Loading...
05-052 307 AUDUBON RD BP- 2011 -0944 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Bloc 05 - 052 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: shed BUILDING PERMIT Permit # BP- 2011 -0944 Project# JS- 2011 - 001541 Est. Cost: $11000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES VAN NATTA 040620 Lot Size(sg. ft.): Owner: ZOGBAUM RUFUS F & REINA SCHRATTER Zoning: Appl JAMES VAN NATTA AT. 307 AUDUBON RD Applicant Address: Phone: Insurance: 403 SOUTH MOUNTAIN RD (413) 834 -5329 (� NORTHFIELDMA01360 ISSUED ON :511712011 0:00:00 TO PERFORM THE FOLLOWING WORK.- CONSTRUCT 3 X 16 ATT 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Si FeeType: Date Paid: Amount: Building 5/17/20110:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner City of Northampton Building Departments 212 Main Street Room 100 Northampton, MA 01060a / phone 413 - 587 -1240 Fax 413 - 587 -1272 y CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 = SITE INFORMATION 1.1 Prop erty Address: This section to be completed by office 1( C' 7 Lot ' Unit L a 3 zote,� overlayQstrict , :El n► St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record e (Print) Current Mailing Address: I_ lJ D - L': " A 7C Telephone rNignatur4 2.2 Authorized Agent: Name LPrintj Current Mailing Address: -A /w !4 1 ?mot Z5;T SignattrA Telephone SEC ION 3 - ESTJ CONS RUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building I (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Onl 'Permit Number: Date Building ued: Signature: /� Building Commissioner/Inspector:of Buildings Date , ^ ' Section 4. ZONING All. Information Must Be Completed. Permit Can Be Denied Due To Incomplete Infor tion Existing Proposed Required by Zoning This column to be filled in b Building Department Lot Size . Fronta 7 A ' Setbacks Front r? --- Re Building Height Bldg. Square Footage 0`0 Open Space Footage % (Lot area minus bIdg & paved # of Parking Spaces A. Has aSpecial Permit/Variance/ Finding ever been issued for/on the site? � �� h NO x�� DONTKNOVV lu YES �^ �� � 7F YES, date issued: IF YES: Was t permit recorded at t Registry of Deeds? 0 NO OONTKN0N YES IF YES: enter Book i Pag and/or Document# �� B. Does the � �� site a brook, body NO . DON7 KNOW v�� YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tmbeobtained »�� Obtained »�� Date|ssued'| > «�� �_� ' .[_-_____-___� �� C. Do any �gnsedston the proper�g YES x~�� NO |F YES, describe size, type and location: � D. Are there any proposed changes toor additions of signs intended for the property ? YES 0 NO Nw |F YES, describe size, type and location: E. Will the construction activity disturb (clearing, gradingexcava ur filling) over 1 acre orisd part ofa common plan that will disturb over 1acre? YESK �� � NO 00 |F YES, then o Northampton Storm Water Management Permit from the DPW is required. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition JKI Replacementyindows Alteration(s) E] Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [)_] Siding [p] Other [p] Brief Dewnption of Proposed ?j�+141 Alteration of existing bedroom V Yes No Adding new bedroom Yes .f No Attached Narrative ,-CRAf;- C.4�l�i' Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa , If N ivt r10"k " i � `f�ri€ sina i few e o tQwih a. Use of building : One Family Two Family Other b. 'Number of rooms in each family unit: Number of Bathrooms Ha Cst C c. Is there a garage attached? d. Proposed Square footage of new construction. 2 ZLSt Dimensions C=� e. Number of stories? f. Method of heating? Fireplaces or Woodstoves _ Number of each g. Energy Conservation Compliance. N, Masscheck Energy Compliance form attached? 1K CO h. Type of construction 4` i. Is construction within 100 ft. of wetlands? Yes L- No. Is construction within 100 yr. floodplain Yes ' j. Depth of basement or cellar floor below finished grade _ W42!! 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 AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT' I, u , ? o C P� V r as Owner of the subject property �- hereby authorize �,A ,f1/� - ��- +a V `l N AI'T C ct on my behalf, in all matters relative to work authorized by this building permit application. Signature $f Owner Date as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed unde hgij an enalti s of p 'ury. Print Name Signature of Owner /Agent Date SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction -- S ` Not Applicable ❑ Name of License Holder : _ L \ VA Imo is 1 . AiTAt License Number Add ss Expirati Date �� 15 : Y Sig t r Telephone 9 si2�tilslretlst lame <Iirrrrruetisnt0anatctor: .,� „ems., r ., .._. ,. Not Applicable ❑ Company Name Registration Number - MTI�o ,- —Jt z Address Expiratidn Dat Telephone -sLT SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25CM) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit Wil result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... r No...... ❑ J ant -1 On JIM 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 -year 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 � T The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investig, ations 600 Washington Street Boston, MA 02111 w =� www.massgov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Orgmizadowindividual): ►( ._ - Co -Address: 4 C;;> r N)c N � •_!-t. h Rm> ( { ywA City /Sta&Lp: ©�� � Phone. #: Are you an employer ?.Check the appropriate box: Type of project (required):. 1. ❑ I am a employer er with 4.. [] I am a general contractor and I employ (full and/or part- time). * have hired the sub contractors 6. E] New construction 2.'] I am a sole proprietor or partner- listed on the attached sheet. 7. modeling ship and have no employees LPL These sub - contractors have. .8. Demolition wor for Me m an epTloyees_and have workers' y 9 uziding a�drtron NO workers' eompr. insurance - 'c n .__ required] 5. E We are a corporation anal its 10.E Electrical repairs or additions officers haveGercised.their 11.n Plumbing repairs or additions 3. E3 I am a homeowner doing all work myself [No workers' comp right of exemption per MGL 12.[].Roofrepairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' - 13.[] Other comp. insurance required ]. 'Any applicant that sheds box #.1: mustalso fill out the section below showing tlxfr vawk=' compensatim po&cy aiformation. t Homeowners who mbtrdt tbis affidavit.indirating they an doing an work and than hire outside contsaetors trust submit a new affidavit indicating such. IContractors that check this box must-attached an additional sbeet showing the name of the sub - contractors and state wheffieror notthose-entities have employees. If the subcontractors nave employees, they mustpuvide their workers' coatp..policy numbs: I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information Insurance Company Name Policy # or Self-ins. Lic. A Expiration Date: Job Site Address: City /State/Zip: Attach a copy of the workers, compensation policy declaration page the policy number. and expiration date). Failure. tor sccrue coverage. as required tinder Section 25A ofMCYL'c 157 sari lead to the imposition of cnumtal penalties of a fine up to $1,500.00 and/or one -year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and. a tine of up to $250.00 a day against the violator: Be advised that a copy of ibis statement may be forwarded to the Office of . >� IavestrQations oftfic DIA for insurance`coveraee verification under the sins and enalties p p o fpedwy that - the rnformadon provrded.abovE s�res_anrLcarr- er1 -_:_ __ _ I do hereb - eerk Si>;nature: Date: Phone #: l 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): J. Board of Health 2. Building Department 3. City/Town Clerk .4. Electrical Inspector 5. PIumbing Inspector 6. Other Contact Person: Phone #: HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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." The building, department for the City of Northampton wants persori(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 your), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection The building department requires these inspections before the work is concealed, failure to secure these insuections 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 �ermits 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 DIELAY the project until such time as the proper permits and inspections are made 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 ' A . II IT .-' S L I - f g d r e G. , lk • T �� \,� J - - - -___ - -- El CD ta Sn laR r � °latively flat, I needed fan -to Shed Locker drawing reveals the construction method used to build s. However, if your F Lean -to Shed Locker. Note the timber -frame foundation, Metal flashing iLk -paver floor, and plywood siding. han 5 in. or so, you' timbers at the lowest 112- in. - thick Faux - slate my 3 in. or 4 in. acre, plywood roof shingles , you should be ablt sheathing n I x 4 llv burying the h ledger y g g r I x4 fascia r Thirty- degree - roof slope ie timbers to length However, the exact,' 2 x 4 on the size of the 4 rafter I x4 corner ed floor.That's beta; 14 /4 in. board cut any bricks. It's J• e of the frame to ;hole bricks. The Header - ciseiv 4 ft. wide by " hes larger or sn-ialle 2 x 4 Grooved top plate plywood Plywood siding door with 8 -ft I X4 face frame number of bricks add 'A in. for Jack represent the stud Brick pavers fo obtain the in. to each dimen - ro 4 X 6s, which 2 x 4 lble -check your sole plate ut to length the is layout tech - ters of any size care, and rectan- 4 X 6 timber -frame Approximately foundation 24 in. 6 ft. __ Approximately Crushed - granite 4 ft I base a Half-lop corner joint 1�