36-347 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Heated Water Non - Circulating Runouts Circulating Mains and Runouts
Temperature ( F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2"
170 -180 0.5 1.0 1.5 2.0
140 -160 0.5 0.5 1.0 1.5
100 -130 0.5 0.5 0.5 1.0
Table 2: Minimum Insulation Thickness for HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Piping System Types Range ( F) 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressure /Temperature 201 -250 1.0 1.5 1.5 2.0
Low Temperature 120 -200 0.5 1.0 1.0 1.5
Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0
Cooling Systems
Chilled Water, Refrigerant, 40 -55 0.5 0.5 0.75 1.0
and Brine Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)
•
Circulating Hot Water Systems:
[ ] Insulate circulating hot water pipes to the levels in Table 1.
Swimming Pools:
[ ] All heated swimming pools must have an on /off heater switch and require a cover unless over 20%
of the heating energy is from non - depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[ ] HVAC piping conveying fluids above 120 ° F or chilled fluids below 55 ° F must be insulated to the
levels in Table 2.
Doors:
:_ .. I _1. _ Door 1: Solid, U- factor: 0.320
Comments:
[ ] 2. Door 2: Glass, U- factor: 0.320
# Panes Frame Type Thermal Break?.[ ] Yes [ ] No
Comments:
Heating and Cooling Equipment:
[ 1 1. Furnace 1: Forced Hot Air, 78 AFUE or higher
Make and Model Number
[ ] 2. Air Conditioner 1: Electric Central Air, 10 SEER or higher
Make and Model Number
[ ] 3. Air Conditioner 2: Electric Central Air, 10 SEER or higher
Make and Model Number
[ ] 4. Furnace 2: Forced Hot Air, 78 AFUE or higher
Make and Model Number
Air Leakage:
[ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air
leakage must be sealed.
[ ] When installed in the building envelope, recessed lighting fixtures
__ shall meet one of the following requirements:
1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture
and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space.
2. Type IC rated, in accordance with Standard ASTM E 283; with no more than 2.0 cfm (0.944
L /s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture
shall have been tested at 75 PA or 1.57 lbs /ft2 pressure difference and shall be labeled.
Vapor Retarder:
[ ] Required on the warm -in- winter side of all non - vented framed ceilings, walls, and floors.
�'— Materials Identification:
[ ] Materials and equipment must be identified so that compliance can be determined.
[ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating
equipment must be provided.
[ ] Insulation R- values and glazing U- values must be clearly marked on the building plans or specifications.
Duct Insulation:
[ ] Ducts shall be insulated per Table J4.4.7.1.
Duct Construction:
[ ] All accessible joints, seams, and connections of supply and return ductwork located outside
conditioned space, including stud bays or joist cavities /spaces used to transport air, shall be sealed
using mastic and fibrous backing tape installed according to the manufacturer's installation
instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted.
[ ] The HVAC system must provide a means for balancing air and water systems.
Temperature Controls:
[ ] Thermostats are required for each separate HVAC system. A manual or automatic means to
partially restrict or shut off the heating and /or cooling input to each zone or floor shall be provided.
Heating and Cooling Equipment Sizing:
[ ] Rated output capacity of the heating /cooling system is not greater than 125% of the design load as
specified in Sections 780CMR 1310 and J4.4.
- Comments:
[ ] 8. Window 8: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break ?.[ ] Yes [ ] No
Comments:
[ ] 9. Window 9: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 10. Window 10: Wood Frame, Double Pane with Low -E, U- factor: 0.320
- For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 11. Window 11: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 12. Window 12: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 13. Window 13: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break?'[ ] Yes [ ] No
Comments:
[ ] 14. Window 14: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 15. Window 15: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 16. Window 16: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 17. Window 17: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 18. Window 18: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features;
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 19. Window 19: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
- [ ] 20. Window 20: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 21. Window 21: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
MECcheck Inspection Checklist
Massachusetts Energy Code
MECcheck Software Version 3.2 Release la
DATE: 07/12/05
TITLE: 142 Dunphy dr.
Bldg.
Dept.
Use
Ceilings:
[ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss, R -42.0 cavity insulation
Comments:
Above -Grade Walls:
[ ] 1. Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
[ ] 2. Wall 2: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
[ ] 3. Wall 3: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
[ ] 4. Wall 4: Wood Frame, 16" o.c., R -19.0 cavity insulation
Comments:
Windows:
[ ] 1. Window 1: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 2. Window 2: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
- Comments:
[ ] 3. Window 3: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break ?.[ ] Yes [ ] No
Comments:
[ ] 4. Window 4: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 5. Window 5: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 6. Window 6: Wood Frame, Double Pane with Low -E, U- faetor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
[ ] 7. Window 7: Wood Frame, Double Pane with Low -E, U- factor: 0.320
For windows without labeled U- factors, describe features:
# Panes Frame Type Thermal Break? [ ] Yes [ ] No
Window 19: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 20: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 21: Wood Frame, Double Pane with Low -E 15 0.320 5
Furnace 1: Forced Hot Air, 78 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Air Conditioner 2: Electric Central Air, 10 SEER
Furnace 2: Forced Hot Air, 78 AFUE
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 Massachusetts E -rgy Cs .e , -quirements in MECcheck Version 3.2 Release la.
The heating load for this buildin and - c s • �' .. d if appropriate, has been determined using the applicable
Standard Design Conditions fo d i , e t e AC - • . 'pment selected to heat or cool the building shall be
no greater than 125% of the •/ sig . , d . ,r • ection : 1 R 1310 and J4.4.
i i 2 ....,
�_ Builder /Designer _ Date ` l �� ' (7 ,)
Permit Number
MECcheck Compliance Report
— - Massachusetts Energy Code
MECcheck Software Version 3.2 Release 1 a Checked By /Date
TITLE: 142 Dunphy dr.
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 or 2 Family, Detached Detache
HEATING SYSTEM TYPE: Other (Non- Electric Resista -� e � �
f�
DATE: 07/12/05
DATE OF PLANS: 6 -2405 JUL r 2 2005
COMPANY INFORMATION: L___
Obear Construction
f �Q
CO es
Maximum UA = 408
Your Home = 324
20.6% Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R -Value R -Value U- Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 1714 42.0 0.0 48
Wall 1: Wood Frame, 16" o.c. 738 19.0 0.0 34
Window 1: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 2: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 3: Wood Frame, Double Pane with Low -E 15 - 0.320 5
Window 4: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 5: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 6: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 7: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 8: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 9: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 10: Wood Frame, Double Pane with Low -E 15 0.320 5
Door 1: Solid 21 0.320 7
Wall 2: Wood Frame, 16" o.c. 657 19.0 0.0 37
Window 11: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 12: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 13: Wood Frame, Double Pane with Low -E 15 0.320 5
Wall 3: Wood Frame, 16" o.c. 738 19.0 0.0 39
Window 14: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 15: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 16: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 17: Wood Frame, Double Pane with Low -E 15 0.320 5
Window 18: Wood Frame, Double Pane with Low -E 15 0.320 5
Door 2: Glass 15 0.320 5
Wall 4: Wood Frame, 16" o.c. 864 19.0 0.0 49
Permit No. W71 -05
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION
DATE: 6/27/05 SIGNED:
Ag a A mp
icant)
Dionne Management Team, LLC
PO Box 294, Sunderland, Ma 01375
(Address of Applicant)
$ 200.00 entry fee paid. Check No.: 1192
$ 200.00 meter fee paid. Check No.: 1192
Application approved and permit issued:
DATE: 00/65 SIGNED: dee.iii/flia ( Director oblic Works)
FEE SCHEDULE:
Water Entry Permit Fee: $200.00
5/8" Meter Fee: $100.00
3/4" Meter Fee: $150.00
1" Meter Fee: $200.00
Page 2 of 3
/ '/ /,A Y vi
Permit No. W71 -05
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 142 Dunphy Drive , 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
Obear Construction ,of PO Box 951 Montague, Ma 01351
(Name) (Address)
3. Plan/Sketch and specification 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" $100.00
Water Meters 3/4" $150.00
Water Meters 1" $200.00
Water Meters 1.5" and above shall be purchased by the owners using city specs.
4. The Water Superintendent shall be notified for water line inspection prior to backfill of trench.
Page 1 of 3
•
Permit No. W71 -
Permit No. r"
WATER CONNECTION o u
INSPECTION REPORT L., =°
c, c
Northampton Water Department r r
237 Prospect St. --
Northampton, MA 01060
587 -1098 : 1 '
Q ..
Date: N L_
Type of Service: New x Renewal Repair
Pipe: Size 8" Material DI
Water Entry Fee Paid? Yes x No N/A
Meter Size 1" Fee Paid? Yes x No N/A
Location of Installation: 142 Dunphy Drive
(Street and umber)_
Permit Issued To: Dionne Management Team, LLC
Contractor /Developer Obear Construction
Installing Service Connection:
The service connection at this location was inspected by the undersigned on
(Date)
at and approved.
(Time)
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.
Page 3 of 3
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587 -1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 142 Dunphy Drive (Lot #1)
Inquiry Made By: Justin Dionne 413- 219 -2799
Date of Inquiry: 5/10/05
Number of Type of X_ Single Family Type of _X Private
Units: 1 Unit(s): Accessory Apart. Ownership: Condo
Multi- family Rental
(Applicant to fill out the above)
Municipal Water Main
Existing service to
in Yes: I 1 No: n site? Yes: I I No: I
Front of Location?
Size of Water Main: 8" Material: Dl Age: 2003
Approximate Static Street 70 Flow Test Conducted: Yes: 1 1 No: L.1
Pressure: If done attach results
1"
Size of Service Connection:
Suggested Meter Size: 1"
Comments: The Water Department cannot guarantee adequate water pressure during peak demand
times at elevations above 320 feet. Northampton Planning Board approved this subdivision on Dec 12,
2002. It is the responsibility of the developer to provide necessary infrastructure as shown on approved
plans.
• A corresponding water entrance fee shall be paid prior to making any connection to the municipal water
system.
• Arrangements of such installation shall be made with the Northampton Water Department with a minimum
of 5 working days notification.
• All work shall conform to Northampton Water Department specifications.
David W. Sparks, Superintendent of Water
cc: Ned Huntley, City Engineer
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Permit No. D47 - 05
Conditions: Driveway Permit
In lieu of plan approved by City Engineer
I agree to the following added conditions:
1. I will contact the Department of Public Works and have an inspector
check and approve the graded gravel base prior to paving to insure
compliance with slope and location;
2. I further agree that if in the inspections any of the permit conditions are
not met that I will at no expense to the City remove and replace the
driveway as directed by the City Engineer.
By: 11111111'
Petitioner
Dionne Management Team, LLC
Note: The Public Works Department recommends that you provide a plan showing the
proposed driveway with grades and location in the future to avoid possible
expense which you will incur by not getting approval of actual plans in advance.
cc: Building Inspector
Permit No. D47 - 05
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 6 /27/05
FEE: $25.00 CHECK #: 1192
THE BOARD OF PUBLIC WORKS 1 a ' i , i • s as ' ■
The undersigned respectfully petitions your honorable body for:
Permiccinn to ;moil a driveway at 142 Dunphy Drive
•. - -. .. 11. 11 it , 1 •• •• �- .- . .� �- 10 . •- .' . •-.
. .. . - . .. 0.• , • •. . • - . . . 1 .. . - • . • . . 1 . • 1 . • • - • 1
0 . 1 . . • - - . • • • . • . 1 1 • • • • . i• ' ... . • . • . • l • .
. • -.. • ••. '... 111 - .t11•..1 .• •. 1 - . • 1.01 '• • . .1 1 0 1• •►
of Northampton in the event of a ,_washout of this driveway
By:
Dionne Management Team, LLC
Telephone #: 413- 219 -5256
Proposed Location
Inspected By: 7lur,Y G 4,
Gravel Base Grade
Inspected By:
Final Approval
THE BOARD OF PUBLIC WORKS voted that petition be granted.
George Andrikidis
Director of Public Works
(SUBJECT TO ATTACHED CONDITION 1 & 2)
cc: Building Inspector
Ilbo
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• : 1st Floor @ I 6 '7 . 4_ 6 250
2nd Floor $ .30
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Deck, Porches S-15 /d' •
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''i 4 DEPARTMENT OF BUILDING INSPECTIONS �, '�> 7. s f
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060 V ,,.� _
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Lis/her construction sups:.: sor. 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
, . *
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is.. DEP ARMENT OF 13ZJILDI7ZG INSPECTIONS
, — ---= z ---
212 Main Street • Municipal Budding ., , -.------=:=-. :
--- .-- ,
•
Northampton, Mass. 01060 -,
IMO
WO ...KER' S CO MTENS A TIO N 17‘1'S "IRAN Os' AFFIDAVIT
I,
(I i cf.,,P.s.cipermittcf:)
viith a prin cipai place of business/residence_ at:
,) No15
(strectici tyl:c :f:172 p)
do hereby eel under tile pains iind penalties of perjury, that.
_..
I am an employer providing the followitli: v.orker's compensation covera. for my
employees working on this job:
C(aYIOCLTAS - 1 /6 - 536 -6,,t,;/ 6 io
( Company) (PcLi :7 Number) (Expirntion Date)
( ) 1 am a sole proorictor, zentral C or homeowner (cLrele one) and have hired
the contractors listed beiovi;vho haw_ the ro,i workPr's compems<atiori pokes:
(Name of Conti (lasu:TIncc CoirID: Nus ("Exp:rat:oa Date)
(Name of Con trzcior) (Insur.a.ncz COLT2DailV/POLICY Number) (Ext Dale)
-.
(Name of Contractor) (laTuratior_ Co Jr, T,:11:3 viPo I icy Na231)r) , .E.Nrradoz Date)
(Name of Contnctor) (Insuranct Co wry1Policry Num) (f-::-:11tion Date)
(an..lcii 26ticcal s:i...7...:( if ne,i •.i, in-i iili c.-1, '..tin,n; • i. (.1; ii
( ) 1 ZLIII Z1 sole prOprie',.0: (i'ild have no ahc .. ......, - iftini:t for me.
( ) I am a hone OWT1C5 oorforining all the ,..,.,-,:-. iu, self
NoTE: pic_-_,,I....., aw,-,.1.1.,.: „ bor,-. ,, c. 7-.7: In C.) n ci.. nit • (.-i ,,,,:): (.7n 1 i]wrilln E. c:
not LITOCc 1.1-inn (11.rno urrit_i in tvti.di "d 11..: rnaii.:..n3 or oc '.1,..: E zi:,■_irez.n...m11.1" Ilt raX X.:_ily c In h:
cmploya-3 u, , I.J.c.z- th,1 ,, A (GLI -2 i (5)), :Jon h a hotacowncx for 2. Lc.:=1.2.-c oc p7....::::: :-.12: n-2',c.r..:. t.'21-22
legal rtatua clam cc aployar uncler tilt, Workor's kl.'-o Act.
1 tuxic..-stAnd th.t a co? i--; ctatr.out r.:-Ay bo f 0, b.:3 to it?, 1),vo.r ,,,,..: of Loaltstrial Ac....-16- Cinoo of lor.,,,,,,:yro for tho
covaik vaifi=ti.• .. to . 0Ornt ux :.. 25A of MGI., 152 can Ict.d to tbc impo.sition
Awl
oo o f ,,, f . f, ,. ,, .00 an.22or 1.pr:-..0..-t of op to cmc. y.2.2...- 2..:-..1 c pc.nzilic_l in t 4 form of rl. Sic: =Ix. On.":”: tr.d ,- I
fire. ofsloo.. .
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For de-{;.....:trwItal 11,o orlly 1 ,
' // /144111.7. e----- Pcrrnit Ntunt -____. ___ 1
Sigr)nturc of I .iccnr,cr cull Itt(:" - Tr ■::::•,-
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SECTION -2 CONSTRUCTION SERVICES'
8.1 Licensed Construction Su ervisor: Not Applicable ❑
Name of License Holder : / 0 (0).6,0
License Number
fio_ 6 's/ / /gig 7 D 7
Address / &I( Expiration Date
�_
S . a is Telephone
re ereOrt a m• Nrrif ri 'Contractor . a °° = Not Applicable ID Fes.
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10 WORKERS'..,COMPENSATION INSURANCE ; AFFIDAVIT (MG:L. -c. 152, § 25C(6))
Workers Compensation Insurance affidavit e completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance o e building permit.
Signed Affidavit Attached Yes No ❑
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (I) 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
N
' '' 'j ' i, T T ' .. r te . - - c .' ' � l '
SE TIOt 'rD ON ,4O g OPOSED WO (che a 6
New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [1( Siding [ ] Other [ ]
Brief Description of Proposed Work: fC G! Ca ., - L - SP 1 II Q,t 0 < , A/
1 .
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 • Sheet ❑
651' .. ewe buse°. nd or additron `".,ezistin;7:°Rout°in rt eMthelfolIOWl'ng:
Family a. Use of building : One Famil V Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms ..-, ° 5
C. Is there a garage attached? yeS
d. Proposed Square footage of new construction. I Sea - Dimensions
e. Number of stories? .�
f. Method of heating? ("" ^
411 Fireplaces or Woodstoves F Number of each
g. Energy Conservation Compliance. it/C) Mascheck Energy Compliance form attached? ( S
h. Type of construction 5 ill C
i. Is construction within 100 ft. of wetlands? Yes C No. Is construction within 100 yr. floodplain Yes '� No
j. Depth of basement or cellar floor below finished grade 7
k. Will building conform to the Building and Zoning regulations? 1.--- No .
I. Septic Tank f/ City Sewer Private well City water Supply
SECTIOK7aPWNER�AUTHORIZATION = TO BE COMPLETED WHEN
OWNERPAG O t CONTRACTOR APPLIES FOR BUILDING "PERMIT
1, dl(S771-‘ lZ I Kg , as Owner of the subject property
hereby authorize ( 1 ( GnS ttCz 7 1P) Co to ac;. on
my behalf, in all ma -rs relative to work authori f c ed by this building permit application.
I' 4-) 7 03-
Sign. ure o Owner - i �� Date
I, f/.' C -,a/ !�� as Owner Authorized Agent
hereby declare that the statements and information on th- foregoin; application are true and accurate, to the best of my
knowledge and belief.
Signed nder the pain, . nd penalties of perjury.
O ���. s�
Print Name r ,_� I . /Ar ,�
Signa of ow ner /Agent C Date
1
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 / 73 h a's 73 O p° 0
Frontage a / 7 (. L� (7
Setbacks Front , a %
C)
Side 'O L: R: L: 3 ° R:
Rear 0 i 3 b
Building Height
Bldg. Square Footage Apo % j
Open Space Footage % � /
(Lot area minus bldg & paved /,) Q ->z 2O�a
parking)
# of Parking Spaces
(volume I S y s & Location) )3 Id 5
g /A 4cm sg_
A. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO DONT KNOW V YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW V YES
IF YES: enter Book 9,5"/ Page dS3 and /or Document #
B. Does th • e contain a brook, body of water or wetlands? NO DONT KNOW
YES
IF YES, has a permit been or need to be obtained from t onservation Commission?
Needs to be obtained Obtained , Date Issued: i d-
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are t e any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location: kUka--
A.
Fa City of Northampton m W
r iI Department i • ;;. .�2,
w
u 1 Z12MainStreet
� �c ��n ' - Via � � °� '� �
100 Room
. 1 I R g; � A' .� u'tEic � '�+'aer, �
31'1}11\/ 9 N � ton, MA 01060 7 �. : �: ! � �
2 ph 1240 Fax 413 - 587- 1272 �
APi;IUICATIO.Nit ible_• • • - , ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE INFORMATION
This section tobe completed by office
1.1 Property Address: t 4 - '' , t , •
l n 1 i
/91 4 F e. le/ Map s l o t � � t at
.i44(Iia f2/
Zone ° ' ever l:01D!stnct
EIm St. District '' CB Distract ::
SECTION': 2 - PROPERTY OWNERSHIP %AUTHORIZED AGENT
2.1 Owner of Record: 4�f
Name (Print) �I �i � 1� W. rrent Mailin Address:
Telephone
Signa .re
2.2 Authorized Agent: J
to - Al o/- - / �/ • gPrir 71 j�of'? tit %4'J7
Name (•rint) / �� Current Mailing Address:
/� /� �.` — X113 - r a .
Signature g 'gunk Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building C 7 .r- (a) Building' Permit Fee
2. Electrical / - (b) Estimated Cost of
/� J Construction from (6)
3. Plumbing /,. — Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection /az s
6. Total =(1 +2+ +4 ,k 3,, f Check Number /2' 4 } ;
This Section For Official Use Only
Building Pe Number: Date Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2005 -1315 r ,
APPLICANT /CONTACT PERSON ROBERT OBEAR
ADDRESS/PHONE P 0 BOX 951 MONTAGUE (413) 367 -2424 0
PROPERTY LOCATION 142 DUNPHY DR
MAP 36 PARCEL 347 001 ZONE SR
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: CONSTRUI
New Construction
Non Structural interior reno
Addition to Existing
Accessory Structure ` ,� � � �
Building Plans Included: D
Owner/ Statement or License /1
3 sets of Plans / Plot Plan /
THE FO WING ACTION HA (( c 1,.Q 0 � S ED ON
INFO ATION PRESENTED:
��
pproved Additional pen
PLANNING BOARD PER 60,/ CO" . s 46#
Intermediate Project: c s „Fe ' ! Site Plan
Major Project: � 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 Co sion
!� L
Signature of Building Of icial 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.
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•
142 DUNPHY DR BP- 2005-1315
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36 - 347 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2005 -1315
Project # JS -2005 -1768
Est. Cost: $392000.00
Fee: $1365.50 PER(IIISSIONIS HEREBY GRANTED TO:
Const. Class: 5B Contractor: License:
Use Group: R4 ROBERT OBEAR 086260
Lot Size(sq. ft.): Owner_ DIONNE MANAGEMENT TEAM LLC
Zoning: SR Applicant: ROBERT OBEAR
AT: 142 DUNPHY DR
Applicant Address: Phone: Insurance:
P 0 BOX 951 (413) 367 -2424 ()
MONTAGUEMA01351 ISSUED ON: 7/29/05 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY SFH W /ATT GARAGE /DECK
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
•
Lc-
vt
Underground: Service: R /' / Meter:
A c t i- �. 7 � e " j
� t�0 G c,
° ` I Footings: 11
Rough l Rough: nit:m:14t::.r: C'/ --
Driveway F ina ::
id. P/ 1 'f
/ Rough Frame: ' ; ,
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: 1 31- 7 ['IAA o f
? (see, bck) rtfr 0 5 Low
Final: 12-43 VI Smoke: /:r %3 ;"< '' / / ;/ / Final: O < t
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF 1T S RULES AND REGULATIONS.
Certificate of Occupancy � ` sig_nate e:' .0''r
FeeType: Date Paid: Amount:
Building 7/29/05 0:00:00 $1365.50
212 Main Stre, Phone (413) 587- 12 -10, Pax; (413) 587 -1272
i` Building Commissioner - Anthony Patillo