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17A-185,.173 NORTH MAPLE ST GIS #: Map:Block: 17A - 185 Lot: -001 Permit: Building Category: Permit # BP- 2011 -0465 Project # JS- 2011- 000748 Est. Cost: $20900.00 BUILDING PERMIT Fee: $125.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KEITH HAMILTON 074129 Lot Size(sq. ft.): 7187.40 Owner: ERDMAN HARLEY M & SARITA E HUDSON Zoning_URB(100)/ Applicant. KEITH HAMILTON AT. 173 NORTH MAPLE ST Applicant Address: Phone: Insurance: 17 ORCHARD ST (413) 587 -0763 O EASTHAMPTONMA01027 ISSUED ON. 11/18/2010 0:00:00 TO PERFORM THE FOLLOWING WORK.-ADD 2ND FLR FULL BATH IN EXISTING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Underground: Service: Rough: Rough: Final: Final: Gas: Fire Department Rough: Oil: Final: Smoke: Meter: House # Driveway Final: Building Inspector Footings: Foundation: Rough Frame: Fireplace /Chimney: Insulation: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 11/18/2010 0:00:00 $125.40 BP- 2011 -0465 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner �gtiAM $ � fllitassxcf�usrtfs s DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street 0 Municipal Building Northampton, MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as has /her construction sup< : •'isor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two Jame y 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." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a roueh building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made L understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location F . E Crif� o f � ;Rr�ll��it}�to�l A J 6 g(c�ancElntrtla' W DEPARTMENT OP BUILDf IC INSPeCT107:S 212 Alain Strcct ' Municipal Building Northampton, Mass. 01060 W O TtI« R' S C O itTP E N S A'I'I O N GN S URA_N CE Ar II r1..V1T 1 r {I,ccvsxJ �tTtx) , , , .rith a principal place of businessfresidence at: - �\c1M T' (sty -tic� rJ /stau. /z� p) do hereby certify, Under the p a +nt and pen2lties of perjury., - ( ) I am an employer providing the follo%ving �workcr`s comocnsabon Coverage for Iny employees wor�ong on ties job'. 0MSUr:-n= Coar, .) (Petit: ?:u r) (E : - piratior, Das°.) () I am a sole prop6eto general contractor r homeowner (c cie orle) and hive hired the coon - =,ors listed below wbo have the folloW109, worker's camoen —m-6on pokles: 04amc of Contractor) (Name of COOIT.'.cior) (N?_IDC of Conn - a Io. ) (Ins Coinoan)•/PoUc -, (Lo -s'a lane, aMpaUN /Po'jM NUIMcr7) ( nsuraoc CompaDy /PoUcy N:1mki) (Name of Contractor) (Lasuranc—t Comczuy/Policy Numbs) (amxch elcCt.if acocs. - -y to c dludc - ialo� oo pc tasaias to .11 oocr_co�� {) I am 'a so-le proprietor and bane no one work for me_ () I am.a home owner performing all the tivork myself. : ;)Inwj•on 1111c) �i�ir,:titin Date) (E\ptrzdon Daic) {Etpisatioa Date) . NOTE: piece be avrarL [hr wf lc bcmw.�vcrs .vbo cs�lay pcsom in rio = — c rr;aa ~rant oa . d.• -.rt : ^ z of not mote dhaa t',1 o - iris.+ is 11- bieh the bomoa -mcr rvido oc oa the Qoua zpptutc • ^ tbedo rz Dx ti: -ny oeerdaoi rn lti e3tployes ttr�'e the .+a;S;c� �-, � � qa {GLl S'Za l (5)� s.ppticition lry . bomcooac fv a liet_v__ oc Ana cry n-idmoc the Icgs! cta..nc of as orPloyer uodR dw W*ckc -r Coc=peoo.t AM - I uDdcrtaad the a copy oC thi+ mtcm = my be forte rded to tbo Dcp.vtmm¢ Aced -- Office oC t� rl't' ooverT verireuioo sad ttu L• iliac tD saurt bovcTa trader snU.ion 25 A of htoL 152 m lad to the i nxitioa o(eiminsl Peaaltic ooasi .gig of a fiat of trp to S 1300.00 +nd/or ealsrttia�cn oCtcp b ooc year nDd c�i1 pcn.tua in 6c ftxm ore Stop Wort; Ordc aDd ■ f*= or S 100.00 z day tp, iay tnc For dc, -,,,---�J u,c orilr - pern3it AlumbcJ _ _ Y I.,OI Si l;nauuz ofL crmittcc e J SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Su erviso : Not Applicable ❑ Name of License Holder (]� 0 7 tt I a `I L © i 5 �-� k � , 1 License Number l r ., 10 Address 4 Expiration Date Sign tune Telephone 9.RegisteredHome Improvement Contracfor: ;"� Not Applicable ❑ Registration Num - 15e� Company Name BUILDER /CONTRACTOR INC -, IIIt — jf Expiration Date Address EASTHAMPTON, MA, 01027 1 2 22 6 _ Telephone SECTION 10- 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 buildinq permit. Sianed Affidavit Attached Yes....... ❑ No...... ❑ 1 11. -_Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner Person (s) who own 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 -vear period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF-PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [O] Other [p] Brief Description n1;Propgse Work: V ° - v � I �., A J Alteration of existing bedroom Yes No Adding new bedroom Yes No . Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll heet 6a ,: e111F. Ot7Srr Fa - dt.I lQkt � eXlSt[D OCIS1{IS COI11Rf@ �iIE �OV11ilm: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. _ Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE.COMPLETED WHEN OWNERS I GENT.OR`CONTRACTOR APPUES`FOR'BUILDING_PERMIT as Owner of the subject property hereby authorize to act on my behalf, in all tte elat a to w k authorized by this building permit application. II- I5 /C of Owner Date I �I �� �i � .tea A , gent hereby declare hat t statements and information on the foregoing ap and belief. pains Print , as Owner /Authorized are true and accurate, to the best of my knowledge I l j -- /40 Signature of Owner /Agent Date Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L R: L: 7- 7 1 R: Rear Building Height -- L._ �l Bldg. Square Footage % F Open Space Footage �-; % (Lot area minus bldg & paved # of Parkins Soaces I �— —� I I — � Fill: A. Has a Special Permit /Variance /Finding ever been issued for /on the site? N0 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book i Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q Date Issued: F C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 , NO 0 i IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 1 - SITE INFORMATION Department use only This section to be completed by office 5t F O City of Northampton Building Department Status of Permit: Q 10.j -L Zone Overlay District Curb Cut/Driveway Permit Elm St. District CB District 212 Main Street Sewer/Septi Avai ability,___ 2.1 Owner of Record: �r 14 Room 100 Water /Well Availability_ •� 1q. 0106_), Northampton, MA 01060 Two Sets of Structural Plans Current Mailing Ad dres� Q I phone,413 -5$7 -1240 Fax 413 -587 -1272 Plot/Site Plans__,________ - Telephone 3ignatu Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This section to be completed by office 5t F O /l G1. Map Lot Unit Q 10.j -L Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: �r 14 040 T Mcin 1q. 0106_), e (!j 1 Current Mailing Ad dres� Q I Telephone 3ignatu 2.2 Authorized Agent: A AA 1' jj J L o i Na a (Print) Current Mailing Address: d 1o.4 y�3 bl-163 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only com feted by ermit applicant 1. Building I f O O r (a) Building Permit Fee 2. Electrical © 3 a C) o - (b) Estimated Total Cost of Construction from 6 3. Plumbing ©t1, a 01"D V Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Onl Building Permit Number: Date Issued: Signature: r Building Commissioner /Inspector of Buildings Date File # BP- 2011 -0465 ' APPLICANT /CONTACT PERSON KEITH HAMILTON ADDRESS/PHONE 17 ORCHARD ST EASTHAMPTON (413) 587 -0763 Q PROPERTY LOCATION 173 NORTH MAPLE ST MAP 17A PARCEL 185 001 ZONE URB(100V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_ ADD 2ND FLR FULL BATH IN EXISTING New Construction Non Structural interior renovations Addition to Existin Accessory Structure Building Plans Included: Owner/ Statement or License 074129 3 sets of Plans / Plot Plan THE F01 ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF91MATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Major Project: Site Plan AND /OR ZONING BOARD PERMIT REQUIRED UNDER: Finding Special Permit Special Permit With Site Plan Special Permit With Site Plan Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Septic Approval Board of Health Water Availability Sewer Availability Permit from Conservation Commission Well Water Potability Board of Health Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolitio Dela Signature of Building Official 0-111 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. Z 0 II -D r O m 3 D m D 3 v Z T � N z c� v • I 0 m EXISTG 2ND FLOOR PLAN ALTERATIONS TO ;D PROP. MASTER BATHRM PLAN ERDMAN /HUDSON HOME o� z 173 NORTH MAPLE ST. FLORENCE, MA Mai ---q Z C/) m rn X --4 cn L7 c ) cn S cn C 70 m m ;u D �7 Z � rn co CD D � rnrn < cn m ::E J RICE YUN ARCHITECT 6 CRAFTS AVENUE - NORTHAMPTON, MA 010( Phone 413 - 586 -4483 Fax 413 -584 -2898 m 10 Z = o� cn m x.i K: co :�E cn C7 Cli p O ! o r 4� m x v) (A f CA N O cn N m m \ I 00 D i C7 D 1 D c/) w� < C O m m C N m --- m I O pm \m oo m m m 1 O cj) v) o x � Z � = r co � O m mZ�< rn 70 0 f m O Z 0 m EXISTG 2ND FLOOR PLAN ALTERATIONS TO ;D PROP. MASTER BATHRM PLAN ERDMAN /HUDSON HOME o� z 173 NORTH MAPLE ST. FLORENCE, MA Mai ---q Z C/) m rn X --4 cn L7 c ) cn S cn C 70 m m ;u D �7 Z � rn co CD D � rnrn < cn m ::E J RICE YUN ARCHITECT 6 CRAFTS AVENUE - NORTHAMPTON, MA 010( Phone 413 - 586 -4483 Fax 413 -584 -2898 m 10 Z = o� cn m x.i K: co :�E cn C7 Cli p O ! o r 4� m x v) (A f CA N O cn N m m \ I 00 D i C7 D 1 D c/) VJ 6' -6" / 3'-4" �� F+ N n r 0 Ol u, C 11 X "n T7 D H z m ;u u1 O ;u m r V1 m i Y C I --- ZZ INTERIOR ELEVATIONS I I n -a c>< �a �z00 M m _z om �Zm v zn O O Z m a o m r m ALTERATIONS TO ERDMAN /HUDSON HOME 173 NORTH MAPLE ST. FLORENCE, MA a O O I g X X D Cn rr— w 4 ' O Z n m x � 0 0 m O m � v r` jam` _t V ' RICE YUN ARCHITE 6 CRAFTS AVENUE - NORTHAMPTON, MA Phone 413 -586 -4483 Fax 413 -584 -2898 3' -4" N C) rn O �N (/)a (� rn m X Q < N) Z (A O Z c� D r z � r m m_ D r D p n # U) _ O N a -=ib+m m O ---1 I ; m --I ° ° o o� v l� t - D m c7 m O z a INTERIOR ELEVATIONS I I n -a c>< �a �z00 M m _z om �Zm v zn O O Z m a o m r m ALTERATIONS TO ERDMAN /HUDSON HOME 173 NORTH MAPLE ST. FLORENCE, MA a O O I g X X D Cn rr— w 4 ' O Z n m x � 0 0 m O m � v r` jam` _t V ' RICE YUN ARCHITE 6 CRAFTS AVENUE - NORTHAMPTON, MA Phone 413 -586 -4483 Fax 413 -584 -2898 N C) rn O �N (/)a (� rn m X Q < N) Z (A O Z c� D r z � r O INTERIOR ELEVATIONS I I n -a c>< �a �z00 M m _z om �Zm v zn O O Z m a o m r m ALTERATIONS TO ERDMAN /HUDSON HOME 173 NORTH MAPLE ST. FLORENCE, MA a O O I g X X D Cn rr— w 4 ' O Z n m x � 0 0 m O m � v r` jam` _t V ' RICE YUN ARCHITE 6 CRAFTS AVENUE - NORTHAMPTON, MA Phone 413 -586 -4483 Fax 413 -584 -2898