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34-007 (3) Nov 14 03 10: 26a Charlie Fortin 413 562-8943 p. l i . c, I I I ' 1 I I ' I 1 ' � I T' CJ _ I ' I Q - - -- --------- ; ' a 1 r � I 0 I , y I ---------- ; I i _--_ --_' ___-____ ! , , t ' __________________________________ `. 2� r i is Nov 14 03 10: 26a Charlie Fortin 413 562-8943 p. 2 1~, NOV 1 c .M .I vl C Q fJ b � e gk , _._ ____ r Q-'CH�MPTp O GFztp of Nort4antpton r � � �Glaseachusctte DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Northampton,MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as l;is/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 sour), 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 .0 Oy of NI17)_'IlIalliptoli 'j1 6 !t�[SSR(I�fi5 CIt9 � _ G,[Y m DL11/uZTMEiT7' OI' BUILDING INSPECTIONS 222 Man Street ' Municipal Building j Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AA < t ALIT I, N AP�t S a principal place of busit)esshn'dence al-. bo -5 e-6v►c ro jod co fsrFI fKA ( lone=- CIO her-(by eerily`. tlaacl dlc' 1)::ii1S and pen i'Llcs ni pf;r�lli�f, t.ha" ( 1 am an empioyel- providing the follo.v;nc ..orr_er`s coln )ensatiol) coverage or rlly employees worltdng on t?lis job; A 1 M A W G 70651 a2ol ?oo-3 1 zooet (LnsaranG Cola m') c c,Nt> lExr) (`rte don Date) l j I all a sole prourictor, gen°rat homeOV'(Der (Circle One) and t:a".-c hired thi, corm actors listed beiov.,.i`ho %a. t .0110', L; V OFke,2s C�JL?pen&i Orl 0!i�'.cS: (name of Contmctor) (Tnsu.,nc (Ex .,-tic Datc) (Name of ContT ctor) Nana r) (1 >: .anon Datc) (Nlame of Contmctor) (IDS I1C COi �.:1D'i�?OI;Cr NUSIlI}'r) x.1—:7 �.0 Hate) - (Name of Contractor) — (10suaticz Comr.;-_.:y/roiicy Numb,-S) - (L:ni-::io- Da(e) ( I a-in a :;ole propn(l "Oi c:il`1 have no -)11,3 Or�iii`; 10r i11f I aun a holl?C !?O rill in al i_: v iIl`r f. *10•11::please Lac awa-re tl:a:-.5 L'i]c e-z-- l :;r n:: r_,__:iaac�ar::_n r m Cr::,a r«,;;c s _ cl!ir., not nccc tlLa tluco uni+s in ca:ployc3 under thr twr}:t c cc x :a:i'n r (GLI52 !(Sl„al:;i_ tic::'ny a hnca ot«xr Scr e l cc x it per :i::: legal rtatur of an zmplo)w under tho wo ic.'t l o v-;w r.tian!.ci I tzndczta d th:t a cmy of thi.. rn.y 1-,o for-,rc!od to tin D-txirt-xune for tlm oovcmgt va-Mcatioc and that faihtrc to t!n:.,::c ca�cr_�.,ur,•i:::c�,iM 25A al>.tGL.152 can lc_d to ttxi iniposifion c;cry i Pct-11:cs cocaiututg of a fim,of up to S l-SMOO of::p to or.:) ..:.i civil,xml6c3 in d.c i nn of,S!c,`,V-ri_Ord.=_:a a f rm of s lm.Do a day m- _ t cx-dq;srvzratal u,c oily l.. - 03 Permit N 11t71tr -r--.------------- �� si_rnaturc of i.ic�n:c JI'crnt r` r. , SUCTjON 8?CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : cq4k�s 19IZ )/t ©`('7S' License Number ® 5 L CAJ fr—LIO n1 tl 01 0 P-'5- Address Expiration Date 569 8732 Signature Telephone 9Re>?s ere'0476—M40- -on , BM1KR,4W--- Not Applicable ❑ 13 2-. Company Name Registration Number 6a Se re �LiwG� �t �� /,Cw 44 r" owt3P5 I1 - 2-Z - 200L4 Address Expiration Date Telephone 2 7 75� SEGT�ON 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....... 91"- No...... ❑ I. ? max �i�- 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 acccptable 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 SECTIOf S=D S RfPitON OAskoPO"SED�+VORX.16.ec Ilia livable . •*. t_.�<;:�s".—Y�"�w, -' <}W` .�_h":^' >,,,,,..s .,,: ».mot-. '' >;�:.r`� ..�.. New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ J Decks [ ) Siding[ ] Other [ ) 7 Brief Description of Proposed Work: UP �`�° S� A90�r Ian! —tz�, -K(o or kf Alteration of existing bedroom Yes_ c No Adding new bedroom k Yes No Attached Narrative 0 Renovating unfinished basement Yes h No Plans Attached Roll 0•Sheet 9" a. , ;:evi► ..o nd 6 d.itron to ezistin�ghousing;corn-p"i,.efe Elie fot#kowtn; a. Use of building: One Family I— 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 2-Z K 2 0 e. Number of stories? f. Method of heating?. _ y +Jnf J C� Z�' +� replaces or Woodstoves Number of each g. Energy Conservation Compliance. S Mascheck Energy Compliance form attached? -S h. Type of construction Fl,A ME i. Is construction within.100 ft. of wet!,. es _ - No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade __ F00, k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank 4L City Sewer Private well City water Supply ECTidT�7a O INER Al7TH0RIZAT101V TC BE COMPLETED WHEN OWi EFS�IGEN,Oft CONTRAGTOR.APPLIESY FOR BUILDING PERIN{7 i as Owner of the subject property hereby authorize _ 0-1 AAt'. to act. on my behalf, in all matters relative to work authorized by this wilding permit application. ' sz�—Xic Signature of Owner Date I. as Owner/Authorized Agent hereby eclare 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. CSI A hks f- 0,7-1 V _ Print N Signature of Owner/Agent 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 t7 00 t) -0 3 000 6043 Frontage Setbacks Front S� S-3 Side L: gD R:� L: 100 R: a Aw ZC> Rear t-I–q Building Height 2 i S Bldg. Square Footage 2� 0`0 6 gQ 0 Open Space Footage % `' (Lot area minus bldg&paved ( � 5-6 1( 'QQ��`T parking) #of Parking Spaces 3 3 Fill: j volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 ,X IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES — N o--X— IF-YES, describe size, type and location: .... ............ s ± ,CqV b Northampton t Bluiloi g Department Main Street CT -'R om 100 Nor_iham ton, MA 01060 ep pr RI�IIDi�� Si �87.1240 Fax 413-587-1272 P APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1!-SITE INFORMATION :a This s�ectton3totieco`mplted6 ° ffice � 1.1 Property Address: /5-,b 71J6:kC� 1 I 1 L 1_ ��A �' MaP � Lac►# r E , i1� Z net Overlay r c$ 41c' x CIA MPdn/ i'v1 d 1� D � �bra �r , EImSt Districts CB Dis rich .s. SECTION 2 -'PROPERTY OYVNERSH(P.IAUTHORIZED AGENT 2.1 Owner of Record: Name(Print) f _ Current Mailing Address: Telephone Signature 2.2 Authorized Agent: CP^2 f c�T-f d GQ 6 CCAJ IC tzo 9gp wa rr=14 vD Name(Print) Current Mailing Address: `I 7.3 z Signa re Telephone SECTION.k3.- ESTIMATED .CONSTRUCTION'CO"STS Item Estimated Cost(Dollars) to be Official Use 0nly completed by ermit applicant 1. Building - (a) Building Permit Fee 2. Electrical 000 (b) Estimated Total Cost of Construction from..6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 2r 5. Fire Protection 2 4)o C 6. Total = (1 + 2 + 3 + 4 + 5) t c Check Number aQ This Section For Official Use Only Building Permit Number: Date'Issued: �. - . _........ Signature: _ Building Commissioner/Inspector of Buildings Date Nov 30 03 07:22a Charlie Fortin 413 562-8943 P. 1 11 1111141 'L Sk:7592Pg: 18 Page: 1 of i Recorded: 11/24/2003 01:42 PM --- -__ ._---November Tuesday, 1 8; 2003 DEC 1 158 Turkey Hill Road Northampton, MA 01060 In order to build an accessory apartment at this address under Section 10.10 of the Zoning By Laws; we certify that this will remain our primary residence, as long as wf own this property (Temporary Absences excepted). Claire Huttlinger, Owner Date to—ttti :U l t g 3 Doreen Weinberger, ner Date °' COMMONWEALTH OF MASSACHUSETTS LU` °Cf~ Hampshire, ss. November 18, 20f.> � v ae Then personally appeared the above named CLAIRE HUTT: iNGER and DOREEN WEINBERGER who acknowlealged the foregoing instrument to be their free act and deed before me; (1 Sean T. Sullivan, Notary Public My commission exp;res: 9/19/08 ATTEST: HAMPSHIRE r� •G�(� -;REGISTER MARIANNE L. DONOHUE tL ii ---* Official Receipt for Recording in: 03 P10V 2 r' Hampshire County Registry of Deeds 33 King St. I5$ Northampton, Massachusetts 01060 Turkey(Hill Road Northampton, MA 01060 Issued To: CHARLES FORTIN pry apartment at this address under Section 10.10 of the 60 SCENIC ROAD that this will remain our primary residence, as long as we WESTFIELD MA 01085 ry Absences excepted). Recording Fees ----------------------------------------------* Document Recording Description Number Book/Page Amount G *----------------------------------------------* Date NOT 00050984 7592 18 $75.00 HUTTLINGER/WEINBERGER * Collected Amounts A Date Payment Type Amount *----------------------------------------------* Cash $100.00 $100.00 IONWEALTH OF MASSACHUSETTS Total Received $100.00 November 18, 20C Less Total Recordings: $75.00 Change Due $25.00 ared the abc:ave named CLAIRE HUTT'INGER and 10 acknowle�!ged the foregoing instrurnent to be their free Thank You MARIANNE DONOHUE - Register of Deeds By: Linda N Sean T. Sullivan, Notary Public Receipt# Date Time My commission expires: 9/19/08 0064265 11/24/2003 01:42p Reprinted By: Linda N Reprinted On: 11/24/2003 01:43p Dec 06 03 12: 51p Charlie Fortin 413 562-9943 p. 9 C N � Tr Q' ------------ i ............ , Tj , a � ' ' Q , o y - ------ ------ - ------------ --------- 1----------------------- -___________-_________________ - --- � � n a n u) j a N - r� a a U1. � P MZ5 C �� b ----------- ` Dec 06 03 12: 51p Charlie Fortin 413 562-8943 p. 8 N t 1 O Its T� 3 n o1 o - --- CO 0 .. . ...... __ ... ...... . ....... __._... _-...._.. . .... ....... _... .. ....._ .. 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I ( CD I I ( a. —-----•--• '-----------------------------•---------- a—�x .0 ► a° E 'd Etl68-Z9S Etb ui-4uo-A aIIJeyo dgb :zl co 90 oaa C Y N � V y a 4 3r 11 Q I `\ . s'2 o �t y y U N Y U L N 7 7 m d O V U �1 Q c u T4 CN CN V O L..O I v W u c-4 v cn rno to Ls to � c p �V 4 a>• a N c7n rn m G ' O y 0 U 0 a 9 m c N N0 2u`7� '4 N O O .g O c a� .Q G C U a v 0 U h V' S V N Cry a fn N N L" d .f2 a c� D N z 'd dgb :Zi co 90 Oau e � o "O rc� rj 2 I 'd £b68-099 £ib £o 90 oaa DEC t{[ eA-M It Ittl It tl Q$ P[ t T r1 9 y r� N 3 0 91 0 •� M d V J M V 1 b 'd Eb68-29S Eib U14JOJ aijJe43 dgb :al co 90 Oaa PAW .......... . ......... -S H-L r, 0 S _............................................................._..._........,_._..........._._.._...................,.,........................................._..._...,...............................,................._................._..... ,vs:E rn n 0 a a 0 o �r a � L 3 o m 0 tow Q o ' �-a -u r «sue i c On 1 t' `1 W e; .p P� R 1 p► 20'-0" --- -- -------------------------- 1 - --- I P p 8- I I � I RP I I f IR � I 1 R • I x• D P I jti� b f 'D I I I I I cA , r r R 1 , P I ?} CA CD 1 eyr� o� 2 1 , cL7 3 4'-3° \NNP 2 W CA -t- 5, 0 CA 3 0 0 w =r co 0 =r 0 0 E 0 0 Fla ƒOD eb 20 0 w ILDL m 4) =r=r 0�0 0 C>=- :3 co co g / 0 L,4 r-4 0 jE?cc 0 0 =r CD CL 0 0 ol 2 'a cy- 0 w CL CL 0 /=r LO C> :3 OD 0 5 4. C> 0 IE E .._.._... _., ... I 1 p � fi''� i�-S �' M �.. � � � � -v cx°- G �` � � � u � `�1 � �� .� _�. "' � � �� , - -� � � � � -fi �, � �� _ �� `� � �� N `� � � � �= -�, tv _-----___�._.__,___�_. t 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) 3"clearance from insulation, 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-factors must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. 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. 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 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. REScheck Inspection Checklist 1995 MEC REScheckSoftware Version 3.5 Release le DATE: 10/15/03 PROJECT TITLE: Addition Bldg. Dept. Use I Ceilings: [ ) I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity+R-40.0 continuous insulation Comments: I Above-Grade Walls: [ ) I 1. Wall 1: Wood Frame,24"o.c.,R-13.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Vinyl Frame:Double Pane with Low-E,U-factor: 0.310 For windows without labeled U-factors,describe features: j #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Skylights: [ ] I 1. Skylight 1:Vinyl Frame:Double Pane,U-factor:0.600 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Solid,U-factor:0.200 Comments: I Floors: [ ] I 1. Floor 1: Slab-On-Grade:Unheated,2.2'insulation depth, { R-15.0 continuous insulation Comments: Slab insulation to extend down from the top of the slab to at least 2.2 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 2.2 ft. [ ] I 2. Floor 2: All-Wood Joist/Truss:Over Unconditioned Space, R-13.0 continuous insulation Comments: I Crawl Space Walls: [ ] I 1. Crawl 1: Masonry Block with Empty Cells,4.0'ht/3.0'bg/4.0' insul, R-10.0 continuous insulation Comments: Applies to walls of unventilated crawl spaces. I Air Leakage: [ ] I Joints,penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a the REScheckInspection Checklist. Builder/Desigtier s2 `- Date Permit Number REScheck Compliance Certificate Checked By/Date 1995 MEC REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\Huttlinger.rck PROJECT TITLE: Addition CITY:Northampton STATE: Massachusetts HDD: 6404 w f CONSTRUCTION TYPE: Single Family -° = DATE: 10/15/03 Y DATE OF PLANS: 10/15/2003 PROJECT DESCRIPTION: Add bath,bedroom,living space ' 158 Turkey Hill Road Northampton DESIGNER/CONTRACTOR: Charlie Fortin Builder DBA Windows America 60 Scenic Road Westfield,Ma. 01085 COMPLIANCE:DPasses5�y um UA= Your Home UA= 165 13.6%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 440 30.0 40.0 7 Skylight 1: Vinyl Frame:Double Pane 4 0.600 2 Wall 1: Wood Frame,24"o.c. 496 13.0 0.0 35 Window 1: Vinyl Frame:Double Pane with Low-E 35 0.310 11 Door 1: Solid 18 0.200 4 Floor 1: Slab-On-Grade:Unheated 62 15.0 46 Insulation depth:2.2' Floor 2: All-Wood Joist/Truss:Over Unconditioned Space 440 13.0 0.0 28 Crawl 1:Masonry Block with Empty Cells 440 0.0 10.0 32 Wall height:4.0' Depth below grade: 3.0' Insulation depth:4.0' 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 1995 MEC requirements in REScheckVersion 3.5 Release 1 e (formerly MECchec4 and to comply with the mandatory requirements listed in 0.-C tV.N/+T - •.� `E (riff of 'NoLflizi»ip1011 _ cL - DEPARTMENT OF BUILDING INSPF-CTIO,','S n 2)2 A-fain Strccl Tlunicipnl Buildin" \� 1�:SpECTO? Northni„plon, T1nss 01060 Square Footage Amount 3asemer.t @ $.15 —___-- l s c F l oar @ $-.50 CFO 2�-O 2nd Floor C $.30 l/ f=loors, Attic, Garage $.15 Deck, Porches $.15 TOTAL File#BP-2004-0450 APPLICANT/CONTACT PERSON WINDOWS AMERICA ADDRESS/PHONE 60 SCENIC RD WESTFIELD (413)562-7759 PROPERTY LOCATION 158 TURKEY HILL RD MAP 34 PARCEL 007 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid 117& Oo7.ao Typeof Construction: CONSTRUCT 20 X 22 ADDITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 047758 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF0)61ATION PRESENTED: pproved 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 ommission 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. �� _ � �� --rCa� G G�,�5 r�`C`' ,�' � � � �---- 158 TURKEY HILL RD BP-2004-0450 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 34-007 CITY OF NORTHAMPTON Lot: -001 Permit: Building Cateizor;_ BUILDING PERMIT Pennit# BP-2004-0450 Project# IS-2004-0651 Est. Cost: $90958.00 Fee: $220.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOWS AMERICA 047758 Lot Size(sc. ft.): 109335.60 Owner: WEINBERGER DOREEN A Zoning: RR Applicant: WINDOWS AMERICA -4 T. J. i Ur'.IZ i 1-1 J i-L i ai Applicant Address: Phone: Insurance: 60 SCENIC RD (413) 562-7759 () WC WESTFIELDMA01085 ISSUED ON.1219103 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 20 X 22 ADDITION (ACCESSORY APARTMENT) POST THIS CARD SO IT IS VISIBLE FPOM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Mete Footings: Rough°"_7', 1�� j�Rough: Zh 9/41. Houso# Foundation: � K �Final: �/, Driveway r Taal:Final/4 2 7,6) J., Fla t�Q�� /�vl Rough Frame:® _POG�( 4/4" Gas: Fire Department Fireplace/Chimney: ncu�,h: (lit: insulation: z � Final: Smoke: -20 0,c1' Final: 0_1. THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION.-OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occuparcy a'ure: FeeType: Receipt No: Date Paid..,_. --- Check No: Amount: wilding 12/9/03 0:00:00 1176 $220.00 212 Main Street,Phone(413) 587-1<'40 Flax: (413)587-1272 Building Coi,ar issioner-Antl.uny P'atillo