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03-008 (11) i �x 471 Coles Meadow Rd. Northampton, Ma. 01060 September 16, 2005 Building Commissioner City of Northampton 212 Main St. Northampton, Ma. 01060 To City of Northampton Building Commissioner, Per your request I am writing in reference to the proposal submitted for the installation of a second egress to the lower level accessory apartment in the residential dwelling which I own located at 471 Coles Meadow Rd. in Northampton. I have lived here since October of 1994, currently occupy the main floor, and plan to maintain this home as my primary residence. With appreciation in your issuing the building permit for this project. Sincerely, os V. Mahi Swan Then personally appeared the above named V. Mahi Swan and acknowledged the foregoing to be her free act and deed, before me. HAMPSHIRE, SS MA Driver's license was Notarized by tk.ca l0 At V' � �M ��y�,fication Date MY COMMISSION EXPIRES oo TgRV p�° OCTOBER 9, 2009 Commission expires co D ✓�/l :D r' ✓q 45)Q S i 0 O d S 2 A r S T- x 1S ' C i.v S � IVINC- 2(D0Al 12 + 1z K 1 Z ){ rrc11eN i+,:�LLwR`f to r t l 2 /Zo 0./q 51 2- „ 2 S 13,4T7+ ,7'Z „ y 1 l o TbT/` . Now C/i-" 4T Z— S-r'r9F#�h� Tn S�� /SST / &A 7-10A.) /t//� 2T A'l �/l1' T CbuT S�iDE oi� s�cv,v� �uTsF� x`02 Af'71 COGS Z Ow �a -j 'bE-N Q 5E--b RaMarnol MA I AJ t3RT1M P�.o c5� F�®rZ Ex 1T 714 � 0 7-0"U, /q 0( 1-03 S--S-s- 0 S-0 s- -Tt) L.A tv7 6-,-u 'T- t_v /4 t -V /q r7 SEP 15 2005 VA Fou K C, 7-� i kV A 4-L. ('j 7- -rl fo-rr(t) tv,14, o v)c;7 i O v'tr✓ r i�c d G�{�N11 zd // 11-17 i o©<f 1v V. Mlahi Swan 471 Coles Meadow Rd. Northampton, Ma. 01060 Installation of second egress for lower level accessory apartment in place of existing double windows in living room (west side of house). Cut foundation at borders of existing windows, and frame and install new patio door in opening. Excavation of existing 5 feet of soil down to new ground level (apartment floor lever). Installation of central drain in 8' ground level patio, covered by 3/4 stone. Dig trench in westerly direction from drain and install pipe from central drain to daylight. Installation of pressure treated stairway from existing ground level to new patio. Build pressure treated retaining wall of 6x6's around remaining borders of patio. Timbers will rest on 3" crushed stone. Iron pins installed between foundation and retaining wall timbers. Corners of wall to be securely overlapped (meshed) and secured with pins. Perpendicular supports to be placed outside of retaining wall, securely pinned., and soil back filled and compacted. 0�t•��iiv o—' --�v i�-�=..a . rro� ,r y E 4 L.�-avi�.y ✓T�"/Tf�/ r�rc��r L o 3 o 41 U A� J 0 v co I I I I 'i i i J r� E ¢�t1AM pT, ;,.Lrify of Nort4allypta T Z S �A34ACt(IlSttfS DEPARTMENT OF BUILDIN G INSPECTIONS / INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sups:-,ii 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 fanu y -- 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 buil3 ng 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 rouzh 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 E a3a itch rrYrl If. • DEPARTMEt-rT OP DUILDD\10 1NSPPCri01,'S 212 Main Street Nfunicipal Building 1,TorLharnpLon, Mass. 010GO i \,YORP3--WS CONIPENSA'ITO.N C\ZSURA-NCF- AF=' riVZ�" ', (li ccvsa•Jperml rice) %%itEl a principal place of business residence 21: -- - Gj �/b C.Li tell y (phone::) ter— 4f / 7 e� (5rr�rJcit-J� •I�) 0�6LL do hereby certify, under t)c.pp_ins and penalties of penury, her ( ) I am an employer providing die folio%ving`1;,onccr's colnocnsaL1on coverts for Iny emplovees ivorking on this job: Ii (L^sur---n= Conracy) (Polk: Nt`�cr) (_:pi,�tior. D2i} O I ant a sole proprieror, general contracor or homeowner(ci c;e one) and have hired the cona-aciors listed below who have the follocring worke>'s comoep_sadon policies: I ([+3IIIC Oi C0?r Ci0') (Ifl-FU ranc: Corno ,'lypi OUC:i ?�ill1r1 C:) (t`:71,JUQt ().11C} (hamc or Cone3aor) (li'svnnec Com1DaZN-1?000-,• Ntlnccr) (LiDir,6on Date) I (Name of ConrMMd.) ozsuraocc Com /POI: N=b,-J) (Expimboo Darcy • iii c}' OgZMC of Carss•ractOr) (Insurance comp,-- y/Poucy Nturllr..r) (Exph6oa Dais). (LC'ch zc i-'oc=.!t,cc.if n�a-x.c_-ti•to c�'vd=iaf«w�ioc pclaia;,ag w.0 I.am a sole-proprietor and have no one worid.ng for me. j ( ) I am:a home ovmer performmg all rbe%vorl` myself. I NOTE:p(csc ix cwxrc L*z-bile lxm^ x .,,to c pIc pc-.=to clo -.i-<.-�..... �s.rjoo c n�ir rork oa a d..cn__Z of } not Moct th:n L"`-pr's in%rbcb the bomoo,�rrsdo or oe the V-vi�6 tb�f--o t- ox C=�=Div oee=d-nl w be cixploy�s u^'- the..ui a ct n---*'m Aa{G1J132 a l{3)) aPplinDOa by a 6otnw,aaa fc c ti�x or pcmrt==y--kk=tl:c rep!n:3sc Of eD-=Ployx uod,dw Wocfxee Coa*.o-i;o4 I «spy of tlu.—I—m y bn for+.0 ded a the Dcpe,rra�¢or lodux d Acidcau'Off,oe or In;ui+oae for t6^ cev«az=re6C'41;oa rid the L:iliac to aovrt covestot uadc=C:jr oa 23 A of MOL 132 c=I rd to the i-npca>tioo of cimlc-1 P-113e coav5icxg Ora£mc orup to 51300.00 ar Nc)c orup w ooc y-_r tmd cNil Pmaltia in 6c focm era Stop wort ordc-ad, fun of 5100.00 a day aV j=t� i f« vx�Y h Pcrmit ?Number Lot a S;�naturc of Lic�czjscx;;pctTSUUc: e I SECTION 8-CONSTRUCTION SERVICES r 8.1 Licensed Construction Supervisor: Not Applicable,❑ Name of License Holder: tN- (� J License Number Addres (}!G Expiratio Dat Signat u4V Telephone - Not Applicable E3�. teats"''�e o "e�mproweme '�Contranl€o a -� =�.� Company Name („ v iC t 1 -�- i�u lA Registration Num a--b r—---- dirt 1.�� 2--7 Z o G Address Expirat on D9(e 9 oo C,,/arl`� M'`ee I,” D1 y 4..L— Telephone G 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...... ❑ ~. 1 The current exemption for"homeowners"was extended to include Owner-occupied Dwellines 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.Aperson 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 r i 4 SECTION 5 DESCRIPTION DF'PROPOSED`W.ORK(check all applicable) New House ❑ Addition ❑. Replacement Windows Alteration(s) ❑ Roofing Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [E:3] Other Brief Description of Proposed Work: nJ 1 « 'EC .v -!r W177-1 4 v i D > S' i Sz g ,T✓u D &/ZZ o 2, �E i/CL G ft-/V�!av 6- C F�lL-- ,/�'C G�SS C:s:'z-�;/ ✓`3'�r/j--�2-7'�✓3[.;N T , Alteration of existing bedroom Yes No Adding new bedroom Yes No . Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet � sa 1 1�1e�rl► Ctause nd dc>#'I �� aexis i act�io slng: omp a ttie#oitayxIM0. 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 74 OWNERAUTHORIZATION-=TOBE COMPLETED;WHEN OWNERSAGENT„OR CONTRACTORAPPLIESFOR``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 - I, V', /✓J/� / S w 4 tiJ ,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. ' V ,116141 SwA A) Print Name //y� r Signature of Owner/Agent Da e � ' ' , . - Section 4. ZONING All Informati6h Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 11is column to be filled in by Building Department Lot Size Tc) Frontage Setbacks Front Rear Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces (voluniel&Location) A. Has a| Perm�/Varance/Rndi ever been issued for/on the sha? ' ���- DON7�NOVV �~� YES �~� � ' �� x�� �.� �~� |F YES, date isnuod IF YES: Was the permit recorded mt the Registry ofDeeds? �� NO �� DON7 VV�NO YES IF YES: enter Book Page and/or Document# ' �� �� �� B. Does the site contain m brook, body of water orwetlands? NO «�� DON'T KNOW �_/ YES �_� IF YES, has permit been or need to ba obtained from the Conservation Commission? ' Needs tobembtaimed �~� ��tm�mad «�� Date ��� �.� ' � �� C. Dn any signs exist on the property? YES �~� NO |[Y[3. describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES e~N NO ' IF YES' describe size, type and location: E. Will the construction activity disturb grading,excavation,ur filling)over 1 acre nrisdpart ofa common plan that will disturb over 1acre? YES �^~�� NO (D— IF ! ^ YEG.then o Northampton Storm Water Management Permit from the DPW is required. a► - - �"C((�� o�N rtoampton �Btlirtg Department 212 Main'Street F (�(�, Ropul 1;00 �NbYfhampton; MA 01060 a s * �,, . Cpone 413-587-1240 F�x 413-587-1272 1 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1:-SITE INFORMATION 1.1 Property Address: y �-��, This section to Ise completed'bx office . t' C 0 L L'S !V /07-0/L /V1/-I-. 0( U` (o O Ae Y �01[erlay D� Uld SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: J / Name(Pri I I Current Mailing Address: ( r l7 / Signature Telephone SECTION 3- TIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only co feted by ermit applicant 1. Building U 6 6 (a)Building Permit Fee 2. Electrical U (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 Buildin Permit Number. Date g Issued: Signature: Building Commissioner/Inspectorof Buildings Date File,#BP4006-0294 APPLICANT/CONTACT PERSON John Clapp ADDRESS/PHONE P O BOX 561 LEEDS (413)584-1703 Q PROPERTY LOCATION 471 COLES MEADOW RD MAP 03 PARCEL 008 001 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 Typeof Construction: CONSTRUCT EXTERIOR EGRESS FOR ACCESSORY APARTMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 024075 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 Co 'ssion 'Cel Signature of Building Official D to 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-2006-0294 471 COLES MEADOW RD COMMONWEALTH OF MASSACHUSETTS GIs#: Map:Block: 03-008 CITY OF NORTHAMPTON Lot:-001 Permit Building BUILDING PERMIT Category: Permit# BP-2006-0294 Project# JS-2006-0427 Est.Cost: $8800.00 Fee:$ost: $ PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: John Clapp 024075 Lot Size(sq ft.): 522720.00 Owner: SWAN V MAHI Lonin% f is AT. 471 COLES MEADOW RD Applicant Address: Phone: Insurance: P O BOX 561 (413) 584-1703 LEEDSMA01053 ISSUED ON.912112005 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT EXTERIOR EGRESS FOR ACCESSORY APARTMENT 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 Smoke: Final: Fit"j, - EkT6(Lioti EC S Final: 0t j6 {[V-j LOUA5 THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULA NS. Certificate of Occu anc si nature: Feel e: Date Paid: Amount: Building 9/21/2005 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Connnissioner-Anthony Patillo