38A-032 (3) File#BP-2015-0924
APPLICANT/CONTACT PERSON DION PAUL
ADDRESS/PHONE 87 CHAPEL ST NORTHAMPTON01060(413)584-1850 Q
PROPERTY LOCATION 87 CHAPEL ST
MAP 38A PARCEL 032 001 ZONE URB(104)
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:_INSTALL KITCHEN CABINETS&INSULATION
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 FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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
lay
Si re Building fficial 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.
City of Northampton
Massachusetts -
VA z
! ' � ' DEPARTMENT OF BUILDING INSPECTIONS
yi 212 Main Street • Municipal Building
Northampton, MA 01060
INSPECTOR
Judith Dion April 2, 2015
87 Chapel Street
Northampton, MA 01060
Subject Location: 87 Chapel Street
Map Block: 38A-032
Ms. Dion,
Your building permit application and plans dated 4-2-15 have been approved per this memo. All work must
meet all applicable codes whether noted or not included within this memo.
1. Gas stoves require a 24" clearance to non-combustibles no exceptions.
2. Electric stoves require 24" clearance to non-combustibles or per the upper appliance manufacturer.
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. Educate the plumber and electrician about maximum notch and hole sizes, and placernent.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.
2. 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
3. Markup air is required for any exhaust hood over 400 CFM. 780 CMR M1503.4
Feel free to call if you have any questions. My telephone number is 587-1240 and office hours are Monday
through Friday, 8:30 am to 4:30 pm, excepting we close for walk-ins at 12:00 noon on Wednesdays. My email
address is: cmiller(a northamptonma.gov
Thank you for your cooperation on these s.
Chuck Miller
City of Northampton
Assistant Commissioner and Zoning Enforcement
City of Northampton 212 Main Street, Northampton, MA 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: '� �
The debris will be transported by: Life—de s 7214
The debris will be received by:
Building permit number:
Name of Permit Applicant
-1
Date Sign-ature of Permit Applicant
City of Northampton
Massachusetts 4ys` s - cj�c
DEPARTMENT OF BUILDING INSPECTIONSI
212 Main Street • Municipal Building
\ Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant 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
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
t e permits and inspections as required can DELAY the project until such time as the proper permits
nd in ctions are made
I, > / understand the above.
(Ho a 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
The Commonwealth of Massachusetts
fr Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: Phone#:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. E] I am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I 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 or me in an capacity. employees and have workers'
g Y P h'• 9. E] Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. F_� We are a corporation and its 10.❑ Electrical repairs or additions
3. I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
fnyself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners 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:
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
Investig pons of the DIA for insurance coverage verification.
I d ereby certi under the pains and penalties of perjury that the information provided above is true and correct.
i ature:
Phone#:
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#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable £
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9.(Registered Home Impi»vement`Contract or:
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 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 responsibili�y for compliance with the State Building Code,City of
orthampton Ordinances,State Aud Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature. l L�
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) El Roofing El
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [M Siding[0] Other[0]
Brief Description of Proposed
Work: k- 11G bt t-rT S �y t
r
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a IIf New house'and or addition to exlstina houstng cflrr�plete the followind:
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. ,L% Dimensions
e. Number of stories? n
f. Method of heating? r �+f ?J �- Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction C- -.I
i. Is construction within 100 ft. of wetlands? Yes _ N6. Is construction within 100 yr. floodplain Yes _No/
j. Depth of basement or cellar floor below finished grade
i"
k. Will building conform to the Building and Zonirg 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
,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 0 er Date
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.
Print Name
Signature of Owner/Agent Date
w '
_
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This colurnn to be filled in by
Building Department
~�u�
- p'��
Lot Size
Frontage
Setbacks Front
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved L--4
#of Parking Spaces
(volume&Location)
A. Has Special Permit/Variance/Fi nding ever been issued for/on the site?
�� ��
NO x�� DON7KNO�/ �~/ YES �~�
IF YES, date issued: /
IF YES: Was the permit recorded at the Registry of Deeds?
NO �� DONTK�UYV YES
�~� `
IF YES: enter Book Page and/or Document#!
��
B. Does the site contain n brook' body of water orwetlands? NO n����� DON'T KNKNOW �~y YES �_��
�
'
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needstobeobtained �
-
t Obtained «~� Date
�_� �~� ' .
��
C. Do any signs e�st on the property? /-IN� YES ��, NO
IF YES, describe size, type and location:
D. Are there any proposed changes to nr additions of signs intended for the property? YES 0 NO 0
; x
IF YES, describe size' type and location:
E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre orioit part ofo common plan
' that will disturb over 1acre? YES ND K�3
IF YES,then o Northampton Storm Water Management Permit from the DPW in required.
^ —
` Department use only '
F
nn City of Northampton 5tatusofPerm►t 4
DBuilding Department Gurb CutlDriyeway Perrot#
•
212 Main Street SewedSepttcAvaiCa'bllrty
"2 201 Room 100 UVaterht`fe1EA�atlability
HE
Northampton, MA 01060 i Two Sets of S#ructural Plans
lectric, P�,,r r..° - phone 413-587-1240 Fax 413-587-1272 Plof/Site Plans.
Nor! _-- Other 5;pecify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE.INFORMATION
1.1 Property Address: This section to be'completed by office
- Aap
l/ Zone Overla Distri ct
y
Elm St District CB District
SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
L/l o t4 7, ,th y 1
Name(Print) Current Mailing Address:
IC Teleph
Signature
'7/3 O v
2.2 Authorized Agent:
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 r LILT (_1 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
' �� Construction from 6(7 C 3. Plumbing Y G1 Q Building Permit Fee
4. Mechanical(HVAC) Y
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
87 CHAPEL ST BP-2015-0924
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38A-032 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2015-0924
Project# JS-2015-001354
Est.Cost: $2700.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 7666.56 Owner: DION JUDITH
Zoning:URB(104)/ Applicant: DION PAUL
AT. 87 CHAPEL ST
Applicant Address: Phone: Insurance:
87 CHAPEL ST (413) 584-1850 O
NORTHAMPTONMA01060 ISSUED ON:41212015 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL KITCHEN CABINETS & INSULATION
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 4/2/2015 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner