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24C-078 (4) 12 MASSASOIT ST BP-2017-0157 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:24C-078 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 Permit4 BP-2017-0157 Project# JS-2017-000253 Est.Cost:$45800.00 Fee: $298.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT WALKER 034783 Lot Size(so.8.): 15942.96 Owner: FALLON JONATHAN M&LAURA A Zoning:URB(100)/ Applicant: ROBERT WALKER AT: 12 MASSASOIT ST Applicant Address: Phone: Insurance: 36 Service Center (413) 584-1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:8/8/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN & BATH 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 8/8/2016 0:00:00 $298.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0157 APPLICANT/CONTACT PERSON ROBERT WALKER ADDRESS/PHONE 36 Service Center NORTHAMPTON01060(413)584-1224 PROPERTY LOCATION 12 MASSASOIT ST MAP 24C PARCEL 078 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT /��g (� /J'i ff Fee Paid �j Building Permit Filled out Fee Paid Typeof Construction: REMODEL KITCHEN&BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 034783 // 3 sets of Mans/Plot Plan et4"C fedj,Jc /4-771-ti THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: vApproved 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 Demolitio SIM Deleellaayy� %/���� //�///, �/ p Ij//��^�r'r/\ Signa . of Buih•ng Offi/tall/ / 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. �- 3ity of Northampton ,y(� 55,,""s11 �: :,•. 3uilding Department a. m1/• 1;-T. n e << '� "'� " AUG 4 2016 212 Main Street r: pIUMITC Room 100 ....0 DEFT.OF BUILDING INSPECIIery N lrthampton, MA 01060 Twp �,�ls l ,; •� NORTHAMPTON MA 01060 pnunevi.S-587-1240 Fax413-587-1272 t+i OdRfSpei�y„ " 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 i Z_ rYNrtSS p.�O7 SimMap Lot Unit t )(12-C}yPmrNWJ , - Zone Overlay District Elm St.DIsbict CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1OWp--(71ata gbry L.Ave4A l-Uvo �2- �'W SOT cc' Name(Print) Current Mailing Address: "��� — -73z — Lli -- S347 Telephone Si ed ent: 1et3trnr IA/A cvz_ 6 SPry tce (c Ac-er, IN-DtaXml-ewroN, Name(P/my Current Mailing Address. _ /.C�� t\-1.3 — `S84 t ZZ Slgnature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building u OO (a)Building Permit Fee 2 Electrical (b)Estimated Total Cost of 3 a 00, Construction from(6) 3 Plumbing "a Building Permit Fee 4. Mechanical (HVAC) 'ho 5. Fire Protection DCO, 6. Total=(1 +2+3+4+5) 4-51 Check Number /a 7 019I This Section For Official Use Only Building Permit NumberDate Issued: Signature: Building Commissioner/Inspector of Buildings Date 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 fine. by Ruilding Depanme• Lot Size Frontage 0-- Setbacks ZSetbacks Frontr'J•[�._(^f/-w(� / Side L: R: .Q" 17�� Rear k/ r7\\ . " Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parkin _._. #of Parking S.. es --- Fi . otume&Location) A. Has a Sp at Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW © YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NOerDONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO V 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: E. Will the construction activity disturb(clearing,grading, exc ion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O 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 [C] Decks [p Siding[C] Other[O] Brief Description of Proposed f Yt �`roc� Work. �-�_(,� „�.� i4T—`it cb Alteration of existing bedroom Yes x•-•<111: Adding new bedroom Yes i/No Attached NarrativeRenovating unfinished basement Yes No Plans Attached Roll -K-1`49,2 5a.If Hew 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 o Is there a garage attached? d. Proposed Square footage of new construction. Dimensi•• e. Number of stories? I Method of heating? ' -places or Woodstoves Number of each 9. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. • .--tlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basemen • cellar floor below finished grade k. Will buil.--• conform to the Building and Zoning regulations? Yes No. I. -eptic 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, 'Jot'YYTygN uy. as Owner of the subject property hereby authorize y 5I AtC ‘..../`Akt..AL. Jl. to act o •'"- - - _ • -to work authorized by this building ea, ap li tion. -6 Signature• Ovine Date f I, -a GW- l:1-- i/--)A'L-JS42 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. gofafuar u AC-vZ Print Name ��(�1JG Signature of Plmer/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: r Not Applicable 0 Name of License Holder'. ' I` Vim+ -r � CS — kJ 4- 78? J License Number �p c2a ivXr Cfi-ALi,Vt- / ��Tha-CiA4443S1,1471a r•'1414 t G j t e ( Zo (7 Address `/n,/( t }� ny (U� Expiration Date Signature Telephone S.Rea/stored Home Improvement Contractor. Not Applicable 0 Zn Kort w A l 1J �— t -1 Zl to Company Name Registration Number Ac1 I A- �[2-0 t Address i3 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 0 (r '- C-%4 11. Home OwnerEzeumtion The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 City of Northampton Mail-RE: Pdfs for Walker's Fallon permit appli... https://mail google.com/mail/u/Oi?ui=2&ik=39211afc3d&view=pt&se... F 4,1 City of Charles Miller<cmiller@northamptonma.gov> oreuxmpton RE: Pdfs for Walker's Fallon permit application 1 message Michael LaMothe <MLaMothe@constructassociates.com> Thu, Aug 4, 2016 at 12:53 PM To: Charles Miller<cmiller@northamptonma.gov> Hi Chuck: The entire floor and two walls of the shower room will be covered with Schluter system membranes, covered with ceramic tile on the floor and solid surface panels on the two adjoining walls where the shower is. The icons on the plan show 28" square laundry machines.The actual machines will be 27"wide or under, depending on the models purchased. Michael LaMothe CONSTRUCT ASSOCIATES, INC. t413.584.1224 f.413.584.7504 From:Charles Miller [mailto:Omiller@northamptonma.gov] Sent:Thursday, August 04,2016 12:13 PM To: Michael LaMothe<MLaMothe@constructaSSOCiateS.COm> Subject: Re: Pdfs for Walker's Fallon permit application Hi, I'd like to see a section of how you are going to construct/waterproof the bath/shower Also I hope the washer and dryer are smaller than shown or it'll be a challenge getting them in and out of that closet Thanks, Chuck Miller On Thu, Aug 4, 2016 at 9:08 AM, Michael LaMothe <MLaMothe@constructassociates.com>wrote: Hi Chuck. I of 2 85/2016 8:08 AM