT Construction
158 North Maple St.
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uc�_\`� 9\f ' Florence. MA 01062
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COT Construction
158 North Maple St.
Florence, MA 01062
HEADERS OpE�IIU6S
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158 North Maple St.
Florence, MA 01062
i
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 QMR Appendix J{zflective 3/1/98)
Applicant Name: � ~'S�i 1`• ��'`� --
Site Address: ��� �G�\Y� �y�
Applicant Address: �� 'V� C1 City/Town:
r ee_YL _ +�L Use Group:
Date of Application: `�
ApnlirrrIt ptjCo v: �_1 —' p�� ► I App!;,cailon,, SiF,iiniiij
C ofnpUanoe Pvtf[(check ci,")z
!Q Prescriptive Pa;:,kage (Limited to 1- or 2- family w,-od frameOuddings Heated with fossil fuels only)
Package (A throw KK from Table J5.2. lb): ____ Heating Degree Days (HDDss)fTom Table J5.2 la:
(For items d. through ;., fill in alt valuas that apply from Table J5.2)
a. Bross Waft Area sq, ft f. Walt R-Yafac
t3. Glazing Area' c .. _.i
�. K. IC^r ra
. k.e ii P
c- Glazing ,(100 x bra) h. Basement wall
d, Glazing ll-yal v_ �• i. Siam Perimeter li
e. Ceiling k-value j. Heating AFUE
❑ Ccmponer i Performance- 'Manual Trade Olt` (Limited to wood or metal frRmed buildings only)
Climate-Zor►e(frnm Fit"J6.2.2) ❑ Zone 12 Q 7-one 13 (] Zone 14
Attach Trade-Off 14'vkshee, from Appendix J,(2nd ii VAC Trade-off Worksheet, if applicable]
Q IOAScheck Software
Attach Compliance Repod and lnspec7ion Checklist printouts.
❑ Systems Analysis OR Q Renewable Energy Sources
Attach Mass Registered Architect or Engirt,--r Analysis
ALTERNATIVE FOR ADDITIONS ONLY,
a. Gross Wall + Ceiling Area sq ft, b. Glazing Areal Sq.ft. c. Glazing jo(.IOU x b+a) %
❑ ADDITION with Glazing% (c.)up to 4 may use 780 CMR 'fable J1.1.2.3.1 below:
MAXIMUM U-value Minimum k-Values
Fenestration Ceiling 1Ha11 Floor Basement Wall f�ab Perimeter, Dept
x.39 R-37 R-13 ' R=19 R-lo o,a it.
❑ `SUNROOM" addition(greater than 40°x,glazing-to-wall and ceiling gross area)
Attach 'Consumer Information Form' from 780 CM-R-Appendix$.
Official's Name: Official's Signature:
Appficztron Approved ❑ Denied ❑ Date of Approval/Denial:
yr venial: (prm—ie additional details as needed on back side)
GuzmaL Arta==y be dt Rvuo Opening car Unh Lunn uns,
Signature page to Findlay proposal dated Nov. 25, 2002 and initialed by owner.
Signat e f ature
Dad "Da te f W L
Acknowledgment of signature page -
Signature page to Findlay proposal dated Nov. 25,2002 and initialed by owner.
PROPOSAL 1 of
Page
CDT Construction
158 North Maple Street
Florence, MA 01062
(413) 585-8677
Name: Jeff& Linda Findlay RE.Reconstruction
Address: 39 Claire Ave of residence
City: Florence,Ma. 01062
Date; Nov, 25, 2002
We hereby propose to: Perform the work and provide the materials necessary to
complete the remodel and addition to residence as is set forth in plans provided me by
owner. Said plans were generated by Metcalfe Associates and dated Aug 24, 2002.
Briefly, the work includes, but is not limited to, the addition to
the rear of house, the addition of a second floor, kitchen,bathes, siding, roofing,
plumbing, heating, electrical/ CATV, TEL, and Flooring.
Interior will be primed white and is a part of this proposal. Any
finish painting will be the responsibility of the owner.
Allowances have been made for cabinets and fixtures, both
plumbing and electrical, and should be adequate as long as "middle of road" items are
used and not specialty items.
Ash Flooring will be installed and three coats of Polyurethane
applied to Family Room.
All windows to be 100%Vinyl, all interior doors to be six panel
and all exterior doors to be steel insulated.
For the sum of One hundred nineteen thousand eight hundred sixty_Dollars
($119,860.00)
With payment made as follows: $50,000.00 to start, $42,000.00 upon completion of
roof, $14,000.00 upon completion of drywall, $6,000.00 upon completion of siding,
balance upon issuance of certificate of occupancy.
Respectfully submitted - Li
Note-this proposal may be withdrawn by us if not accep wi 'n_7 days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do the work as specified. Payments will be made as outlined
above.
Acknowledgment of signature page
�(t1AMPy.
goo ag Crit� of 'Nart4aiilptun
TZI
'�aSa ACllR8ella
DEPARTMENT OF BUILDDT G INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
with a principal place of business/residence at:
(phone#)
(street/city/stal 2l p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the folloNving worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date) s<.<>; . :•,
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the followiflg worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
f.
(Name of Contractor) (Insurance Compaay/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml shed ifnecenxry to include information pertaining to all ooa rz d )
�am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homcownm who employ persom to do mairj�comtrutioa or repair work on a dwelling of
not more than throe units in which the homeowner resides or on the grounds appurtenant hereto arc not generally oomidcrcd to be
employes under the worl(res compeamtioa Ad(GL152,ss 1(5))�application by a homcownir for a license or permit may evidcnoc the
legal status of an employer under the Workoet Compeam ion Act.
I understand that a copy of this statement may be forwarded to tho Depwuwat of In&L%hial Accidents Off o0 of Imuranco for the
coverage vcnficatioa and that failure to soarer coverago tinder section 25A of MaL 152 can lead to the imposition of criminal penalties
oomist of a fine of up to S1,500.00 and/or impziso�t of up to one year and civil penalties in the form of a Stop Wodc Order and a
fine of 5100.00 a day t:g&iad me.
For dal uao only
}} 1�
Permit Number
Map#_______Lot#
Signature of Li ermittee e
SECTIONS-CONSTRUCTION,SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder K�� � `¢-U
License Number
5!Z5
Addres Expiration-bate
Signature iv?l e"A 6-4 e
N t Applicable ❑
4��- N6-1�1-"R, 0 p
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKER 11 S'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...... ❑
'N
iiAiigi 010
hfil 0",
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 S. DESCRIPTION OF PROPQS_9R MRRK(check all applicable)
New House ❑ Addition 00"__ Replacement Windows Alteration(s)i$ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: C A t -
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
Via,
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. (--)t�>Atz�' Dimensions
e. Number of stories?
f. Method of heating? g 'c fZ Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction W <
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes ZNo
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.COMPI,ETVll) WHEN
OWNERS AGENT OR CONTRACTOR!APPLIES FOR BUILIANG PERMIT
I, as Owner of the subject property
hereby authorize to act on
eh n all tters relative to work authorized by this building permit application.
nature of Owner Date
as 9"e /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.
rint ame
r
S nat ner/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
Building Department
Lot Size / OO
Frontage
Setbacks Front t 4
Side L: R:- L: R:
/S
Rear � ISO I 3O
Building Height
Bldg. Square Footage rz) % ,�� `0°i0
Open Space Footage I Ze1(3
(Lot area minus bldg&paved r
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
N0 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 V 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 rr�
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:
City of Northampton
Building Department
212 Main Street
Room 100
t 11 Northampton, MA 010.60
phone 13-587-1240-max
APPLICATION TO CONSTRUCT, ALTER, R1E,PA1 DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION `
1.1 Property Address; 4 �Tht ��ct� o be cort�le#�b offNae
Map
3#
one erfa��tI�
Elm St.,District y �: - r
;
SECTION 2- PROPERTY OWN ERSHIPIAUTHORIZED AGENT
2.1 Owner of Record: q
Name(Print) -T Current Mailing Addre
Telep one
Signature
2.2 Authorized Agent:
N 5e�_'i Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS'
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit 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 U�7-�
6. Total =(1 +2 + 3 +4 + 5) ` Check Number 5"rf -
This Section For Official Use Only
Building Permit Number: AS P03- Date lssued.'
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2003-0632
APPLICANT/CONTACT PERSON CDT CONSTRUCTION
ADDRESS/PHONE 158 NORTH MAPLE ST (413)585-8677
PROPERTY LOCATION 39 CLAIRE AVE
MAP 17A PARCEL 107 001 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 18 X 20 REAR ADDITION(FAMILY RM)ADD 2ND FLR TO EXISTING
(3 BEDRMS 2 BATHS)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 00366�l�✓�
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF90RIVIATION 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 C ssion
L �b
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.
I
I
BP-2003-0632
39 CLAIRE AVE
GIs L COMMr?'' ►WEALTH OF MASSACHUSETTS
Ma -Block: 17A- 107 CITY OF NORTHAMPTON
Lot: -001
Permit- BuiIdinl?
Cate or BUILDING PERMIT
Permit# BP-2003-0632
Project# JS-2003-1041
Est.Cost: $118500.00
Fee: $592.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group. CDT CONSTRUCTION 003666
Lot Size(sa ft.): 10018.80 Owner: FINDLAY JEFFREY S&LINDA M
Zoning.URA Applicant: CDT CONSTRUCTION
AT: 39 CLAIRE AVE
Applicant Address: Phone: Insurance:
158 NORTH MAPLE ST (413) 585-8677 Workers
Compensation
FLORENCEMA01062 ISSUED ON.1124103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 18 X 20 REAR ADDITION
(FAMILY RM),ADD 2ND FLR TO EXISTING (3 BEDRMS, 2 BATHS)
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:
(�K
Rough / s Rough: `) jl'{ L House# Foundation:Driveway Final: --171vo
Final: Final:/v 9
/rZ/l D j Rough Frame:
Gas: �'1j � � Fire Department Fireplace/Chimney:
•
Rough: Oil: Insulation:QkC G
,j� Final: B K /1-3.6 3�
Final: Smoke:if �pr�— � • '�(/
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATI OF
ANY OF ITS RULES AND REGULATIONS.
J
Certificate of OCCU an si nature:
Fee Type: Recei t No: Date Paid: Check No: Amount:
Building 1/24/03 0:00:00 4998 $592.50
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo