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Recoided: 06/11/2014 12:53 PM
June 10, 2014
To Whom It May Concern:
This letter is to note and record that 1, Marianne L. Johnson, owner of residential
property located at 11 Turkey Hill Road, Florence, MA 01062 is the present
occupant of the first-floor accessory apartment located at above-noted address.
Signed and dated June 10, 2014,
�•
arianne L. Joh n
ATTABT; RAMPSHIRE,
Z REGISTER MARMA(3 ER DI
UBUILDING
ASSOCIATES
P.O. Box 1105 1 N C.
Easthampton, MA 01027
(413) 527-4010
6/11/14
RE: First Floor owner occupied accessory apartment gross living area at 11 Turkey Hill Rd.
Florence MA.
The First Floor Foot Print is a dimension of 24'x 40' (960 gross floor area), however,a 9'x 10'6" space of
that area is for Second floor unit main entry stairway means of egress. The 95 sq.ft.of gross floor area
Entry subtracted from 960 gross floor area brings the owners accessory unit below the 900 sq.ft.
maximum area.
Norman Glenn
Owners agent/contractor
✓ 'it0 i'lt'L'"� TO I:SI�
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2'3 107 5'T 8'2 -1, 4'2 31'8 412—�
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1 2842 2842 I 4 -
2nd means of egress
RO 2'10"x4'5" RO U=3x4'5" j 50 U=.30
U=.30 j
I i
2"x6"16'0.c.
MASTER BATH
CLOSET 6'x 7'9
A 14'8 x 7'9
2"x8"@ 16"o.c.ceiling joist i ALinen
2468 2468 ao
2"x10"Rafters@ I To.c. T8
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12'11 x 3'10 EXISTING SECOND FLOOR
N oo RO2'10"x4'5" V ------------------------------- -
N
N U=,30 2868
MASTER BDRM 2668
12'3 x 22' i Structural Ridge- 1 3/4"x 14"LVL
CLOSET LAUNDR Fb 2800[psi E=2.0
3/4"T+G Advantech subfloorin 9 63 x 5'2 6'3 x 5'2
3'8
!
2"x8"@ 16"o.c�g joist
ICYNENE Foam Insulation 1st means of egress
"x6"16"o.c. Exterior walls,Floor system an(! i
RO 57x4'6"U=.30 Ceiling system
I
842=2842 W
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26' 4'2 31'8 4'2
F 66'
SECOND FLOOR UPPER LEVEL PLAN GLENN BUILDING ASSOC. INC.
500 Sq. Ft. Gross Living Marianne Johnson
11 Turkey hill Rd. Florence
' JUN 2014 Vol
Electric, Plumbing&Gas Inspection
Nortnarrnp,cn. MA 01060
66'
17'10 8'4 17'6 915 1211
511 711 410 5' 3'4
deck
2834 2834 2834 6068
means of egress
basement acccess
for second floor
OFFICE
Note ! KITCHEN BATH 12'5 x 87
One Hour Fire rated drywall ceiling and firewall seperation 17'2 x 11'6 9'1 x 87
17'2 9'1 12'5
Exterior fire door " 3068
up means of egress
00 First Floor unit 900 Gross Square Feet Owner occupied
N , --c N �i _____________ N
N GARAGE 2868 546 —
2868
2 d.FL. °'
51'6 xN11C'6 lec. pandI �P BEDROOM °
00
cress o 13'6 x 10'3
and 2nd
M storage /Floor
— loset Entry
8070 3068
I,
T4 10'8 4' 4' LTIO 2'2
I
18' 8' 16' 10' 14'
h 66'
GLENN BUILDING ASSOC. INC.
EXISTING FIRST FLOOR Marianne Johnson
11 Turkey Hill Rd. Florence MA
City of Northampton
Massachusetts w{ �rl•
j �Y• ' `' DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 sswy`• Y�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
Office of Investigations
600 Washington Street
Boston, MA 02111
' y www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): �rA/i^� oz� ���`l
Address: iiF
City/State/Zip: Phone #:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working or me in an capacity. employees and have workers'
g y p t3'• 9. E] Building addition
[No workers' comp. insurance comp. insurance.$
required.] 5. E?`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.E] 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.
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 ofperjury that the information provided above is true and correct.
Signature:
Phone#:
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 Superviso r: Not Applicable £
Name of License Holder: /�'�, }', e%[r� ij//�� 09 TZZ47
License Number
Address T Expiration Date
Signature Telephone
9.Registered Home Improveme/nt Contractor: ,.... Not Applicable £
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....A 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,
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[0] Other[0]
Brief Description of Proposed
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa.1f New Fouse and or'addition to ezlstlnq`h'ou'sing, complete`tiih��e/lfollowilng:
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. j°G Y 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 _5
i. Is construction within 100 ft. of wetlands? Yes ,ZNo. Is construction within 100 yr. floodplain Yes_ZNo
j. Depth of basement or cellar floor below finished grade
k. Will building conform to a Building and Zoning regulations? Yes No.
I. Septic Tank t� City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject
property
hereby authorize
to act on my behalf, i all^ tte s relative to work authorized by this building permit application.
ig ature of Owner Date <
mi
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.
Print Name
Signature of Owner/ nt Date
Section 4. ZONING All Information Must Be C2[eted. Permit Can Be Denied Due To'Incomplete Information
Existing Proposed Required by Zoning
Tbis column to be filled inly
Building Department
Lot Size
Setbacks Front
Rear
Building Height
Bldg. Square Footage 0/0
Open Space Footage %
(Lot aTea minus bldg&paved
#of Parking Spaces
(volume&Location)
A. Hasa Special Pennit/Vahance/Finding ever been issued for/on the site?
~�
� �
NO «+-� YY x��� DONTKNO YES �~��~�
IF YES, daLeissuodd |
IF YES: Was the permit recorded at the Registry ofDeeds?
NO � � D
^^� ~., . .`.`~. 0 .ES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body uf water orwetlands? NO DON7 KNOW 0 YES 0
IF YES, has a permit been or need Lobe obtained from the Conservation Commission?
Needs tubeobtained �~� Obta|ned «~� Date
��' �~� ' .
C. Do any signs exist un the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES «_��~\ NO x��~
IF YES, describe size, type and location* �
. / ______-___...... ....... _---..........______]
E. Will the construction activity disturb( hng. grading, bon.or filling)over I acre oris it part ofa common plan
'
that will disturb over 1acre? YES K } NO
��
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
^ ''
M r r 1 't�Deparfineht use and F
[ s�-, I of Northampton Iding Department E � 12 Main Street Room 100 VeiEAv--A�orth mpton, MA 01060, 2 0#5o 7-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This`sect►on o be completed by office
A ,
+ Map L'ot Unit
v )'
Zone Overlay Distract
e1 �'
Elm St Distract ;.CB District_
. SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: �,
Name(Print Current Mailing Address:
Telephone
Sign ture
2.2 Lthorized 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
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing � Building Permit Fee
4. Mechanical(HVAC) � f-
5. Fire Protection �cJ
6. Total=0 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissionedlnspector of Buildings Date
File#BP-2014-1332 7-001 a r, —
APPLICANT/CONTACT PERSON NORMAN GLENN
ADDRESS/PHONE 18 Ashley Circle EASTHAMPTON (413)527-4010
PROPERTY LOCATION 11 TURKEY HILL RD
MAP 35 PARCEL 200 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 2ND FLR ADDITION ABOVE GARAGE&PORCH ENTRY
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
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
De olition Delay
Signa re of Buil ing Of 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.
I I TURKEY HILL RD BP-2014-1332
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 -200 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-2014-1332
Project# JS-2014-002165
Est. Cost: $52000.00
Fee:$150.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: NORMAN GLENN 039970
Lot Size(sq. ft.): 14505.48 Owner: JOHNSON RAYMOND&MARIANNE L
Zoning: Applicant: NORMAN GLENN
AT. 11 TURKEY HILL RD
Applicant Address: Phone: Insurance:
18 Ashley Circle (413) 527-4010
EASTHAMPTONMA01027 ISSUED ON.612312014 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND FLR ADDITION ABOVE
GARAGE & PORCH ENTRY
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 6/23/2014 0:00:00 $150.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner