35-289 (4) i
December 7, 2007 /a
EEC
Building Inspector
City of Northampton --
212 Main Street
Northampton, MA 01060
To Whom It May Concern:
This letter is In regard to your issuance of a building permit for 9 Sylvan Lane Florence,
MA. Please let this letter serve as my notice that I do not intend for any portion of my
basement to be used as a bedroom now or in the future.
Thank you.
Sincerely,
Otl Uf15 t _
Perry Friedman 1 ,
Owner
9 Sylvan Lane :
Florence, MA O1060
jn
JESSICA I;OU
DIY COMMISSION EXPIRES
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The Commonwealth of 11Iassachusetts
Deparrnent of In dustrial Accidents
Office oflnvestigations
600 N%ashington Street
Boston,ALA 02111
www.mass.g ov/din -
-Workers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers
ADWicant Information / Please Print Legibly
NaMe (Business/Organiiation/Individual): Cj"�ey&,-, 2ycL �;ho
City/State/Zip: I V11 I Phone. :
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. R I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. []New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. Remodeling
These sub-contractors ha—e O lit .
ship and have noIoye°s o. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Baildinj addition
[No workers' comp.insurance comb. insur-ance.:
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.❑PIumbing repairs or additions
myself. [No workers'coma. 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 retied.]
'may applicant that checks box#i ramV,also 511 out the section below showing their wor,1='co=f_,sation policy information.
T Homeowners who submit this affidavit indicaz ns they are doing aD wort and then hire outside contractors must submit a new affidavit indicating such.
*Contrac ots that check this box must attached an additionai sheet showing the narne of the sub-contractors and state whether or not those entities have
employe-s. If the sub-cnnuactors have employees,they must provide their'wor to s'cotnp.polio/number.
7 am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
information.
Instuance Company Name: _
Policy#or Self-in:.Lic. Expiration Date:
lob 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 S 1,500.00 and/or one-year imprison=ent; as well as ci ril penalties in the form of a.STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Iavestisations of the DLA.for insurance coverage verification
I do hereby c under the pain nd penalties of perjury that the information provided above is true and correct
.Si rzre: Date: 310
Phone
Offzcial use only. Do not write in this area,to be completed by city or town offzciaL
City or Town: Permit/I.icense
Is
suing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical,Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone 1:
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Cost of project-
Labor $6240.00
Materials 3030.00
Drywall 2000.00
Permitting 200.00
Debris removal 300.00
Electrical (allotted) 2000.00
Total $13,770.00
Payment schedule
Start of project $4000.00
Ceiling complete, walls insulated 3770.00
Wall framing and drywall complete 3000.00
Project complete, final inspection complete 3000.00
Total $13,770.00
Perry Friedman _
Jennifer Friedman
Steven Zucchino
l
10/26/07 Steven Zucchino
70 Gleason Road
Northampton,MA 01060
413-584-3878
;te\e zt1co rr `eriZoll Ilet
Perry and Jennifer Friedman
9 Sylvan Lane
Northampton, MA 01060
584-7957
374-2978 cell
net
Cost Cost of finish room in basement
Scope of work-
Ceiling Install '/2" drywall panels between floor joists supported by 5/8" pine cove
molding.
Walls Exterior walls to be insulated with R 7 reflectex insulation held in place
with 10 furring under '/2" drywall.
Interior wall to be 2x4 studs with '/' drywall.
Doors Entry door to be 5-0x6-8 double flat panel solid core Juan door with T
astragal and sliding bolts on one, passage set doorknob on the other.
Electrical panel access to be 2-6x 6-8 solid core luan door out swing in
front of panel. 12" of clearance between door and electrical panel box.
Int. trim 3 1/2" pine base board, 2 1/2" flat door trim.
Electrical Four recessed lights, switches and outlets to code.
Misc. Replace dryer vent with 4" rigid aluminum vent pipe.
Main heating duct feed to be left exposed.
Not included Any painting, staining or clear coating.
Finish floor.
Oct V, 4v 4, �J( ;c
►v[:7 13A3LO 7/Ji�a�? -- 7�01/0 � C¢��r 1
Af 6
r Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Rcyuircd by Zonin0
Thi,,olunui to be Idled in h_F
Building Department
Lot Sizc
Frontagoc
Setbacks Front
Side L: R:
Rear
Building Height
131du. Stluarc Footage
Open Space Footage
I I_,I area miuu,hld_R p,nrd
parl.iir�1
r of Parking Spaces
Fill:
h olumc fi L.oc;uiun)
A. Has a Special. Permit/Variance/Finding ever been issued for/on the site?
NO O DON'T KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 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 O Obtained 0 Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO O
IF YES, describe size, type and location:
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 O NO Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 8-CONSTRUCTION SERVICES
8.1 1-4censed Construction Supervisor:�7 r Not Applicable ❑
Name of License Holder: S'Q.V� LU
License Number AAn NA
Address Expiration Date
t//;
Si ature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
l�
Company Name Registration Number
// L00
Address (�� Expiration Date
?0 j(NuSo�, _/Ct� • Telephone1J3—S1'/` "-7S
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....... R No-.... ❑
11. - Home Owner Exemption
The current exemption f'or"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 Linder 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 ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors M
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [p] Other[p]
Brief Descri on of p LPro d
Work: rEyTc rtP�� l ►h ivy, ieA S-Zwn*k
Alteration of existing bedroom Yes A—No Adding new bedroom 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 _ _ Two Family___ Other
b. Number of rooms in each family unit: Number of Bathrooms _
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
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
SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I
kpl(f y ��� � _ ,as Owner of the subject
property L
hereby authorize SfleiSIA 7C C.C-� illyio _
to act on my behalf, in all matters relative to work authorized by this building permit application.
a h/n _
Signature of Owner V Date
I, 4-,pG*A, 7—t/Cc._�Ji lvo 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.
Pri me
gnature of O r/Agent Date
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/hP
01 t,
Northampton, MA 01060 Two Sets 5 s Uoctt
phone 413-587-1240 Fax 413-587-1272 Plot/site`PNans ._
Other Spied t
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH kONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property
This section to be completed by office
Address: ,
J 1'�r4 YV Map Lot Unit_
F/D—eC ACY-1 W06
j Zone Overlay District
Elm St.District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
y/V`-- La e Flo,,e-c.,-,
Name(Print) Current Mailing Address: 3 �y y 7bS�y 71
Telephone
Signature
2.2 Authorized Agent:
P
Name t) Current Mailing Address:
Signat Telephone
SECTION 3-ES ATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical (b)Estimated Total Cost of
d1000 Construction from 6 3 7 •��
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 + 2+3 +4 +5) 3 ,v(% Check Number s,
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2008-0569
APPLICANT/CONTACT PERSON Steven Zucchino
ADDRESS/PHONE 70 Gleason Road NORTHAMPTON (413)584-3878
PROPERTY LOCATION 9 SYLVAN LN
MAP 35 PARCEL 289 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid V'
Typeof Construction: CONSTRUCT FITNESS ROOM IN BASEMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
I3uildin_Plans Included:
Owner/Statement or License 021356
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
2t�
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.
`9 BP-2008-0569
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Perrnit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-0569
Project# JS-2008-000861
Est. Cost: $13770.00
Fee: $68.58 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groin Steven Zucchino 021356
Lot Size(sa. ft.): 32713.56 Owner: FRIEDMAN PERRY
Zoning: SR Applicant: Steven Zucchino
AT. 9 SYLVAN LN
Applicant Address: Phone: Insurance:
70 Gleason Road (413) 584-3878
NORTHAMPTONMA01060 ISSUED ON.1211012007 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT FITNESS ROOM IN BASEMENT
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 12/10/2007 0:00:00 $68.58555
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
9 SYLVAN LN BP-2008-0569
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 -289 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-2008-0569
Project# JS-2008-000861
Est. Cost: $13770.00
Fee: $68.58 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Grog. Steven Zucchino 021356
Lot Size(sq. ft.): 32713.56 Owner: FRIEDMAN PERRY
Zoning: SR Applicant: Steven Zucchino
AT. 9 SYLVAN LN
Applicant Address: Prone: lnsur wlcr:
70 Gleason Road (413) 584-3878
NORTHAMPTONMA01060 ISSUED ON.12/10/2007 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT FITNESS ROOM IN BASEMENT
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:
i
Final: Final:
1 Rough Frame: t`
a
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: 2,
Final: Smoke: K 1 2;z-C
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULAT ONS.
Certificate of Occupancy 7 5, Signature:
FeeTvpe: Date Paid: Amount:
Building 12/10/2007 0:00:00 $68.58555
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo