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31A-309 (4) A 01 13 14 ,3 WALL TYPES: C== EXISTING WALL TO REMAIN (PATCH AND REPAIR AS REO-D) qp N --- WALL TO BE DEMOLISHED /i •� l''. ® NEW WALL MBR GFI'1 I I DRAWING SYMBOLS f....,, --- Y O HALL O ATTIC wo1 (N)WINDOW e �, o 02 D01 (N)DUPLEX POWER OUTLET ___________________ Z iK-n BR2 13131 (N) YY C� � YY (N)3-WAY SWITCH 11 �� -U"-•• ii (N)RECESSED LIGHT FIXT. IO (N)WALL MOUNTED LIGHT FIXT. - (N)UNDER CAB.LIGHTING (N)CEILING FAN 2ND FLOOR PLAN 1/8" = V-0" , 4/10/2014 93 VERNON ST, NORTHAMPTON, MA 01060 '' • 2ND F OOR P N A2 i y (N)METAL ROOF, t PEAK TO MATCH (E)ROOF HEIGHT (N)SKYLIGHTS-TYP. (E)SLATE ROOF (E)SLATE ROOF (E)SLATE ROOF (E)FRONT (N)METAL wiz wi' PORCH (E)FRONT ROOF PORCH (EI MATCH (N)CEMENT (N)EAVE BD.SIDING TO(E)HT. (N)CEMENT BOARD SIDING (N)WOOD as waa wa3 (E) woi DECK E) E) E) (N)CARPORT (N)DRIVEWAY 04 WEST ELEVATION 1/8" = V-0" 03 SOUTH ELEVATION 1/8" = 1'-0" (N)METAL ROOF, PEAK TO MATCH (N)SKYLIGHTS (E)ROOF HEIGHT (N)SKYLIGHT (E)SLATE ROOF (N)MTL.ROOF, PEAK TO (E)SLATE ROOF MATCH(E) ROOF HEIGHT (E)FRONT PORCH s w" wia MATCH(N) E) (N)CEMENT (N)METAL ROOF EAVE TO BOARD SIDING (N)CEMENT (E)HEIGHT BOARD SIDING (N)CEMENT BD.SIDING (N)WOOD DECK R. wog 002 oa3 (N)CARPORT (N)WOOD DECK (N)DRIVEWAY 02 EAST ELEVATION 1/8" = 1'-0" 01 NORTH ELEVATION 1/8" = V-0" 4/10/2014 93 VERNON ST, NORTHAMPTON, MA 01060 ELEVATIONS A3 (N)MTL.ROOF, PEAK TO MATCH(E) ROOF HEIGHT (E)SLATE ROOF (N)COLIN (E) (N)SKYLIGHT m FRONT BATH BR2 PORCH DINING LIVING A SECTION 1/8" = 1'-0" (N)SKYLIGHTS-TYP. (E)SLATE ROOF (N)MTL.ROOF, BEYOND PEAK TO MATCH(E) ROOF HEIGHT (N)SKYLIGHT i BATH (N) MBR MATCH(N) (N)METAL ROOF LIGHT " EAVE TO SHAFT r (E)HEIGHT o KITCHEN INING N SUN ROOM (N)CARPORT B SECTION 1/8" = 1'-0" 4/10/2014 93 VERNON ST, NORTHAMPTON, MA 01060 SECTIONS A4 ro` , a 3 w fSx lk o8 �h Y df�a� R� YA F fi 3 a t bkk � 1�� Y3 S N YY Yk§3gf • • g .m am� .vu �+k, G F �N t � e f k r r e` 'j Yr Y Y uy b l f 4F3S dy Yrg t� � Y E/'. „E I ;emu ate`§ � ,.., � •_....-=•••....._ � 1 - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - � I I I I I i I PROPERTY INFO: I ADDRESS: 93 VERON ST. I NORTHAMPTON,MA 01060 MAP-BLOCK-LOT#: 31A-309-001 CLASS: I R-101 i ZONING: i NEIGHBORHOOD: 11 i I DEED BOOK: 2314 i DEED PAGE: 229 I 2I OWNER INFO: J MEHAMMED MACK (N)WOOD DECK Wes) 93 VERNON ST. NORTHAMPTON,MA 01060 I � �I i (N)CARPORT ---------------- i I DRAWING LIST: 11'_0" AO COVER SHEET All 1 ST FLOOR PLAN (E)HOUSE A2 2ND FLOOR PLAN A3 ELEVATIONS --- I A4 SECTIONS i (E)FRONT PORCH 11'4" i I (N)DRIVEWAY PROPERTY LINE SITE PLAN 1/16"= V-0" t e - , 4/10/2014 93 V&NON ST, kMU"MPTON,4MA'..0106© 'i ' '_ COVER SHEET AO 1°40�f"t JI A al of al Z? (N)WOOD DECK --------------- WALL TYPES: > EXISTING WALL TO REMAIN ---------- (PATCH AND REPAIR AS REDID) -------- ---- --- WALL TO BE DEMOLISHED ------------- --------------------- C= NEW WALL ows9'-5" FK�UN ROOM Dl��G DRAWING SYMBOLS: 0>4 ------ R (N)CARPORT jN)WINDOW FM O (N)DOOR III sTOVe (E)GUEST I (D N)DUPLEX—EH UU I Lt 1 (N)SWITCH LIVING (N)3-WAY SWITCH (E)HALL I E) I (N)RECESSED LIGHT FIXT. li K> (N)WALL MOUNTED LIGHT FIDcr. (N)UNDER CAB.LIGHTING (N)DRIVEWAY (N)CEILING PAN ED LEO. (E)FRONT PORCH PROPERTY LINE – — – – — -- — – – — – – — – – —- – — – – — – 14e' 1ST FLOOR PLAN 1/8" = V-0" 4/10/2014 93 VERNON ST, NORTHAMPTON, MA 01060 1ST FLOOR PLAN Al City of Northampton r Massachusetts ' DEPARTMENT OF BUILDING INSPECTIONS tiY _ti x 212 Main Street • Municipal Building ' Northampton, MA 01060 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 understand the above. (Home owner/resident's signature requesting exemption) will call to schedule all required building inspections necessary for the building permit issued to me. Date 'DTI 1 y Address of work location ci �l�P✓C Y1,c;V\ ;t x The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information yy Please Print Legibly Name (Business/Organization/Individual): (;��W�►v�c.QA 1 A A(:..K Address: 0� ge,�My 4, City/State/Zip: N r c�^caws �oY) h- 0100 Phone#: 111 -464 -35?- � Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.1�1I am a sole proprietor or partner- listed on the attached sheet. 7. Q'!Remodeling ship and have no employees These sub-contractors have g_ ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We are:a corporation and its 10.E3'flectrical 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 1242loof 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. tHo meowners 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 penalties of perjury that the information provided above is true and correct. Signature: - �� Date: Lt Phone M cA k- - 161-45 1.6 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 License Number Address Expiration Date Signature Telephone N _„w.. of Applicable £ 9 `Registered Home Imarovemerif'Contractor Company Name Registration Number Address Expiration Date Telephone 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....... £ No...... £ 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.�� ��' 412" / (Lt SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement dows Alteration(s) ❑ Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [ Siding[ ] Other[C7] Brief Descri tion of Pro osed r L Work: i� iLny\ u� c'v liocyy-\+ c tdl' "t' cai2oJ ri �r� r]bg �i�S Jv ir5 Alteration of existing bedroom V Yes No Adding new bedroom Yes ---'No Attached Narrative Renovating unfinished basement Yes o Plans Attached Roll -Sheet sa If Newhouse and'or.addMon to existing housinq,'complete the followllnq': a.... Use of building : One Family�� Two Family Other b. Number of rooms in each family unit: Number of Bathrooms _Z_ c. Is there a garage attached? Cafis��� I J � t d. Proposed Square footage of new construction. .2 Dimensions 1y X k C. �Of e+ I e. Number of stories? t 1— �foll�?S° Wct%jS�"G�lE f. Method of heating? 8as Fireplaces or Woodstoves Number of each s flZ7��Y }tYr cl�lPi v� ii�G.SSC2K iri31��.t}�0r� ( v1� 7iL'Y%OUi J�.YU g. Energy Conservation Compliance. Masyscheck Energy ompliance form aft hed? U 2-,003 h. Type of construction 0 v, i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes y' 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 f' LN'o{ D eS1i►�� eS > I, E' Vrn' C �C �/_� -�—� as Owner of the subject property hereby authorize to act on m behalf, in all matters relative to work authorized by this building permit application. H 10 / 14 Signature of Owner Date Iv l eA\k.'yyVy\C'_A vko". Ic 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. �\P,�0.wmV%_UA Ap (_11c, Print Name Li Date Signature of Owner/Agent Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size I t VQ) Frontage - Setbacks Front � (�,;,h) ( o6ch� ' Side L: R:` L:�..12�.� R: I -j Rear ._ i Building Height -i Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces - - 7 Fill: t ? (volume&Location) — --- - A. Has a Speelat Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW Q YES Q IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES Q IF YES: enter Book I _ Paged and/or Document#1 - -�-- 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 Obtained , Date Issued: C. Do any signs exist on the property? YES Q NO a 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 IF YES, describe size, type and location: i { E. Will the construction activity disturb(clearing, grading,exqdvation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. I 13eparfinent use r only LE Cr� E M [� City of Northampton SfatusofPermn 4� k , , II Building Department ur t ut/Dn(ceuray Perrrtl# t 1 ' 212 Main Street SeyverlSeptteAvairattty s 2014 Room 100 1Nater/VltelCA�a�la�lllty lNorthampton, MA 01060 T." dlisb&dfip tructural Plans c,Plumbing&Gas In arm, 13-587-1240 Fax 413-587-1272 PIof/Site Plans 'y Northampton. MA 01 Oder Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This sec.iorr to be completed by office 1.1 Property Address: e t�nov� Sf , - Map Lot Unit r„fA-V\,(k yV\y�fiOV� M R _Zone Overlay Dsfrtct = Elm St'Distnct! CB.District i SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: M e1nt,\,vy,w.J, Pte. e,.JS M �r✓t� \i � hcv� Sfi. Nvt ►�r;1�ly� r'IA .CIS` Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Feb 5 o(k" 2. Electrical (b) Estimated Total Cost of 3v Construction from 6 3. Plumbing /' Vv�J/'/' Building Permit Fee i0 4. Mechanical(HVAC) 5. Fire Protection Gcu 6. Total=0 +2+3+4+5) ,60 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2014-1083 APPLICANT/CONTACT PERSON MACK MEHAMMED -µ�M ADDRESS/PHONE 93 VERNON ST NORTHAMPTON (917)767-7526 PROPERTY LOCATION 93 VERNON ST - MAP 31A PARCEL 309 001 ZONE URA000)/ F0 kL THIS SECTION FOR CHECKLIST ONLY: EEb'CO V6W F V S�'(BA � 6 ex ZONING FORM FILLED OUT ENCLOSED REQUIRED DATE CLOSE TO Fee Paid Building Permit Filled out tM'&k Fee Paid W FOLWO11-'to1� Typeof Construction: CONSTRUCT SUNROOM,DECK, CARPORT,ADD BATH WOODSTOVE,REPLACEMENT WINDOWS,SIDING&ROOFING fitkob New Construction Non Structural interior renovations Addition to Existing- Accesso1y Structure Building-Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN T KEN ON THIS AP ION BASED O INFORMATION PRESENTED: V Approved Additional permits required(see below) r' v lJ� PLANNING BOARD PERMIT REQUIRED UNDER:§_ Intermediate Project: Site Plan AND/OR Special unit 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 Pen-nit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 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.