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24C-027 (3)
BP-2024-1194 104 NORTH ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-027-001 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-2024-1194 PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-001558 Contractor: License: Est.Cost: 2000 ROUTE 9 DESIGN AND BUILD INC 093450 Const.Class: Exp.Date:03/29/2026 Use Group: Owner: LANDRY JOHN and JENNY M Lot Size (sq.ft.) Zoning: URB Applicant: ROUTE 9 DESIGN AND BUILD INC Applicant Address Phone: insurance: 104 NORTH ELM ST 413-204 9880 NORTHAMPTON, MA 01060 ISSUED ON: 09/16/2024 TO PERFORM THE FOLLOWING WORK: INSTALL A RETAINING WALL TO ACCOMODATE 2ND MEANS OF EGRESS 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 I)rir(Jray 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: 772_ Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED • It &ma, s4-rila SEP 1 3 2UZ4 Th4Building ommonwealth of Massachusetts • I<. Bo rd Regulations and Standards FOR• MUNICIPALITY qty. j1 chµsetts State Building Code, 780 CMR T OF mum;INSP.EGs�� USE NORTg1z';ON,'".A O1 O5O tion To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6! .aS` 14/ Date Applied: /CEu,N ass ✓✓ q-it*Z0211 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbgrs 104 North Elm Street c, 0-47 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: —2 4- 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 El _Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:John & Jenny Landry Northampton, Ma 01060 Name(Print) City, State,ZIP 104 North Elm Street 413-204-9880 john@route9designbuild.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction lEr-Existing Building 13' Owner-Occupied 0 Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work': Install a retaining wall at the north side of the existing residence adjacent to the foundation to accommodate the second means of egress from previous permit. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 2000 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) Na ON" All Fees:$� 44(9 Check N Check Amount: I Cash Amount: 6.Total Project Cost: $ 2000 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) John Landry License Number Expiration Date Name of CSL Holder CS-093450 List CSL Type(see below) 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 413-204-9880 john@route9designbuild.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 151103 09/06/2024 Route 9 Design and Build Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 104 North Elm Street john@route9designbuild.com 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 Issuan/ce of the building permit. Signed Affidavit Attached? Yes @' No...........O 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 knowledge and understanding. John Landry 09/06/2024 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.Rov/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 0.y Massachusetts •:c 14 4. .eta DEPARTMENT OF BUILDING INSPECTIONS 1 ,, f• r ;' y• _!� fix 212 Main Street • Municipal Building Northampton, MA 01060 sj: - % 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: 104 North Elm Street Northampton, Ma 01060 The debris will be transported by: Name of Hauler: John Landry Signature of Applicant: John Landry Date: 09/06/2024 The Commonwealth of Massachusetts 0,_��rff = Department of Industrial Accidents ' =;:��= s i Congress Street,Suite 100 = �?ice Boston, MA 02114-2017 .�„1 www mass.gov/dia %Porkers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING:U'THORITN'. Applicant Information Pkase Print Legibly Name (Business,'Organvntioniindtvidual): John Landry Address: 104 North Elm Street City/State/Zip: Northampton, Ma 01060 Phone#: 413-204-9880 Are yew an emplovn'!Cheek the appraprtate but: Type of project(required): 1.❑1 m a employer with _employees(flill a ashen part-time).* 7. 1:3 New construction 2 m a sole proprietor or partnership and have no employees working fur me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required-1 3 am a homeowner doing all work myself[No workers'cutup.insurance required.)" 9. Demolition 40 I am a homeowner and will be hiring contactors to conduct all work on my property. I will 10 Q Building addition ensure that all minimtont either have workers'compensation insurance is are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 50 I am a serene)contractor and I have hued the subcontractors lusted on the attached street_ 13.0 Roof repairs stew sub-contractor.have employees and have workers'camp.uwurance.• 14-MOther -Retaining wall 6.❑We are a corporation and its officers have exercisedMU their right of exemption per M c. - 152.§1(4),and we have no employees.[No workers'comp.insurance required.j •Any applicant that chocks box al mint also fill out the section below stowing their workers'c mupcnsationpolicy information. t homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors mat submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contracts,Iu+e employees.duo must provide their workers-(amp policy number. I am an employer that Is providing workers'compensation insurance for my employees. Below is the policy and fob site 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 tine up to S1.500.00 and/or 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 average verification. I do hereby certify under the pains and penalties of perjury that the Information provided above is true and correct. Signature: John Landry mats_ 09/06/2024 Phone#: 413-204-9880 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/LIcense# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: POMO 10011 - . � • _ - . - . _ - . - . - . _ h _ _ _ . _ . - . — _ . _ _ . _ Illillllllllllll!IIIII Ili! 104 N.Elm Street PROPERTY LINE ------ - d ——— �` Northampton,MA 01060 4'WIQE STEP UP �. (413)587.3060 FOR, ALKWAY ._.._... - \...4 ` _...._ 11� \ A�.oa Vol Ponwr.e,fa rc e WIDEN STORAGE ROL \ • ^^"x TCSNM H ASS DRIVEWAVY POSSIBL �• \ fr Cade fora.MA 9n lIC �rII D SWAYING WIT f E II',ILIII �I Ealing BJ!'g 4M.iV 15 FU URE LARGER CK AT ' En,vy Caner Peon Code 20r5 S E LEVEL AS / I Mechanical Coda 20'a LING ROOM 1A t ("----'--------) Fte Code 2015 FL R'12'WIDE 527 CAM•MA FYP Prmonbn aM I ._Ns.. �•.•_•�—'• �.� EbcPc I Neplabna FU URE 24'WIDE I , NtfW RITTANq WALL JJJ 11\\ x.a MR.ranPw�Y�Ropr,r„a 30 DEEP TWO GE WITH G EN ROOF a r WI NEW DECK i� • / — LR FLOOR.- 1. ! —II''11 IIII'' 'INIBII ry ' /c \ T d ;�i y 1 Y t a14 a ..i -- -_— .... air.awsww.:...'•'•,-a. a—.1.. T IplllllI )I .. 1 •toter ,_ '9* F i= . I I • .0i :P.,vir, _- • I ,4 ' 1; 4 . 1:i ,sser— —�.. —— . � .• ='.•� /ENTRANCE yt�i T3'y,3C IIr.T^ i TO THE 1 ', g s a FV• 1�$i.i °-1 7 � t( • BASEMENT • I 1 ry4$ �'••�'.u . 1 [ . rt k -4a t.' ;:,e 4 NEW DECK I -,t i,'i FOOTINGS ` T 47 EQUALLY - I Landry Residence SPACED - - C) .1.., . PROPERTY LI E • ADU PERMIT SET • 104 North Elm Street Northampton,MA 01060 NEI HBOR'S DRIVEWAY THESE DRAWINGS ARE THE PROPERTY OF ROUTE 9 DESIGN AND BUILD a MAY NOT BE USED IN ANY WAY WITHOUT WRITTEN PERMISSION•COPYRIGHT 20X _.... _. _..._..._._, Proposed Site Plan • BASED ON FIRST FLOOR FINISH•0-0' A1.04 EXTEND DOWELS ROUT 9 THRU TOP OF WALL mu.urrto FOR FUTURE SLAB 8 -,4 0 \ GRAVEL BACKFILL - ,�.!':.,- 104 N.Elm Street a4 BAR Fe,ll- ''�`f µ�F Northampton,MA 01060 a tL=I (413)587-3050 CONT. I'��IP ► f • g�€t- 12"O.C. tG= -II= ice"•• s frji!1 Al won.sI.a o«npA y MIA i«modl / y FILTER FABRIC awl.'I j?t%¢ -• , arrco¢ 1' v I/Nn oe BidIng Code 2015 w/MA9d1 I-—— \ P.' tom '. Ott Edkon Arneo n s R '� -I tt 4 BAR DOWEL ' ^ kit'si , I a 9"O.C. �• E•41h9 6uidkg Code 2015 IL=I • WEEP HOLES KEYWAY i=11 I I,T`1"a Energy ComervedonCOW2015 Er I I WEEP HOLES _ IE: � � 4"PERFORATED 1 • �•A�"� S CONC.SLABMechanicalcwe2ots I SCHED.40 PV "`-Ji- l �� +' —2"XPS INSULATION Fire C<-:e 2015 © • FOOTING DRAIN s(Iaa �4 `• 6'COMPACTED GRAVEL 2/CAR.R1A r,•e Pro Rv and I ll •sy ta, Re3,ialca I tt4 BAR s 9"O.C • 248 CMR.•s ,c,•„Rey.taY>-t x I�11 .Z h*; CONTINUOUS 4�, ' CONCRETE NOTES: I 4"PERFORATED I - 0 \ °''` ---I--PVC FOOTING co 1.Materials shall have the DRAIN I'-8" 8` -3' following properties comp.strength(fc)3.000 psi -0 3'-"I" 4 _0 rebar(fy)60,000psi f 1;4 BAR DOWELS e I 12'O.C.FOR 2.Clear concrete coverage shall L,r -I 3) SECTION be as follows s NO. SCALE:3/4"=l'-0" conc.forrri 3xposed to earth w/o r m 4'-2" N / coot poured In forms&exposed I GRAVEL BACKFILL-- - '4 0 to conc.l3` I — 0 \ =1LTER FABRIC ! . 3.Soil density assumed to be m _._3., .-Es I2 BAR ) 4.Coeff.of friction assumed to CONT,e 12"O.C- 1 O WEEP HOLES be 0.45 L --I I a 4 BAR DOWEL IT s 9'0.C- _ r 4"CONC.SLAB 5. © I ) 4" • PERFORATED 1: 2"XPS INSULATION sliding:minofsafety as follows SCHED.40 PV , g +6.0 I FOOTING DRAINri 4"COMPACTED GRAVEL overtruning:min.2.0 H »9 BAR•9"O.C. =i_ f l� -0 \\\\\\Nt••,\sksp\.\c..?•.:„.\\':\\\\(\ \\ rytt4 BARS Land Residence \` CONT. 11 , • • 9/10/24 ADU PERMIT SET I'—O"/8"/I'-0"/ 104 North Elm Street 2'-8" / 4'-0 / Northampton,MA 01060 THESE DRAWINGS ARE THE PROPERTY OF ROUTE 9 DESIGN AND BUILD H MAY NOT SE USED IN ANY WAY WAITNOUT � � � SECTION CT I O N WRITTEN PERMISSION.COPYRIGHT 2020 1� PLAN 2 RETAINING WALL PLAN&DETAILS O� SCALE:1/4"=1'-0" ,NO� SCALE:3/4"=1'-0" �N