38B-283 (6) BP-2024-0642
264 SOUTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-283-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-0642 PERMISSION IS HEREBY GRANTED TO:
Project# porch alteration 2024 Contractor: License:
Est. Cost: 15000
Const.Class: Fxp. Date:
ROBERTS,JONATHAN M& ELIZABETH J
Use Group: Owner: HUGHES
Lot Size (sq.ft.)
Zoning: URB Applicant: ROBERTS, JONATHAN M&ELIZABETH J HUGHES
Applicant Address Phone: Insurance:
264 SOUTH ST
NORTHAMPTON, MA 01060
ISSUED ON: 05/22/2024
TO PERFORM THE FOLLOWING WORK:
ALTER 3 SEASON PORCH
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: /
Z.
Fees Paid: $97.50
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
•
File #BP-2024-0642 Z i ! '
APPLICANT/CONTACT PERSON:ROBERTS, JONATHAN M&ELIZABETH J HUGHES ��4r-��c�ri✓
264 SOUTH ST NORTHAMPTON, MA 01060
PROPERTY LOCATION 264 SOUTH ST
MAP:LOT 38B-283-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $97.50
Type of Construction: ALTER 3 SEASON PORCH
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENTED:
1,Approved Additional permits required(see below) For all projects that need additional reviews 0 om1-}r0,0
as checked below,please see the Office of Planning& Sustainability Permit page or scan here i't *
44
PLANNING BOARD PERMIT REQUIRED UNDER:§ "NT—
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
5-22-202(1
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.
cais i ici -- .
The Commonwealth of Massa fuses ift4),
Dt Board of Building Regulations a d Sta dards 21J , C PALITY
Massachusetts State Building C de, 7'80, c0 OR
USE
Building Permit Application To Construct,Repair,Ren4000A0
.sh a R sed Mar 2011
One-or Two-Family Dwelling °4•Mq oFcroNs
This Section For Official Use Only
Building Permit Number: 6 P''1'1 4'c. .)— Date Applied:
/Z77%.....7 ee'LIo..3/25 5.22-2ozq
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
264 South St, Northampton MA 01060
1.1 a Is this an accepted street?yes X no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq tt) 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'
Jonathan 2oberrtso Elizabeth Hughes Northampton MA 01060
Name(Print) City,State,ZIP
264 South St 512-635-5629 it'roberts.jon.michael@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building a4 Owner-Occupied efi Repairs(s) IN Alteration(s) 8 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Alterations to existing 6x12 3-season porch on SW corner of house.
Replace existing piers with helical piers. Swap screen door and south storm window. Insulate with rockwool.
Sheathe with clapboards or similar. Lay furring strips, new subfloor and floor over existing floor. No electrical
or plumbing changes. Not conditioned a conditioned space.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 15,000 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $ O
Suppression) Total All Fees: , y
Check No. `Check Amount:___:1 i
6.Total Project Cost: $ 15,000 0 Paid in Full 0 Outstanding Balance Due:
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 l&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
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 in formation
contained in this application is true and accurate to the best of my knowledge and understanding.
Jonathan Roberts 5/20/24
Print Owner's or Authorized Agent's Name(Electronic Signature) 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 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.govidps
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"
The Commonwealth of Massachusetts
Department of Industrial Accidents
ytl== 1 Congress Street, Suite 100
'rt """'?{= Boston, MA 02114-2017
,y www.mass.gov/dia
Workers'Compensation Insurance Affidavit:BuildersiContractorslElectriciansIPlumbers.
TO BE FILED WITH`CITE PERMI1TINiG AUTHORITY.
Applicant Information Please Print Leeibly
Name(BusineasO ganixation/lndividual): Jonathan Roberts
Address: 264 South St
City/State/Zip: Northampton, MA 01060 Phone 4: 512 635 5629 s ,�—
Are you an employee Check appropriate boa:
Type of project(required):
1 am a empIOy with________employees(aril and/or part-time).* 7. 0 New construction
201 ant a sole proprietor or partnership and have no emptoyee-s working for me in S. In Remodeling
any capacity.[No workers'a Drop.inauranea I
930 I am a homeowner doing all work myself.No workers`comp.insurance required_]' El
Demolition
10 0 Building addition
. taii a hanteawnew and will be hiring contractors to conduct all work on my pn perty. 1 will
ensure that all marmots either base workers'compensation insurance or are sole I I 0 Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
Sri I am a general contractor and I have hired the sub-contractors listed on the attached sheer
These snb.contrmctors have employees and hove workers'comp.insurance. 13 Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other
152,i 1 f4),and we have no employees.(No workers'comp insurance required.)
~Any applicant that cheeks box=3 Irani also till out the section below showing their w orkers'woven:1/.0.Mo policy information_
liinneuwners who tabard this affidavit indicating they are doing all work and then hue outside contractors most submit a new affidavit indiutting such.
t'urrtractors that check this box must attached an additional sheet showing the name of the sulsu>ntractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'dump.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy turd job she
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
anchor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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
ains and penalties of perjury that the information provided above Is true and correct
Date; S"/a1 O/ol s/
Phone : ' e29
Official use only. Do not write in this area.to be completed by city or town official
C'it1 or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
,:•'' Massachusetts kr e�
•
;j 7 DEPARTMENT OF BUILDING INSPECTIONS ? j° g
;•= ?
212 Main Street • Municipal Building
_ 7)74" Northampton, MA 01060
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 234 Easthampton Road
The debris will be transported by:
Hauled by self, minimal debris expected
Name of Hauler:
Signature of Applicant: Date: 0,57,ky,w
City of Northampton
Massachusetts
1 DEPARTMENT OF BUILDING INSPECTIONS a
212 Main Street • Municipal Building y06;ti, .D\
• Northampton, MA 01060 x71
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
09/15/1986
I Jonathan Roberts (insert full legal name), born_ (insert
tnonth, day, year), hereby depose and state the following:
1. I 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. I 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. 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 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. I 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 20 day of May 2024
(Signature)
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Distance front corner of home ttear side of sidewalk:12ft
Distance front cot nor of house tot urb 18 ft
[.. .''''.** . STREET
FLOORPLAN SKETCH
Borrower:Roberts,Jonathan 8.Hughes,Elizabeth File No.: 23-158M
Property Address:264 South Street Case No.:019420
City Northampton State:MA Zip:01060
Lender:Florence Bank/Mortgage
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