24C-110 City of Northampton
sj-
Massachusetts +7,
= cre
}A- DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ss ti''
INSPECTOR
Jeffrey Bott May 13, 2013
32 Pine Street
Florence, MA 01062
Subject Location: 123 Massasoit Street
Map Block: 24C-110
Mr. Bott,
Your building permit application and plans dated 2-20-13 with engineering dated 4-22-13 have been
approved as drawn and per this memo.All work must meet all applicable codes whether noted or not
included within this memo.
Please follow up on the following items:
These items will need to be accomplished as the project moves forward and before rough inspections;
1. Copy of plans in electronic format.
2. The entire building smoke and CO detectors must be brought to current building code requirements
including a smoke/CO in the 3rd floor bedroom.
3. Hazardous glazing locations, within 24"of a door,or within 60" of a stair, or across from hot tubs,
spas, bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4
4. Windows over 72"above grade with the opening less than 24 above the finished floor shall meet the
4" sphere rule. Order restrictors. 780 CMR R612.2
5. Egress and emergency escape requirements shall be strictly met.
a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR
R310
b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20"x41" exception 5
sqft at 15t floor. Minimum clear opening 20"x24" or 24"x20". 780 CMR R310.1.1
6. The addition must meet the current prescriptive energy code.
7. Any modification of the engineered drawings must have the approval of the engineer.
As of August 4th 2011 the 8th Edition MA code is the 2009 IRC with MA amendments.
In the following are some generic requirements which seem to be problematic.
This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes.
Read only international codes are available on line at http://publicecodes.cvberregs.com/icod/one
must also consider the MA amendments to these codes which can be found at www.mass.gov/dps/bbrs
The current relevant building codes are:
2009 IBC, 2009 IEBC, 2009 IMC,2009 IRC, 2009 IECC,AA115, MA amendments.
Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday
through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email
address is: cmiller(c�northamptonma.gov
Thank yo e yo o•aeration on these matters.
uc Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
City of Northampton .
E*
� '' Massachusetts � ft ,
D DEPARTMENT OF BUILDING INSPECTIONS '� ' 1
d vvt ey
212 Main Street • Municipal Building �..
Northampton, MA 01060 t4'
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLED' r ENT
The State of M-ssachusetts allows the homeowner the right under 7:iCM" 108.3.4 to act as his/her
construction sup..rvisor. The state defines "Homeowner" as, " Perso (s) o owns a parcel on which
he/she resides or i Itends to be, a one or two family dwelling, a -ched o detached structures
accessory to such u e and/or farm structures. A person who con-tructs m ire than one home in a two-
year period shall not •- considered a home owner."
The building department the City of Northampton wants =ny person(s)who seek to use the home
owner exemption, to act as •eir own construction superv' or, to be away• that by doing so you
become responsible for co •liance with state buil• ng codes and r gulations. The inspection
process requires that the buildin department be call=• to inspect work a various stages, which include
foundation/footings (before bac ill), sonotube •les (before pour : rough building inspection
(before work is concealed), insu • ion inspect'•n (if required) and • final building inspection.
The building department requires thes- inspecti• s before the work is c•ncealed, failure to secure
these inspections can result in failur- to ob ain a certificate of occ •ancy until the work can be
inspected.
If the homeowner hires other trades to pelf. work(electrical, plumbin. &gas)the homeowner will be
responsible to make sure that the trades re• ecure their proper permit. in conjunction to the building
permit issued, and that they get their r;quire• 'nspections. Failure of he individual trades to secure
the permits and inspections as require. can DE Y the project until suc time as the proper permits
and inspections are made
I, underst nd the above.
(Home owner/resident's Si• ature requesting ex- ption)
I will call to schedule all require' building inspections nece.sary for the b ilding permit issued to me.
Date
Address of work location
. ; The Commonwealth of Massachusetts
, , 06---r Department of Industrial Accidents
a
p. to ' Office of Investigations `
_, 600 Washington Street s
- -— Boston,MA 02111
.t-_ ..i. www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): .c_ ✓ a—I L2 • (t A
Address: 3 Z EP 1 v\t . 51,-
City/State/Zip: t Love Vlc- - ini,N Phone#: `'f t3 S36 69 Z'
Are you an employer?Check the appropriate box: Type of project(required):
1 E1 I am a employer with 1 4. 11-D am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. 111 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ® Remodeling
have
t
b-conracors
ship and have no employees These sub-contractors 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp.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 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.0 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: A-(L
Policy#or Self-ins. Lic.#: V..)C=.C_coo `fcc 12o(2l Expiration Date: ( -2-.j'(3
Job Site Address: 12-3 WASS0W- 5 i City/State/Zip: /\)C 7 (2&
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 penalties of perjury that the information provided above is true and correct
Signature: -
< Date: s—S - f3
Phone#: q (3 S3a ,6(i.2_0
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 of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: C-i-4-V �. � c_ 3 (Si
�� 11 License Number
32_ r w`3k, ST b -(3
Address Expiration Date
-c3 53c 6 its
Signature Telephone
tlfte'_Literidlimn m•rovemen. ontra or, - !,: ,i., ;a „ .. .. Not Applicable ❑
Jiicr io
Company Name Registration Number
�� ���I7i� Gv�a�Y-p►G vc
c„
Address Expiration Date
-4, YVW ' �Lb� � t r'"\ Telephone 630 C9 7
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.
Signed Affidavit Attached Yes �Q No ❑
1:7 umeOwnerExu lion
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
•
■
i
SECTION 5-DESCRIPTION OFPROPOSED WORK(check all applicable) „ e
r
try _
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Ti
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [ED] Siding[0] Other[0]
Brief Description of Propose ---� 1 (- (� 1
Work: ��vta�(1•L e-)c Ss1ihr 3i"cJ ` L�e,c)%"1'Oyl1 �'"1\cJd OO'r,4....,-- AA-
Alteration of existing bedroom ')4, Yes No Adding new bedroom Yes 7Z No tot rai7
Attached Narrative Renovating unfinished basement Yes ]C No
Plans Attached Roll -Sheet
ew a ouse an a 4or addit on to.existi • , o sin• corn. e it*heJollfl to
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: umber of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new constructio,. Dimensions
e. Number of stories.
f. Method of heating? 1111.r Fireplaces or Woodstoves Number of each '
g. Energy Conservation Com. - ce. Masscheck Energy Compliance form attached?
h. Type of construction _
i. Is construction within 00 ft. of wetlan: ? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basem- or cellar floor below fine •ed grade
\
k. Will buildin; •• orm to the Building and Zoning ulations? Yes No.
I. Septic T-nk City Sewer Private ,-II City water Supply
SECTION 7a-`OWNERAUTHORIZATION1TO BE COMPLETED WHEN Mt
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, Cifk ILO(—I h l S c-► 1 , as Owner of the subject
property --
hereby authorize -1.1-i �'e- 1 l o'`
to a. o my behalf, in all m ers ive�t work author ed by this building permit ap icatio .
a/ 5 /i3
Signature of Owner Date
I, U V--e-- b O* , as Owner/Authorized
Agent hereby declare that thp 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.
Print Name
t
Signs
46
O' irgent Date
i
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incom'tete Information
Existing Proposed Required 'Zoning
This col „, ,be fille
Building D „ent
t ,ki
Lot Size 4
6
Frontage I
Setbacks Front �7
Sid L:' ,0' `R:_ l- L:? /_Il4 R:1-710 I /�j 1
1ISRear DI
Building Height = - 1 1
Bldg.Square Footage % _' I
Open Space Footage - -
(Lot area minus bldg&paved i !_1 1 ! Mill =
parking)
I I I I
#of Parking Spaces
Fill: !
(volume&Location) €
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:`
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
. Z I
IF YES: enter Book I I Page and/or Document#;
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained i Obtained , Date Issued:
„
C. Do any signs exist on the property? YES 0 NO IS
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 N01D
IF YES, describe size, type and location: s j
E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO !.►
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
I
iae• a ei� ISe�• 1;
r ��; f V � ity of Northampton s a prat .,is� `' - b
uilding Department a 4T _ �;"° � ..
ago 0 9411 212 Main Street Sewer a . ,, ,k t 4
Room 100 L �`:•
N rthampton, MA 01060 a *
OFBUIU)IIVGIN^_ ■ a, � �
TH L±; 41 -587-1240 Fax 413-587-1272 . ae . � 1
_ ¢ �. wet x :k.A-�'2' .l.[� y�fo ;" ebn.'..a!J%a'<.?.
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION
�� Th�sse�tionta beCompletetlhy';office� .s
1.1 Property Address. ?`?� � r{ k ry 5 ,-, 4;
� s� e. $ P v.. "fir z* "„24.v y WOO .S
r` /� ZOI1 tJ�4 s x O�is g 117,Ct= :' � =a▪W i.
12-3 M
O Q 'EI S CXfi.r cf '�'''''' C1 Distinct ▪ x ;4
SECTION 2-PROPERTY OWNERSHIPJAUTHORIZED AGENT
2.1 Owner of Record:
IVV� 3n roc / (Lo�y i I S�IA 1�3 w\ 5 oR S eS�
Nam / Current Mailing Address:
�, Telephone
Signature /
2.2 Authorized Agent: �n
3 Name(Print) Current Mailing Address:
_ .� 530 E
SIg Telephone
SECTION -ESTIMATED CONSTRUCTION COSTS,
Item Estimated Cost(Dollars)to be Official Use.Only ,ti
completed by permit applicant
1. Building r_ .7�� (a)Building Perms#Fee
2. Electrical '2-9- (b)Estimated Total Cost of
F Construction from.(6)
3. Plumbing �.{.CrO Building Permit Fee tt
34-c'
4. Mechanical(HVAC) S-1:71
Yy
5. Fire Protection 3
6. Total=(1 +2+3+4+5) 7�� E�c7 Q Check Number
This Section For Official Use Only
Building Permit Number. . Date
Issued. .' ti ' �. .•Signature
Buifding Commissioner/Inspector of Buildings Date
File#BP-2013-1074 Of L
APPLICANT/CONTACT PERSON JEFFREY BOTT �A��
ADDRESS/PHONE 32 Pine Street FLORENCE (413)584-6251 Auflu�"
PROPERTY LOCATION 123 MASSASOIT ST
MAP 24C PARCEL 110 001 ZONE URB(100)/ ?).4A/lia 6/6
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 07 9 4633 0
Fee Paid o
Typeof Construction: REMODEL 3RD FLOOR BEDROOM&ADD DORMER&BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 053157
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
e%'on Delay ef
Sipe of BuilI ing • icial 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.
123 MASSASOIT ST BP-2013-1074
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C- 110 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2013-1074
Project# JS-2013-001771
Est. Cost: $55000.00
Fee: $330.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JEFFREY BOTT 053157
Lot Size(sq. ft.): 6403.32 Owner: MISCH CAROLYN&TIMOTHY JONES
Zoning:URB(l00)/ Applicant: JEFFREY BOTT
AT: 123 MASSASOIT ST
Applicant Address: Phone: Insurance:
32 Pine Street (413) 584-6251 Workers Compensation
FLORENCEMA01062 ISSUED ON:5/13/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 3RD FLOOR BEDROOM & ADD
DORMER & BATHROOM
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 5/13/2013 0:00:00 $330.00
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Louis Hasbrouck—Building Commissioner