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10B-093 (7) DEXISTING DRYWALL CEILING TO REMAIN.SUPPLY&INSTALL O Q W 2x4 RAFTERS SPACED 16"O.C.TO BELOW EXISTING DUCT W LOCATION.SUPPLY&INSTALL 1/2"CEMENT BOARD OVER W FRAME NEW 2x3 PADDED 1.4 RAFTERS.FINAL CEILING HEIGHT TBD IN FIELD BASED INTERIOR WALL ON EXISTING DUCT LOCATION D z Z 3 D m O m Vp Xmm DO;c c m p y ti y m r m m m p LZnOZ< G w pOZ x w M\ C M\�y� °vZi Oirl< �OOrml W nm W n1m yy'om pG Dmm z �D ON° 3 V•+ 2C L r - m�DDD A! G� am pmG9 II AF OY 02zm~D mp 1. Tp 0<< � m0 -- D.O�m rw Z I D Z'i?` - �- ��p2p T_. m mlA mp 0m2 _ 0ON �� p2 �n rn wv�°ma c m DOD ' T mp� z O m� ma oN �0 z— 0 11' 0 0 0 o m _._ o_ m m O _ ;OM fZ/� SZ Tm rf�11A T AC DD py X A mZln I11 Z r mD 3 m�D / Om Z9 MM pO Om pD 0N'n `� Xy rW oc °y o pm _-o � zmz J A �< N D zp p Si p0 p�m A aF O-I pDp 10 yz� T mN �1 D z10D O _(l FCC- =7 ° z< O-M 7 O O SUPPLY 8 INSTALL 0' TOWEL BAR PER S.W. Z I 0 0 0 0 Cn 3' 6" 2'-10" EE 2'-61/4" NO BACK 8 SIDE SUPPLY&INSTALL FAUCET,SINK,CTOP, SUPPLY&INSTALL(1)NUTONE OTRN110 FAN/LIGHT COMBO;FAN SPLASHES INCLUDED VANITY,TOWEL RING,8 MIRROR PER S.W. &LIGHT WIRED TOGETHER ON 11)SINGLE POLE SWITCH.REUSE EXISTING DUCTING IF DEEMED POSSIBLE BY CONTRACTOR EXISTING DRYWALL CEILING TO REMAIN.SUPPLY&INSTALL 2x4 RAFTERS SPACED 16"O.C.TO BELOW EXISTING DUCT SUPPLY&INSTALL 2"HEX LOCATION.SUPPLY&INSTALL 112"CEMENT BOARD OVER MATTE GLAZED WHITE TILE TO 2x4 RAFTERS,FINAL CEILING HEIGHT TBD IN FIELD BASED SHOWER FLOOR;GROUT TBD ON EXISTING DUCT LOCATION zi x rm wm _ ' 2mD< i s�p�„ 6 N OC -1r rD�mZ to m r2y amin to r� Tp ppylyilD N n� ziv n -D nnn PO icy �z mp pzmcD ni omw - °m 0OZ�m p c y z ti D i O y t n W SUPPLY 8 INSTALL TUB FILLER m'i z 8 HANDHELD PER S W. G) N m:E m;om0 �_ N c -m m Op c0D W < y O � z m mp � SUPPLY&INSTALLAMERICAN OLEAN z 3x6 MATTE WHITE SUBWAY TILE TO TUB WALLS TO ALIGN W/BOTTOM OF 11-811 SUPPLY&INSTALL(1)NUTONE QTRN111 FAN/LIGHT COMBO;FAN O r W WINDOW SILL;GROUT TBD &LIGHT WIRED TOGETHER ON(1)SINGLE POLE SWITCH.REUSE r EXISTING DUCTING IF DEEMED POSSIBLE BY CONTRACTOR ------------------ T WINDOW TO REMAIN r FINAL DIMENSION TBD INFIELD D EXISTING DRYWALL CEILING TO REMAIN.SUPPLY&INSTALL 1,1 RAFTERS SPACED i6"LOCATION.SUPPLY&INSTALL 1/2'TO SELOW EXISTING DUCT O V-8" LTALL 1/2'CEMENT BOARD OVER 2x4 RAFTERS.FINAL CEILING HEIGHT TBD IN FIELD BASED 7 ON EXISTING DUCT LOCATION 'L/^^ (✓) N_ SUPPLY&INSTALL '. TOWEL BAR PER S.W. y 'w'c G MO m M DM,~i2 0-��1 p�m o n- Zc p K w) 'MnD z �p C m 0 0 Z-M m� m�2m ONZ mp ,7DjZT�D ntifn pm p� O Xv m0D °m nOZ�m 1--miz zmv 0 C� Im O r A m K m r 0 O>O<O Oc mD< M ~ lPoii C)l NSW K mp Zm � ti x(]m0 mmz °p O0S r Mx D� y ti2N� ti D I < °0ON M w• p v� SUPPLY&INSTALL AMERICAN OLEAN I% 3x6 MATTE WHITE SUBWAOTY TILETO TUB WALLS TO ALIGN W/BTOM OF (� WINDOW SILL;GROUT TBD O� FRAME NEW 2x3 PADDED INTERIOR WALL ' 1 3i4T>' FINAL DIMENSION " S INSTALL(1)NUTONE QTRN11D FAN/LIGHT COMBO;FAN TBD IN FIELD &LIGHT WIRED TOGETHER ON(1)SINGLE POLE SWITCH.REUSE EXISTING DUCTING IF DEEMED POSSIBLE BY CONTRACTOR WINDOW TO REMAIN EXISTING DRYWALL CEILING TO REMAIN. SUPPLY&INSTALL 2x4 RAFTERS SPACED 16" O.C.TO BELOW EXISTING DUCT LOCATION. -I SUPPLY&INSTALL 2"HEX SUPPLY&INSTALL 1/2"CEMENT BOARD OVER m z z rn MATTE GLAZED WHITE TILE TO 2x4 RAFTERS.FINAL CEILING HEIGHT TBD IN p D O D sw sw SHOWER FLOOR;GROUT TBD FIELD BASED ON EXISTING DUCT LOCATION p ° D 1>< z >_ z rmim _ r� C1pOC Z pOmD 2 �L z �O�D x mpmr N�ti ° z _In rm < O n pe D m m O m c p 0 p jumi z mm0Z< r °Oyz m< IMmm �JI Opmx o= m -1-Z apGa OOND2' /' ti� n1m 0r� A °y y=TE> OIZiI fzi�0z 'V a ° '0> Y+ na o0nm ,z,w m�A�D 1'-11 3/4" Z mr zm-ip mp Dyg v[1 M M0 rom %Dim p2 mzmn Z p OOH °T.O 2 0^ 0 -iT A_tpll _ F-.n ncD z A O O SUPPLY&INSTALL SHOWER y mmz °D z TILE TO ABUT w O CONTROLS PER S.W. m r D z O i 0 y x ° z< DOORWAY TRIM p° z D Mc m o, ._� L) _.. K m r pyp �m moN °m xn m< - -m °z °° M° SUPPLY 8 INSTALL(1)NUTONE OTRNIID FAN/LIGHT COMBO;FAN z O &LIGHT WIRED TOGETHER ON(1)SINGLE POLE SWITCH.REUSE EXISTING DUCTING IF DEEMED POSSIBLE BY CONTRACTOR W MORIARTY RESIDENCE INTEGRITY C CONTRACT& Development&Construction,Inc. `x I 110 Pulpit Hill Road N 1 FLORENCE STREET,LEEDS,MA BUILDING SET p O �-] Z Amherst,Ma 01002 413-549-7919 FAX:413-549-7918 w � BATHROOM REMODEL EMAIL:INFO @INTEGBUILD.COM MORIARTY RESIDENCE -ELECTRICAL SCHEDULE ROOM NAME TYPE FINISH STYLE QUANTITY NOTES BATH OUTLET WHFFE DUPLEX 2 RELOCATE&INSTALL 1 GFCI DUPLEX OUTLET DUE TO NEW VANITY.SUPPLY&INSTALL 1 FACELESS GFCI FOR FANLIGHT COMBO;COLOR TBD WHITE OR IVORY OPTIONS 00 2 c rnO F-C) .2-0 N�-J SWITCH WHFFE TOGGLE 1 SUPPLY&INSTALL 1 SINGLE POLE SWITCH FOR SHOWER FANLIGHT COMBO;COLOR TBD WHITE OR IVORYOPTIONS.FINAL SWITCH LOCATION TBD N FIELD 0 m o L? SCONCE LIGHT CHROME WA 2 SUPPLY&INSTALL 2 KEHLER TELFORD TELFORD 5991 CH SCONCE LIGHTS WIRED ON 1 EXISTING SINGLE POLE SWFFCH N wo o v w EXHAUST FAN WHffE NA 1 SUPPLY&INSTALL 1 BROAN LPN80F EXHAUST FAN IN EXISTING LOCATION WIRED ON 1 EXISTING SINGLE POLE SWITCH = m ..-` o= v 0=2¢Z_ EXHAUST FANLIGHT COMBO WHITE WA 1 SUPPLY&INSTALL 1 NUTONE QTRN110 FAN/LIGHT COMBO;FAN&LIGHT WIRED TOGETHER ON 1 SINGLE POLE SWITCH.REUSE EXISTING DUCTING IF DEEMED POSSIBLE BY CONTRACTOR �.T.� a E W 0 rn0 E° ErnZ J_ ICI a GENERAL.ELECTRICAL NOTES � ""' GENERAL ELECTRICAL.NOTES ! I i ALL ELECTRICAL DEVICES TO REMAIN IN AL L ELECTRICAL DEVICES IN IN EXISTING G EXISTING !. I I LOCATIONS UNLESS OTHERWISE SPECIFIED 1 LOCATIONS UNLESS OTHERWISE SPECIFIED ALL NEW ELECTRICAL DEVICE LOCATIONS TO BE 'ALL NEW ELECTRICAL DEVICE LOCATIONS TO BE CONFIRMED`AI(OWNER IN FIELD CONFIRMED Wi OWNER IN FIELD W REMOVE& DISCARD VANITY LIGHT U ;SUPPLY& INSTALL(2) KICHLER TELFORD 5991 CH SCONCE I � Z _ ;LIGHTS WIRED ON (1) EXISTING SINGLE POLE SWITCH H Q Z a — c J ARD ---- '. T RELOCATE& INSTALL 1 N r ) l EXHAUS FA s GFCI DUPLEX OUTLET ,1 i �J DUE T N EW VANITY TO REMAINl r' r r r Z r <b a G�' 7 C w TO REMAIN BATH Yv I i I iz O #- 0 w - TO FAN A C) LLJ W o z O i cif zCC W LLJ o z ZS w F ' W `l o = W FINAL SWITCH O o LOCATION TBD IN FIELD W < Z co <C O w To REMAIN11a. x _! U} o W Ij L C} i � LL 0- z - - cl X IlIZZZZZZZZ14 Lu U-1 W REMOVE& DISCARD STO (1) I CEILING MOUNTED FIXTURE SUPPLY& INSTALL(1) FACELESS GFCI FOR SUPPLY& INSTALL(1) NUTONE FAN/LIGHT COMBO QTRN119 FAN/LIGHT COMBO: FAN & LIGHT WIRED TOGETHER ON (1) DESIGN BY SINGLE POLE SWITCH, REUSE I EXISTING DUCTING IF DEEMED RAM j POSSIBLE BY CONTRACTOR - REMOVE& DISCARD (1) DUPLEX OUTLET DATE: 5/13/2015 1 EXISTING BATHROOM ELECTRICAL PLAN 2 PROPOSED BATHROOM ELECTRICAL PLAN SHEET: �O23/8" = 1'-0" �O23/8" = 1'-0" A- 2 __j BATH WORK LIVING REINSTALL SAVED TOILET&TOILET SEAT IN EXISTING LOCATIONS ✓diNDOV!&TUB TO REMAIN - °r'L) GENERAL NOTES ° w v o SUPPLY&INSTALL AMERICAN OLEAN ` o 0 3"x 6"MATTE WHITE SUBWAY TILE ALL EXISTING STRUCTURAL COMPONENTS TO ; � N�o�� LIVING BASEBOARD W/AMERICAN OLEAN 6" REMAIN UNLESS OTHERWISE SPECIFIED rh o= m x H x 3/4"SHOE MOLDING TO BATH V v =:¢z CL- j WALLS&TUB FACE;GROUT TBD ALL DIMENSIONS ARE FRAMING TO FRAMING UNLESS , �a' 2�O OTHERWISE SPECIFIED W L GENERAL NOTES SUPPLY&INSTALL TUB FILLER& o o a rn z HANDHELD PER S.W. 2'-O 1/2 ���--11 Q ALL EXISTING STRUCTURAL COMPONENTS o co 2 a i" �w TO REMAIN UNLESS OTHERWISE SPECIFIED SUPPLY&INSTALL NEW SINK, ; ' !'�C—L, FAUCET.VANITY,CT &MIRROR �* 4 PER S.t J. � ALL DIMENSIONS ARE FRAMING TO FRAMING - n AE REPLACE Rrr E,.;O; ; n UNLESS OTHERWISE SPECIFIED SUPPLY&INSTALL TOWEL RING& INTERIOR UVINDOtiiJ v .TOILET PAPER HOLDER PER S.W. "+ TRIM W/OlPJNER- �2i 0 PATCH IN 1/2°STANDARD DRYWALL I SUPPLIED MATERIAL n _ ' � � ¢mom F, 1 -2 1/2'' CEILING IN KITCHEN AS NEEDED DUE t _ W T n TO REMAIN _ �J L U CL CL ¢ c �CL Z - . _ —J �O r'LUi:1H(NG r.C7RK I ( } AT _ r� Q <¢ u d zs TILE FLOOR TO REMAIN u- 00 �� �� t Q r_} wz z ° A-03 u'SC� w — REMAIN — U�� � � �1 ' ¢�� x¢�O RADIATOR ter ; 2 z �. w z _ J CC I- O 1 � n -wz TO REMAIN �� cr�T W 4. yes U) �0 Z TO REMAIN {7 GL W ,, ¢ \., ,.��-._ U) W G Q J _._ - - � FRAME NEV'•r 2x3 PADDED _ Z TILE FLOOR TO REMAIN y z w SUPPLY& INSTAL r' ARRARA D D z ¢ Q -INTERIOR if�ALLS W - F z a MARBL THRESHOLD v>Er � 0 4 z v O - _; W ? eI ¢ '; G z F-1 _, f w l f^. _li A- ,: +�HOWER WORK J RADIATOR REMOVE&SAVE DOORWAY CL� w - m T�REMAIN y o ; RIM ON BATH SIDE ONLY E�,, `,_;�� '�;' �j SUPPLY&INSTALL' 2'°CE'v'tE'�F �y w � J t- I v z CL ' ha BOARD TO EXISTING&NEW r L 2'-4' SHO;^JER ,^r'ALLS;EXISTING PLASTER w O - - ¢r z - ¢ x w TO REMMAIN z O TO REMAIN z z z r _z w S Z- ��� ��� � cj� � 3 �'li N I = EXISTING DRYWALL CEILING TO O A-03 F cr M REMAIN SUPPL &INSTALL 2x4 u- r a -- -- ¢z w _ = RAFTERS SPACED 16"O.C.TO [� y REMOVE&DISCARD DOORWAY JAMB BATH WORK ��T 00i LU BELO'AJI EXISTING DUCT LOCATION. `� ' &CASING,OPENING TO REMAIN z x U z C SUPPLY&INSTALL 1/2°CEMENT O G]Q REMOVE&SAVE EXISTING TOILET&TOILET �'m ��- ' , - ' c 1A El 0 BOARD OVER 2x4 RAFTERS. FINAL „EAT SUPPLY&,INSTALL;CHLUTER CEILING HEIGHT TBD IN FIELD BASED z DEMO.WOOD ON EXISTING DUCT LOCATION z 'v'�JiNDOL^J&TUB TO REMAIN SHOWER BENCH TO 1`-8"'HEIGHT FLOORING SUPPLY&INSTALL AMERICAN OLEAN REMOVE&DISCARD SINK,FAUCET,VANITY. 3x6 MATTE WHITE SUBWAY TILE TO DESIGN BY R PLASTER WALLS& / VANITY TOWEL BAR,MEDICINE CABINET, SHOV},ER ,AJALLS..CEILING.& G CEILING TO REMAIN TUB/SHOWER CONTROLS,&BASEBOARD SCHLUTER BENCH W/AMERICAN RMR OLEAN 1x12 LISTELLO LINER BAR DEUtO,FIRST FLOOR KITCHEN CEILING AS ', PER SHOWER ELEVATIONS:GROUT - NEEDED FOR PLUMBING MODIFICATIONS TBD DATE: DEMO.HOT&COLD WATER SUPPLY': SUPPLY&INSTALL SCHLUTER MUD 5/13/2015 PAN&2"HEX MATTE GLAZED WHITE TILE TO SHOWER FLOOR:GROUT 1 EXISTING BATHROOM PLAN 2 PROPOSED BATHROOM PLAN TBD SHEET: 1'-0 SUPPLY L A-0 3/8" = 1'-0 3/8" INSTALL BA PER I c o,O I�1 2"O N ll U cc CD 7 0 n 0 ,Zr BATHROOM REMODEL City of Northampton w a E o Building Department [—� o��U 1 FLORENCE STREET Plan Review z >�a�J 212 Main Street '"' o 2 LEEDS, MA Northampton, MA 01060 w � 5 1AWA dw At � z f �S a o � � d9 VI f W o W w n J W 5W w F i Z O LLI n K LL DESIGN BY CONTRACT AGREED BY: RMR THOMAS MORIARTY- OWNER DATE: 5/13/2015 SARAH MORIARTY- OWNER SHEET: HEIDI FLANDERS - VICE PRESIDENT FOR INTEGRITY DEVELOPMENT & CONSTRUCTION, INC. ri i0 e r � DEVELOPMENT&CONSTRUCTION,INC. Commissioner Hasbrouck June 10, 2015 Subject: Request for Waiver I request that you grant a modification to waive the requirement for control construction for the Moriarty Bathroom Remodel at#1 Florence St. Unit#3 in Northampton. The work is of a minor nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. All work will be completed within the prescriptive requirements of 780 CMR. Thank you for your consideration. "Mass Amendments, sections 107.1 allows for an exclusion from control construction for this project" Respectf , ((ull , {yOf l f`�./v D Anna Novey Integrity Development & Construction Inc. 110 Pulpit Hill Rd. Amherst, MA 01002 110 Pulpit Hill Road,Amherst,MA 01002 413.549.7919 ■ €ax413.549.7918 ■ in€o @integbuiid.com ■ www.integbuild.com HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. 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 persons)Who seek to use the home otivner 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 insyections 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 L 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 tome. Date Address of work location The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass govAga 'Workers' Compensation Insurance Affidavit:Builders/Contractors Xlectricians/Plumb.ers Applicant Information Please Print Le 'bIv Name(BusinesslOrgmization/Individual) ti JQ h e c-1 S f v,,, -Address: I l VA a, City/State/Zip: MW 4 MA PIoLZ Phone.#: 913"-51 c1-7ek)•ct Are ou an employer?.Check the appropriate'boz: T e of ro ect(required 1. I am a employer with Z 4.- I am a general contractor and I yP p J :. * have hired the sub-contractors 6. ❑New construction employees(fall and(or part time).- 2..Q I am a sole proprietor or partner- listed on.the attached.sheet 7. [Remodeling ship and have no.employees These sub-contractors have. -8. Q De=' lemon working.for me m any capacity. elwipyees and have workers' [Na workers'comp.h3mirance _.comp.incnrancP#._.. 9: Q 3dition required] 5. ❑.We area corpoiation and its 10 Electrical repairs or additr'ons 3.Q I am a homeowner doin all work officers havexeroiseci their 11.- P1unZb' g ❑ mg repass or additions myself No workers'comp. right of exemption per MGL 12:Q.Roof repairs insurance required]t c: 152,§1(4);and we have no - employees.[No Workers'. Othe= comp.insura„re.reglike&j. 'Any applicant Shat checks box#1 m ust.also RU out the section below showing tbeirzvorlcecs'..compensation policy informati on t Homeowners who subinit this affidavit:indicating they arc doing all work and then.hire outside contractors must submit astew-affidavit indicating such TContiactms that check this box must.=ached an additional sheet showing the name,of the sub=contractors and state whether•or not:those-entiti eshrive employees.If the mb-contractors have employees,they must provide their workers'comppolicy number. .; am an employer that isproviding workers'compensation insurance for my in Below the policy¢nd job,rite information. Insurance Company Name: �V F.�. JT;i S . Policy#or.Self-ins.Lic:A 1 Z �O s c 0 2,2-`"1 2,o 15 .Expiration Date:, W�.1:0�?�a 16.:. Job Site Address:_ f"tot;Q,Xe ft-3 5..M4 City/Stafe/Zip G{t�1 S,'-"/4 os-3 . Attach a copy of the workers'compensation poli declF.ai�on 6e' showznQ the he number and ea irition date). 7. cy. P. (....... b h p9 ,Y Fatlurd.to secure coverage:as required under Section ZSA ofMCrL c. 152 can lead to the imposition of criminal penalties of a fine up to$1 500.00 and/or one-yeai.imprsonment,,as well as civil penalties is the form of a STOP WORK ORDER and-a fin- of up to_S250 00 a_day against the violator Be advised a copy of this statement maybe forwarded to the.0ffice:of.: T.. w �vestlgratrons ofthe'DIA for insurance coverage vein cation: - - _- - -- I do hereby*certify the pains and penaltaes:af pedury.that the information provtdetl abave_irsnie a:irLcnrrpct Si tare: - .Date: Phone 0: L(13 Official use only. Do not write hi this area,to be completed by city or town offciaL City or Toys ja_ Permit/License.# Issuing Authority(circle one): - 1.Board of Health 2.Building Department 3.CitylTown Clerk .4.Electrical Inspector 5.PIumbing Inspector 6.Other Contact Person: Phone#:. SECTION 8-CONSTRUCTIONS 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:—A111\c\ I C J 2 y CS— 09021`1 License Number Ito �� , � `��1 ,� MA 6 1eaZ 911Z,1Zai6 Addr Expiration Date Signature Telephone 9:Rea�stererl=Elamelrttp"rovern(enOohfracte>< , ,MW__ ,..., nos Not Applicable ❑ Company me Registration Number (tom � �i�; I 1 �� ��. /������+ MA o iec z I Iz,-,,1zC, 1:1 Address Expiration Date Telephone 413 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.ic.452,§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...... ❑ 11� , Home.O ell ., Awmp..- n, 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.apaiicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing El Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [m] Decks [Q Siding[0] Other[a Brief Desgription QQf Proposed Work: V^OW tar �� 2-i—\ dr! � }�ra�n-, - St-,owt'r' Alteration of existing bedroom Yes `/ No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet sa Cfl a oaslato p a�.. o[© e:ow", 0 seW tlit16 tiU 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. Masscheck 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 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 water Supply SECTION 7a WOW ER AUTFIORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FQI2 BUILDING PEF2MIT as Owner of the subject property ~T^ n hereby authorize VC, S C' - 4,1 JO�C to act on my behalf,in all ma s ive to work authorized by this building pe(rm�t application. t �i Signature of Owner Date Anne NoJe as Owner/Authorized Agent hereby declare that thefstatements 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 ( Signature o w r/Ag nt Date ` ' _ ` ` � v 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 Setbacks Front a Rear Building Height 7 Bldg.Square Footage I Open Space Footage % (Lot area minus bIdg&paved #of Parking Spaces Fill: 7 (volume&Location) A. Has a Special Permit/Variance/ ever been issued for/unthe site? NO 0 DONTKNOW YES 0 IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds/ NO 0 DONT KNOW YES 0 IF YES: enter Bonk and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 �NT�� (L-1 YES � IF YES, has a permit been orneed tobeobtained from the Conservation Commission? Needs to beobta obtained �-� Obtained �~� Date Issued: � � v_� . �~� ' ' C. Do any signs exist on the property? YES NO �� |F YES, describe size, type and location: | ------------_____-1 D. Are there any proposed changes to or additions of signs intended for the property? YES _��~� NO »�\ � IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading vation. or filling)over 1 acre orish part ofo common plan that will disturb over 1acre? YEO ���l NO �7��� IF YEG,then o Northampton 8Vonn Water Management Permit from the DPW is required. City of Northampton a�ta° � Ietxt►1; x � Building Department ertx� M L 212 Main Street 0 Room 100 r 1► £ Z° Northampton, MA 01060 7= phone 413-587-1240 Fax 413-587-1272 (APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING �N SECTION 1-SITE INFORMA LION 4 This sectiowto be completed by office Map Lot Unit zone °=" . Overlay Drstnct Elm St Distnct:` CB-.<D stnct SECTION 2-=PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: I Ln-X45 Py o r i c.r 1. _ � or'RIC� S l/� �`rf %1 l S l Name(Print) Current Mailing Address: 90- 416 - E3yg Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3'ESTIMATED CONSTRUCTION'CO . Item Estimated Cost(Dollars)to be OfRcial Use Only completed by ermit applicant 1. Building I/ S� (a)Building Permit Fee 2. Electrical / (b)Estimated Total Cost of i Co.nstruct ion.from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) J 5. Fire Protection 6. Total=(1 +2+3+4+5) ( �]S Check Number This Section For Offcial:Use Onl Date Building Permit Number: Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-1278 APPLICANT/CONTACT PERSON INTEGRITY DEVELOPMENT&CONSTRUCTION INC ADDRESS/PHONE 110 PULPIT HILL RD AMHERST01002(413)549-7919 PROPERTY LOCATION 1 FLORENCE ST UNIT 3 MAP IOB PARCEL 093 000 ZONE URA000V 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: REMODEL 2ND FLR BATHROOM&ADD SHOWER New Construction Non Structural interior renovations Addition to Existina Accessory Structure Building-Plans Included: Owner/Statement or License 90514 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 Commission Permit DPW Storm Water Management --Demolitjou,Dela ature of uil mg 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 FLORENCE ST UNIT 3 BP-2015-1278 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 1013-093 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-1278 Project# JS-2015-002343 Est. Cost: $16575.00 Fee: $99.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: INTEGRITY DEVELOPMENT & CONSTRUCTION INC 90514 Lot Size(ss . ft.): Owner: MORIARTY THOMAS Zoning: URA(100)/ Applicant INTEGRITY DEVELOPMENT & CONSTRUCTION INC AT. 1 FLORENCE ST UNIT 3 Applicant Address: Phone: Insurance: 110 PULPIT HILL RD (413) 549-7919 Workers Compensation AMHERSTMA01002 ISSUED ON.6112120-15 0:00:00 TO PERFORM THE FOLLOWING WORK.REMODEL 2ND FLR BATHROOM & ADD SHOWER 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: FeeType: Date Paid: Amount: Building 6/12/2015 0:00:00 $99.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner