38B-152 SIN IiM BP-2006-0970
GIS-#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Buildinq
Category: BUILDING PERMIT
Permit# BP-2006-0970
Project# JS-2006-1446
Est. Cost: $700.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BRYAN ALOISI 073513
Lot Size(sq.1): 5837.04 Owner: PARFET ROBERT L&
Zoning:URB Applicant: BRYAN ALOISI
AT. 71 COLUMBUS AVE
Applicant Address: Phone: Insurance.
107 ROCKY HILL RD (413) 549-5141
HADLEYMA01035 ISSUED ON.312312006 0.00:00
TO PERFORM THE FOLLOWING WORK:REPOINT BRICKS ALONG REAR HOUSE
FOUNDATION
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 3/23/2006 0:00:00 $25.002486
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-0970
APPLICANT/CONTACT PERSON BRYAN ALOISI
ADDRESS/PHONE 107 ROCKY HILL RD HADLEY (413)549-5141
PROPERTY LOCATION 71 COLUMBUS AVE
MAP 38B PARCEL 152 001 ZONE URB
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: REPOINT BRICKS ALONG REAR HOUSE FOUNDATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 073513
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF99MATION 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 ssion
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.
City of Nortf ampton
Building Department
� r 212 Main Street
1 - Room 100
Northampton; MA 01060
�Z'\ phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1}-SITE INFORMALION
�';��. 4 This secUor�ta be�rcoro�e�ecfby�otfice"� 5
1.1 Property Address:
bra
ieO 1. v G O RS e7 e.:'I'A.
Na12-f"QQ( lf, �A
EftnS>tiD�slFiici a r r ,! ED�4lrtcf
SECTION:2-PROPERTY`OWNERSHIP/AUTHORIZED AGENT' -
2.1 Owner of Record:
06-g7le-T- l (�l v v,�YD
Nam Tint Current M ilin ress:
�9 � A&A-- 616 6 o
Telephone
Signature L3 ��J
2.2 Authorrizzed/Agent: A7 r q P<°&
o
Name(Print) ok, I Current NK'ing P4A& ss:
Signat eleph e
SE4TI6N.3.-'ES'TIM'ATED`CONSTRUCTfOIY COSTS>
Item - . Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building •r� (a)`Building Permit Fee
2. Electrical ,(b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(I +2+3+4+5) Check Number
This`Seefion-,Foi Official`Use Only
:Date.
Building PermitNuntber. Issued:
Signature: r
i
Building Commissioner/inspector of Buildings Date
w
Section 4. ZONING All Informati6h 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
( I
Frontage F i
Setbacks Front
Side L:I I R:E L:' ' R:i
Rear —1
Building Height
Bldg.Square Footage %
Open Space Footage % �--
(Lot area minus bldg&paved
#of Parking Spaces
Fill:
volume Bc Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW (a YES 0
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW f YES 0
IF YES: enter Book I Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , 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 NO
z
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? YESQ P, NO
i
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
'J
SECTION 5 DESCRIPTION OF PROPOSED-W.ORi�C(check-alt ayollcabl
New House ❑ Addition ❑, Replacement Windows Alteration(s) Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [p] Other[C:31
Brief Description of Proposed
work:_ _ .F(Toiv4r 15Pc-r—S At,006 Mees 0E RdvSE FOU0DtVdtl
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yesy No
Plans Attached Roll -Sheet
aF �e o, t s: a� rti> i
a. Use of b0ir inn•One Family Two Famiiv 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
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
i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain - Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank CitySewer Private well City water Supply
SEGTION Za-OWNEI�ACITHORIZA'GiON TO BE 6MIi',�ETEO�WF{El�t
OWNERS AGENT OIC GOt�TRACTOR RPPLIES}FQR;BCXiLDIFf(,:PERhIIIT
as Owner of the subject
property W
�L,
hereby authorize T- is 1 66NMLJ` , a 1.IVL
to act on my behalf,in all matters relative to work authorized by this building permit application.
fes-
Signaturef Owner Date
I, ,as Owner/Authorized
Agent hereby declare thal the stjtements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and enalties of perjury. '
F-12
Print Name
31-3
�
Signature of ner/Agent Date
SECTION 8-CONSTRUCTIO SERVICES 711
8.1 Licensed Construction ervisor: Not Applicable 13
Name of License Holder: ` ✓ /
35
107 4&41 P I ff License,Number
Address irrAtion Date
ign re Te ephone
DOW
Not Applicable ❑
C moan Name �� �OC,�r' /`1 Re—` istr tion R ems— -—
l� LH � Z Zyv
Address Expi ation Date
Telephone
SECTION 10-WORtfERS.7't.OIIAPEMSA-t[6WIFISCII ANt'C1E E1[1 1ft AI G E.c 52,
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...... ❑
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 1083.5.1.
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
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Crim of �'Tctrf(1ZI111 101-1
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�Z a7aa<r1l nsrtta• - _
DEPARTMEI-r7 OF BUIL.DDZG INSPECTIOI.'S
212 Main Strcct Municipal Building
'a.
j Northampton, Nfass. 010GO
j
WGR=IZ'S CONIC ENSA77O.N MSURA-NCE AFTT��i.�riT
i
,kriLb a priricipal place of businessfresidenee at: –
1
GAY
(phone:') 3 5W—S-AlJ
(sn�.t/ci ty/sutrla p)
do reby cetdi --, under thc.pains :md penalties of pcs3ury, hat
I am an employer providing the folloNving «,orkcr's comocnsaoo, covc z^c for my
etuployces ivorinng on tens job'.
Cad&
Omsur-mc Coer L-y) (Police: Number) (T:•piraaor.Das^.)
O I zm a sole proprietor, general contractor or homeowner(circ:e ore) and Lave hired
the contractors listed below cvho have the following workers coM- pen_taaon pobcies-.
i
- (NaMC O; Con�:acros) (In franc-,: Coinpan)-Pt oUc; Num c:) (t_'::)irjuon talc)
(Name of Contraor) (LnsU=cc Company/706M' Numc_r) (L-kptraon Date)
(Name of Coumclo,-) (LDsuranc-c Company/PoUcy Numbcr) (Expimdoo Date)
I
(Name of Contractor) (Lnntran(-- Compazy/Poticy Numbcr) (E%pirtion Date).
(LII.11 ad;r::oc l zScC.il ncc�-y
to c�ucLinform cc pciaisins b.11 ocaa-1�:a)
I
jO I am'a sole proprietor and bave no one woridDg for me.
{ ) I am.-a home owner performing all the work myself.
1 NOTE:p1-..be aw Ott tfiL wi:Jc bcm»�vm..iso employ pcQa m - c=,—=-oa a rt sir work On L d.•en_;Z of
not Mort tbrn Lbroe L--Vs is-EE ch the bomcowvcr roido oc oa the pvuaC=c--Uy 6 zppurtcasa tbc.,-o L s oat C --tty oecw d—d be
eitplor=,, r..tb.wu-kcr m o=ff•--•:oa Ace(GLIt 52.s 1(5)1,-qUc boa by.bomcow=fc a Gc=c or pe-mit c=y el-idco=the
1c-pS n of La ==Pioy.r u.&'dL W*CkeL Compsm.tion Act
I
I awdc•njad d4A a copy of tbi.m1.Qacaa may b.for rard.d w Lb.D"XLMeoa of 1..& 'j Armzw&M-or 1=� ror tb.
eovcace veil olioa and ttu Lilsae to socure tovcrnse uncle U=oa 25A of MCL 132 na lad to the i aiaa cdc=dasi pcmxw=
e ali 1=9 ora fine of tzp to S 1,500.00.ndfor orup tv ooc ycr rod CMI peo..lia is be form ora Slop Word;ordc Lad a
rim of S 100.00 L 6y Lp-iCLa me
For d,, a st u,c ont7
permlt Numbcl -�;- . il
Si Wrt of Lic=LsalPccmiuc:. !
1
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DEPARTMENT OF BUILDII�G INSPECTIONS
INSPECTOR 212 Main Street • Mmuciral Building
Northampton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sups:, i nor. the state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be,a do ofrwzdiand ------
I
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 buil3ing department for the City oTNorthampton wants-arty 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
- - is-sued-to me
Daze
Address of work
location
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