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31B-083 (2) Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0009 Date: October 21, 2009 MINUTES OF MEETING. Available in the Office of Planning & Development. I, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. I certify that a copy of this decision has been mailed to the Owner and Applicant. The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. All appeals are heard by the full Zoning Board of Appeals. GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. BLCG. DPW CITY CLERK Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA- 2010 -0009 Date: October 21, 2009 APPLICAT ION TYPE—. SUBMISSION DATE. I I I .,._.. Residential Finding 9/21/2009 . !! ; -, I ‘, Applicant's Name: Owner's Name: NAME: NAME: OCT 7 2 ^ ' JASON GRAVER SHERRY TAYLOR ADDRESS ADDRESS: 104R HAWLEY ST 25 EDWARDS SQUARE ' r TOWN. STATE. ZIP CODE TOWN. STATE: ZIP CODE ._..._____..._. _ _.______.__ NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO. I Ai, NO PHONE NO FA, NO (413) 320 - 6427 EMAIL ADDRESS. EMAIL ADDRESS Site Information: Surveyor's Name: STRF,.ET NO.: SITE ZONING: COMPANY NAME: URC(100)/ TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Grant MAF B • • ,; MAP DATE: SECTION OF BYLAW: 6i f`:° A'1 Chapt. 350 -9.3 (1) (D): Pre - existing TOWN: STATE. ZIP CODE Book: Page: Nonconforming Structures or Uses May be 9550 129 Changed, Extended or Altered with a PHONE NC. FAX NO.: Finding from the Zoning Board of Appeals. EMAIL ADDRESS NATURE OF PROPOSED WORK: 10 X 12 DECK at rear of property HARDSHIP. CONDITION OF APPROVAL: FINDINGS: The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application. The Findings of the Board Administrator under Section 9.3 for the addition of a deck to a single family house related to the side yard setbacks were as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming structure on the lot. The addition would extend to within 6.1' of the side lot line. The current non - conforming structure is 6.1" from the line at its closest point. No other setbacks are affected. 2. The Administrator found that the home would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre- existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY, APPEAL DATE 9/8/2009 10/3/2009 10/22/2009 REFERRALS IN DATE HEARING DEADLINE DATE. HEARING CLOSE DATE FINAL SIGNING BY APPEAL DEADLINE 9/26/2009 11/25/2009 10/8/2009 10/22/2009 11/20/2009 FIRST ADVERTISING DATE HEARING DATE. VOTING DATE DECISION DATE 9/24/2009 10/8/2009 10/8/2009 10/21/2009 SECOND ADVERTISING DATE HEARING TIME VOTING DEADLINE. DECISION DEADLINE: 10/1/2009 4:00 PM 1/6/2010 1/6/2010 MEMBERS PRESENT: VOTE: Sara Northrup votes to Grant MOTION MADE BY SECONDED BY. VOTE COUNT. DECISION: Sara Northrup 1 Approved GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. _ dO { it ipjod Bu sixes SeiVIM Gto u 6',9 - el X Oh { 11� -- 1 O ♦ 7 I 10. Do any signs exist on the property? YES NO X. IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO X IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) ov @r 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from,the DPW 15 required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use the Building ilding EXISTING PROPOSED I .77 Q Ul D B Y Lot Size Frontage a & I Setbacks Front . / /0 a &6) �, '10 * /* a Side L: 4'-/* R: /; 1 L: 4o a R: 1o 1 ; / c R: Rear 31 / 029 -, Building Height Building Square Footage % Open Space: (lot area -, s minus building & paved /7y74 '. , G6 1841 S�• ft. - G a ,°� 6 -vr n� ,:. parking - # of Parking Spaces' " 1- / - a .x. # of Loading Docks I 1 -- Fill: ■ (vnlmP !L location) •' � .--. u 13. Certification: l hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: f1 Applicant's S ignatur . IP' Apr NOTE: issuance of a zoning permit does at r an app!kant'. 'urden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W :\Docaments\FORMS\original \Building- Inapector\Zoning- Permit - Application- passive.doc 8/4/2004 AUG 2 0 2000 b /3 Fil N o . �� } w IP.'LI Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the --r�-- City ofNortharnpton 1. Name of Applicant: '7450"1 6ta0es Address: AO R flfatl�E(! < Ahriluy +0K r 4114 Telephone: ( /i) 3 " 4'4'7 2. Owner of Property: She Pt/ Tel Ior- a Address: S &awards 5 owe Telephone: 3. Status of Applicant: Owner A. Contract Purchaser Lessee Other (explain) 4. Job_ Location: o2s _ 6WtP e e! e . " K�r a .. .,„` r '� R 6 T,=` -' k' E A ..r'r. r -�'i3'C' c p d ..,... ® F F w ��I t R r �' .s. 3 �..� ,. +' '.; ' � s i*f� , " =.74 i 0,11:177 .n / ' - ' ..... s � -� 5. Existing Use of Structure /Property: KCS1C)01. I Jl S /A l 4oM . home, ome, 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): .ins-( % /aeon o� s ltd� f're #ich door and cows *rvc o� a /D )C /a Pt deck w ;44 $1,0- la baci. 7. Attached Plans: Sketch Plan ; , Site Plan . _ " - Engineered4Surveyed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? . NO X DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page - - - - - - -- . -.. -- and /or Document # -_ 9.Does the site contain a brook, body of water or wetlands? NO X DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) W:\ Documents\FORMSbriginal\Buildino Inspector\Zoning- Permit - Application - passive.doc 8/4/2004 f � File # MP- 2010 -0013 APPLICANT /CONTACT PERSON JASON GRAVER ADDRESS/PHONE 104R HAWLEY ST (413) 320 -6427 *'ERTY LOCATIQN. EDWARDS SQ n14 A40 0113 ;OO1 ZONE `URC(100Y . THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ‹L6NING FORM LED OUT Fee Paid / i i ti Building Permit Filled out Fee Paid Typeof Construction: ZPA - 10 X 12 DECK 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 INFORMATION PRES , NTED: 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 FF�� ZONING BOARD PERMIT REQUIRED UNDER: § q, 5, 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 C ssion Permit DPW Storm Water Management g 028 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 the Office of Planning & Development for more information. Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA -2010 -0009 Date: October 21, 2009 MINUTES OF MEETING: Available in the Office of Planning & Development. 1, Carolyn Misch, as agent to the Zoning Board of Appeals, certify that this is a true and accurate decision made by the Zoning Board Administrator and certify that a copy of this and all plans have been filed with the Board and the City Clerk on the date shown above. • I certify that a copy of this decision has been mailed to the Owner and Applicant. kettfla 7 The appeal period for residential findings granted by the Zoning Board of Appeals Zoning Administrator are thirty (30) days from the date of the decision. All appeals are heard by the full Zoning Board of Appeals. lECEOW E] OCT 2 1 2009 • CITY CLERKS OFFICE NORTHAMPTON, MA 01060 November 23, 2009 I, Wendy Mazza, City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Zoning Board of Appeals' authorized Zoning Administrator was filed in the Office of the City Clerk on October 21, 2009, that thirty days have elapsed since such filing and that no appeal has been filed in th's matter. • Attest: 1 _ �._�. A le _/�� City Clerk 0 1 City of Northampton ATTEST: HAMPSH , . anuu 01Pmet , RErli rt MARIALME L. D0NdHt r GeoTMS® 2009 Des Lauriers Municipal Solutions, Inc. • Zoning Board of Appeals - Decision City of Northampton Hearing No.: ZBA -2010 -0009 Date: October 21, 2009 APPLICATION TYPE: SUBMISSION DATE: Residential Finding 9/21/2009 I 11 11111 111111 111111 Applicant's Name: Owner's Name: NAME: NAME: Bk: 10123Pg: 143 Page: 1 of 2 JASON GRAVER SHERRY TAYLOR Recorded: 03/17/2010 12:50 PM • ADDRESS: ADDRESS: 104R HAWLEY ST 25 EDWARDS SQUARE TOWN: STATE ZIP CODE TOWN: STATE: ZIP CODE NORTHAMPTON MA 01060 NORTHAMPTON MA 01060 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: (413) 320 -6427 EMAIL ADDRESS: EMAIL ADDRESS: • Site Information: Surveyor's Name: STREET NO.: SITE ZONING: COMPANY NAME: 25 EDWARDS SQ URC(100)/ • . TOWN: ACTION TAKEN: ADDRESS: NORTHAMPTON MA 01060 Grant MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW: 31B 083 001 Chapt 350 -9.3 (1) (D): Pre - existing TOWN STATE: ZIP CODE: Book: Page: Nonconforming Structures or Uses May be 9550 129 Changed, Extended or Altered with a PHONE NO.: FAX NO.: Finding from the Zoning Board of Appeals. EMAIL ADDRESS: NATURE OF PROPOSED WORK 10X 12 DECK at rear of property HARDSHIP: CONDITION OF APPROVAL: FINDINGS. The designated Zoning Administrator granted the Finding based on the materials and graphics submitted with the application. The Findings of the Board Administrator under Section 9.3 for the addition of a deck to a single family house related to the side yard setbacks were as follows: 1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing nonconforming structure on the lot. The addition would extend to within 6.1' of the side lot line. The current non - conforming structure is 6.1" from the line at its closest point. No other setbacks are affected. 2. The Administrator found that the home would not extend any closer to any front, side, or rear property boundary than the current zoning allows and that the pre- existing structure already extends. 3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and does not involve a sign. •. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: • DECISION DRAFT BY: APPEAL DATE: 9/8/2009 10/3/2009 10/22/2009 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE FINAL SIGNING BY: APPEAL DEADLINE 9/26/2009 11/25/2009 10/8/2009 10/22/2009 11/2012009 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 9/24/2009 10/8/2009 10/8/2009 . 10/21/2009 SECOND ADVERTISING DATE: HEARING TIME VOTING DEADLINE: DECISION DEADLINE: 10/1/2009 4 :00 PM 1/6/2010 1/6/2010 MEMBERS PRESENT: VOTE: Sara Northrup votes to Grant • MOTION MADE BY: SECONDED BY: VOTE COUNT :. DECISION: Sara Northrup 1 Approved GeoTMS®'2009 Des Lauriers Municipal Solutions, Inc. File # MP- 2010 -0013 APPLICANT /CONTACT PERSON JASON GRAVER ADDRESS/PHONE 104R HAWLEY ST (413) 320 -6427 PROPERTY LOCATION 25 EDWARDS SQ MAP 31B PARCEL 083 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FO' ■ FILLED OUT ee ' ai. Building Permit Filled out Fee Paid Typeof Construction: ZPA - 10 X 12 DECK 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 INFORMATION 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 3/ -5)10 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 the Office of Planning & Development for more information. r UNITED STATES ,POSTAL M t °' . _ ^ ' I POSTAL SERVICE j F Serial Number 0 : Year Month, Day Poet Office U.S Dollars and Cents 17947075735 . r 2010 -03-23 010 $ • a i ay to =� Gerk 0/170700 L 4 , 4 a s5 x s 517° P„ via dares to p Pia 2A r , - 7 4 .to.� Geer i .>osi - kn I /'t ! 1 " r �, lags /p f ( _t, 5A. temo t Li, 4,,, :. , r /'/liE+t n t f �j� r� c2/,06,) G T008ltnticet S4fl1ee. Fa.,Ia 6ernrRt, A. RM�MS RoeANM. i AEY£flSE WARNING • NEGOTIABLE ONLY IN THE U.S. AND POSSESSIONS ,:00000800 79170 ?3511' • IMPORTANT FEE NOTICE: CHANGE IN LAW ABOLISHES CSL's HIC REGISTRATION FEE EXEMPTION. As a result of a recent change in the law (Section 80 of Chapter 27 of the Acts of 2009), the holders of Construction Supervisors Licenses are no longer exempt from the HIC Registration fee. CONSEQUENTLY, A L L CONTRACTORS, INCLUDING CSL's WHO ARE APPLYING FOR A HIC REGISTRATION MUST PAY A REGISTRATION FEE OF $150.00, AND A GUARANTY FUND FEE. (See instructions for Guaranty Fund fee schedule.) 16. REGISTRATION FEE ENCLOSED:$ 1 ) -GO GUARANTY FUND FEE ENCLOSED: f 6(} PLEASE INCLUDE TWO (2) SEPARATE CERTIFIED CHECKS OR MONEY ORDERS. ONE MARKED "REGISTRATION FEE" AND ONE MARKED "GUARANTY FUND." MAKE BOTH CHECKS PAYABLE TO "COMMONWEALTH OF MASSACHUSETTS." I hereby swear, under the pains and penalties of perjury, that all information set forth on this application and submitted in support hereof is true and accurate to the best of my knowledge. Further, l certify under G.L. c. 62C, §49A, that l am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding and remit ng of child support. Signatur : o Appli t` If a corporation or partnership, position held. D e • 11. LIST ALL PARTNERS, TRUSTEES, OFFICERS, DIRECTORS, AND MAJOR OWNERS (10% OR GREATER OF OWNERSHIP) OF AN APPLICANT PARTNERSHIP OR CORPORATION, BELOW. USE ADDITIONAL PAPER IF NECESSARY AND INCLUDE NEEDED PAPERWORK (SEE INSTRUCTIONS). PLEASE INDICATE BY AN ° X ° IN THE LAST COLUMN THOSE INDIVIDUALS WHO REQUIRE AN APPLICATION FOR ADDITIONAL REGISTRATION I.D. CARDS. USE ADDITIONAL SHEETS IF NECESSARY. FULL NAME TITLE % OWNER ADDRESS SUPP. CARD ...i 85o1 6r ie Ou;ier End % /d 1 • l/evIl Si. MO 12. (a) HAVE YOU BEEN REGISTERED PREVIOUSLY AS A HOME IMPROVEMENT CONTRACTOR? YES O (b) IF YES, PLEASE PROVIDE THE NAME AND REGISTRATION NUMBER UNDER WHICH YOU WERE PREVIOUSLY REGISTERED: NAME: HIC REGISTRATION #: 13. (a) ARE YOU CURRENTLY OR HAVE YOU EVER BEEN AN OFFICER, PARTNER, OR CO VENTURER OF AN APPLICANT WHO PREVIOUSLY // 1�P��PLIED FOR OR HELD A HOME IMPROVEMENT CONTRACTOR REGISTRATION? YES �> No (b) IF YES, PLEASE PROVIDE THE NAME OF THE APPLICANT /REGISTRANT AND THE REGISTRATION NUMBER: NAME: HIC REGISTRATION #: 14. (a) ARE YOU CURRENTLY OR HAVE YOU PREVIOUSLY BEEN EMPLOYED BY A REGISTRANT OR APPLICANT FOR REGIST ATION AGAINST WHICH DISCIPLINARY ACTION WASTAKEN? YES NO (b) IF YES, PLEASE PROVIDE THE NAME OF THE APPLICANT /REGISTRANT AND THE REGISTRATION NUMBER: NAME: HIC REGISTRATION #: 15. (a) HAVE THERE EVER BEEN ANY FORMAL COMPLAINTS AGAINST YOU WHERE DISCIPLINARY ACTION WAS TAKEN BY THE DEPT. OF PUBLIC SAFETY OR CONSUMER AFFAIRS, OR ANY COURT JUDGMENTS OR ARBITRA.TI N AWARDS ISSUED AGAINST YOU? YES N 0 (b) DO YOU OW MONEY TO THE GUARANTY FUND? YESNO IF YES TO EITHER, PLEASE IDENTIFY BY DATE, CASE NUMBER, OR DOCKET NUMBER: THE COMMONWEALTH OF MASSACHUSETTS For OCABR Use Only. OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATION 7 Registration No: 10 Park Plaza, Suite 5170 l` Boston, M A 02116 Effective Date: % aW , Application for Registration as a Home Improvement Contractor or Sub - Contractor Expiration Date: •I (M G L c. 142A; 780 C M R 110R6) 1. NAME OF APPLICANT: M541 fielirPr PE,f?. Mr'1 (MUST BE EITHER AN INDIVIDUAL, CORPORATION, LLC, LLP, TRUST, OR OTHER LEGAL ENTITY) 2. NUMBER OF EMPLOYEES: D 3. APPLICANT TYPE:/ IN CORPORATION_ PARTNERSHIP_ TRUST (CHECK ONE - - MUST BE SAME LEGAL ENTITY AS THE ENTITY IDENTIFIED IN #1) "a; rl �! 4. SOCIALSECURITY NO.: - 1 --4-51•! — -'� FEDERAL TAX ID NO.: 5. APPLICANT PHONE #: 1: ey 7 APPLICANT EMAIL ADDRESS: e //ner1t ( ar r if(// e nia 6. MAILING ADDRESS: //}'/ / / / &/et/ (5/. 4)0 t1r / (1/06 STREET CITY STATE ZIP 7. PERMANENT ADDRESS: // STREET CITY STATE ZIP PLEASE NOTE THAT A P.O. BOX IS NOT ACCEPTABLE FOR PERMANENT ADDRESS. YOU MUST LIST A STREET ADDRESS 8. IF THE APPPLICANT ISA CORPORATION OR A PARTNERSHIP, PLEASE PROVIDE THE NAME,ADDRESS,SOCIAL SECURITY # AND TITLE OF THE INDIVIDUAL WHO WILL BE RESPONSIBLE FOR THE CORPORATION'S T H E TRUST'S OR THE PARTNERSHIP'S WORK (Please review the Instructions before answering this question): LAST FIRST SOCIAL SECURITY# TITLE 9. IF APPLICANT IS DOING BUSINESS UNDER A D /B /A, PLEASE STATE THAT D /B /A, AND ATTACH A COPY OF THE FICTICIOUSNAME CERTIFICATE FILED WITH THE CITY OR TOWN CLERK: DBA NAME: 10. (a) DOES THE APPLICANT OR RESPONSIBLE INDIVIDUAL HOLD ANY OTHER CONSTRUCTION- RELATED STATE, CITY OR TOWN LICENSES OR REGISTRATIONS? YES NO (b) IF YES, PLEASE FILL IN INFORMATION BELOW. ATTACH ADDITIONAL SHEETS IF NECESSARY. LICENSE TYPE ISSUED BY L ENSE /REG.# EXP.. DATE LICENSEE NAME .i� - C s� r `/� l 0 Z 9-q 6/27p0/3 o/a✓er a gcuod 6u!?six3 • V 5 e 4PM W 'r 1. -� I :joep B:ap.s!x9 r w • • N 3J 1 1102 orrid -.9(\;11Aft?I e Jom e e 01 4 • ! 4roe 14 od iieti *II /I/ e . • * 9 4 (") -901 1406g, 01/4)0r, PATIO Dtoi— (40 i'464tlle r • . , . • • • F gx1C 'ois+s 1 �G • 4-1 F 911P/II 1 6 PLAr,) Foe. °Lt. .61.,Jorc).s D , J 1 1 ,F 010 4 - trip i e 4:tio Joe • -- r 40 I 1 - . Ito (74' 5114 x tempcs'ote dee-Lir j < > pired-ion ( LAST) i hoc r 4-- L(( . r 3 "I a a bat/1st—as 36 - 4 3`6' 1/.4 j i . i ... i • a x to s.y . (p.0 t i �a` i . g.l�et' 3- aXJo t —S S A .n <"----- o n Gx ()oss ' c.e i,,, -"E (L. 6 tv 07 iA 6 A.A. tA s i 13 i 2: .it' f - a., . N Loncrf4e solo -cube X 3 ad *pew,. 5 ` 3 Tr [- w ,25 FJ Maras 3 . Side 1Pit,0 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 regnlatinns 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 - conjunction.. to_theaauilding.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. - to ... a.. Address of work location P The Commonwealth of Massachusetts Department of Industrial Accidents ;� ►. t Office of Investigations it =• i= .. = + a 600 Washington Street : ' =1:,— #, , .. Boston, MA 02111 www.mass gov /din -Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): , I ''i / 6 ek d: 9 Address: kg A /-lode ;5j-. - City /State/Zip: k fliue..n , r I 44f 4/0e0 Phone. #: 1 //,3: , 6W-- 7 Are you an employer? Check the appropriate box: Type of project (required): 1 ' 1. D I am a employer with 4.. 0 I am a general contractor and I ` 6. New construction . employees (full and/or part-time).* have hired the sub- contractors 2.X I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship am have no employees These sub - contractors have. . 8. p Denioiition working for me in any aci employees and have workers' YP capacity. $ - 9. 0 Building addition [No workers' comp. insurance _ comp. msuranoe... required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a-h ork _ officersiiave xerciswri their _ 1- .E:_P.lumbing repairs or additions 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' 13.0 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_ 1 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 formation. 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. ri e advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coveraee verification. . I do hereby certify under the p • , and penalties of perjury that the information provided above i _true_aniLcorrect — .�1i�: Si �. ture: 10a / - Phone #: L //3: 33a • . .)- . Official u s e o n l y. D o n o t write in this area, to be competed ify city or [own officiaL City or Town: Permit/license # Issuing Authority (circle one): - f 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 Ap Name of License Holder : /e a License Number /d g / o'k . /1ht n kr nA 614 r 6/97/ Address / Expiration Date /3. 3 - 6 %'7 Signature Telephone S,Ae nsteredEkttn lriiiiroveitietit'Cantiiaait ., i . a ,; , px i4 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_exemptio for "homed v_ners" was extended to include Owner-occupied Dwellin s of one (1) or two(2) families and to allow such hom- •wner to engage an individual for hire who does not possess a lie se, provided that the owner acts as supervisor. CMR 781, ixth Edition Section 108.3.5.1. Definition of Homeowner: • - son (s) who own a parcel of land on which he /s • - resides or intends to reside, on which there is, or is intended to be, a one or • • • family dwelling, attached or detache • _ • ctures accessory to such use and/ or farm structures. A person who construct • i ore than one home in a tw i • ear period shall not be considered a homeowner. Such "homeowner" shall submit to the B • ding Official, on a acceptable to the Building Official, that he /she shall be responsible for all such work performed u • er the b ' 6 ine permit. As acting Construction Supervisor your presen - . the job site will be required from time to time, during and upon completion of the work for which this penmi issue. Also be advised that with reference'to * .pter 152 (Wo ers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulti n Death) of the Mass. usetts General Laws Annotated, you may be liable for person(s) you hire to perform work for . under this permit. The undersigned "home. er" certifies and assumes responsibi ' for compliance with the State Building Code, City of o amp on • r • in. es; a e - • n r • . • s-General- Laws Annotated. Homeow Signature 3 • SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) [J Roofing El Or Doors CI Accessory Bldg. ❑ Demolition El New Signs [O] Decks Siding [p] Other [0] Brief Description of Proposed Work: )( / !1 4 � b /..) D / 5, �� in C'e ' o w/ Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll - Sheet 6�a ` lf e nc a r ddit1 /I e�exlstin i•'hi uSinq; otplee the`:folt, in : 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 7a- OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT err y r 4r as Owner of the subject property hereby authorize Atr to act • n my behal . I matters relative to • rk authorized by this building permit application. Si re o�•�„ 11LLIM Date ....... _ ... I, Stn /rccdef— , 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 71 Signa re of Owner /Age late • . 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 _c .. _ ` . m"�. ,v ___. _ _ l r See 20A Frontage :. • i _ Setbacks Front �tO lt /O' * _. r 1� _ ,� rr a !�(� t Yl Side L: R: -_ ! L::, b /'g R: u �Q , -4 f e Rear — € 5/ � O 1, s g 09 t _. , Building Height 2'70 A '° �� w Bldg. Square Footage / I % /)ci0 I I r . , Open Space Footage % --""1 (Lot area minus bldg & paved A 4 LTA f parking) r _____, # of Parking Spaces --I / — . "- -.. -- ----M �„ Fill: (volume & Location) t A. Has a Special Permit /Variance /Finding ever been issue• for on the site? NO 0 DONT KNOW 0 YES 4 IF YES, date issued:' A Mid 9 IF YES: Was the permit ecor. -d at the Registry of Deeds? NO Q DONT KNOW _ YES ► 4 IF YES: enter Book I l b /_3 ; Page; i and /or Document if 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 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: IT. tFere any pi=oposed cWinges o or a itlons orstgns intenaedTor ffie property ? YES Q NO .4 IF YES, describe size, type and location: � �"`m - " °�� " " - " "" ._..._._...�..�_� _r...___._. E. Will the construction activity disturb (clearing, gradin , exc ation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 04 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton Building Department 1,, it ' 212 Main Street oom 0 0 a a i � Northam 1 MA 01060 phone,413 -587 -1240 Fax 413 - 587 -1272 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 c,J Ed(,t9a_i-ds � Map Lot Unit �� Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner c-f � ofRecord: he � Warv�a Name (Pri A — Current Mailing Address: Telephone 9/3 - 3S7 SO )3 Signa ur 2.2 Authorized Agent: Q$�iyi &raver`" k 4a (iP $' • Verthitii, io At Name (Print) Current Mailing Address: / el f/3 3d 6' Sig . ure Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 0i)O (a) Building Permit Fee 2. Electrical J o (b) Estimated Total Cost of (j Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1+2+3+4+5) 4 9, 60/1 Check Number / z&. - ,e) This Section For Official Only Permit Number: Date Building Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0819 APPLICANT /CONTACT PERSON JASON GRAVER ADDRESS/PHONE 104R HAWLEY ST NORTHAMPTON (413) 320 -6427 PROPERTY LOCATION 25 EDWARDS SQ MAP 31B PARCEL 083 001 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 /° /!� , Fee Paid `� '� Typeof Construction: CONSTRUCT 10 X 12 DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 103229 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required (see below) 'e0 ,Ni of N f'f Vi F- (a) 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 t 3 /22/10 tu: 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. CX6 5-) voi 0} 1 01.15 >1 a71;77 od›.4 vz-v ge//1/ 25 EDWARDS SQ BP-2010-0819 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B - 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: Deck BUILDING PERMIT Permit # BP-2010-0819 Project # JS-2010-000261 Est. Cost: $9600.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JASON GRAVER 103229 Lot Size(sq. ft.): 2962.08 Owner: SHERRY TAYLOR Zoning: URC(100)/ Applicant: JASON GRAVER 4T 25 Fn.WARnS SQ Applicant Address: Phone: Insurance: 104R HAWLEY ST (413) 320-6427 NORTHAM PTONMA01060 ISSUED ON:3/29/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 10 X 12 DECK 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: /c .. 1 House # 1 Foundation: 1 16 [S, Driveway Final: (23 Final: Final: ‘7, /Wit "(f Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: - Final: 0 r, 1 3° i P6.AJ Lec- rc THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occusanc 5 20 , si!nature:C721`"-- *Aft mg FeeType: I ate Paid: Amount: Building 3/29/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Building Commissioner - Anthony Patillo