11C-001 (2) k
MI,�,.._:. a� ,4 BP- 2010 -0218
GIs #: COMMONWEALTH OF MASSACHUSETTS
2 g = CITY OF NORTHAMPTON
Lot: -001 "BRSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NO 1!HAViE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: B UILDING PERMIT
Permit # BP- 2010 -0218
Project # JS- 2010- 000.27_2
Est. Cost: $33200.00
Fee: $107.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 410770.80 Owner: GABLE VIKI J
zoning: URA(100)/ Applicant. GABLE VIKI J
AT. 92 FLORENCE ST
Applicant Address: Phone: Insurance:
92 FLORENCE ST (413) 586 -9198 ()
LEEDSMA01053 ISSUED ON. 813112009 0 :00 :00
TO PERFORM THE FOLLOWING WORK.-ADD 8 X 20 GREENHOUSE & 8 X 16 DECK TO
EXISTING GARAGE
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 Sisnature:
FeeType: Date Paid: Amount:
Building 8/31/2009 0:00:00 $107.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
File # BP- 2010 -0218
APPLICANT /CONTACT PERSON GABLE VIKI J
ADDRESS/PHONE 92 FLORENCE ST LEEDS (413) 586 -9198 Q
PROPERTY LOCATION 92 FLORFNCE ST
MAP 11C PARCEL 001 001 ZONE URA000)/
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 8 X 20 GREENHOUSE & 8 X 16 DECK TO EXISTING GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accesso_ry Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan P l � !d6 o- � AA,(.�� QE (4U SPEG�Ep � y�t� PO
MAST R1✓ UZ ACF 9
THE FqLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
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
0
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.
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
/;l! 212 Main Street Sewer /Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413 =987 -1240 Fax 413 - 587 -1272 Plot/Site Plans
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
q F Map Lot Unit
L(? -' 5� l� (� i Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record
Vs�1 T �clji l 1" lc,--e 11 oE
Name (Pri Current Mailing Address:
Telephone a ' f
Signature
2.2 Authorized Aaent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
comp leted by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical 1 1 (b) Estimated Total Cost of
I V Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) J /
5. Fire Protection 1 i
6. Total = (1 + 2 + 3 + 4 + 5) 1 U (' Q e ' Check Number
This Section For Official Use Onl
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
Section 4. ZONING All Information 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 �� { _� 1 0 C
Frontage
Setbacks Front 3� �'� V11 G
Side L: S L R: 3L L: G { R: 3G
Rear / 1
Building Height
5 k C Ae'o e
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg & paved ,
p arkin g ) b
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ver been issued for /on the site?
NO O DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES Q
IF YES: enter Book Page and /or Document #
B Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q 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 Q NO `J
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [[3] Decks [Ot Siding [p] Other [0]
Brief Descr' ti n of Proposed /
Work: J rat #GL ` 't L= 11'ltslDUS% room r L fi` � 1?6C
Alteration of existing bedroom Yes 1 - ---- No Adding new bedroom Yes �
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Shea
6a. If New house and or addition to existing housing, complete the following:
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 12
c. Is there a garage attached? /� _ �[ S ��k =r`een %cu
d. Proposed Square footage of new construction. 4 � (- recKk &mensions
e. Number of stories?
f. Method of heating? _ G-) Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. n Masscheck Energy Compliance form attached?
h. Type of construction tYJ 4- I" r-
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 /V ) fi"
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer ✓ ✓ Private well City water Supply Y
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, i k ' as Owner of the subject
property
hereby authoriz
to act on my b If, i all att relati to work authorized by this building permit application.
1✓ i 6'
Signature of Owner Ir V Date
1, 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 under the pains and penalties of perjury.
&— C kaf- le,
Print Name
C 0
Signature of Owner /Agent Date
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor Not Applicable
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
9 Registered Home Improvement Contractor: Not Applicable 0
1660,
Company Name Registration Number
0
Address Expiration Date
6 r 1, 5 L �c: f l c �l`� 7!na ))'I4 Telephone re ! �G
0
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 building permit.
Signed Affidavit Attached Yes....... ❑ No...... - S 5 -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 -year period shall not be considered 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 pin Laws and State o -Massaghusetts General Laws Annotated.
Homeowner Signature }
City of Northampton
Massachusetts
E ZZPAR21ON'T OF BUILDING INSPECTrCKS r
212 Main Street • Municipal Building
Northampton, MA 01060 J Js t , jti , ��
INSPECTOR
Anthony Patillo
Building Commissioner
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 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 rough building inspection
(before work is concealed), insulation inspection (if required) and a final building inspection
The building department requires these inspections before the worts 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
I, f understand the above.
(Home owner /reside is signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date ` — /Y 61
Address of work locatio
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From: Viki J. Gable
92 Florence Street, Leeds, Ma. 01053
Date: 5/18/2010
To: Northampton, Ma. Building Commissioner's Office
Re: Amendment to Building Permit # BP- 2010 -0218
To Whom It May Concern:
This letter serves as a narrative for the proposed building permit amendment application
included in this package.
The original permit was issued for construction of a new 30' x 40' storage building,
attached to an existing 2 -story barn/studio building. We are still planning to perform the
original work, but are waiting on funding before proceeding.
While we are waiting, we have decided to add 2 small elements to the above - mentioned
existing structure:
1) A 8'0" x 20'0" "Greenhouse" addition to south wall of the existing building,
which will not include any electric, plumbing or mechanical systems (a "passive
greenhouse), to include high- efficiency glass walls set into post- and -beam
framework with a standing seam metal roof,
2) A 8'0" x 16'0" deck with attached stair to be constructed on the west wall of the
same existing structure as drawn.
Neither item will interfere with the previously approved addition, and does not affect
road frontage, setbacks, wetlands, etc.
Thanks much for your attention.
Viki J. Gable, Homeowner
Charles Sheets, Agent for Viki J. Gable
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92 FLORENCE ST BP- 2010 -0218
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map :Bloc 11C - 001 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv: BUILDING PERMIT
Permit # BP- 2010 -0218
Project # JS -2010- 000272
Est. Cost: $33200.00
Fee: $240.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sa. ft.): 410770.80 Owner: GABLE VM J
Zoning: URA(100) Applicant: GABLE VIKI J
AT: 92 FLORENCE ST
Applicant Address: Phone. Insurance:
92 FLORENCE ST (413) 586 -9198 O
LEEDSMA01053 ISSUED ON: 813112009 0.00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 30 X 40 GARAGE /STORAGE TO
EXISTING
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 Signature:
FeeType: Date Paid: Amount:
Building 8/31/2009 0:00 :00 $240.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo