36-329 03/13/2012 13:37 4135858820 VALLEYHO€ PAGE 03/03
Zoning Board of Appeals - CJecisiorp City of Northampton
Hearing Na.: ZBA- 2012 -0020 bate: March g 2012
ARFLIGATIQN rem suamiS:+ +ION DATi -ti
Reside F lndin 2/22/2042 •
AEplicant's Name: Owner's Name:
NOME NAME.
Nelson Shlfett KINNER DAVID L & JODY E
•
ADDRESS. names
Valley Nome Improvement 37 PROSPECT AVE
P08 60627
TOWN ' STATE. 21P CODE TOWN I STATE' ZIP CODE
NORTHAMPTON MA 01082 NORTHAMPTON MA 01060
PHONE NO.. FAX NO. PHONE N0. FAX NO
EMAIL ADDRF+SS. EMAIL ADDRESS
Site information: Surveyor's Name:
STREET NO.. SITE ZONING' COMPANY NAME
7 PR+Q$PEC.T.. A.VL _ — ._._ _ _ • __... .. -..._ , —..... _ .,_ ..___ �. _ ...._.._
TOWN ACTION TAKEN A06REss
NORTHAMPTON MA 01060 Grant -
MAP BLOCK LOT MAP DATE. SECTION OF RYLAW.
24A 129 001 Chapt. 350-9.3 (1) (D)_ Pre - existing TOWN: STATE- I ZIP CODE:
Bade 'Pogo Nonconforming Structures or Uses May be
364 955 Changed, Extended or Altered with a PHONE NO.: ' FAX NO.
" Finding from the Zoning Soard of Appeals.
EMAIL ADDRESS
.
NATURE OF PROPOSED WORK �. .
CONSTRUCT 9 X 10 K/TCH ADDITION, 12 X 11 ROOM, TNT REMODEL, NEW SIDING
HARDSHIP •
CONDITION OF APPROVAL
FINDINGS
The designated Zoning Administrator granted the Finding based on the materials an graphics submitted with the application.
The Findings of the Board Administrator under Section 9.3 for an addition in the rear related to side yard setbacks as follows:
1. The Administrator found that the change would not be substantially more detrimental to the neighborhood than the existing
nonconforming structure on the hat. The existing footprint is About 3.5' from the tot line and the proposed structure would be built along
the same plane /distance to the Lino.
2. The Administrator found that the home would not extend any closer to any front, side, or rear property boundary than the Cement
zoning allows and that the pro- axisting structure already extends.
3. The Administrator also determined that the new construction would not create any new violation of other zoning provisions; and doe$
not involve a sign.
COULD NOT DEROGATE BECAUSE:
FILING OEADL , LINO DATE HEARING CONTINUED DATE. • ECISPON DRAFT RS' A'' EAT. DATE-
217/2012 3/3/2012 3/22/2012
REFERRALS IN DATE ARING DEADLINE DATE HEART c LOSE DATE FINAL SIG Mc BY' APPEAL P ADLINE
2/25/2012 4/27/2012 • 3/8/2012 3/22/2012 4/8/2012
FIR At RTISING DATE. NEARING DATE VOTING DATE. DECISION OA' •
2123/2012 . 3/812012 3/812012 319/2012
SE • • ND ADVERTISING DA • NEARING TIME. '"" DEADLINE DECISION DEADLINE'
311/2012 4 ;05 PM 6/6/2012 6/6/2012
MEMBERS PRESENT. VOTE
Bob Riddle votes to Grant
W ION MADE EY. - SECONDED Y• VOTE COUNT. DECISION:
Bob Riddle 1 A •proved
MINUTES OF ME5TING•
Available in the Office of Planning & Development.
GeoTMS® 2012 Des Leuriers Municipal Solutions, Inc.
_PAN (A,) r9 (T
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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
,
. ., 7
.. .
. The Commonwealth of Massachusetts
Department of Industrial Acidents •
All, 1.....mms in
Office of Investigations , •
600 Washington Street
• var.E.,..= ,v Boston, MA 02111
'7
.
• , www.mass.gov/dia .
-Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
.',
Name (BusinesS/Organiiation/IndivirliinD: /,,t( , 5h Y a.,A.„,r,,, „,a,
.
. . Address: 4/3 C, ie.) ,- -
City/State/Zip: /-7bic-7 -log,. 0/03 Phone.#: ‘//5 - 6 47 — C 2-3 Q
,
Are you an employer? Check the appropriate box: -1
.FK - 01 9 or P ExT" f' Type Of project (required): 1
1.0 I am a employer with 4. /141 1 am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. 0 New construction
listed on the attached sheet 7. k] Remodeling
2.0 I ani a sole proprietor or partner-
These sub-contractors have •8• 0 Demolition .
• ship andhave no )loyees
emjgoyees and have workers'
working for me in any capacity. 9 0E0db* addition
[No workers" comp. insurance _ conv.iiisomm-P f_ : _ _.., _ _
7 _, requ]red-1 - doing 5. 0 We are a corporation and its 10.0 Elecincal repairs or additions 3. L__I I am a homeowner doing all work officers have4xercised their . 11.0 PlumbMg 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.EI Other
,. .
• comp. insurance required.} - -
• *Any applicant-that checks box #1 must Aso fill out the section below showing their workers' compensation policy information.
t Homeownera who submit this afradaVit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such
:Contract:as that check this box must attached an additional sheet showing the name of the sub-contractors and state whetherornot those entities have •
employees. If the sub-cone=t9TSbaVC employeeS, they must provide their workers' comp. policy number.
lam an employer that is providing workers' e ompensarion 'insurance for my einployees. Below is the policy and job site
information. .
.
. .
Insurance Company Name: ,47, ,f i t:
• . .
Policy # or Self-ins. Lic. #: ..16 oR 0 &.1 L i - Expiration Date: - _3//./
Job Site Address: i96 I rlir Ofi1/4/44... /A.44 / • City/Stafz/ZiP:' Ike/10e t‘ 't, .&..) 1 - -
OR , :
.
Attach a copy of the workers' compensation policy declaration pagelsho the policy number and expiration date).
Failure to secure coverage as required tinder SectiOir 25A C. 15Z can lead to the imposition of Orinainii penalties of a
fine up to S1,500.00 and/or one-year imprisonment as well as civil penalties in the fan; of a STOP W01?.K-ORDER. and a fine
of up to $250.00 a day against the violator. Be advised that a copy of tbis statemeM may be forwarded to the OfEice of
fiffeitliiitioili Of the DIA for insurance coverage venficatron.
_ .I do hereby_certifr under the p , , , , penalties ofperjury that the infonnationproviideriabovezze_arid_correct.
- - - —
. ... ' .... . . _
i u.. tare: .... —.ed. ...ow . •
-
6 c ... 0 1... , . . _
Phone 0:
. ' Official use orzly. Do not write in this area, t ir bi ciiiitpleted by city or townOfficiaL
, •
•
' . City or Town: .- Permit/License # _
Issuing Authority (circle one):
.1. 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 Applicable ❑
Name of License Holder : / ()A- E /Q a
License Number
3 ��. e9 32 ///
Address Expiration Date
/t /A✓ 7AJc - 7v rV'4
Signature ' Telephone
/("*"')'--- GC 7 O2 3o
9 6Reptister+e l Roiri lrttpfi ldenf on ctor ° FiErv Not Applicable ❑
Company Name Registration Number
,5;9i4/7/i: /0//5//2
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 ❑
117A l i, N O
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 EJ
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [I=] Siding [0] Other [❑]
Brief Desgiption of Proposed
C� " ` / k -4C
Work: jL(tr.- tO L F r1r -) 5 A L-R riCkPr ' T> j_IXi∎INJG^ 5
Alteration of existing bedroom Yes No Adding new bedroom k- Yes _ No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6a �1 �r e a i�f � :3 x st a sit • lai*
a. Use of building : One Family V Two Family Other
b. Number of rooms in each family unit: 7 Number of Bathrooms
c. Is there a garage attached? kS
d. Proposed Square footage of new construction. //(7 , (L CT Dimensions
e. Number of stones?
f. Method of heating? jz «:C 77t /e Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Am/ 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 CC
SECTION 7a:'- OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
/ Te(C/ -�- !�c%+T -fri , as Owner of the subject
property �"
hereby authorize /�s -t �JiG✓ ,cy ( s r i C fl iG�
to act o ehalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
AVK s,< S , as Owner /Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of yr y n e ige
and belief.
Signed under the pains and penalties of perjury.
777 tJor L)4/
Print Name �f
Signature of Owner /Agent Date
r
w
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 ; I I 1 ' _ i
Frontage 1 i ; � ____
Setbacks Front I d ' = I
Side L:`x R:? ._. L:= 1 R: . i
I
Rear
Building Height ' r 1
Bldg. Square Footage = 1 1 % =
Open Space Footage 1 %
(Lot area minus bldg & paved ( € FT ____-1
parking)
# of Parking Spaces l t _=°-- 1 -
Fill: - �....,�.... . �- ��- .�....�.�...�...w�.�.,..w � 1 . .�.._m�..�...w �.a.. ,r._. �....
(volume & Location) ` I
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO P DONT KNOW 0 YES 0
IF YES, date issued:1 i
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book 1 1 1
Paged I and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO IV DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained Q , 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
IF YES, describe size, type and location:
1 .. 3
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.
t
,r
City of Northampton , ® i. `:� -4 ;
Building Department
212 Main Street
S Q ' ffi
, 'Northampton, MA 01060 Room 100 .E
�- �' q
ti
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
Map Lot Unit
/ 7 AUK J4c 1 : 4 ‘ 4
'Zone Overlay District
c 77fi4-r4 /
ElrrtSt CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
/-z----(Z t"' roc s / yG � • j.l 4 - /A
Name (P Current Mailing Address:
yi3 ° t"7 6ry7
—�
Telephone
Signature
2.2 Authorized Agent:
/,,,,4 �5�,..r i 1 5/3' �,,,� 1 ;2,
Name (Print) Current Mailing Address:
jar Z� � i_ / vr✓,7i✓G -r0A) / tM- U 10. U
Signature Telephone 64 7- c2 2_,3 v
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee OLia
2. Electrical . (b) Estimated Total Cost of
/3 00, Construction fro (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection --°61
6. Total= (1 +2 +3 +4 +5) tit /3 .,t Check Number & 5
r This Section For Official Use On
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Bu Date
vLO ^ C/}'Lrrt -4 G)
File # BP- 2011 -0652 S A ( !-
APPLICANT /CONTACT PERSON TIMOTHY SENEY
ADDRESS /PHONE 43 COUNTY RD HUNTINGTON (413) 667 -0230
PROPERTY LOCATION 196 CARDINAL WAY
MAP 36 PARCEL 329 001 ZONE SR(100) //WSP II fr\-Ak l I
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid .-, 5— t 71
Typeof Construction: FINISH SPACE ABOVE GARAGE TO LIVING SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 061088
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
Demolition Delay
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.