43-088 (2) 66 WHITTIER ST BP-2002-1031
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:43-088 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: ALTERATION BUILDING PERMIT
Permit# BP-2002-1031
Project# J S-1998-0002
Est.Cost: $12600.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: SB Contractor: License:
Use Group: R4 James Locke 001992
Lot Size(sq.ft): 59677.20 Owner: MARQUIS RICHARD J&KAREN L
Zoning: SR Applicant: James Locke
AT: 66 WHITTIER ST
Applicant Address: Phone: Insurance:
26 South Street (413) 268-9323 Workers
Compensation
WILLIAMSBURGMA01096-9726 ISSUED ON:5/24/02 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD CLOSET AND BATH , STORAGE ROOM,
BEDROOM , BATH
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 5/24/02 0:00:00 11649 $55.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
partment=useonly
City of Northampton Status cif Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street r/SepticAvai ability
Room 100 V ater/U�elI Availabilit __
� �
Northampton, MA 01060 Two Sets of Struct,,r PH e
phone 413-587-1240 Fax 413-587-1272 Plot/Site Hans
Ot ter pecify..
APPLICATION TO CONSTRUCT, LTE REPAIR, RENOVATE OR DEWEI_ISI:A ONE OR TWO FAMILY DWELLING
r
{ L MAY 2 3 2002 !
SECTION 1 - SITE INFORMATION
ThislsEctton.to be completed by office
1.1 Property Address: 'y{#1. + wart-
(/' Oti I fre4 - d r. Map i Lot r .Unit --
F/ to( A— Zone-- Overlay District
Elm St. District S -_ CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
,ei GK MA-yZQ,vl5 Grd W hatheAr lo✓eA•tc-&
Namef ) 9/ ' Current Mailing Address: Cg J_9/
�f( J 7
0.1.4Lt_
TelephoneSignature
2.2 Authorized Agent:
.lA-r s L-aote-t., Sal/ s r trtu,(4,44,
Name(Print) Current Mailing Address:
17YI-t t1 r —�— 7.%k 9 3 2 3
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building I Zr 6 a-) e (a) Building Permit Fee
2. Electrical [ (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number // V7
This Section For Official Use'Only 1
Building Permit Number: —WO Z --/O3 Date Issued: S— j
Signature:
Building Commissioner/Inspector of Buildings Date
•
SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) £ - Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ I Decks [ ] Siding[ ] Other [ ]
-t <T'v
Brief Description of Proposed Work: 74"7/1 //VS tI - f Fay ONUS fem.
hvsha EXISn -K -E RlriC
Alteration of existing bedroom Yes No Adding new bedroom V Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
6a. If New house and or addition to existing housing complete the following:
a. Use of building : One Family 'V Two Family Other
14 r-g-area
b. Number of rooms inch family nit; ( Number of Bathrooms
c. Is there a garage attached? ye 5
d. Proposed Square footage of new construction. aVI/Oi- O/JL4 Dimensions 3'1 )1 L y
e. Number of stories? 1I2-22
f. Method of heating? Fireplaces or Woodstoves /‘/0 Number of leach
g. Energy Conservation Compliance. y/4-5 Mascheck Energy Compliance form attached?
h. Type of construction WA �I 4v14t_
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
k. Will building conform to the Building and Zoning regulations? ' Yes _No ..
I. Septic Tank ' City Sewer Private well City water Supply J
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
IA,,1t—d LA.(_5' , as Owner of he subject property
hereby authorize to act on
my behalf in all mat rs r ative to work authorized by this building permit application.
i --Ni;5 S/2.`�I/az-
Signature of Owner Da e
Jf , 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.
J11i44 f.SL- -
Print Name
Signature of Owner/Agent D to
g g
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: �wJ � t -- Luau Z-.
License Number
/Z01 3
Address Expiration Date
eipLai
Signature Telephone
9. Registered Home Improvement Contractor. Not Applicable 0
CV
,'
e i `Dz7 �Z.d 9
Company Nam Registration N mber
Address /� Expir ion ate
Telephone U¢ -1 3l
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 a building permit.
Signed Affidavit Attached Yes No 0
11. — Home 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,dur ng and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensation) andChapter 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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V, ,,. t „. :7 .1 '. -4•111! I:-':':
DEPARThiENT OP BUILDING IN.c.PECI'IONL; \' ‘i.).'q.../
• . 212 Main Street • Municipal liiiildini; . .
Northampton, Mass. 01060 .-c -,.....
WORKER'S COMPENSATION INSUItANCE AFFIDAViT
I, 6-0V 64E.ON 4:1 i—o
(licensecipennittec)
\vial a principal place i. busincsJrc:;idence at:
24, S-01/-7)—( 5'/ • 64•116{-W/l1vter i'Pie4lionc.1 ) 2.C ,s2- ci 3 2-3
(street/city/state/zip)
do hereby certify, under the pains and penalties of perjury, that.
( arn air employer providing the following worker's compensation coverage for my
b,(------
employees working on this job:
&0A-re 0 /Ns iire#bveie_ 49 1,t)c ast)19 Li
(Insurance Company) (Policy Number) (Expiration Date.)
( ) I am a sole proprietor, general contractor or homeowner(circie one) .anti Lave laic
the contractors listed below who have the following worker's compensation policies:
—_____...._..._ .__..
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
4 f,
(Name of Coutmclor) (Insurance Company/Policy Number) (Expuanon Daft.,
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Data
(leach additiooal shed if necessary to include information pertaining to all ccastrectors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please I.:aw..14C that whl le homeowner],s.)..,C..1;p!oy pc:T.0ns t.',do..,:au::::..ancr.,ta.::.•..t.r,:.:-::,-,,-.: :- .,,:••••;). .
not more then throe units ro%%frith II at ik.:aneKovner rell,'-z-s ca.on the vuurais api.kater..aittliarzew arc Ia.(Ctn..,:]!:,'....,:;;I:;-.::...::.::•1
C.1.1'..01.)ycz3 U:).t.e:f ly;W..1,fre.:i.a....;:,.V....e.iril A,I((;LI 52.f.ttl(5)),Actplir.tti.:::ln:a i..:,:ncoarna fur f l ,,t.,. ,..--••'•-•' ••••-'•-r•
legal tt:line of an eznrrloyer waler the,Werfter'r Comvecutiott.Aat.
I urkterst and that a 01ry ut this CIA te,11.Clli Ii111).1,1101.,VIU,i0d 114 UPI 1›...i,1:::,-":of in.htl:tid A.c.....4.d. '' ' -.,: ,':•'.'••'
...Y..WC:&KC verification ett,i that Itilure t.ltearre(Y.Wtf r.K,,..tjri.i.:..f Se...:tiOn 25A el M(II.I f,2(-.111...V.1.1.tr::!...t 1::,:-''.•.'' '":''.':'...-..i t'''...'I''.....
0.)11‘11:ing of n 1:1).:of ly:‘,-.;I....1..O.C.•0 1:1,4)0(:::Ipt i'..,,:1*.•::::Of lip 0.11)!r !.:N1C:ril pell..4111(1 I:1....3,7!,:::.:a.:..., ..,:11 .!;•'.•: . ......a
lino(If 5l00.t.)0 i thy s.:Althl VA...
1.01 lki.11111,1.1.11 Ile,••,i, '
z........ Permit 1'1111111x1
Signatut f Liccnr.cdPerinittcc
4vki).7 ..i.,, —.„_, .......,.,-
•
Permit Number
MECcheck Compliance Report Checked By/Date
Massachusetts Energy Code
MECcheck Software Version 3.3 Release lb
Data filename: C:\My Documents\Marquis\BonusRoom2002.cck
CITY: Chesterfield
STATE:Massachusetts
HDD: 7658
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE: Other(Non-Electric Resistance)
DATE: 05/24/02
COMPLIANCE: Passes
Maximum UA=80
Your Home=75
6.3%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 336 40.0 0.0 10
Ceiling 2: Cathedral Ceiling(no attic) 48 38.0 0.0 1
Ceiling 3: Cathedral Ceiling(no attic) 224 38.0 0.0 6
Wall 1: Wood Frame,24"o .c. 124 19.0 0.0 7
Wall 2: Wood Frame,24"o .c. 96 19.0 0.0 6
Wall 3: Wood Frame,24"o .c. 40 19.0 0.0 0
Window: Andersen Narroline DH 2852:
Wood Frame,Double Pane with Low-E 15 0.350 5
Window: Andersen awning A41:
Wood Frame,Double Pane with Low-E 24 0.350 8
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 672 19.0 0.0 32
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building p1. s,
specifications,and other calculations submitted with the permit application. The proposed building has been
designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.3 Release lb and to co ply
with the mandatory requirements listed in the MECcheck Inspection Checklist.
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 shal be
no greater than 125%of the design load ass�specified in Sections 780CMR 1310 and J4.4.
ilder/Designer
/ ++ Date42d02 —
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
r Building Department
Lot Size Iv 0 n(.,',�` kN 't- - l I'v t o4
'
Frontage i ', v IA' ovLl
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
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 ✓ DON'T KN W
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:
trt. •