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18C-054
53 HATFIELD ST-UNIT A BP-2019-0936 GIS ft, COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-054 CITY OF NORTHAMPTON Lou-003 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv' KITCHEN RENO BUILDING PERMIT Permit# BP-2019-0936 Project JS-2019-001569 Es[ Cosi $19000.00 Fee: $123.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq.ft.): Owner. POWERS ELIZABETH Zoning, URB Applicant: STEPHEN D ROSS AT.- 53 HATFIELD ST - UNIT A Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584-1224 O WC NORTHAM PTONMA01 060 ISSUED ON.3/4/2019 0.00:00 TO PERFORM THE FOLLOWING WORK:KITCH EN RENO 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: FeeTvve: Date Paid: Amount: Building 3/4/2019 0:00:00 $123.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2019-0936 APPLICANT/CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413)584-1224 O PROPERTY LOCATION 53 HATFIELD ST-UNIT A MAP 18C PARCEL 054 003 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST D REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: KITCHEN RENO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 079160 3 sets of Plans/Plot Plan THE F09.OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION 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 Demolition Delay Z2 3- y 2019 Si mre 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. Department use orgyl'. City of Northampton Status of Permit: Building Department Curb Gut/Driveway Permit 212 Main Street Sewer/Septic Availability - y Room 100 Water/Well Availability Northampton, MA 01060 TWOSatsofStructural Plans phone 413-587-1240 Fax 413-587-1272 pimrtte plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR RENOVATE OR DEMOI ISI, A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: MAA 2019 his action to be completed by office 53 /' i/R [ W �r i Map Lot UOY Unit // (7 J ,�!/t,�rr f' DEPT Oc SUILDIpr6NiOPECTIONS Overlay District � �Lh�vd�dK ry A Q/ 6 NOaTHAMP %1 // Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: t1- A po.w rs S3 /o' Name(P Cur��rePPt Mai' Address// y Nb� /�O{'ik /'/R -1/a P Telephone Signature 2.2 Authorized Agent: 5�' t1- " �. K"S3 ✓a Name((P nt) /� Current Mailing Address'A /�/ a cve)de �gnalure Telephone 15— r/y'LZ SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed b 0ermil applicant 1. Building J OaOCw (a) Building Permit Fee 2. Electrical // / eft (b) Estimated Total Cost of J J• Construction from 6 3. Plumbing �VU _-0 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection _ G 6. Total=(1 +2+3+4+5) /'( CYX/. Check Number This Section For Official Use Only Building Permit Number: Date Issued: ),�1 /� Signature: 3- `Y-G�/il l-1/y Building Commissioner/Inspector of Buildings Date skpdtoss @ ya/wQwy EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK Icheck all applicable) New House ❑ Addition ❑ Replacement Windows Iteration(s) Roofing Or Doors El — Accessory Bldg. E] Demolition ❑ New Signs [O] Decks [O Siding [O] Other Iuq/ Brief De tion o Proposed �+ / ,/ Work: ic� A.Lw.- /�d�-�,r. L i S i Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet sa.If Now house and or addition to existing housina. 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? J. Proposed Square footage of new construction. Dimensions e. 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 i. Is construction within 100 ff.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 . L Septic Tank_ City Sewer_ Private well_ City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, r& 2 f as Owner of the subject property hereby a l m4..�r `� J to act n y beh f,in aatterelative to work authorized by this building permit application. Signature of Owner pDate I,� 7.. ��. 1'-oss ,as Owner/Authorized Agent here y� dem 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. S�.-•/�L f� R.r5 Print Na t— e Q f ature of Owner/Agent Efate Section 4. ZONING All Information Must Be Completed, Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column ro be filled in by Building Department Lot Size Frontage Setbacks Front Side L R: L: R: Rear Building Height Bldg.Square F Cage Open Space Foo (Lot area minus bldg @paved _. parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW e' YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T 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 0, DON'T 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO M 1- IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it pan 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 8•CONSTRUCTK7N SERVICES 8.1 LicenW Construction Supervisor: T Not Applicaable�y❑ Name of Llcenea Holds a 5 »! .Y. Ras S CJ / Mo 0 License Number 34 J/•'?B J4/9 Address 1 a Expiration Date yis•sEy-iaa� Signature Telephone Not Applicable ❑ n� � �g�/ L'a�fiac>Lc/ It -W 9 Company m RegisV�allon Pumb� .34 4MA iW040 15-dl •12olB Address Expiration Date TelephoneNi3'60Y-/21 SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.182,§260(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affitlavk 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 m 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 mrson 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 shag be resoonsible for all such work performed under the buildioa permit. As acting Construction Supervisor your presence on thejob site will be required from time to time,during and upon completion of the work for which this permit is issued. Also he advised dim 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 my be Gable 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 Gencml Laws Annotated. Homeowner Signature