42-074 (13) 97 GLENDALE RD BP-2021-1326
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:42-074 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit# BP-2021-1326
Project# JS-2021-002193
Est.Cost: $8500.00
Fee:$77.60 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: STEPHEN CAMP 082531
Lot Size(sq. ft.): 4486.68 Owner: ODGERS MARY C&CRAIG W
Zoning: Applicant: STEPHEN CAMP
AT: 97 GLENDALE RD
Applicant Address: Phone: Insurance:
46 EAST ST (413) 527-7124 () WC
EASTHAMPTONMA01027 ISSUED ON:5/13/20210:00:00
TO PERFORM THE FOLLOWING WORK:NEW 16X20 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
O
�Q cCertificate of Occupancy signature: � ' 591)4�
FeeType: Date Paid: Amount:
Building 5/13/2021 0:00:00 $77.60
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Z- 6k
File# BP-2021-1326
APPLICANT/CONTACT PERSON STEPHEN CAMP
ADDRESS/PHONE 46 EAST ST EASTHAMPTON (413)527-7124 Q
PROPERTY LOCATION 97 GLENDALE RD
MAP 42 PARCEL 074 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 'O
Buildin Permit Filled out
Fee Paid
Typeof Construction: NEW 16X20 DECK
New Construction _
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 082531
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 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
.1./631
Sigiature of Building •Official 4 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.
The Commonwealth of Massachusetts/ il,i j 1 1 FOR
W
Board of Building Regulations and Stand,Ards �421 IPALITY
Massachusetts State Building Code, 78Q /
of /` SE
Building Permit Application To Construct,Repair,RenovatA o Revisyded Mar 2011
One-or Two-Family Dwelling �N:_"�'=�otis
This Section For Official Use Only
Building Permit Number— ,y/—/' C, Date Applied:
n O (gip
p% --
Building Official(Print Name) Signature t
1.
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
/Z ( lcn Llt... ga_ 00.Aavc.5 thu.. ‘f.1, 079
1.1a 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: 1.8 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• 7
Name(Print) Ci State,ZIP
11 �c-Iy, L K.et- 24S- Dora
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building,4( Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify.
Brief Description of Proposed Work': 4,1 J a / Y Zp' P-(.- .A
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.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 Fees: $ ro Q
Check No:7 q IICheck Amount: #7 7'Cash Amount:
6.Total Project Cost: $ 57 t�) , el' 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 60' / / /, �3 Z/
54e Pi4.,/ C License Number Expiration Date
Name of CSL Holder
(o
` � — ç - r List CSL Type(see below)
No. and Street Description
�, 42Jnrestncted(Buildings up to 35,000 Cu.ft.)
T '^' f ��� owl, Restricted 18t2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
)Z7� 6-/VligAfr
Gg� ISF Soud Fuel Burning Appliances
_ /h Cp I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvveement Contractor(HIC) /I3 c ,f/ 3-If- 2 2_
�-• mf 7''Wto`"-,- HIC Registration Number Expiration Date
HIC Company Name C Registrant Name
No.and Strekiets Email address
diet?
City/Town,State,ZI 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 .tr No .❑
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
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: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 this application is true and accurate to the best of my owledge and understanding.
ct) I rf
Print Owner's or Authorized Ay- 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 HIC Program can be found at
www.mass.gov/oca 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"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
l o�
REAR YARD � e f
‘L
r � tiQ Q j
SIDE YARD 7° 1 `V f SIDE YARD
r
(ecf
FRONT SETBACK q D I
FRONTAGE
City of Northampton
sus - sic
•_'" Massachusetts ��� '
DEPARTMENT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building Jk' la
� OC
,,, Northampton, MA 01060 s .'s
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, 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, S 150A.
The debris will be disposed of in:
Location of Facility: A/0M ci 4/01 J9VL-,,
The debris will be transported by:
Name of Hauler: 42L ) Zoly Dviip1—,-/Vt-ti lzir
Signature of Applicant: —; .,. ,' Date: q e/
The Contnton►cyealth of Massachusetts
i Department of Industrial Accidents
c, 17.4—IT��.�,� 1 Congress Scree;Suite 100
`',, L' Boston.i A 02114-2017
it., ,, w►r�►t:mass.gov/dia
1$orkers'Compensation Insurance Affidavit:BnilderslCsntractor lectriciansfPlnmhers.
1(1 BE FILED WITtt 1 111:PERMITTING All'I101tilli.
4ntilicant Information Please Print l.eeibls
Nan le q.tRra�aDe, tirfanvatwnlndniduiil):__
Address: e-
+L ity Static Zip:_ Phone#: T 7 ' 7/ °.
Are%nu an cmpkn re('hark the appnprlate hrac:
Type of project(i'r'9tdred)=
..14 t an a employer with ----_carployees(full aodlorpnt-anti l-* 7. 0 New construction
2.1 Ian a sac pmpriclur or partnership and have no employees wording fur me is S. ®Remodeling
any amity'.[No waters'comp.i sumace required.]
30 Ian m a huartinur doing all work myself. workers*orkers*comp.insoran r required.]uiraL]" 9. Q Demolition
4a Ian a Iwmaramerand will be hiring asnractors to iaardact all work on shy property. I will/0 El Building addition
mane that all conimetor,tither laver worker'c a i anmiticsr irsnr a air air yoke 1 I a Electrical repairs or additions
pr°pati°on' ith mu e'spl°r`"" 12.0 Phoning repairs or additions
30 I am a immortal cootraewr and I haw hind the an1re rn.ac vis listed on the attacked shout_ 13 Roof
airs
7hs sole-coreact s Lear employees s and Live wogs'cusp_n suranc,.l e e/ �i
6.�We are a corporation and its officers have cx wi i W+t their right of exemption per MILc I4.❑Other .j,'S i
152,$101I,and we have no employeeV.[Nu warkrry"comp_insurance respired"
•Aay applicant that checks tear Cl man also 1i11 oat the section below showing their waters'eusgrcmtman policy idononlliur.
#Hu,aeuwaers who submit this affidavit indicating hwy are doing all%IA and then kite ostn&cunrscturs mad submit a sew affidavit indicating such.
:Comm-tins that check this'box visor;Marled an additional stool shuwinu the mane oldie sub-«s*ra-tors and state whether or not those aaaiiies cave
anplrwccs- if the sub-contrxrtura hose L-n rloyni.-s.they sheet pro%idc their workers'aairmp.policy awnhc_
I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and job site
information.
lnsurance Company Name: / l f. e•VIC(41! jTif 6. ^.
Policy u or Self-ins.Lie.#: (®]tea 24.1.3 ' .5:6 9 ''7 Z Expiration Date: / /2-2.---"
Job Site Addre s: 97 ah14 l/ Cny/Statealp: cve0 Ke,,Mc ,lG��
Attach a copy of the workers'comsadpeasalioa policy oration page(shawiog the policy m tuber a espiratios date).
Failure to secure coverage as required under MGL c_ 152,§25A is a exintinal 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 certify under the pains un d_pen hill yt of f perjury that the its irrmation prrmided above is true and correct
Signature: ` � e G-- �f Date:: .c/!/2/
Phone#: c2- ?- 1/Z�/ /
Official use only. Do not/write in this area,to be completed by city or town official
(its, or Town: Permit/License 11
Issuing Authority(circle one):
I. Board of Health 2.Building„Department 3.('its l,iv`n Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone N:
Stephen Camp Construction
46 East St.
Easthampton, Ma 01027
(413)527-7124
Submitted To : Craig Odgers Phone- 265-0650
Address : 97 Glendale Rd. Date—3-20-2021
Florence, Ma 01062
We hereby submit this estimate for—New Deck
The deck will be built out of pressure treated lumber.
I will dig and pour concrete in sauna tubes where needed.
There will be a step down from the porch door that leads to the deck.
The deck will be 16' x 20'with railings around the whole perimeter.
I will build steps in desired location.
Trash removal is included in my price.
Materials and Labor=$4650.00
Contractor Supervisors License number 082531
Home Improvement Contractor Registration number 135204
I propose to supply materials and labor-in accordance with above specifications.
This proposal may be withdrawn
By us if not accepted within 30 days
Authorized Signature
r \
i\
f
Acceptance of proposal Signature
Stephen Camp Construction
46 East St.
Easthampton, Ma 01027
(413)527-7124
Submitted To : Craig Odgers Phone- 265-0650
Address : 97 Glendale Rd. Date—3-20-2021
Florence, Ma 01062
We hereby submit this estimate for—Front Entry
The front entry will be built off the existing concrete step.
I will start with framing a floor and decking with pressure treated.
I will build 3 walls and install a new door with half glass.
There will be a roof built that will work off the existing overhang.
I will install wood shake siding to match the house.
Trash removal is included in my price.
Price=$ 3850.00
Contractor Supervisors License number 082531
Home Improvement Contractor Registration number 135204
I propose to supply materials and labor-in accordance with above specifications.
This proposal may be withdrawn
By us if not accepted within 30 days
Authorized Signature
Acceptance of proposal Signature i
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