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24A-083 (4) any work. Inspections can be difficult; Massachusetts uses the most current version of the National Electrical Code and has made a number of amendments. Other states often use a simplified residential code. Mass code provisions can be complicated. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 From: Jonah Zuckerman [mailto:jonah ©cityjoinery.com] Sent: Wednesday, January 11, 2012 1:30 PM To: Louis Hasbrouck Subject: 82 Jackson Street Louis: I dropped off another, slightly updated set of plans the other day, and filled out an application for a permit. Attached is a PDF file of the set I had dropped off. If need be, I would be happy to discuss these drawings again with you, and make changes to the drawings. We have started some exploratory demolition over there -- nothing structural, but I am hoping to get it going in earnest next week. If all is okay with the drawings please let me know if there is anything else I need to do to have a permit, and how long this will take. Also, I wanted to ask you whether I am allowed to pull my own permits for plumbing and electrical work for the project, as the homeowner. I have a guy who has years of experience out of state whom I would like to do the plumbing, but he does not have a MA license. Thanks. Jonah Jonah Zuckerman City Joinery [IC 917 - :z73 -6069 cilyjoineu.Com City of Northampton email messages are public records except when they fall under one of the specific statutory exemptions. 2 Louis Hasbrouck To: Jonah Zuckerman Subject: RE: 82 Jackson Street Jonah, I reviewed the plans and we're issuing the permit. I've made some notes on the plans concerning emergency escape windows in the renovated 2 floor BR and the 3'' floor, and air sealing requirements. You can proceed with the work. The permit card will be ready to pick up on Thursday along with your copy of the plans. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 ( 587-1240 From: Jonah Zuckerman [mailto:jonah©cityjoinery.com] Sent: Tuesday, January 17, 2012 5:13 PM To: Louis Hasbrouck Subject: Re: 82 Jackson Street Hi Louis: 1 am itching to get started framing some of the interior partitions in the house, and 1 am wondering whether you would be okay if we do that starting tomorrow. l know you gave a verbal approval to Mark Landy last month before issuing the paper permit for the addition, and l am wondering whether l could have something like that from you now so that we could get started on some basic stuff. Please let me know. Thanks. Jonah Jonah Zuckerman mx /vi"urur 0 /7-3 cinioinc~.00m On Jan 11, 2012, at 1:54 PM, Louis Hasbrouck wrote: Jonah, l'H review the application soon. It won't take longer than a week. As to the plumbing or gas, Massachusetts doesn't allow plumbing work or gas fitting by anyone but a Mass licensed plumber/gas fitter. For electrical, if you were to actually do the electrical work yourself, you could take out a permit but you would be the only person allowed to do 1 City of Northampton Massachusetts I: d , w4 a . 4 DEPARTMENT OF BUILDING INSPECTIONS y 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 , lbefore 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, 4 d that they • et their required inspections. Failure of the individual trades to secure the permits and • sections as = •uired can DELAY the project until such time as the proper permits and inspections a • - • ad a , I, understand the above. (Home owner /re . - is sig =re requesting exemption) I will call t schedule all required b • ing inspections necessary for the building permit issued to me. Date I I, t2-- Address of work location g t r- /t G S v c Balii Kit, A114' /i �/�( 0 1ckGO • N.. The Commonwealth of Massachusetts — , Department of Industrial Accidents ,, Office of Investigations 0= 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): Address: City /State /Zip: Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. n I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. El New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ 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. re uired. 5. [] We are a corporation and its 10.0 Electrical repairs or additions q ] officers have exercised their 11. Plumbin re airs or additions ' 3. am a homeowner doing all work ❑ Plumbing P myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] I *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' f the DIA for ' . urance coverage verification. 1 do hereby cer under e , aims ienalties of perjury that the information provided above is true and correct Si a ature: \ n t, ■ ■ Date: Phone #: ` ci �' _ MP �j (2o(;, y 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 #: SECTION 8 - "CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone 91ZegrsteredIomeimprovementiContractor n,° 3 • Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G L c 154 § 25C(61) 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 ❑ 7 ; .om er4Exe .w ption 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 r sulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for ' , u under this • ermit. The undersigned "homeowner' -rtifies • d as .1 es r • onsibility for compliance with the State Building Code, City of Northampton Ordinances, S t a t e . . Local : oning ► • d State of Massachusetts General Laws Annotated. Homeowner Signature • • • a SECTION 5- DESCRIPTION OF. PROPOSED WORK (check all applicable) ' „ -r New House ❑ Addition ❑ Replacement Windows Alteration(s) JN Roofing pi Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [p Siding [O] Other [DJ Brief Description of Proposed Work: ►(Lf- ^ r 0,4 t twat .Jl> A Y c.,. v J t ti Ian w". iii, L S /IAA/ Af; li 3 ►-.,t, frill s t V a cc tF" Alteration of existing bedroom 1 Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll - Sheet .ifs::. ewl Ouse and or dcl,tlon,to.exist houstnq, c omplete the foflowi q: a. Use of building : One Family Two Family IN Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? N 0 d. Proposed Square footage of new construction. Dimensions e. Number of stories? SKIN), JCLf f. Method of heating? 0 t 1 — L S %/q' (h G , - Fireplaces or oodstoves ( f'' Number of each 1 t g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 6/Lt c frl l 9 3t cc T. i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes e ,k No j. Depth of basement or cellar floor below finished grade '�' k. Will building conform to the Building and Zoning regulations? 7 Yes No . I. Septic Tank City Sewer x Private well City water Supply 1 SECTION 7a OWNER AUTHORIZATION TO BE C W OWNERS AGENT OR CONTRACTORAPPL1ES FOR BUILDING PERMIT I, , 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, c'/` ✓ ,i rt--1 o- , 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 u •er the pains and penalties of perjury. Pr' t Name 1 Signature • • - nt Date • % 4 1 ,. Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To }hcomplete Information Existing Proposed Required by' l icit) g This column to be filidcl n by N. Building Department ''' ' / / Lot Size f :. t { , Frontage i ' f Setbacks Front j i I I i I Side L:` : R: = L:1 ' R:I i Rear 1 I Building Height ! I 1 i i I Bldg. Square Footage i I I% i I Open Space Footage (Lot area minus bldg & paved i S I parking) # of Parking Spaces I 1 Fill: _, _ _ w_ _ _. _ _, _. _.__{ _ (volume & Location) . 1 A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 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; I and /or Document #1 i B. Does the site contain a brook, body of water or wetlands? NO 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 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: k 1 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO G IF YES, describe size, type and location: i I 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 1t, IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Q � � � De•artmeMt use #o VV C • of Northampton Status.of Permit;�� - fix , �j�j `�. =uil.' g Department C • u rl�e uay erm t • 6 ' � `t 1 ain Street SewerS�� • ��, ..C6 {3�,.?�N8 L aF�W hfr�`�€�E 3 M`Y gr- x"�. Room 100 I o � ' � e �% rthampt n, MA 01060 V � at u� P • ,," °�� 4 . 413- 587 -1240 Fax 413- 587 -1272 P I St tans ., i. . . . Othi Specs � ` ilc AP • 1 ION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: Thi section to be completed by office "-... ^' < „ r °r " -=„•;,3q,-,..„=":.4,1,'.,:k••.,....), ` F � � li ' 1, s.- -a .4i a j' 2 �," %GCSE t') ! ( 1 , F�Z Map , - M* � . ` , mil lino a s 1, fix' - ` : _ ` { . ,a? v . ` �. V itro ! � r x, , r O � n - V 1 j U i� S % Zone Overla y D 4 4 'Eim�St._District CB District, '= SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner • Record: oiJPstk .70 CI viii A 65 f (vtVL'I„I A A. .1 r °I° c° Name (Print) Current Mailing Address: Telephone Signature `'\_ 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS . Item Estimated Cost (Dollars) to be Officia Use completed by permit applicant 1. Building 7 ( a) Building Permit Fee 2. Electrical 3 C (b) Eim i - Co stns ction Total from Cost (6) of r . 3. Plumbing / Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection "" 6. Total = 1 +2 +3 + +5 b()° Check Number ( ) SR T Section For Official Use Only - */#177+4 Date Building Permit. Number. Issued." Signature " " " Building Commissionedinspector of Buildings ! Date File # BP- 2012 -0644 t. \bL APPLICANT /CONTACT PERSON ZUCKERMAN JONAH ADDRESS/PHONE 65 FAIRVIEW AVE NORTHAMPTON (917) 373 -6069 () Y l “.40d) PROPERTY LOCATION 82 JACKSON ST MAP 24A PARCEL 083 001 ZONE URA(100)/ 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: RENOVATE INTERIOR 56C P(.A N S 1J cr 6 14 3 f (A 0 ('L New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: A pproved 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 1 1 / 1 7/ 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. 82 JACKSON ST BP- 2012 -0644 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24A - 083 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 -0644 Project # JS- 2012- 001108 Est. Cost: $29000.00 Fee: $174.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 11412.72 Owner: ZUCKERMAN JONAH Zoning: URA(100)/ Applicant: ZUCKERMAN JONAH AT: 82 JACKSON ST Applicant Address: Phone: Insurance: 65 FAIRVIEW AVE (917) 373 -6069 0 NORTHAMPTONMA01060 ISSUED ON:1/18/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE INTERIOR - SEE PLAN NOTES RE: 3RD FLR 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 1/18/2012 0:00:00 $174.50 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner