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17C-187 (8) NORTHANWTON, MA work�-n opan to th lrv- ctoro*, .=i190ins. Ja :* c'-*ongcs mzda� to the 4�rc`Y.in�l by #tall hove wvi$tea opprovil of the dns r ktisi:i;iTc/$.Plons must conform fo lAcas Stu4e fluiwilig code. mpaevr of Uildinp o- ,+i cs 7,4 7 C� i`7'j\; f f}1 """". t':"..,- ' s- � � Ei ✓l.L?'#fit:;�+;� ''-..-*' lei .✓ -" f� L ?d dC—/ 37 +7Q x-U-vw" e rr s 8�S SE' S✓ 9 r.tr�/S ' �+�,!.��yrs�-.rte'�s�7 Y�`?Z� r✓r�14�f/ ��� F1 H I Ll F1 t—L,— a J H F1 EH 1 1, all J . i f01*/-.N Zt 0%l hs5k f 3—ZZ 02_ S '� zy,/�r�r�,�✓�7 �d� gym!f9�,� 0 G� 0 r 2 Nr � d r � I b 1 � � 1ry\Y� LN V Olm ao a,-z� ��a� h� xZi IOU, � 3i R 777 N3LrxYW fa+�c7c1, 3�'avCC o S w _^ `k { � G d A Z d�S z hhZ ZhhZ SS Gd ESrtU- 57- b�3o�a.fir�vt r.sstc r i ��r�AE"7��t7t.�.►.��E"�2 'ERu V erj-, 22 'f)" 2A/52- 2 yS'Z, N s N N cm N N C1 O N !ve-)\r �V N 0 4 Grp . aka n L-T- \g u \ `L9G.p, ,gyp .A ... � � '' LOG• r � 1...._.J -I ---- LAT�DA/�6r- 2 � ol F6 RT G- 1 3G 3g" 28 co 5!1!tA2S 7.(oy AA Li il� 2`- O�r 3° N s N N cm N N C1 O N !ve-)\r �V N 0 4 Minimum distance from face of support to the center of hole. 3/4x r diameter 2x diameter of larger hole MINIMUM DISTANCE FROM FACE OF ALL JOIST SUPPORTS TO CENTER OF HOLE - Single or Multi-span Minimum Distance from Inside Face of Any Support to Center of Hole (ft - in.) Round Hole Diameter (in.) Joist Joist Span Depth Designation 2 3 4 5 6 61/4 7 8 85/8 9 10 103/4 11 12 12 3/4 Adjustment Factor IB-400 1'0" 2'0" 3'0" 4'0" 5'0" 5'6" 12.75 IB-600 2'0" 3'0" 4'0" 5'0" 6'6" TO" 14.17 IB-400 0'6" 0'6" 1'6" 2'6" 3'6" 4'0" 4'6" 6'0" 7'0" 14.75 11 7/8" IB-600 0'6" 1'6" 3'0" 4'0" 5'0" 5'6" 6' 6" 8'0" 9'0" 16.42 IB-800 2'0" 3'6" 4'6" 6'0" TO" 7'6" 8'6" 10'0" 11'0" 18.17 IB-400 0'6" l'0" 2'0" 3'0" 4'0" 4'0" 4' 6" 5'6" 6'0" 6' 6" 8'0" 9'6" 16.33 14" IB-600 0'6" 1'0" 1'0" 1'6" 3'0" 3'6" 4'6" 6'0" TO" 7'6" 9'0" 10'6" 16.z'- IB-800 0'6" 2'0" 3'0" 4'6" 5'6" 6'0" 7'0" 18'6" 9'6" 1 10'0" 11'6" 13'0" 1 19.9 IB-400 0'6" 0'6" 1'0" 1'0" 2'0" 2'0" 3'0" 1 4' 0" 4' 6" 5'0" 6'0" 7'0" TO" 9'0" 1 10'6" 16.42 16" IB-600 0'6" 0'6" 1'0" 1'0" 1'0" 2'0" 2'0" 3'6" 4'6" 5'0" 6'6" 8'0" 8'6" 10'6" 12'0" 16.42 IB-800 0'6" 0'6" 1'0" 2'0" 3'6" 4'0" 5'0" 6'6" 1 7' 6" 8'0" 10'0" 11'0" 11'6" 13'6" 15'0" 19.92 1 Above tables may be used for 1-Joist spacing of 24 inches on center or less. 2 Hole location distance is measured from inside face of supports to center of hole. 3 Distances in this chart are based on uniformly loaded joists that meet the span requirements. 4 For continuous joists with more than one span, use the longest span to determine hole location in either span. to a i ii iY -0r i --- - INTERNATIONAL BEAMS INTERNATIONAL BEAMS INC. 735 Waterloo Row Fredericton, NB Canada Tel: 506-457-4043 Fax: 506-457-0879 Toll free customer service: 1-866-457-4043 Website: www.internationalbeams.com ----------------------------------------------------: P4AXIMUM FLOOR SPANS W- 'sing Stress Design 100% Load Duration 40/10 Loading Glued and Nailed Simple Span L/480(Live Load) Multiple Span L/480(Live Load) Series Depth 12" 16" 19.2" 24" 12" 16" 19 2" 24" 9 112" 18'0" 16'6" 15'7" 14' 1" 19'7" 17'2" 15'8" 14'0" IB 400 11 7/8" 21'6" 19'7" 18'2" 16'3" 23'0" 19' 11" 18'2" 16'2" (2 x 3) 14" 24'4" 22' 1" 20'2" 1810" 25'6" 22' 1" 20' 1" 18'0" 16" 27'0" 24'0" 21' 11" 19'7" 27'8" 23' 11" 21' 10" 19'6" 9 1/2" 19'0" 17'4" 16'4" 15'4" 20'8" 18' 10" 17'9" 16' 5" IB 600 11 7/8" 22'8" 20'8" 19'6" 18'3" 24'8" 22'6" 21'2" 19' 1" (2 x 3) 14" 25'9" 23'6" 22'2" 20'9" 28' 1" 25'7" 23'8" 19'9" 16" 28'7" 26' 1" 24'7" 23'0" 31'2" 28' 1" 24'9" 19'9" 11 7/8" 24' 11" 22'8" 21'4" 19' 11" 27' 1" 24'8" 23'3" 21'8" IB 800 14" 28'3" 25'9" 24'3" 22'8" 30' 10" 28'0" 26'5" 23' 11" (2 x 4) 16" 31'4" 28'6" 26' 11" 25' 1" 34'2" 31' 1" 29'3" 23' 11" Design Notes: 1 Spans are based on a composite floor with glued-nailed sheathing meeting the requirements for APA Rated Sheathing and conforming to PRP 108, PS 1 or PS 2 with a minimum thickness of 19/32" for joist spacing of 19.2" or less and 25/32" for a joist spacing of 24". Adhesives shall meet APA specification AFG-01 or ASTM D3498. ns shall be reduced by one foot when the sheathing is nailed only. 2 � , imum bearing length shall be 1 3/4" for end bearing and 3 112" for inierrnediate bearing. 3 Bearing stiffeners are not required when 1-joists are used with the spans and spacings given in this table. 4 The span chart is based on uniform loads. ■ Our Guarantee International Beams Inc. manufactures and tests its products to very high quality control standards. We are confident that our products will provide our customers with consistent high performance when handled and installed in accordance with our Installation Guide. We guarantee that our products are defect-free and capable of supporting loads as specified in our product literature for the life of the structure. In the unlikely event that you receive a product that has a manufacturer's defect, please contact us to have the problem remedied immediately. s At International Beams Inc. we take pride in providing our customers with premium quality products and services. 4 'rjryy` Our I-joists are manufactured to provide consistent high performance floor and roof systems. Our technical services consist of highly trained technical INTERNATIONAL experts available to assist you with any design or construction BEAMSproblem and state-of-the-art design/layout software. IB 400 and 600 IB 800 2 112 1/� f 1 _3��� 3/8" .I . 3� .'. 3� li. 3/$.. 3/8" 3/H I, . .I. 1 I, 7 .I. , 7 + 16 9 /1' 9 11 /8 14 16 11 /s 14 r 4i !j i i 1 :1 112 112 1 "h„ j 1 i h" l 1 "�„ 1 y," 4" ALLOWABLE DESIGN PROPERTIES Depth Designation Bending Stiffness Allowable Moment Allowable Shear End Reaction Interior Reaction K Weight El M v ER IR 106 Ibs/lin 1061bf-in2 Ibf-ft Ibf Ibf Ibf Ibf ft IB 400 193 2355 1080 2160 2.6 9 112" 1 120 4.94 IB 600 231 3245 1080 2160 2.6 IB 400 330 3145 1200 2500 2.9 11 7/8" IB 600 396 4335 1420 1200 2500 6.18 2.9 IB 800 547 6130 1280 2760 3.7 IB 400 482 3860 1200 2500 3.1 14" IB 600 584 5320 1710 1200 2500 7.28 3.1 IB 800 802 7525 1280 3020 3.9 IB 400 657 4535 1200 2500 3.3 16" IB 600 799 6250 1970 1200 2500 8.32 3.3 IB 800 1092 8845 1280 3020 4.1 Notes: 1 The tabulated values are design values for normal duration of load. All values, except El and K, are permitted to be adjusted for other load durations as permitted by code. 2 The tabulated values for bending stiffness El, moment capacity M, and shear capacity V are for a single 1-joist. 3 The tabulated moment capacity is for a single 1-joist. For repetitive member calculations, the tabulated values are permit* ' to be increased by a repetitive member factor of 1.07 as stated in ASTM D5055. 4 The tabulated intermediate reactions IR are for a minimum bearing length of 3 1/2" without web stiffeners. 5 The tabulated end reactions ER are for a minimum bearing length of 1 3/4" without web stiffeners. Higher end reactions are permitted. For a bearing length of 4"the end reaction rray be set equal to the shear value. For end reactions over 1550 Ibsf, web stiffeners are required. 2t A.- e t�3 t � " Y w f W a�,+a v MY ,iA i � r � �J a7Nd • � f y�F Ada . a INTERNATIO ' 16 t t , • A , _ IINN 1 a w , , ; • in rnati n . te `aI t i am$.corn `s�` i ,.- ,__ (LS 8Z-b 9 0 3(4 SQ Fr. PLOT P� 47 ' t Ao Mu NpysC 1(0' �y7t'JL/ 'TALE F C ss r-✓ �--n �Kn1 pd67tbZ?�D , t �l kA • ��'� � � I 7S i h� CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 125 Locust Street Northampton, MA 01060 413-587-1570 Samuel B. Brindis, P.E. Fax 413-587-1576 Director, City Engineer Guilford B. Mooring, P.E. Assistant Director of Public Works BOARD OF PUBLIC WORKS DRIVEWAY PERMIT GENERAL INSTRUCTIONS AND REGULATIONS I. A "Driveway Permit" is required in all cases where a new curb cut or an alteration to an existing curb cut is proposed on a City public way. 2. Driveway permits issued by the Board of Public Works (BPW) shall be attached to and become part of the "Building Permit" issued by the Building Inspector. 3. Prior to the issuance of a 'Building Permit" the owner of any lot to be serviced by a new driveway shall apply to the BPW for a "Driveway Permit" by completing the pertinent portions of the permit (see attached). Once the location of the driveway is approved by the BPW, a building permit may be issued. 4. The Building Inspector shall not issue an "Occupancy Permit" unless the driveway to the lot has been approved by the BPW. 5. By the issuance of a driveway permit for the stated location, neither the City of Northampton nor the Department of Public Works imply that no drainage problems will result with the driveway when constructed. Properties situated or driveways installed in low lying areas in the path of the natural drainage will be subject to water problems. These problems may include water sheeting across roadways adjacent to the driveway. The City and the DPW assume no responsibility for any such drainage problems. The owner of the property is responsible for constructing and maintaining the driveway with adequate provision for natural water runoff situations. C60muel B Brindis, P.E. Director of Public Works C:\N4yFi1es\Lyn\Driveway Permit General Instructions Permit No. D21-02 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: t L JCT le Driv Petitioner ld, MA 01038-3801 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. IF e I ! Permit No. D21-02 CITY.'OF ORTHAMPTON, MA PERMIT Date: 04-03-02 FEE: $25.00 CHECK#: 4400 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 58 Chestnut Street Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or More. By: 8 C rc a Drive Hatfi d, MA 01038-3801 Telephone #: 413-247-9014 Cell # 219 3190 Proposed Location Inspected By: L a Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION I & 2) MUTOPAL SEWER AVAILABILITY G No thampton Streets Department 125 Locust Street Northampton, MA 01060 587-1570 Location: 58 Chestnut Street Inquiry Made By: John zieminski 413-219-3190 Date of Inquiry: 01-08-02 Municipal Sewer Main in Front of Location: Yes x No Size of Sewer Main: 811 Material: Clay Age: 1897 Depth of Sewer Main: 7" (+ or -) Size of Service Connection: unknown Comments: A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. Joseph Thomas, Superintendent Streets Department cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector r MUNICIPAL WATER AVAILABILITY 1 , Northampton Water Department 237 Prospect St. Northampton, MA 01060 587-1098 Location: 58 Chestnut Street Inquiry Made By: John zieminski 413-219-3190 Date of Inquiry: 01-08-02 Municipal Water Main in Front of Location: Yes x No Size of Water Main: 6" Material: C.I. Age: 1912 Approximate Street Pressure: 72 _ PSI Size of Service Connection: Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. A corresponding "water entrance fee" shall be paid prior to making any connection to the municipal water system. Arrangements of such installation shall be made with the Northampton Water Department with a minimum of 5 working days notification. All work shall conform to No pton Water Department specifications. CWaRles Borowski, Superintendent of Water cc: Ned Huntley, Asst. City Engineer Anthony Patillo, Building Inspector CITY OF NORTHAMPTON, MASSACUSETTS DEPARTMENT OF PUBLIC WORKS 125.L.OQU'10, STREET r NORTHA TON, MA 01060 ` PR 413-58-*11570 FAX 413-587-1576 George Andrikidis, P.E. Director, City Engineer ASSIGNMENT OF HOUSE NUMBER(S) Street: Chestnut Street Assessors Map: Off of sheet 17C lot 187 House Number: #58 Chestnut Street Date: January 7, 2002 Remarks: This house number is assigned to Parcel B, (containing 9,034 s.f.), on a Plan of Lots in Northampton, MA prepared for Paula Bandouveres by Anderson Associates, dated May, 2001. Planning Board Approval Not Required Dated May 25, 2001. This parcel has not been assigned an Assessor's I.D. yet. Ned Huntley Assistant City Engineer cc: Registrar of Voters Ann Marie Schauer Tax Collector Water Dept. Massachusetts Electric Sewer Dept. Verizon Telephone Streets Division AT&T Broadband Inspectors Bay State Gas Assessors Post Office Police Dept. Fire Department Applicant: John Zieminski 8 Circle Drive Hatfield, MA 0103 8 R:\House Numbers\Chestnut Street S� GPI£:STN UT S� to .21��.��NSur ���,��•�� r-,`� - - w �-, . 903q SO Fr. `j AP f, " PLoT Pc 7-1 j 75!`17 l i ra M � N /v10rE• SC,vAiNG 17Z�'"3 c l GiJR DG�c �Thous t � u �vCn/ OL'67tbL'Ya'D / GoVLVFD� C.C-.14E �1 Mar/NvL' FL op&--sG c f-Y to 9(93L4 5aFr. Pr>T PcR-�,j 7y 4 7 i � S �IT/{oust �-j-ause� C r-✓ -r ipp 2 �vtn/ pvML'�D GoVL�2Fb� -CI-I qj c�r h/ ...w,.wwI I I a.�awv vI• • � vI I\VIIVVL Builder Name �O(`�YJ -���y`7 /•.55� D Per mit . ate y '`i " ?�fG�- Builder Address Checked E Site Address 8 G-r<f!E�?T�c�T S`T D-012 C�-C_E Zone EJ12 [J13 j.14 Submitted By N 4• 21'Ztf�^-1/,,�3SIL! Phone Z L/ Date Ceilings, Skylights, and Floors Over Outside Air Requited Insulation x Net U-Value Description R-Value U-Value Area = UA (Table J6.2.21,) x Area = Ui Ceiling r (Table J6.2.2a) . 4 D .©L 117W ft 3 Floor Over Outside Air ftz (fable J6.2.2a) � R2 ft2 Total Area fe Walls, Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value x Area = U, Walls ft, (Table J6.2.2b,c.d) , DG y �bff3 — / S-'7,1,3 , i t ?& y Windows ft2 (NFRC or Table J1.5.3a) 133 1131/ Doors ft, (NFRC or Table J1.5.3b) 'J 37 Sliding Glass Doors — ft' (NFRC or Table J1.5.3a) IT, ft' Total Area 2.(atj� ftz Floors and Foundations_ Insulation Insulation x Area or Required Description Depth R-Value U-V;1lUe F'crirn(!ter = UA U-Value x Area = UP Floor Over Unconditioned ((able ft' Space J6.2.2e) !Basement Wall (Table ft� J6.2.20 i3 ,ory l2/� 747y 077 1.2-1 X32, ;Unheated Slab ft `(1-able J6.2.2g) in. !Heated Slab ft (Table J6.2.2g) in. fill Total Proposed UA must be less Total Total than or equal to Total Required UA �Lj/Q, Proposed UA Required UA Statement of Compliance:The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the perirnit application. �o�► H -)-I E),'1 I Ms tL M..�._. Builder/Designer Name R n t y Date APR '9 2M �a D£�ViT R;N UILD! ° r ` 4-�ttAl/PTO Boo `g Gritz of 'WartilaillptoIl aaasatichttsrcla e m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building , a Northampton, Mass. 01060 WORKER'S COMPENSATION MSURANCE AFFIDAVIT (licetl_serJpermitiee) with a principal place of business/residence ax: �7 l �>� j= z 1� (phone#) �3 (strcr_Ucity/st zip) do hereby certify, under the pains and penalties of pequry, that: (' I am an employer providing the following worker's compensation coverage for my employees working on this job: �1 L 13,50 eLA�T F t/,6 "25'1-X ��/c/—z 9 c'- (Insu-ranc� Company) (Policy Ni u-mber) (Expiration Date) O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the folloVpng worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) rr (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance, Compa.rry;Policy Nllrnlx_r) (Expiration Date) --- (Name of Contractor) (Insurance Compar--'Policy Number) (Expiration Date) (attach additiocul zlx�i ifncccaary t.o inchrc}c infocmafion pcstninirs,w�! ._-�rncion) O I a1n 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 homcowvcra who crnplay prom to&=+irrtcaaace,cc:n rjct oa of repair work on a dwmlling of not a1c"than three unit+in which the hoalrOwa r midcs c<oa tue grou appur ,a t tha-,o ere oo(dilly ooandcrcd to be entployrrs under the wvrk&s ccaTcns lion Act(GL15?,=1(5)),application by a homcowocs for a license cc permit may cvidcooc the kgal rinhru of an amployoc under th'o Woukcet Compensation Act I understand that:L copy of thin ctatcmcat may he fm vnrdad to tho Dcpartmcol of Indsr rial Accidmnii Offioo of Isau■noa for the oovaagc vcrifjcaiion and that failure to secure coverage under sectiou 25A of MGL.152 can Icad to tha imposition of aiminal penali:ea ooa i_'d g of n fine ofup to S1,500.00 atrd/oe inlptisoamcrd of up to one year and Civil pcnzltia in the focm of a Stop Work Ord-and a futo of 5100.00 a day against mc. For dcpa tm z3ar uao cnly C Permit Number 1vf1p t Lot# _ _ S of Li e fleee . SECTION 8,,CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number G j h2 C L L f?—I 1' e—Z,'n I Address Expiration Date `- Signat e Telephone ��- Not Applicable ❑ -12e ''e etlbne 'rnar�vement Contractor ��, ,,� .. .:: , Company Name Registration Number Address Expiration Date Telephone 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 ...... �9, No...... ❑ All � Iwo afiiWwnerrExe Won 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) g . New House f Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: C�S' �`fi� �� V>� i „a° ' '� t Gcw Alteration of existing bedroom Yes No Adding new bedroom_ Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet 6a, If New ff6 ge�a"�ntl ff ddit NW-16"ez�sting.ftdff§ nfr ;complete>t}i"e.folJowrn : a. Use of building : One Family YF�) Two Family Other / b. Number of rooms in each family unit: -7 Number of Bathrooms �Z- c. Is there a garage attached? e-:5 d. Proposed Square footage of new construction. q S4, 50 fT- Dimensions 36, e. Number of stories? . �I! f. Method of heating? 6A3 J&T- ry,% Fireplaces or Woodstoves 0 Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction WOOD rc i. Is construction within 100 ft. of wetlands? Yes )4 No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 6, 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 COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 _ 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 and penalties of perjury. Print Name Date Signat re ,Owner/Agen a_ R 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 (�'>y e 40- � Frontage 7 Setbacks Front V Side L: C1 R: U L: 3 t R: Rear SG d Building Height 2 Bldg.Square Footage C % J y'L/V Open Space Footage % q n 3`l � L) 4� Lot area minus bldg&paved 9034 f , Z 0 parking) (A'S L #of Parking Spaces 3 Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW x YES IF YES: enter Book _ Page and/or Document # B. Does the site contain a brook, body of water or ,vetlands? 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 X 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: ((c� f Northampton a . t5__a r IA� 1240 Cn t, l' ng Department t Main Street- 9 2oom 100 APR pton, MA 01060 phl Fax 413 587 1272 L` e APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be�completed ti' offtce 1.1 Property Address: A � MapLot nit , y� Zone `fi0uer}ayDistrict `Elm St. District' CB-bisteict• SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 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 CONSTRUCTION_COSTS Item Estimated Cost (Dollars)to be Official Use Only completed by ermit applicant _ 1. Building L' G'0 (a) Building Permit Fee U _T 2. Electrical (b) Estimated Total Cost of Construction from 6 _ 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection e G 6. Total = (1 + 2 + 3 + 4 + 5) g'3` Check Number () This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2002-0855 APPLICANT/CONTACT PERSON John Zieminski ADDRESS/PHONE 8 CIRCLE DR (413)247-9014 PROPERTY LOCATION 58 CHESTNUT ST-LOT B MAP 17C PARCEL 187 001 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: CONSTRUCT 2 STORY SINGLE FAMILY W/ATT GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 017889 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION 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 Co ssion �cot::>� 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. 5 CHESTNUT ST-LOT B BP-2002-0855 GIs#: COMMONWEALTH OF MASSACHUSETTS MM:Block: 17C- 187 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:New Single Family House BUILDING PERMIT Permit# BP-2002-0855 Project# JS-2002-1418 Est. Cost: $153000.00 Fee: $741.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: 5B Contractor: License: UseGroo: R4 John Zieminski 017889 Lot Size(sa.ft.): 20298.96 Owner: John Zieminski Zoning:URB Applicant. John Zieminski AT. 58 CHESTNUT ST - LOT B Applicant Address: Phone: Insurance: 8 CIRCLE DR (413) 247-9014 Workers Compensation HATFIELDMA01038 ISSUED ON:4118102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SI NGLE FAMI LY W/ATT GARAGE 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/18/02 0:00:00 4409,4410 $741.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo CITY OF NORTHAMPTON, MASSACUSETTS DEPARTMENT OF PUBLIC WORKS 125 LOCUST STREET A NORTHAMPTON, MA 01060 413-587-1570 FAX 413-587-1576 George Andrikidis, P.E. Director, City Engineer ASSIGNMENT OF HOUSE NUMBER(S) Street: Chestnut Street Assessors Map: Off of sheet 17C lot 187 House Number: #58 Chestnut Street Date: January 7, 2002 Remarks: This house number is assigned to Parcel B, (containing 9,034 s.f.), on a Plan of Lots in Northampton, MA prepared for Paula Bandouveres by Anderson Associates, dated May, 2001. Planning Board Approval Not Required Dated May 25, 2001. This parcel has not been assigned an Assessor's I.D. yet. Ned Huntley Assistant City Engineer cc: Registrar of Voters Ann Marie Schauer Tax Collector Water Dept. Massachusetts Electric Sewer Dept. Verizon Telephone Streets Divi'ion AT&T Broadband Inspectors Bay State Gas Assessors Post Office Police Dept. Fire Department Applicant: John Zieminski 8 Circle Drive Hatfield, MA 01038 KAHouse Numbers\Che gnut Stred