17A-281 (2) Sound—Brown
Lightning Protection—Yellow/Orange
G. Color Code — Devices: All receptacles fed from a Critical or Life Safety branch source
shall be red.
3.8 EXISTING WORK AND DEMOLITION
A. This Contractor, shall survey the existing electrical system and notify the Owner of any
possible problems or issues pertaining to disconnection or removal of any existing
electrical equipment, etc. Particular care shall be taken to avoid creating hazard or
causing unnecessary disruption of services in adjoining areas.
B. All electrical equipment devices, raceways, lighting fixtures, etc. shall be disconnected
and made safe for removal by the General Contractor.
C. All equipment removed shall be turned over to the Owner unless indicated to be re-used
or scrapped. All existing electrical equipment as designated by the Owner shall be stored
at a location as directed by the Owner. All other equipment not to be retained by the
Owner shall be removed from the premises in a legal and proper manner by this
Contractor.
3.9 INSPECTIONS AND TESTS
A. Inspection: If inspection by the Architect of materials installed shows defects, such
defective work, materials and/or equipment shall be replaced at no cost to the Owner and
the inspection and tests repeated.
B. Tests: Make all reasonable tests as required by the Architect and prove the integrity of
all work and leave the entire electrical installation in correct and ready to operate.
C. The services of an independent testing laboratory shall be engaged by the Electrical
Subcontractor to perform the tests defined below.
3.10 EXTERIOR RACEWAY SYSTEM
A. Division of Work:
1. Excavation and Backfill—Section 0250.
2. Concrete envelope for conduits, including reinforcing rods — Division 3 and
Section 0250.
3. All other material, equipment and labor required for the complete ductbank
installation shall be furnished and installed by this Contractor under this section.
B. The duct system shall consist of conduit encased in concrete. The size and number of
conduit shall be as indicated on the drawings.
1. Tape for marking shall be polyethylene 4 mil thick, 6 inch wide; bright yellow with
red continuous printing"Caution—Buried Electric Lines Below".
2. Install underground tape 12 inches below grade over all underground electric
lines and ductbanks.
C. Concrete for underground electric ductbank containing 5 KV feeders shall have the top
painted red to distinguish it from other utilities or structures.
D. Within 10 feet of manhole and buildings, conduit shall be rigid steel conduit.
_. The entire length between manhole and end of ductbank shall be excavated and graded
before any conduit is laid.
F. Ductbank shall be set on undisturbed or compacted earth.
RECOVERY CENTER
Orange, Massachusetts ELECTRICAL -38
JAIN 2cus
10
F6
AWNS ot to?,101
PLAN 2B
proposed floorplan of second floor of 129 Oak Street, Florence,MA
unfinished space
11 bedroom bedroom
WALL D
7
bathroom
LOFT ACCESS
WALL E--
g bedroom
closet
16
Floor joists to be reinforced beneath new bathroom wall to make floor more rigid so that tiled
floor does not crack(insertion of a load carrying beam).
WALLS 1 & B(on PLAN 2A)are non-load bearing;the replacement walls D&E (shown on this
plan)are also non-load bearing walls.
Load carrying beam to be used where WALL C is removed on second floor.
Relocate loft access from location shown in PLAN 2A.
PLAN 2A
current floorplan of second floor of 129 Oak Street, Florence, MA
unfinished space
�j
12 bedroom bedroom
WALLA --- r
closet
WALL B
WALL C
12
bedroom LOFT ACCESS
closet
13
walls marked A, B,&C will be removed or altered, per plan 213)
PLAN 1 B
proposed floorplan of ground floor of 129 Oak Street, Florence, MA
12
14
storage
15 kitchen living/dining
9 8
12 living /dining
19
` PLAN 1A
current floorplan of ground floor of 129 Oak Street, Florence, MA
12
14
kitchen
15 bathroom living / dining
9 8
12 living / dining
19
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' ll 600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name (Business/Organization/Individual):
As crz s T
Address: C_I Y-e-F T T2 « {�
City/State/Zip: Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ 1 am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g. 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.[SyElectrical repairs or additions
3NO I am a homeowner doing all work officers have exercised their 11.[�Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.5a Roof repairs
insurance required.]+ c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t 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. Ifthe 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. Lic.#: 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 hereby certify u der th p 'ns t and penalties of perjury that the information provided a ve is true and correct.
2- d �
Signature: Date:
Phone 4:
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#:
City of Northampton
Massachusetts
W" ,
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building S�k
Northampton, MA 01060
INSPECTOR
Anthony Patillo
Building 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 ins pec ns ar made
I �� STS C understand the above.
(Hof owner/resident's signature requesting exemption)
I will call schedule all required building inspections necessary for the building permit issued to me.
Date l 2 � 2 6 1 nA;
Address of work location
AAA-
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
Side L: R: L R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage
(Lot area minus bldg&paved
parking)
2
#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
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T 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:
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 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
z
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9 Reciistered Home Improvement Contractor: Not Applicable
Company Name Registration Number
Address Expiration Date
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 10835.1.
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"ce ifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State d Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature IA
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement windows Alteration(s) ✓� Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition New Signs [O] Decks [M Siding [0] Other[a
MQ/JG:- N G ' Yr9 L'L(-J �2Ac4- Z•v R=xz 1u;2 t-+n.G 1 t C� c P VkS
Brief Description of Proposed A�,� cz�iL_t �c Tic r=s o a rn+ OKy"A.CL—; R*:PLNtC-AAWZr L-+iNp CIA& ; McvF Gur-rcrE��
Work: A�t-g (�Aill�cavt
Alteration of existing bedroom _Yes No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet>C
6a. If New house and or addition to existing hous na, complete the following: N
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
I 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
�,�4Fa ST A-19.Cle7j as Owner/Authorized
Agent hereby declare that the statements anh 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.
E-6;2
Print Name
t 2126 oFS
Signature of Owner/Agent Date
Departm6*14 only
City of Northampton Status of Permit
Building Department t;ti[b GtYriveway Cm�f
212 Main Street SewerlsepticAvaifabilit
Room 100 Waw!we Av tlahilii
Northampton, MA 01060 Two Sets of Stiuctur '�
y,
phone 413-587-1240 Fax 413-587-1272 Plottsi axi
Other Spedfy
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:
119 O Ali STR(^t;T� Map Lot Unit
F LO RE;N C(✓ t MA Zone Overlay District
Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Fraser T R St les & Elizabeth Y Coulter 62 Belmont Ave, Northampton, MA 01060
Name(Print) Current Mailing Address: 413 320 4178
Telephone
Signature
2.2 Authorized Aqent:
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 t- @ C (a) Building Permit Fee
2. Electrical J (b) Estimated Total Cost of
Construction from 6
3. Plumbing 1 Z C)0`-) Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = 0 +2+3+4+5) f Ci CCjO Check Number i*
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2009-0617
APPLICANT/CONTACT PERSON Fraser Stables
ADDRESS/PHONE 129 Oak Street FLORENCE (413)320-4178 Q
PROPERTY LOCATION 129 OAK ST
MAP 17A PARCEL 281 001 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
Typeof Construction:_Interior Renovations; drywall,windows,partitions
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
INFO 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
Demolition Delay
,:g� 1 1324 zq 0
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.
2g ST BP-2009-0617
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv:Non structural interior renovations BUILDING PERMIT
Permit# BP-2009-0617
Project# JS-2009-000896
Est.Cost:
Fee: $114.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 12283.92 Owner: Fraser Stables
Zoning:URB(100)/ Applicant: Fraser Stables
AT. 129 OAK ST
Applicant Address: Phone: Insurance:
129 Oak Street - (413) 320-4178 (�
FLORENCEMA01062 ISSUED ON.1212912008 0:00:00
TO PERFORM THE FOLLOWING WORK.-Interior Renovations; drywall, windows, partitions
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 12/29/2008 0:00:00 $114.00144
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo