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38B-149 SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : ' lv tk, D • •OS'S License Number 36 e.evtc C RO AD , 1J091+WAPTao MA 4 ' Z8' 13 Address Expiration Date 41 • .3 - t2 2- 44'. Signature Telephone 9. Re 'stared Home Improvement Contractor: Not Applicable ❑ 5'rErNEN D. QDSS CONTQAGTQ 15684/ Company Name Registration Number 3fo St✓(Vle LE PoAD, N O9-TO MA 5- 4. 1A. Address 1 1 Expiration Date Telephone S84 - 1224 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 1 4 No ❑ 11. - Home Owner Exemption 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 State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors [l Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding [O] Other [0] Brief De cription of Proposed Work: } (21rRt C- Vtic-14E14 4ecelJD VtLooR WILL (zEe- 11RRA.N tMfi-t-PT Alteration of existing bedroom X Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes )C No Plans Attached Roll - Sheet 5a. 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. 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 147 `J `v KI , as Owner of the subject property here uthorize 5T A ; 20gg GENEp4t_ co,1/4) to act on y behalf, 'n all , a IMOZEW e to work authorized by this building permit application. / / O 2-- Signat a of Owner Date I, ‘7'1 -\ p t. ( , 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. N DOSS Print Name 8.23 - V2- Signa a of Owner /Agent Date 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 N G14A417L Frontage N4 C 4AN GE Setbacks Front Side L: R: L: R: Rear PO C Building Height tiI0 Cii -ANGE. Bldg. Square Footage % 1)0 6 4AA , G4E Open Space Footage (Lot area minus bldg & paved uo i1S t V6E parking) �1f'W # of Parking Spaces (volume No �MGE (v & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO X44 DON'T KNOW 0 YES 0 IF YES, date issued: YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW (3 YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO j DON'T KNOW 0 YES 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 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 +r4 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 4, 4 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: uilding Department Curb Cut/Driveway Permit • AUG 23 21111 212 Main Street sewer /Septic Availability Room 100 Water/Well Availability L No hampton, MA 01060 Two Sets of Structural Plans °` . , ;p1ge s 413,.. 587 -1240 Fax 413- 587 -1272 Plot/Site Plans, Other Specify 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 t cowi‘Alau6 Map Lot Unit NOO:ct M PTV µ Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: ►Liter So. �� �a GpWMP�VS Avg, AlOeTt4AMPT"otJ ame (Pri 1 Curr nt Mailing Address: �t►l3 • 3t3 • 6a84 Telephone Signature 2.2 Authorized Agent: e 8.04 3(o C-Te- tea, NoeTNAMPTCA) Name (Print) Current Mailing Address: 41 3 17-24 gnat a Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building If 3-- UaC (a) Building Permit Fee 2. Electrical 3 G U 6 (b) Estimated Total Cost of / Construction from (6) 3. Plumbing C( - c' Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) O 6 7 3 o . d d Check Number 3S 3 L4 This Section For Official Use Only Permit Number: Date Building Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0202 APPLICANT /CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413) 584 -1224 0 PROPERTY LOCATION 49 COLUMBUS AVE MAP 38B PARCEL 149 001 ZONE URB(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: REMODEL KITCHEN & RELOCATE 2ND FLR BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 079160 3 sets of Plans / Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON F ATION 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 D - molition ay Signature of Building O fcial 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. 49 COLUMBUS AVE BP- 2013 -0202 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B - 149 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- 2013 -0202 Project # JS- 2013- 000332 Est. Cost: $57300.00 Fee: $343.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq. ft.): 5619.24 Owner: DUNN MARK Zoning: URB(100)/ Applicant: STEPHEN D ROSS AT: 49 COLUMBUS AVE Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584 -1224 0 WC NORTHAMPTONMA01060 ISSUED ON:8/24/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: REMODEL KITCHEN & RELOCATE 2ND FLR BATH 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 8/24/2012 0:00:00 $343.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner