17B-010 ' b/ a \
1 , , RIM ELEV.=99.02 - 96 -
INV. IN(4")=97.14
2 � INV. OUT(10")=97. 4 5A 5A 1A 3A
,2 n J
:ONNECT "'
TO MAIN —
IMPLETE) --
c� , 15' SIDE j �\ _
INSERT (
f ' I \ \ z YARD SETBACK
yER PIPE � )
V.-94.50 �— — —
S r J 28 � 28.
n SINGLE-FAMILY
2-STORY ! \ m OVE do DISCARD
35 V) WOODEN BUILDING N F.F.= o G PE BARBER FENCE
/ Co 101.00 N F.F.— I / _ 30' REAR
15 I (� (F.F= / 0D. 101.00 ,�, TE ORARY r I YARD SETBACK -f
3
,. ,. 30' RO T J UNIT 1 UNIT 2 a Sit TION BARRIER 1 I
rYPE O MAIN I YARD s BA c t% \ �0 /PR SED��FOOT WIDE / I
PROPO Ed 4—FOOT 1
)OT WIDE WIDE G SAEN BIT. CONC. WALKWAY
n STONE ALKWAY
9DEWALK — I 9 Q \ _ I 1
W/RAMP I I I
! PROPO D — 0.67 ACRES TO BE !�
TBM BIT. CC < s r RETAINED ! BY !
�QP SPINDLE CURB ? - G A.G JEQUITY BUILDERS J /
\HYDRANT
ELEV\=103.56
10' WIDE PEDESTRFAN- iJ
R _ L W_ W W — / /-EASEMENT
3 PARKING S�ACES 18" D 6 PARKIN PACES
PROP D BIT. CONC.
CURB TYPE 2 4o
u � /
I (IRAPHIC SCALE /
O Oy
�IlR55RL�lIStffB
c
DEPARTMENT OF BUILDrj\,TG INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building 'o,44
5-
Nordiwripton, MA 01060
,r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as !:is/her construction sup,. .,`sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or'two famiry
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 oven construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and eegulations. 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
r
1
y
0� (riff
tIf {LtI"fl��lll}JfDll
,R E - —
� A � E g�caskcyntrlte' _ _=
DEPARTMENT OP BUILD0\10 INSPECf10t.°S
212 Main Strcet • Municipal Building,
NlorLhampton, Mass- 01060
W&JUCER'S CONITENSATTON INSURA-N CE A=1 A.ArIT
i
(li C=S=/pern»tics)
vItILb a principal place of businesshesidence at: -
.t -� l / � .! (phone') �'l3 /u i oC J�
(sarr tici ty/slalcra p)
do hereby certify, under the.pa._ins and penalties of per)ury, hai
( I :man employer providing the iolJo.vine Iworke>'s comocasaoo, Cove—,;c for Iny
employees Nvorlong on this job:
/lemsui-an=Conpaz�,) (PoLic. Nu_-zb--r) F=,pir_i or,Da--)
O I am a sole proorietor, geoeral contractor or homeowner (ci c:e one) and have hired
the coouaciors listed below who hive the following workers caM-oer-saiion pakie-s:
(Ngmc of Con- lmaor) On--uranc; Coirloa.n}•r1"o6ci Num=C-) ll`:Jl d Q? l7dIC)
(Name of Couuzaor) CoMt)aa-,'/POI c-,, `uL7crr) (-ExDir bon Daie)
I -
(Name of Conuano;) Onsuranc= Company/POL-q- Nambcr) (Expiraoa Daic)
I -
(T`amc of Conoraaar) (Lanlran Comp
aay/Policy Numbs) (Etipiiatioa Daft).
(aaac3_du-�ocml bca.ifacoai-v tD a,c?vcL iaforn�-ioa pc�' to.L cotes-�v:-�)
I
O I am a sole prop'
etor and have no one working for me.
I ( ) I am-a home owner performing all the work myself.
NOTE:plc-=be twat ti--wQ,h bomco,=m,.to cloy pczoai to do --sue• c—tjaa c rgau ,ter c a,r d..<r1:-Z of
nae mae tI1 a 't sm>�t�is-by the bomoowac r=d.oc oo the Vouz,,�,�7�ts'e,t- noc C,r-Ry oL-=d=ni to be
i eitploye s undo the,+xi d c==;, ,,oa A=(G LIl 52-=1(S)),_mU=6on by a bo =won fc c ticz or permit e=y r 4d=—LL-C
ICVJ m--%.O[.M =Ployer under tlto Wor'ede Compom,sion AeL
I unda-n—d d-a ooyy of tbi. my be f«-wa.d<.d to Lb-Dopnr,mrsa of In —for th-
eovQ'-9C"'air c=ioa AM t}u L-ilLm to x-==`covcrmsc hider sazioa 25A of MOL 152 can lmd to the i=P=ition of ai aicA pcaikie
^-L-ri ro of a rme ortep to s 1300.00 and/or im2pr6o=M=orup to roc ycsr e.od ci-j pm+hia in 6,roan of.Stop WOAL Ordrcr cad
f
fi=of S I WOO a d_y cpia-a
., For u,c Doty
P rm7t Numb=
w4 hl,3p=-- Lot Y
iSiva f LicviscclPc[zrti[lcc e
SECTION 8-CONSTRUCTION SERVICES f
8.1 Licensed Construction
e-Supervisor: r� Not Applicable ❑
Name of License Holder:
License Number
Addreiq Expiration Date
d� 5
Signa re Telephone
^3. - cm:. a �.^,r"�'3* s`r R 5 2[+'Yla R:+F9+w -�u�-
E�`Re4�sterec lk;�vme:�mprovement�Cvr�trac�or ,.� �z ��, � ,•�a�.�--; � Not Applicable ❑
-
Company Name Registrration Rum er - —
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION 1NSURMCE AFFIDAVft,(M.G:L.c 15g;.§26 A
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...... ❑
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-vear 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 PPROPOSED WORK(check-atl°applicable)
New House [] Addition ❑: Replacement Windows Alteration(s) Roofing
Or Doors E
Accessory Bldg. ❑ Demolition ❑ New Signs [0) Decks Siding[0] Other[O]
Brief Description of Proposed c3 N Y-C-c '7' (� 0 e-C
Work: !�
Alteration of existing bedroom Yes No Adding new bedroom Yes No .
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
.,.r
sa-1-€i,ew�=klou'se n r lurid t�no t existinc lious�ng =complet tt efollQVU�n_a:
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 T.a OWNER AUTHORIZATION 'f0 SE COMPLETED WHEN,
OWNERS'AGENT;OR CONTRACTOR APPLIES i=OR BIJtLpING 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 OwnedAuthorized
Agent hereby de fare that 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 o vSner gent Date
Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
4:? Building Department
Lot Size
Frontage
` I
Setbacks Front i
Side L: =� R: j L:� f y R:
Rear
' 30
Building Height _.____,__
Bldg.Square Footage [— % i
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location) F
A. Has a Special Permit/Variance/Finding ever been issued on the site?
NO 0 D0q T KNOW 0 YES
c
IF YES, date issued: .L d G
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
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
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: j
D. Are there any proposed changes to or additions of signs intended for the property? YES 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 Q r NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
' , Dep`tlmenl use oni
City of Northampton
Building Department NE
212 Main Street Seri -va 6 �� �� ��
-
ai �
Room 100Iabil
Northampton; MA 01060 e sY
hk
phone 413-587-1240 Fax 41-a-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1.-SITE'.INFORMATION
#*k�fist `Thts�ectro to be completed isy office
1.1 Property Address: �F
-
Zpne Overlay U�sfnct 4
v ' 3
Elm Sf District m CB�l�sfr�ct
SECTION 7--PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Rec d:
Nam (Pri Current fling Arreess: Q ��
zz::: d
Telephone
Signatur pal
2.2 Authorized Agerit:
Name(Print) Current Mailing Address:
///-? d
Signato Telephone
SECTION 3-ESTIMATED°CONSTRUCTION"COSTS'.
Item - Estimated Cost(Dollars)to be Official Use Only
completed by ermit a licant 1. Building �C (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 fte'Official;Use Onl
Date
Building Permit Number. "' =Issued:-
Signature:
i
Building Commissioner/lnspectorof:Buildings Date
File#BP-2006-0444
APPLICANT/CONTACT PERSON EQUITY BUILDERS REALTY TRUST
ADDRESS/PHONE 77 MAPLE ST FLORENCE (413)585-8025 Q
PROPERTY LOCATION 408C BRIDGE RD
MAP 17B PARCEL 010 001 ZONE RR
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 73 31
Typeof Construction: CONSTRUCT 8 X 11 DECK
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included:
Owner/Statement or License 052260
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFgRMATION 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 ssion
`
or
Signature of Building 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.
BP-2006-0444
408C BRIDGE RD
408 COMMONWEALTH OF MASSACHUSETTS
GIS#:
Map:Block: 17B-010 CITY OF NORTHAMPTON
Lot: -001
Permit Building
BUILDING PERMIT
Ca
too :
Permit# BP-2006-0444
Project# JS-2006-0659
Est.cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES HARRITY 052260
Lot,?izc s,:{.ft.►: 136001.20 Ow r: EEQUITY BUILDERS REALTY TRUST = �^
Zoning:RR Applicant: EQUITY BUILDERS REAL '( 'r1 r te USn 1
AT: 408C BRIDGE RD
Applicant Address: Phone: Insurance:
515 KENNEDY RD (413) 585-8025
LEEDSMA01053 ISSUED ON.111712005 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 8 X 11 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:
Insulation:
Final:
Smoke: Final: D6Cr— Ft P*t- O(�-
L1 Its jos' LpU tt
THIS PERMIT MAY BE REVOKED BY TH ITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIO
f;...
Certificate of Occu anc Si nature:
FeeType• Date Paid: Amount:
Building 11/7/2005 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo