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31A-089 (2)
21 VERNON ST BP-2021-0025 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31 A-089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2021-0025 Project# JS-2021-000034 Est. Cost: $20000.00 Fee: $130.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 12719.52 Owner: CARVALHO CAITLIN C Zoning: URB(100)/ Applicant: CARVALHO CAITLIN C AT. 21 VERNON ST Applicant Address: Phone: Insurance: 21 VERNON ST (413) 587-0570 0 NORTHAMPTONMA01060 ISSUED ON:7/8/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD NEW APARTMENT TO EXISTING HOUSE AND ADD DECK 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 7/8/2020 0:00:00 $130.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2021-0025 APPLICANT/CONTACT PERSON BOSCO JOHN E&CAITLIN C ADDRESS/PHONE 21 VERNON ST NORTHAMPTON (413)587-0570 Q PROPERTY LOCATION 21 VERNON ST MAP 3 1 A PARCEL 089 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Typeof Construction: ADD NEW APARTMENT TO EXISTING HOUSE AND ADD DECK New Construction Non Structural interior renovations Addition to Existina Accessoa 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 INFORMATION 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 PW 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 L JL � TArw/ � Y�ao Signa re of Building Official 16 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. 0 m zU 1 o D C ' �r �Z M DU) rV M The Commonwealth of Massachusetts FOR o-4 Board of Building Regulations and Standards MUNICIPALITY °z Massachusetts State Building Cade,780 CMR USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mw*2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 8 Date Applied: Building Official(Print Name) Signature VU SECTION 1:SITE INFORMATION 1.1 i ro1I22erty AddreCA 1.2 A3 ssors Map&Parcel NumbrsQ�j 2 VQXlnon U d 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq&) Frontage(ti) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Rcquired Provided Required =Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: , Outside Flood Zone? Municipal❑ On site disposal system O Check if yes❑ SECTION 2: PROPERTY OWNERSHI:Pt 2.1 Owner'of Record: Get 1 T 1.1 N C,AiQ-VA -oto No q J-H f1yk P To N MA D(Obo Name(Print) City,State,ZIP 21 J .eNON ST, 21 2 3`j�J Caltl;ncarVc kV, M.I No.and Street Telephone Email Address •GOwt SECTION 3:DESCRIPTION OF PROPOSED WORK'-(check all that apply) New Construction❑ Existing Building Owner-Occupied Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ 1 Plumber of Units I Other ❑ Specify: Brief Descri tion of Proposed Work': A bo-+kcolakine-P)e7tte- -+V. a c-IL a-►- o /Xv 2 0 nAc SECTION 4:0TWATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) L Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Feep:$ ` Check No. rCheck—Amount: Cash Amount: 6.Total Project Cast: $ 0 Paid in Full 0 Outstanding Balance Due: i 77 I . I.A it 1. -...f.1` ;�:j- »l.i � �•.� „%.."may'• .+ . .y:i��';� • '. .` .i .� !i; � `,3. �! . -....... ...... C +r..�' ��. »X _C,,.i;m•i yi .A.fi:ty . !_ X,F 8�4•:.: ¢'�,. 'i "'^yX _ _. ..i s fit Vol , 'Awl 0 low Asp v 1v 1 �• t ,. t,1, . I 1 i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS_ 0 S";3 1 -71 ? 10 1 Z J OV ) l --ib V --�,r i License Number Expiration Date Name of CSL Holder 6b 1�(-"00i 1�L List CSL Type(see below) No.and Street 1 Type Description H at-�I t I A 11 A)/t b I ()S(6()S(6U Unrestricted(Buildingsu to 35,000 cu.ft.) f'T R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Mason ry RC Roofing Covering Q 11 WS Window and Siding L-12 I� G W I A SF Solid Fuel Burning Appliances l�9 YV1Q t I 'GO tYl 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 30 k n l 26�t r IUC Registration Number Expiration Date HIC Company Name or HIC Registrants Name `',�eLt1ic10I Lt.S A�O�V� No.and Street Email address Ci /Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.1 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 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Jo Gt t1 �tb r�d-#-- to act on my behalf,in all matters reiativ to work authorized by this building permit application. 7- ?LD Priki Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the pains and penalties of perjury that all of the information contained in th' application is tryf and accurate to the best of my knowledge and understanding. 7-Lyty avA-Lttfl -7-7 - -2-0 Prmt Owner's or Author&d Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HEC Program can be found at www.mass._ov;oca Information on the Construction Supervisor License can be found at wwnv.mass.Pov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.fr.) (including garage,finished basement/attics,decks or pouch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" The Commonwealth of Massachusetts Department oflndustrfalAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aimlicant Information Please Print Lesibly Name(Business/Organizatiodlndividual): CA I TL-1 N C44 1'L-VALAf 7 Address: 21 �12N l7 ST City/State/Zip: oro-HkJULffD t-� M ft IPhone0#: '+1-3-262 - Are you an employer?Cheep the appropriate box: Type of project(required): 1.0 1 am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in g, 0 Remodeling any capacity.[No workers'comp.insurance required.) 3.[3I aa homeowner doing all work myselt[No workers'comp.insurance required.]' 9. El Demolition m 4I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 D Building addition ®sure that all contractors either have workers'compensation insurance or are sok 11.❑Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sleet These sub-contracWts have employees and have workers'comp_inn�nce.t 13.❑Roof repairs <3 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no 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. t 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 time 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 number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under e s and pen ties of per' that the information provided above is true and correct Signa ture: t�q Q Date: V 10 Phone#: � a(� 3 1 1 1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: The City of Northampton Building Department n 212 Main Street Northampton,Massachusetts 01060 Phone (413) 587-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance with the provisions of MGL c40, s54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111,sl 50A. The debris will be disposed of in: 14Lf Location of Facility The debris will be transported by: Name of Hauler 30 L"V1 Signature of Applicant: Date: 7 — City of Northampton Massachusetts DEPARTHWT OF BUILDING INSPECTIONS >>e 212 Main Street • Municipal Building vti., Cb Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT S—Cj-6$ I, CIA 17Li a KENN E D� CA(zy"Lt t,H b .(insert full legal name), born _ (insert month,day,year),hereby depose and state the following: 1. 1 am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. 1 am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. 1 qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. 1 do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this 'day of 20 2U (Signature) CITY OF NORTHAMPTON SETBACK PLAN MAP:_ _ L OT:_ _ LOT SIZE: REAR LOT DIMENSION KEARvARn SIDE YARD SIDE l"llri) 0 FRONT:LIBACI: FRONTAGE_.------- NDICATE LOCATJON AND Dl ME NSJ ONS OF If OCB I-GARAGE.ADDITIONS OR ACCESSORY BUILDING. HE SURE TO INCLUDE FRONTAGE AND LOT SIZE(SOL'ARE FEET OR ACRIZS) P.T.8 x 14 deck on grade 2x8 P.T.framing 16 with 2 x 8 double girder on three 10" sono DECK s 14'-0"x 8'-0" love existing window and replace with I I I I exterior door 288D4H \ 3068 kitchenette and small island seating/storage C i O I vert existing laundry room to half bath stackable laundry room I I I I E rse door swing of existing exterior door a LI c E d � U r O NZ 0 _ o N, � r a o Q Z N Zi ii z Z1 zees j 5 m. Existing renovated two story barn 0 N O U�I H n C a £ Existing Layndry Room i W N o = a E > f N Z it II Z O - � F Q� P O (Q T > Q Wi W 250 Z <, r o � "2o 21 Vernon St Northampton Ma existing space to be remodeled 5 CO MP J31 A �0�9 CSBeatn7D19.122 John Lebhar kn13wmFr*c211&9.0.1 7-8-2(1 bFauzmL 7awnw 1 21�fanon Si 4:18pm i F7orcace Ma i of 1 Member Data Descripbon: Member Type:Beam Application:Floor Top Lateral Bracing:Contirxtous Bottom Lateral Bracing Continuous Standard Load: Moisture Conation:Dry BLAding Code:SBC Live Load: 40 PLF Dettecton Criteria: L/36p five,L/240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight: 5.7 PLF FiWeme:Beam Other Wads Type Trib. Other Dead (Description) side Begin End width Start End Stat End Category Addttiora!Unik=tPSF; TI-'X 0 0.00' 14'0.00" 4`0.00" 40 14 Live -77 0 6© 6 6 0 6 6 0 0 6 0 14 0 0 Bearings and Reactions bput Mn Gavity ~;cavity Location Type Matenai Length Reeled Reaction Uplift 1 0'6.000' Wail Steel 3.500" 1500' 887# — 2 T 0.000' Wail Seel 3.500" 1500" 2203# — 3 13 6.000" Wall Steel 355 1500'' 887# — Mwdmum Load Case Reactions toad for ap*V pail ba&(or line bads)to tea^men , Live Dead 1 675# '213# 2 1625# 578# 3 675# 213# Deso spans U 6.000"(left cant) 6'6.000" 6'6.000" 0'6DW-(rightcarct) Product; SYP(PT MCA)#1 2 x 8 2 ply PASSES DESIGN CHECKS Connect members with 2 rows of 16d common nail at 12.0"oc Design assumes continuous lateral bracing along the top chord. Design assumes continuous lateral bracing along the bottom chord. Allowable S cess Design Actual Allowable Capadly Loc F& Loading Positive Moment 1014.[# 2738.W 37% 10.9' Odd Spars D+L Negative Moment 1430.W 2738N 521/0 T Adjacerx2 D+L Shmr 938.# 2538# 36% 6.67 Adjaoent2D+L h4m.Reaction 2203# 6568## 33% 7 A4aceM2 D+L LL Deflection 0.0349' 02167' U994+ 10.57 Odd Spans L TL D68ect on 0.0422 0.3250" L949+ 1057 Odd Spew D+L LL DEA.,Lt -0.0092" 0200T 2LW9+ Cr Even Spas L TL Dell,I -0.0113 020w, 2L19.99+ 0 Even Spars D+L j LL Del.,RL 40042" 02000' ZAw+ 14 Odd Spans L TL Dei.,RL -0.0113 02000' 2LJ999+ 14 Odd S D+L Control:Negative hkment DOLS Li%e= 0%S�10oYF115%ROoW25%Wind=160% This member has been design ed in aemnianoe oath NDS 2012 r I AI prodrrx names ars ttademad6 of fiw wiled a amens UPY#t(C)2018 DY Srf j s WOrtg�Te Conyarry he ALL IRCHTS RESERVED "'Pasehg e:aetrx as ween the manber,flow jig,ooam or girds[ffivnn m ftdra"meds awn able ow gnteli aa for mdtar als,Loadna Cms ane Spars k4ed m tzsiest.The rrxri De nnrevpd b,a ti w or 2Et • :Amaral as,w ' V. x v-= Tit air aswmes« x;uC istabtai aooY* to the mrufadurWs s -jsa. O 0 M 00 N M OD 00 O O vni an•.+ o, a w y ------JL_ —t'`u�m�9 v ,..,T iii � z�.�.=,..a„ ••. '. ' � c 3 I I N 3 E II I I , II 2 Section 1 :1 FounAelinn U yr-r-o• _ - _ - - _ -- -- - - - - — _.- -Johrftabhor -. 21 Vernon St. Florence,Ma First Floor Plan Ns�s one m q ANh.r ivea�<M Chxher � Al a