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11C-039 (3) • 73 FLORENCE ST s BP- 2011 -0775 GIs #: COMMONWEALTH OF MASSACHUSETTS Map.Bloc 11C - 039 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2011 -0775 Project # JS- 2011- 001275 Est. Cost: $301500.00 Fee: $1809.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(s4. ft.): 16552.80 Owner. JUDGE DON & KAREN Zoning: URAA(100)/ Applicant. JUDGE DON & KAREN AT. 73 FLORENCE ST Applicant Address: Phone: Insurance: 73 FLORENCE ST (413) 250 -2322 O LEEDSMA01053 ISSUED ON :412812011 0:00:00 TO PERFORM THE FOLLOWING WORK.- RENOVATE COMPLETE INTERIOR 2 FAMILY W /(2) ADDITIONS (ADDING 2 1/2 BATHS & SUNROOM) W /NEW FOUNDATION 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 4/28/20110:00:00 $1809.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner app � File # BP- 2011 -0775 APPLICANT /CONTACT PERSON JUDGE DON & KAREN pp-oo q��,���) ADDRESS /PHONE 73 FLORENCE ST LEEDS (413) 250 -2322 Q ) PROPERTY LOCATION 73 FLORENCE ST url6a fwt MAP 11 C PARCEL 039 001 ZONE URA(100)/ S'(j 0fk THIS SECTION FOR OFFICIAL USE ONLY: (At4,6p 313 t I N ( LoU tS PERMIT_ APPLICATION CHECKLIST ENCLOSED REQUIRED DATE OJ I (, V ZONING FORM FILLED OUT � Fee Paid� Building Permit Filled out ZY14 f7Z p(,T 0--ho Fee Paid T}i Construction RENOVATE COMPLETE INTERIOR 2 FAMILY W42) ADDITIONS (ADDING 2 1/2 BATHS & SUNROOM) W/NEW FOUNDATION New Construction Non Structural interior renovations Addition to Existing \` p . p 0 Accesso1y Structure 1 V ` Building Plans Included: 4 P Owner/ Statement or License rAM v� -1 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required (see below) ( a 1 PLANNING BOARD PERMIT REQUIRED UNDER: § Ll � 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: § N 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 e li ' D lay r Sig re of B ildi g f cial 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. City of Northampton t� Massachusettsx "� I DEPARTMENT OF BUILDING INSPECTIONS Pi 212 Main Street • Municipal Building C`tr Northampton, MA 01060 INSPECTOR Don & Karen Judge 73 Florence Street Leeds, MA 01053 April 27, 2011 Map Block:11C - 39 Location: 73 Florence Street Ms. & Mr. Judge: The plans for the Duplex Residence dated 6 -6 -11 and 6 -28 -11 have been approved as noted; 1. Structure must conform to 780 CMR 8 addition 1 and 2 family building codes with MA amendments. 2. Energy aspects must comply the stretch energy code. (appendix 120AA) HERS Rating highly recommended. 3. Basement cavity insulation must be R -13 or R -10 continuous. 4. Deck ledgers and post must be bolted. S. Headers and jack studs per table R502.5(1) and (2). 6. Grade must be sloped away for the house per code. 7. Smoke and CO detectors as required per code. Building code, two independent systems, smokes in all bedrooms, smoke /co within 10' of a bedroom and at the bottom of all stairs leading to finished space and for each 1200 sqft. 8. 50% High efficacy lighting. 9. All framing materials which are not code prescriptive must have engineering. a. LVLs, 1-joist and or Floor Truss, Roof truss 10. The ceiling of the sunroom must be ply- wooded before adding finishes for braced wall construction. 11. Hazard areas must have tempered windows, see plans. 12. Bedrooms must have egress windows. 13. Rear connector addition beam is undersized. 14. Beam missing at south side bump out in the existing section. 15. All sill plate must be appropriately attached to the new foundation. These items must be submitted to the building department for approvals before a rough inspection can occur. Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email address is: cmiller(a_northamptonma.gov Thank you for your cooperation in this matter. Chuck Miller City of Northampton Assistant Commissioner and Zoning Enforcement cmiller(c)northamptonma.gov O City of Northampton Building Department G 212 Main Street � Room 100 N hampton, MA 01060 - 587 -1240 Fax 413 - 587 -1272 ATION 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, Map Lot Unit one Overlay District EIM St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT _7 2.1 Owner of Record Name (Print Curr nt Mailin Address: \ i3� 0731 ( Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED'' CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only com feted by ermit applicant 1. Building / pU . 6-0 (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 y Z ;?, Soo 6. Total = (1 + 2 + 3 + 4 + 5) # /; G3. 011 PA Check Number This Section For Official Use Onl Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date / Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete #orma tion Existing Proposed Required by ning This column to filled in bi/' Building Dep enl; �!f Lot Size F f; Frontage Setbacks Front Side L: - R: L: R: Rear Building Height Bldg. Square Footage % T� " Open Space Footage % I V A� (Lot area minus bldg & paved ! OO A..._G [i / V_ p arkin it) # of Parking Spaces —` Fill: volume & Location A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO M DON7 KNOW 0 YES 0 IF YES, date issue& IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book 1 1 Pag and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: i E. Will the construction activity disturb (clearing, grading ex vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. gya SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition Replacement Windows Alterations) Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [C] Siding [I:3] Other [Q Brief Description of Proposed Work: e ��CK ar, cc� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a ff�t e�lr�tcit�s�aan` c��r�adtl�ar�c�; ei��sfiir�a== �dusiria .z�amal��"�Et�e�ilar�ii��a• 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? _ di 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 W_00<� - F'(zA i. Is construction within 100 ft. of wetlands? Yes _X No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade 'P k. Will building conform to the Building and Zoning regulations? X Yes No. I. Septic Tank City Sewer '>4 Private well City water Supply �( SECTION 7a - OWNER AUTHORIZATION'- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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. Signature of Owner Date I ' 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. Print Name / "_ �, , 2__ ( 0 (7 _:�) - - ture Owner /Agent Z Date SECTION 8 - CONSTRUCTION 'SERVICES 8.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone 8 •2etiiF "tenetld R , 6-- e`liit roi i t On ra orr ,_- . .pro_, Not Applicable ❑ Company Name Registration Number Address Expiration Date 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 building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ " 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 U \ v The Commonwealth of Massachusetts r Department o f Industrial Accidents . Office of Investigations _ 600 Washington Street Boston, CIA 02111 ,� -' www,massgov /dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/PIumbers Applicant Information Please Print Legibly Name ( Business /Organization/lach ndual): Address: City /State(Zip: Phone. #: Are you an employer ?.Check the appropriate'box: Type of pioject (required):. 1. ❑ I am a employer with 4.. ❑ I am a general contractor and I employees (fall and/or part time).* have hired the sub- contractors 5. New eons>zuchon 2.0 I aai a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling These sub- contmaors.have. .8. ❑ Demolition . ship �d have r;u - .�loyees . wo . for me in an workers' _ rkmg y �P�y employees.. and have mct,ranrP_ 9 ❑ dig a�hon [No workers' comp. msrnance _. 5. ❑ We are a corporation and its 10 ❑ Electrical repairs or additions �] 3. I am a homeowner doing all work officers Isavexercised their 11. ❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12. ❑.Roof repairs insurance re quirecL] t c: 152, § 1(4), and we have no 13. ❑ Other employees. [No work=' comp. insurance requited. }. 'Any app licant that checks box #1 nwst also fill out the section below showing t3teirworimn'- cornpensation Policy information t Homeowners who submit tau affidavit.indicating tbey are doing an work and than hire wide contractors must submit anew affidavit indicating such tConaactars that check this box must attached an additional sheet showing the name of the sub-contractors and state wlhethe or not those entities have e mploy ee s. If t he sub- contractars have employees, dicy must provide their workers' comp. policy number. I an an employer that is providing workers' compensation insurance for my employees Below is the policy gad job site information. Insurance Company Name: Policy # or Self-ins. Lic. #: Expiration Date: Job Site Address: City/Stafelzip : ' Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure to secure coverage: as re qui=od and rcr Section 25A ofMGI c 152 can lead to t3ie imposition of criminal penalties of a fine up to $1 500.00 and/or ore. -year fmpnsonment, 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 this statement maybe forwarded tq the Office of� Investisations of the l)IA for insinrarice coverage verificafion _ _ _I do hereby certify under sins and penalties ofper7ury that the informattonprovirietlnbQVEislrus_aadcorrect - -:_ Si tire: ate - Phone #: Official use only. Do not write in this area, to be completed by city or town offic id City or Town: PermitUcense # Issuing Authority (circle one): J. Board of Health 2. Building Department 3. City/Town Clerk .4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: r \ 1 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 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 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 DELAY the project until such time as the proper permits and inspections are made I, understand the above. (lioifie owner eside 's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued tome. Date Address of work location 23 aAkd woco.u�.vn•aavxnw : R � SNdI 'IA2I 2 iwa anou�w9rgna ��i avro au�sx�.mns wwwn _ o : e o ! t z Ajxn0J xamodym $ 8 o d 83LYID 3v ArLLMM atm ao krem y SU3Sf1HOVSSVW `NOJxWVHJ.2IOH g 4 e HIQIMriONVId y € b g 40l 39Vd '$L N009 NVId x r R a MOa AYM 31YN2d 301M ,OZ V a3NaVM 1 ,Bt -SL[ 3,ZS,sZ.[ON 1 1 1 I R 1 in _ 1 J 1 1 1 Z Q � sa'sri 1 I i g a $I I HH. 1 LIJ Lj s of I I � � � W Ul \ I I I S Z 3 2 r N�bO13n! I I o Q OLL , - - -- \ L J I I a art � b I I n �qqn` Q V Q ? I t 3 .81,9�roN ' 1 ' � 3 O gy Y" 6 5 g �ff 6 s as o LL g a� °.. a N �i - tl 1 ' "o) N OW I Ewm N,wsi / FBI F 3�..e t-[ =Y SS, -g Y` li it Fl/F N/F E eA"Zn l n x , r i �> r .ow N F GREENE= — wu. µ�- n J — 585 6 5 F, — mws y.a s k n \ n nno swrcv er rnu ro..v ss.ncx a �i /w/wv. UwNER UNCE Rr4sN � � - .. ��`, .A • 1sr UWNEft uNCERiAiN _ rx rr [rs xr ux ��o xww `_ - cu rwxa rowsr _— we sw[ wr nuv. m ixc ♦r e - .swr -zvi_ \ � ` , _ _ xe. zlxa..uxs n. ever. _ � '— -� — � Z U � Z Cwmm .x M x.wwzxwE cw,rvry xcosrxr a ofms. �4 za n owNER UNCERiaN O y K , v 4' rwx,rvc« w mkr rx.e. rr waesaax,u xrvoxuma. .w ax r., rc��a n �S = < V wrc - w� M w.ez N/F w..a �s a srxeerz .xo � rx vnA c sms s Ersw FRANCIS J. AND LINDA M. GWEENEY, iRUSiEES * .ew x rw me pF THE • FRANCS AND L SWEENEY LINNG TRUST ra ..... L. __1 Z �9>Ck STREE7 _Na +• - �A1 � = s u= i ARCH (RUauc) y RE EIVEp 0 -4 OF am 1 PIE N04'li'1i• 111.71 N ��� I 43.4' oil Ln iVwo g _ i :►1 a t �A��+t N05Z4"S2"£ 115.0 1 to 1 File # BP-2011-0775 APPLICANT /CONTACT PERSON J1 DG DON & KAREN P C OX&kDEA b ADDRESS/PHONE 73 FLORENCE SLd LEEDS (413) 250 -2322 Q PROPERTY LOCATION 73 FLORENCE ST S f Ldp MAP 11C PARCEL 039 001 ZONE URA(100 SETW -k THIS SECTION FOR OFFICIAL USE ONLY: CAtl,610 3 `'& `11 L IS _ PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT V Fee Paid Buildiniz Permit Filled out Fee Paid Purr 9LAV Typeof Construction: RENOVATE COMPLETE INTERIOR 2 FAMILY W /(2) ADDITIONS (ADDING 2 1/2 BATHS & SUNROOM) W/NEW FOUNDATION . New Construction Non Structural interior renovations Addition to Existin Accesso1y Structure U �O Buildin Plans Included: Pt,�'� Owner/ Statement or License MA C, %k 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON LP INF , Q401ATION PRESENTED: Approved Additional permits required (see below) (,Lc PLANNING BOARD PERMIT REQUIRED UNDER:§ L I t Intermediate Project: Site Plan AND /OR Special Permit With Site Plan O < Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § ? L� Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed �� V 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 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. J