31A-226 City of Northampton 212 --Main Street, Northampton, INLA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: C I-j Ave
The debris will be transported by:
The debris will be received by:
Building permit number:
Name of Permit Applicant �n r -t ,C
Date Signature of Permit Applican--.
VV nnan I DUILLICnO,1110.- 4 61 Q 5
DATE INVOICE NO. DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE
6-26-14 062614-475 13-475 26. 00 . 00 26. 00
CHECK CHECK 26. 00 . 0 0 26. 00
DATE NUMBER TOTALS
WRIGHT BUILDERS,INC. FLORENCE SAVINGS'BANK '4610-5
48 BATES STREET FLORENCE,MA 01062
NORTHAMPTON,MA 01060
53-7168/2118' J
413-586-8287
pay: ********************************++********Twenty-six dollars and no 'cents
DATE CHECK NO. AMOUNT'
July 7, 2014 46105 $******.***26.:00
PAY CITY OF NQRTHA"TCN / NOTVALIDA 90 AYS
TO THE TWO S �RES REQUIRED N ECKS OVER Sb000.00
ORDER
OF
AUTHORIZED 810NATURE - Nr
11'046 10 51I' 1: 2 L 187 168811: 01 2 5 0056061I'
Northampton Fire Dept.
Fees
Job: Sopp !Wilson Residence
42 Harrison Ave.
Northampton, MA
Floor Squ. Ft x 0.04 Fee
1 st Floor 638 x 0.04 $25.52
TOTAL: $25.52
Smoke, CO and heat detectors per code.
Building permit application pkg submitted to the Bldg Dept on 7/8/2014
Prepared by Wright Builders, Inc. 7/8/2014
Office of Consumer Affairs and Business Regulation
�'9- 9 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
,.._
Registration: 101536
r - Type: Private Corporation
-` Expiration: 6/26/2016 Tr# 254208
WRIGHT BUILDERS, INC.
Jonathan Wright = b
48 BATES STREET
Northampton, MA 01060 s
Update Address and return card.Mark reason for change.
Address Renewal F-] Employment Lost Card
SCA 1 0 20M-05/11
,per C�fie�porrurrxayuuP,nl�i oy�C?/�,craurc/zrcaeCGi
-\ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Ue'Vgistration: 1-01536 Type: Office of Consumer Affairs and Business Regulation
pIration:- 6/26/20'16. Private Corporation 10 Park Plaza-Suite 5170
Boston,MA 02116
WRIGHT BUILDERS,i'
Jonathan Wright
48 BATES STREET
Northampton,MA 01060 Undersecretary a' hout signature
i
r
a
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: 13(4 2Zell 65
J
T
License Number
Address Expiration Date
Signatu Telephone _
9.Renistered Home Improvement Contractor: Not Applicable ❑
10f 31
Company Name Registration Number
�jinle�i �nt,. 4 I
Address n / �a LL� Expiration Date
�� d7rL5 7 �c9� iift Nl) /h.rl//��elephone L)l3
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....... M 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) 7
New House Addition ❑ Replacement Windows Alteration(s) E✓ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[0] Other[o]
Brief Description of Proposed » / J �% J
Work: renovate kitchen and bathroom f rJU 14 hon i.*,O(',1 yeM en t. 14""4��I N e P'ke f 6 6 i'l gey i'ce _ A5 4� -&5 I e 971^'
Alteration of existing bedroom Yes x No Adding new bedroom Yes x No
Attached Narrativ Renovating unfinished basement _ Yes No
Plans Attache of, -Sheet
6a. 1 , house and or addition to existing housing, complete the followin
a. Use of building . ne Family Two Family Other
b. Number of rooms in ea mily unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construe Dimensions
e. Number of stories?
f. Method of heating? i laces or Woodstoves_ Number of each
g. Energy Conservation Compliance. Masschec nergy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction withir 1 r. 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
I, I ) in L f„���r a.� as Owner of the subject
property { t q
hereby authorize W'r�G T 9a1 IdeA
to act on m ehalf, in all matters relative to work authorized by this building permit application.
6/o gg laoit!
Signature of Owner Date
rti�h� RIAI t ?(� �n(,- as Owner uthorized
e 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 N
Signature 6f 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 Si
Frontage
Setbacks Nt
L: R: L: R:
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding eve een issued for/on the site?
NO (�r DONT KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Dee ?
NO O DONT KNOW 0 Y Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES
IF YES, has a permit been or need to be obtained from the Conse tion Commission?
Needs to be obtained O Obtained Q , Dat 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? SO NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, avation,or filling)over 1 acre or is it part of a co on plan
that will disturb over 1 acre? YES ® NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton Status of Permit:'
S 2014 Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
°-� Room 100 1NaterMell Availability
E ectric,Plumbing&Gas inspections
Northam ton, MA 01060 Northampton, MA 01060 Two Sets of Structural Plans
phone 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 lee
1.1 Property Address: This section to be completed by office
Ho(cisI�► ��'� Map _ Lot Unit
�4 y t•J 4 e„10h,0, MA 0066 Zone _Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Wilson Family Revocable Trust 42 Harrison Avenue
Name(Print) Current Mailing Address: 413 584 6338
_K Telephone
Signature
2.2 Authorized Aaent:
134les .,M wt,
Name(Prin Current Mailing Address:
i7-1 3 S1
/7/;-17 All
Signature Telephone �y
SECTION 3-ESTIMATED CONSTRUCTION COSTS -07) k (66/1W)
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 7,L' �a (a)Building Permit Fee
%J1
2 Electrical a 3�7r (b)Estimated Total Cost of
Construction from 6
3. Plumbing r Building Permit Fee
4. Mechanical(HVAC) 3 y1
5. Fire Protection
6. Total=(1 +2+3+4+5) 17 7 Check Number IV,&0 Go
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/inspector of Buildings Date
File#BP-2015-0039
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116)
PROPERTY LOCATION 42 HARRISON AVE
MAP 31A PARCEL 226 001 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 C./L* ® .k O-16 '
Typeof Construction: RENOVATE KITCHEN AND BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 047146
3 sets of Plans/Plot Plan
THE FO WING 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
j moliti Delay
�
re
Signs of B ' din f rcial 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.
42 HARRISON AVE BP-2015-0039
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A-226 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Building BUILDING PERMIT
Permit# BP-2015-0039
Project# JS-2015-000080
Est. Cost: $70877.00
Fee:$426.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License.
Use Group: WRIGHT BUILDERS 047146
Lot Size(sq.ft.): 9801.00 Owner: WILSON ROBERT H&LINDA E SOPP CO-TRUSTEES
Zoning. URB(100) Applicant: WRIGHT BUILDERS
AT. 42 HARRISON AVE
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Liability
NORTHAMPTONMA01060 ISSUED ON.711512014 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENOVATE KITCHEN AND BATHROOM
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 7/15/2014 0:00:00 $426.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner