31A-085 (2) Historic District Commission -Decisi City of Northampton
Hearing No.: HDC-2015-0003 Date: July 28, 2015
1,Sarah La Valley,as agent to the Historical Commission,certify that this is a true and accurate decision made by the Historical
Commission,and certify that a copy of this and all plans have been fried with the Commission and the City Clerk
I certify that this decision has been mailed to the owner and applicant
Any person aggrieved by a determination of the Commission may,within 20 days after the filing of the notice of such determination with
the City Clerk,file a written request with the Commission for a de novo review by a person or persons of competence and experience in
such matters,designated by the Pioneer Valley Planning Commission.
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.
Historic District Commission - Decisi City of Northampton
Hearing No.: HDC-2015-0003 Date: July 28, 2015
APPLICATION TYPE: SUBMISSION DATE-
historic 7/22015
Applicant's Name: Owner's Name:
NAME NAME
TOM DOLAN Kathy Borawski
ADDRESS: ADDRESS:
P O BOX 297 320 Elm St.
TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE
CHESTERFIELD MA 01012 NORTHAMPTON MA 01060
PHONE NO.: FAX NO.: PHONE NO.: FAX NO.:
413 585-0612
EMAIL ADDRESS: EMAIL ADDRESS:
Site Information: Surveyor's Name:
STREET NO.: SITE ZONING: COMPANY NAME:
320 ELM ST URB(100)1
TOWN: ACTION TAKEN: ADDRESS:
Grant Certificate of Appropriateness
MAP: BLOCK: LOT: MAP DATE: SECTION OF BYLAW:
31A 085 001 195:Historic District TOWN: STATE: ZIP CODE
Book Page:
2286 046 PHONE NO.: FAX NO.:
EMAIL ADDRESS:
NATURE OF PROPOSED WORK
windows and porch
HARDSHIP:
CONDITION OF APPROVAL
FINDINGS:
The Commission voted unanimously to issue a certificate of appropriateness for window replacement and porch reconstruction. The
Commission finds that the work proposed conforms to the performance standards of the Ordinance and Historic District Design
Guidelines by considering compatibility with the existing structure and the districiy with the following conditions:
The replacement windows shall be a prairie style,with muntins either on the exterior or between the glass panes. interior muntins shall
not be permitted.
The replacement door shall match the design of the Elm street facing door,but may be either wood or fiberg/ass.
Roof material may be metal,but shall match the grey color of either the trim or shingles.
COULD NOT DEROGATE BECAUSE:
FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DATE:
REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: AP D_ I E:
712712015 /7
FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE:
7!27/2015 712712015 7/27/2015
SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE:
05:30 PM
MEMBERS PRESENT: VOTE:
Pauline Fogel votes to abstain
Barbara Blumenthal votes to grant
David Drake votes to grant
Bruce Kriviskey votes to grant
MOTION MADE BY: SECONDED BY: VOTE COUNT: DECISION:
Barbara Blumenthal Bruce Kriviskey 3-1(abstention Grant Certificate of Appropriaten
MINUTES OF MEETING:
Available at www.northamptonma.gov/plan, and in the Office of Planning and Sustainability.
GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.
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City of Northampton 212 Main Street, Northampton, NIA 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: 720
The debris will be transported by: V c
The debris will be received by:
Building permit number:
Name of Permit Applicant
d
Date Signature of Permit Applicant
City of Northampton
.:
Massachusetts tiS,S s •s��Jl>,
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building JIb
r - Northampton, MA 01060 rs �i�a
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
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
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
I
Name (Business/Organization/Individual):
Address: 20, Ig t `�
City/State/Zip: �/ d� Phone #: ��/ ' o� lc �S/.6
AZarn ou an employer? Check the appropriate box: Type of project(required):
1. a employer with ( 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6• aernodeling
w construction
2.F-1 I am a sole proprietor or partner- listed on the attached sheet. 7.
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' g ❑ Building addition
[No workers' comp. insurance comp. insurance.$
required.]
5. ❑ We are a corporation and its 10.F-1 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
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. l //
Insurance Company Name:_T /J i q
Policy#or Self-ins. Lie. #: WC S- �jS-36� j� f�3�/ Expiration Date: /- If-r)015-r)d 1 5
Job Site Address: .36?0 Z-'60 5), 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 he certify under the pains and pe p1tties of perjury that the information provided above is true and correct.
Si ature. .� Date:
Phone# L h i i6 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#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable £
Name of License Holder: � fiS ,c� CDO-1/�iN (_� OS ae j
License Number
o ,
VExpiration Date
Telephone cy�
9 Registered Home Imarovement Cont"ractor ,; Not Applicable £
VA 1_)-d,� qPU' 6ell 6W&0171,11—&a1fL,1— 10 712&2
Company Name Registration Number
7o, 9 C�- (9f- /
Address L)� Expiration Date --
(�h�'1S�P� _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. -Hame Own'er'Egemption.
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 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 Alterations) ❑ Roofing ❑
Or Doors I]
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding [0] Other[mill
Brief Descr' tion of Pro osed
Work: I2 oac 1 i�oveti, NNw /ylE%�ir� /�edl- �rli,�✓uiy, 1,01y 7,** ,ry
Alteration of existing bedroom Yes No Adding new bedroom Yes No /
Attached Narrative Renovating unfinished basement Yes ✓ No
Plans Attached Roll -Sheet
6a. if New house and or addition to existing housing;'complete the followinal:
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
as Owner of the subject
property I
/ ,f
hereby authorize lJ/Yl D'/��✓Y
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owneyr Date 206
as Owner/Authorized
Agent hefeby 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
- l
Signature of Owner/Agent Date
. �
�
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
Tliis column to be filled in by
Building Department
Lot Size
^
Frontage
Setbacks Front
Rear
Building Height
Bldg.Square Footage
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
A. Has a Special Permit/Variance/Rmding ever been issued for/on the site?
NO x���� DONT KNOW �~��� YES ����
|F YES, date iouedJ �
IF YES: Was the permit recorded at the Registry pfDeeds?
NO �� DONTK ,,
O YES
�~� KNOW
IF YES: enter Book Page and/or Document#!
�� �� ��
B. Does the dtecontain abrook, body of water or`wet\unds? NO x�� DON7KNOVY «�� YES \_�
IF YES, has permit been or need to be obtained from the Conservation Commission?
Needs tobeobtained �~� Obtained «-� Date |s�ued.
'
�~� �~� `
C. Do any signs exb �� ��tnntheproperty� 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 0 NO 0
IF YES, describe size, type and location: f !
E. Will the construction activity disturb(clearing, gradingexcavation, or filling)over 1 acre oriait part ofe common plan
, that will disturb over 1acre? YES [ } NO � D
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
^ —
0 KV-b
'' r €3epartment use only '
City of Northampton Status of Permrt
t Building Department C UU t/Driceway Perrrtlt }
N r 212 Main Street Sewer/SepticAvaifaFillrty -
_.
n
Room 100 Water/V�e1n alla6illty
Northampton, MA 01060 Twa Sefs of Structural Plans
} phone 413-587-1240 Fax 413-587-1272 P[of/Slte Plans t
.� Ot�ier Specify
O (CATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ro
SITE.INFORMATION
This section to 6e completed by office:: '
ddress:
;3,.0 �Lw% S"f^ Map Lot Unit
Pl�oiZfi�►tc..a -Eo11 W1E�.
Overlay District
Elm St.District: CB.Distnct _
SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
4444 U d�Aws�,' t�eIs -
Name(Print) Current Mailing Address:
��
Telephone
g ature
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 a licant 1. Building L/ (a) Building Permit Feb
O
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)
a SC�QQ Check Number 3 S
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature: 1/3137
Building Commissioner/Inspector of Buildings Date
320 ELM ST BP-2016-0302
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 A-085 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-2016-0302
Project# JS-2016-000488
Est. Cost: $25000.00
Fee: $175.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS DOLAN 039281
Lot Size(sy. ft.): 11107.80 Owner: BORAWSKI KATHLEEN
Zoning. URB(100)/ Applicant: THOMAS DOLAN
AT. 320 ELM ST
Applicant Address: Phone: Insurance:
P O BOX 297 (413) 585-0612 () Workers Compensation
CHESTERFIELDMA01012 ISSUED ON.911012015 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIR PORCH
WALLS,ROOF,WINDOW,SIDING - IN ACCORDANCE W/HISTORICAL COMM APPROVAL
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 9/10/2015 0:00:00 $175.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner