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Drawing Notes for Proposed Deck, 307 Audubon Road, Leeds MA. 7/18/14
The proposed deck will fill in a recess on a portion of the south side of the house. The
recess is bordered on three sides by existing walls of the house. A slider(on the east
wall) will serve as one access point to the deck.
1 The overall dimensions of the proposed deck are 12'-10" X 8'-0"
2 The earth below the deck area has been replaced with a 2" layer of 3/4" stones
to promote good drainage.
3 A 48" hole has been dug to accommodate a 10" X 48" sonotube.
4 The central 4"X 8"beam will be secured to the cement column using a
4"X 4"galvanized post plate.
5 All joist members will be 2"x 8"PT lumber.
6 All joist members will be secured to each other with joist hangers.
7 Decking is Timber Tech synthetic decking material.
8 Deck members will be fastened using"tiger claw"concealed fasteners.
9 Deck height will be no more than 9"above existing grade.
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City of Northampton
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DEPARTMENT OF BUILDING INSPECTIONS 7
212 Main Street • Municipal Building
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. 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, G �tLA S 09 UrV\ 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 `7 Z/ 14-
Address of work location 30,7 .6C)CJk1 be,-\ _t C(
Wjl
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
r Boston, MA 02111
M www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information l _ Please Print Legibly
Name (Business/Organization/Individual): �A S c�)
Address:__3r):Z A k J (Ui bot x G�
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 g, F-1 Demolition
working for me in any capacity. employees and have workers' g ❑ Building addition
[No workers' comp.insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.F1 Electrical repairs or additions
officers have exercised r 11.hised thei airs or additions
3. I am a homeowner doing all work ❑ Plumbing repairs
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. Lie. #: 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 hereb tify under the pains and penalties of perjury that the information provided above is true and correct.
Sim ature: r— i-t-,— Date: 7 I �e i
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 Supervisor: Not Applicable £
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
9 Registered 146 Not Applicable £
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§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 Egemption
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.
Th undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
N rthampton 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 [o] Decks (M Siding[0] Other[O]
Xrief Description of Proposed
Work: Cat Jor AP 12
Alteration of existing bedroom Yes No Adding new bedroom Yes No ✓
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa:If"New house and"o"r"additio n to exisfing"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
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
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 underthe pains and penalties of perjury.
Pri ame _�
Dale `i-
Sig ature of Owner/Agent
' -
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
Frontage
Setbacks Front FT5--o'
Rear
Building Height
Bldg.Square Footage "10
Open Space Footage %
(Lot area minus bIdg&paved
#of Parking Spaces
(volume&Location)
A. Has a Special Permit/Varia nce/Fi riding ever been issued for/on the site?
�� ��
NO t�� DON7KNOVY �� YE� �~y
IF YES, date issued: �
IF YES: Was permit recorded at the Registry ofDeeds?
NO D0N7 KNOYY 0 YES
IF YES: enter Book i P /or Document#
e,_ DON7KNOW �� ��B. Does the site contain a bnook, bodyof waternrvvetiands? NO «�� YES �_/
'
IF YES, has a permit been or need tobe obtained from the Conservation Commission?
Needs to be obtained �~\ Obtained x—� Date
�_/ �~� ' '
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 0
IF YES, describe size, type and location:
� |
'
E Will the construction activity disturb(clearing, grading |on.orfi|||ng)over 1 acre orio|1 part ofo common plan
that acre? YES C`~� NO)
'
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
^ —
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Department use onlX
S S J
City of Northampton Status ofPermit r
Building Department Ct7rb CutlDn�cetitray Fermtf k }
212 Main Street Viewer/6epEicAuaifab�lrty
2 2014 Northampton,100 1NaterfVk1e11Avatla6 hty '
Northampton, MA 01060 TwoSefsyofStractural Puns
h e 13-587-1240 Fax 413-587-1272 Plof/ste Pians- r X w E
? Other Specify r
E ectnc, PlumGis'ac
Northam
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This sectiorr to be completed by office
1.1 Property Address:
U� trt�0►`t �L)ct CiF Map Lot Unit -
A r—
M Pt V 7 one Overly District
i✓�A75 110 Z
Y
Elm St Distri ct CB District
SECTION 2. PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized 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 Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector'of Buildings Date
File#BP-2015-0074 a
APPLICANT/CONTACT PERSON ZOGBAUM RUFUS F&REINA SCHRATTER 2� 6
ADDRESS/PHONE P O BOX 447 LEEDS (413)341-3182 Q
PROPERTY LOCATION 307 AUDUBON RD
MAP 05 PARCEL 052 001 ZONE RR(100)/WP(20)
/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out Om.9n ago
Fee Paid
Typeof Construction: CONSTRUCT 12 X 8 DECK
New Construction
Non Structural interior renovations
Addition to Existing-
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9,RMATION PRESENTED:
VApproved 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 elay
sgffl�7 7—47��
Sig ure of Bui mg ffi 'al 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.
307 AUDUBON RD BP-2015-0074
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 05 -052 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit# BP-2015-0074
Project# JS-2015-000136
Est.Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq ft.): Owner: ZOGBAUM RUFUS F&REINA SCHRATTER
Zoniniz: RR(100)/WP(20)/ Applicant: ZOGBAUM RUFUS F & REINA SCHRATTER
AT. 307 AUDUBON RD
Applicant Address: Phone: Insurance:
P O BOX 447 (413) 341-3182 ()
LEEDSMA01053 ISSUED ON:712512014 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 8 DECK
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 7/25/2014 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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