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36-189 (8) � � f � 4 ' ' i ' I Yv 1 `/ i i i ; � 1 I � ` 1 i � � ' � � ' i ■ � I � � � {A�ry i � • - � I i I r � � II 1 � i j � , �+ - �! � � � /�., �K! � ?Q i ', � �, n E � i � _ i { � � � i i � r I � i i I � yy i � I i i j I I � � � i i � I� �.rr.r� � � � i I � i i i � l i i � � 1 � � I I � f �� ' i __ CITY OF NORTHAMPTON BOARD OF PUBLIC WORKS SANITARY SEWER FORCE MAIN POLICY The purpose of this policy is to establish the guidelines, procedures, specifications and conditions associated with sanitary sewer force mains that will become the responsibility of the Department of Public Works (DPW). The following conditions shall apply: 1. All information associated with the entire force main system shall be submitted by the applicant to the DPW for approval. The information shall include, but not be limited to, technical specifications of every system component, capacity of system, operation of valves, pumps and other controlling mechanisms, installation procedures and detailed testing protocols. 2. If the force main system is part of a proposed subdivision, its installation and inspection shall conform to the City' Subdivision Rules and Regulations in addition to the conditions stated in this policy. In all other cases, its installation and inspection shall conform to applicable Rules and Regulations of the DPW in addition to the conditions of this policy. 3. Force main systems shall be designed so that individual pump chambers shall be located outside the street layout. Curb stops and check valves shall be installed at the property line. 4. No connection to the common force main system shall be allowed unless a "Municipal Sewer Availability" and "Residential or Commercial Building Sewer Application" are submitted and approved by the DPW. Attached to these documents shall be the technical specifications, manufacturer's name, model and rated capacity of the proposed pumping system. S. Prior to the replacement or upgrade of any.existing pumping system, the information requested in Item 4 above must be submitted to the DPW for approval. 6. Pumping chambers on private property shall be accessible at all times. The DPW has the right to enter said property at any time for the purpose of examining the pumping station for compliance with the regulations stated in this policy. The DPW will not be responsible for damage to any plantings or landscaping placed over or in close proximity to the pumping chamber access. 7. A red light indicating system problems/failure shall be installed outside every structure connected to the force main system. Said light shall be clearly visible from a vehicle traveling on the adjacent roadway. 8. It is the responsibility of every owner of a property/structure that is connected to the common force main to insure that all components of their service line are functioning properly and in accordance with the approved submittals. 9. Any violation to this policy may cause the service line of the structure in question to be shut-off at the curb stop. In addition, if the violation causes damages to either the common force main or to adjacent structures connected to the system, the responsible party shall bear the cost of all repairs and claims associated with said violation. 10. The DPW will become responsible only for the components of a sanitary force main system located within the layout of a City accepted street. Acceptance of a street can only be approved by the Northampton City Council. Adopted by the Board of Public Works on May 14, 2003. C:\Policies\SaritaryForeeMainsApril2003 �q MUNICIPAL SEWER AVAILABILITY APPLICATION n V rDn�! Northampt& Streets Department U 125 Locust Street AUG 1 6 2004 Northampton, MA 01060 587-1570 DEPT Of BUILDi�G INSPECTIONS NORTHAW'TON,MIAAKDepartalent of Public Works Trench Permit shall be require prior to any construction or connection activity associated with this application. Location: 846 Burts Pit Road Inquiry Made By: Wright Builders 586-8287 Date of Inquiry: 08/02/04 Municipal Sewer Main in Front of Location: Yes X No Municipal Storm Drain Available: Yes X No Size of Sewer Main: 8" Material: PVC Age: 5 YRS Depth of Sewer Main: 3' - 6' Size of Service Connection: UNKNOWN Comments: . A corresponding "sewer entrance fee" shall be paid prior to making any connection to the municipal sewer system. Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. Alt work shall conform to Northampton Streets Department specifications. Storm Drain Concurrence oseph Thomas, Superintendent Douglas McDonald, Enviromental Planner Streets Department Engineering Department cc: Ned Huntley, City Engineer Anthony Patillo, Building Inspector Wright-Siegel 03/02/04 Cee,/�je2m Sunroom Beam 1:54pm J 1 of I yBearn6U Version 4.19 Oember Data description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: UEC _ive Load: 30 pif Deflection Criteria: L/360 live, L/240 total )ead Load: 10 plf Deck Connection: Nailed Member Weight: 19.1 plf )OL: 100% Filename :Wright-Sie Von-standard Loads rype Trib. Live Dead 'Description) Begin End Width Start End Start End DOL Replacement Uniform (psf) 0' 0.00" 15' 2.00" 6' 0.00" 30 15 100% Replacement Uniform (psf) 0' 0.00" 15' 2.00" 6' 0.00" 40 10 115% Replacement Uniform (psf) 0' 0.00" 15' 2.00" 6' 0.00" 20 10 100% Replacement Uniform (psf) 0' 0.00" 15' 2.00" 6' 0.00" 40 15 115% 15 2 15 2 Bearings and Reactions Input Minimum Worst Case Location Type Brg.Length Brig.Length Total 115% 100% Dead Total 1 0' .00" Wall 3.50" 2.06" 8095# 3535# 2210# 2351# 8095# 2 14'8.75" Wall 3.50" 2.06" 8095# 3535# 2210# 2351# 8095# Design spans 14'8.75" F7roduc71411 2.0E G-P LAM LVL 3 Ply Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 29806.'# 46045.'# 64% 7.36' Total load 115% Shear 6812.# 16060.# 42% .01' Total load 115% Max.Reaction 8094.# 13781.# 58% 0' Dead load LL Deflection .3440" .4910" U513 7.36' Total load 115% TL Deflection .4848" .7365" L/364 7.36' Total load 115% Control: LL Deflection Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives All product names are trademarks of their respective owners Kevin Brennan Rugg Lumber Contractor. Copyright(C)7989-2002 by Keynnark Enterprises,Inc.ALL RIGHTS RESERVED. Prolect. Yma�tir.�.... Wright-Siegel 08/02/04 Interior Kitchen Beam 7 s 1:53pm J S 10171 evneano)Version 4.19 Member Data Description: Member Type: Beam Application: Floor Lateral Bracing: Continuous Standard Load: Moisture Condition: Dry Building Code: UBC Live Load: 30 plf Deflection Criteria: U360 live, L/240 total Dead Load: 10 plf Deck Connection: Nailed Member Weight: 10.8 plf DOL: 100% Filename :Wri ht-Sie a Non-standard Loads Type Trib. Live Dead (Description) Begin End Width Start End Start End DOL Replacement Uniform(psf) 0' 0.00" 12' 4.00" 12' 0.00" 30 15 100% Replacement Uniform sf) 0' 0.00" 12' 4.00" 12' 0.00" 20 10 100% 12 4 0 12 4 Bearings and Reactions Input Minimum Worst Case Location Type Brg.Length Bra.Length Total 100% Dead Total 1 0' .00" Wall 3.50" 2.06" 5418# 3569# 1849# 5418# 2 11'10.75" Wall 3.50" 2.06" 5418# 3569# 1849# 54189 Design spans 11'10.75" Product: 11 7/8" 2.0E G-P LAM LVL 2 ply Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 16111.'# 19559.'# 82% 5.95' Total load 100% Shear 4516.# 7897.# 57% .01' Total load 100% Max.Reaction 5417.# 9188.# 58% 0' Dead load LL Deflection .2768" .3965" 0515 5.95' Total load 100% TL Deflection .4201" .5948" L/339 5.95' Total load 100% Control: Positive Moment Manufacturers installation guide MUST be consulted for multi-ply connection details and alternatives All product names are trademarks of their respective ovmers Kevin Brennan Rugg Lumuer Contractor: Copyright(C)1989-2002 by mevmark Enterprises.Inc.ALL RIGHTS RESERVER ?reject ymar l i CONSUl 1RORMATIOrI'FORM ,SUNR00 MS". ._._: - I-Wassac nsetb'State undmg Cod 80 CM A, �ii J;Serf on Jl'1.2'31) The Massachusetts State Building Code (780 Cam) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR, Appendix J, Section J 1.12.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT :kyD DESIGN CONSIDERATIONS RELATED TO "SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation - Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.12.3.1, requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this doc \ent concerning sunroom comfort and energy conservation. c Signature of Actual Buildin Owner Date Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number RECEIVED JUN 2 2 1998 ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J (effective 3/1/98) Applicant Name: iNP UR &UI l,bICS Site Address: � 94471) fir (Z-b Applicant Address: 4 ST City/Town: FW1('-WCJC�� M 131 1 lk Use Group: SINKS 16&�-�kUVj Date of Application: Applicant Phone: 4�2,65b(o-gj2231 Applicant Signature: Compliance Path (check one): R Prescriptive Package(Limited to 1- or 2-family wood frame buildings heated with fossil fuels only) Package(A through KY,from Table J5.2.Ib): Heating Degree Days(HDD6S) from Table J5.2.Ia: (For items d. through i., fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing%(100 x b_a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE Component Performance: "'Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J, (and HV4C Trade-Off Worksheet, if applicable] F1 AIAScheck Software Attach Compliance Report and Inspection Checklist printouts. R Systems Analysis OR [] Renewable Energy Sources Attach Mass_Registered Architect or Engineer.Analysis_._.__________ ------- ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall +Ceiling Area sq.ft. b. Glazing Area' sq.ft. c. Glazing% (100 x b-a) % ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: NUMN1LM U-value MINIMUM R-Values Fenestration Ceiling Wall Floor I Basement Wall Slab Perimeter,Depth 0.39 R-37 R-13 R-19 R-10 R-10,O ft X "SU ROOM"addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form" from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved F� Denied F� Date of ApprovaUDenial: Reason(s) for Denial: (provide additional details as needed on back side) ' Glazing Area may be either Rough Opening or Unit dimensions. BBRS 06u12-93 -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED i I i d) 2 0 i L � 1 I l��` ExPAND s Q.;Buit!J -F 0 D }' 0 EXtsTiNts Sc K ►rL a U) 1yuw SuN2ccM vf 3 K w Z�� i TO: FLORENCE SAVINGS BANE & FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEQGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 _ —NOTE- PLAT SURVEYOR: �' ANID DOES NORT CONTSTITUTE A PROPERTYESURVEY mss —MORTGAGE LOAN INSPECTION PLAT— OF ,� �cti NORTHAMPTON, MASSACHUSETTS = RAN DALL PREPARED.. FnR 0 lZER y DONALD S . & SHARON SIEGE_ #35032 SCALE: 1 "=4 DUNE ',0 , =004 SURq HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATIC`I ACCURACY IS NOT GUARANTEED i I 0 Q , EXt5i1 rit! / /�— FPIISFi EXlSi1�i LE 7c tcb O JII ', l� � EXe�NO•, �.,2ai-;, �fzap�s'cD . I/� EXISTiN(s � j scFEt=t,►�� oRGu � - ! � i�EYJ 5UN2CCM — i - u �EC, r0) o I TO: FLORENCE SAVINGS EANY & FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BEEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE E,\SEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY 250167 —NOTE— PURPOSES ONLY SURVEYOR: THIS PLAT FOR MORTGAGE LOAN �� AND DOES NOT CONSTITUTE A PROPERTY SURVEY �a �s —MORTGAGE LOAN INSPECTION PLAT- cw S'� NORTHAMPTON, MASSACHUSETTS ti �= RAN DAIL PREP AREC_ FOR o Q y OCNALL S . & SHAR N S EGE_ IZ 135032 SCALE: 1 "=10 ' JUNE 3C , _,304 suR REGISTERED �PROT ASSOCIATES, FESS ONALLAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSE17S —Hu THIS FLAT IS CQMPILED FROM DEEDS, PLANS AND OTHER SOURCES ATID IS NOT TO EE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO EE RECGP,DED. EUILDING LOCATION ACCURACY IS NOT GUA.PA.NTEED ?=(zo �oS �.� i� W T► E l r� U�MI i fin D�W W 1 LL �� I z 0 I /. EXt5Tlrtt� 1/1 EY{S iNIS to r; �rtsTku New SEWS-L-le 'b ci � �Tt6D INTO GtTY Marty ,eJ S — u PF--oP=� � `'EX1STIt-1(s 1,1t74 DES, st Pr cp c� TAN 1,2 1,10 to w� Lc =1ti-�1i w_Z`a ,aa goDK [DF41 PAGE �� =S.ors�� -�b-z°�- .�:•-u��v�S FAN BK too ?(s7 TO: FLORENCE SAVINGS EANY & FIRST AMERICAN TITLE INSUR_?NCE COMPANY TO THE EEST OF MY INFORMAT;ON, KNOW"mEDGE AND EE'_!Ez I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND EASED ON E<ISTING MONUMENTATION ALL VISIELE E4SEMENTS, ENCROACHMENTS AND EUILDtNGS ARE LOCA—I LD ON THE GROUND AS SHOWN AND THAT THE EUIL—DINGS ARE ENTIRELY WITHIN THE LOT LNE�Z, _XCEPT AS NOTED. i FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY JL 250167 _ —NOTE— SURVEYOR: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A FROPERTY SURVEY —MORTGAGE LOAN INSPECTION FL4T— rk''� s+cam NORTHAMPTON, M-ASSACHUSETTS RANMLL V R�{oe- REGISTERED PROFESSIONAL� D W L� SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSE SS 10. Do any signs exist on the property? YES 10 IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO 7C IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage i I P� Setbacks Front i3 1 G, i Side L: 34 R: 3 b L: 15 1 R: L. 20 R: Rear 2 0) Building Height Building Square Footage tiS1;= I�,c7 -TbTAL,- C�USE:Ga�C Tz�lai�= aYE�� 14 A�� rx 46b = 3�°5 Open Space: (lot area �� o ' (+j,S �Q �f0 minus building&paved parking v #of Parking Spaces # of Loading Docks Fill: (volume Et location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. OOO.pdf 200 F le No. -6 `N 'EAMITAPPLICA TION(§10.2) Please type or print a i rmation and return this form to the Building Inspector's Office with the$15.filing fee (check or money order)payable to the rn City of Northampton 1. Name of Applicant: w P�-g 1 1FUkktbeJ2.S 1OC Address: 40o 16r6e, ST. 1A WRt"1-DN,0fAt'felephone: 41S-05066"�Db7 2. Owner of Property: -bo-y"i � Sv�l S 1 EIL Address: ?AU TUFTS F1-t' t?-OMP Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job Location: I'l-9 I&AF T-S 1�0T P-C11-0 010 6 — Parcel Id: Zoning Map# � -� Parcel# District(sl: In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT)`' 5. Existing Use of Structure/Property: 3pwt } MOE; 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): W10 CklSTlr�6 t)�ECK • CCN aTfZ�GT TJ 1Z Zz` pCK� ei�f� S Cam`! 12x 16 S u N(ZCoM �'DV MGN R15'6uI LD 1 SYTIEN'O 6115 I NI G- 5c fL W. 3 L�C,� C.>✓D P� � C1<�nI(r �N X15 T1 ni lT -r)G7 K S- g PUS , f�-AM>r I%i N 1st} 111 EW MVD(4CM IN VyIcnNt,- INTMiDf-5PACI✓ . 7. Attached Plans: Sketch Plan _9 Site Plan X� Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW)— YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# 9. 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: (Form Continues On Other Side) File#MP-2005-0005 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St (413)586-8287 PROPERTY LOCATION 846 BURTS PIT RD MAP 36 PARCEL 189 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM L e Building Permit Filled out Fee Paid Tvueof Construction: ZPA-CONSTRUCT DECK,ADDITION,EXTEND PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License �0� 3 sets of Plans/Plot Plan M LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON ATION PRESENTED: oved 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 Co &Izol- Signature ssion 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 the Office of Planning&Development for more information. SECTION 8 -CONSTRUCTION SERVICES I Licensed Construction Supervisor: Not Applicable ❑ M Name of License Holder: ftf`14- i�W 51AL ( s 0411 W License Number Address Expiration Date (0- Signature Telephone Not Applicable ❑ V)f4O+r 91AI t,oOQ-s 1-D1 VD-; 4,0 Company Name Registration Number Lam, t.oil',Th-kk Me 1"D N i MA- _ (o I D (P Address Expiration ate Telephone 413�y4'$2-�J SECTION 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....... No...... ❑ 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 -CT10N 5-DESCRIPTION OF -------- -YORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s))k Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks D], Siding[ ] Other[ ] Brief Description of Proposed Work:boo� 413tttt,O PECK ONE S'ay SJNFxcM ft wnt tj, F-MP ce U;bP9-DECK-tNlr ON P4,lSTlKts bECK-S, FiW'45 , RNrS►rt NEW 'MAvID9ec -1 N �1.lSnWL 1NTl✓1�1 SPkC Alteration of existing bedroom Yes ,_No Adding new bedroom Yes �_No Attached Narrative❑ Renovating unfinished basement -Yes No Plans Attached Roll ❑ • Sheet 6a If Ne ouse-and ME M-5 o exts int h'o�ii sing° oc mpte"e a foi owft a. Use of building: One Family A _ Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached?C#S�Vlk �� i�°H L34 Po,zctt 18 d. Proposed Square footage of new construction. Dimensions PK+'�1� i3 1•Z2 e. Number of stories? 1 f. Method of heating? kbT WATST, Fireplaces or Woodstoves C) Number of each g. Energy Conservation Compliance. N 0 ISUN �) Mascheck Energy Compliance form attached? Type of construction 5L � i. Is construction within 100 ft. of wetlands? Yes — Y---No. Is construction within 100 yr. floodplain Yes )C No j. Depth of basement or cellar floor below finished grade `T k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer 9 Private well City water Supply _ 2= �1 SECTION 7a-OWNER AUTHORIZATION-T0 BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I' NA,t,D 51� � as Owner of the subject property hereby authorize _ "Af-k- L,6DVJa — I L"�1 tt*T- V0,u l i.AIFFL,S to act on my b If, in all matter e to work aut orized by this building permit application. Signature of Owner gate I, }�P�K- Iurt,L ( �lC-r�r `Full.)tpcp-!� as Owner uthorized A hereby declare that the statements and information on the foregoing application are true and accurate, tote best of my knowledge and belief. Signed under the pains and penalties of perjury. . 'N1P�k- i�Di�w 1�1tmi �uit,n�5 . Print Name Signature of Owner/Agent Da e a c Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION -PU1F' 1%k S P'TM U-+-1F;7b 'Zo N N rr- f>✓R-1 11+ AW-0 Ufa 911 0,4. Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Fronta.-e Setbacks Front 30 Side L: R: L: R: Zd Rear yv Building Height Bldg. Square Footage % 3s Open Space Footage % (Lot area minus bldg&paved �D parking) #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: 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 Y 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 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: N r a of ampton a s;T t �ED ! ulldln De artmentt':' f ain Street e e i. f L-----"�"„��,sQticT! wi of:s'l�,r A o llgl. �om 00 e -� 'rn p on, MA 01060 e phone 413-587.1240 Fax 413-587.1272 0 a rS x APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION =.,,This section to be completed by office„ 1.1 Property Address: r(u.�/•/jam_ V T Map Unit ... r.^•tt» P s _.rz w mil"•.. 4. �` C'4�• '�" ' a L � M Zone Overiay Dtstrict � r =Elm St Distrrct SECTION 2--PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: )a v,4 S" -,, e L '34LP 90 F,:'-s Na (Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: k- t y Lt, I I Utz' so r,i.A Name(Print) Current Mailing Address: 4A3 5(6 LO_(C7 ,Y)7 Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS t j K- iC r> r (a Item Estimated Cost(Dollars)to be Official Use Only ccnoleted by ermit aoclicant w 1. Building (a) Building Permit Fee 12300?. 2. Electrical (b)Estimated Total Cost of �3`3 Construction from" 6 3. Plumbing ,r — Building Permit Fee 4. Mechanical (HVAC) { r 5. Fire Protection 01 LP 6. Total =(1 + 2 + 3 +4+ 5 'w ' V-7 Check Number w &icial Use Onl 4 e 1 M Building Pertafit Numb r Date Issue `:'4R Y�d€, +�•�1-n+ x '`r f ' ,A` Y i--s y.;' x y ,: ,r�r,�,�.. y 7; N +'ri..�• �+! � � � h,S4. 'F.S� u�'�:5 J 3 .��yA cw..: � t w ��t� �,�.�t?1a'�.�"�"t `- � `^r '{?': 'y,t Slgna ure. �PaP� � :J[„• 11 � i`.R. I. . a.. � M�."{,.. 1 M..-i t Y'.i F. f t 'yp�w W.v •K'y .F�� w .. y y,,'1 � . .� ' -.� �. ��;��Bwlding Commissioner/inspector of Buildings ,,. ,�: ,.�., ._ a•� .•�-' "- ' File#BP-2005-0159 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St NORTHAMPTON (413) 586-8287 PROPERTY LOCATION 846 BURTS PIT RD MAP 36 PARCEL 189 001 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: CONSTRUCT SUNROOM ADDITION EXTEND PORCH REPLACE DECKING RENO MUDROOM&KITCHEN New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 047146 3 sets of Plans/Plot Plan /J THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF91(MATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan 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 Stree ommission 1GI�7 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. X46 BURTS Prr-" BP-2005-0159 COMMONWEALTH OF MASSACHUSETTS 49wk:36- 199 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2005-0159 Project# JS-2005-0034 Est.Cost: $135878.00 Fee: $615.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Wright Builders 047146 Lot Size(sg. ft.): 31232.52 Owner: SIEGEL,DONALD S&SHARON G Zoning:SR Applicant. Wright Builders AT. 846 BURTS PIT RD Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 Workers Compensation NORTHAMPTONMA01060 ISSUED ON.8/19/04 0.00.00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SUNROOM ADDITION, EXTEND PORCH, REPLACE DECKING, RENO MUDROOM & KITCHEN POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 8/19/04 0:00:00 19225 $615.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo 846 BURTS PIT RD GIS OF M!j A- Map:Block: 36- 189 0F ,.N0RTHAN1PTw,)N' Lot: -001 PERSCNTS t—L:GISTEPED CONTRACTORS Permit: Buildinq DO NOT H,". E A( ri& �� .'^RANIFY FUND (MGL c.142/10 3,/ MIT Category:ADDITION A, . 14', PR Permit# E3P-2005-0119 Project# - JS-2005-0034 Est.Cost: $135878.00 Fee: $615.00 PE-. GRAMED TO Const. Class: Conti ic. icense: Use Group: W ri g r it. 47146 Lot Size(sq. ft.): 31232.52 Owner: sa iZON Q Zoning: SR Applicant: I AT. 846 Q( Applicant Address: e Insurance: 48 Bates St 7. Workers Compensation NORTHAMPTON M."',060 ISSUED OA. TOPERFORN .:'E FOLLOWING ft- RL,•—F SUNROOM ADDITION, EXTEND PORCH, REPLACE D` ..'KING, RENO MUDROC 11 POST THIS CARD SO IT IS VISIBLE FROIN ET Inspector of Plumbing Inspector of Wiring Building Inspector Underground: Service: Rough: 'Ci :�a -0 '/?ough: /d/a Foundation: Final a 1: /C t"--V/'/ l: 44 Rough Frame: 17 Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: 21 Okf Fina% Smoke: Final: 0/,-- l 7 0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occup3f.cy Signature: FeeType: Rect-40 No: Date Paid: Check No: Amount: BuiUng 8/19/04 0:00:00 19225 $615.00 212 Nbin Street,Phone(413)587-1240,I'ax: (413)587-1272 Building Commissioner-Anth.-,:iy Patillo