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Satu - Hexdall Kitchen and Bath Renovation Existing Plan
168 South Main Street Florence MA 01062 1/2" = 1,0"
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April 20, 2011
Hans Dahans
11 Cherry Street
Easthampton, MA 01057
Subject Property:
168 South Street
Northampton, MA 01060
Mr. Dahuns,
The plans for the Single Family Residential remodel dated 4 -20 -11 have been approved as noted;
1. Structure conforms to 780 CMR 7 addition 1 and 2 family building codes.
2. Energy aspects must comply with 2009 IECC prescriptive and mandatory requirements or an
appropriate HERS rating. Northampton has the stretch energy code. (appendix 120AA)
3. Minimum tread on a winder must be 3 ".
4. There must be complete and continuous air barriers behind tubs and showers before
installation.
5. There must be a bath fan ducted = e exterior.
Charles Miller
Assistant Commissioner of Buildings
4 •
•
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, 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 buildin2 inspection (before work is
concealed), insulation inspection (if required) and a final buildin2 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
jermits 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
Date
Address of work
location
' .
7
. f ay. • :
The Commonwealth of Massachusetts
Department of Industrial ACcidents
C* =*--36=.:. .1* Office of Investigations
600 Washington Street
• =••••:!:!= 5. Boston, MA 02111 . • .
.,,,,,. . • . www.mass oov/dia • .
r ,..
..-
-Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers
Applicant Information • Please Print LegiblV
Name (BusinesSIOrmization/Individual): , --r,y,
• • Add .;:STIT SA' - r - • . 7.
:A 1 , t -- 7 - "I ' -7,
City/State/Zip: ---- (417v, T 1 1 - 1/4 0 1021Phone.#: ,./ I S - -,- t / - 6 ot vi. -
Are you an employer? Check the appropriatebox: • . •Type of project (required): /
1.0 I am a employer with 4• 0 I am a general contractor and I
6. 0 New construction
hired the sub-contractors
employees (full and/or part-time).*
2.,2 I ani a Sole proprietor or partner- listed on the died sheet: 7. 0 Remodeling .
ship anti have no employees These sub-contractors have •8• 0 Deinolhion .
working for me many capacity egmloyees-andliave workers' . - - -. - . •
9. 011uildinia
# -
re 10.0 Electrical repairs or additions
El 0 We are a corporation •• . ration and its
3. 11 I am a homeowner doing all work officers haV4tereised their 110 Plumbing repairs or additions
myself [No workers' comp. • right of exemption per MGL 120 Roof repairs . •
insurance required.] 1: ' • : p 152, *1(4), and We have no
, employees: [No workers' 13.0 Other r
comp msance required.]
, . .
*Any applicant-that checks box #1 must also fill out the section belay/showing their compensation policy informatian;
1. Homeowncra Who submit this affulaYitincficating they are doing all work and then hir' e outside contractors most submit anew affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether ornot.Those-entities have -
employees. If the sub-contractorsbaVe employees, they must provide tbeir workers ' comp policy number.
•
lam an employer that isproviding workers' compensation insurance for my einplOyees. Below 0 the policyand job site
information.
. , • .
Insurance Company Name:
. . .
Policy # or Self-ins. Lic. #: • Expiration Date: - • ,
. . . .
Job Site Address: : " ' City/Sta.te/Zip:'
• - . - • -
Attach a copy of the workers': compensation policy declaration page(showing the policy number and date).
. . . , _ . -- - ---
Failure to secure coverage: ai reqiiireil'iniiief.SeCtibit2.5A 152,caii leadtd the iiniiiiiitibiOfirliiraliienalties oia
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 yiolatC.r Be a.dyiteti that a copy of this statement may be forwarded to the•OtriCenf
. afet - fiiiiiiiiii - cifthiblgrgiisinTiice' ,ii 1 :: - i — elltff
6'aiiii. '.. .
1 _ firilte;41.77qiriz3:);:filei:' tieiiiiii;:l ofieijit./ritiilti itifirtnatiOnprinPittiiiiritir Tec
,17r.--. : :
Sienatire: -.. t.*4--.., / \.... , . : ' •• - • 55 - 0 V/ 3 / ?(i 1 .• • ,
Phone #: t f/ 3 c i n L 6.(:)1--11 .. .. .
. - Official use only Do not write in this area, to be completed by city Or to;;;oir officiaL
' City or Town: .
Issuing Authority (circle one): .- Perznit/Lkense #
:1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
•
Contact Person: '
Phone #:
. •
• AIIIIIIIIIIMIIIIIIIIIIIIIIIIIIIIIIIIPV-
SECTION 8 -- CONSTRUCTION SERVICES
8.1 Licensed Construction Su ervisor: Not Applicable ❑
Name of License Holder : : c to % D o.. ka`J 1 c 6,i 6
License Number
4 c.
kick, Expirat on Da
Si ature Telephone
9.:Retxistered-.Home ImprovemerttConiracto 4 xn F , , _ w ,' t a g4' Not Applicable ❑
160_) d- ( 1 q
Com an Na e Registration Number
C; 1 '-'- D, 1,,,,, Address Expire ion ate
n
� / �� 4 _ r 1 - A ; J III �.) 1 7Z KO:/�i
- � (. �», � � •`� � Tele phone i
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 ❑
il omm ` vn e ; ej'n 114»
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 Stat�ssachusetts General Laws Annotated.
Homeowner Signature , ' 1 L 1, �'
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ED Replacement Windows Alteration(s) ►ia Roofing ❑
Or Doors [ j
Accessory Bldg. ❑ Demolition , New Signs [O] Decks [0 Siding BM] Other [❑]
Brief Des ?tion of proposed (` r l 1
'[
Work: CP.t 4 (// 1 S 4 ' 4.4 ✓I". :,"'r" 'v's "v.. �^t 3cvre\rCtt)Y`°\
Alteration of existing bedroom Yes ( No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement es �- No
Plans Attached Roll - Sheet \
04 'Niifr iii ii aiiii ti ftc xi ti cr fiai iTtiain luk th` e otIc ktirnq: \
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 la - OWNER AUTHORIZATION - TO BE COMPLETED WHEN ,
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, MA' 1��,C (,C, f Y` ,' >4,= cN ' - . , as Owner of the subject
property
hereby authorize _ a � 5
to act on my behalf, in all matters relative towork authorized by this building permit application.
(
Signature of Owner D a e
I, 00 O *LA ? k 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 an penalties of perjury.
Print Name 7
Signature f Owner /Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete ' nformation
Existing Proposed Required by , oning
This column to , fille in by . ' -t
Building Dep. env
' •
Lot Size i mYW —" ` r ° `"' .., t
Frontage 13 V Ft ' i `,,, t'
Setbacks Front 3J 77 i s
Side Li R:i -. . 1.,:f :
_1S_ ; R: I M ,J I .l
Rear t I i
.!
Building Height
alt 17) 1 ,
Bldg. Square Footage GSM =% Mt = i
Open Space Footage %
(Lot area minus bldg &paved �r 1 I
p y � ...
parking)
m "
r r i v. — �.
# of Parking Spaces
Fill:
(volume & Location) 1 — - A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 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 I Pagel I and /or Document #
L
B. Does the site contain a brook, body of water or wetlands? NO '''11 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 0
IF YES, describe size, type and location: 1 4
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:
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 ® NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
w +..-
x ¢ef Y , a
t , `
� City of Northampton , : ® � � , ,41
Re° Building Department c . m 1� ra , ik � . .
z
��� 212 Main Street 5 e ° 4 _. ; „ ,
3 Room 100 Q E ��
► • ampton, MA 01060 4
��
; 3.. 4
,1 -587 -1240 Fax 413- 587 -1272 ° = 1
1st' �' 7,;
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
�jp, 3 „ l Y\ )' ,.../7t ; , 1 , i Map Lot Unit
k'.. > Z one Ove Distract
(`) @ -' Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
�e ', � - �,e i(v S ex) , ,.t. , j , (� 4 i OA
Name (Print) Current Mailing Address: A.
f r
��. ! 6•-•' . -47 c_ Telephone t
Signature i 3`3 i
2.2 Authorized Agent: ` j
rA � t O4 l 1 ., fi'v ,,. �v , t' , ± ; , r, ri g?" r r ' 1 "' '
Na (P • Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building . , (i44' . (a) Building Permit Fee
2. Electrical 44 (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) #, 5-'"uv _ c Check Number �a '7 czt.5.
This Section For Official Use Only
Date
Building Permit Number: ' _ Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
4/ /,,Doql} (Mhlt -i
J
File # BP- 2011 -0829 ( tr 2
APPLICANT /CONTACT PERSON HANS DALHANS ( ° � �� U
ADDRESS /PHONE 11 CHERRY ST EASTHAMPTON (413) 977 -6094 x, 6'i ��
� 0
PROPERTY LOCATION 168 SOUTH MAIN ST •��
MAP 23A PARCEL 110 001 ZONE URB(100)/ k/ IN 6fri4
THIS SECTION FOR OFFICIAL USE ONLY: , / c
PERMIT APPLICATION CHECKLIST L `,.
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out n P3 Fee Paid 1
Typeof Construction: REMODEL 1ST FLR KITCHEN & BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 160294
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF94 NIATION 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
/9 0.2011
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.
•
168 SOUTH MAIN ST BP- 2011 -0829
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A -110 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- 2011 -0829
Project # JS- 2011 - 001365
Est. Cost: $50000.00
Fee: $300.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HANS DALHANS 160294
Lot Size(sq. ft) 9757.44 Owner: CARNEVALE MELITTA
. C
Z -- affg (1001/ Plicant: HANS DALHANS
__ _r.__ _ - ___ A Setn " iviAiN"ST
Applicant Address: Phone: Insurance:
11 CHERRY ST (413) 977 - 6094
EASTHAMPTONMA01027 ISSUED ON:4/20/2011 0:00: 00
TO PERFORM THE FOLLOWING WORK: REMODEL 1ST FLR KITCHEN & BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
f / p Footings:
Rough: k 1I • 4 Rough: 4, - r f House # Foundation:
�` jp , _� Driveway Final:
Final: S " 1 - I ) ' i
jail/ 0/0 Rough Frame:
016 4 E --- -i , ~-,
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: (NC& I C4111"
__ Final: , '' . r ' ke: Final: 0 l< — 5 K C 016
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
' ANY OF ITS RULES AND RE ONS. j 47:"
, i f IH L
Certificate of Occupanc Sinnature:
FeeType: Date Paid: Amo t:
Building $300.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck - Building Commissioner