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17A-160 (4) WINDOW SCHEDULE Joan & Kim Williams - 35 Fox Farm Road, Northampton, MA Andersen Series 400 vinyl clad casements with "High Performance" Low E glass. BACK DORMER: Bedroom: CXW 14 one Right and one Left- r.o. 4' 0 1/2" x 3' 0 1/2" Bathroom: CXW 13 one Right - r.o. 3' 0 1/2" x 3' 0 1/2" Master Bathroom: CXW 13 one Right and one Left - r.o. 3' 0 1/2" x 3' 0 1/2" Master Bedroom: CXW 14 one Right and two Left- r.o. 4' 0 1/2" x 3' 0 1/2" GABLE END : Master Bedroom: CXW 13 one Left - r.o. 3' 0 1/2 x 3' 0 1/2" framed 42" from underlayment FRONT DORMER: Bedroom: CXW 135 one Left and two Right - r.o. 3' 5 3/8" x 3' 0 1/2" Common Space: CXW 135 one Right and one Left - 3' 5 3/8" x 3' 0 1/2" WINDOW SCHEDULE Joan & Kim Williams - 35 Fox Farm Road, Northampton, MA Andersen Series 400 vinyl clad casements with "High Performance" Low E glass. BACK DORMER: Bedroom: CXW 14 one Right and one Left- r.o. 4' 0 1/2" x 3' 0 1/2" Bathroom: CXW 13 one Right - r.o. 3' 0 1/2" x 3' 0 1/2" Master Bathroom: CXW 13 one Right and one Left - r.o. 3' 0 1/2" x 3' 0 1/2" Master Bedroom: CXW 14 one Right and two Left- r.o. 4' 0 1/2" x 3' 0 1/2" GABLE END : Master Bedroom: CXW 13 one Left - r.o. 3' 0 1/2 x TO 1/2" framed 42" from underlayment FRONT DORMER: Bedroom: CXW 135 one Left and two Right- r.o. 3' 5 3/8" x 3' 0 1/2" Common Space: CXW 135 one Right and one Left -3' 5 3/8" x 3' 0 1/2" WINDOW SCHEDULE Joan & Kim Williams - 35 Fox Farm Road, Northampton, MA Andersen Series 400 vinyl clad casements with "High Performance" Low E glass. BACK DORMER: Bedroom: CXW 14 one Right and one Left- r.o. 4' 0 1/2" x 3' 0 1/2" Bathroom: CXW 13 one Right - r.o. 3' 0 1/2" x 3' 0 1/2" Master Bathroom: CXW 13 one Right and one Left- r.o. 3' 0 1/2" x 3' 0 1/2" Master Bedroom: CXW 14 one Right and two Left- r.o. 4' 0 1/2" x 3' 0 1/2" GABLE END : Master Bedroom: CXW 13 one Left- r.o. 3' 0 1/2 x 3' 0 1/2" framed 42" from underlayment FRONT DORMER: Bedroom: CXW 135 one Left and two Right- r.o. 3' 5 3/8" x 3' 0 1/2" Common Space: CXW 135 one Right and one Left - 3' 5 3/8" x 3' 0 1/2" KcI - LA l X1 NY ace t oo Form 4B. 0 2000 Mathematics Help Central http://www.mathematicshelpcentral.com c a� w S LIP\ Qj t c � m v .-. N U m d' O LL �Y)b QS1 b.n�S��J a►� s ��U '-w->bq ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: All "i -so aV, W�119 A m5 Site Address: . 5 Fox Peurin5 'A Applicant Address: t97 ' /Qtxr K d City/Town: Alo rA&m Av h et Use Group: D 1.010 Date of Application: (0- U0 — Applicant Phone: q 13 303 04q& Applicant Signature: Compliance Path(check one): Z5� ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through KK from Table J5.2.1b): Heating Degree Days (HDD65)from Table J5.2.1a: (For items d. through i.,fill in all values that apply from Table J5.2.Ib:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- e. Glazing%(100 x b-a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- J. Heating AFUE ❑ Component Performance: "Manual Trade-Off'(Limited to wood or metal framed buildings only) Climate Zone (from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet,if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate (HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b. Glazing Area' _sq.ft. c. Glazing%(100 x b-a) % ADDITION with Glazing% (c.)up to 40% may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceilings Wall Floor Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 R-10 R-10,4 ft 1 Glazing Area may be either Rough Opening or Unit dimensions. 2 Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.-not compressed over exterior walls,and including any access openings) ❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s)for Denial: (provide additional details as needed on back side) � T ¢'CtSAF1P�. Lzty of Xorthaniptan • ♦ L Z � �!'itassx�hitsetts . -, DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Northampton, MA 01060 y HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as i:is/her construction supf:.i:or. 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, 3,:,:,qV" HIV 1 lCt m S 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 �i Zlo D& Address of work location 35 �oX a _M.S A J f aaaAchncctta' DEPnRTMEI-fT OP BUILDf�10 MSPECTiO1JS - 212 Main Strcct Municipal Building Northampton, Mass. 01060 { «VOJUCCR'S CONQPENSA=N CNSURANCE AI�III)A�TI�' (li ct-m�-xJpc,-m�ctcc) with a pnncipaj place of business/residencc aI: i (phoney') ' ` (sn1=(16 ty/sta c/a p) do hereby ce `, under the airs and penalties of e f -Thai j ( ) I am an employer providing the followine work&5 Comocasadon cove-29C for Ind• emplovccs worlang on tllis job: (Incur-� Corr m) (Pelie:?cur) --- (1 :-pirvor Das} ( ) I am a sole proprietor, general c000-actor or homeowner (c cie one) and have hired the contractors listed below wbo have the following worker's coLaen_sa,don parties: (i+flID: O; C0:1'7lC-,Or) (Ins rwic^. Coino un)'/PGUc �ruII1L<:) `•Jt;J Q1 l)1lC) (Name of Councior) (bis-wanc: ComoanyiPobm Number) (kDir,-.6on Date) (Name of Connmelor) (lasurao Compan)•/Pouq- Number) (Expiration Date) • (Name of Connmaor) (Lasurancz- Comraay/PoUcy Numbs) kExpim6oa Dais). (an—h addtioeal r!c ifncc.c�--ta irGaud-iaroct of peteiaiag to all toes-�e.e:s) O I am a sole prop netor and bave no one working for me. I am.a home owner performing all the work myself. l NOTE:plesc be ewarc tt,•w1:Je bcmco� -n u-bo employ pcsooa to,_i=..i �rr�uo c rgau.•uric on a d— :-.`of arx mote the t`soe era is wt ich the botaoowi--raid.oc oa the p-ounca xi p rr icas.3 then r z ox C=rlty oc=6 cd to be eirploycz uric a the.-kcr's ocrPc_tioa Act(GL152.=l(5)�zpplicaboc by a bomaoav--f=c liC Z-or pencil rz:y e.-rdm the Icsa3 of as crPloy,c uidar dro wockolc C.ompom+lion Ad [uDdcizaad that a.Dopy of th;s n miy be ror-+.n,me to the Dopa„mmr crtndutr;cl Mod.ss�offioo ur tca+r•ooa roc thy. oovexse vciCc ioa and thet L•.iltac to L,==`coverabt uodcr sa3ioi 25 A of MGL 1.52.a lad to the imposaioa of cimiaa!pen hica coasiaing of a rice orup to SI-S00.00 artdlir i02trj D=C<=orup to Doe year and c,i pm,.tia in t5 ro n of a Stop Work Ord-- aid a firm 0(S100.00 a day cpiast me permit Numb(= n Lot Srtnaz of LiccnsccfPcrrniucc �� SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone 936 Notriegcoementontracfor c g ` Y � �;��. ,�,� � ..�� � ��'.� Not Applicable .❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCEAFFIDAVIT(M.GL.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...... ❑ 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-vear 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 Zo Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing Or Doors $[ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[off Other[p] Brief Descrip'on Qf Propposed '..�11 II C�uC2f11I� D Work: S d 03c;.( + C w'2r5 A�d� o Alteration of existing bedroom Yes �- No Adding new bedroom vim_Yes No Attached Narrative Renovating unfinished basement Yes o Plans Attached Roll -Sheet � � �ewrofseatl�o1'° lOr> o2xjstlncl h� tln�, rrt etet orl!ncl: 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? le S d. Proposed Square footage of new construction. /000 Dimensions ��`r Z Z\ e. Number of stories? Z f. Method of heating?�as l'+✓� ,+A-� 1n1Q1�✓ Fireplaces or Woodstoves�_Number of each {e_pla4e - y g. Energy Conservation Compliance. /�S Masscheck Energy Compliance form attached? e S h. Type of construction Zx` 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 N k. Will building conform to the Building and Zoning regulations? ­__Yes No. I. Septic Tank City Sewer ✓ Private well City water Supply SECTION°Ta-tOWNERAUTHORiZATION TO BE COMPLETEI).=WHEN OWNERS AGEN�=OR°CON'TRAGTOR=APPLIES`FOR=6UILDING:PERMIT as Owner of the subject property hereby authorize to act on 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 information on the foregoing application are true and accurate,to the best of my knowledge and belief. - Signed under the pains nd penalties of perjury. _©°t+' 1/V+�'10l Print Name Signature of Owne gent Date .s Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage 100 Setbacks Front �8 Side L:-L4L_ R:= L: R:=_1.5 Rear Building Height r--'° _ T5 _le. Bldg. Square Footage % 6 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 0 DONT KNOW YES 0 IF YES, date issued:' i IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book : Page, and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 0 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 AX IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton s a y Building Department " w 212 Main Street Room 100 � Northampton, MA 01060 m J{ ione 413-587-1240 Fax 413-587-1272 APPLICATt N-T(i CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION Th�ssect�an to be completed broffice 1.1 Property Address: a *4 a ; 2 1i G f �ugtw. 35 fly farw.s �lil[ dot �(CraH.Q�ay. N��vto�ziipeh � 0ue�faistnct Ern S6,L7iJetrrct .,.Y CB$Dc SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 35 Fo)C Farm.5 2� . Name P' t Current Mailing Address: 3o3-oyj Z Telephone Signatur 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SEGTION,3-ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building L4 D ODO (a),•Building.Permft Fee 2. Electrical �(b)-Estimated-Total Cost of �J -Construction-from 6 3. Plumbing c p Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) GX� Check Number This'Section For Official Use Only - Building Permit Number. Issued: Signature: - Building Commissioner/Inspector of Buildings Date File#BP-2006-1409 APPLICANT/CONTACT PERSON WILLIAMS JOAN M&KIM A ADDRESS/PHONE C/O SETH GOLDSTEIN LIGHTHOUSE POINT PROPERTY LOCATION 35 FOX FARMS RD MAP 17A PARCEL 160 001 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 Typeof Construction: FINISH ATTIC&2 D&MERS Q BEDROOMS) _ New Construction Non Structural interior renovations Addition to Existiniz Accesso1y Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Commission 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. C/-z) 1o�,4J Q� 35 FOX FARMS RD BP-2006-1409 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A- 160 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-1409 Project# JS-2006-2076 Est. Cost: $50000.00 Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sc.ft.): 17990.28 Owner: WILLIAMS JOAN M&KIM A Zoning.URA Applicant. WILLIAMS JOAN M & KIM A AT. 35 FOX FARMS RD Applicant Address: Phone: Insurance: C/O SETH GOLDSTEIN LIGHTHOUSE POINTFL33064 ISSUED ON.•71312006 0:00:00 TO PERFORM THE FOLLOWING WORK.-FINISH ATTIC & 2 DORMERS (3 BEDROOMS) 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:') S'U6 ough: .Y/� House# Foundation: Driveway Final: Final: �" J'�� final: 1l�/d �f �✓ O Jv Rough Frame: (dc4:,e 1 Gas: F' e e artm nt Fireplace/Chimney: Rough: Oil: Insulatiomek Final: moke; Final 6k THIS PERMIT MAY BE RE BY THE C Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND R UL TI S. Certificate of Occu anc Si nature: - FeeType• Date Paid- Amount: Building 7/3/2006 0:00:00 $200,00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo