17C-070 The Office of
PETER FROTHINGHAM
L J
Registered Architect
181 Main Street, Suite One
Northampton MA 01060
USA
413 5855910
22 March 2012
OLANDER RESIDENCE
97 Chestnut Street, Florence MA
Zoning District URB
Principal Building Side Setback = 15'
PARCEL OVERVIEW
..1
.1,(INA314 7
v..,,,„_,.........
f4 D - Cs
0 0 2 0
vs
} P G
sz
oa
L
ex
$ li[
0 1
ut
) -1 r "1-1.11 L4 G) i)
, „ ,&
o\
C
V
Aiquivio
•
47 471
1
old ^J- 1
ha
•
,t t
601 -2
civalAM
It, A. /0
11.449.)
Sat-A1io) g-742
5A +2 /M Sran4 4.14 0) AM
so< -z
J )/ i 1/4 - 300
. .
1 1 A 0 i
' \ m41(04 HI
I
._.1._;
H 1
jt._ ,
..
Z i -
:1
Oirif.s
I
I
P4T1'313 .
..--._-;----i:-
. .
--- ?1 - 3<lrf 8 9 9 1Q 63
'3 0 Z
., ,
J*0 0 2 S i ro PA ",<z
, . ,
2
',... .„...A
i
. . / A
(
i .•:.N ' \ ,
,/,-
5 0 sievo3 im-1- 'N'.---.. X'. ...........
' ir l y0 f) A ail :Oil CIF 51) a—j V,A
\oVI A Qe 17.,›S N,
-----' '
....
. .
SECTION 8 - CONSTRUCTION SERVICES I
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
8. R lislered Home imovt Coot Not Applicable ❑
Company Name Registration Number
Address ! Expiration Date
Telephone
SECTION 1 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 ❑
11. - Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner - occupied Dweilinus 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 . . / l i ning ws and Sta of Massachusetts General Laws Annotated.
Homeowner Signature I t_"'` ' i! iI
1
SECTION 5- DESCRIPT ION OF PROPOSED WORK (check all applicable)
New House ❑ Addition Replacement Windows Alterations) Roofing J
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other [CI]
Brief Description of Proposed F � /
Work: Cr - e S ueko C°Ice riise Seace a !� wilt) 4/1 4143
Alteration of existing bedroom Yes No Adding new bedroom � Yes
Attached Narrative Renovating unfinished basement Ye s No
Plans Attached Roll kSheeti
6a. If New house and or addition to existing housing, complete the following
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. .rmensions
e. Number of stones?
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 = • ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of bas- • ent or cellar floor below finished grade
k. Will b ding conform to the Building and Zoning regulations? Yes No .
I. ' eptic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, 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
EaLr.IV\ 0 1cw t er , 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.
Ectuetk OIaocl& -✓ Jr.
Print Name , - 1
Sp OM (� � 6 --27 - I Z
Signature of Owner • gent , Date
Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
/2
Q Building Department
�/3
Lot Size ► A . 1/3 A
Frontage v ��
Setbacks Front Z'f 2[t
Side L: 5 R: /.- L: .� R:
Rear 250 25
Building Height 2 5 2s
Bldg. Square Footage 20 L i1 % zo'`S // e/
Open Space Footage %
(Lot area minus bldg & paved /3 670 75 /3 00 75 / u
parkin) _
# of Parking Spaces 6
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO C DONT KNOW tott YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW el YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO C. DON'T 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 NO 1P 4
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
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 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
t
4._ Depeutittent use only
City of Northampton Status of Permit
8 ���� Building Department Cut/Driveway y # r t
212 Main Street ,
Room 100 Water/Weil Atailabitity
Northampton, MA 01060 Two Sets of Structure Plans
phone 413 587 - 1240 Fax 413 587 - 1272 Ptat/Site f'tans
Other Specify'
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION I
1.1 Property Address: // This section to be completed by office
77 CIid ST Map Lot Unit
b ✓2jl CP /14/1. Zone Overlay District
Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
E wtr Olaiicl,eN Jr. ?7 S�
Name (Print Current Mailing Address:
y• -- sE y - zroa
f ` ! �/ Telephone
Signature
2.2 Authorized Aaent:
Name (Print) 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 2 Z I � (a) Building Permit Fee
2. Electrical 7 (b) Estimated Total Cost of
3, t a Construction from (6)
3. Plumbing 000 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection to" L A
6. Total = (1 + 2 + 3 + 4 + 5) 30, Check Number 4P } / �
This Section For Official Use Only
Date
Building Permit Number Issued:
Signature:
Building Commissioner /Inspector of Buildings ; Date
7 L tRece-&e. Nerrq `
6DJ () n \t 65-y'N\
File # BP- 2013 -0005 Q Ca
MAX
APPLICANT /CONTACT PERSON OLANDER EDWIN L QJAC -
ADDRESS /PHONE P 0 BOX 60284 FLORENCE (413) 584 -2100 Q i C E ' . -Al
PROPERTY LOCATION 97 CHESTNUT ST J v
MAP 17C PARCEL 070 001 ZONE URB(100)/ . FJi�t- P
OK
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid (407 4s/fa
Typeof Construction:_CONSTRUCT 2ND FLR GARAGE ADDITION (STUDIO /EXERCISE SPACE/FULL
BATH /STORAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owne Statement or License
3 sets of Plans / Plot Plan
THE OLLOWING r/ ACTION HA BEEN TAKEN ON THIS APPLICATION BASED ON
INF9'RMATION 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
L- ,• p s el.y>,
7— Y /-ss—
Sig . I re of Buildin_ • fficial 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.
97 CHESTNUT ST BP- 2013 -0005
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C - 070 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit # BP- 2013 -0005
Project # JS- 2013- 000006
Est. Cost: $30000.00
Fee: $ 180.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 18905.04 Owner: OLANDER EDWIN L
Zoning: URB(100)/ Applicant: OLANDER EDWIN L
AT: 97 CHESTNUT ST
Applicant Address: Phone: Insurance:
P 0 BOX 60284 (413) 584 -2100 ()
FLORENCEMA01062 ISSUED ON: 7/10/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2ND FLR GARAGE ADDITION
(STUDIO /EXERCISE SPACE /FULL BATH /STORAGE - NEED RECORDED LETTER NOT SLEEPING
SPACE
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 7/10/2012 0:00:00 $180.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner