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D PAR TI IFT OF BUILDING INSPECTIONS
INSPECTOR 212,,'1t1ain Street ' Municipal Building
Nor hainpton, Mass. 01060
Square Footage Amount
Basement @ .10
lst Floor @ .40
2nd Floor @ .20 O
112 Floors, Attic, Garage .10
Deck, Porches .10
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Proposed' ttached Garage and Accessory Apartment with Deck
vC
Steven M. Bengis
161 Turkey Hill Road
Florence, MA 01062
Ph: 584-4288
The attached permit application is for an attached three-car garage with an
accessory apartment above the garage. The garage is 680 square feet and is
attached to the northeast corner of the existing home located on a 3.87-Acre
property on Turkey Hill Road in Florence. The second floor, comprised of a
living room/kitchen, bedroom and bath is an additional 680 square feet.
Access from the garage to the existing house will be via a door into the
present laundry room, while access from the second floor apartment to the
existing house will be through a door in the bathroom of the existing home
(See Attachment C). Access to the 20' x 12' deck off the living room in the
new apartment will be via two sliders on the south wall. The deck will be
built with pressure treated lumber on top of sonna tubes as per the
specifications listed on Attachment D. Access to the upstairs apartment will
be via an external covered staircase built with pressure treated lumber on the
east wall of the garage. The garage will be constructed on a cement slab.
D k6
F-FiGY CONSERVATION APPLICAT" FORM FOR
APR 18 200t®� E RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 PMR Appefidix J{effective 3/1/98)
L f"/ (pit {P4iCjlfL iE"`tJ ! '
s llcautl` iaRvie�° & Site Address:
Applicant Address: / City/Town:
G�Z
Use Group: _
Date of Application;
compUtMm P'stlt( anek
U Prescriptive Package(Limited to 1- or 2- family wood frame-buildings tje.ated wi fossil fuels only)
Package (A through KK from Table J5.2 lb):, Heating Degree Days (HDv66)from Table J5.2 la:
(For items d. through i., fli in all values that apply from Table J5.2)
a. dross Wail Area -- sq. ft f. Walt R-Vaiure
b. Glazing Area' _ sq. ft a- Floor :'alue
c. Glazing%(I U0 x b•�a) % h. Basement wall
d-z GlsTins 1 f-yat r++ ;` i. Slab Ferimeier K
e. Ceiling R-value R _ j. Heating AFUf
[�
Cc.-nWierS, PeFformance: 'Manual Trade Off` (Limited to wood or metal framed buildings only)
ClimateZonee(frorn Figure)6.2.2) ❑ Zone 12 0 Zone 1,� I} Zone 14
Attach Trade-Off ft(ksheet from Appendix J,(and HVAC Trade-Of Warl—sheet, if applicable)
❑ �AAScheck Software
Attach Comphance Rapc4 and Inspeciron Checklist printouts.
r❑ Systems analysis OR L1 Renewable Energy Sources
Attach Mass Registered Architect or Engineer Analysis
ALTERNATIVE FOR ADDITIONS ONLY:
a. Gross Wall +Geilino Area sg. tt. b- Grazing areal Sq.ft. c. Glazing%(.100 x b+a) L•o�.�,
x -
ADDITION with Glazing ,% (c.)up to may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM V-Talus Minimurn R•Values
Fenestration Ceiling wall Floer Basement% Slab Perimeter, Dept
439 R-37 R-13 I k-19 R-10 R-10,d ft,
❑ "SUNPOOM"addition(greater than 40%glazing-to-wall and ceiling gross area)
Attach 'Consumer Information Form"from 78UCMR-Appendix S.
Official's Name: Official's Signature:
Application Approved C1 Denied Q Date of Approval/Denial:
°w (,)k (provide additional details as needed on back side)
t Glazmz Ara may be tkbw llbmth Opening or unit ni nftowim
Building Specifications
Foundation: Concrete slab: Footings 24"wide by 10"thick
Frost Wall: 4' deep; 8"thick
U�JbQk 1 E"A_)
Laminated beam r
Framing: 2 x 4's every sixteen inches on center.
Floor Joists: 2' x 10' spanning 26'
Ceiling Joists: 2' x 6' spanning 26'
Lolly Columns: One column located in the center of the garage sixteen
Feet from the front and ten feet from the existing building.
Rafters: 2' x 8'
Carrying Beam: 3-2 x 10's/laminated
Doors: Solid core standard
Windows: Anderson Double-Hung 22 x 38
Header
Over Slider: 2 x 10
Insulation: R-13 Walls
R-38 Ceiling
Deck: Dimensions: 12 x 20;
Carrying Beam: 3-2 x 10's pressure treated/1awoiftm@
Joists: Pressure Treated 2 x 10's
Piers: Located every 7' on sonna tubes
Outside Stairs: Pressure treated lumber throughout; Hand-rail. Covered stairs with
Upstairs landing to entrance to apartment.
Smoke Detectors: Hard-wired; one in garage; one in upstairs bedroom; one in upstairs
Kitchen/living room;,°to-be added to each bedroom of existing
house (three additional total). Hard-wired smokes exist already in
hallways of all floors.
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9 6 �:ssxcflttsctts'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AFFIDAVU
ttee)
with a principal place of business/residence at:
51 e7 T 24 OJ (Phone#)
(dr&et/city/staWz:ip)
do hereby certify, under the pains and penalties of pegury, that.
O I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insuraucc Company) (Policy Number) (Expiration Date)
I am ole proprietor, general contractor or homeowner (circle one) and have hired
the contractors e ow who have the following workers compensation policies:
'1 (7aYp 11vF0jt(4n,6A) `I/IGI_-
/Y ,A, ✓e�� �DOiI! AS 9QA1774kT i ill6 A-W H OF-
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
ate_
(Name of Contractor) (Insurance Co aay/poli Number) eo (Expiration Date)
ODo3 SbS�
(Name of Contractor) Unsurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach addildocal short if ntccaary to include information pertaining to all ocatxnciors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware taxi whilo homcowr,=who employ pczzom to do rrza�coo3trvci oo or repair work on a dwelling of
not mote than rhino traits is which the hon»owner residcs or oo the grounds appurtenant thereto arc oc(gcner y oowidatd to be
employers unda the wroriccr's C=*a=tioa Act(GL152,ss 1(5)),appliration by a hor scow=for a Uccnse cc prima niay cvidcnoc the
legal&tubas of an employer under dw Wort z Compensation Act.
I understand thxt a Copy of this ctatemcai may be forwarded to tho Dcpdamoot of Dial Aoeidm&Offioo of lasuanoe for the
coverage vaifiauioo and that failure to sxure eovaago under socdon 25A of MOL 152 can lead to tha imposition of aimin4 penalties
comisting of a fine'of up to S1,300.00—Voe of tip to one ytar and avii pcm16a is the form of a Stop W orlc ordCr and a
fiw of x 100.00 a diy against mr-
For dcpartm�use nary
r Permit Number -
` M20 Lot#
Si of Licanseelp t tce Date
SECTION;$ CONSTRUCTIQN SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : 7 .
� License Number
Z--
Address Expiration Date�7
Signature Telephone
. � Not Applicable ❑
e ste tl pme nrovement� n#rac 0�" .. �.u,«1 .., ._ uy� T ....v, u1 PP
Company Name Registration Number
Address Expiration Date
Telephone _
..........._........._..................._.
SECTION 1,01-,,W, kKtRS!,,C0MPE,NSATI0N J U RANCE 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...... 13
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 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
3 �
3 ( SON i�DE�_� , 4 T PROPO�SEWWORK ckreck all"�a 0 licable
°N'(ri,-«"� .�5, ,�..._.. x:.. �'#`.k,�•s2" »,;x.''1�k.?', � v. g.. �'H�?� 3�'"a`'�"'�i'I '�.. .h.6�'t 3�. ;�,�3�, .a.'.
New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: (hod 5( G,t?�6lei C{CCCSgoy q,)4Ideck x-5o'
I Alteration of existing bedroom Yes No Adding new bedroom ✓Yes No
Attached Narratives Renovating unfinished basement Yes No
Plans Attached Roll 0 Sheet
umT'— ho 's ""i d oir a t ditio'nTt07dXist4fJ hdJu°s�ink,u"rOftlete the.fol'1'6 in :
Gal
a. Use of building : One Family 1✓ Two Family Other
b. Number of rooms in each family unit: 1�2 Number of Bathrooms
c. Is there a garage attached? 6a rase — G1 « a
d. Proposed Square footage of new construction. 1-360 Dimensions � X 30 452c/7�452c/7
e. Number of stories?
a2 7V7PC a- X—_c-o
f. Method of heating? C� Fireplaces or Woodstoves�Number of each ALT
Mascheck Energy Compliance. Energy Conservation Co m gy form attached?/pliance. P
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes_'l/No
X/
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 V" City Sewer Private well _J.-" City water Supply
SECTION 7a OWNER AUTHORIZATION- TO BE COMPLETED WHEN
OWNER"GENT'OR�CONTRACTOff1APPLIES FOR BUILDING.PERIVIIT
�Zt-)/k AJ N K) 5 as Owner of the subject property
hereby authorize lG �l yotil ,QG�D� to act or-
my behalf, in all tt rs relative to uthorized by is building permit application.
� /p p 2.—
Signature of Ow Date
L_VIA, as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, tote bes of my
knowledge and belief.
Signed under the pains and penalties of perjury.
14 , 6Alld\l
Print Name
J1j02___
Signature of Owner/Ag6nt 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 -3 • 91 AL-- 3. 9B 0 00D
Frontage
Setbacks Front
It t!
Side L: f R: V L:_R: � D
-�- 2 D
Rear
Building Height
Bldg. Square Footage /�2 %
Open Space Footage % f
(Lot area minus bldg&paved
parking)'7
3 4c.di4Lav%4
#of Parking Spaces Ih naA-
Fill:l:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW V1 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 tlz
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:
w
City of Northampton
--1 NJi- Department
ain Street
III
Om 100
APR - 9 2M13-57-1 on, MA 01060
r i
phone 40 Fax 413-587-1272
M
AP , LTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address: ffhis sects �to�be complet 'djA'' ffice
M p L'ot � �. nit
.Zone � �11�!;Orrertay D�str�ct A � � �
0"
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current M!M-C4iW
Address- Z
Telephone
Signature
2.2 Authorized A ent:
f,4r, ,� /,�, L�/jr1/ -3/ CST
Name(Print) Current Mailing Address:k — '/'/
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS'
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building Q� (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
p Construction from 6'
3. Plumbing Building Permit Fee
13, ace
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
B�uildi,ng�.Permit Nunnber: �v Date Issued:
Signature �F -
Building Coi)missia'[►er/,Insp6cfor of'Buildings. Upte.,
File#BP-2002-0853
APPLICANT/CONTACT PERSON PATRICK GALVIN
ADDRESS/PHONE 31 EAST ST (413)586-6146
PROPERTY LOCATION 161 TURKEY HILL RD
MAP 34 PARCEL 021 001 ZONE RR/WP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Typeof Construction CO STRUCT 30 X 20 2 STORY ATT GARAGE ENT
New Construction
Non Structural interior renovations
Addition to Existinp,
Accessory Structure
Building Plans Included•
Owner/Statement or License 013977
3 sets of Plans/Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 Commission
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.
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