29-372 (8) BP-2022-0978
307 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-372-001 CITY OF NORTHAMPTON
Permit: Acc Structure
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0978 PERMISSION IS HEREBY GRANT TO:
Project# shed Contractor: License:
Est. Cost: 10358
Const.Class: Exp.Date:
Use Group: Owner: E CARR WILLIAM R& MARY
Lot Size (sq.ft.)
Zoning: WSP Applicant: E CARR WILLIAM R& MARY
Applicant Address Phone: Insurance:
307 ACREBROOK DR
FLORENCE, MA 01062
ISSUED ON:08/12/2022
TO PERFORM THE FOLLOWING WORK:
24X12 SHED
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 VIOL TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
• •
•
Fees Paid: $58.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
•
RECEIVE ...
The Commonwealth of Massachusetts km
Board of Building Regulations and St i.ndartis A U G 1 2 2022
Massachusetts State Building Code, 780 CMR MUNICIPALITY
_ LSE
Building Permit Application To Construct,Repair, Renolatprisq,ecTlgvedMar 2011
One-or Two-Family Dwelling NORTHAMPTON,MA 01050
This Section For Official Use Only
Building Permit Number: LP- .►1— i 7 Q Date Applied:
,`, ; 0• 2. i ,, _ i a dd,
Building Official(Print Name) I Signature f a Date
SECTION 1: SITE INFORMATION
I
la 1.2 Assessors Map&Parcel Numbers
aq 37(9-
1.1 a Is this an accepted street?yes �o Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
/aioaa I'G'
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:
77
i' r r- ��6/^Gile. :� , - Q/ 6Z,—
(4)1/40/..-7
me(Print) City,State,ZIP
361 /G c `k c �- VAT,MP 34.23
o. 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 0
Demolition El Accessor Bldg. 0 Number of Units Other 0 Specify:
Ell r escription of Propose or /A457t4. ?•ce esG/LT Sh oas/sdd/g /
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: $
Check No. Check oun . 5 Amount:
1111111101111 /4j,1s', l,? Cl Paid in Full 0 utsta ' ance Due:
City of Northampton
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DEPARTMENT OF BUILDING INSPECTIONS 4
y 212 Main Street • Municipal Building
s
�� Northampton, MA 01060 i, `•
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PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR, ETC.
I. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specifications of proposed work. (Digital and hard copy)
3. Site plan with location of proposed structure(s) and set backs.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/ replacement windows).
8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable).
9. Note any Conservation and/or special permit requirements (if applicable). 10.
Driveway Permit (if applicable).
11. Proof of Water and Sewer entry fees paid (if applicable).
12. Trench Permit - public land by DPW / private land by Building Dept.
13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit
application before issuance of permit.
14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton.
t JI.'"
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
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
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
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 0 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
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
LCRA
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.
Print or Authorized Age ctronic 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:
+5 I REAR YARD /OQ
�► ay' < 7
SIDE YARD /00 I SIDE YARD /60
rt Li/
E�Is- I
n go u_S .00
...-
FRONT SETBACK/0 b
FRONTAGE
City of Northampton
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a DEPARTMENT OF BUILDING INSPECTIONS - � IC
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0 212 Main Street • Municipal Building 9'
Northampton, MA 01060 ff Y't
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(FOR ALL DEMOLITION AND REINOVATI Ts)
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.
N ,4 , A/0 1,41,4. /. 7 1,
The debris will be disposed of in:
Location of Facility:
The debris will be transported by:
Name of Hauler:
7
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Signature of Applicant: 67e.../L_ Date: = 1
The Commonwealth of Massachusetts
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Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, MA 02114-2017
•Nt.,74.-_-:...- ,,.: www.mass.goWdia
\%VI kers' (.4ititrictisiatioti Insurance AffidAvit: BuildeniContractors..'Flectricialiv Plumbers.
I 0 Bt. FILED%%I III I!IL PERNIITII.M.:.1/41 I'llORI I 1.
Applicant Information Please Prini Leitibls
Name I tiusiness:Organuattow Individual f.
.. .
Address: in
,
City/StateiZip: Phone #: „. .Art yilill MI einplever?ClIterk[be approprratc b4it: Type of project(required):
I 0 I am a employer with _employees t fall arKt,..4 pag-timel_'• 7. D New COmittUetiOn
,...D I run a sok proprietor or rxilinersp anti base no employees siorictne for me m 8. 0 Remodeling
intrity.[No workers'camp.insurance required]
9. 0 Demolition
001E4n.a horrietrAncr doing all work rioulf[No workers'conc..insurance required.]'
t 0 CI Building addition
SOO1 ant a lumisziwiter Lind will tie hums cmaractors to eceiduct all Wilt Ott my pooperty. I will
elthil IV that all contractors either have workers'cunigensation insurance ow am sole 1 1.1:3 Electrical repairs or additions
pruprictiws with no ernployees
12.0 Plumbing repairs or additions
501 arm a general contractor and I have hired the sials-eormacturs listed on the attached sheet.
repairs
These with-contractors have employees and base workers'comp.insurance.: [10 Roof
6.E3 We are a corpoiratimi and its officers have exertased their rigba of exemption per MOL 0._ 14.in Other
I 51',§I t4t.and swe have no employees.[No workers'comp.msurance required.]
°Any applicant that checks,bat 41 nuns stau till out the iietZell below showing their Ain-kers'compensation policy information.
t"liesnieowtsers who submit thus affidavit indicating they are doing all work and then hire outside contractors must submit a new affidas it mil kating such.
tContracturs that check this box mast attached an additional sheet showing the name oldie sali-coniractors and stale whether or not rhos, ..•il t lc,hate
employees, tithe sob-contractors base employees,they most pmside their Allirkers-svnip poke:.number
I am an employer that is provieting workers'compensation insurance for my employees. Belo4 i., the polio and job site
information.
In.surance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: CityiStatelZip:
Attach a copy of the workers"compensation policy declaration page(showing the policy number sad 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
andior one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a
day against the violator.A copy of this stitement may be forwarded to the Office of Investigations of the DIA for insurance
cc.era,,.e %entication.
I do hereby certify wider the pain+ and penaltio of palmy that thy information provided above it true and correct.
Phone 4:
Official are only. At net write in thi",area,to be completed by city or WWI Olikiat
City or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing I 111iii•cior
I6.Other
Con[Art Person: Phone :
•
City of Northampton
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"` Massachusetts
4" DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
0," Northampton, MA 01060 st+y4�- `ti
I, 6.),/l/rt m R Cal 4rird (insert full legal name), born (insert month,
day, year),hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners' exemption to the permit req irements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a pro ct or work on a
parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned home ers'exemption,
does not involve the field erection of manufactured buildings constructed in accordance with 780 MR 110.R3.
3. I 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 w -ch there is, or
is intended to be, a one-or two-family dwelling, attached or detached structures access•ry to such use
and/or farm structures.A person who constructs more than one home in a two-year pe od shall not be
considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent ' at 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 r•gulated 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 g day of // , 20 2
}./1- 4 t
(Signature)
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Keystone Series „ .Y� ..4,4,4,���{{r,x
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isystem, 4" x 4" rails,
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with 3/4" plywood.
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3AL-36TH I Installation ' ,,
- nto back of Drive rod fits
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/. 1 DRIVE 2 REMOVE 3 PULL
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Don't use rebar- it can the bullet bullet to minimum the drive rod the cable to turn
depth of 2' (1 m) ("lock")the bullet
get stuck in the bullet!
Into the ground 1 ,
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Safetym) holding handle ,"
diameter ,� +�%
DR-SHH =ii �
Sledge hammer k
I Demolition hammer
sir During locking, anchor will pull up as it turns, settles, and locks.
Locking the anchor Depending on soil type, this can typically be 1-4 inches (3-10 cm).
SIMPLE PULL LEVERAGE i LEVERAGE
(Manual) • (Mechanical)
Not usually (nIeeded
for this size anchor
Put drive rod through Most common s
thimble and PULL method for this t/
size anchor
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Bumper
Ratchet-lever hoist jack
("come-along")
Through asphalt Non-vertical load
Drill PILOT HOLE Mkt>
through asphalt Install at same angle !.;
1" (2.5 cm) diameter � as load for maximum (
,r; pullout strength
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Streamlined bullet shape is designed for driving
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Anchor and other dense or difficult conditions
Anodized cast aluminum
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• Heat-treated to T6 specification Cable Thimble
3" (7.5 cm)
Galvanized steel Galvanized steel
aircraft cable
a a 3/4"
411011111:40.006;600) Diameter: 1/8" (3 mm) (19 mm)
Length: 3' (.9 m)
Breaking strength:
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114" (3.2 cm)
Available in stainless steel ,\
as special order
3/4"
(2cm)
LOAD CAPACITY
Pullout strength at MINIMUM DEPTH 2' (.6 m)
Soil Class 1 Soil Class 2 Soil Class 3 Soil Class 4 Soil Class 4
Looselmed dense sands
Hardpan Sandy gravel / Loose sands Loose fine un
ry Asphalt Very dense sand Silty gravelclayey sand
Firm clays compacted sand
2,000 lb 1,800lb 1,700lb 600lb 350 lb
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Soil classification per ASTM D-2487/2488
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(413)562-7171 Order Date S/61;2a -
www.HometownStructures.com Estimated Completion Date _
Bill To 't1 r 1 Z. C cc.r r • Notes
Address _0�� c .e-r b r()t), 0 r .
_ \ OfkihC_-Z.- tih'1G. Oioga
Phone Cell 9/3.3 9-3?23
E-mail _ .—
0 DuraTemp T1-11 d 2- fr 3 Vinyl
3 In-stock Display Shed
'To Be Custom Built Body Color :- ( z e9 ( Body Color
Trim Color N /b Xe Trim Color: White
'Delivered Fully Assembled IIa:L.:f,si..iscc33 rrim am;:rddo^rs and twr;dolvs) era,rVfase S;tim arr::_J r Jots al.,r it,ean 1
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U Econoline Series �- U Aluminum Strip Vent aodvColor Base Price $ ch /cK 5
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Door Adjustment $ I &i)
Style /7 a/I c:;��,_.. .�`
Window Adjustment $ "�
Shingles Windows Ramp ❑ 6' x 4' ❑ 5' x 4' ❑ 54"x 4' ❑ $
J Dual Black J 18"x 36" h
J Earthtone Cedar rJ 24"x 36° Loft CI4'x'II' ID4'x 10' '4' x�12" ❑ $ l Q4.�
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Grids: O W J 1 Grids: OW U 8
Hinges: J Std. 0 Strap Hinges: ❑Std. Trap (Site Preparation—pad size /`Y x 26., (subject to site evaluation) $ /i 0 1 �l/ o
erOverwidth Road Permit Fee $ 1-76)
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i Subtotal $ .
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Trailer > Truck Sales Tax $ 5 4(3� /3'
TOTAL $ /O, �5'« /
— — — — Deposit $ / 3` f 13
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Balance $ " O
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Salesperson Signature