23C-055 (2) 8. Remove an "out -of- service" chimney from the existing structure, for improved energy
efficiency.
9. Enlarge an existing bedroom by modifying 2 interior walls of a first floor bedroom in the
2 -story section. Walls will be re- organized to modify the entrance into the bedroom.
10. Enlarge an existing bathroom on the second story of the 2 -story section, turning the
bath into a full bath supported by the addition of a tankless hot water heater . Interior
wall framing will be accomplished to support the plan details for a utility closet and
bedroom closet.
Howard Lederman Residence Proposed Work:
This application for a building permit is for Phase 1 of a 2 -part single residence home renovation. Phase
1 is focused exclusively on upgrades to the 2 -story section of an existing structure. At some later date, a
separate application for a building permit will be submitted with a focus on an addition to the existing
structure. The design plan (drawings) that is submitted for this building permit reflects the entire plan,
both phases.
The homeowner is serving as the general contractor for this project. Qualified subcontractors will be
used throughout the project and all work will be accomplished consistent with MA building code. For
each subcontractor that is selected to perform the work, an updated workman's compensation affidavit
and Home Improvement Contractor's registration number will be submitted to the City of Northampton
Building Department.
Phase 1 Plan (for this building permit):
The existing residential structure includes both a 2 -story section and a single -story section. All
of the proposed work will take place within the 2 -story portion of the residence. The existing 2-
story structure is currently not a true 2 -story, but rather is a modified "salt -box" style. This
project will convert the modified "salt -box" to a true 2 -story "colonial" style structure and will
add approximately 142 square feet to the residence. The additional square footage will come
from added height of the structure, not by adding to the building's footprint. Throughout this
renovation project, the intention is to enhance the energy efficiency of the house where there is
opportunity to do so.
The proposed renovation work will include:
1. Rebuild the entire South Wall of the 2 -story structure, and raise the wall approximately
3 feet to meet the true 2 -story intention. The existing south wall is in poor condition.
2. Rebuild %2 the North Wall of the 2 -story structure, from the plate up to the roof trusses,
raising the wall to meet the 2 -story intention.
3. Reframe portions of the East and South wall of the 2" story to meet the new rooflines.
4. Remove the existing roof structure of the 2 -story and replace with new engineered roof
trusses, new roof finishing.
5. Replace all existing windows with energy efficient windows on both floors of the 2 -story
section.
6. As the building envelope work allows, new insulation and energy efficiency
enhancements will be incorporated throughout.
7. Remove existing siding of the 2 -story section and replace with new siding and trim.
Please note that the plan detail calls for a porch /deck in front of the 2 -story section,
south elevation. The porch /deck will not be pursued in this phase; it will be a part of the
2 " phase of the project.
30. Dwelling /Garage fire separation. An attached garage (within 3' of main structure) is required to have %2
drywall on the garage . side of the separation wall and if there is a finished space above the garage all
walls must have %2" drywall and the ceiling 5/8" drywall. 780 CMR R302.6
31. Energy aspects shall comply with the stretch energy code. 780 CMR Appendix 115AA or 2009 IECC.
a. An initial HERS evaluation is required including insulation levels anticipated.
b. A final HERS evaluation confirming code requirements have been met including duct testing.
c. A signed copy of the Thermal Bypass Checklist.
d. Energy information including mechanical equipment posted on the electric panel.
e. Remodeling and Additions can be completed in accordance with IECC 2009 with Energy Star
Windows and the Thermal Bypass Checklist. Duct blast testing when practicable.
f. All band joist insulation must be enclosed within an air tight cavity, which you must create.
32. Vapor retarders. Although these are still in the code have exceptions, one must understand that there is
a difference between a vapor retarder or barrier and an air barrier. An air barrier is intended to stop air
flow (convection) a vapor retarder or barrier is intended to stop molecular moisture transfer (diffusion).
A vapor retarder or barrier is effective even if there are some holes or gaps, however an air barrier has
to be absolute and complete. If air can leak through an electrical device or through a crack it follows the
path of least resistance and carries 99% of the moisture in a structure. This is evident every time one
exposes fiberglass insulation and finds black insulation, which is dirt filter out of the air moving through
the insulation. 780 CMR R601.2 for vapor retarders and Table N1102.4.2 for air sealing requirements.
33. Unvented attic assemblies. Hot roofs are allowed, but have specific requirements 780 CMR R806.4.
34. Deck ledgers and post must be appropriately attached, bolts or lags. 780 CMR R502.2.2.1 Note: ThruLoks
are engineered for post attachment supporting a railing.
35. Smoke and CO detectors as required. 780 CMR R314 and R315.
36. Closets beneath stair which have doors must be drywalled with %2 ". 780 CMR R302.7
37. If there is mechanical equipment or a combustible roof, 30 sqft of space, and 30" measured from top of
ceiling joist to bottom of rafters an attic access of minimum RO of 22" x 30" is required to be located in
an accessible place. It must be insulated, gasketed, and secured in place.
Relevant items must be submitted to the building department for approvals before inspections and or CO can be
signed. Other items are intended to avoid costly issues at inspections.
Feel free to call if you have any questions. My telephone number is 587 -1240 and office hours are Monday
through Friday, 8:30 am to 4:30 pm, excepting we close for walk -ins at 12:00 noon on Wednesdays. My email
address is: cmiller
Thank • - fo . o r co eratio • on these matters.
Chuck Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
14. A braced wall plan identifying appropriate braced wall areas where required (R301.1) and braced wall
method being used. 780 CMR 602.10.
a. Garage corners and large corner window /door layout may require special solutions.
b. All corners must be appropriately attached to the foundation.
c. When using PFH (R602.10.3.3) or PFG (R602.10.3.4) the nailing requirement is 4" and 3"
respectively using 8d common nails or galvanized box nails.
15. When nailing sheathing make sure your pneumatic nailer's pressure is properly set. Nails set too deep,
essentially perforate the sheathing weakening it and contribute to building damage in high wind events.
16. Ceiling heights minimum 7' for habitable spaces, 6'8" for bathrooms includes tub /shower area if a
shower head is used, 6'8" for basements, 6'4" at beams /ducts. 780 CMR R305.1. MA amended
17. Hazardous glazing locations, within 24" of a door, or within 60" of a stair, or across from hot tubs, spas,
bathtubs within 60" if not 60" above the walking surface, and other locations. 780 CMR R308.4
18. Windows over 72" above grade with the opening less than 24 above the finished floor shall meet the 4"
sphere rule. Order restrictors. 780 CMR R612.2
19. Egress and emergency escape requirements shall be strictly met.
a. Basements, habitable attics, and all sleeping rooms require emergency escape. 780 CMR R310
b. Windows within 44" of floor, DH 3.3 sqft min window size, Casement 20 "x41" exception 5 sqft
at 1 floor. Minimum clear opening 20 "x24" or 24 "x20 ". 780 CMR R310.1.1
c. Two doors remote as possible at the normal level of travel, opening measured from the face of
the slab to the stop with door at 90 degrees, one 32" and one 28" minimum 78" high. 780 CMR
R311.2
d. Landing at each door 36" out and the width of the door minimum 36 ", maximum step 7 3/4" from
the top of the threshold and only in- swinging doors. 780 CMR R311.3
20. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9 ",
maximum riser 83/4", maximum overall variance for the run is 3/8 ", 4" sphere rule on risers except where
the total rise is 30" or less 780 CMR R311.7.4.3 Exception, 4 3/8" on balustrade, 6" in the triangle.
Graspable rail 1 minimum and 2" maximum rail, height minimum 34" maximum 38 ", required for 4 or
more risers. Landing to landing constitutes a new run. Minimum 6'8" ceiling height from nosing. 780
CMR R311.7.
21. Guards 36" minimum height above walking surface, a bench is a walking surface, required for more than
30" above floor or grade within 36 ", 4" sphere rule. 780 CMR R312.1.
22. Educate the plumber and electrician about maximum notch and hole sizes, and placement. 780 CMR
R502.8 and R602.6. In bearing studs holes not larger than 40% of a stud no closer than 5/8 to the edge,
In interior non - bearing studs holes not larger than 60% of a stud no closer than 5/8 to the edge, or holes
in joist are a maximum 1/3 the depth not closer than 2" from the top or bottom or to any other hole.
Notches are different.
23. Drilling or notching of more than 50% of the wall plate width of an exterior wall or load bearing partition
requires a 16 GA 1 "A" strap across the area and 6" beyond each side with 8 - 10nd nails. 780 CMR
R602.6.1
24. Dryer duct transition is limited to 8' of aluminum flex and must be exposed. 780 CMR M1502.4.3
25. Dryer duct maximum equivalent length is 25' or per manufacturer's specs. 780 CMR M1502.4.4.1, no
screwed connections.
26. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4
27. Fireplaces require all combustion air be provided from the exterior and below the firebox, duct work
maintaining 1" clearance for 5' from the duct outlet for all fireplaces
28. Fire and draft stopping shall be completed before rough inspection. 780 CMR R302.
29. Ignition barriers in place before final. 780 CMR R316.
City of Northampton
r Massachusetts ,'"' ,..,
4"
* ,s DEPARTMENT OF BUILDING INSPECTIONS
dI ` 212 Main Street • Munici al Buildin
`4.� P 4
Northampton, MA 01060 l ct 1 y . - , �,
INSPECTOR
Mr. Lederman September 27, 2012
82 Willow Street
Florence, MA 01060
Subject Location: 82 Willow Street
Map Block: 23C -055
Mr. Lederman,
Your building permit application and plans dated 7 -14 -12 for "Phase One" renovations have been approved
as drawn and per this memo. All work must meet all applicable codes whether noted or not indicated in this
memo.
Please follow up on the following items:
These items which will need to be accomplished as the project moves forward;
1. All Non prescriptive materials require engineering, LVLs, I- joist, and Truss.
2. Please review the items below as some may apply to this project.
As of August 4 2011 the 8 Edition MA code is the 2009 IRC with MA amendments.
In the following are some generic requirements which seem to be problematic.
This is not intended to be comprehensive, nor is it a substitute for purchasing and reading the MA codes.
1. Structures shall conform to 780 CMR 8 Edition 1 and 2 family building codes with MA amendments.
2. Grading plan for structures being constructed required. 780 CMR R401.3 for drainage requirements.
3. A basement drainage system is required in all basements 780 CMR R405.2.3. except those in group I
soils (table R405.1)
4. Foundations that retain earth and enclose interior space require damp proofing 780 CMR R406.1.
5. Through wall form ties must be removed from both faces and patched with hydraulic cement. 780 CMR
R406.2 of amendments.
6. Foundation anchor bolts must be' /2" and be embedded a minimum of 7" into the concrete. 10" bolts!
780 CMR R403.1.6
7. CMU foundations require 3/8" parging before damp proofing. 780 CMR R406.1 see exceptions.
8. Emergency escape is required out of every basement whether habitable or not. 780 CMR R310.1
9. Ceiling joist are intended to prevent spread, once raised above the wall plate they become rafters ties
and may require up sizing of rafters and increased nailing for example with a 4" slope 8 -16nd common
are required at each connection. 780 CMR R802.3.1. When there is neither of these a structural ridge is
required with a load path to the foundation.
10. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1 / 3rd 780 CMR
R802.3.1
11. Ridge boards must be the full depth of the cut. 780 CMR R802.3.
12. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and
number of jack studs required.
13. All framing materials which are not code prescriptive must have stamped engineering.
a. LVLs
b. I -joist and or Floor Truss
c. Roof truss
CA-6e 1
e„,,, ww ,rFsei- 3-5'
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Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub - contractor(s) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self- insured companies should enter their
self - insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street, Suite 100
Boston, MA 02114 -2017
Tel. # 617 - 727 -4900 ext 406 or 1- 877 - MASSAFE
Revised 7 -2010 Fax # 617- 727 -7749
www.mass.gov/dia
The Commonwealth of Massachusetts Print Form
„r. Department of Industrial Accidents
Office of Investigations
=me= =mei= 1 Congress Street, Suite 100
w
t % ,« Boston, MA 02114 -2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business /Organization/Individual): Howard Lederman
Address: 82 Willow Street
City /State /Zip: Florence, MA 01062 Phone #: (413)221 8954(c); (413)587- 3145(h)
Are you an employer? Check the appropriate box: Type of project (required):
1. ❑ I am a employer with 4. LI I am a general contractor and I 6. New construction
employees (full and/or part - time).* have hired the sub - contractors
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub - contractors have 8. El Demolition
working for me in any capacity. employees and have workers' 9. El Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. LI We are a corporation and its 10. Electrical repairs or additions
3. IS I am a homeowner doing all work officers have exercised their 11. SI Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12. Roof repairs
insurance required.] t c. 152, §1(4), and we have no Windows, Siding
employees. [No workers' 13.5I 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 who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have
employees. If the sub -contractors have employees, they must provide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
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 required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 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.
I do hereby certij under t; ' ains and , enalties o ' er'u that the in ormation provided above is true and correct.
Signature: Y� Date 9/25/2012
Phone #: (413)221- 8954(c)
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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
City of Northampton
(1 7 4 07,
44- 4 Massachusetts
$fix
4 , *, DE PARTMENT OF BUILDING INSPECTIONS e "
� �
212 Main Street • Municipal Building J� E s t:
Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
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 any 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_Theanspection
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 permits 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
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 Va75102 0
Address of work location 807 W/7/0 to Sfre'eT
Flor -U1 C-e /(�W 010 (e Z-
•
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable X
Company Name Registration Number
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 ❑
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 ti_
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) CE1 Roofing 0
Or Doors Xi
Acce sory Bldg. ED Demolition El New Signs [NI] Deck [p Siding fJ Other [d] i
A_ / - /; _.i / l / / L ■, V` .:� , . , i .
Brief De cription of Proposerd r _ � I Q, arra� Ve , 2-S ory , R nova ti o6
Work: � /
Alteration of existing bedroom X Yes No Adding new bedroom Yes X No
Attached Narrative ✓ Renovating unfinished basement Yes X No
Plans Attached Roll - Sheet 2 Sets of F I ANs Aita cheek
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. 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 ,,�� II
"0
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ('1 lop h c a 6 l'e
I, , 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
1, 1 W b {..6 6 Egn4 # 1/ , astuthorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the •es of my knowledge
and belief.
Signed n er the pains and penalties of perjury.
yo w,i-R r L 6602M A-ri
Print Name
1/2 i ih 7/
Signature of n r/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 2.51 Acres C J4336. 2.51 Acres
Frontage 247' 247'
Setbacks Front 25' 25'
Side L : 190' R L: 190' R:84'
Rear 250' : 250'
Building Height 25' 30'
Bldg. Square Footage /p30 /47 % /97.2 /• i70
o
Open Space Footage _ .
(Lot area minus bldg & paved % ��'
parking) 5. g'% (75 )
# of Parking Spaces NA NA
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO Q DONT 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 C) NO 0
IF YES, describe size, type and location: Standard Street Sign exists on property
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
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 Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
R -
Department use only
City of Northampton Vitus of s t
RECEIV i �t Building Department Curb uli Orb/00w Poona
212 Main Street Sewer', Septic Availability
��� Room 100 Water/Well Availability
5 2012 Northampton, MA 01060 Two Sets df Strucktrat Phan
ph ne 113- 587 -1240 Fax 413 - 587 -1272 ,t/Sit PIa ,
DEPT. OF BUILDING INSPECTIONS
NORTHAMPTON MA 01060
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Proper Address: This section to be completed by office
8a � // I / OW &v'te+ Map Lot Unit
F / 'v' Q Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Howard Lederman 82 Willow Street, Florence, MA 01062
Name (Print) Current Mailing Address (413)221- 8954(c); (413)587- 3145(h)
Telephone
Signature
2.2 Authorized Agent:
Not Applicable Not Applicable
Name (Print) Current Mailing Address:
Not Applicable
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 34,000 (a) Building Permit Fee
2. Electrical 2,000 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing 3,000 Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection 1,000
6. Total= (1 + 2 + + 4 + ) 40,000 Check Number /d ato
This Section For Official Use Only
Date
Buildin ermit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2013 -0345
APPLICANT /CONTACT PERSON LEDERMAN HOWARD C
ADDRESS/PHONE 82 WILLOW ST FLORENCE (413) 587 -3145 0
PROPERTY LOCATION 82 WILLOW ST
MAP 23C PARCEL 055 001 ZONE URA(100)/WSP(100)/WP(83)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out � � /�
Fee Paid `7
Typeof Construction: RENOVATE BEDROOM, REMOVE CHIMNEY,REPLACEMENT WIND *WS,ROOF,
SIDING & CONVERT 1/2 BATH TO FULL � j ,/
New Construction ,� (O
Non Structural interior renovations £%
Addition to Existing 'M�
Accessory Structure `
Building Plans Included:
Owner/ Statement or License / r '
3 sets of Plans / Plot Plan - 1111 111 l O!
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I 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
iemor' on Ge
Signature of Building Offi ial 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.
82 WILLOW ST BP- 2013 -0345
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23C - 055 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 -0345
Project # JS- 2013- 000279
Est. Cost: $40000.00
Fee: $240.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 109335.60 Owner: LEDERMAN HOWARD C
Zoning: URA(100) /WSP(100)/WP(83)/ Applicant: LEDERMAN HOWARD C
AT: 82 WILLOW ST
Applicant Address: Phone: Insurance:
82 WILLOW ST (413) 587 -3145 ()
FLORENCEMA01062 ISSUED ON:10/1/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: RENOVATE BEDROOM, REMOVE
CHIMNEY,REPLACEMENT WINDOWS,ROOF, SIDING & CONVERT 1/2 BATH TO FULL - PHASE I
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 10/1/2012 0:00:00 $240.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner
577
N.-./1