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Page 2 of 2
Finish details-
1 x 8 shiplap boards, with a mill raked finish, will be applied to the bottom of the rafters, the
roof panel wells and the new wall above the front garage wall and the new carport
ceiling.
Pine boards of varying size will be used for boxing out the beam, soffits and ledger. PVC trim
boards will be used for the fascia and rake boards.
Items not included-
No painting, staining, sealing or clear coating is included.
No electrical work is included.
No roofing work not directly related to the carport project is included.
Disposal of non-project related debris is not included.
Cost of project-
General construction materials $4552.00
Kalwal) roof panels 3600.00
Framing plan, plot plan and permit 500.00
Project related debris removal 200.00
Labor 14,000.00
Total cost of project $22,852.00
Payment schedule-
Signed agreement- $1852.00
Start of project- 7000.00
Footings and piers complete- 5000.00
Rough framing complete- 5000.00
Project complete- 4000.0
$22, .00
Steven Zucchino Owner of record
Page 1 of 2
5/25/2015 Steven Zucchino
70 Gleason Road
Northampton, MA 01060
413-575-2258
Const. Supervisor Lic.#21356
H I C# 100199
steve.zucci @comcast.net
Barry Werth
Kathy Goos
27 Revell Avenue
Northampton, MA 01060
Scope of project-
Build 22' x 13.5' car port on the NW side of the house over the existing asphalt driveway.
The carport is to be attached to the NW exterior wall of the existing house and supported by the
corner of the existing garage and three 8"x 8'tall round fiberglass columns. The new carport roof
will have three 4'x 9' Kalwall roof panels evenly spaced 30" apart.The roof of the carport will tie
into the existing garage roof.
Project specifications-
Remove tree roots from driveway area to allow for new pavement.
Roof-
2 x 8 KD spf rafters 16" on center.
3/2 x 8 KD spf laminated rafters to frame roof panel openings.
2 x 8 KD ledger attached tight to existing wall sheathing with 2 ledger lock screws into each
existing wall stud at 16" centers.
Rafters to be attached to a ledger using metal joist hangers with 1%"joist hanger screws.
Rafters to be attached to carrying beam using 12" metal straps.
5/8" 5 ply CDX plywood roof sheathing nailed to the rafters every 12" on center along the length
of the rafters and 6" on center along the length of the ledger.
Snow and ice shield will be applied to the entire roof deck.
Finish roof to be asphalt shingles with metal roofing the width of the roof panels and extending
from the bottom of the roof panels to the edge of the roof.
Kalwall roof panels will be installed on a 2" curb, counter flashed to asphalt roof.
Roof support-
12"round concrete piers with #4 rebar supported on a 24" round footing 4' below grade.
8" round fiberglass columns, 7' on center, will support a 6x6 laminated beam to which the
bottom of the rafters will attach with metal straps.
A%" steel cable will be attached to a eye bolt imbedded in the 12" concrete pier and to an eye
bolt through the 6 x 6 beam to create a positive attachment of the roof structure to the
concrete piers.
dL` Ptv,lI Ave. . PIo+ P1�n
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City of Northampton 212 Main Street, Northampton, Na 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: -'} �v��[{ �'����
The debris will be transported by:
The debris will be received by: (/1,11,,2 ` accvd# rx
Building permit number:
Name of Permit Applicant -ZUCs l r„Q
5 arts
Date Osign-ature of Permit Applicant
City of Northampton,
Massachusetts _ �rY:.
DEPARTMENT OF BUILDING INSPECTIONS xi
212 Main Street • Municipal Building rJ b
Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
F f Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
n supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
des or intends to be, a one or two family dwelling, attached or detached structures
o such use and/or farm structures. A person who constructs more than one home in a two-
year pero 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 rouqh buildinq 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
The Commonwealth of Massachusetts
Department of Industrial Accidents
w . 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. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.'X 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.❑ 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.❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13. Other (c.r/!�
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.
Iam an employer that isproviding workers'compensation insurance for any employees. Below is thepolicy andjob site
information.
Insurance Company Name:
Policy#or Self-ins. Lie. #: 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 cer ' nder the d pains an enalties ofperjury that the information provided above is true and correct.
Sign ature: �� Date:
Phone# w/ S�S
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:/�q r Not Applicable £
Name of License Holder: S:�WA-A
/' License Number
770 Address
t X I l /��./ A Expirati n Da e
Sign Telephone
'9. Re istered.Mom .I rovernent Contractor <` Not Applicable £
CompanV Name Registration Number
Ct l"1°�L
Address
ExpirMorf 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-X. £ No...... £
11. Home Owner Egempti0
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 lie/she shall be
responsible for all such work performed under the buildine 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 thig.perrrk.
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 OF PROPOSED WORK(check all applicable)
New House Addition Replacement Windows Alteration(s) Roofing
Or Doors 17
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding [❑] Other
Brief Description of Proposed
Work: 60A SIYc d 5' r Z 2,
Alteration of existing bedroom Yes No Adding new bedroom Yes 4' No
Attached Narrative Renovating unfinished basement Yes —4—No
Plans Attached Roll Sheet
_ .
sa If New house and.or addition to exiiii h"ouii 61611 owi
a. Use of building:One Family�_ Two Family Other
b. Number of rooms in each family unit: 41A Number of Bathrooms
c. Is there a garage attached? F 5 ,
d. Proposed Square footage of new construction. ` S Dimensions 13-.7 S C 3L l
e. Number of stories? I
f. Method of.heating? i1A Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. k1A Masscheck Energy Compliance form attached?
h. Type of construction W004 l rwhv
i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade � ,A
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 ENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, d"�• as Owner of the subject
property ll
6cton hori
e If, in all matters relative to work authorized by this building permit applic tion. /
.2 S
Signa of ner Date
I, `iL'6'P� Zc.CC.� , t 10 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/Ipenalties of perjury.
Sf,e4`eti► 7crcr�I ;nq
Print N
Sig ature of Ow r/ gent Date
Section 4. ZON[NG7 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
Frontagey.7..1
Setbacks Front
Side L:i ( R:._A; I' L: Rhly S
Rear t -•----
Building Height
Bldg.Square Footage £ /o
���.._. � P-=- �i� -
Open Space Footage oo
��J_ _
(Lot area minus bldg&paved ,�,' �o
arkin ) (00
#of Parking Spaces
_., .»..,»,.. ..:_.,_.»„..».................. .....:». . _ _ ` .� .rte.
�Q
(volume&Location) ? ``�•'
A. Has a Special Permit/VariancelFinding ever been issued for/on the site?
NO DONT KNOW YES Q
IF YES, date issued:1 �
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book .___f Page —� and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued: w
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 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. _
r— 7 i 3iDe arfineht use only " � ,ti ' i�,' ��
City of Northampton Status ofParmrt,l r F ,
(I �! Building Department Ctrr;a Cut/DrlyewayFerhltt �I
I � .%,
c:
MAY 2 6 _ 212 Main Street Sewer/SepticAvaifa$Ilrty
Room 100 >nlater/l/1feiCAvailablllty �
r
rthampton, MA 01060 Twa sa#s ufstructural"Plans NEW
t. .__phon&4a-3-587-1240 r Fax 413-587-1272 P[of/slte Ptans 15 1
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: �l a
i L
Map Loo Umt
��I✓� � �IY . ,' -� i� , I I X1.1 � f 6 .
t Zoge.:;--..: Overlay D�stnct
- EIm$t Dstnct CB;Distr ct
SECTION 2.-PROPERTY OWNER.SHIP/AUTHORIZED AGENT.
2.1 Owner of Record:
_qAtZel O C -9 2_7 12eWe-11 A Ve- .
Na rint) Current Mailing Address:
Telephone 4. Qt- /
Signature �V-1 �0 7
2.2 Authorized Agent: {�
zuCtr j�V11 41 0 6-3k ChS
Name Current Mailing Address:
Lam. A �
L413- ;7 S - �5
Sig ature Telephone
SECTION 3-ES MATED CONSTRUCTION COSTS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Feb
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) ,� ;� .J V Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector'of Buildings Date
File#BP-2015-1173
APPLICANT/CONTACT PERSON STEVEN ZUCCHINO
ADDRESS/PHONE 70 Gleason Road NORTHAMPTON01060(413)584-3878 S�
PROPERTY LOCATION 27 REVELL AVE
MAP 38B PARCEL 277 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out i j'' 7'
Fee Paid
Typeof Construction: CONSTRUCT 12 X 22 ATT/CARPORT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 021356
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PR,ESENTED:
Approved VAdditional 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 tt Special Permit With ite Plan
r
ZONING BOARD PERMIT REQUIRED UNDER: § 7d` ► 3 l A w
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
C,,�4
$- S.
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.