24C-124 (5) BP-2022-0416
1 18 FRANKLIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24C-124-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0416 PERMISSION IS HEREBY GRANTED TO:
Project# SUNROOM Contractor: License:
Est. Cost: 85000 RARE FORMS INC 115088
Const.Class: Exp.Date: 10/02/2024
Use Group: Owner: M. HENSON, DEBORAH
Lot Size (sq.ft.)
Zoning: URB Applicant: RARE FORMS INC
Applicant Address Phone: Insurance:
285 NORTH KING ST (413)296-1570 WCC-500-5026846
NORTHAMPTON, MA 01062
ISSUED ON:05/04/2022
TO PERFORM THE FOLLOWING WORK:
sunroom and deck addition
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
i' •
Fees Paid: $553.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Buildine Commissioner
2-
File #BP-2022-0416
APPLICANT/CONTACT PERSON:RARE FORMS INC
285 NORTH KING ST NORTHAMPTON, MA 01062(413)296-1570
PROPERTY LOCATION 118 FRANKLIN ST
MAP:LOT 24C-124-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $553.00
Type of Construction: sunroom and deck addition y,
New Construction / J
Non Structural Renovations
Addition to Existing
Accessory 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
INFO 3MATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:*
Intermediate Project: Site Plan AND/OR SpecialPermit With Site Plan
Major Project: Site Plan AND/OR Special Perm it With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Perm its Required:
•
Curb Cut from DPW _ WaterAvailability SewerAvailability
Septic Approva I 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
y- Z1-ZOzZ
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.
The Commonwealth of Massachusetts j 1VO FOR
Board of Building Regulations and Stan ds A pR 2 O UNI IPALITY
Massachusetts State Building Code, 780 2Q22
' ;kJSE
Building Permit Application To Construct,Repair,J enq Or—Llemplish a gevised Mar 2011
One-or Two-FamilyDwelling ORTNOF U1LD1"�G!NSPEC;/oNS
g—_._,.__ rH41?P,1� enn 0 300
This Section For Official Use Only
Building Permit Number: 47' " /(p Date Applied:
ieek) Z_& 5-LI-2ozz
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
118 Franklin st 24c 124
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
URB 14000 66
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:
Deborah Henson Northampton, MA 01060
Name(Print) City,State,ZIP
118 Franklin St 504-232-8884 deb@deborahmhenson.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 131
Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:
construction of a sun room addition and deck attached to existing structure.
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 Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ 040
Check No.AU Check Amount: a Cash Amount:
6.Total Project Cost: $ 85,000 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-115088 10/02/2024
Gregory A. Bossie License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) LJ
118 Florence st.
No.and Street Type Description
Leeds, Ma 01053 U Unrestricted(Buildings up to 35,000 Cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-296-1570 greg@rareforms.design I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Greg Bossie Rare Forms 200290 12/10/2022
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
118 Florence st. gregcc rareforms.design
No.and Street Email address
Leeds, Ma 01053 413-296-1570
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 ® 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 Gregory Bosse
to act on my behalf,in all matters relative to work authorized by this building permit application.
Deborah Henson 4/11/2022
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.
Gregory Bosse 4/11/2022
Print Owner's or Authorized 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 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.) 650 (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 450 Habitable room count 1
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system _Pellet stove, Minisplit Number of decks/porches 1
Type of cooling system Minispllt Enclosed Open x
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
' '_ The Commonwealth of Massachusetts
Department of Industrial Accidents
=' l— r 1 Congress Street.Suite 100
'*mu ' 4 r Boston, MA 02114-2017
Wit_ www moss gov/dire
1%iakers'Compensation Insurance Affidavit:BuiklerslContractorsIEkctriciauslfPlumhers.
14)BE:EILED W-I"I H -I lIE PLkMIT1'IbGAtiTllORlTY.
Applicant Information Please Print Leeihh
Name I13uautc ,Organization Individual l: Rare forms Inc
Address: 285 N. King St.
City/State/Zip: Northampton, MA 01062 Phone#: 413-296-1570
Are for o►n employer!(leek the appropriate bars: Type (required):
of project
ilia art a employer with ._4 _,--_ employees(full mrtI/ur parr-r;riael_' 7. D New construction
2.0 1 am a sok prupnctur or parmerslaap rind have im employees working for Rae in If. Remodeling
any capacity.[No workers'ctenp.insurance requinr d.I
30 I am a homeowner doing all work myself.INo wasters'comp.inruraucc required"' 9_ Demolition
4.0 I am n luvanow>w and will be hiring ow:tractors to a aidw.i all work on my property_ 1 will l0®13uildinb addition
mare that all cuntrakiurs richer hake Maarliers'coonpenitatinal insurance or an:sole 11.a Electrical repairs or additions
proprietors with no employees. 12_0 Plumbing repairs or additions
50 I ant a general contractor and 1 have hired die sorb.centxattors listed on the attached them_ BO Roof repairs
These subcontractors have employees and have.workers'comp.insurance.;
6.0 Vi'r are a evaporation and its urracen have exercised then right of extMptaun per MGL r_ 14. Other
152,41(4).and we have no empluyeea.[No workers'comp.insrmance nyuinea 1
'Mir applicant that Aeries box al mot also fill out the section below snow img their workers'compensation pulley ardurmatiarn.
+Homeowners who submit this affidavit indicating the are doing all work and than hire outside contractors mist submit a new afTtdas it indicating such.
IC:ont aeturs that cheek this buz must atla.had an ahbtiunal sheet show mg the n:nnc of the sub-ccnutscturs and sate u hetber or nut those entities have
emplu)css tithe sub urrtracturs hive elrgllu}ees.t1Y:1 Roust provide their worse.'comp.puh.et number.
1 am an employer that is providing workers'compensation insurance fir my employees. Below is the policy and job site
information.
Insurance Company Name: A.I.M. Mutual ---___-.--
Policy#or Self-ins.Lic.#: WCC-500-5026846-2022A Expiration Date: 4/11/2023
Job Site Address: 118 Franklin St. CityIStateJZip: Northampton, MA 01062
Attach a copy of the woofers'compensation police 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 line up to S 1,500.00
amilor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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 pen -es of perjury that the information provided abowe Sc true and correct.
Signature: Greg Bosse Date_ 4/11/2022
phone g: 413-296-1570
t
Official use only. Do not write in this area,to be completed by city or town official
('its or Town: Permit/License#
I„wing Authority(circle one):
I. Board of Health 2.Building,Department 3.City/Toan Clerk 4.Electrical Inspector 5. Plumbing Inspector
t,, Other
( on tact Person: Phone#:
City of Northampton
oath^"-�1',, �5 . s/
/y.*" ,1 Massachusetts ��?S ._ c>Cc
01,
�I •• • DEPARTMENT OF BUILDING INSPECTIONS . tn
212 Main Street • Municipal Building v . 1,
",X, � Northampton, MA 01060 ti•" cs
S '5' '
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: Valley Recycling
The debris will be transported by:
Name of Hauler: Rare forms
Signature of Applicant: - Date: y ' 21
Henson Addition
•
118 Franklin St
Northampton, MA
Permit Drawings - 4.11.2022
LOCATION: SHEET INDEX:
COVER SHEET
Al: SITE PLAN
A2: FOUNDATION PLAN , RARE FORMS,���•li�
A3: FLOOR PLAN DESIGN • BUILD NET ZERO
® A4: ROOF/FRAMING PLANS
A5: SECTION 285 N. King Street
118 Franklin St A6: EXTERIOR ELEVATIONS Northampton, Massachusetts 01062
A7: EXTERIOR ELEVATIONS/SCHEDULES Phone: 413.296.1570
A8: ELECTRICAL/MECHANICAL PLANS
www.rareforms.design
• �I
• -7
./
RARE
ZONING ASSESMENT FORMS
285 N.King Street
ZONE:URB Northampton,
LOT SIZE:16,640 SF Massachusetts 01062
LOT COVERAGE:13.5%
Phone:413.296.1570
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SITE PLAN
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Drawn By:GB
Date:4.11.2022
Scale:As Noted
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SPREAD FOOTING-TYP
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INSULATION R17.6
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1 WOOD FIBER
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INSULATION-R11.4
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• -° 1X6 WATER 118 Franklin St
a • 1X6 BASEBOARD-TYP
INFILL BASEMENT TABLE TRIM Northampton,MA
° 3/4"WOOD FLOORING
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10 MIL POLYETHELENE • v �• �"Nti i*�•' r DIRECTIONS
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♦♦♦♦♦♦♦♦ • • \ _
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1 Scale: 1/4" = 1'-0" 2 Scale: 3/4" = 1'-0" A 02
Drawn By:GB
Date:4.11.2022
Scale:As Noted
-/ 80 / • -/
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3'-1" 3'-0"
/ •
RARE
FORMS
❑ C 285 N.King Street
10'-0"
Northampton,
—/ Al111
— Massachusetts 01062
v (N)DECK Phone:413.296.1570
www.ra refo rm s.d esi g n
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•
118 Franklin St
I — Northampton,MA
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(N)DOOR IN Phase:
1 / 2 8 / (E)WINDOW Design
(N) DECK _ OPENING Development
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Bo coo ADDITION
\ 0 a Consultants:
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THELIN PARLOUR m
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1.
a /NON COMBUSTABLE v •
HEARTH-PER MFG I
Revisions:
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8'-1" 4'-5" 8" 3'-11" 3'-11" 4'-8"
/ / / / / / /
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/ /
1 FLOOR PLAN A 03
• Scale: 1/4" = 1'-0"
Drawn By:GB
Date:4.11.2022
Scale:As Noted
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m 285 N.King Street
— I — 5 1 Northampton,
r co Massachusetts 01062
I i I N \ QT.. 13 Phone:413.296.1570
36"SELF ADHERED I o T www.rareforms.design
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Henson Addition
Er q •
HALF ROUND I ----1- -- I bIc 118 Franklin St
GUTTERS AND I I i-.1� TRUSS DETAIL Northampton,MA
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GUTTER TO DAYLIGHT i i — o� Development
OR DRYWELL i i N�
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Consultants:
ROOF PLAN TRUSS FRAMING PLAN
1 Scale: 1/8" = 1'-0" 2 Scale: 1/8" = 1'-0"
Revisions:
A 04
Drawn By:GB
Date:4.11.2022
Scale:As Noted
REMOVE(E)WINDOW AND INFILL LOWER HALF MIA
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STANDING SEAM METAL ROOF .�/
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RARE
FORMS
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18"DENSE PACK CELLULOSE Northampton,
� _ INSULATION-R58 Massachusetts 01062
1111111=1MlipP4—;. , _ ` _ \ Phone:413.296.1570
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HALF ROUND GUTTERS
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��\��I � ���/� Northampton,MA
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A05
1 SECTION Drawn By:GB
Scale: 3/8" = 1'-0" Date:4.11.2022
Scale:As Noted
Y411
i
RARE
FORMS
285 N.King Street
Northampton,
Massachusetts 01062
r
Phone:413.296.1570
www.rareforms.design
O Henson Addition
•
0 1 118 Franklin St
Northampton,MA
II
Phase:
Design
EAST ELEVATION
• 1 Development
Scale: 3/16" = 1' 0"
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Consultants:
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Revisions:
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A 06
WEST ELEVATION
2 Scale: 3/16" = 1'-0" Drawn By:GB
Date:4.11.2022
Scale:As Noted
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RARE
FORMS
285 N.King Street
--- Northampton,
Massachusetts 01062
Phone:413.296.1570
— O www.rareforms.design
Henson Addition
118 Franklin St
Northampton,MA
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Phase:
Design
Development
I F
NORTH ELEVATION
1 Scale: 3/16" = V-0"
Consultants:
DOOR AND WINDOW SCHEDULE
# TYPE MFR. Series _Model Rough Opening Interior Finish Exterior Finish Hardware Handing/Swing
1 DOOR THERMATRU S2000 3-0/6-8 40X84 LH/IN
2 DOUBLE HUNG SIERRA PACIFIC H3 C-H3DH-24x48 24X48.5 Revisions:
3 DOOR THERMATRU S2000 2-8/6-8 36X84 LH/IN
4 CASEMENT SIERRA PACIFIC H3 C-H3CS-36-3 106X72.5
5 CASEMENT SIERRA PACIFIC H3 C-H3CS-36-3 106X72.5
6 CASEMENT SIERRA PACIFIC H3 C-H3CS-32-3 94X72.5
7 AWNING SIERRA PACIFIC H3 C-H3DHT-28x24 28X24.5
8 PICTURE SIERRA PACIFIC H3 CHORD 142.5X24
A 07
Drawn By:GB
Date:4.11.2022
• Scale:As Noted
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• RARE
FORMS
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Northampton,
Massachusetts 01062
Phone:413.296.1570
www.rareforms.d esig n
HB
Henson Addition
•
0 0 118 Franklin St
LUNOS THROUGH to Northampton,MA
WALL HRV
•
Phase:
Design
Development
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MINISPLIT
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Consultants:
0
Revisions:
II II
ICI
LUNOS THROUGH
WALL HRV
A 08
• Drawn By:GB
Date:4.11.2022
Scale:As Noted