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31C-025 40. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is a difference between a vapor retarder or barrier and an air barrier.An air barrier is intended to stop air flow(convection) a vapor retarder or barrier is intended to stop molecular moisture transfer(diffusion). A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has to be absolute and complete. If air can leak through an electrical device or through a crack it follows the path of least resistance and carries 99%of the moisture in a structure.This is evident every time one exposes fiberglass insulation and finds black insulation,which has filtered dirt out of the air moving through the insulation.780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements. 41. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4. 42. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note:Thrul.oks are engineered for post attachment supporting a railing. Lateral attachment is required for each deck per section 502.2.2.3. 43. Smoke and CO detectors as required. 780 CMR R314 and R315. a. Smokes in each bedroom,within 10' of a bedroom door, and at the bottom of a stair leading to a finished floor above. b. CO within 10' of bedroom doors, at each level,for every 1500 sqft, (plumbing code in the mechanical room) Except if there are no fossil burning fuels or attached garage. c. Heat detector in attached garage, and other large unfinished unconditioned spaces. 44. Closets beneath stair which have doors must be drywalled with%z". 780 CMR R302.7 45. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of ceiling joist to bottom of rafters an attic access of minimum RO of 22" x 30" is required to be located in an accessible place. It must be insulated equal to surrounding,gasketed, and secured in place. 46. Clearances above gas stoves and cook tops burners is 24" to non-combustible or 30"to combustibles. Relevant items must be submitted to the building department for approvals before inspections and or Certificates of Occupancy can be issued. Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday through Friday,8:30 am to 4:30 pm,excepting we close for walk-ins at 12:00 noon on Wednesdays. My email address is: cmiller(aD_northamptonma.gov Z nk yo cooperation these matters. Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement 23. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9", maximum riser 8%", maximum overall variance for the run is 3/8",4" sphere rule on risers except where the total rise is 30" or less 780 CMR R311.7.4.3 Exception,4 3/8"on balustrade, 6" in the triangle. Graspable rail 1%" minimum and 2" maximum rail, height minimum 34" maximum 38", required for 4 or more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. Rails must be continuous and returned to the wall if not to newel post. 780 CMR R311.7. 24. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than 30" above floor or grade within 36",4" sphere rule.780 CMR R312.1. 25. Floorjoist systems that are not equal to 1%" nominal dimension must be covered with%" drywall or 5/8"wood structural panel or equivalent with some exceptions. 780 CMR R501.3 26. Educate the plumber and electrician about maximum notch and hole sizes, and placement.780 CMR R502.8 and R602.6. In bearing studs holes not larger than 40%of a stud no closer than 5/8 to the edge, In interior non-bearing studs holes not larger than 60%of a stud no closer than 5/8 to the edge, or holes in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole. Notches are different. 27. Drilling or notching of more than 50%of the wall plate width of an exterior wall or load bearing partition requires a 16 GA 1%Z" strap across the area and 6" beyond each side with 8- 10nd nails. 780 CMR R602.6.1 28. Where dryer ducts penetrate the wall they must be sealed with fire caulk. 780 CMR M504.2 29. Dryer ducts must terminate outside of the building, have a backdraft damper, cannot include a screen, and require 3'clearance from windows. 780 CMR M504.4 30. Dryer duct transition is limited to 8' of aluminum flex, must be exposed, and the proper UL listing.780 CMR M504.6.3 31. Dryer duct maximum equivalent length is 35' less 5' per 900 elbow or per manufacturer's specs. 780 CMR M502.6.4, no screwed connections use foil tape appropriate for the use. 32. Dryer ducts when concealed must have a permanent label or tag within 6' of the duct connection 780 CMR M502.6.5 33. Makeup air is required for dryers exhausting more than 200 CFM.780 CMR M504.5 34. Makeup air is required for any exhaust hood over 400 CFM.780 CMR M505.2 35. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work maintaining 1" clearance for 5' from the duct outlet for all fireplaces and airtight doors. 2009 IECC 402.4.3 36. Fire and draft stopping shall be completed before rough inspection.Typical locations,top (ceiling)and bottom (floor) plates, soffits, and every 10' within enclosed cavities. 780 CMR R302. 37. Ignition barriers are required over all thermal plastics and must be in place before final.780 CMR R316. 38. Dwelling/Garage fire separation.An attached garage (within 3' of main structure) is required to have%2" drywall on the garage side of the separation wall and if there is a finished space above the garage all walls must have%" drywall and the ceiling 5/8" drywall. 780 CMR R302.6 39. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC. a. An initial HERS evaluation is required including insulation levels anticipated. b. A final HERS evaluation confirming code requirements have been met including duct testing. c. A signed copy of the Thermal Bypass Checklist. d. Energy information including mechanical equipment posted on the electric panel. e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star Windows and the Thermal Bypass Checklist. Duct blast testing when practicable. f. All band joist insulation must be enclosed within an air tight cavity, which you must create. 8. Emergency escape is required out of every basement whether habitable or not, each bedroom and walk- in attics.780 CMR R310.1 9. Crawl spaces can be treated in three different ways,vented (poor idea), exhausted (similar to exhaust only systems), or treating the space with supply and return.See 780 CMR R408 10. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties and may require up sizing of rafters and increased nailing for example with a 4" slope 8-16nd common are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is required with a load path to the foundation. 11. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/3rd 780 CMR R802.3.1 12. Ridge boards must be the full depth of the cut. 780 CMR R802.3. 13. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and number of jack studs required. 14. Wood walls shall be capped with double plates to provide overlapping at corners and intersecting walls with bearing partitions,joints staggered 2' minimum. 780 CMR R602.3.2 a. Exception: A single plate may be used or plates may be excluded over lintels provided the plates/lintels are adequately connected by a 3" x 6" plate .036 galvanized steel nailed to each segment with 6-8d nails 15. All framing materials which are not code prescriptive must have stamped engineering. a. LVLs b. [-joist and or Floor Truss c. Roof truss 16. All I-Joist need to be protected from fire with % drywall or 5/8 wood structural panel. (R501.3) 17. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall method being used. 780 CMR 602.10. a. Garage corners and large corner window/door layout may require special solutions. b. All corners must be appropriately attached to the foundation. c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4)the nailing requirement is 4" and 3" respectively using 8d common nails or galvanized box nails. PNEUMATIC nails must be full headed with the temper and shank sizing meeting the strict code requirement. 18. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep perforate the sheathing weakening it and contribute to building damage in high wind events. 19. Ceiling heights minimum 7'for habitable spaces, 6'8" for bathrooms includes tub/shower area if a shower head is used, 6'8" for basements, 6'4" at beams/ducts. 780 CMR R305.1. MA amended 20. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs,spas, bathtubs within 60" if not 60" above the walking surface, and other locations.780 CMR R308.4 21. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4" sphere rule. Order restrictors. 780 CMR R612.2 22. Egress and emergency escape requirements shall be strictly met. a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310 b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5 sqft at 1St floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1 c. Two doors remote as possible at the normal level of travel, opening measured from the face of the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR R311.2 d. Landing at each door 36" out and the width of the door minimum 36", maximum step 7Y4" from the top of the threshold and only in-swinging doors. 780 CMR R311.3 City of Northampton {'. Massachusetts � - F 7 DEPARTMENT OF BUILDING INSPECTIONS x+ ,x 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR Kent Pecoy&Sons Construction Inc. September 21, 2015 215 Baldwin Street West Springfield, MA 01089 Subject Location: 57 Ford Crossing Lot A25 Map Block: 31C-025 Mr. Pecoy, Your building permit application with plans dated 9-4-15 has been approved as drawn and per this memo. All work must meet all applicable codes whether noted or not included within this memo. Please follow up on the following items: These items will need to be accomplished as the project moves forward and before rough inspections; 1. An emergency escape must be included in the finished portion of the basement or a statement declaring the room will not be used as a sleeping space recorded with the deed. (sample available) 2. The right face of the garage front wall requires a Portal Frame for garage openings. 3. Tempered are required at the top and bottom of the main stairway. 4. Positive connection is required between the 2"d floor ceiling joists, raised plate and rafters. 5. HERS final ratings,duct blast results, and a signed Thermal Bypass Checklist. 6. Smoke, Heat and CO detectors throughout the structure to current building codes. 7. An emergency escape window is required within every bedroom, basement and walk-in attic. 8. An air barrier is required between the tub and the wall cavity. 9. If permeable insulation is used air sealing and an air sealing inspection is required at the exterior and interior skins.Typically the sheathing and drywall. Note:The 2012 IECC with MA amendments is the non-stretch energy code and the new Stretch Code expected to be completed in 2015. As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments. In the following are some generic requirements which seem to be problematic. This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes. Read only international codes are available on line at http://publicecodes.cyberregs.com/icod/one must also consider the MA amendments to these codes which can be found at.www.mass.gov/dps/­bbrs . The current relevant building codes are: 2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 or 2012 IECC,AA115, MA amendments. 1. Structures shall conform to 780 CMR 8th Edition 1 and 2 family building codes with MA amendments. 2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements. 3. A basement drainage system is required in all basements 780 CMR R405.2.3.except those in group I soils (table R405.1) 4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1. or if high water table or severe soils waterproofing 780 CMR R406.2. 5. Through wall form ties must be removed from both faces and patched with hydraulic cement.780 CMR R406.2 of amendments. 6. Foundation anchor bolts must be%' and be embedded a minimum of 7" into the concrete. 10" bolts! 780 CMR R403.1.6 7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions. Registry ID: Rating Number: HERS-512 1p Certified Energy Rater: Matt Turcotte Rating Date: 9/4/15 57 Ford Crossing Rating Ordered For: Northampton,MA 01060 Estimated Annual Energy Cost CX X Projected Rating 5 Stars Plus Use MMBtu Cost Percent Projected Rating: Based on Plans, Field Confirmation Required Heating 30.6 $444 24% Uniform Energy Rating System Energy Efficient Cooling 1.9 $97 5% Hot Water 14.4 $204 11% 1 Star 1 Star Plus 2 Stars 2 Stars Plus 3 Stars 3 Stars Plus 4 Stars 4 Stars Plus 5 Stars 5 Stars Plus Lights/Appliances 21.0 $1072 59% 500-401 400-301 300-251 250-201 200-151 1150-101 1 100-91 1 90-86 85-71 70 or Less Photovoltaics -0.0 $-0 -0% HERS Index: 49 Service Charges $0 0% General Information Total 68.0 $1818 100% Conditioned Area: 1935 sq.ft. HouseType: Single-family detached Conditioned Volume: 18933 cubic ft. Foundation: More than one type This home meets or exceeds the minimum Bedrooms: 3 criteria for all of the following: MechaMoal Systems ftetwetii Heating: Fuel-fired air distribution,Natural gas,97.0 AFUE. Cooling: Air conditioner,Electric,16.0 SEER. Water Heating: Instant water heater,Natural gas,0.95 EF,0.0 Gal. Duct Leakage to Outside: 20.00 CFM25. Ventilation System: Balanced:ERV,49 cfm,24.0 watts. Programmable Thermostat: Heating:Yes Cooling:Yes Bulflng Shell!Features Ceiling Flat: R-59.2 Slab: R-0.0 Edge,R-0.0 Under Sealed Attic: NA Exposed Floor: R-0.0 Vaulted Ceiling: NA Window Type: U-Value:0.300,SHGC:0.250 Above Grade Walls: R-26.0 Infiltration Rate: Htg:2.00 Clg:2.00 ACH50 Foundation Walls: R-10.1 Method: Blower door test Lights and AIp ame heats TITLE Percent Interior Lighting: 80.00 Range/Oven Fuel: Electric Company Percent Garage Lighting: 80.00 Clothes Dryer Fuel: Electric Address Refrigerator(kWh/yr): 0.00 Clothes Dryer EF: 3.01 City,State,Zip Dishwasher Energy Factor: 0.00 Ceiling Fan(cfm/Watt): 0.00 Phone# The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Fax# REM/Rate-Residential Energy Analysis and Rating Software v14.6.1 This information does not constitute any warranty of energy cost or savings. ©1985-2015 Noresco,Boulder,Colorado. SEWER CONNECTION INSPECTION REPORT Northampton Sewer Department 125 Locust St. Northampton, MA 01060 (413) 587-1570 ate: 8/11/15 FEngineering has taken ties to service Signature ype of Service: New X Renewal Repair Existing Sewer Entry Fee: Paid Yes � No 0 N/A 0 Check Cash 0 Pipe: Size Length I Material Age �ocation of Installation: 57 Ford Crossing, Lot A25 Street and Number) �erinit Issued To: Kent Pecoy& Sons Contractor/Developer Installing Kent Pecoy & Sons Service Connection: 215 Baldwin St,West Springfield,MA 01098 Telephone No.: 413-781-7008 he service connection at this location was inspected by the undersigned on Date t and approved by: (Time) Sewer Supervisor have instructed of that the installation can be backfilled. *City requires 6" cleanout installed at city Property Line. Measurements for all installation shall be listed on the back of this form. The information shall be attached to the permit on file at the Public Works Department office. Copy to Supervisor: Date: Copy to Utility Billing: Date: Copy to Office Manager: Date: n i . .a>! .t .� P I I i n,t; f;1( j2 1,ot ^ .7ic 4. The City shall not be held liable for any open plumbing fixtures below street level. 5. The applicant and/or owner hereby agrees to pay to the City any sewer use assessments or charges as may be established under city ordinance. 6. City requires 6" cleanout installed at City Property Line i DATE: 8/11/15 SIGNED: ju (App icant) Kent Pecoy& Sons 215 Baldwin St. W. Springfield, MA (Address of Applicant) 413-781-7008 (Telephone No. of Applicant) $ 500.00 inspection fee paid Check No. Application approved and permit issued: ATE: /� SIGNED: .� (Director of Public Wor ) Code of Ordinances Section 22-41 through 22-52 available upon request. Tie-in to sanitary main Tie-in to sanitary service at street line $500.00 X \\win2\admin\Permits\Sewer Entry\Permits 2016 Sewer\508-16 57 Ford Crossing, Lot A25.doc Permit : No.S08-16 CITY OF NORTHAMPTON,MA RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: �he undersigned, being the Owner f the property (Owner, Owner's Agent) ocated at 57 Ford Crossing, Lot A25 , does hereby request a permit to install and (Number) (Street) �onnect a building sewer to serve the Residence at said location. (Residence,Commercial Bldg.,etc.) 1. The applicant and/or owner shall furnish upon request of the Superintendent the estimated quantity and characteristics of waste to be discharged to the public sewer. 2. "Owner" shall mean the person holding title to the property served or to be served by the building sewer. 3. The person or firm who will perform the proposed work is Kent Pecoy & Sons of West Springfield,MA 01098 (Name) (Address) 4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit In Consideration of the granting of this permit,the undersigned agrees: 1. To accept and abide by all provisions of the Code of Ordinances, City of Northampton, Massachusetts, Sections 22-41 through 22-52, and all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to the City. 3. To notify the Superintendent when the building sewer is ready for inspection and connection to the public sewer, but before any portion of the work is covered. %' 3.0� L� tia 9-1& 20A ��'7 1 Permit No. W09-16 WATER CONNECTION INSPECTION REPORT Northampton Water Department 237 Prospect Street Northampton, MA 01060 (413) 587-1570 Date: 8/11/15 Type of Service: New ❑X Renewal F1 Repair F-1 Pipe: Size 8" Material DI Age 2010 Water Entry Fee: Paid Yes 0 No 0 N/A 0 Meter Size 5/8" Fee Paid Yes 0 No 0 N/A 0 Radio Read Fee: Paid Yes [X] Check# Cash 0 Location of Installation: 57 Ford Crossing, Lot A25 (Street and Num er Permit Issued To: Kent Pecoy& Sons Don Clarke Contractor/Developer Installing Service Connection: Kent Pecoy & Sons Telephone No.: 413-781-7008 The service connection at this location was inspected by the undersigned on Date at and approved by Tune ater upermten ent I have instructed of that the installation can be backfilled. Measurements for all installation shall be documented by the Water Department. The information shall be on file at the Public Works Department office. Copy to Supervisor: Date: Copy to Utility Billing: Date: Copy to Office Manager: Date: U Permit No. W09-16 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING WATE N R APPLICATION DATE: 8/11/15 (App icant) Name of Applicant: Kent Pecoy & Sons, Don Clarke Address of Applicant: 215 Baldwin St, W. Springfield, MA Telephone#: 413-781-7008 $ 200.00 Entry fee paid Check No. y 02q $ 130.00 Meter fee paid Check No. 2-14 0 $ 135.00 Radio Read Fee paid Check No. 2— Application approved and permit issued: DATE: .9/PI Ay� SIGNED: f (Director of Public Wor Fee Schedule: Water Entry Permit Fee: $200.00 5/8"Meter Fee $130.00 V Meter Fee $140.00 1"Meter Fee $180.00 Radio Read Fee: $135.00 \\win2\admin\Permits\Water Application\Water Permit 2016\W09-16 57 Ford Crossing, Lot A25.doc Permit No. W09-16 CITY OF NORTHAMPTON,MA RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: The undersigned, being the Owner of the property (Owner,Owner's Agent) located at 57 Ford Crossing,Lot A25 , does hereby request a permit to install and (Number) (Street) connect a 1" Water Service to the Residence at said location. (Size) (Residence,Commercial Bldg.,etc.) 1. "Owner" shall mean the person holding title to the property served or to be served by the water service. 2. The person or firm who will perform the proposed work is Kent Pecoy & Sons of W. Springfield, MA 01098 (Name) (Address) 3. Plans/sketch and specifications for the proposed water service shall be attached to permit. In Consideration of the granting of this permit, the undersigned agrees: 1. The Water Department shall make all taps to the water main. 2. WATER ENTRY PERMIT FEE is $200.00. 3. Additional work performed by City forces from the water main to street line shall be paid at the prevailing labor rates and cost of material. Water Meters 5/8" $130.00 Water Meters 3/4" $140.00 Radio Read$135.00 Water Meters 1" $180.00 Water Meters 1.5" and above shall be purchased by the owners using city specs. 4. A fee of$135 for the Radio Read Fee with the purchase of a new meter. 5. The Water Superintendent shall be notified for water line inspection prior to backfill of trench. So Y-/p ms`s^ t�7 • - �Li�T � �.ari� Y�I.iYiY - a. f DEPPATMENT OF BUILDING WSPECTIONS INSPECTOR 212 Main Street i •Munidpal BuBding Nard=ptcai,N A 01060 LOCATION—/e 7 - 5-3 —_-------. ---SOUAR.E FOOTAGE AMOUNT BASEMENT @ -20 . yi ` (` ls"FLOOR(g.:50 D �a ZrmFla @:.30 . h FLOORS, FINISH ATTIC,GARAGE @.20- DECWORCIMS @ -20 � a TOTAL-. v . ' DATE(MM/DD/YYYY) AC40RV CERTIFICATE OF LIABILITY INSURANCE 9/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Irene Balise NAME: Borawski Insurance PHONN (413)586-5011 IX No:(413)586-7973 88 King Street, Suite B E-MAIL ADDRESS:ibalise @borawskiinsurance.com _ INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060-3257 _ INSURERANetherlands Insurance 24171 INSURED INSURER BEXcelsior Insurance 11045 Kent Pecoy & Sons Construction, Inc INSURERC:Liberty Mutual Insurance 24198 _ 215 Baldwin LLC INSURER D AIM Mutual 215 Baldwin St INSURER E: West Springfield MA 01089 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AD_DL SUBR POLICY NUMBER MM/DY/YYYY MM/DD/YYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS-MADE OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $_____ CBP8780556 7/1/2015 7/1/2016 MED EXP(Any one person) $ 5,000 . PERSONAL&ADVINJURY $ _ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO- 2,000,000 POLICY 1:1 J F-1 LOC PRODUCTS-CO — OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident $ 1,000,000 a ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS Ix AUTOS BA7023784 7/1/2015 7/1/2016 BODILY INJURY(Per accident) $ NON-OWNED PROs RTY DAMAGE $ X HIRED AUTOS AUTOS -- Collision waiver of deductible $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 C E X XCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION 10,000 CU6783651 7/1/2015 7/1/2016 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y E.L.EACH ACCIDENT $ 500,000 OFFICE ER EXCLUDED? NIA WMZ800BO06823-2014A 6/30/2015 6/30/2016 D (Mandatory in in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 210 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE R Borawski/BOREG1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I N S025 nm am l SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number -ie Address Expiration Date Signattfre Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ (ti'S'1��'C: frD� ' iN'� . /C I:31�'7 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....... 011, No...... ❑ 11. - Home Owner Exemption 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 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 Side L: R:' L: R: Rear 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 Q DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO W DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO Q 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: 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 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ® Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[0] Other[p] Brief Description of Proposed Work: A,'i'ul 11��WtL4 �- 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 house and or addition to existina housing, complete the followin : 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? \/Cs d. Proposed Square footage of new construction. Dimensions e. Number of stories? .1�2 f. Method of heating? 45 ft7 fhle Fireplaces or Woodstoves ^/I' Number of each g. Energy Conservation Compliance. ✓ Masscheck Energy Compliance form attached? h. Type of construction U)eeb 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 . 1. 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 I, 6,W-r7 X� as Owner of the subject property hereby authorize to act on my behalf, in all matt relative to work authorized by this building permit application. Signature of Owner Date / L 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. SigneCJ.under th aigs and penalties of perjury. Print Name Signature of Owner/Agent Date Department use only City of Northampton Status of Permit: Building Department Curb CuUDriveway Permit SEP 141206 !J 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Electric, Plumbing&Gas Inspections Northampton,,MA 01060 p ortham ton, MA 01060 Two Sets of Structural Plans phone 13-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 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 Unit Zone Overlay District 10.4 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ANT /f[ks 1flz 16",<T. ld Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name( ' t Current Mailing Address: L• Sig�—tu r e 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 ��- �C C► Construction from 6 3. Plumbing 00,0 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection , 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date �a File#BP-2016-0341 it wo APPLICANT/CONTACT PERSON KENT PECOY&SONS CONSTRUCTION INC - n ADDRESSIPHONE 215 BALDWIN ST WEST SPRINGFIELD01089(413)781-7008 PROPERTY LOCATION 57 FORD CROSSING-LOT A2 1 PARCEL 025 ZONE PV MAP3 C 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 SFH W/ATT GARAGE/DECK/PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052589 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: M,/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 of 'on Delay In Aureofg 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. 57 FORD CROSSING-LOT A25 BP-2016-0341 GIs#: COMMONWEA TH OF MASSACHUSETTS Map:Block: 3 1 C-025 CITY OF NORTHAMPTON Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2016-0341 Project# JS-2016-000550 Est.Cost: $309000.00 Fee: $887.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KENT PECOY & SONS CONSTRUCTION INC 052589 Lot Size(sq. ft.): 4497.00 Owner: KENT PECOY&SONS CONSTRUCTION INC Zoning: PV Applicant: KENT PECOY & SONS CONSTRUCTION INC AT. 57 FORD CROSSING - LOT A25 Applicant Address: Phone: Insurance: 215 BALDWIN ST (413) 781-7008 WC WEST SPRINGFIELDMA01089 ISSUED ON:912112015 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SFH WATT GARAGE/DECK/PORCH 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 9/21/2015 0:00:00 $887.60 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner