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35-200 (6) i i .36. F .� �•may�f�. ��. .I� , 1 � ,xr ,��,. •i. �/'h' ,' � ��.' '� .n �. _..:._.. ,a n. ..,>.''- C .. tt� I �' ��� � � �:, ., •= ,� ., 3_ _ ;,� �. .- �. ,� r ' ! aw - t s' fa If I r1► �� �� III `' i °. Recoided: 06/11/2014 12:53 PM June 10, 2014 To Whom It May Concern: This letter is to note and record that 1, Marianne L. Johnson, owner of residential property located at 11 Turkey Hill Road, Florence, MA 01062 is the present occupant of the first-floor accessory apartment located at above-noted address. Signed and dated June 10, 2014, �• arianne L. Joh n ATTABT; RAMPSHIRE, Z REGISTER MARMA(3 ER DI UBUILDING ASSOCIATES P.O. Box 1105 1 N C. Easthampton, MA 01027 (413) 527-4010 6/11/14 RE: First Floor owner occupied accessory apartment gross living area at 11 Turkey Hill Rd. Florence MA. The First Floor Foot Print is a dimension of 24'x 40' (960 gross floor area), however,a 9'x 10'6" space of that area is for Second floor unit main entry stairway means of egress. The 95 sq.ft.of gross floor area Entry subtracted from 960 gross floor area brings the owners accessory unit below the 900 sq.ft. maximum area. Norman Glenn Owners agent/contractor ✓ 'it0 i'lt'L'"� TO I:SI� ,ndent b;l r IIi�.7. I�'iiAl1l�:��� I•I, f• it1.l.:rz ;iUa1�i��`l 1" to 3Ci r r I, ! I� I! I�� T� lil �l � � I � \ f i I j E rrl hw �j 1 ' Nll I F el 45 'If 2 66' 2'3 107 5'T 8'2 -1, 4'2 31'8 412—� 2' ' 67— - 2''i 3'8 4'6 618 25' 6068 1 2842 2842 I 4 - 2nd means of egress RO 2'10"x4'5" RO U=3x4'5" j 50 U=.30 U=.30 j I i 2"x6"16'0.c. MASTER BATH CLOSET 6'x 7'9 A 14'8 x 7'9 2"x8"@ 16"o.c.ceiling joist i ALinen 2468 2468 ao 2"x10"Rafters@ I To.c. T8 -v 0 HALL o uk- M 12'11 x 3'10 EXISTING SECOND FLOOR N oo RO2'10"x4'5" V ------------------------------- - N N U=,30 2868 MASTER BDRM 2668 12'3 x 22' i Structural Ridge- 1 3/4"x 14"LVL CLOSET LAUNDR Fb 2800[psi E=2.0 3/4"T+G Advantech subfloorin 9 63 x 5'2 6'3 x 5'2 3'8 ! 2"x8"@ 16"o.c�g joist ICYNENE Foam Insulation 1st means of egress "x6"16"o.c. Exterior walls,Floor system an(! i RO 57x4'6"U=.30 Ceiling system I 842=2842 W � � I 26' 4'2 31'8 4'2 F 66' SECOND FLOOR UPPER LEVEL PLAN GLENN BUILDING ASSOC. INC. 500 Sq. Ft. Gross Living Marianne Johnson 11 Turkey hill Rd. Florence ' JUN 2014 Vol Electric, Plumbing&Gas Inspection Nortnarrnp,cn. MA 01060 66' 17'10 8'4 17'6 915 1211 511 711 410 5' 3'4 deck 2834 2834 2834 6068 means of egress basement acccess for second floor OFFICE Note ! KITCHEN BATH 12'5 x 87 One Hour Fire rated drywall ceiling and firewall seperation 17'2 x 11'6 9'1 x 87 17'2 9'1 12'5 Exterior fire door " 3068 up means of egress 00 First Floor unit 900 Gross Square Feet Owner occupied N , --c N �i _____________ N N GARAGE 2868 546 — 2868 2 d.FL. °' 51'6 xN11C'6 lec. pandI �P BEDROOM ° 00 cress o 13'6 x 10'3 and 2nd M storage /Floor — loset Entry 8070 3068 I, T4 10'8 4' 4' LTIO 2'2 I 18' 8' 16' 10' 14' h 66' GLENN BUILDING ASSOC. INC. EXISTING FIRST FLOOR Marianne Johnson 11 Turkey Hill Rd. Florence MA City of Northampton Massachusetts w{ �rl• j �Y• ' `' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 sswy`• Y�t�� 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. 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 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 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ' y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �rA/i^� oz� ���`l Address: iiF City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working or me in an capacity. employees and have workers' g y p t3'• 9. E] Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. E?`We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E] 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 employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all 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 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 certify under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Phone#: 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#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Superviso r: Not Applicable £ Name of License Holder: /�'�, }', e%[r� ij//�� 09 TZZ47 License Number Address T Expiration Date Signature Telephone 9.Registered Home Improveme/nt Contractor: ,.... Not Applicable £ 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....A 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 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[0] Other[0] Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa.1f New Fouse and or'addition to ezlstlnq`h'ou'sing, complete`tiih��e/lfollowilng: 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. j°G Y 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 _5 i. Is construction within 100 ft. of wetlands? Yes ,ZNo. Is construction within 100 yr. floodplain Yes_ZNo j. Depth of basement or cellar floor below finished grade k. Will building conform to a Building and Zoning regulations? Yes No. I. Septic Tank t� 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, i all^ tte s relative to work authorized by this building permit application. ig ature of Owner Date < mi 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. Print Name Signature of Owner/ nt Date Section 4. ZONING All Information Must Be C2[eted. Permit Can Be Denied Due To'Incomplete Information Existing Proposed Required by Zoning Tbis column to be filled inly Building Department Lot Size Setbacks Front Rear Building Height Bldg. Square Footage 0/0 Open Space Footage % (Lot aTea minus bldg&paved #of Parking Spaces (volume&Location) A. Hasa Special Pennit/Vahance/Finding ever been issued for/on the site? ~� � � NO «+-� YY x��� DONTKNO YES �~��~� IF YES, daLeissuodd | IF YES: Was the permit recorded at the Registry ofDeeds? NO � � D ^^� ~., . .`.`~. 0 .ES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body uf water orwetlands? NO DON7 KNOW 0 YES 0 IF YES, has a permit been or need Lobe obtained from the Conservation Commission? Needs tubeobtained �~� Obta|ned «~� Date ��' �~� ' . C. Do any signs exist un the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES «_��~\ NO x��~ IF YES, describe size, type and location* � . / ______-___...... ....... _---..........______] E. Will the construction activity disturb( hng. grading, bon.or filling)over I acre oris it part ofa common plan ' that will disturb over 1acre? YES K } NO �� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ^ '' M r r 1 't�Deparfineht use and F [ s�-, I of Northampton Iding Department E � 12 Main Street Room 100 VeiEAv--A�orth mpton, MA 01060, 2 0#5o 7-1240 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`sect►on o be completed by office A , + Map L'ot Unit v )' Zone Overlay Distract e1 �' Elm St Distract ;.CB District_ . SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �, Name(Print Current Mailing Address: Telephone Sign ture 2.2 Lthorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS. . Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building -�, (a)Building Permit Feb 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing � Building Permit Fee 4. Mechanical(HVAC) � f- 5. Fire Protection �cJ 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissionedlnspector of Buildings Date File#BP-2014-1332 7-001 a r, — APPLICANT/CONTACT PERSON NORMAN GLENN ADDRESS/PHONE 18 Ashley Circle EASTHAMPTON (413)527-4010 PROPERTY LOCATION 11 TURKEY HILL RD MAP 35 PARCEL 200 001 ZONE 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: CONSTRUCT 2ND FLR ADDITION ABOVE GARAGE&PORCH ENTRY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 039970 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO 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 De olition Delay Signa re of Buil ing Of icial 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. I I TURKEY HILL RD BP-2014-1332 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -200 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-2014-1332 Project# JS-2014-002165 Est. Cost: $52000.00 Fee:$150.00 PERMISSION IS HEREB Y GRANTED TO: Const. Class: Contractor: License: Use Group: NORMAN GLENN 039970 Lot Size(sq. ft.): 14505.48 Owner: JOHNSON RAYMOND&MARIANNE L Zoning: Applicant: NORMAN GLENN AT. 11 TURKEY HILL RD Applicant Address: Phone: Insurance: 18 Ashley Circle (413) 527-4010 EASTHAMPTONMA01027 ISSUED ON.612312014 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND FLR ADDITION ABOVE GARAGE & PORCH ENTRY 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 6/23/2014 0:00:00 $150.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner