Loading...
43-116 (2) • / „ „ / / • / / / / / / / _AL ti /// / / / /// • \ \ KK i lU smonnemegammomemosninew assmanuesatasser 1 - - • • 1 __ -� ',, r„ r / te . '' �' l ��� L� ? t cpao -� ‘s ' ��r,.s,.� sue., . _ r'` rte , f /? :/, 7 ' V /, :zd9 ��-, y , � € r r f T I. .� ! � ? r_ J / tea,: ..f. - , Gi F ,. /J j f 1 t f /' i 1 1 1 1 r !� ,; '1 � i I � c\\.. \ 1 L 4 L �� r /' j f-7-404 __I ..tey,Avi /9.1a40A,,„v i. 1 r.,190:014,27_44-faeof 1 t. I-- . : 1,-. / - 441 , /p - X 1 --- "F - T ----- 1 1 I 4 [ 1 1 — y ,---1 tAW.Ei . or-fry , › - iceYet i 1 I .___ , _ _ _____ _ ._ . -t 1 — 4 . 1 /----c-r 1 i ' IL 1 7 ?P? 1/. I ,,,,/,:.-i^ 1 (: 1 .-. i I 1, c ' ../7-' :,.../* teAf C. . 1 _ 7.i. :ii 1 i! 7 1 •Z 0 4; 7 '.%"/ ‘f‘77 -r 1 t , A - e ' I 1 1 II It II II 1 1 I I I I I I I , 1 , I I I, 1 I t 1 t -7;71/4/01 1 . 1 ' IN i i ' I I , 1 1 2 -.. •`" 1 I ' 1 1 I 1 I ! 1 I '..' /).- ' ' ' ■ 1 1 1 1 I , fr I I I I t 1 I I I--. 1 1 1 I 1 ■ , ' I I 1 ! i i I -,--- 1 . i ---- 72:PW,:i .3 /1 7Y07 ZftY71 I I .._ _, 1 --, --,, nt/ I . - to' .=3"----e-- ,e -..-; --'"-----,,,,.,,, . -- -< ,- ,,e , ,,..,„ 2'46' - 4■4 41 70 .. 107 .---; (7- „ A.., ..g,,,_5' 7 i 61,f, 7G- atill // , . 48' I r 12' ' 36' 11 4 " 1'6 "4 21O--21O--21O--- 1 1 N 7 2869 2869 2869 2869- ; I ' If II 11 Mi THREE 2x4 walls I CAS �i(,</✓� s. /4,AV i PORCH above w I � 11 x 19'4 /t 1 l ` tV ix) 117 1 1 , a H V- groove 1x6 ceiling finish I _ °' Ni I STR. Ridge above two 1 3/4x14" 1 b `�' � I LVL Fb 2800 psi E =1.9 1 I N i 2x10 rafters A 1 b �I @16 "o.c. above L _ b M f Nil i I -- N I 5/4x6 cedar decking 1 k a I' v 1 EXISTING HOME BEDROOMS AREA 1 NI 1 I iv �I , < 2x10 PT joist @16 "o.c. N 1 � 1 1 ~ Brosco Easy Change wood panel 1- ,��,--- screen /glass units (qty 15) 1 1 28 2869 2869 28691 1 i I I I 1 114 " 1'6 "4 1 2'10 2'10 2'10 I 12' 36' 48' — A GLENN BUILDING ASSOC. INC. .. THREE SEASON ROOM ADDITION 12' x 20' (240 sq.ft.) 217 Park Hill Rd. Florence Cannon Residence _,79,,f0,z/ Li e .,,,,,,,,,, /?-1 .7 0, w/ c Ot, ..„ , --7 , \ \ ---,\}. .... 40 04. 4 (79) N Icip ■..... ' (e, es: 4, 4 ,, v - m , :.„, _ 71 <1, \--- — :------- / \ .f' ) i ''''---___ // ......,,_ / 4 / k 73> L , / - 1 430 III r\ / g 1 / ,/ M \ cN ,I) / ' 1 , \ ' c„.._ 1 ' . .. c ai ----?"--\\ ---,,,, _7> ,. . '''''''''..."■,, — / , City of Northampton ra 'i'` J sly" St �6 "' Massachusetts . � , F F _ f � t� '* `'q {w� '� DEPARTMENT OF BUILDING INSPECTIONS � . x? t ;,,- t S'. 4 : . 212 Main Street •Munic B u ild ing b, ,bC„ , Northampton, MA 01060 A'f`N, J5 't INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location • The Commonwealth of Massachusetts Department of Industrial Accidents .: r ` Office of Investigations ,_� 600 Washington Street Boston, MA 02111 '".7,4%441F www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business / Organization / Individual): t .T,C�s�i / /��.��✓' Address: /7 ,1.,.97:4 City /State /Zip: - 'd r Phone #: &/.3 `7'O/ Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. Ej I am a general contractor and I employees (full and /or part- time).* have hired the sub - contractors 6. C w ccrstrsction 2. n I am a sole ro rietor or partner- listed on the attached sheet. 7. Remodeling P P ship and have no employees These sub- contractors have 8. El Demolition working for me in any capacity. employees and have workers' 9. [] Building addition [No workers' comp. insurance omp. insurance.$ required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. 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. Lic. #: Expiration Date: Job Site Address: City/State /Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen ties of perjwy that the information provided above is true and correct Si re : Date: . a ature: /�- � � ��� / Phone #: _.•,4 70 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board o f Health 7 B&lding Department City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other • Contact Person: Phone #: J SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder : - � R � /' © 7 970 License Number Address Expiration Date Si na ure Telephone 9 Registe ed;H�ome:lmp ovement Contractor «_,. 71 _' . : Not Applicable ❑ /ZiA / � m , / 646(1. 646(1. fa 9 'a-3 Company Name i ` 4 Registration Number Address Expiration Date i�✓1a-fahr Telephone "Y/ j 4 /d 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 buildi permit. Signed Affidavit Attached Yes [ No ❑ .x. "y 4.+ rc'.'3 'C q 3e k , 74' [+ �f $+ °�: .;'`r> 1 1 �om 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 SECTION 5- DESCRIPTION OF PROPOSED WORK check all applicable) ,, New House n Addition Replacement Windows Alteration(s) n Roofing n Or Doors D Accessory Bldg. n Demolition ❑ New Signs [O] Decks [[] Siding [D] Other [El] Brief Description of Proposed � ��� 8 ‘,•,e...4,,, y Work: f .�'G ;; � ll�' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative �� Renovating unfinished basement Yes No Plans Attached Roll 5.��. ' � A'9" "`t".3 a �' ' . "P:. R '- " 6a If�New house:and�or:addit o o: ex istingxhousinq,.complete the:followinq: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms �/O c. Is there a garage attached? / d. Proposed Square footage of new construction. P struction. 90 - Dimensions 1� e'Q / e. Number of stories? 0 f. Method of heating? ••"%a Fireplaces or Woodstoves Number of each ' g. Energy Conservation Compliance. // Masscheck Energy Compliance form attached? h. Type of construction /No. i. Is construction within 100 ft. of wetlands? Yes Is construction within 100 yr. floodplain Yes 1 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 SECTION 7a - . OWNER AUTHORIZATION -TO BE CO WHEN - OWNERS,AGENT OR CONTRA. CTOR:APPLIES FOR BUILDING PERMIT I, -/f;41 64AJ/ 4/ , as Owner of the subject property hereby authorize 1 Cl , ,A1 / 2 � to a �• 4.. half, in all matters relative to work authorized by this building permit application. ligfi 1 -fi____/ G II Y Signat :,7.f Owner Date I, Aia% ,77- /"'' ' /l e , 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 penaltiee of perjury. /lJo,E m la-f1.0%1/ Print Name �.-!/ — Signature. Owne •.ent Date - , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information a Existing Proposed Required by 'Zoning This column to be filled in by Building Department ' I " 'A Lot Size = a 5: 2g-t.. L 4 9171 _ ,, s _ / fir' Frontage _._../7�.__._ �" _ _ _._. Setbacks Front r7`^ % j Side L:R� L:c _ . Rear_ Z` Building Height , / - /yj Bldg. Square Footage%►i % / y / Open Space Footage ' o (Lot area minus bldg & paved a parking) T! 7 # of Parking Spaces ? l , Fill: ,1� i (volume 84 Location) A. Has a Spe • i Permit/Variance/Finding ever been issued for / on the site? NO DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page, I nd /or Document # l 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 , Date Issued: C. Do any signs exist on the property? YES 0 NO 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 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, c ation, 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. ,� _ 1 , Deoartmeat us nLy r x � 1 City of Northampton Stafti of Permit P* ? t ./ & ' Building Department Cut t✓tttfDrty ay., rrn 'ix `, 212 Main Street ��� `� �� Room 100 Water( !eII A a i t ,a V ` N ampton, MA 01060 T ci ets a Sf atur�a ��P�► . �. � ► • • - 87 - 1240 Fax 413- 587 -1272 o t#S t— ' �� x , � l. p 04• Other Specify , P fY' APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This sectio to be completed by offic � , 7 . 34' ' I�/ Ma p Lot Unifi , — )1 /j'(j Z, ■ � Zone Over D - 'Elm St. Distract ' CB Distract SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print Current Mailing Address: et), Telephone Signatur . 2.2 Authorized Agent: Name (Print) Current Mailing Address: A (��7 L Y/s — S pa? —' �i ' d Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS • - Item Estimated Cost (Dollars) to be Official UseOnly , ‘,' ,,, ., ‘ ,,' :, : , , completed by permit applicant 1. Building � (a) Building Permit Fee 2. Electrical jay' — (b) ed a l C �f �H Constr Tot from ost (6) of 3. Plumbing 'Buildi P Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 +2 +3 +4 + 5) „F‘ �.Jc? Check Number ,,'” fia . . This Section For Official Use Only - Building Permit Number. Date "' issued: Signature: Building Commissionerlinspector of Buildings Date File # BP- 2013 -0286° Y")) APPLICANT /CONTACT PERSON NORMAN GLENN P ✓ � - ADDRESS/PHONE 18 Ashley Circle EASTHAMPTON (413) 527 -4010 9 � ,t PROPERTY LOCATION 217 PARK HILL RD 0 t o V 4� - ''� ? MAP 43 PARCEL 116 001 ZONE �Q PN h THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 7 / d 0 Fee Paid Typeof Construction: DEMO EXISTING DECK & CONSTURCT 20 X 12 THREE SEASON ROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 039970 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 9RMATION 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 / Delay 7/ � ignatur- o Building fficial 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. 217 PARK HILL RD BP- 2013 -0286 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 43 - 116 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2013 -0286 Project # JS- 2013- 000466 Est. Cost: $26200.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NORMAN GLENN 039970 Lot Size(sq. ft.): 94960.80 Owner: CANNON JAN Zoning: Applicant: NORMAN GLENN AT: 217 PARK HILL RD Applicant Address: Phone: Insurance: 18 Ashley Circle (413) 527 -4010 EASTHAMPTONMA01027 ISSUED ON:9/14/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMO EXISTING DECK & CONSTRUCT 20 X 12 THREE SEASON ROOM 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 9/14/2012 0:00:00 $120.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner