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23D-040 (9) 67 MILTON ST BP-2003-1163 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-040 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ADDITION BUILDING PERMIT Permit# BP-2003-1163 Project# ]S-2003-1824 Est.Cost:$52950.00 Fee: $347.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: DENNIS C PITTSINGER 007513 Lot Size(sq. ft.): 15550.92 Owner: HANNIGAN WILLIAM&PAGE STACEY Zoning:URB Applicant: DENNIS C PITTSINGER AT: 67 MILTON ST Applicant Address: Phone: Insurance: 49 BOFAT HILL RD (413) 296-4320 () WILLIAMSBURGMA01096 ISSUED ON:6/27/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2 STORY 18 X 20 BED M ADDITION & 4 X 18 PORCH, CONVERT EXISTING BEDRM TO BATH 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: Receipt No: Date Paid: Check No: Amount: Building 6/27/03 0:00:00 1944 $347.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo File#BP-2003-1163 APPLICANT/CONTACT PERSON DENNIS C PITTSINGER ADDRESS/PHONE 49 BOFAT HILL RD (413)296-4320() PROPERTY LOCATION 67 MILTON ST MAP 23D PARCEL 040 001 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 ' f 3lj'7„�'d Typeof Construction: CONST' . T 2 STORY 1: 20 BEDRM ADDITION&4 X 18 PORCH,CONVERT EXISTING BEDRM TO BAT" ,�„ i. , ��,, New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 007513 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 --lythierr ° 3 Signature of Building Of cial 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. 67 MILTON ST BP-2003-1163 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-040 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ADDITION BUILDING PERMIT Permit# BP-2003-1163 Project# JS-2003-1824 Est. Cost: $52950.00 Fee: $239.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DENNIS C PITTSINGER 007513 Lot Size(sq. ft.): 15550.92 Owner: HANNIGAN WILLIAM &PAGE STACEY Zoning:URB Applicant: DENNIS C.PITTSINGER AT: 67 MILTON ST Applicant Address: Phone: Insurance: 49 BOFAT HILL RD (413) 296-4320 () WILLIAMSBURGMA01096 ISSUED ON:6/27/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 18 X 20 BEDRM ADDITION & 5 X 18 PORCH, CONVERT EXISTING BEDRM TO BATH 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 6/27/03 0:00:00 3734 $239.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • City of Northampton statics of Pe rihit,,Tftli5UPe-.4,14n40,40 . Building Department Curb C ut/D"v wa 212 Main Street Sewer Septtc A a lab ty x y= �:.: Room 100 Water/Viell Aval ab iy • - �� �` �� Northampton, MA 01060 Two .>cts of Str cturaPans phone 413-587-1240 Fax 413-587-1272 Plot/Site • Other Specify. • APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: 6 7 Map Lot Unit Zone Overlay District OFQ►� �c n1Q Elm St._District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: y., w �� �ale.v.‘T \ 1.S+oncey c4tt 6 -7 mt )+ S1 !—/0 , !Ll /'A Name n ) Current Mailing Address: V Sg4 Telephone Si61,1 attire 2.2 Authorized Agent: ` Lici (7 Name(Print) Current Mailing Address: 1413 29/ L1320 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 6 / op (a) Building Permit Fee 2. Ele..rical (b) stimated Total Cost of 3 2 Sn - _._.. Construction from (6) 3. Plumbing Building Permit Fee g OU . 4. Mechanical (HVAC) 2 I a 5. Fire Protection 3 S-V , -- 6. Total = (1 + 2 + 3 + 4 + 5) 69 goo, Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date 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 /2o X fly / s c3 Z. Frontage / Z 0 Setbacks Front 3/.10" 3 Side L: I I R: 9 L: 3 1 R:,7 1-f Rear 3 e- o' .. $$'— 0" + Building Height 30 -v' 3 0- 01' Bldg. Square Footage 000sto % 72 0 5 k e lt^ Open Space Footage /2 % Y SG// (Lot area minus bldg&paved �jSN) ( ' parking) #of Parking Spaces 2 Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? 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 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: • SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition XI Replacement Windows Alteration(s)0 Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolitiont4 New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Workio: lc Likr 1 r-X)st,, atAroofro.tIuYhk1 t1"trfi0 84.4kr+'+ri. A44) eh 0.2`A t -2 +t-4, '. Alteration of existing bedroom 17 Yes No Adding new bedroom Yes No Attached Narrative ❑ Renovating unfinished basement Yes ✓ No Plans Attached Roll ❑ - Sheet iii 6a. If Newhouse and or addition to existing housing, complete the following: a. Use of building : One Family /_ Two Family Other b. Number of rooms in each family unit: / Number of Bathrooms I c. Is there a garage attached? N O , i , [ S ! d. Proposed Square footage of new construction.�ZO S�Q '{ k Dimensions 18 Xd2 o a'+ory + a Xt Ei p°},� e. Number of stories? CA.l /� f. Method of heating? �al-I�Vo. ' (Gas) Fireplaces or Woodstoves N ° Number of each g. Energy Conservation Compliance. y k s' Mascheck Energy Compliance form attached? yip h. Type of construction U) O' i. Is construction within 100 ft. of wetlands? Yes 1"°°°No. Is construction within 100 yr. floodplain Yes /No j. Depth of basement or cellar floor below finished grade 3' k. Will building conform to the Building and Zoning regulations? _v Yes No . I. Septic Tank City Sewer ✓ Private well City water Supply k"...--- SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ) I I\( amtinv_b_wtn 4 Pce , as Owner of the subject property hereby auth. zeIn pi ( `e-"( to ac; or my behalf, n al irs relative to work authorized by this building permit appl ation./ zwc,Signatur' of adlie. Date / Lit(lQtl�L� -i1�1 t C(,r� d A n - I, , as Owner/Authorized Agent hereby declare that the statements nd information on the f regoi application are true and accurate, to the best of my knowledge and belief. Sign.d under th%•ains and penalties of perjury. � �� _i .` 41.1.1aver 71 i&L :ig,acre oGIFFFAgent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable D Name of License Holder : ti/2N1v11 S t P `I�l1�Ga✓ C S 00-1 S �� License Number Hot B0Q uti\ 11 3�� 07 Address Expi ation D to III Okw„ \* v,tS -IAA Cat0c1b Signature Telephone � ► - �}1 3 2 �� L{3zo 9'1Re i""'""ram" i A i r 5vemen Con ra '-` �'?i' Not Applicable ❑ �- Qt P- t-fi's ,A,,„_ u 1 Je ft. / Company Name Registration Number yq C3Ac.40 1Itlt as Cv. -2 z/o Address 1 Ex irat'on Date M� W �11V N.tt 1 / - Telephone oZQ 4. 14 32 0 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 No 0 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 fc-which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 cLiability 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 • • „.cttncS xPT ,.o %o o � rtftr of LartIl 1plonFt `r ,.lfi P �4. f6 jilasaachnettta' - ^"W-�_ L)LPARThMENT OF BUILDING INSPECTIONS tkit 212 Main Street ' Municipal Building • Northampton, Mass. 01060 r' WORKER'S COMPENSATION 1NSUIZANCE AFFIDAVIT 1, - Dehnt 5' c Pl_t_5N I)�q_- -------- (l1cY'rsec pc.rmittee) with a principal place of business/residence at: . 14. 134.,4 I 0 gj (cIwi A �6 (:)t,ne ) L9 6_ hi3 20 (strcetici tv'lstatcf yj p) do hereby certify, under the pains and penalties of perjury, that. - ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: - (Insurance Company) (Policy Number) (Expiration Date) (14 I am a sole proprietor, general contractor or homeowner (circle one)•and have hired the contractors listed below who have the following, workers.compensation policies: --1-7 G11`I4- Coil fete Corp . 1N C-L 2 44 3 I 3/2.... /o 4 - (Name of Contractor) (Insurance Company/Policy Nurnbcr) (l :;:raticr: Date) C- ia-►yQ Vttc —1eilri6.1 Q8oy 141 '7Li $--2.9 yry_o_y_ (Name of Contractor) (insurance Company/PolicyNumber) (17 . a Date) 21k, ➢_ ouc," E;c i* W L 3$3S•237401CI `��z7�Q�/ tame of Contractor) (Insurance Cote anwPolicti Numtxr (=`t;.:ratia3 Date) I - p ) CIauL do u � _7_-� 3 -- `� `) re 3 / S �5� (Name of Co�ctor� EXpit.a C. Date (Insurance Comp�r}-.oltcy Num��r) ( - ) (attach acidiacral i'::rt tf::b7,1t1t:':;.;IxI':c`a in c-In19oc p.=tn.inin,::e1;o:` ad.c-1 i ( ) I nun a sole proprietor and have no one w,'orkirg for me.. (, ' I am a home owner performing all the wor.; myself NO"t1:plc.,ac be aware that while 6ccncosttrta tt'a->employ pc1:.;s:4;,.^.air.eaantc,a—_>:.:`.:m rt grain .c1!L t cr not tnoce than throe uniu in t; dt:he l>tiw,:t<,ntzvx rnid=or ocr the Er ta;is appurtenant is n c a.-c net perrrall y a :;::r.::c ba cmploy -s u.�:a the tvccl•;tt's ca:4x--cation Act(GLI52 ran I(5)),applimticn by a homeowner fore I C ,i' or p. -:i::,:a c,:.',:r,c c:= legal etatus of an employee under tho Worker.'Compensation Ad. I u &'2tand that a copy of this ctat n'a t may be focx•c`rtted to the D-peatn cnt of lr+hu`triel Ancir,.ts'Oftioo of ht:a.try>-o for the coverage vc ilicalioo and that failure to teatrc covcrago under section 25A of MM.152 can lead to the imposition of crocf.1 penalties °omitting of a floc of up to S 1,500.00 antl'c-'o-r.uisotm>cnt of up to cm}u and civil penattia in do forth of a Ste;W Ortiz nr4 a fine of 5100.00 a day tgainal ar_. For deputrrrtst woo only JL • Pcrrnit Nttnttxr — _`— '1 I Signature of Map;,_ _ i - - - ----- I iccn:cJPr.rtttitIe Iii:=r: s.. O�gt1AMp1. •� �g (rztp al ortlynnp f an =*=_ u _ 4 D©' ►►''� '`_ —_ DEPARTMENT OF BUILDING INSPECTIONS ='. i • /; INSPECTOR 212 Main Street • Municipal Building 7,6 Northampton, MA 01060 . e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supc: ,'isor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location 780 CMR Appendix J Manual Trade-Off Worksheet � � Permit# Builder Name' ►1v�is 1'� �St ►^, , r C..., ` `� r Date i /Builder Address L4 9 13 � tltq N. 'Lk) G>>l 1 ,,, • Checked By Site Address G7 rntAl--,, 4-1- F-TD1--► - 1)11- Zone 012 013 014 Submitted By D -s, •, Phone 413 2-9 L 132 0Date �o r.-;.,, � PROPOSED - REQUIRED . Ceilings, Skylights, and Floors Over Outside Air • Required Insulation x Net U-Value Description R-Value U-Value Area = UA (Table J6.2.2) x Area = UA Ceiling => _ ; - ft2t,(- )r?, S , '.� i --. 1,. _, (Table J6.2.2a) Floor Over Outside Air ft2 (Table J6.2.2a) ft2 ft2 Total Area -:( n ft2 Y Walls, Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value x Area = UA (Walls I(Table J6.2.2b,c,d) , Cj 9 2-. 1 / _) Windows --- .; 9 D ft2 (NFRC or Table J1.5.3a) Doors — ft2 (NFRC or Table J1.5.3b) Sliding Glass Doors --- ft2 (NFRC or Table J1.5.3a) ft2 ft2 Total Area ft2 ► Floors and Foundations Insulation Insulation x Area or Required Description Depth R-Value U-Value Perimeter =UA U-Value x Area = UA Floor Over Unconditioned (Table ` - - ft2 Space J6.2.2e) I _ Basement Wall (Table ft2 J6.2.2f) Unheated Slab ft - (Table J6.2.2g) in. Heated Slab ft (Table J6.2.2g) in. ft2 ft2 Total Proposed UA must be less Total i "1 - .-____.. Total / than or equal to Total(or Adjusted)Required UA Proposed UA I '� OR Required UA / r Statement of Compliance:The proposed building design represented in 1----► Adjusted these documents is consistent with the building plans, specifications, Required UA and other calculations submitted with the permit application. P-- -'`.-1"- Bull /Designer Company Name Date . DRAFT (for training purposes) 53 1/28/98 aC-JOd - NeC ,uL,,bf� -4-5 ``cal' / L. , ... ,Lya.N.CI1 >I7 (--) ..../ .' 0.I�bl s / / n / / ub-I{, -� ub ,b I��-I� �I. ,i \ ; -� � �, l- \_ - - VI --, 3 j I I N. r Vi0`UCCI3 ••r.M+ s•a,-.OnSN", bIa i J..-i ' I , I I I I I 1 I Q;z t <a-'4 ,r I 1 TT _ - 1- i - I fi_.-^--.-t. 1 - 1 -,7_,.- t� c'. _,' -_ _ 1_ —8xz Iii a—Fi I 1 a ) ` 0-12 ! 4' b I 0-12 , Or -I, I VI I 1 —,'L ,�I o s I , I L1j� 1 iL 1 I I I .� 45 - L.1 I X •'- I I s (�r�'Mir I 1 1 L I 1 I ,— 1 1 ' ., o-, 1 -= 4---' \\ v-,--- t„. ei F ,e , ......_ ----ss ( . ___ . ., 4 _ _____. , . , ____ .,____ :r i ,, -t itL. 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