Loading...
30D-001 331 BURLS PIT RD BP-2018-1274 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:30D-001 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeory: Porch Repair BUILDING PERMIT Permit# BP-2018-1274 Project# JS-2018-002273 Est.Cost: $13000.00 Fee: $94.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: JEFFREY BOTT 053157 Lot Size(sp.ft.): 511394.40 Owner: RAYTON PETER M&CHRISTINA M Zoning: SR(103)/WP(16VSI(o)/ Applicant. JEFFREY BOTT AT. 331 BURTS PIT RD Applicant Address: Phone: Insurance: 32 Pine Street (413)530-6920 O Workers Compensation FLORENCEMA01062 ISSUED ON.61512018 0:00:00 TO PERFORM THE FOLLOWING WORK REPLACE FRONT PORCH 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: O_I: 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: FeeTYDe: Date Paid: Amount: Building 6/5/20180:00:00 $84.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner File#BP-2018-1274 APPLICANT/CONTACT PERSON JEFFREY BOTT �tai/ ADDRESS/PHONE 32 Pine Street FLORENCE (413)530-6920 O PROPERTY LOCATION 331 BURTS PIT RD / MAP30DPARCEL00I 001 ZONE SR(I03)/WP(16)/SI(0)I THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvveof Constructiom REPLACE FRONT PORC New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included- Owner/Statement or License 053157 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INIF 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 Stonn Water Management volition Delay 'e of Buil Ing cial Da[ 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 StMus of Pan* Curb-Cutlbrfiiewey9annd, . Sew *optic Ava4mbiHy 1 - WatedWell AvaiabWtyr [On ,:::: Two sods of structural PMrre p 7-1272 PIdlSits Penne Other speft- APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATIONf jp-'I a' i�`/ 1.1 Prooerty Address: This section to be compleMd by oRlce 33L E3v(zvs FM 20gil rasp 30D Loc coil unit FL o 21:r1« MFS o t'0 VL - zone SK Overlay Distriot Elm SL Olaalcd___ CB DUMct__ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 'Pete.' " t-e.1 �.L'..r�5t'rngT'glerse✓� 33\ L6� s Ph P—A FJ\o•-ev.c.e\�\A Name Tint) Commit Mailing Addwsa: fl3 58(0 `1354 Telephone Si nature 2.2 Authoflmd Agent: �eFFre� t3atl 3ZPt'(\C5s rlbrZYA�p MA 01067' Name(Pnm) Cueetd Mailing Addmea: 'Jtt3 530 6-L? 0 Sig re Tekpham SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Oficial Use Only mm feted by Demilt avolicant 1. Building 1 000 (a)Building Perms Fee 2. Electrical �0 �, (b)Estimated Total Cost of CmoWcbm from S 3. Plumbing ' 0 — Building Permit Fee 4. Mechanical(HVAC) O 5.Fire Protection 6. Total=(1 +2+3+4+5) 1 13 0C90 , '2c/ Check Number This Section For Official Use Only Date Building Permh Nu er: Issued: Sig re: Buil mbeionerflnelwdor of Buildings Data jeffbott Q 1101.00111 EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING Aa Infmmadan Must Be rampleted Penna Can Be Denied Due To loomwlete Information Existing Proposed Required by Zoning This mhann to be filled io by fJ� LH14A �r t arC.In WV\sG suimingDepemnrnt Lot Size Frontagey S ..._. /G... . ... _ _ Setbacks Front Side L Z"p R:.704f L:Al& R: Nc _... _ Rear '!°po 'Ay4'_.. _._.. Building Height -- - - Bldg.Square Footage _._ Ya _. Open Space Footage % (Lot vee minus Mg a.paved 4 of Parking Spaces -- - Fill: volumeal.acation A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW Q YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document#'. B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW O 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 © NO O 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. NAI the consaucaon activity disturb(clearing,grading,excavatlon,or filling)over 1 amor is h pert of a common plan that will disturb over 1 arca? YES O NO IF YES,than a Northampton Stone Water Management Permit from The DPW is required. RECTION 6-DESCRIPTION OF PROPOSED WORK(check all awlimblel New House ❑ Addition ❑ Replacement Windovn Alteration(s) Roofing Or Doors ❑ Acceaacry Bldg. ❑ Demolition ❑ New Signs [D] Decks (M Sitting[[31 Other Brief Desddption of Proposed Work: 1 Alteration of indsting bedroom_Yes x No Adding new bedroom Yes x No Attached Nartative Renovating unfinished basement Yes No Plans Atiecwd Roll Sheet' ea.If New house and or addition to existing housing, comolete the foNowinm 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. Dimensions a Number of stories? I. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction L is construction within 100 ft of wetlands?_Yes _No. Is consbuction within 100 yr. floodplain_Yes_No j. Depth of basement or cellar floor below finished grade k. Will building confonn to the Building and Zoning regulations? Yes_No. I. Septic Tank_ CitySewer_ Private well_ City water Supply_ SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTORAPPLIESFOR BUILDING PERMIT 1, (�try,t 51` &A �41 LY- 50 N ,as Owner of the subject property Jeffrey Bog hereby authodw to act on y behalf,in all relative to work authorized by this building permit application. MMA�,...I- ti_�- v 18 Signature of Owns, Date UQ�t Ye„ .�7, D`1 as Owrty/Audw@ed Agent hereby decare that th statements and information on the foregoing application ere true and a=mte,to the beat of my knowledge and belief. Signed under the pains and penalties of perjury, Pdnt N u_ 1 1� Signature ofOwnecAgent Data i SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Const udon Supervisor. Not Applicable 0 Jeffrey Bott License Number 32 Pine Street CS-053157 Address E>miratim Dare Florence, MA 01062 09/06/2019 Signature Telepnmro 413-530-6920 Not Applicable 0 company Name t-^(� r1 t� Regismrkorr, Number 3e CYre�1 y�o�` G���rAc r_�l HIC 101227 Address E)Tindion Date jZ 'Pl ile 5Tr LD(Z V 1•I,CG. Telephone L,�yz �30 L'9)O1 .Z� f4A C, k p SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.18;§25C(8)) Workers Compensation insurance afidavk moat be completed and submitted wkh this application.Failure to provide this affidavk will resuk in the denial of the Issuance of the luailding permlL Signed Afkdavk Attatlred Yes....... x No...... 0 City of Northampton '' Massachusetts ' A. atBBR96a'l W aazaoaa ZHSP2CTI0Wr 212 bele St t •l6mle l B Jb Y pCD boitLemp , bA 01060 Debris 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. The debris from construction work being performed at: 33 ( &-) -ts PIS Rnao Flew« 1")* (Please print house number and street name) Is to be disposed of at: i � �a ( lease print nam and locatibn of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Sign u Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Departnunt of IndustriarlAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 wwacmassgov/dda Workers'Compensation Insurance Affidavit-General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. AooticaBt Information Please Print Legibly Business/Organization Name: I�eTY'(r2ris }30 CowrrP.�Ttv�q r � Address: 32 r%tJti S[- City/State/Zip: RD9-GSICE r e1K WO62- phone#: %3 530 Are you an employer?Check the appropriate boa: Business Type(required): 1.❑ 1 am a employer with employees(full and/ 5. ❑Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,unto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] S. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§I(4),and we have l0.11 Manufacturing no employees. [No workers'comp.insurance required]- 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑Health Care with no employees [No workers'comp insurmtce req.] 12.1K Other 'Any applican ail drab box#1 ram iso no our tae uc„on hlmv shovdngtlxirwadsn'compemation polity infomm„oo. ••Rax mrponaeoficers have ezenmted dennelves,bur the eorpanioa has odw engtoyeez aworim'cornpenwtinn policy u required and such m o,pinco onshouldcheckbonat. I am an employer chat is providing workers'compensadon insurancefor my employees. Below is the polity information. tunmaace Company Name A l M h uYu>g[ Insurer's Address: Po 60x !+ 70 City/State/Zip: bugun(t 00 f-A �18o3 - oat Ick Policy#or Self-ins.Lic.# J UEj000060(LOII6_Expiration Date: ZO)8 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 weft as civil penalties in the form of a STOP WORK ORDER and a fore 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 ofthe DIA for insurance coverage verification. I do hereby certify,under ahepatns andpenahfes ofperlury that the htformadon provided above Is one orad cerrect. Sign„ . �*P -p-4Date: 5 118 I [ 8 Phone#* et3 530 e,,9 ?- 0 OfJlchrt use only. Do not wrhe In this area,to be con rieled by city or own gddicid City or Town: Permit/License# Inning Authority(circle one): 1.Board of Heshh 2.Building Department 3.Cityfrown Clerk 4.Licensing Board S Selectmen's Office 6.Other Contact Person: Phone#: waw.mosapv/die I j I i � I III �I i Id I 4'_011 y' ------,V Project Name Rebuild front porch Client Name and Address Christina Petersen 331 Burts Pit Road Florence, MA 01062 Sheet Number Sht-1 Sheet Title Elevations 2x4 kd rafters 16" on center 2x6 kd sub-facia 2-2x8 kd header —T!- I� 4x4 support posts �, 112 plywood sheathing fiberglass roof singles — - I1 , i � tel- ' 12 overhang 20'-0" 200 pt ledger bolted to house sill 2x8oist t t P 1 ( YP ) i 2-2x10 header supported by 6x6 pt posts 10" pier footings T iJ 48" below grade - , 6-6 1/4' 6-6 1/4" 1 44 pt post for stair rail Project Name Rebuild front porch Client Name and Address Christina Petersen 331 Burts Pit Road Florence, MA 01062 Sheet Number A-2 Sheet Title framing