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24D-170 (3) 211 STATE ST BP-2016-1391 GIS 4: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D- 170 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2016-1391 Project# JS-2016-002394 Est.Cost: S44000.00 Fee: $286.00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: SARAH STULL 071711 Lot Size(sq. ft.): 9626.76 Owner: DUNNE JOHN M Zoning: URC(I00)/ Applicant: SARAH STULL AT: 211 STATE ST Applicant Address: Phone: Insurance: P O BOX 48 (413) 634-5013 0 P LA I N F I E L D MA01070 ISSUED ON:5/31/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 1 STORY SUNROOM ADDITION & REBUILD STARS TO 2ND FLR 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 It 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 5/31/20160:00:00 $286.00 212 Main Street, Phone(413)587-1240.Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2016-1391 -'>inp(),Ja i1L APPLICANT/CONTACT PERSON SARAH STULL (J� ADDRESS/PHONE P O BOX 48 PLAINFIELD01070(413)634-5013 0 f' ,9„4rnJ �,� fa PROPERTY LOCATION 211 STATE ST I-�CJ� MAP 24D PARCEL 170 001 ZONE URC000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid /n ° c42gg' Building Permit Filled out Fee Paid Tvoeof Construction: CONSTRUCT 1 STORY SUNROOM ADDITION&REBUILD STAIRS TO 2ND FLR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 071711 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I RMATION PRESENTED: Approved Additional pennits 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 Demolition Delay Signa ure of Bu ding 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. ri P hh, B . . - ity of Northampton itrt. � ' «. ritzy.-:, ;:uilding Department NNI 2 4 L '° 212 Main Street Room 104 � � - `oirr -" ,oyeu^p"'e i::o - ampton,MA 01060 it"'p phone 413-587-1240 Fax 413-587-1272 4 . APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: C�^�7.r^ cc!t This section to be completed by office , v t 11 - Zi 3 -k v} ' "Map Lot Unit_ ""'WN/N zone Overlay District ...tam St Diatdot CS CMstdct___..... SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2,I Owner of Record: `ahr" t I} u toce '2--tt Sirt_ie 5i. U6-1Au MA Name(17y,O Current Mailing Address: Telephone Signature 2,2 Authorized Anent: SSC rr>lh E . 0011 --p,o, W c 4b/MatvrF acCI AAA 0W 17 c Name(Print) Current Mailing Address: t,(.o- _,clintie41 (q t 3) (01341 — CO 13 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars}to be Official Use Only /gompleted by permit applicant 1, Building ‘443 S- 000 , 03 (a)Building Permit Fee 2. Electrical 'Ll 5 r Q . (f3 (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 'Ili/ood, (,') _- 5.Fire Protection 141'1 7,r��u 6. Total=(1 +2+3+4+5) "4 1`1003 . C,3u Check Number /A76/2 itWO d (p This Section For Official Use OnlyDa Building Permit Number: IIsstued: Signature: _ Building Canntisstonertinspeetor of Buildings Date 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 DepartmentLot Size &OS-(! K_1JJM _.. Frontage Go-et _ _.. .. .. . Setbacks Front SideL. . R L: ._ R: _. Rear _ ._...... Building Height Bldg.Square Square Footage /cart , ?_a' % 3.74411- Open TOpen Space Footage [,r�yp�5(��j 90 (Lot area minus bldg&paved 4-"^"! ' 757 parking) _... #of Parking Spaces 2 Fill: (wlume&Locates) A. Has a eciai Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES Q IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES 0 IF YES: enter Book Page and/or Document it B. Does the sue contain a brook, body of water or wetlands? NO *2 DONT KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: _.... _. ..... . ...... ,t,, D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO !y7 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, vation,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. SECTION S DESCRIPTION OF PROPOSED WORK(check all aaaliaable) New House ❑ Addition to Replacement Windows Alteration(s) in Rooting n Or Doors d Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [C7 Siding IC) OtherC] [ Brief Descc9'gttion ppt Prepped t ' Z t% i I.— SiM 'Z Y)C) k - G.'Ll:-CG.'J)?✓� / Work: 1ke-'bu i t a eXtst r}c ,C ti yl I� Ftocv x JJ Alteration of existing bedroom Yes _No Adding new bedroom Yes ' \ No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet ) Wit haua9 and cc addition to sxistin(I;:Ipuslnt dDmWetb t e following; 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 aaached? X40 ��'' e,..• --7 1 d, Proposed Square footage Cl new construction. 3 J u ] 1 -- _Dimensions 1 _..K Z U , 11 - Srt 1 e. Number of stories? UJS Q 1. Method of heating?_6,CL LSt\OC -N,-Cit. Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance.�,j?S M �1'asacheck Energy Compliance form attached? e r h. Type of construction }Af 0U ( I i. Is construction within 100 a,of wetlands? Yes f No, Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade pi el"-tfluvt&i-til i k44, )` ' cw cratiz k. Will building conform to the Building and Zoning regulations? _., Yes_..... No. I. Septic Tank City Sewer_A_ Private well City water Supply A\ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENTtORgA //CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,J V YYv (J. .. _ ,as Owner of the subject property hereby authorize SARA It S 1-0 L--1---- jL m f,in all matters relative to work authorized by this building permt application. �1 t I a tom. a. t _._ Sin,elOwner tat- ' . CAA-'‘..,. r 4 S-„to 1 ( ,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. ,CCR A-( E Shit i Print Name `_' RJAY/s s-3-1 6 Signature of Owner/Agent Date SECTION 8 CONSTRUCTION SERVICES Si Licensed Construction Supervisor: Not Applicable I Name ofucense Raider: s1S4.Yfz'(1L t ( _ _ CS License tamper .6• �$ {T'ia(o ( (v\Pt Old 0 • 26 • -20i8 Address r Expiration Date : l ��fr3)b3`l- t3 B. f ere Telephone t Not Applicable 7)/( • pompany Name Registration Number 3zZ • 27 Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVrr(M.aL c.157.§25C(8)) 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 Yen/ ! No • 11e - liffint1r ter Ittemption 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 10833,1.. 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 Officials that he/she shall be responsible for all such work performed under the building permits 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,von 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 nG cu,n//f Vu,wcuun VJ [saaJUGuuaetaa xDepartment ofIndustrial Accidents t ems ?' Office of Investigations moi= .1 Congress Street,Suite 100 e =`:_ Boston,MA 02114-2017 www.mass.gov/din Workers' Compensation inalranceAffidavit: BuildgWContra s'E[a ridans'Plumbers Applicant Information Please Print Legibly Name (Busioes9/OrgaavznonMdividual): <S'C4�G``�-� &kJ ll atilt v. LtY Address: � City/State/Zip: ?ICU, €�-C1Y,PA&APO Phone#: `k E 3") 6 3 LI Are you an employer?Cheek the appropriate box: Type of project(required): i.❑ 1 am a employer with 4. ❑ I am a general contractor and I ,�,/employees(fhli and/or part-time)* have bind the subcontractors 6. 0 New construction 2.lug 1 am a sole proprietor or partner- listed on the attached sheet. 7. 19Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employers ad hare workers' [No workers' Wnp.innate comp.insurance.: 9. 9 Building addition required.] 5. ❑ We area corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions nys lt.[No worker& co rp, right of exemption per MGL 12. Roof insurance required.]t a 152,*1(4),and we have no ❑ repairs employees(No workers& 131 Other, comp. insurance required.] 'Anytppliratthat chekstat#t me else fill cmessellon below*awl ilk their worker `¢ntpewYicnpdIcy infangial. Hominvmers who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new afl`Navit indicating such. tconusctors that check this box must snacked an additional ghee showing the name of the sobcoot*actws and state whether or not those entities have employees. Ute embmxretershweanployess,they roust pmidether workers imp,policy renter. I am an employer that is prodding workers' oompensaion insurance tor my employees Bdow isthe policy and job ate Information. Insurance Company Name: Policy#or Self-ins, Lic.#: Expiration Date:i, Job Site Address: _ City/State/Zip: Attach acopy of theworke& compensation policy declaration page{showing thepolicy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerafy u r the psand pe . :• of pe 'ury that the information provided above is true and correct �. Signature: Date: f,.(.� ` t Phone#: Official use only. Do not write in this area,to be completed by city or town official. »� City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL�c 111 , S 150k Address of the work: 21 f - 2(1 (-31,5L-Cc. ,9.4 / ) kt4Cla r`-\ The debris will be transported by: ), ISQ.o-L `9i1& �'' u The debris will be received by: Jcv-1-in«t— Building permit number: Name of Permit Applicant civ cot FT &Jv t S• 2c' ' lL 2. 1 _,AAAA-'( Date Signature of Permit Applicant 0 Generated by REScheck-Web Software Compliance Certificate Project Energy Code: 2012 IECC Location: Northampton, Massachusetts Construction Type: Multi-family Project Type: Addition Climate Zone: 5 (6404 HOD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: umpliance:Passes using UA tradeoff Compliance: 11,0%Better Than Cade Maximum UA: 91 Your UA: 81 The%Better or Worse Than Code Index refects how close to compliance the house is edged on code uadmorf rules. It ODES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies IIIIIMIIIIIIIMIIEMIEZIEIIM Wail:Wood Frame, 16in.mc. 460 24.5 MO 0.053 16 Window:Wood Frame,Double Pane 164 0.290 48 Ceiling: Flat or Scissor Truss 260 38.5 0.0 0.030 7 Skylight:Wood Frame, Double Pane 12 0.290 3 Floor.Ad6Wood joistfrruss Over Uncond, Space 260 36.0 0.0 0.028 7 Compliance Statement: The proposed building design described here Is consistent with the building plans, specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REscheck Inspection Checklist. c Name-Title s-�„t( lzo.rtw �44�c>� ;;, __ di /6 Name-Title b - 1 gnature pate til- 213cSh t (51/4.J✓trctm.. d-1dvl Project Title: Report date: 05/11/16 Data filename: Page 1 of 8 20IECC Efficiency12 Certificate Above-Grade Wall 36.50 Below-Grade Wall 0.00 Floor 36.00 Ceiling I Roof 35.50 Ductwork(unconditioned spaces): Glass& Door Rating U-Factor SHGC Window 0.29 Door Skylight 0.29 Heating System: E FC . Balt Cooling System: Water Heater: Name: Date: CS tV Comments .. Ill Jbt Cl}-cc Suvl 'r0 J`ti, /dam=U`-�"jl G� -l.l : . S J C�.�k( , CACk\-,N, w i' A-.S-2 �o ce.Yr/ y' 1. SUly Rc)©M 4 D P l7ZuN — ' ' - . R 2l3 E sr �T 7�fti - Pols Nn! 3wN - cn Mj • .. - ..............,................................... -...,.....:: • p� f •• r • 144.E ,_� {+ ___�'it.- .w 62 , - , r SFS } • rtzip 7 I. • (• ( z5T It Y.. Yd a•}. :M r • 44�'.'u +'S ! : ! ! Y !, ..r.:,._4•1,.. r �;�• • 5 r »:5.e } I. J. a S� y f �. 1 ! f . 3 - k S tPaCt� � � NP°� a ` i/ l � pQ 2nFLOOR 0002 MOVED y , iliKil 4007, de ' I I � / . City of Northampton �' Building Department _ I Plan Review 212 Main Street 11[ { _ "�f3�i Cr- -Northampton, MA 01060 \1 1.. ..._..... .�_I._.._ _ (�f � . <J A T:At scpp� 4 acv wee° I 545-1 aro-ii! 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