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1212812000 14:50 413-527-8153 TODD CELLURA PAGE 05
, ----NOTES TO FIELD (Building Department Use Only) -------------------------
V'd WOa-A WdIV E 0002-1-Z-LI
12/28/2000 14:50 413-527-8153 TODD CELLURA PAGE 04
{ and cooling equipment And service water heating equipment must ke
{ provided. Insulatiou R-tialuaa, glAzing U-values, and heating
I equipment efficiency must be clearly marked on.rri@ building plans
{ or specifications.
I
{ DUCT INSULATION:
( J ( Ducts shall be insulated per Table J4.4.7.1.
f
{ DUCT CONSTRUCSIONt
( ) { All accessible joints, seams, and connections of supply and return
ductwork located outside conditioned space, ineluding stud bays or
{ joist eavitieatspaaes used to transport sir, 4411 be sealed
{ using'maotic and fibrous bavking-t.&p4 i4atslled'according to the
I mane&€act ra�c!a_inatal.lation instructions. Mesh tape may be
omitted Where gaga are lest than 1/0-.inch. --Duce tape is not
permitted. The HVAC system must provide a means for balancing
{ -air -and water systems.
I T04PSRATURR CONTROLS:
( J { Thermostats are required for each separate VVRC system. A manual
or automatic means to partileAly restrict or-shut off the heating
I " and/or'eoOlkng input me each zone dr floor-4hall be provided.
I
HVAC EQUIPMENT SIZING:
( J I Rated output capacity of the heating/cooling system is
{ not greater than 125% of the design load ac cpeCified
in Sections 700CMR 1310 and 54.4.
I
( 'J swite ING POOLS:
{ All heated swIMMing-pools must have an on/off heater switch and
{ require a Vover unlace ovaY 2o* of the heating energy is from
{ non-depletable sources. pool pumps require a time clock.
I
( J HVAC PIPING INSULATION:
{ HVAC piping conveying fluids above i2o- P or chilled fluids
{ below 55 F must be insulated--= the following levels (in.) :
PIPE SIZES (in.)
I H2ATIN% SYBTMMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2-5-4"
Low pressure/camp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.0 1.0 1.5
{ steam condensate any 1.0 1.0 1.5 2.0
COOLING SYSTM49:
{ chilled• warsr or 40=55 O.S 0.5 0.75 1.0
rePsigaranL below 40 1.0 70 1.5 1.5
(
( ) I CIRCULATING HOT WATER SYST®98:
' Insulate circulating hot water pipes to the fallowing levels- (3a.) :
I
I FII+E-SlzRS tin-4
I NON-CIRCULATING CIRCULATING MAINS 6 RUNOUTS
HRATND WATER TRMP (B) : RU]UOUTS 0-1" j 0-1.35 1.5-2.0" 2.0+11
{ 170-180 0.5 ) 1.0 1.5 2.0
{ 240-160 0.5 I 0.5 1.0 1.5
{ 100-130 0.5 { 0.5 01-5 1.0-
E .d �
i�1281:2dbU 14:50 413-527-8153 TODD CELLURA
PAGE 03
!4
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MABcheck Software Version 2.01
DATE: 12-26-2000
Bldg. 1
Dept, {
Use
( ] 1- R-30
Comments/Location
WALL6 3
I I
I. wood Franco, 16^ o.C., R-19
Commente/Location
t *TNDOWS AND GLASS DOORS:
( ) { 1. U-value; 0,33
LrQx windows without labeled V-values, describe features:
# Panes Frame type Thermal break? ( ) Yes ( ) No
Comments/Location
DOORS:
f l M 1- U-value. 0.28
{ Comments/Location
{
+ FLOORS;
[ ] 1. Over OftCOnditfcaad-Space. R-19
Cova,Qnts/Location
{
{ HVAC EQUIPMENT;
[ I { 1. Furnace„ 40.0 AFUR or higher
Make and caudal Humber
I
{ AIR LEAKAGES
] { Joints, penetrations, and all other ouch openings in the building
envelope that are sources of air leakage must be sealed. When
installed in the building envelope, recessed lighting fixtures
( shah meet one of the fa lowing requirements:
f
I. Type- IC rated, -manufactured-with no penetrations between the
{ inside of the ;accessed fixture and ceiling cavity and sealed or
gasketod to prevent air leakage into the unco ditioned space,
2. Type IC rated, in accordance with Standard = E 283, with no
more than 2.0 cfm (0.904 L/s) air movement from the the
{ conditioned space to the ceiling cavity. The lighting fixture
shalt have. beet tested at 75 $A or 1.57 1Ds/ft2 pressure
differettae� and shall be labeled.
{
{ V06v RETARDER
[ I { Required on the warm-in-winter side of all X=-vented framed
Ceilings, wall*, and floors
{
{ MATSRTALS IDMff1PICNr1ON.
( ] Matexials and equipment duet be identified so -that compliance can
{ be determined- Manufacturer manuals for all installed heating
Z 'd WOti-j Wdor E 0002-4Z—Z 1
12/28/2000 14:50 413-527-8153 TODD CELLURA PAGE 02
MAScheck COMPi+IIcNG&
Masoachusetts Energy Code I i
MASchock Software VQXS"on 2.01 r {
( Checked by/Date
cITx, Northampton
ST?.TB. ttassarAusetto
HVD: 6404
CONSTRUCTIO19 TYPE: i or 2 Family, Detached
HEATING SYSTEM TYPE: other (IVon-Electric Resistancsl
DAT3; 12-18-2000
g0MPLIANCB: PASSES
Required UA = 449
Your Horne m 411
Area or Cavity Cont- Glazing/Door
Porimet-er R-Val-us A--Value . U-Value UA
-------------
-- --'-----------_—.___ 1666 30.0 0.0 59
CEILINGS 9S
WALLS: stood Frame, 16" O.C. 1573 19.0 0.o
497 0.330 164
GLA27.Ka: windows or Doors 74 0.280 23
p00R5 1666 19.0 00 79
FLOORS= Over Uneonckitioned Space .
HVAC EQUI P'MSNT: Furni[O , ' 98 0' APE3S
_ __-_---...-----_-------------------
COMpLIANCU STATRNE Tt The proposed huilding design descr}bed here is
consistent with the building plans, speeifieataons, and other calculations
submitted with the Permit application. The propossd� building has been
designeQ to meet the requirements of the Massachusette Energy Code•
The heating load for this building, and the cooling load if appionai ter
hag been Cetermined using the applicable Standard Destgn'
in the Cods. The RVAC equipment ealectod to heat or cool the building
shall be &0 greater than 1251 of the-44siqn lord as specified in
Sections 780CMR 1310 and 34.4.
Date
Builder/pesigntr
-IN
eE
woa.� wdss=s Fez-�z-z�
t 'd
' 7fi
2' -Y
e Ciit� vi �0�"t�1�ly1�tU11
DEPARTMENT OP BUILDING INSPECTIONS
Its>PI': T 0 P 212 Main Street ' Municipal' Building
Northnmpton, Mast. 01060
Square Pootage Amount
Floor 0 40 _ y ._J X+�� �cj�•t�'�,
2nd Floor @ . 20
A(Jic, Garage . 10
Dip },fin h(,)1_Ct1c2s
.. ._.....�-
r
City of Northampton. Massachusetts
Office of Planning and Development
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 8556-6950
FAX (413) 586-3726
t
• Conservation Commission • Historical Commission —_
• Housing Partnership • Parking Commission USTI ~�
• Planning Board • Zoning Board of Appeals
DECISION OF
YO-R A=O-N PLAN NG_BQARD
APPLICANT: Sovereign Builders
ADDRESS: 135 Southampton Road DEC X597
Westhampton, NIA 01027
OWNER: Anthony Stefan, Donald Stefan and Michael Stef oRTHAMPTGN. MASS 01060
ADDRESS: 92 Turkey Hill Road
Northampton, MA 01060
RE LAND OR BUILDINGS IN NORTHAMPTON AT: 92 Turkey Hill Road ;U! p
M x m
INIAP AND PARCEL NUMBERS: NIAP 35 PARCEL 5 c' �•
At a meeting conducted on November 13, 1997, the Northampton Planning Board WoFed °
unanimously 6:0 to grant the request of Sovereign Builders for SPECIAL PER,Y1YTS `QTIV
'li
SITE PLAN APPROVAL under the provisions of Section 6.13 in.the Northampton Zongi-g
Ordinance, to create five flag lots (Lots 1, 2,3,5 and 6) at property located at 92: urhM Hal
Road, also known as Map #35, Parcel #5 as shown on the following plans: CO t3
1. "Plan of Land in Northampton,MA S1_t� ,,sl forr Soy .r_eib;Ru ldezrs_ Drawing No.
TURKCOMIR, by Lewis & Cook Surveyors;Tnc:-dated.lrl'overnber 111 1997.
Jk
1
2. "Plan & Profile, 91 Common T�rivewav 4ai ereig D-ildprk Tjirkey Hill Road_
Northampton, MA, Pin r - or- SOVER'1 Q z IIj;ORR:^I i YIT M.-Hatch Consulting
Engineers, dated August, 1997 and revised Se� e'r.9, 1997 and'October 9, 1997;
3. "Plan & Profile, 92 Common DrivewaT,,Spy r� Rnils, WTj fill Roadr
jyh mpton, MrA,,Pr arPd for- SOVF.R1rrlIWT3FTt'; ,�jatch Consulting
Engineers, dated August, 1997 and revised September 19, 1997 anti October 9, 1997.
Planning Board Members present and voting were: Chair Andrew J. Crystal,Jody Blatt, Paul
Diemand, Nancy Duseau, and Associate Members Rick`'Mar4uis and M.Sanford Weil, Jr.
Y
In Granting the Special Permit, the Planning Board found:'.
1
ORIGINAL PRINTED ON RECYCLED PAPER
- ^'_ --32-98, 15:27 FROM:LAW OFFICES 413-586-0631 TO:5278153 PAGE:02
s xg
City of Northampton, Massachusetts ! '
S lu � .�
Office Of Planning and Development
City Hall • 210 Main Street 171 OF SUILOIN<<I..ry,
Northampton, MA 01060 • (413) 586-6950
FAX (413) 586-3726 $ +
�
•Conservation Commission•Historical Commission r V
•Housing Partnership •Parking Commission
•Planning Board-Zoning Board O(Appeals
DECISION OF
APPLICANT: Sovereign Builders D
ADDRESS: 135 Southampton Road rn { 5p=1
Westhampton, MA 01027
:19"f'CLERK$ FFICE
OWNER: Anthony Stefan, Donald Stefan and Micbael Stefan rvaRlair+lPtaa
y n, N
ADDRESS: 92 Turkey Hill Road 71
Northampton, MA 01060 ;=, ,,,
RE LAND OR BUILDINGS IN NORTHAMPTON AT: 92 TtirkeyHill Road
MAP AND PARCEL NUMBERS: MAP 35 PARCEL 5
At a meeting conducted on November 13, 1997,the Northampton PlahWng Board voted
unanimously 6:0 to grant the request of Sovereignsudders for SPECIAL;:QERMITS WITH
SITE PLAN APPROVAL under the provisions of Section 6.12 in the Northampton Zoning
Ordinance, to allow two common driveways td terve sik dts(I 66.1y1 k-*5 and 6) at
property located at 92 Turkey Hill Road alsorkuown"-Map �5, '�aYCef`f�3`�es shown on the
following plans:
1. "P Rnilderg"Drawing No.
TURKCOM I R,by Lewis& Cook Surveyars, Inc:""ed Ndve&er 11 1997.
a
2. 19 Profile. #1 Common Drivew9 , Soverrigp R ti .��1 Hil e�a
$� atchConsulting
Engineers,dated August, 1997 and tevl p ,�i +7 9, 1997;
3. "� aPlan& fProle � '
" B:1iach Consulting
Engineers, dated August, 1997 and revised f`19,
tctoer 9, 1997.
Planning Board Members present and voting were, &,fikir'Mdie w' L" stal,Jody Blatt, Paul
Diemand, Nancy Duscau,and Associate Membetf M@ l'od Veil Jr.
ORIGINAL PRINTED ON seCYCLEO 0101114
'ice -
3
No. 31(4 ° t'40 FEE�
COMMONWEALTH OF MASSACHUSETTS
Board of Health, MA.
DISPOSAL SYSTEM C®NST UCTI®N PERMIT
Permission is hereby granted to; Construct Repai ( ) Upgrade( ) Abandon( ) an individual sewage disposal system
at T SOVe&EeI as described in the application for
Disposal System Construction rmit No. 3&,dated
Provided: Construction shall be completed within three years of the date of thi per 't. All local conditio must be met.
Form 1255 Rev.5/96 A.M.Sulkin Co.Boston,MA Date /d—/.P-k�laoard of Health ^
F-3
Li MT 12 2000
PT OF BUU"'I"1W l
y r `
Q�tiA1 f P�
0
8 e GrZ7 of Nart4alllpf ell
�aEIIA[tl rtE[l1E
m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORKER'S COMTENSATION INSURANCE AFFIDAVIT
(Iicensee/permittee)
with a principal place of business/residence at:
(phone#) q --,r:;Z7-
(street/city/stafe/ap
do hereby certify, under the pains and penalties of perjury, that:
a
(( I am an employer providing the following worker's compensation coverage for my
employees working on this job:
n) UV)-L 7-) I X ko _,cz)_C,I
y± (Insurance Company) I (Policy Number) (Expiration Date)
I am a sole proprietor, en�eral contractor r homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation
olicies:
Cmyvan rC aAfACC
�mtv�rcu, bl Li-IC T9c)(p27YY0 U--2-0.I
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
I� lfr-1 7uX�CyN 144 SL'U6.q 40 L4:c7 2791 f 3—IS-01
(Name of Conthctor)-' (Insurance Company/Policy Number) (Expiration Date)
l Q �Con=ctor) p�7 Cos 1 104-0 Z ��-b-bJ
Name of (Insurance Company/Policy Number) (Expiration Date)
iTMt )a`7 )Vihft � I�� �o LuC bi/0397-02- 1-r- aI
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anach additional sheet ifntocna y to include information pertaining to ell ooatadon)
( ) 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 that while homeowners who employ persom to do m&injenjace,masuudion or repair work on a dwelling of
not more than three units in which the lwmeo%n sides or on the grounds appurtenant thereto arc not generally considered to be
employtra under the worker's cation Act(GL152,ss 1(5)�application by a homeowner for a license or Permit may evidence the
legal rtatuc of an employer under the Workeet Compamation Act
I undetuaad that a copy of this e2ztemea!may be f%Nvarded to tbo Depertmcn,of Iodrnirial Accidec&Offioe of Iasxuanoo for the
coverage verificatioa and that failure to secure covemgo under section 25A of MGL 152 can lead to the imposition of simian1 penalties
oomLemg of a fine of up to$1,500.00 0 and/or imprison of up to one year and civil penalties in the form of a Stop Work Order and a
firm o(5100.00 a day against mt
For dgrartaaerW use 0n1Y
</' Permit Number
-CC Map# Lot#
f.:, Sigvalure of Licensee/Permittee Mte
SECTION$=CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: t cd[i re i�unn- T e iqn o +dns C(DO 17 4P
License Number
n, lAcn
Address Expiration Date
Signature Telephone
Not Applicable ❑
2ftxFtkER�
5C60
Companiv Name Registration Number
to-t-o
Address Expiration Date
Telephone�j-` �'�""�
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG.L.c. 152, §25C(S}
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...... ❑
u
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
S-0 1 MRIPTIOROE SED'WORK(gheck
New House IX Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work:Snqp_A�a" dwptt�-Vts I-otm kn-blo
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 3a5
c. Is there a garage attached?
d. Proposed Square footage of new construction. OfiE5, Dimensions �U X L
e. Number of stories? :�-
f. Method of heating? tiD ax)L. F7AA- Fireplaces or Woodstoves Number of each J
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? ✓
h. Type of construction lomQ Ro–ims--
i. Is construction within 100 ft. of wetlands? Yes _X No.. Is construction within 100 yr. floodplain Yes X No
j. Depth of basement or cellar floor below finished grade ( 3
k. Will building conform to the Building and Zoning regulations? X Yes No .
I. Septic Tank-A'— 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
as Owner/Authorized Agent
hereby declare that the statements and information on the fordgoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
�C5C1C1 C Itv.-o_
Print Name
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 C - ta� x i`✓ k
Frontage 12•b
Setbacks Front "I S 3
Side L: R: L: R:9
Rear
Building Height
Bldg. Square Footage % � JL
Open Space Footage % (� CC
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill: �(
volume&Location)5�
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES `X
IF YES, date issued: 1-13-9-
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
IF YES: enter Book Page 2�?9 42%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
No
IF YES, describe size, type and location:
�I L i? 't. f Northampton
ng Department
DEC 2 8 2S Main Street
oom 100
`?APT OF BUILDING a pton, MA 01060
1.240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INF'ORMA'TION
ct
1.1 Property Address:
1"his seion to be
r I v T rl � II x - 7
Ro(en of- k6yAistr ct
y
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: ramOal
DIL /�-,Name(Print) Current i AddrQss-
t t
7- woo
Telephone
Signa ure
2.2 Authorized Agent:
Name(Pr' ) Current Mailing Address:
41-3 7-���
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 3 6j V� � (� — (a) Building Permit Fee
2. Electrical ° et C (b) Estimated Total Cost of
Construction from 6
3. Plumbing V i,5 0 _ Building Permit Fee
4. Mechanical (HVAC) IV,
5. Fire Protection fCX?c
6. Total =(1 + 2 + 3 +4+ 5) ,350, CGO Check Number
This Section For Official Use Only
Building Permit Number: 6 1 r b Date Issued:
Signature.
Building Corn iss orter/lnsppctor of Buildings pate
File#BP-2001-0597
APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC
ADDRESS/PHONE 135 SOUTHAMPTON RD (413)527-8001
PROPERTY LOCATION 110 TURKEY HILL RD
MAP 34 PARCEL 028 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid S '
Tyneof Construction: CONSTRUCT 2 STORY SINGLE FAMILY RESIDENCE WITH IN-LAW APARTMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060176
3 sets of Plans/Plot Plan
THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Commissio Permit from CB Architecture onum ee
Signature of Building Offici Date
roll 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.
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110 TURKEY HILL RD BP-2001-0597
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map.:Block: 34-028 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:New Single Family House BUILDING PERMIT
Permit# BP-2001-0597
Project# JS-2001-1076
Est.Cost: $350000.00
Fee: $1142.60 PERMISSION IS HEREBY GRANTED TO:
Const.Class: 5B Contractor: License:
Use Group: R4 SOVEREIGN BUILDERS INC 060176
Lot Size(sq.ft.): Owner: SOVEREIGN BUILDERS INC
Zoning:RR Applicant. SOVEREIGN BUILDERS INC
AT: 110 TURKEY HILL RD
Applicant Address: Phone: Insurance:
135 SOUTHAMPTON RD (413) 527-8001
Workers Compensation
WESTHAMPTONMA01027 ISSUED ON.1 110 1010:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2 STORY SINGLE FAMILY
RESIDENCE WITH IN-LAW APARTMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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 Sisnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
4
Building 1/10/010:00:00 6298 $1142.60
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
f 1
170-180 0.5 ! Z-0 1.5 2-0
140-160 0.5 0.5 110 1.5
100-130 0.5 0.5 0.5 1.0
----NOTES TO F18LD (building Department Use Only) -------------------------
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� MATERIALS IDENTIFICATION;
I ] Materials and equipment must be identified so that compliance can
be determined. Manufacturer manuals foz all installed heating
f and cooling equipment and service waLer heating equipment- must be
provided. Insulation R-values, glazing U-values, and heating
equipment efficiency must be clearly marked on the building plans
I or speCi.fwications.
DUCT INSULATION:
C ] Ducts shall be insulated per Table J4.4.7.1.
f ,
DUCT CONSTRUCTION: R
[ ] 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 L•ibrous 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
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permitted. The HVAC system must provide a means for balancing
air and water systems.
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TEMPERATURE CONTROLS;
[ ] I 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.
HVAC EQUIPMENT SIZING:
C ] I Rated output capacity of the heating/cooling system is
I not greater than 1255 of the design load as specified
in Sections 780CMR 1310 and J4.4.
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L ] I SWIMMING POOLS:
I 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.
L ) HVAC PIPING INSULATION: j
T3VAC piping conveying fluids above 120 F or chilled fluids
below 55 F must be insulated to the following levels (in. ) = i
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PIPE SIZES
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4"
Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
Low temperature 120-200 0.5 1.0 1.0 1.5
j Steam condensate any 1.0 1.0 1.5 2.0
COOLING SYSTEMS
Chilled water or 40-55 0.5 0.5 0.75 1.0
refrigerant below 40 1.0 1.0 1.5 1.5
C ) CIRCULATING HOT WATEP. SYSTEMS:
insulate circulating hot water pipes to the following levels (in.) ;
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PIPE SIZES (in.)
I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
f HEATED WATER TEMP (F) ; RUNOUTS 0-1° 0-1.2.5" 1.5-2.0° 2.0+11
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MASCheck INSPECTION CHECXLIST
Massachusetts Energy Code
MF4$check Software 'Version 2.01
DATE: 6-28-2001 j
Bldg.
Dept.
Use
i
CEILINGS:
[ J I. R-30
Comments/Location {
C
WALLS-
1. 'Wood Frame, 1611 O-C. , R-19
Comments/Location
wxNDOWS AND GLASS DOORS:
[ J 1. U-value: 0.33
For windows without labeled U-'Values, describe features:
# Panes Frame Type Thermal Break? ( ] Yes [ ] No
Comments/Location
DOORS:
[ J 1. U-value: 0.33
Comments/Location
SLAB-ON-GRADE FLOORS:
[ ] 1. Unheated, 2.0" insul. , R-10
� Comme�ats/z,ocation
i
Slab insulation to extend down from the tap of the slab to at
! least 2" OR down to at least the bottom of the slab then
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horizontally for a total distance of 2 11 . ,
HVAC EQUIPMENT
[ ] 1. Furnace, 90.0 AFUE or higher
Make and Model Number
AIR LEAKAGE:
( J ! 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 A,STM 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.
'V'APOR RETARDER;
[ ] Required on the warm-in-winter side of all non-vented framed
ceilings, walls, and floors_
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z _d Hod-d Hds t : [ [OW-8z-9
MAScheck COMPLIANCE REPORT
Massachusetts Energy Code Permit # ( I!
MAScheck Software Version 2.01 I '
Checked by/Date
CITY: Northampton
STATE: Massachusetts
HDD: 6404
CONSTRUCTION TYPE: 1 Or 2 Family, Detached
HEATING SYSTEM TYPE! Other (Non-Electric Resistance)
DATE: 6-28-2ool
COMPLIANCE: PASSES
Required UA, = 529
Your Home = 446
Area or Cavity Cont_ Glazing/Door
Perimeter R-Value R-Value 0-value UA
„---------------
C�ILINGS 936 30.0 0.0 33
VIALL.5- Wood Frame, 16" O.C. 2368 19,0 010 143
GLAZING: Windows or Doors 396 0.330 131
DOORS 42 0.330 14
SLAB FLOORS! Unheated, 2.0" insul. 124 10.0 125
tIVAC EQUIPMENT: Furnace, 90.0 AFUE
---------------------------- --------------^----------------------------m,._----
COMPLxANCE 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 requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
in the Code. The HVAC equipment selected to heat or cool the building
shall be no greater than 1251 of the design load as specified in
Sections 780CMR 1$10 and J4.4.
Builder/Designer Date
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I -d W02� WdV G = L 4 0aZ-8Z-9
,y s to Fri k} F?�f, p Y `r�xyrl
ate
64 of Warihalliptall
DEPARTMENT OF BUILDING INSPECTIONS
INSP> CTUR 212 Main Street ' Mun.icipal Building
Northampton, Maas. 6060 "
Square footage Amount
Basement: @ .10 013400
1st Floor @ .40 q( _ 33-(C)0
2nd Floor @ .20 --2-72---L----- [Sq 4 0
1/2 Floors, Attic, Garage .10 -..—L-=`
Deck, Porches .10
TOM �.-13LA .c:50
9 OrLik laf N0rtilaillp f ou
a • ,�ltteattchnsitts
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e
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
i.
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(Homw/permlttee)
with a principal place of business/residence at:
*hone#) 3-SZ7-WC01
(strtxf/city/stalrJr�p)
do Hereby certify, under the pains and penalties of perjury, that:
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I am an employer providing the following worker's compensation coverage for my
p employees working on this job:
0\A- U&611Xb9b-S-00
(Insurance Cody) (Policy Number) (Expiration Date)
( I am a sole proprieto eneral contractor r homeowner(circle one) and have hired
the contractors listed below who ve the following worke?s compensation policies:
arc Isn:��..icc4f-A C- 61 i��to
(Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date)
)rte `i' St�Sipt�1d11 girt 14 ic:t" 0 11C)53J-0z i.-I -
(Name of Contractor) (insurance Company/Poncy Number) (Fxpiration Date)
��c 4 k L�i-�!f'�- %%a)g4L-S ftt'T <9'1(ca'r-A
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional dsod ifaecenary to ixJude inform on peruthting to all oordradors)
O 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 dwt whiio homeowners who employ pen=to do user,oomavcdoo or repair work on a dwelling of
not mono than throe gaits is wbschthe hoawownerrrmdes or on the grou &appurteoa t thereto arc not gaoerally aonuderod to be
employers ttndtr the vm ices canyeas4on Ad(OL152,ss 1(5)�appUcation by a homeowner for a l oenm oc permit may evide—the
t 1ega1 dates of en mwloyw uoder*a WorkAer Compemation Ad.
1 understand tout a xPY of this ctd cut may be forwarded to tbo Dtgartmcad of lnehutrid Accideo&Ogee of iaaeusacn for the
coverage veriHcadoo and that failure to&=, coversga under SmUoa 25A of MOL 152 can lcsd to the iatpeu—of aimbW penalties
000sistiag of a fine of up to$1,500.00 savor of up to one year and Civil pcnattia in the form oft Stop Work Order and a
fine of$100.00 a day agnimt ttx
For departaoeitA use ortty
Permit Number
Mao lot#
& of�LicenswlPennittee LaLe
.���ilir+e.uririaaia:�arai➢iQ.7++._. __
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SECTION 8' CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holds lC(!ISICl. 450,� x'Pif'r� )� C. 0(<�(�% 7&
! 7 p License Number
} C}`Il H r/ -'Q3
Addr Expiration Date
i
Signature Telephone ~
ft
Not Applicable ❑
Cpmpanv Name Registration Number
Address T Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION 4114SURA'' AF'1~I6 AVIT'N O.L."452,§26'4. )
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...... ❑
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(l) 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
4
New House ) Addition El Replacement Windows Alterations) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: 5- nale- AwykALII, YfUtnQ
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ • Sheet❑
w:1�'�'ZtC3,uJ
a. Use of building: One FamilyX Two Family Other
1-n 1 OW
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?_;I
d. Proposed Square footage of new construction. s :Z Dimensions
e. Number of stories? a, L
f. Method of heating? A ;� e " �1L%?Qj3L. Fireplaces or Woodstoves E,rC (etc Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? lr�
h. Type of construction lk)Pc ��
NJ
i. Is construction within 100 ft. of wetlands? Yes __-)L No. Is construction within 100 yr. floodplain Yes X No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? x Yes No .
I. Septic Tank City Sewer Private well)_ City water Supply
SE�CTtpH 70 AWN�R W'IiR Tld ,3" � �rD NI �-AC3 : 1 1 11!1 ' i . 1 i`k WNW,
as Owner of the subject property
hereby authorize to act on
s my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I Ddil Gell _ as Owner/Authorized Agent
hereby declare that the statementg and informatiorl on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
rCX__
Print Name
6-d7-01
Signature Owner/Agent Date
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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 51 9 ,r
Fronta e 1
Setbacks Front �Sv
Side L: R: L: R:1 �
Rear
Building Height Zz i
Bldg. Square Footage % O��b
Open Space Footage %
(Lot area minus bldg&paved
parking)!1
#of Parking Spaces
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: 11- 16-9
i
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
IF YES: enter Book �a�l v Page 49q 41-5 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
No
IF YES, describe size, type and location:
9
ia.ci � ern. �.acp C)Sq-7
City of Northampton
Building Department
212 Main Street
Room 100
L�N,�rthampton, MA 01060
,i ,
phone 41��587-1240 Fax 413.587.1272
APPLICATION TO CO TR T,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
1,1 Property Address: t � �
, R HtPlA7H4 1 "SECT10N 2-POOP d Z AC i lfiv
2.1 Owner of Record: ` Q
l {{�: K1 )i f} A [ ;_� � lJy2�- �`-
Name(Print) / Current Mailing Address:
YJ�2—S 7—1201
I Telephone
Signature
2.2 Authorized Agent:
Name(Prin Tn- — Current Mailing Address:
Signature Telephone
Item Estimated Cost(Dollars)to befrtlrit Ue: Cl'.1
completed by ermit applicant
1. Building i (a) uldlrl�Perrnite
L31q (0 2. Electrical �, �(b) 6-i J*i t ad iTote� t dt
-1 _
3. Plumbing 8ulfl> > c.-Orm'
4. Mechanical (HVAC) 1 f3'I oc)
5. Fire Protection
6. Total =(1 +2+3 +4+ 5) 1SC) CheON,,u"er ('
h�#5:ai�t iw . r Qffl:`'I 1• . ''` ► l
i Building Permit Number:
Signature:
�utldln pirTrt siii nerflnspeetor of:Bullt 111 s' bane
FROM PHaC N0. 4135497918 Jan. 31 2001 12:29PM P1
No
.,..— " `c��.y��� t`•^1��+CzC.1"'tt"[$cC`7! �?'�t .• 1•��10p
• I
3
l
1k00
s �
l �
V4^1 or t6l
ro�
.� � t • - - 450 ---� � _.._. _ - -
File#BP-2001-0597
APPLICANT/CONTACT PERSON SOVEREIGN BUILDERS INC
ADDRESS/PHONE 135 SOUTHAMPTON RD (413)527-8001
PROPERTY LOCATION 110 TURKEY HILL RD-LOT#4
MAP 34 PARCEL 028 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT ENCLOSED REQUIRED DATE
Fee Paid
Building Permit Filled out f/
Fee Paid ) 9/�10�
Typeof Construction: CONSTRUCT 2 STORY SINGLE FAMILY RESIDENCE WITH IN-LAW APARTMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 06017 j
3 sets of Plans/Plot Plan
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THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under. § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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 Conservatio ommission Permit from CB Architecture ommitlee
Signature o -Building Offici< 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.
4
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City of Northampton
Building Inspector's Office ��J J U L 3 0 2001
212 Main Street
Northampton, MA 01060 'BUILDING
DEFT RT ON,MAp01060 S
July 25, 2001
Dear Linda,
I
Sovereign Builders, Inc. is requesting a refund check for the amount of$408.10. This
refund is the change in fee from old permit card BP-2001-0597 in the amount of
$1142.60 to the new amount of$734.50.
Sincerely,
t:
Todd Cellura
President
iSOVEREIGN
BUILDER-S �-!: !
F - 11
135 SOUTHAMPTON ROAD
WESTHAMPTON, MA 01027 413-527-8001
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