31A-321 (2) j r.l' rr
�x
}
InsLgation-
1
e•cef foam
R-10 rK)d on fol"dalion
East Elevat�on
Northampton,M4, k s r
I �\���i�'►�►, i,�►11. 111.......,.-----, ,;�_, -��
...� �� �.
Match exsistrg facia,soffit,and rake trim with
3/4"painted pine
2'
7-7112"
tyvek over 112"wal sheethry
Siding-
Douglas Fr 1x3 T.G.pied both sides.
naffed verbcJ on 2x2 hornzontA strapping
14"O.C.
742"
4' 11"
South Elevatbn 3' 10"
27 ward avenue
Northarrpto n,MA
7-28-14
3"
518"roof sheettfng with 2"inWation and
E.P.D.M rubber roofing.rubber to apply 3'
up on exsisti'ng roof to prevent damming.
2,8x 10,rafters with joistha Vers o
2x8 ledger toad fastened with 3 5/8"ledgerlok screws on house side
window header beam
7 112" 3-2x8 with 112"ply between
5'6 wndow opening framed centered in wall
R.Q.65 3/4"x46"
7'6 3/4"
2x6 walls framed 16"o.c.with 112"sheet-ing
2x8x10'floor joists with 3/4"T&G plywood
*ed and nailed
2x8 jest hangers on house side
A seal,with PT 2x6 si plate bolted down and
to, r 4- - 2x6 kd s�
... s
IV 3' 10
' _ brick veneer from ground up to siring
8"x 3'10"x 10'poured concrete wa0
North Elevation
27 ward avenue 8„
Northampton,MA 8„x16”footng
7-28-14
House
Footings-
3,000" concrete, 8"x16"
'-10" with 2 04 continuous rebar
4
keyway centered underwall
--------------}--
° , Foundation walls
5_2" _ ___ _ 3,000" poured concrete
i 8" walls 4' frost wall
Top of new wall 8" lower than existing wall
04 rebar continuous in top and bottom
I 1
90 degree bend on 4' bar in corners.
1 1
1/2" anchor bolts per code
Kitchen ° waterproof coating applied
2" rigid insulation applied to outside of wall to grade
1
1 '1
, D
If perimeter drain exists,
' re-route with new drain around new foundation
1 1
30'
1 ° 1
1 1
1 1
1 ° 1
1 • 1
1 I
1
i 1
1 1
I
1 1
1 - C 1
a n e
------------------------
10'-O"
BACKYARD
FOUNDATION PLAN
Dang, Lisa
21 ward avenue
ACG�3 /�''� v R e Northampton, MA
ch i✓-DO �U Homeroots design
S 1 p.o. bx 485
Bernardston, MA
413--715-3126
June 20, 2014
,o v
Cc ,S Q��C.t�1►� Q,�fl0\,/l/�d f�C �- 0 "��
Proposed 10'x16'office addbon HOOTS
27 Ward avenue construction and design
Northarrpton,MA 413-775-3126
for Lisa Newman and Dang Huynh homeroots@gmai.com
7-28-2014
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114-2017
`� _�• www.mass.gov/did
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): j(/kj��001( �I��C-/` ,c
Address: al' V 1;1 15Z IrX7,q J5W(1k ' 3 7
City/State/Zip: Phone #: L/13 '7'- 3/Z--�
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. UTNew 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 g• ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. [Awe are a corporation and its 10.❑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.
l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si afore:
�� Date:
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 Supervisor: Not Applicable ❑
K A
Name of License Holder: 1`oS'LP - J (7) r-
(Y (0
License Number
25��� �Pr�n��S��� . MA I� -7 I I/
Address Expiration Date
Signatu e__. Telephone
9.Renistered Home Improvement Contractor: Not Applicable ❑
Z z2 S4e_I) /l�oOY�Z�— /j ? () /
Company Name Registration Number
Address e Expiration Date
Y"+tr o t t-1&5- 9e -,4,kXf,L, Telephone c//3'.j75-s/L 6
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....... e 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 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 � 6/ 7'�16 5 16o '�
Frontage S
Setbacks Front a2 � z,�' 'Lc�
Side L: 3 R: L: d R: (O t Z(
Rear
Building Height
Bldg. Square Footage �� % t7
l
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces 2
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO W DON'T KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW 0 YES t
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , 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 O NO dffi
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 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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 Siding[0] Other[p]
Brief Description of Proposed /
Work: 10' X 16 nSR,(,e Ca(C)zkyot/l`
Alteration of existing bedroom Yes Y' No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes J,/ No
Plans Attached Roll -Sheet
sa. 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 7
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? ,re-ed 6VA sG 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
j. Depth of basement or cellar floor below finished grade L/
k. Will building conform to the Building and Zoning regulations? �_Yes No.
I. Septic Tank City Sewer_Z Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENY OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, /),/-)L4 n (111-14 ,as Owner of the subject
property U
hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
7 - Wig- 10 1 1
Signatu of Owner Date
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/Agent Date
IZ (15, n /�7 Department use only
i� L� L) �l � City of Northampton Status of Permit:
n� Building Department Curb Cut/Driveway Permit
2 g 2014 / 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Electric, Plumbing R Gas Ins ectio s Northampton, MA 01060 Two Sets of Structural Plans
Northarr.pton, MA O1 WOW 13-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
027 W r`- Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
nR)IA<"_ t J�/`�1 7 W Ar-L� ✓`'1� R
Name(PrintV Current Mailing Address:
Telephone
Signatu
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 Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
U
4. Mechanical(HVAC)
5. Fire Protection yO o
6. Total=(1 +2+3+4+5) 1' , — Check Number f'
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-0118
APPLICANT/CONTACT PERSON RUSSELL MANZ VJ
ADDRESS/PHONE P O BOX 485 BERNARDSTON (413)775-3126 Q
PROPERTY LOCATION 27 WARD AVE
MAP 31A PARCEL 321 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: CONSTRUCT 10 X 16 OFFICE ADDITION
New Construction e
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 81403
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
_f
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.
27 WARD AVE BP-2015-0118
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A-321 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-2015-0118
Project# JS-2015-000215
Est.Cost: $35883.00
Fee: $80.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RUSSELL MANZ 81403
Lot Size(sq. ft.): 14984.64 Owner: NEWMAN LISA&DANG HUYNH
ZoninURA000) Applicant: RUSSELL MANZ
AT. 27 WARD AVE
Applicant Address: Phone: Insurance:
P O BOX 485 (413) 775-3126 ()
BERNARDSTONMA01332 ISSUED ON.81812014 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 10 X 16 OFFICE ADDITION
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 8/8/2014 0:00:00 $80.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner