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25C-004 (11)
BP 022-1122 124 NORTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-004-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1122 PERMISSION IS HEREBY GRANTE I TO: Project# Contractor: License: Est. Cost: 1200 Const.Class: Exp.Date: SPEYER SVETLANA L/E MCCREAN•R, RIMMA Use Group: Owner: JACQUELINE Lot Size (sq.ft.) Zoning: URB Applicant: Applicant Address Phone: Insurance: ISSUED ON:09/12/2022 TO PERFORM THE FOL LO WING WORK: REPLACEMENT WINDOW 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final:. THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: q Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / / �1.. The Commonwealth of Massa,dhus-'s .1 !/ FO Board of Building Regulations"Ad St. dar �'- s. CIP ITY ': 11t) Massachusetts State Building 9+ode, 7:0 C S Building Permit Application To Construct,Rep*off. •� .to Or D`ee:r h a Rev',-d M,r 2011 ti One-or Two-Family Dwelt Rr-4 0,! �n This Section For Official Use On "'roy e/4/&, ,(3'Building Permit Number: — aa-)I-1.)- Date Applied: AO (-) �o �1);,,., /Kon /iZ /` q-9 IZz Building Official(Print Name) Signature •.te SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers . 12't ti.l‘. ti--Lk lS'Ere_e_: 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ . SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: "Z?.:..,\.•,- a. Sct iAe\ane. Me_GreQ" r 13of-+hoc P v, 1 VY \ c]tolv0 Name(Print) l City,State,ZIP 19.41- Li o-7 .\r.-. 61✓v-o e t (LB3�5'75-2o2I Jac1t,4i.mccr'a.r.o� A a�ma41. No.and Street elephone Email Address Co rn SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: V;' t v-t 1k. „�,,} s%„xtr,..A- u;hd o...., .> - '?CAIe.r".r_11 If...V.-a..q Prst Uf te,o1— t,�„-,--7.. i,.,L,ksLEN...s SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ ► 2...0 0 .0 0 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ 44 Suppression) Total All F sO k O Check No. V eck Amount: 6.Total Project Cost: $ 0 Paid in Fu ❑Outstanding Balance Due: City of Northampton Qa[Ha MY�p 5 • SI Massachusetts { • Si DEPARTMENT OF BUILDING INSPECTIONS ' w ,t 212 Main Street • Municipal Building Northampton, MA 01060 411/ PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS, RENOVATIONS, ROOF MOUNTED SOLAR, ETC. 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specification of proposed work(digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate (new/replacement windows). 7. Homeowner's License Exemption Form(if applicable). 8. Note any Special Permit requirements (if applicable). 9. Energy Code—all new construction(Gut/Rehab)requires an HERS Rater Affidavit. 4feii\or SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS - i z 30 I Z 2 13eS (- l / 1f o 5.�.�� E., � ,J�Q 4 a License Number Expiration ate Name of CSLHolder List CSL Type(see '-low) In 2- AlAr *- No.and Street Type Description 1 restricted(Buildings up to 35,000 Cu.ft.) • (--iir, r Ps c 3 R 'estricted 1&2 Family Dwelling City/Town,State,MB Masonry RC Roofing Covering W' Window and Siding F Solid Fuel Burning Appliances eft 3) 5751 ho}":„°-•1 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 0(4 7 o-115/2a2.3 -3 OSa'-p ., -r vl e Q., HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 10.2._ Al ar• 41Ae e tn \,cam, No.and Street Email address -Fra�by t iR a 1r1 (413)5 3-5759 City/Town,State,ZIP elephone SECTION 6:WORKERS'COMPENSAT"I N INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6;) Workers Compensation Insurance affidavit must a- completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Iss • ce of the building permit. Signed Affidavit Attached? Yes 23 No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ri S A., *v\ to act on my behalf,in all matters relative to work author' d by this building permit application. • T3 a._ l;h 4 �"\c C c C . _ . 9/�/2 ,02— Print Owner's Nam (Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. . U.0.r irVA e 0(-- / 2-0 2-2_, Print Owner's or Autiwized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitratio-i program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches_ Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" The Contmomvealth of Massachusetts Deportment of Industrial Accidents I Congress Street,Suite 100 __... i ,.., Boston,MA 02114-2017 WWW.mass.govidia Viorkers'Compensation Insurance Affidavit:Builders/Contractors/Elect riciansiPlu inhers. TO BE FILED WITH THE PERMITTING AUTHORITV. Applicant Information Please Print Legibly Name(Dualities&Organization/ltuilouinal): R.,._ ,A._.,„ c„e..., _ Address: 1,2,LI-- lc 3 0%.--- AN_ City/State/Zip: f,.3,,, „,,,,, I 1Y)-A Phone#: (IA-I 3) 51,5 -- z,a 2_, Are yin an employee Cheek the approprtate lank: pi.°ci Type of project(required): 1.0 I tun a employtt with , ermloyees(full arrior parttime 01 7. 0 New construction 20 I am a wile proprietor or partnership and bate no erripleyeeii winking for MC in 8. c]Remodeling an!.Lariat:1cl,(No workers'comp.insurance en:pure:di 9. 0 Demolition 3E3 I am ll a homeowner doing all work myself.[No%welters*comp.insurance required] 4.91ram..hurneownicr and will be hiring contraetors to conduct all work on my property, I will 10 El Building addition elthIliti that all cinitractors either haw workers"eurnetettsattron rinurance or are wle IL a Electrical repairs or aiiiiitions proprietor%with no employees. 12.0 Plumbing repain or additions SCI I am a general contractor and I bus e hared the soh-contractors hated on the attached',beet 13C:IRoof repairs These sub-euntractors haw e%employe and bate workers,'comp.insurance.- 60 Vie are a corporation and in officers ha%e es acised their right of e:LenirtItyri per MC&c. 14.0 Other 151 f I ft,.and we hate no ernplayets.[No workers'comp.insurance.required.] An.;Tills.=t that checks hot al mint also till out the section below show ins?then workers*compensation policy urforrnatron 'lio:rnenw nets who submit this affidaslt rwebeanne they are dams an work and then hire tionOto emitractuta moo Aohnut a new aft-R.1A it uldwahns such. ..(..`,..fritractors that check this bat moat attached an additional sheet show ing the name of the sub-cortiraeuxi%and state whether or not those entities hate ,..a iployecs It the sLts-contractors hose extrirlo.ets.they moat pu,..a.lc thor workers'oi,,inp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: _ Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address.: City/StateZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 51,500.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator.A copy of this statement may be forwarded to the Otlice of Investigations of the DIA.for insurance coverage verification. .1 do hereby certify under the pains and penalties of perjury that lite information provided above is true and correct Signature: s'--k......., . ,_ _ _,:_--) "ThYlk c C ..,,_ — . _(---) Date: 9 s. :2.02_1, .‘j.) _ Phone#: (•ti i ---"-' —I.)-f.,.._ - •2.. L.J2 I LOfficuti use only. Do not write in this area,to he completed hy city or town officiaL 1 City or Town: Permit/License 4 Issuing Authority(circle one 1. Board of Health 2.Building Department 3.City,rfown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone 4: City of Northampton RYHAanyTar, -*' Massachusetts � '� . DEPARTMENT OF BUILDING INSPECTIONS 1 212 Main Street • Municipal Building ��s � Northampton, MA 01060 Pg '1`'' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Va,i( Pry The debris will be transported by: Name of Hauler: jo5et b.r Signature of Applicant: _-0. w �� �_C.�J__,_� Date: (-R 8 I Zo;Zz� City of Northampton s r Massachusetts �Av'e '% .i DEPARTMENT OF BUILDING INSPECTIONS Sk x y4. I 212 Main Street • Municipal Building `,.. Northampton, MA 01060 ..7.1 • HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT 0iI2,7Ii9i7 I, , . 0-cz42-f 1..4...rJl.,i►1� f(C—C'.r�.A."—Dr ' (insert full legal name), born_(insert month, day, year), hl'reby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this 2r day of��tiAtm Utr , 202-2, _. `. c o C - ��..O (Sign) o• r i yet k 17 -t a ,` 8321 Premium Double Hung Air,Water,Structural Performance (per AAMAIWDMA/CSA 1011I.S.2/A440-05&08) Max. Water Air Structural Size Rating(DP), Pressure Infiltration 2 Infiltration 3 Tested R-PG30 45.12 4.59 0.04 44 X 60 - H-R30 45.11 6.06 0.12 54 X 70 H-R35(mull) 52.63 7.52 0.01 80 X 80 twin - H-050 75.19° 7.52 0.11 52 X 72 V Impact Model Rating-DP50, Large Missile Impact, Wind Zone 4, 52"x 72"TTT Structural Test Pressure(psf)tested to at least 150%of OP rating Water Infiltration(pst)tested to at least 15%of OP rating 3 Air infiltration units=scfmiff' a Requires'EP"upgrade 5Requires reinforced rails upgrade Qualificabn' 8321 Premium Double Hung Thermal Performance _ per NFRC 100&200 Glass Type Unit u-value u-value FF7 Unit SHGC5 Unit VLT6 c ^ d w/o Gnds 1 w/Grids w/o Gnds 1 w/Grids w/o Grids 1 w7Gnds will Grids l w/Gnds 1; o �y - Y Clear insulating lass(clear/clear z Z vi u°) Clear 0.45 ' 0.45 0.43 ' 0.43 0.60 ' 0.53 0.62 0.55 Clear/Impact;, 0.48 , 0.49 N/A , NIA 0.50 , 0.45 0.59 0.53 Standard Low E insulating glass(RLE 270 or Impact 71/38,2 low e/clear, surface#2) LoE2 270 0.32 ' 0.32 0.30 1 0.30 0.28 r 0.25 0.53 0.47 F .al 0 '-°; " LoE2270/Argon 0.28 , 0.28 0.26 , 0.26 0.28 , 0.25 0.53 0.47 IIIIIII G RLE 7138/Argon/Impact„ 0.34 T 0.36 0.31 T 0.33 0.28 1 0.25 0.51 i 0.46 .::: RLE 7138/Krypton/impact„ 0.27 10.29 NIA I N/A 0.34 10.30 0.51 10.46 Additional Performance Glass Options Low E insulating glass(RLE 63/3172 low elclear,surface#2) RLE 6331 , 0.31 ( 0.31 0.29 0.29 0.24 10.22 0.47 10.42 F ■■ RLE 6331/Argon 0.28 10.28 0.26 0.26 0.24 10.21 0.47 10.42 ■■ RLE 6331/Argon/impact„ 0.31 j 0.32 N/A j N/A 0.31 i 0.28 0.46 j 0.41 )a■©■ Reversed Low E insulating glass(clear/RLE 270 low e,surface#3)e LoE2 270 0.32 10.32 0.30 10.30 0.35 10.31 0.53 10.47 LoE2270/Argon 0.28 j 0.28 0.26 E 0.26 _ 0.35 10.32 0.53 0.47 1 Triple insulating glass(270 low e/clear/270 low e, surface#2,#5) LoE2 270/CLR/LoE2 270/Argon 8 0.25 10.25 0.23 0.24 0.24 10.22 0.41 i 0.37 ■■ LoE2 270/CLR/LoE2 270/Blend8,10 0.22 1 0.22 0.20 A 0.20 0.24 It 0.21 0.41 j 0.37 mil LoE2 270/CLR/LoE2 270/Krypton 5 0.20 i 0,20 0.18 0.18 0.24 i 0.22 0.41 i 0.37 mil 5Solar Heat Gain Coefficient 6Visible Light Transmission 7Optional Foam Insulation. F indicates EnergyStar qualification with foam insulation option. R Subject to glass size limitations G indicates EnergyStar qualification only with grids. 4Low E coating on surface#3 to increase SHGC NG indicates EnergyStar qualification only without grids. to 81end for triple iG is Krypton in one airspace,Argon in the other. Fi Laminated glass used in Paradigm Impact windows meets the requirements of ASTM C 1172 2 63/31 Low E glass has a lower SHGC than 270. • 8321 Premium Double Hung Acoustic Performance (per ASTM E 90-99) Glass Configuration STC Value Clear SS-Clear SS 29 Clear SS-1/4"Lami 33 ' Note:Some listed options may require special pricing and have extended lead times Oi • i it x ma /r Al!data subject to change without prior notice A:, Last Publishe :4/29/2014 le"( //// /,;/ /7'//;1i///// /:e+'`/ . Office of Consumer ffarrs t1 Business i egu a ion HOME IMPROVEMENT CONTRACTOR TYPE: Individual Registration Expiration 196187 07/15/2023 JOSEPH DENETTE JOSEPH DENETTE 102 ALDRICH STREET GRANBY, MA 01033 Undersecretr ,Ttonirtionweaith tit Massachtisetts 0svrstoal Prt'fessivnai 1_rcensure Board cat Su ldlog ReclrtlatiOns and Standards SOT C 5-113824 Expires 121301202 JOSEPH E DENETTE 102 ALDRICH STREET %GRANBY MA 01033 ; Cartimisstortwr ,*.,<. .�c..