24C-027 104 NORTH ELM ST BP-2021-0917
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24C-027 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ACCESSORY APARTMENT BUILDING PERMIT
Permit# BP-2021-0917
Project# JS-2021-001558
Est.Cost: $26500.00
Fee: $175.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JOHN LANDRY 093450
Lot Size(sq.ft.): 21387.96 Owner: LANDRY JOHN&JENNY M
Zoning: URB(100)/ Applicant: JOHN LANDRY
AT: 104 NORTH ELM ST
Applicant Address: Phone: Insurance:
104 NORTH ELM ST (413) 204-9880
NORTHAMPTONMA01060 ISSUED ON:2/22/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL ACCESSORY DWELLING UNIT IN
BASEMENT
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.
l o . r X2 . 3-0'1 •
Certificate of Occupancy Signature:I I
FeeType: Date Paid: Amount:
Building 2/22/2021 0:00:00 $175.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2021-0917
APPLICANT/CONTACT PERSON JOHN LANDRY
ADDRESS/PHONE 104 NORTH ELM ST NORTHAMPTON (413)204-9880
PROPERTY LOCATION 104 NORTH ELM ST
MAP 24C PARCEL 027 001 ZONE URB(l00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
CLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out M \(16
Fee Paid
Typeof Construction: INSTALL ACCESSORY DWELLING UNIT IN BASEMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 093450
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
j( 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
Ii 7)* g- a 1
Sign ture 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.
2/17/2021 CCF02062021_00000.jpg
m _ --Rip 4 The Commonwealth of Massachusetts FOR
z; Board of Building Regulations and Standards
o m Massachusetts State BuildingCode,780 CMR MUNICIPALITY
i a; USE
CXI Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
° if One-or Two-Family Dwelling
This Section For Official Use Only
o-. 2 BI—A
�z Permit Number: bo'a ('q'L7 Date Applied: _
00 it . ,T !_,,__
uildi ng Official(Print Name) I4 i Signature i � � Dat
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
104 North Elm Street._____ _ �4G C'Z?
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 ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.6 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
-2.1 Owner'of Record:
John !r Northampton,t31 i, Ma 01060
Name(Print) City, State,ZIP
_ 104 North Elm Street 413- 4- 80 _jo In@route9c esi nbtlilu
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK1(check all that apply)
New Construction l ''Existing Building Q` Owner-Occupied 0 Repairs(s) 0 Alteration(s) e Addition I(
Demolition 11( Accessory Bldg,0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Insta 1 an accessory dwelling unit at existing partially finished
basement including a second means of egress. a kitchen and
storage garage addition.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1. Building $ 22000 1. Building Permit Fee:$ ____Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 3000 ❑Total Project Cost'(Item 6)x multiplier x______ __
3.Plumbing $ 1500 2. Other Fees: $
4.Mechanical (HVAC) $ List: _____ _.
5.Mechanical (Fire $ ---
Suppression) Total All Ffjes: 4 116
r. Check No.0 __Check Amount: _.Cash Amount;___,
6.Total Project Cost: $ 26500 0 Paid in Full ❑Outstanding Balance Due:__
https://mail.google.com/mail/ca/u/0/?shva=l#search/104+north+elm/FMfcgxwLsSWNDTTBPKTSNxJhXsmkW Wpg?projector=1&messagePartld=0.1 1/2
2/17/2021 CCF02062021_00001.jpg
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
John Landry License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
eleettlY
No.and Street Type Description
104 North Elm Street U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
Northampton, Ma 01060 RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
41 a 204-9880 john@route9desighbuild.com Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 151103 09/06/2021
9 Design and Build Inc.
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
104 North Elm Street john@route9designbuild.corn
No.and Street Email address
Northampton; Ma 01060 413-204-9880
City/Town,State,ZIP Telephone
SECTION 6: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 DV No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER1 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 this application is true and accurate to the best of my knowledge and understanding.
John Landry 02108/2021
Print Owner's or Authorized Agent's Nifie(Elditroni ignature) Date
NOTES:
I. 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 nor have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/eca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
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"may be substituted for"Total Project Cost"
https://mai I.googl e.co m/ma il/ca/u/0/?s hva=1#se a rch/104+north+elm/F Mfcg xwLsSWNDTTBP KTSN xJ hXs m kINWpg?projector=l&messagePa rtl d=0.3 1/2