31B-171 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 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
iermits 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
Department of Indus Accidents
Office of Investigations •
600 Washington Street
rang—= Boston, MA 02111
---
- www.mass.c
•
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information
Please Print LegiblY
L '7 1
Name (Business/Organization/Individual): V ,
-
Address: e ; :
City/State/Zip: /747 Phone #: 7 2
Are you an employer? Check the approp ate box:
Type of project (required): I
• l
4. 0 I am a general contractor and I
1. 0 I am a employer with 6. •
Li New construction
have hired the sub-contractors
employees (fall and/or part-time).*
listed on the attached sheet 7. 0 Remodeling
• 2. ,larica sole proprietor or paitner-
.8. 0 Demolidon
These sub-contractors have. ,
ship and have /IQ eloyees
eawees and he workers . •
working for me m any capacity. lgy av 9 0Buildnig adition
[No workers' cofl p. insurance
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3. 0 I am a homeowner doing all work officers have txercised their . 11.0 Plumbing repairs or additions
mysel£ [No workers' comp. right Of exemption per MGL .
12.0 /cool repairs . -
insurance required.] t • • c. 152, §1(4), and we have no •
eniployees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant That checks box #1 must also fill out the section below showing their-svorkers compensation policy information_
• t Homeowners who submit this affidaVit inclicating they are doing all work and then hire outside contractors must submit a new afrsdavit indicating such
:Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and stale whether or not those entities have
employees. If the sub-contractors have emplcryties, they must provide their workers' comp. policy number. -
lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information. "7 •
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 requited mid& Section 25A 'ofMGL c 152 can lead to the iiiiPositiOn of criminil penalties of a
fine up to 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK -ORDER. and a fine
of up to 5250.00 a day against the violator, Be advised That a copy of this statement may be forwarded to thi Offfce of
atTestizatiotiS DIA for insurance coverage Verfficalion. _
I do herebycerti the pains andp pedrcry that the information provided itbovelsinte.ruuLcorrert _
Sis ture: 4id ir: -----
5 , _
Phone _
'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. CitytTown Clerk 4. ElectricalInspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
•
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: ) Not Applicable ❑
-I , t.7 , i
'� ''`2'. .1 (.
Name of License Holder : \, . L ,� j Li�:?i�. = "
1 Li nse umber
r ?) I f -
_3 ) ( r-zr-4 (_ iVi f' // Addre Expiration Date
f l -
Signs a Telephone `' /- ��
/ " ' f ' mss'.. Not A livable ❑
Al.:;- e iste � -; . ", ° 1 . "y.�me� ".. a . c ; 3; • ,�t��� _ �,.wTM .�..0 PP
7 \ i ft ,_.*. - -/:.--------; ( .- ' / I 7 /5
Company Na e 6/ , / Registration Number /
7
/s`
Address V 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 buildine 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
SECTION 5- DESCRIPTION OF PROPOSED! WORK (check all applicable)
. rt.....„ ,,
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors CI
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [E] Siding [0] Other [0]
Brief Description of Proposed
Work: .- J../ ' ` � 2 --- /c., ..
Alteration of existing bedroom Ye- No Adding new bedroom v Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6, ciukIiiiet i6i s iti radi or» iiii " s a riit th . Ot t:
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. WIN 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
,.,,.1 ,, ,. 1 z `� __ , as Owner of the subject
property i - - , 7 /
,...-e-., , d'l
hereby authorize � "-s � -����� / �'" � ''
to act on alf, in a ; atters relative to work a t nzed y this building permit application.
Signature of Ovkfer ` 5 � . Date f
,,,_,/ ` 7 r �(� - , 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 underjhe pains and penalties of perjur.
Print N
a -
Signature of Owner /Agent Date
1"
J
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplet Informati
Existing Proposed Required b oning .�
This column t filled it; by
Building Departm -v..
Lot Size 1 i s i `�*,, i •
Frontage 1 ; I s -- ''_,�` ,
Setbacks Front - : FT
Side L := 1 R : I L:, # R:= , __1 i
Rear ___ ] ' i
Building Height
Bldg. Square Footage l
1 V 1 %_ # j
Open Space Footage
(Lot area minus bldg & paved 3 [1 T aw
parking)
# of Parking Spaces
Fill: lume & Location) 1 I } t
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
i
IF YES, date issued:I
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book 1 , Pag ? and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES Q
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 0
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 Q
s
IF YES, describe size, type and location: 1
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 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
' Building Department
�1$� 212 Main Street a ,: ; "
Room 100 a
' '' N orthampton, MA 01060 • x y
�"'"> �' phone 413- 587 -1240 Fax 413 - 587 -1272 '� " '7
g
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
/ /,9. , ,:±�%�. "` Map Lot ltnit
`�, Zone z Overlay Drstrc
EMI St Marla
' CB.d strict" "
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: 'l
r/� �r
4 G*'
Name (Print) ...= Current Mailing Address:
`, ` ",t)---
� et; � /r�4 o' f ; i r Telephone
Signatdrre L
2.2 Authorized Ascent: C> ry e! -, 72..4-.... c `
Pte, — '�
Name ( In � , , Current Mailing Address: --- / ... 7 5‘,
Signat Tel e phone
SF L ION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building , --2. (a) Building Permit Fee
-
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permlt Fee
4. Mechanical (HVAC)
5. Fire Protection 1
6. Total = (1 + 2 + 3 + 4 + 5) Check Number two` 3s
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Bu Date
41 HENSHAW AVE BP- 2011 -0917
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B - 171 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: roofing BUILDING PERMIT
Permit # BP-2011-0917
Project # JS- 2011- 001497
Est. Cost: $16000.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JAMES ROBERTS 99404
Lot Size(sq. ft.): 7710.12 Owner: SAVAGE FRANCIS & JENNIFER POLINS
Zoning: URC(100)/ Applicant: JAMES ROBERTS
AT: 41 HENSHAW AVE
Applicant Address: Phone: Insurance:
30 Edwards Rd (413) 527 -6078
WESTHAMPTONMA01027 ISSUED ON:5/9/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: STRI P & SHINGLE ROOF
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 5/9/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner