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24C-121 (13) 132 FRANKLIN ST BP-2017-0295 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24C- 121 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: EXTERIOR RENO BUILDING PERMIT Permit BP-2017-0295 Project# JS-2017-000495 Est. Cost: $3000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: use croup Homeowner as Contractor Lot Size(sa.fl.): 6621.12 Owner: TAUB JENNIFER S zoning: URB(1001/ Applicant: TAUB JENNIFER S AT: 132 FRANKLIN ST Applicant Address: Phone: Insurance: 132 FRANKLIN ST NORTHAMPTONMA01060 ISSUED ON:9/16/2016 0:00:00 TO PERFORM THE FOLLOWING WORK GABLE OVER FRONT STEPS 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 Of 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 9/16/2016 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File BP-2017-0295 p{G APPLICANT/CONTACT PERSON TAUB JENNIFER S o^, AUS ADDRESS/PHONE 132 FRANKLIN ST NORTHAMPTON /�'"' PROPERTY LOCATION 132 FRANKLIN ST MAP 24C PARCEL 121 001 ZONE URB(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 Typeof Construction: GABLE OVER FRONT STEPS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 • .h ,y 400, Signa re o 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. Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway,Permit SEP - 2 2016 212 Main Street Sewer/Septic Avallabllity Room 100 Water/Weil Availability .a BULINNGwsPEanoNS Vorthampton, MA 01060 Two Sets of Structuiat Plane N'T Pi°N•a"01 „m.,-113-587-1240 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 This section to be completed by office 1.1 Property Address: /3 g (.Frail IC/ill 2 �t-(7, F Map Lot Unit Nt/ra..np_/mm, / 414 Zone Overlay District Sim St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.t Owner 4 Record: -7^ l,9,2,. f/ 1, ) K /rip s j�r„-/� ��, , , i /"". / G(. ._, �— 168 �✓/KX.� Name(Print �,,,,,,..� Currant pgailipq AQtlress�j� .Y Cl�i..�,.....� Tele/prmnnee ��f1 e V Sgnature ^g,2 Authorized Agent: k/tdi Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS —1 _ Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /! V 60 (a) Building Permit Fee 2. Electrical f+*N / (b) ed EstimatTotalCost(6 of Constructionimted from 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection � ['r// - B. Total= (1 +2+3+4+5) Check Number OOy9 This Section For Official Use Only Date Building Permit Number: __ issued: Signature: Building Commissioner/inspector of Buildings Date 1 Section 4. ZONING ALL Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required b}Zoning Thia column to he filled in In Building Department ILA Size _. . Frontage .._._. Setbacks Front Side I: R: L: R: Rear Building Height Bldg.Square Footage Open Space Footage 9.. (IJ)t area minus bldg&paved parking) N of Parking Spaces Fill: (volume&location) - - -- - A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO O DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ® YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW © YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O 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 fXl IF YES, describe size, type and location: ,J� E. Will the construction activity disturb(clearing,grading, ex vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © 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 Ere Replacement Windows Alteration(s) n Roofing Ti Or Doors 0 Accessory Bldg. E Demolition ❑ New Signs [[C] Decks [0 Siding [Di Other[Cl] Brief Work' ascription of Proposed j I/✓,/Qo VQ✓ I' / r oetL s s Q rs / Alteration of existing bedroom Yes No Adding new bedroom Yes V No / Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet aa. 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. 161DimensionsU 0".5 e. Number of stories? r,� f. Method of heating? l!]/T4c 671]Ci e ) Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. K' ,rc Masscheck Energy Compliance form attached? h. Type of construction 'Q.�L[tAgYtrt5 t� t44\ r' " i. Is construction within 100 ft. of wetlands? Yes y// No. Is1 construction within 100 yr. floodplain Yes �✓ No j. Depth of basement or cellar floor below finished grade I v� k. Will building conform to the Building and Zoning regulations? 0,--- Yes No I. Septic Tank City Sewer Private well City water Supply i,/i--.- J SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 'JOU) t rote- ` Qhvl)L , as Owner of the subject properly hereby authorize N 1A to act a i.my behalf, in all matter------.--- 4 tie to work authorized by this building permit application. 4• J Signatureof Owne WrDate 4=a al-- ( , I, J etc 41. l 4-r \ cux b , 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 th- pains and p nalties of oer,urr .044 I l c�) �10 Print Name Sp \cz ) u ( h Sign.:, •wner/Agent — Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Reoletered Home Improvement 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 ❑ No ❑ 11. - Home Owner Exemption 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 10835.1. 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 accessor) 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 Loh site will he 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 Annotate),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.St . nd local Zoning laws and State of Massachusetts General Laws Annotated. Homeowner Signaltire ------ C :OLN\ vaunwt s J tr mu Department of Industrial Accidents Office of Investigations =�ex 1 Congress Street,Suite 100 t ^rte :/ Boston,MA 02 114-2 01 7 �� www.ntass.govldia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly r �� Name (Bnsmcss/OrgariranoMudmthisp: `/, I y L(. t � cc _ Address: I Frio/deft, U City/State/Zip: firAg to Phone#�CI '1�_ gJ 3— (O 6� Are you an employer? Check the appropriate box: Type of project(required): I.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- 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.) quired.] 5. ❑ We are a corporation and its lap Electrical repairs or additions 3.T I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 7 12.0 Roof repairs insurance required.] ' C. 152,e I(4),and we have no 13. they 4sf$ b I employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information '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 nutnber. l am an employer that is providing workers'compensation insurance for my employees. Below is the polio and job site information. Insurance Company Name: _ Policy#or Self-ins. Lie. #: 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 ce under the pains and penalties of perjury that the information provided above is/true and correct. Signature: -7 'rr Date:q I t I p (67 Phone#: '1 i / � $33 "- a* O l�1r u J 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton r, e� "'a Massachusetts & P DEPARTMENT OF BUILDING INSPECTIONS r tf. Q' 212 Main Street . Municipal Building t� Dn: l • Northampton, MA 01060 sr. .‘.,>` INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMP TION 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 • • • • •• •1 • • in• VI • r• - •I- • - r - r• • • • l•' • .r • - i•n (beforework 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 madep� I, 7rf P n n I f-t' ✓ k�L understand the above. (Ho aowner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to meC Date ` .2_ fv/ Address of work location tZ.)4 it—r—a (Y\P 41/-- dl a 61) City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal+ facility, as defined by MGL c 111 , S 150A. } Address of the work: t 3 _ A The debris will be transported by: a , ja 0 l4J1'\C/ The debris will be received by: mA , Acrlea!fen a Cl r CC:10 U? Building permit number: Name of Permit Applicant L2 1 M t n � bv Date Signature of Permit Applicant �..ri- -r...� cc.,,, gC5 rte'( ! '_`� l0 7/ _ , J ` 'J ____i 3? Tr-tr.;',,, ` t City of Northampton Building Department (.2 E;. �' r r 1 ,, e r l Plan Review - __..1 212 Main Sheet > Northampton, MA01660 { f.- 2 I r h I I r 1 I 1 \ "`i _'_... y PCL evaa } 1 Pep/t0 t It " � . 1 ti 1 j 1 I 1 t , 1 , . 7 ' ,..,x,- ,— �� I SITE PLAN AND SKETCH OF PROPOSED PROJECT " G / 2 / / I �`h ->1 132 FRANKLIN STREET NORTHAMPTON MA / FOR ZONING PERMIT APPLICATION • 3cvo P57_ Min Proposed Removal of ' mt„ Accessory Building e (+ /-400sf) shown dotted 7�N�4 J-Y Fort,.,5 "I1,a pier- 2(2 ss, e J dot. 720' 22, existing an, c a 7 ( O J l,eWay l I 1 iv, i ay lemove +/•388 • n t ... t sf paving t- 11 existing Paved Driveway Wood to remain LOT Deck +/-771sf 6600sf Proposed New Existing House I Accessory pro 1 ,065sf footprint BIdE(y$c)sf pent 7, no change foctprin he caa �S es — 70 % 3Lar '_ A 779s, north //'I \ cc SITE PLAN �`� N /y 0 scale 1 "=20' SEL i. & 1HRCA /y ! o " _ - __ axis KO a:�V� a-rc Lollo., 1c-5 S}" vLn< UA. , rkLkrac