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24D-037 (3) 15 WINTER ST BP-2001-1 1 12 CIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D-037 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ADDITION BUILDING PERMIT Permit# BP-2001-1 1 12 Project# JS-2001-195 6 Est.Cost:$60000.00 Fee: $233.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Craig Marney 057159 Lot Size(sq. ft.): 9583.20 Owner: MASON STANLEY P&KATHRYN A Zoning: URB Applicant: Craig Marney AT: 15 WINTER ST Applicant Address: Phone: Insurance: P O Box 128 (413) 586-5512 LEEDSMA01053 ISSUED ON::7/2/01 0:00:00 ilipk TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 22 ADDITION BEDRM,BATH) & DECK 111 POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings li Underground: Service: Meter: r /. Footings: Rough: vE'j %r47 t `�' Rough: W/�'tt.O/�( y�.�;�Q/ House# Foundation: 8A: 7"1 q' 0 1 op Final:/��f d) (7 ' Final: %u.5 r°�P/'�l J 7 tAt Rough Frame: k _sag-c,I ,Zr(... ° E/23kt ,ygl- Fire lace/Chimne Gas 1�i/;;' ,y 4;' Fire Department p Y rr rvo r &) t/ CI,// Rough: Oil: Insulation: 0 if 8- "3/ ' d 1-� Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. - --.... ..."'Z°ZzIW Certificate of Occu anc /: ,- Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: 111 Building 7/2/01 0:00:00 2832 $233.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2001-1112 APPLICANT/CONTACT PERSON Craig Marney ADDRESS/PHONE P 0 Box 128 (413)586-5512 PROPERTY LOCATION 15 WINTER ST MAP 24D PARCEL 037 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled ou3 7 � CD? 0,016 Fee Paid � f Typeof Construction: CONSTRUCT 24 X 22 ADDITION(BEDRM,BATH)&DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 057159 3 sets of Plans/Plot Plan THE LLOWING 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 Deed. 6n �mo 4i/CPPagigiark ,finding Required under LS / (A.,/... Received&Recc _ Variance Required under: •�, V� s Received&Recoi 0'41) Other Permits Required: -�� -,m Curb Cut from DPW _ 519c!' SAT >ility Septic Approval Board of H 4. 2r ` 55 e ,alth / Permit from Conservation nmittee 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. 7 o i1i h-L-- i- .--- . / v. 1 'CQlL..} r ...� . 4' , n = � k�--}- �- ;, 0 , ^ _ ` -1 - - _ �' ii DEF'OF 8I Srr ;S L _ •.w -•t f `-r S+Y ',R^1, t �t .' - e. _ - - --- -;. 1- - --i- - ,n .. I f ', (0� Jco J. _id ,�.. __V_ I ,_ s > L/ e '/ • fl �- . , . „(11T-it3 '. .ji. 7-- t7 I ' - �. fil c _r , i k .� t - Spa -` $ />. ! yam' t` *' f l�. 3 ¢� _ • 1 f - ... .. (' 1 lam•--+-..ram.• -r _ '- _ _ . t ^_. . ., xlei 1 elf '� �, �' t? JUN262001 DE ORP G INSPECTIONSTHAMTON,MA 006 9-JUN-2001 09:11:56 Hampshire County Registry of Deeds Receipt No: 148583 Marianne L. Donohue, Register of Deeds 33 King Street Northampton, MA 01060-3298 Name: KATHRYN A MASON Addr: 15 WINTER ST NORTHAMPTON MA 01060 Receipt Type: OR Payment Total Pages: 0003 Fees Taxes Fee: $ 10.00 Cash: $ 0.00 $ 0.00 Tax: $ 0.00 Check: $ 30.00 $ 0.00 Misty f 20.00 Charge: $ 0.00 ----' Charge Code: Comment: FINDING Receipted By: DIANE Status: PAID DOCUMENTS: 992113977 to 992113977 'ype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status IIS3 003 0001 0000 0.00 10.00 0.00 20.00 19-JUN-2001 09:11 992113977 OR /6249/0156 INIT Page 0001 of 0001 { 1 Department use only LiIcy rthampton Status of Permit: g. I� epartment Curb>Cut/Driveway'Permit 2 .�' In Street Sewer/Septic Availability_. 1 �:�.�. 100 Water/Well Availabiityrth. pt n, MA 01060 Two Sets of Structural Planss.•�;4, -12 0 Fax 413-587-1272Plot/Site Plans Other Specify 1060 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office Map_A/12Lot 3 Unit Zone LG'!/" Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ki1441 "451 y, /5 Si Name(Print) / Current Mailira Address: se ).4_ ,-0,5' r f-)9 Telephone Signature 2.2 Aut orized Agent: �igA: 84eve Pai' ,/o 6 � Md. Di SY Name(Pr' tJ� + Current Mailing Address: ,;` i.�� sits--mid Signature Telephone SECTION 3 - EST MATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical o OW, 4A, (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection $' 000, '' 6. Total = (1 + 2 + 3 + 4 + 5) .°",, ' , Check Number d23(71 A) 33.c9-C.) This Section For Official Use Only Building Permit Number: ii/ _ _ 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 9404 /Q dcz g Frontage /20 IdO 7t3 Setbacks Front o Side L: R: L: R: 8," /5— Rear a20 °q c 0 Building Height �5 Bldg. Square Footage /3747 ..?//Y 36 Open Space Footage (Lot area minus bldg&paved �b 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: d °�' IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book d'+y"9 Page D/5? and/or Document # '9 V//yq 77 B. Does the site contain a brook, body of water or wetlands? NO V 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. Arehere any proposed changes to or additions of signs intended for the property?YES No ,/ IF YES, describe size, type and location: I CTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition l Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. 0 Demolition❑ //New//Signs [ ] fDeckks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work: �rlooti. Zto hfroo•+� A,..d i-.. Alteration of existing bedroom Yes ir No Adding new bedroom Y Yes No Attached Narrative❑ Renovating unfinished basement Yes /No Plans Attached Roll n - Sheet Fr 6a. If New house and or addit gn to existing housing, complete the following a. Use of building : One Family �f Two Family Other b. Number of rooms in each family unit: .S Number of Bathrooms / c. Is there a garage attached? U '' .50?g cy d. Proposed Square footage of new construction. • Dimensions 04,7'0A'Xoi,i-001' e. Number of stories? ®Ne f. Method of heating? (4S Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? /✓ Type of construction j, +r-''tZ,A•t? / i. Is construction within 100 ft. of wetlands? Yes / No. Is construction within 100 yr. floodplain Yes t' No j. Depth of basement or cellar floor below finished grade 7 O" k. Will building conform to the Building nd Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ;, If . , as Owner of the subject property hereby authorize ��� r to act on my behalf, in all matter relative to worka ut rized by this building it application. ram — 0- 6- c) ) Signature of Owner Date (7. o . Mk s , as Owner/Authorized Agent hereby declare at the statements and information on the foregoing application are true and accurate, to the best of my • knowledge and belief. - gned under the pains and penalties of perjury. etelaile Print Name . / p dir 01 Signature of 0 er/Agent Date crCTION 8 - CONSTRUCTION SERVICES Licensed Construction upervisor: Not Applicable 0 Name of License Holder : �'i flA �57/ License Nu ber Pa'6 , Lee/ fi ,®/d37 /7 03 Address Expiration Date ( ,Ø,4d- c7 Signature �S/Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 (M r /jail/oi Company Name .! Registration N ber oa Address Expira ion ate Telephone 31.e-6-Vol 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. ned Affidavit Attached Yes KJ 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,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 r. , Y . sstippi. # 4"4 �:a n r 6 xsaactuactts' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, Mass. 01060 r"s WORKER'S COMPENSATION INSURANCE AFFIDAVIT gyp. ,�� (lime« ) with a principal place of business/residence at: /?c /1 -��'T N dP�� 74 /035. (phone#) o2a-CV (strect/ci ty/stainer p) 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: 1' (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired .t, the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet ifne.,--r cry to include information pertaining to all contractors) 41 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 person:to do n afro,naor.,co>zsuudion or repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant thereto are not generally considered to be employers under the work&a enlace/notion Ad(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Worker's Compensation.Ad. I understand that a copy of this statement may be forwarded to the Departmcat of Industrial Accidents'Otfioo of Iffiurwoa for the coverage verih3catioo and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties s ooenisting of a fine of up to S1,500.00 and/or imprisons of up to one year and civil penalties in the form of a Stop Work Order and a fine of 3100.00 a day against me. (7 For departmental use only /' Permit Number /-2 .6Are mac --Lot# Signah�e of Lia6e see/Permittee te \ • a FIVER ONSERVATION APPLICATION FORM " )8 O E RESIDENTIAL NEW CONSTRUCTION � 'I JUN 2 bO�0�fi l A plicarREPRep ON,MAPS 4i%im- Site Address: /SAN14 ApplieanrAddress: /r/,,,,,i City/Town: jui4 4- ,f • 7 fj,�, Use Group: Date of Application: - Applicant Phone: 3-"6'-G4-3y Applicant Signature: Compliance Path (check one): El Prescriptive Package (for 1-or 2-family residential buildings not heated by electric resistance) Fill in all values that apply from Table J5.2.1 b: Package Number(A through KK): , ' a. Gross Wall Area 47g sq.ft f. Wall R-value R- /9 b. Glazing R.O. Area 1/O sq.ft. g. Floor R-value R- /9 c. Glazing% (b - a) //, 9 % h. Basement wall R- d. Glazing U-value U- = 33 i. Slab Perimeter R- /' nn e. Ceiling R-value R-30 j. Heating AFUE HiN{'Rn,.1,r-y Component Performance (Manual Trade-Off) Climate Zone(from Figure J6.2.2) El Zone 12 Ei Zone 13 4J Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis Renewable Energy Sources Attach approved Analysis Official's Name: Official's Signature: Application Approved ❑ Date of Approval: Application Denied Date of Denial: Reason(s) for Denial: • • (over for more) nBRS 12/08/97 • - „` . .. . 78b c".ZR tlppendix 1 . Manual Trade-Off Worksheet- Builder Name 6.,_.1a //,s e•Aie Per mit; Date Builder Address PO gu ja d P4,ado Checked E Site Address % .1ti.ti e ( .71. Zone D12 013 V14 Submitted By • • ,p4-51114PA7 Phone 44,3) Sa'-rs`4d Date ,�irsWy�i i!'``�•3:1:7j,4: •�._.;-��;�.r ;r aa?r•r� . .PROPOSED.:.-. •- i °. V '-,• ,_ Fw<'=:*1. Siys,{'... li i:.R"`):. c7.•'+, J:'X tsil 'Ss �f` ti.1% t� r< ,�.,� s:u..r'• a �v..�'�s`s.r,:.�.. :� �'5:•�:=:M�Mtei.r REQUIRED:�;��4• Ceilings, Skylights, and Floors Over Outside Air Required Insulation x Net U-Value Description R-Value U-Value Area = UA (Table J6.2.2'," . x Area = Ui Ceiling ft2 (Table J6.2.2a) 3d -•0 S11 —+ /.•'/$ - e 5& . /3 702? Floor Over Outside Air ft2 (Table J6.2.2a) , ft2 ft2 4'1$ Total Area 3-a� ft2 • Walls, Windows, and Doors Insulation x Net Required Description R-Value U-Value Area = UA U-Value x Area = U, Walls ft2 (Table J6.2.2b,c,d) /". _0dc `7'71( o?d.Se .. // ,�,37 5907 Windows — ft2 - (NFRC or Table J1.5.3a) ,,T"3 —' /3 0' Doors — ft2 (NFRC or Table J1.5.3b) ,,YO awl --+ Y; yl Sliding Glass Doors — ft2 (NFRC or Table J1.5.3a) ft2 ft2 .30•/d Total Area .537 ft2 Floors and Foundations Insulation Insulation x Area or Required Description Depth R-Value U-Value Perimeter = UA U-Value x Area = UP. Floor Over Unconditioned (Table ft2 Space J6.2.2e) /9 .DY7 3 3 0d`l8/ ..03" 5O)Y „4-, 1/ Basement Wall (Table zbzf) /7 ,067 aoyr / ee ,077 ,;'o,% /. 703 Unheated Slab 73 ft (Table J6.2.2g) in. 6 di Pilft . 8 .335•W ,. 73 S�8 3a's:yayt • Heated Slab ft (Table J6.2.2g) in. ft2 37•47 ft2 - - Total Proposed UA must be less Total <'`/9a 4 Total ,ADD., • than or equal to Total Required UA Proposed UA Required UA '"--t"'"'' Statement of Compliance:The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. 62e4� m7 /474, &;'L S am o1 Builder/Designer Company Nake to i J •• • ` ` \ • 4• r .. - �\` �, — .i .7L\,.. ,,..N'S, . ,„,,,, • , ,.'''' ,-, , .,. ,. ..... . ., ..,-. 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