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25C-208 (2) . ,* , . . - . . 44r , . _ , ' • ' , (4 , SHLVS r W 11 0 1 ' 1.4 LAUNDRY 8`.-6"' P oo i . • ' . ' o-- , ..„, BATHROOM FAMILY Ir IQ CEN.14G 11N -■ ' --, -.< . 41 --. REMOVE ROOM I . _ c); ---- HEIGHT ,- - NEW BEAMS OVERHEAD: 7:-. o . ,,..... . SEE STRUCTURAL PLANS --) _..... ........ ....,„ 4..._ ,,,,..... , _ s_., _, ......, r - 4 r 1 - ("' ' . ' •.A V\, . I L NEW POST . - ---.. 1 j in 1 __ ___ IIII _ — 30" X 60" 2.. 1 ..o N 3.-3" 4 \ , TABLE , 26" X 60" C EXISTING '''C) I E --- - — ,/ •. „ . - , II KITCHEN - i - — ,,____,..._ __ ... , \..... r 1 DN i l l ..----" T i I , REMOVE EX°G WALLS O \ ' , , ',..---;--------' i TALL 111 dtio\ p CAB. RFR, : kik ( I 4. - 4 WW N , 0 iLli . . sw. WALL , o NEW STAIR ' I : w000 : o CAP I t Illirr REMOVE CHIMNEY ..--, - 8'-2 1/2" 6 ,..., ° (/) , 4)... ' 102 ' 11; ' INS - 1 0" :' '' • ' INSIDE 1 ..., MN I Z CEILING ` 1/2" 3'-0" ROOM 7 ohols - ENTRY , '1- EXISTING DN PORCH ......_.-- i 0 0 DN Q t I I. >i ;r,v ' c1. ' Or) S i't _c : j.:._ 4 9 x --- ''-Li' ' 4 (; V --- ,° tftwo - 1-tv vi p 11 2 1 IV �r4 fit' ________- _±!d_ QlhZ —0 ...-- ; - fin+ SAX 1 .7 I . 1 , d_ . • 0 9 X7 2 _ .M. . ________ _. L _______ 1 _ .. Commonwealth of Massachusetts City of Northampton 4' ' '.: °. 1 DEPARTMENT OF BUILDING INSPECTION r,. 2 12 Main Street • Municipal Building "'/-, r -�' '" !, Northampton, MA 01060 sJ / n`, - James O'Sullivan 264 Buck Pond Road Westfield, MA 01085 December 8, 2011 Re: 15 Linden Street Dear Mr. O'Sullivan, I have reviewed the building permit application you submitted fro work at 15 Linden Street. I have approved the application with some conditions: The deck must comply with the plan notes, including 4" baluster spacing, proper attachment to the house per current code, adequate diagonal bracing for the posts and proper sizing for the supporting beam. Structural information for the interior renovation must be available at the time of the framing inspection. Feel free to contact me if you have any questions. Louis Hasbrouck /7-4.4.40 / Building Commissioner City of Northampton lhasbrouck@city.northampton.ma.us ,b ,°sec r - - I -,-,- , , d I I I III/ _ _ Q. Z1xo1 r � C? 3S9 poqp,17 5 .1 lb —b. � � s •e— ZI —16. 4 ,t3 z� oL Pel razkt i V , ZL S ry 3 Q ( - - -- -- 4 °'31n. -LVn46 ,41 --�'?� , c , c . . i+v •Qa'J- C'1 i 5 _ - 1`L- 0 ?x0 -te 1 1, _` ---\ - 1V40-0 - — 1 c 1,..5 1 N; t l : - 1 _, ) , , :b .. :14: 0 / , 3 - S9.4 2 )k' 3 -5 9 L. tvY4,---- e...)- t / 49 € r , • t I) " 4/41 E -7 " -- i C ----511141 I C Qi Q3S9d5sy 1 pf3c1 IN 1 7 5 -,or- _sti )i 1! -- `)1•1 I ><3. 9 I vm votti I S r\i ci N ,T - z triT City of Northampton A ; Massachusetts ' + DEPARTMENT OF BUILDING INSPECTIONS r Ird ,: 212 Main Street • Municipal Building �� Northampton, MA 01060 , INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant 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 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 I, 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 • The Commonwealth of Massachusetts S Department of Industrial Accidents Office of Investigations _-„ 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): ' l 1 \tf 1 I oc.)[V i N.. A-Prriks 0 JLi I l� Address: 2-Z04 ?©N (L-� City /State /Zip: U.E -c 0 1 0 c 6 4 ' Phone #: `{ f 3 " 3 2 " 13 / 2 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. New construction 2.E1 I am a sole proprietor or partner- listed on the attached sheet. 7. [1 Remodeling These sub- contractors have ship and have no employees 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E4 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must 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 - contractors have employees, they must provide their workers' comp. policy number. 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. #: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal 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 fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify un er pains and penalties of perjury that the information provided above is true and correct. 1.1 --2-e I Signature: Date: Phone #: 44 3 -- S3 Z - \ 3 - 2--- 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 #: J SECTION 8 CONSTRUCTION `SElIVICES •r 8.1 Licensed Construction S Supervisor: Not Applicable ❑ C s Name of License Holder: ° ������ i C y) 1 \ \I " 1\1 �S 667 S License Number .) ; � c l ' �) -Rte` -��i 1 u t c �� -- � 2U13 Address . ` Expire ion Date Signature Telephone ere ® m.rovemei% .n> , �: " , f " Not Applicable ❑ Company Name Registration Number 4 P)UC �Z- � � U ,��y �, � (AA-0%01(5 / Z — 2 — /Z Ad ress Expiration Date Telephone 1k 3l 13lz- ECTION 1d- WORKERS COMPENSATION §_iMNCE, IFFI *K4 1 G 494420 25c19 r= 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 ❑ 3 re, N to. a y ,' li � e rl I 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 • :' '• a i , f _ - *, 4t,j .. M �. ,' 4,..r_ id "f *?' k , M C,. - . SECTION DESCRIPTION O PRO WORK (check all applicable) : ? New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing PKI Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [(Z).,,, Siding [0] Othe a I _.,a Brief Description of Proposed f _ 1,1%—e /- r AIrl i ,�yt�vvv — Work: IN Work: _c l� � f1/4:''{� -,n.: r. _ � !AC \s. IZII\S' i )0 Alteration of existing bedroom Yes `? No Adding new bedroom } Yes No Attached Narrative Renovating unfinished basement Yes `2 No Plans Attached Roll / - Sheet 3 a? <' v�V°- w et A x,NZ.- � ct - 6^.t� Li, al G ? ± u`• R t .aj •W+ ui fi"- y4 ' Si'JVxb'. a pv,;: ® a na,s, a•IiQ,LQ.. XlsII I °ism 0'1. save: 1 .e o .tnq: 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.S74, OWNPR AUTHORIZATION kTC! BECOMPI. WI EN E =OWNERS`AGEN_T OR CONT.R ICTOR.AP.PUES.FORBWLDINGPERMIT; ks „ *x ,�§w.» „_ y .,wr, z u�.exw* 7.t'"e3v; .&; .. ._ F!. « t.`-ar r.:. �.� .. r- ..�.4 a,+r -fi=x u,a ,,.. I, W0 IA (, O (d , as Owner of the subject property hereby authorize . \4 € , S 0' S v, � � H qv nk.. (' cLs6..∎ Co v at Nit di`oK to act on my behalf, in all matters re • e to work authorized by this building permit application. Signatu Owner Date 1, Ca-c ( 6 ikvo, ) !at, % , 11,4 ^1 12 .7 (Gt, 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. Sgned under the pains an pen 'ties of perjury . i'siWc--- 1 (-)"' 0 \tvi0• Print Ist me C..g.--r..... 6 3---- : 1 "-- 2-V — \ \ Signature of Owner /Agent Date • 1 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information b Existing Proposed Required by'Loning This column to be filled in by Building Department Lot Size I - 04.)0 5.F. I 1i4-4. to -02, 1 ! Frontage 5o` ! 1 'n` I I Setbacks Front Side ° L:= R:W L:i .l'-• I R: 1 t Rear EEM ...,1 L L „.. . Building Height p 71 I-/ 1 l i Bldg. Square Footage Via 1 1 % 1© = 1 Open Space Footage % �� �7� _ (Lot area minus bldg & paved , (( ( I - 4 0 Y'l l 1 1 r parking) - '�T'_�C # of Parking Spaces I I i I L__ Fill: i 1 1 (volume & Location) i $ , A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 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 Page and /or Document #1 B. Does the site contain a brook, body of water or wetlands? NO 1 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO .gip IF YES, describe size, type and location: s D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0 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 ►'r IF YES, then a Northampton Storm Water Management Permit from the DPW is required. File # BP- 2012 -0543 APPLICANT /CONTACT PERSON JAMES O'SULLIVAN ADDRESS/PHONE 264 BUCK POND RD WESTFIELD (413) 532 -1312 PROPERTY LOCATION 15 LINDEN ST MAP 25C PARCEL 208 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out p 3 � ` Fee Paid 3 7 Typeof Construction: CONSTRUCT 10 X 12 DECK, RENO 1ST FLR (REMOVE WALLS,FAMILY RM,BEDRM), ROOFING = SEE CotoD l icT 1J New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 66335 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: L/ 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 t2-/V( / 'gnature 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. 15 LINDEN ST BP- 2012 -0543 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C - 208 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0543 Project # JS- 2012 - 000911 Est. Cost: $54000.00 Fee: $324.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES O'SULLIVAN 66335 Lot Size(sq. ft.): 4399.56 Owner: GOLD RONI Zoning: URC(100)/ Applicant: JAMES O'SULLIVAN AT: 15 LINDEN ST Applicant Address: Phone: Insurance: 264 BUCK POND RD (413) 532 -1312 WESTFIELDMA01085 ISSUED ON:12/8/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 10 X 12 DECK, RENO 1ST FLR (REMOVE WALLS,FAMILY RM,BEDRM), ROOFING - SEE CONDITIONS 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 12/8/2011 0:00:00 $324.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner