23D-121 (5) 186 FEDERAL ST BP-2003-0855
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Blocic33D-121 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0855
Project# JS-2003-1383
Est.Cost: $116250.00
Fee: $487.80 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALBERT HERSH JR 083152
Lot Size(so.ft.): 8929.80 Owner: DECK FREDERICK&KATHLEEN
Zoning:URB Applicant: ALBERT HERSH JR
AT: 186 FEDERAL ST
Applicant Address: Phone: Insurance:
47 STONERIDGE DR (413) 582-0684
FLORENCEMA01062 ISSUED ON:4/25/03 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT REAR 24 X 16
ADDITION(BEDRM/GREAT RM, IN-LAW APARTMENT ABOVE GARAGE & EXT BREEZEWAY
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: i�j -:- Rough: Øy/ij,A(/J 2_ House# Foundation.
!im Driveway Final: rJ` W 6 •Gj .0 3 �a-7-4-.i
Final:/O/3/o3 i Final: /Q/ io ......1A
0 g-t) % 1 '�/ Rough Frame?,k `n'J 0?
O!/e-r<
Gas: ' ,," ,,;, Fire Department Fireplace/Chimney:
,y/- .,4,
l
Rough: Oil: Insulation: or 7-`g - g,__ -ej --
Final: Y Lit K`iJ Smoke: /1,2 Q,36/2______„,,g Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL N OF
ANY OF ITS RULES AND REGULATIONS. .....
Certificate of Occu an Si nature:
FeeType: Receipt No: Date Paid: Check No: Amount:
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**30 DAY TEMPORARY OCCUPANCY — EXPIRES 11/29/03
Building 4/25/03 0:00:00 778 $487.80
212 Main Street,Phone(413) 587-12-10.Fa4: (413)587-1272
Building Commissioner-Anthony Patillo
7
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CtitR. of Northampton i_ _ u
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x.�1 (). Aassac}usttfs '—`'I DEPARTMENT OF BUILDING INSPECTIONS ., = '_I
INSPECTOR 212 Main Street • Municipal Building '`a,�y=S`e?
Northampton, MA 01060 ow
Electrical Inspections
George A. Fournier
Date: October 28th, 2003
Richard Chenevert
16 Fairview St.
Ludlow, Ma. 01056
On 10 /28 /2003, an electrical inspection was done at
Electrical permit# EP-2004-0045 ,per your request. The inspection revealed
the following under the Massachusetts Electrical Code (CMR 12:00):
Article 680.73 Accessibility. Second floor bathroom hydromasage bathtub
Hydromassage bathtub electrical equipment shall be accessible without damaging the
building structure or building finish.
You may contact me at the above address or please call this office at(413) 587-1244
if you have any further questions pertaining to this matter.
George A. Fournier
ifi� fl,I.A.4A.AtA.)
Electrical Inspector
City of Northampton
cc. Northampton Building Commisioner Anthony Patillo
cc: Albert Hersh
File#BP-2003-0855
APPLICANT/CONTACT PERSON ALBERT HERSH JR
ADDRESS/PHONE 47 STONERIDGE DR (413)582-0684
PROPERTY LOCATION 186 FEDERAL ST
MAP 23D PARCEL 121 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid '12 S1-29, VfC)
Typeof Construction: CONSTRUCT REAR 24 X 16 ADDITION(BEDRM/GREAT RM,IN-LAW APARTMENT
ABOVE GARAGE&EXT BREEZEWAY
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 0831 22'�`��'GG
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 Street Commi ion
j////na.3
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.
1. ty µ `me+•µ :l ,-. 3 It
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DL:PARTMENT OP BUILDING INSPECTIONS _
212 Main Strcet • Municipal Building
I':SPECTOR Northampton, Mass. 01060
44
Square Footage (puntDaseme t @ 10 5/0 ` /
1st Floor @ .10 570 ac2g0a
2nd Floor @ . 20 960 , 1902 . 00
1/2 Floors, Attic, Garage . 10 .--Ut -------- 2G
Deck, Porches . 10 418 9 go
41110
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TOTAL
N S
City of Northampton $ at i .f P 1 ' ~`
# � E f
Buil n Department Curbu " " ""
-- r r - '-'1-,,,,-
'A 7 F• . a
t
F [ 212� M a i npSt Street
Sewer%Sep c � �:
! �° —
Northampton, MA 01060 Two iNcl. � �.--
APO 'poor O .13 587 1240 Fax 413 587 1272 Plot/Site P a � !
ii b
Other Specify a ,� x
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION 1
1.1 Property Address: This section to be-completed by.office
` �� ^���J S—i--, t.€1- Map ��� Lot i� ,Unit
�0�� C� p o/�/ o Zone Overlay,District
-Tl IT �a Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
86 2.1 Owner of Record:
Cce-C1 laeCk
Name(Print) Current MaiiHng A d(reess:
Telephone I D9
S. n• re
to
2.2 Authorized Agent:
B be_`-r- �1�cs �{ `{7 S�ol�e die �. lo�e,� c�e- �1�
Name(Print) Current Mailing Address: r
a
e_Q;i4.,),,_
Signs u e Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by permit applicant
1. Building
(a) BuildingPermit Fee
g #/001 �0O �j �•Ua
2. Electrical (b) Estimated Total Cost of
�Q 6 Construction from (6)
3. Plumbing afil �O O Building Permit Fee
4. Mechanical(HVAC) . //i06
5. Fire Protection a5
6. Total = (1 + 2 + 3 + 4 + 5) / I / , Check Number 7 g VI a
This Section For Official Use Only
Building Permit Number: c�f 3 Date Issued:
Signature:
Building Commissioner/Inspector of Buildings 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 Do, (o66 s ,Fr Jo/ G S 3,OW
Frontage /0 ` cT /o 6 CT- _ �j
Setbacks Front "H 6 4q 6,
Side L: Q 4/ R: 1.-1 t L: R: 1 7 /5--
Rear l ) % 5&"
d 0 c32 0 _
Building Height 5 / ,9 1
Bldg. Square Footage 1600 5Q % ; r. e Pkeki i i iro&k.
Open Space Footage
(Lot area minus bldg&paved I 9. 5. Q,3 o I ,r�
parking) U /Q (i
#of Parking Spaces 0 W
i
Fill: /
(volume&Location) f - /J/4-
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO I✓/ 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 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 th any proposed changes to or additions of signs intended for the property ?YES
No t/
IF YES, describe size, type and location:
SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
,/.
New House ❑ Addition E] Replacement Windows Alteration(s) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [i Siding [ ] Other [ ]
Brief a`�cription of Proposed Work: 0 L-J-Ny.'1 A A 6A i>J s
Alteration of existing bedroom Yes No Adding new bedroom \/ Yes No
Attached Narrative 01,410
Renovating unfinished basement Yes
Plans Attached Roll Sheet❑
6a.`If"New house .`u d=or-addition existin housin complete the f011oWing:
a. Use of building : One Family Two Family Other
9ive(b. Number of rooms in each family unit: II Number of Bathrooms ,, /
c. Is there a garage attached? \/€ ) Ai-6v 5)( I a +
d. Proposed Square footage of new construction. 4-1�:'`.,r I I 1 / Dimensions 16 a
e. Number of stories? `'`M' G1"d1t
f. Method of heating? l) \7 Fireplaces or Woodstoves Number of each G
g. Energy Conservation Compl ance. k../ Mascheck Energy Compliance form attached? r.--
h. Type of construction gA8-1
IV
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade 9 01--
k. Will building conform to the Building and Zoning regulations? _ ?"----"Yes No .
I. Septic Tank City Sewer Y Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I. , as Owner of the subject property
hereby authorize to act
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, =ea- 4-1 ju\A9 , , as Owner/Authorized Agent
hereby declare 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.
Print Name
Signature of Owner/Agent Date O
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SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: J� 1 . Not Applicable
��l1CW ❑
Name of License Holder : . 'l`'-v'An og 3 5a
License Numb r
�f 7 SToN �td9 lb(z cemce M A-' 7 /$ aOd(o
Address Expiration ate
QOO ' L 52. —oc, BL/
Signature Telephone
:rRegistereii Homelitiprove'menf Contractor =µ _ mawagi Not Applicable 0
A.uJ. � s µ c_otoct‘coci 0AI 13 8D 65
Company Name Registration umber
3 / ODDS
Address ' MP&O‘e Expi ation to
Telephone
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 ❑
.ome-Owner Exemption
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
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T...vp tom; 4?;)•• Alassaclinsrtts mat._
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�. y, DEPARTMENT OP BUILDING INSPECTIONS 4 _'s. 1 `=
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212 Main Street ' Municipal Building 1=11
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Northampton, Mass. 01060 �'" r+''�`
WORKER'S COMPENSATION INSURANCE AFFLUAVIT
I, Cia0).01/4.k" �QLA ,k
R
(it permittee)
with a principal place of business/residence at:
)Je, fjôl€A3Cr JU d�d�ph ne#) 5&)— n
(btirzt,city,stafrl ip) y
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, eneral contractor r homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
Id NA ca t t cr1• tidA_ le ke4 ( s�I M A� o/e oa y 2-o
(Name of Contractor) c Company/Policy Number) (Expiration Date)
-t- liersk -Cc: + fercikS /- ciao V
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
C-� r(ts `
_ v Agog- cOCE63I( 96 /0-5-0 3
(Name of ontractor) on
Company/Policy Number) (Expiration Date)
KAW2 �d) e. l--i becv AuTu,� 5)l9 cDool 9- '30- 03
(Name of Contractor) (Insul2nce Company/Policy Number) (Expiration Date)
(attach additioai1:heat ifner•-.:.ry to include information pertaining to all ooatod.ors)
RtdA CheJe Jew eouc Qea u, t . MPS 5 99? 1 I Z-0 3
( 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 airarc that while homcowverz who employ persons to do mai,•rall.CtC• construdion at repair work on a dwelling of
not more than throe unit:in which the ho.r><,crwuu resides cc oa the grounds appurtenant thereto we not generally oomidcred to be
employers under the worker's compensation.Act(GL151 ss 1(5)),application by a homeonva for a license or permit may ev idenoe the
legil status of an employer under the Worlorea Compensation Act.
I unda:tand that a copy of this etatcmrat may be forwarded to the Deperimem of Industrial Aoadeate Ofrsoo of Imuranoe for the
coverage verification and that failure to✓xttre coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
onasisting of a fine of up to S 1,500.0o and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of S 100.00 a day against me.
For departmental use only
61k.)4„.04.9„.1)1,_
permit Number
7_V— Maya Lot#
. .:. Signature of Li /Permitter alt_
w _+
ENERGY CONSERVATION APPLICATION FORM FOR
LOW-RISE-RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 cMR Appendix J--(effective 3/1/98)
APR L9 21,-rf?�` /�/ �1 Si;pplic nt : I�Ib Site Address: • rc/ 1�/l•L l
Applicant Addrr,ss /7 Si-toe CO?e_ 4 ity/Town: CLOEeA X e
fiof.eNiC t Use Group: C.eszieb.fri A<
/� Date of Application: Y-7-O31
Anr,lirrnt Plv_+!?!; 5&2 O(0 Application Signature: A Y ,_lL n44
Compliance Patty(check onek
Proscriptive Package (!imitea to 1- or 2- family wood frame-buildings heated with fossil fuels only)
Package (A through KK from Table J5.2. lb): v Heating Degree Days (HDD4,$)from Table J5.2 la:_GayQki
(For items d. through i., fill in all values that apply from Table J5.2)
a. Gross Wall Area p752 sq. h t. Walt R-Yaftte 13
b. Glazing Area 4i 1 c l(p sq. ft R. Floor R•:'al:;e C. Glazing%(100 z b;a) 13 n,5 % h. Basement wall A
Glazing I I-!?tue u, 0•35 i. Slab Perimeter
e. Ceiling 8-value R• 3 _ ►. Heating AFUE
❑ Component Performance: "Manual Trade•Offf" (Limited to wood or metal framed buildings only)
Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14
Attach Trade•Off W4t rksheet from Appendix J,[and HVAC Trade-OffWorksheet, if applicable)
❑ MAScheck Software
Attach Compliance Report and.Inspection Checklist printouts.
❑ 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 Areal _sq.ft. r_ Glazing %(100 x b+a)
❑ ADDITION with Glazing % (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below:
MAXIMUM U-value Minimum R•Values
Fenestration _ Ceiling Wall Floor 1 Basement Wall Slab Perimeter, Dept
t):39 R-37 R-I3 I R:19 I R-10 R-10,4 ft.
❑ -SUNPOOM' addition (greater than 40%gtazing•to-wall and ceiling gross area)
Attach 'Consumer information Form" from 780-CMR-AppcndirB.
Official's Nance: O Official's Signature: 461
Appticatron Approved Denied ❑ Date of Approval/Denial: Z
R..4)or Denial: (provide additional details as needed on back side)
Glaziu Area aay be other Rough Opening or Unit Dimensions.
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x
-
Net Area Total# Window and Doors
227.12 17 2849 Andersen double hung window
89.6 4 Ar351 Andersen Awning window
42.0 1 6068 Andersen Slider
21.0 1 3068 Peachtree Door