29-360 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 hone owner exemption,-to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state budding 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 roush 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 n ee
Date
Address of work
location
The Commonwealth of Massachusetts
Department of Industrial Aicidents
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/Organizationandividual): I^Al 1-kt ).•V rt ' j YeIeV1CCDC L
• Address: 142‘, e Gi ‘,1
ci •
City/State/Zip: • „ Phone.#: / —
Are you an employer? • k the appropriate box: • Type of project (required): i
1 0 / am a emp w ith am . 4. . 0 I a general contractor and I • 6. 0 New construction
emp lo yees -ff u ll an part:time) have hired-the-sub-contractors
2. I am a sole proprietor or partner- listed on the attached sheet 7 DReinpdeJrng
These sub-contra.ctorshave 8. Demolition . incl have no employees
working for me in any capacity employees and have workers'
9 . fJ Building addition
[No workers' comp. insurance • comp. insurance.$ •
requ . . 5 J We are a corporation and its 10-0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers havezxercised their 11.0 Plumbing repairs or additions
. . .
myself [No workers' cOmp. nght of exemption per MGL 12)K,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 Niglio submit this affidivit indicating they are doing aB 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 whetl3er or not those entities have
employees lithe sub-contractors have employees, they must provide their workers' comp policy number.
lam an employer that is providing workers' compensation insurance for my einployees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self-ins. Lic. #: Expiration Date:
Job Site Address : City/StaM/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 criminkl penalties of a
fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of g STOP WORK ORDER and a fine
of up to S250.00 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 under the pain.s d penohiPs of perjury that the information provided above is true and correct
• —Si ture: •• Date: Ni(4.‘ I /
Phone #: (t-t / 3 / -
Official use only. Do not write in this area, to be compkted by city or town official
City or Town: • Permit/License #
Issuing Authority (circle one):
• I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Anspector 5. Plumbing Inspector
6. Other • •
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES •
8.1 Licensed Construction Supervisor: Not Applicabt6 ❑
Name of License Holder : 54. em, Lk) :k' ✓I.S 23`751c7
License Number
• - .A ' : r Q A ,. . 1 .i . -
Address Expiration Date
Sign Telephone
_ NotA Applicable ❑
� ( � 9 � rtt a rode :� c►� g����t µ�. _ ,,�� .. �� � , . :, �, �, P + P �/
Company Name Registration Number
L) 4()%tvZ r s 9-e , : r LL c. -X35 - ti!
Address J Expiration Date
:(p. ((HJ4 �� �.(l�C (L Telephone .SG 3 -- 7 5 7g,
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M G L. c 452,:.§ 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 s 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 -wear 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
r ,
•
SECTION 5- DESCRIPTION OF PROPOSED WORK Jcheck all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors D
Accessory Bldg. ❑ Demolition El New Signs [0] Decks [1:=1 Siding [0] Other [0]
Brief Descri•tion of Proposed
Work: IP4_LI. 5 . ^.. , • ,'••1. • • C
- • 4.et^ Icoxcct..R.
Alteration of existing bedroom Yes _ < No Adding new bedroom Yes )( No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet
a . ,1' ;*i . ® :•. v ,`°;T, a §. •� "�. ... .� n���� `�:
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
I, , as Owner of the subject
property
hereby authorize t� / !� �L
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
/)('� , as Owner /Authorized
!� A gent 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
Signature of Owner /Agent Date
.,
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by 2 :ping
This colum to b fille in by
T'
n
Building Department
Lot Size l I ,.r.r► ±1. ` 4 NL2 ° .w......µ " +was,w.... »a
Frontage 1 1
Setbacks Front 1 1 I 1
Side L:= R:11 L:= R:E I___J
Rear 1 1 -
Building Height
1 1 1 1 11
Bldg. Square Footage 1 1 1 1% 1 1 1 1 11
__Open _Space Footage - — °!°
_., 1 - -- - i I
(Lot area minus bldg & paved 1 I i £ '
parking)
— .'__..
# of Parking Spaces
Fill:_.._, . -.�_.. .�.
(volume & Location) : ,
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 4 YES 0
IF YES, date issued:I I
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW RC YES 0
IF YES: enter Book Page I and /or Document #1 1
B. Does the site contain a brook, body of water or wetlands? NO ,'. 1 DONT KNOW 4 YES Q
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 ►`
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 a
IF YES, describe size, type and location:
s
E. Will the construction activity disturb (clearing, grading, exc- vation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO i]4
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
s
35 o
City of Northampton � ��ti
Building Department ����; � r , . � ` ` � �
JUL - 7 212 Main Street ' .' ��� �
Room 100 } • DEPT of BUILDING • rthampton, MA 01060 ,� � , � '�
- - : - 587 -1240 Fax 413 - 587 -1272 .����'' ' ' i
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
d5 - A�e i'leo Q K _P (, /'� " • Lo ,,. that
� (1�4 �'/ w 61 ; c . zone $ _ verla as c
L / �� z. i
E Im St District . _ - GCB District ='
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
0( 2.1 Owner, of Record:
(P nt) Current Mailing Address:
'E. - t, 110- C._ Telephone
Signature
2.2 Authorized Agent
p(
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRU CTION
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) E tal C
0 Construction mateTo from ost (6) of
3. Plumbing D Building Permit Fee
4. Mechanical (HVAC) //�am
5. Fire Protection C.
6. Total= (1 +2 +3 +4 +5) 4g) SSA Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Insgector.of Buildings Date
235 ACREBROOK DR BP- 2012 -0021
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 29 - 360 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: roofmg BUILDING PERMIT
Permit # BP- 2012 -0021
Project # JS- 2012- 000045
Est. Cost: $5500.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEVEN HUTCHINS 87587
Lot Size(sq. ft.): 16030.08 Owner: BENOIT IRENE J
Zoning: URA(100) //WSP Applicant: STEVEN HUTCHINS
AT: 235 ACREBROOK DR
Applicant Address: Phone: Insurance:
166 ELLENDALE CIRC (413) 563 -7527
SPRINGFIELDMA01128 ISSUED ON: 7/8/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: STRIP & 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 7/8/2011 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner