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38D-076 SOUTH ELEVATION Daniels Res 65 Olive Street Northampton, MA Version 1 June 24, 2010 • I ' N 111 • ,fa� . i $ ,��, : �1 �ll1� ��� 11 .it, ,-x t; �, lii ' � %Ti # tc ur' ,„ 1 it SCALE 118" = 1' • WEST ELEVATION Daniels Residence 65 Olive Street Northampton, MA Version 1 June 24, 2010 ` V A A v `v\v`vv A AV`v A �� V "ma v Av ' ` `i ,, vt , f \\ ..,. ,,,,,k;,', a \ s `��� \ \ e t a 0 „. ,,,,,. ,,.‘ , , ..:�: - � '? fir SCALE 1/8" = 1' NORTH ELEVATION Daniels Residence 65 Olive Street Northampton, MA Version 1 June 24, 2010 U U II liii 11111 3 SCALE 1/8" = 1' EAST ELEVATION Daniels Residence 65 Olive Street Northampton, MA Version 1 June 24, 2010 I II III In II • II 111 II II 1'I 1 . 1 illilfil \ ii SCALE 1/8" = 1' a . 328 368 - ,' (// /388-256 162 --,,,,, ----------- / ' I 220 146 320 388-257 , ---,,,,,,,, \ 185 \ \ 95 330 340 297 210 193.5 380 -064 w 388.2 i / / `' / -_ r ff r f ti i f 386 38..58 \ \ \ 380 , 1 \ 38D-064 OLIVEST 15 22' 24 Deck Addition SCREEN PORCH SECTION Daniels Residence 65 Olive Street Northampton, MA Version 1 June 25, 2010 2x8 @ 16" O.C. m x 2 (2x12) c 10' 4x4 ----► m 2x8 © 16" O.C. A 1 . \ V SCALE 1/4" = 1' DEMOLITION PLAN Daniels Residence 65 Olive Street Northampton, MA Version 1 June 22, 2010 r 9 1 . y ."n N ..... . s� y y d Q < 9 g r 4 • /` /a1 � &fi' ,._... (�� 5 ( 1 ,M p a� � of 4 . ✓ J am ; `' - „, S , , Remove chimney from old woodstove r , LEGEND Demolition Areas / 38B-232 3- 38B-257 s 386-258 38D-064 OLIVE ST 15 22' 24' Deck Addition • .&\ The Commonwealth of Massachusetts Department of Industrial Accidents c = Office of Investigations • 600 Washington Street -I Boston, MA 02111 '›, www. niass.gov/dia Workers' Compensation Insu rance Affidavit: Builders/ Contractors />✓lectriciansfPlumber A t 1 licant Information Please Print 1..e: iblv • Name ( Business /oc8aniution/todividuat): .. i r� - y r ,, ri Address: ley , A\/ov - P�° City /State/2ip: fie ,-k / H4 Q/ I() Phone. #: w3— ePer— 'egg° Are you an employer? Check the appropriate box: Type of project (required); - 4. m a contractor and 1 1. Q I am a employer with _ 0 I a general 6. 0 lip, construction employees (full and/or part-time).* have hired she sub -contractors 2. (: I am a sole proprietor or partner- listed on the attached shear. 7. Resaadeliag ship and have no employees Thes sub contractors have 8. 0 Demolition for me 4s as employees and have wotiteas' working y y 9. 0 Building addition insurance.: [No workers' comp. insurance required) 5. ErItle a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have =eked their 11.0 Plumbing repairs or additions o tight of exemption per MGL myself 12.Q Roof repair insurance required] t c. 152, §1(4), an we have no employ I3.[] Other comp• insyrasoe required] •M applicast do aebeeia boa WI oust Ws* fill out die section belay dosing their mime commotion policy information. t Homo nioas ono submit this affidavit isdiatim trey are doing a0 work and then hire Ws* camas= must submit • new affidavit indicating men. :Contractors tint oho* this boys must suaehod an additional ehect showing the name etthe rob- coasesars aAd sorts whether or not these entities have . emptoyea. It the wbeo mart rs have a oloyea, they must provide their voodoo' coop. petierarreber. • Jam as employer that irjiroviding workers' compensation lssuraace for my employees. Below is the policy and job site information. / Insurance Company Name: -FFee r I cif /n Sv f oLA C P - -- , Policy # of Self -ins. Lic. 0: a? g / 5g 7 Expiration Date: 0 6/0g/00/0 Job Site Address: City/StatrlZip: / Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure. to t er= eiverage as required under Section 25A of 14 a 152 as lead to the ireposition of aiming penalties of a fine up to 51,500 00 and/or molter imprisonment, as well as civil penalties lithe tam ot'a STOP WORK ORDER and a fine of up to $250.00 a day :Oast the violator. Be advised that a copy of this antaamstyaay be forwarded to the Office of I vestitt ors of the DIA ?for insurance coversae verification. a. e I do Berth, certify - 'the pelossesu pasaltles of perjury liar the &foresalloec provided above. is lucre turd coned • ► ate: phone #: f i --_ y -qx , 0 Kea rise only. Do cot wee in this area, tb byy' f or tome q f9eiat City or Town: • Permit/Mane It Issuing Authority (circle sae): .1. Board of Health 2. Building Department 3. CityiTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Otber Contact Person: . Phone tit: • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ ff ame of License Holder : 1...e,,,,„,(, 7 License Number 3 Address Expiration Date Signature Telephone ®� =iT =a� ,� > aa -.� i r a ,. Not Applicable ❑ Company Nam / Registration / Number NN Address Expiration a te Telephone V( 3 SECTION 10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M .G.!. c 152, § 25C( 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 buildipermit. Signed Affidavit Attached Yes No ❑ FE �. i _. 3° 44 ° r/ a �'. teI 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. Akerson who constructs more than one home in a two ear • eriod 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 workperformed under the building eg 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 SECTION S- DESCRIPTION OF PROPOSED WORK (check all applicable) New House 0 Addition 1E1 Replacement W ows Alteration(s) Roofing EK Or Doors Accessory Bldg. ❑ Demolition L:J New Signs [01 Decks [( nS "ding [CI Other [Di r Brief De crip on of Proposed r // p Work: . + t 'K'co , s.' . i' 0" fin! i' 1 'Tfi - lIL°G� r rK •) � .k (..t / Alteration of existing bedroom Yes No Adding new bedroom Yes No f Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa if New fie e a .�: i t ro let+ i 4: a. Use of building: One Family V Two Family Other b. Number of rooms in each family unit: Number of Bathrooms oP c. Is there a garage attached? Lib iI"� d. Proposed Square footage of new construction. / ?/,2 _2314 Dimensions 0K /e) Ul'C k e. Number of stories? / f. Method of heating? tic k001/44 Fireplaces or Woodstoves ( Number of each g. Energy Conservation Compliance. /f.//�{' Masscheck Energy Compliance form attached? A/��4- r/ h. Type of construction ,9 ? /6 0 -( . i. Is construction within 100 ft. of wetlands? Yes N No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade NA k. Will building conform to the Building and Zoning regulations? k7 Yes No . I. Septic Tank City Sewer Private well City water Supply v/ SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLES FOR BUILDING PERMIT Cc4A-4 e-13 , as Owner of the subject property hereby authorize ♦D v■ L / rr 4 t to act •n my behalf, in all ers relative.o workithorized by this building permit application. Signatu of Owner Da e 1, "a k "` � �� , as Owner /Authorized Agent hereby declare that the statetnents 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 / lJ ,...4411/ ' i 9 ` / Signaturf Ownerl /.ent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 1 444j 6 i"- This column to be filled in by 'Ye re k Building Department Lot Size 1---- cc44.14 L.___I_L ____ , , , , , , Frontage Setbacks Front EIT;T .1_,22-y_i •_•••„: • Lo , _......... Rear Building Height r — [Jr LIY , , Bldg. Square Footage r ---- 1 f ----- 1 % --- ---: L.,._i , ....,.. i ___, L___1 _i _____, Open Space Footage % (Lot area minus bldg & paved . —,-...i. parking) . . # of Parking Spaces --, c- Fill: (volume & Location) ,' , - -------= A. Has a Special Permit/Variance/Finding ver been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW (..:_r YES 0 IF YES: enter Book ; Page i ; and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO er IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO (9. IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, ex tion, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. TTf "�`^ s y3s - . r° ... I A.0 n , r $ f . f r i # r a + ' x 'k'. ' =. its of Northa mpto n Building D 212 Ma Street m Jul_ 1 2Q?� Ro om 100 Northampton, MA 01060 { I p hone 4 587 - 1 24 0 Fax 413 -587 -1272 x a = APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAM DWELLING SECTION 1 - SITE INFORMATION 1.1 Proaerty Address: si on o be comp leted by office �5 �I ► �P 54 ree 4' U nit__ o r i t�''i l zone r'� H4. 0 / Or rl Elln St distri CR i SECTION 2 - PROPERTY OWNERSHIPfAUTHORIZ AGENT 2.1 Owner of Record: J©c�+Ai e t Sob �� pap., t g'S CJI �� $ 4 rte. F (Print) - Curren Mailing ii re f I la / ,7 A/4 ®�1� h o /! /ut _ Telephone ,u/jr- ` �g. <ture /3 - 3, Name - 3 J - 2. Auth Agent : La jey Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Doll to be C}fficial Use Only _ completed by pe applicant 1. Building �® (a) Building Per m Fee it 2. Electrical (b) Estima Total Cost of Cons truction from (6) 3. Plumbing 5;900 Building Permit Fee 4. Mechan (HVAC) 5. Fire Protection .! 6. Total = (1 + 2 + 3 + 4 + 5) a c� Check Number This Section For Officia use Only 4 Building Permit Numbe Date issued: Signature: Date Building. Commissioner /inspector of Buildings File # BP- 2011 -0005 APPLICANT /CONTACT PERSON JOHN LANDRY ADDRESS/PHONE 104 NORTH ELM ST NORTHAMPTON (413) 204 -9880 PROPERTY LOCATION 65 OLIVE ST MAP 38D PARCEL 076 001 ZONE SC(53)/URB(47)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ) Fee Paid 9f /�c g2 Tvpeof Construction: CONSTRUCT SCREEN PORCH ADDITION W/DECK,4 X 8 BALCONY, NEW ROOF, SIDING,REMODEL BATH & LAUNDRY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 093450 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN, FQ1MATION 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 Commission Permit DPW Storm Water Management Demolition Delay j 7/Y)(0 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. G t 4i5 MOST BP- 2011 -0005 GIS #: COMMONWEALTH OF MASSACHU TTS ° Map:Block: 38D O76 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2011 -0005 Project # JS- 2011- 000005 Est. Cost: $48000.00 Fee: $288.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN LANDRY 093450 Lot Size(sq. ft.): 50529.60 Owner: DANIELS SCOTT B & JOANIE S Zoning: SC(53)/URB(47)/ Applicant: JOHN LANDRY AT: 65 OLIVE ST Applicant Address: Phone: Insurance: 104 NORTH ELM ST (413) 204 -9880 WC NORTHAMPTON MAO 1060 ISSUED ON: 7/12/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT SCREEN PORCH ADDITION W /DECK,4 X 8 BALCONY, NEW ROOF, SIDING,REMODEL BATH & LAUNDRY 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: Date Paid: Amount: Building 7/12/2010 0:00:00 $288.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo