23D-064 (18) 40 NUTTING AVE BP-2009-1023
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D-064 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2009-1023
Project# JS-2009-001472
Est. Cost: $49000.00
Fee: $307.20 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 12980.88 Owner: KAJKA JARED A
Zoning:URB(100)/ Applicant: KAJKA JARED A
AT: 40 NUTTING AVE / 9
Applicant Address: Phone: Insurance• I,; (
40 NUTTING AVE O 584-6440 O /
FLORENCEMA01062 ISSUED ON:6/23/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT LIVING ROOM ADDITION & 4
REPLACEMENT WINDOWS,RELOCATION OF KITCHEN,GARAGE & BREEZEWAY ROOF
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 6/23/2009 0:00:00 $307.20
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2009-1023
APPLICANT/CONTACT PERSON KAJKA JARED A
ADDRESS/PHONE 40 NUTTING AVE FLORENCE 0 584-6440 0
PROPERTY LOCATION 40 NUTTING AVE
MAP 23D PARCEL 064 001 ZONE URB(100)/
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 LIVING ROOM ADDITION&4 REPLACEMENT
WINDOWS:RELOCATION OF KITCHEN,GARAGE&BREEZEWAY ROOF 714,
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN1FQRMATION PRESENTED:
VApproved 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
Demolition Delay
0 7/6174N
Signature of Building 4iai Date
g g
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.
July 1, 2009
City of Northampton ; •
Office of Building Inspector L U U L 1 - 2009
212 Main Street i
——1+
Northampton, MA 01060 DEPT OF P');LP!"!G;4 Sr':CT!OMS
NO t" a:;, 01060
To Whom It May Concern,
We were recently approved for a building permit#BP-2009-1023 at our home on 40
Nutting Avenue. We would like to request an addendum for added changes we are planning for
our home in addition to what is listed on the building permit. Here is a list of the changes that
we are planning to make:
❑ 4 replacement windows and plan for two current windows to be re-framed
to one smaller window(listed on the current permit is only for 2
replacement windows).
❑ Relocation of kitchen(as designed in the architectural designs we
submitted)
❑ Garage roof overhangs to be extended from 2"to 12" and garage to be re-
roofed.
❑ Breezeway roof overhang to be extended and re-roofed. (Currently plans
mark this as already existing).
The above descriptions are in addition to the construction of the living room addition as
written on our current permit. We anticipate these added changes to cost us an additional
$5,000. Enclosed is a check for$30.00 to cover these changes. Please contact us with any
questions at 413-584-6440.
Thank you for your time,
Jared and Kathleen Kajka
40 Nutting Avenue
Florence, MA 01062
413-584-6440
t
40 NUTTING AVE BP-2009-1023
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23D-064 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2009-1023
Project# JS-2009-001472
Est. Cost: $49000.00
Fee: $277.20 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 12980.88 Owner: KAJKA JARED A
Zoning: URB(100)/ Applicant: KAJKA JARED A
AT: 40 NUTTING AVE
Applicant Address: Phone: Insurance:
40 NUTTING AVE O 584-6440 O
FLORENCEMA01062 ISSUED ON:6/23/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT LIVING ROOM ADDITION & 2
REPLACEMENT WINDOWS
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 6/23/2009 0:00:00 $277.20
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
•
File#BP-2009-1023
APPLICANT/CONTACT PERSON KAJKA JARED A
ADDRESS/PHONE 40 NUTTING AVE FLORENCE 0 584-6440 0
PROPERTY LOCATION 40 NUTTING AVE
MAP 23D PARCEL 064 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out n/]��
Fee Paid LIVING y.s� Q?!
Typeof Construction: CONSTRUCT ROOM ADDITION&2 REPLACEMENT WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included: j�� �,�,�
Owner/Statement or License 4. k ie rw
3 sets of Plans/Plot Plan {�
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 n�
ZONING BOARD PERMIT REQUIRED UNDER: § C'(Cd n`
ofFinding Special Permit Variance* S
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
� _ l o61Z3 Jo 2
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
‘\‘\
Department use only
f- :0 City of Northampton :urb
tatus of,Perm+t
% 1000� Building Department Cut/Dnveway Permit
5 212 I�1ain Street Sewer/ epticAva+lab1hty
‘15 m 100 1Nater/Well Availability
,� Stott ampton, MA 01060 Two Sets of Structural Plans
\,;PP 'phone 41�3-587-1240 Fax 413-587-1272 Plot/site Plans
`' Other.5pecify
r
c;
ALICATION 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:
L/O �U /i A vC Map Lot Unit
/I(>(e A)G C Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: µ
Name(Print) V Current Majlinj dre Lill O
v/ Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building /� (a)Building Permit Fee
-/ 1WC)
2. Electrical (b)Estimated Total Cost of
IODU Construction from(6)
3. Plumbing 5)i Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection 3, 00D q
6. -total=( +2 3 4+ ) fja Check Number /�f 1 Or 7�ioZ
f -1(-his-Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Quick Open Space Calculations Coverages
40 Nutting Avenue Porch existing 150
Lot area existing proposed Garage existing 720
12960 2950 3346 House existing 960
Accessory existing 250
Open Space 10010 9614 Driveway existing 870
total 2950
Open % 77.2% 74.2%
Zone URA Porches new
Req'd 60% Addition new 396
Garage new
total 3346
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) n Roofing n
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[0] Other[0]
Brief Description of Proposed ,, II rr
✓Work: b 11')/�-q foot" At J l//ON1 7i 2EPLAG€ I Luc JAt i
Alteration of existing bedroomooJJ Yes V- 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 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
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-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
Are' , as wner?Authorized
Agent hereby declare th he statements and information on the foregoing application are true and accurate,to the est of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print ame
6 13 /G q
Signature of Owner/Agent Date
s. The Commonwealth of Massachusetts
r--, e -°- Department of Industrial Accidents
,F-- :- Office Of Investigations
""�'fi°.-t_, 600 Washinaaton Street
4: Boston,MA 02111
o":;;r www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).*
have hired the sub-contractors 6. El New construction
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor or partner
These sub-contractors have
ship and have no employees 8. ❑ Demolition
working for me in any capacity. employees and have workers'
9. ri Building addition
[No workers' comp.insurance comp. insurance.
squired.] 5. ❑ We are a 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
myself. [No workers' right of exemption per MGL
ycomp. 12.❑Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such.
'Contractors that check this box must attached an additional sheet showing the nacre of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy 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 certify der the pains and penalties of perjury that the information provided above is true and correct.
Signature: t� ,7
Date: /3/6 7
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#:
•
/` - AIassat4tusets s
� ,
. `�,mac-• �`
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal' Building e;,8y,.
Northampton,MA 01060
•
LOCATION HO lV tJ it/ lit f"0(e,k f c C
SQUARE FOOTAGE AMOUNT
BASEMENT @
.20 396 19, ; °
1 ST FLOOR @.50
y6 / 9I
2NDFLR@:30 .
FLOORS, FINISH ATTIC,GARAGE @.20
DECK/PORCHES @ :20
TOTAL. A 7 7, a O
•
ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR
ONE-AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00)
Applicant Name: F)re ) kR Site Address: ip Nu w Ave
print J
Town: F/are,., e
Applicant Phone: 50[4-6 y(-to
Applicant Signature: 99'd 2 f Date of Application: 6--3--5 7
NEW CONSTRUCTION: (choose ONE of the following two options)
780 CMR TABLE 6107.1
PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR
NEW ONE-AND TWO-FAMILY BUILDINGS
MAXIMUM MINIMUM
Ceiling or Basement Slab
Opt on 1: Fenestration exposed Wall Floor Perimeter
Wall AFUE HSPF SEER
U-factor floors R-Value R-Value R-Value R-Value
R-Value and Depth
National Appliance Energy
.35 R-3 8 R-19 R-19 R-10 R-10, Conservation Act(NAECA)of
4 ft. 1987 as amended,minimums or
greater as applicable
Note: This form is not required if you choose either of the—Twoo versions Of REScheck as liffed below.
❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed
(780 CMR 6107.3.2)
REScheck—Web which can be accessed at http://www.ener_vcodes.Qov/rescheck/
ADDITIONS OR ALTERATIONS TO EXISTING BUILDINGS OVER 5 YEARS OLD*
*Buildings under 5 years old must use option#1 or#2 in New Construction section above.
Complete the following formula to determine the%of glazing:
(a) Gross Wall& Ceiling Area equals Formula: (100 x b_a)
SF
100 x — _ % of glazing
(b)Glazing area equals SF b a
If glazing is<440%use the chart below. If glazing is>40 %proceed to `SUNROOM section ': --`
780 CMR TABLE 6101.3
PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING
LOW-RISE RESIDENTIAL BUILDINGS
MAXIMUM MINIMUM
Ceiling and Slab Perimeter
❑ Fenestration Wall Floor Basement Wall
U-factor Exposed floors R-Value R-value R-Value R-Value
R-Value and Depth
.39 R-37 a R-13 R-19 R-10 R-10,4 feet
a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling
area(i.e.not compressed over exterior walls,and including any access openings).
El glazing
—An addition or alteration to an existing building/dwelling unit where the total
glazing area of said addition exceeds 40% of the combined gross wall and ceiling_ area of the
addition.
Note: Owner to fill out Consumer Information Form (found in Appendix 120.P)