23B-073 Deck ledgers and post must be appropriately attached, bolts or lags.attachment hments Required.foNeachTdeckoks
39. D 8 orting a railing. Lateral
are engineered for post attachment supp
per section 502.2.2.3•
40. Smoke and CO detectors as required.
a. Smokes in each bedroom,within hin 100'1 R314 and R315.
o f a bedroom door, and at the bottom of a stair leading to
o
a finished floor above. el,for every 1500 sgft, (plumbing code in the
b. CO within 10' of bedroom doors, at each lev
mechanical room) Except if there are no fossil burning fuels.
c. Heat detector in attached garage, and
ed with unfinished 80 CMR'R302.d7spaces.
41. Closets beneath stair which have doors must be
42.
If there is mechanical equipment or a combustible roof,30 s ft of 22a x 30nds required measured
to be located in
ceiling joist to bottom of rafters an attic access of minimum
an accessible place. It must be insulated equal to surroundin g, g asketed, and secured in place.
43. Clearances above gas stoves and cook tops burners is 24" to non-combustible or 30" to combustibles.
Relevant items must be submitted to the building department for approvals before inspections and or
Certificates of Occupancy can be issued.
Feel free to call if you have any questions. My telephon8 e number is 587-1240 and office hours are Monday
Wednesdays. My
through Friday, 8:30 am to 4:30 pm,excepting we close for walk-ins at 12:00 noon on
address is: cmillerC�northamptonma.go_v
Thank you for your cooperation on th e matters.
Chuck Miller
City of Northampton Enforcement
Assistant Commissioner and Zoning
23. 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.
24. Floor joist systems that are not equal to 1%2" nominal dimension must be covered with%2' drywall or
5/8" wood structural panel or equivalent with some exceptions. 780 CMR R501.3
25. 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.
26. 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%Z" strap across the area and 6" beyond each side with 8- 10nd nails.780 CMR
R602.6.1
27. Dryer ducts must terminate outside of the building, have a backdraft damper,cannot include a screen,
and require 3' clearance from windows. 780 CMR M1502.3
28. Dryer duct transition is limited to 8'of aluminum flex, must be exposed, and the proper UL listing.780
CMR M1502.4.3
29. Dryer duct maximum equivalent length is 25' less 5' per 901 elbow or per manufacturer's specs.780
CMR M1502.4.4.1, no screwed connections.
30. Dryer ducts when concealed must have a permanent label or tag within 6' of the duct connection 780
CMR M1502.4.5
31. Markup air is required for any exhaust hood of 400 CFM or more. 780 CMR M1503.4
32. 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 and airtight doors.2009 IECC
402.4.3
33. Fire and draft stopping shall be completed before rough inspection.Typical locations,top (ceiling) and
bottom (floor) plates, soffits, and every 10' within enclosed cavities.780 CMR R302.
34. Ignition barriers are required over all thermal plastics and must be in place before final.780 CMR R316.
35. Dwelling/Garage fire separation.An attached garage (within 3' of main structure) is required to have%"
drywall on the garage side of the separation wall and if there is a finished space above the garage all
walls must have %z" drywall and the ceiling 5/8" drywall.780 CMR R302.6
36. 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.
37. 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•�for
oofs are vapor
allowedrbuthcve spec specific requirements 7 sealing
80 CMR R806.4.requirements.
38. Unvented attic assemblies. Ho
9. Crawl spaces can be treated in three different ways,vented (poor idea), exhausted (similar to exhaust
only systems),or treating the space with supply and return.See 780 CMR R408
10. 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.
11. Steel straps over the ridge or 1x4 minimum collar ties are required 4' OC in the upper 1/3rd 780 CMR
R802.3.1
12. Ridge boards must be the full depth of the cut. 780 CMR R802.3.
13. A complete window and header schedule is required. 780 CMR Table R502.5 for header sizing and
number of jack studs required.
14. All framing materials which are not code prescriptive must have stamped engineering.
a. LVLs
b. I-joist and or Floor Truss
c. Roof truss
15. All I-Joist need to be protected from fire with 1/2 drywall or 5/8 wood structural panel. (R501.3)
16. 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. PNEUMATIC nails must be full
headed with the temper and shank sizing meeting the strict code requirement.
17. When nailing sheathing make sure your pneumatic nailers' pressure is properly set. Nails set too deep
perforate the sheathing weakening it and contribute to building damage in high wind events.
18. 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
19. 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
20. 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
21. 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 sgft
at 15t 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
h of the door minimum 36", maximum step 7 3/" from
d. Landing at each door 36" out and the widt
the top of the threshold and only in-swinging doors. 780 CMR R311.3
22. Stairs have critical standards, make sure you know the floor finishes when planning. Minimum tread 9",
maximum riser 8%", 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. Rails
must be continuous and returned to the wall if not to newel post. 780 CMR R311.7.
City of Northampton
.'.' 4k Massachusetts
t 'i xk DEPARTMENT OF BUILDING INSPECTIONS „#
212 Main Street • Municipal Building
Northampton, MA 01060
INSPECTOR
Gougeon Builders September 16, 2014
1261 Hawley Road
Ashfield, MA 01330
Subject Location: 90 South Main Street
Map Block: 23B-073
Mr. Gougeon,
Your building permit application and plans dated 6-3-14 have been approved as drawn and per this memo.
All work must meet all applicable codes whether noted or not included within this memo.
Please follow up on the following items:
These items will need to be accomplished as the project moves forward and before rough inspections;
1. 1 joist layouts required.
2. Header sizing? Headers over the 8' doors don't make it with 2 -2x12 and 1st fl 8'window?
3. There needs to be air barriers within the joist system.
4. Crawl space needs to meet R408.
5. If window openings are within 24"AFF and more that 72"AFG a restrictor is required.
6. You better watch the foundation shelf height you changed joist height the shelf drops to 98.76
7. The fireplace requires makeup air sealed glass doors and an air barrier behind it.
8. What is going to happen with the grade clearance at the corner of the office next to the patio?
9. Stamped engineering for all non prescriptive materials and or systems.
10. HERS initial and final ratings, duct blast results, and a signed Thermal Bypass Checklist.
11. A smoke/CO in the 2nd floor hall.
Note:July 1 begins enforcement of the 2012 IECC with MA amendments and fire protection for non-
dimensional lumber floor system frames,the new Stretch Code is pending.
As of August 4th 2011 the 8th 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.
Read only international codes are available on line at http://publicecodes.cyberregs.com/icod/one
must also consider the MA amendments to these codes which can be found at.www.mass.gov/dps/bbrs .
The current relevant building codes are:
2009 IBC, 2009 IEBC, 2009 IMC, 2009 IRC, 2009 or 2012 IECC,AA115, MA amendments.
1. Structures shall conform to 780 CMR 8th 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%" and be embedded a minimum of 7" into the concrete. 10" bolts!
780 CMR R403.1.6
7. CIVIL) 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
MW
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 7406 or 1-877-MASSAFE
Revised 7-2013 Fax # 617-727-7749
www.mass.gov/dia
The Commonwealth of Massachusetts
Department of Industrial Accidents
M Office of Investigations
W
d I Congress Street, Suite 100
~ Boston, MA 02114-2017
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Marne (Business/Organization/individual):
Gougeon Builders
Address:1261 Hawley Rd
City/State/Zip:Ashfield, Ma 01330 Phone #:413-625-9337
Are you an employer? Check the appropriate box: Type of project (required):
l.0 I am a employer with 2 4. F I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
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 for me in any capacity. employees and have workers' 9. Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. 'No workers comp. right of exemption per MGL
Y [ p 12.[] Roof repairs
insurance required.] t c. 152, §1(4),and we have no 13.❑ Other
employees. [No workers'
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforniation.
I Homeowners 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:Associated Employers Insurances
Policy#or Self-ins. Lic. #:wcc5009644012012 Expiration Date:12/61114671
Job Site Address: C J. Jticr.�� 'S t, ►'kr „r 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 nder the pains and penalties of perjury that the information provided above is true and correct.
Si nature: Date: C, O i'-
Phone#: 41 - 9-9 4
Official use only. ho 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. CitylTown 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: CO r✓ti 0 7S—Uj 9
License Number
ct b we`( L;;
Addres
Exp at' n Date
AZI ,__ SZE :fit
IS' e�' Telephone
i
9. Registered Home Improvement Contractor: Not Applicable ❑
6 r-`.. � v, 1�rl 17 3,)c>
-Company N me Regis ration Number
ZC A4C, 1 J, 4114 3 3 c' Cr ztS
Address Expi ation ate
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
Y
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) F__J Roofing
Or Doors 171
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[01 Other[C7j
Brief Description of Proposed I
a � h d-��, �,�
Work: k-cut�.1 siin� i � ��.�t 1 1�' ' �vlkS z( C tou.�.
Alteration of existing bedroom X/ Yes No Adding new bedroom x Yes No
Attached Narrative Renovating unfinished basement Yes _No
Plans Attached Roll -Sheet
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? No
d. Proposed Square footage of new construction. Dimensions
e. Number of stories? } a . /6J f. Method of heating? }-+U 5! wJ . f, Fireplaces or Woodstoves r Number of each
g. Energy Conservation Compliance. NI'j 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
r
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters rel ive to work authorized by this building permit application.
Signatur of Owner Date
as Owner/Authorized
Agent hereby d clare that t e 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
Lq
Signature f; wn /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
Frontage
Setbacks Front r-3
Side L:v-R: l L: R: 3�1
Rear
Building Height 5
fi
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 ever been issued for/on the site?
NO 0 DON'T KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained l Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES i NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO
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
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
City of Northampton Status of Permit:
Curb Cut/Driveway Permit
_" t � ,� � ..> Building Department Y
\,
` ' 212 Main Street SewerlSeptic Availability
4 e Mons
�--�, CPO Room 100
Water/Well.Avai(abitity
b'ng&G ✓ojo o MA 01060
E,ectrlc,plumrr�ron Mp Northampton, Two Sets of Structural Plans
NottrU
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
This section to be completed by office
1.1 Property Address:
Ma Lot Unit
{�, C 1 CU t a�:�- p
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:_ `� > > ,�
S ,
Telephone
Signature
2.2 Authorized Agent:
Name Print) 1 Current Mailing Address:
r1satVe Telephone
ON 3//ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building f (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
C,c Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) ��
5.Fire Protection
6. Total= 0 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
G
File#BP-2015-0277 Vr
a�
APPLICANT/CONTACT PERSON GOUGEON BUILDERS ✓iea
ADDRESS/PHONE 1261 HAWLEY RD ASHFIELD (413)625-9337 �e
PROPERTY LOCATION 90 SOUTH MAIN ST
MAP 23B PARCEL 073 001 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 I4.4 )/
Fee Paid
Typeof Construction:_CONSTRUCT 22 X 16 TWO STORY MSTR BDRM,2 BATH,LIVING RM ADDITION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 075029 � i� � �,�`� Rail/3 sets of Plans/Plot Plan b ( c°G
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION PRESENTED:
pproved 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
e}yt' Dela
4a:ture o uildi g 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.
90 SOUTH MAIN ST BP-2015-0277
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-073 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-2015-0277
Project# JS-2015-000528
Est. Cost: $215600.00
Fee: $1293.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: GOUGEON BUILDERS 075029
Lot Size(sq. ft.): 25700.40 Owner: WAISMAN JOHN C& SARAH ABEL
Zoning:URB(l00)/ Applicant: GOUGEON BUILDERS
AT. 90 SOUTH MAIN ST
Applicant Address: Phone: Insurance:
1261 HAWLEY RD (413) 625-9337 WC
ASHFIELDMA01330 ISSUED ON.911712014 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 22 X 16 TWO STORY MSTR
BDRM,2 BATH,LIVING RM ADDITION
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 9/17/2014 0:00:00 $1293.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner