31C-009 20 WARD AVE BP-2016-1013
GIs#: COMMO WEALTH OF MASSACHUSETTS
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Map:Block: 3 1 -009 1 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-2016-1013
Project# JS-2016-001717
Est. Cost: $3820.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 060378
Lot Size(sq. ft.): 55321.20 Owner: GAUSTAD GAIL M&JOHN E
Zoning: WP(68)/RR(55)/URA(50)/FFR(4)/ Applicants WRIGHT BUILDERS
AT: 20 WARD AVE'
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTON MA01 060 ISSUED ON:2/17/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIRS TO FIRE DAMAGED GARAGE
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 2/17/2016 0:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File# BP-2016-1013
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON01060(413)586-8287(116)
PROPERTY LOCATION 20 WARD AVE
MAP 3 1 C PARCEL 009 001 ZONE WP(68)/RR(55)/URA($0)/FFR(4)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Sh13 D
Building Permit Filled out
Fee Paid
Typeof Construction: REPAIRS TO FIRE DAMAGED GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060378
3 sets of Plans/Plot Plan
THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
i D
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board pf Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
RECEIVE® �V "OM' Departtn t�tsy��nly
r4 9
---� City of Northamptont4 W> ntt5�
Building Department ! Curd Citl7rfeway Prfrttt j
212 Main Street 013'c' w+ i1llrkr
Room 100 W r 11"01
EPT.of BUILDING INSPECT] Northampton, MA 01060 Two S$t8 bf Structurt f Ptons g's
NORTHAMPTON,MA01osophe 413-587-1240 Fax 413-587-1V2 Pl
Other Specify ��� �, 4
k
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`
Map Lot Unit
1 \J b � � P1� ' Zone Overlay District
f i
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
P A—
Name(P int) "1 Current Ma" g Address: ' �p
2.2 Authorized Agent:
P1W 0-01A81" `f g
Name(P int) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 0 2 '- /- (a)Building Permit Fee
2. Electrical O q. �. (b)Estimated Total Cost of
Q / Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total =(1 +2+3+4+5) 01 Check Number O
This Section ForiOfficial Use Only
Building Permit Number: IQe
Issued:
Signature:
Building Commissioner/Inspector of Buildings'` Date
,cam VIM W " W O 6 U► `� ��,� r'r�
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zonin
This column to be d in by
Building De ent
b
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)
#of Parkin ces
olume&Location _.. _..
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES Q
IF YES, date issued:,
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW I YES
IF YES: enter Book ` Page; and/or Document#
B. Does the site contain a brook, body of water or Vvetlands? NO 0 DONT KNOW 0 YES i
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtaineid0 , Date Issued:
C. Do any signs exist on the property? YES i NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES i NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,ex vat
ion,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 Manageme t Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors 'D
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [❑ Siding[0] Other[DJ
Brief Description of Proposed P-".,Ng e Grp ,, �
Work: f-^ ��I� `atm
Alteration of existing bedroom Yes>C No Adding new bedroom Yes K No
Attached Narrative Renovating unfinished basement Yes _ No
Plans Attached Roll -Sheet
6a.if New house and or addition to existina housing,'iomt)iete the followln$L.
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 oodstoves Number of each
g. Energy Conservation Compliance. scheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of w s? Yes N0. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or ar floor below finished grade
k. Will buildin nform to the Building and Zoning regulations? Yes No.
I. Se ' ank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-'TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PE MIT
I, 2Jn o--+11� S Iy► as Owner of the subject
property
hereby authorize
ito,K on y behalf,in all matters r ive to work auth ' ed Wys' permit application.
c i
Sig re of Owner D te
We
as Owner uthorizedereby declare that the statements and information on the foregoing application are true and accurate,to the best of '� Oge
ef.
Signed under the pains
prand
penalties of perjury.
/
Print Na e
Signature of O n r/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
,u� fNbk 0 bfl 3 8'
License Number
Ad(7 _ Expiration Date
Signatureu Telephone
9.Reaistered Home Improvemenf'Contractor: Not Applicable ❑
LA
Company Name Registr tion Number
y g Id s ST, N� ��� � / � /A Az
Address dte
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDA IT(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.Exem>ption
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.x.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 builoing 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 Massotchusetts 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
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: y'0 WA-R-V AW, Am "JJ
The debris will be transported by:
The debris will be received by:
Building permit number:
Name of Permit Applicant 1"I'mpf
Date Signature of Permit Applicant
i
2/11/16
Gaustad Residence
20 Ward Avenue
Northampton, MA
Scope— Repairs to Fire Damaged section of the;Garage:
Remove, corner boards, siding to bottom of rake edge, fire damaged studs in Wood Storage
area. Reframe damaged area. Replace trim boards. New plywood sheathing, Tyvek & cedar
siding where required. New PT finish walls in Wood Storage area. Remove & replace
downspout only (gutter to remain). Electrical work- make safe, disconnect & rewire switch for
exterior wall light & GFI outlet w/wp cover, supply & install exterior wall light (match existing).
Painting of clapboards, corner boards & door trim as soon as weather permits. Dump fees &
permitting included.
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detector
co hardwir-ed co/smoke --
combo detector
7 tv location
\ � \ _ - � Owner:
7 phone location /
in cabinet Gail & John
s micro to garbage Gaustad
-disposal
_ 20 Ward Avenue
Q �g Jct Northampton, MA Mud �-- R 00
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3 Project Name:
3 - s W ► i tchen 3
�3at Mu room / 9fC1 dishwasher Addition &
replace existing /I/ telling YRenovation
fan/Iight/heat same fan/light R
switch locations - -�- 3
-
Dining Room _
3 3 , Drawing Name:
in book- - First Floor
case eakfast
Electrical Plan
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