10B-072 (3) 30 WATER ST BP-2016-1097
GIS#: COMMONWEALTH OF MASSACHUSETTS
MapBlock: l OB-072 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-2016-1097
Project# JS-2016-001878
Est. Cost: $23000.00
Fee: $150.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CRAIG MARNEY 057159
Lot Size(sq.ft.): 12066.12 Owner: GREENE JASON&LEANNE
Zoniniz: URB(100)/ Applicant: CRAIG MARNEY
AT: 30 WATER ST
Applicant Address: Phone: Insurance:
P O Box 128 (4 11) 586-5512 WC
LEEDSMA01053 ISSUED ON:3/17/201¢ 0:00:00
TO PERFORM THE FOLLOWING WORK.-REMODEL KITCHEN & MUDROOM
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 3/17/2016 0:00:00 $150.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1097
APPLICANT/CONTACT PERSON CRAIG MARNEY
ADDRESS/PHONE P O Box 128 LEEDS01053 (413)586-5512
PROPERTY LOCATION 30 WATER ST
MAP JOB PARCEL 072 001 ZONE URB(100)/
THIS SECTION FOR OFFIC,;IAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin- Permit Filled out
Fee Paid
Typeof Construction:_REMODEL KITCHEN&MUDROOM
New Construction
Non Structural interior renovations
Addition to Existingy
Accessory Structure
BuildinU Plans Included:
Owner/Statement or License 057159
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOSM. 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
Demolitio D
3
Signa Building 0- ftIcial 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.
-� Department use only
- -- � City of Northampton tatuecxF ?errt
Building Department Curb C Prat
0 2016 212 Main Street r ticAvflAblilly
Room 100 Wt�NYe Ar
pE:OF auhmm-;INsPEC 1ONs Northampton, MA 01060 Tufo,Sets"Of Stnictural plate ,
NORTHAMPTON MAO7000 a 413-587-1240 Fax 413-587-1272 Pltit 8"Pans
Other
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
() W k1IM S T Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address: +13
Z 3 •7 8 1+ 1
=ice Telephone
Signature
2.2 Authorized A ent:
0p
Name(P'nt Current Mailing Address:
SignatuA Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
2. Electrical a pcx>, tb (b)Estimated Total Cost of
Construction from 6
3. Plumbing �� c Building Permit Fee
4. Mechanical(HVAC) �5V
5. Fire Protection
6. Total=(1 +2+3+4+5) vz> Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
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)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW 0 YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES Q NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO Q
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 Q NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all anoVlicable)
New House ❑ Addition ❑ Replacement Windows 1
Alteration(s) ® Roofing ElOr Doors 13
Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks [Q Siding[p] Other[CA
Brief Description of P opos tem d , c PFJ A N v �®,+oJwy, s-� p CA s e s�A-%if C Oav leq �,�5
Work: �, P a +�r.J� avn l.A, TTA Ty+� S `�+f
Alteration of ebsting bedroom Yes No Adding new bedroom Yes No /
Attached Narrative Renovating unfinished basement Yes V No
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housina �onlW to the following:
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
1 AC« '
as Owner of the subject
property
hereby a o ize ��� 1 ► `1�(CN 1
to act y half, in ative to work authorized by this building permit application.
Signature of Owner Date
as Owner/Authorized
Agent hereby declare that the state ents and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed u der the pains and penalties of perjury.
t2 r ZJJf'
Print Name
Signature of er gent ate
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervi or: Not Applicable ❑
Name of License Holder: Aql�
License m r
Address Expiration Date
Signature Telephone
9.Reoistered Home ent r Not Applicable ❑
611L o Nc, 'lodl/a
Company NaRfe Registrati n Nu ber
/mac, 45--w /aY �'Pea�3 HA. i910S3 z e> 16
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8))
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 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 IVIGL 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: ` b �V^�e-
The debris will be transported by: X4)'
The debris will be received by: �� pec
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
1 Congress Street,Suite 100
UlfBoston,MA 02114-2017
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leizibly
Name (Business/Organization/Individual): 1-14., t' ✓e �3 h�
Address: .pO, /a
City/State/Zip: SA ww� 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
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2,9rI am a sole proprietor or partner- listed on the attached sheet. 7. QRRemodeling
ship and have no employees These sub-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.:
9. Building addition
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 1 I.F] 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.
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. 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. 1
Insurance Company Name:
Policy#or Self-ins. Lic.#: off- O5��3a Expiration Date:-?/,
Job Site Address: VQTC�d 7C ,�
t5 � City/State/Zip:,c//e 11,+0. 010P7
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.
Ido hereby certify un r the pains andpenalties ofperjury that the information provided above is true and correct.
Si ature: Date: , /
Phone#: - 6' 9� /a
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#:
O�A
WOE P:
General Not�s�
,w= � I I� � � � io�e,�`,.a��v.•:aaw"°«nw a _ �w"a:"'w.°ms.'
Material Legend:
7183750 110°inset hinge,SC.
blu-motion w/173H9100 hirW plate.
Bum Tandem urWnmount Bide,SC,
`\ a, I bl—Uon,21',563HB330B
/ I �- H3 BNm Tendon,undo elate,S
/ �'�.- + � ❑ w/blumotlon,21',heavy envy duty,SB9H5330B
blu- Wn w 0173H9130 S -(3)pbo
71.3450110°V2 OL hinge^
u-rnSC.M
bt11,w/175"5030.21 FF
Plates
I �
❑ Blum 70T3750.TL 110^inapt hinge,FS,
W 173"9100 hinge plate.
Revs-ahatt Otlorbea PuNout Woate
/i I H7 Cmtal—E-Z 300.52
Rev-aahatt Lazy Suean Band comer Pumut
R.--s 2-34-570
Rev-a-ahatt11---l-2--,
\\ Organizer Chm.Maple 53221-MP
7510601201 and T51 d�"
I'
- caps
i Hatch Legend:
Prefiniehad Maple Ply VC
ShopPlywo
od
M1ecP RwmNp 3.1 paean,15'..15
Maple Plywood(A-t,VC)
b
Maple ,as.
I
I
X
Maple Plywood(A-t,MDF)
✓ � x Cor,cnfb a/aaonry Ural,0°..6k
MOP
Sd
oi -Hard Maple
l BraaiCwnmon F—M.75.
/ \ \� Solid-Soft Maple
A\NV�A Sri.Ye',.16.
i-
T,
City of Northampton
Building Department
Plan Review --
212 Main Street New England School of
Northampton, MA01060 Architectural
lWoodworking
filen . one Cortege St
Greene Kitchen-Northampton, MA Cover Page GWL As Noted Merchllth,2014 4,��,4�"""""p`9f"'"1027
General Notes:
115-5/8 7z-3/8'
t ------ ------ --- ----_..__-_--- —._-*. - zw•.u:.nwwwe orw.a.,vz.e..
a. z w•
1
'T -- � _.. --- ,a ermr r«ao.azw•.m..,oy zw•a,e�an,ryi.n k.r,mr.
_- -- Material Legend:
HI Blum 7783760 1101 inset hype sc,
Mu-motion w/173HO100 hkpa pate.
Ili BWm Tandem
333/8undarmount eNde,SC,
z " Hz
7 wl blu-n,ollon,21',683Hfi330B
i, „.8" I
-- BWm Tendon udnm M elide,SC.
A f )1 H3 w/04Ymotlm 21',hes ,589H5330B
i I vy duly
i
_ O BWm 7888550 BS Ireet hkpa,Mind--r,
I
---- - - - - — -- T bl.—.Ion w/173HO130 Screw on(3)pleb.
~ -- 67-1/2 -- -�- 30 473-3/8" ------ �' Blurs 1183d50 110'112 OL hkpe.sc,
du-ngtbq w/175H5030.21 IF pWt.
Blum 70113750.7E 1101.bal hinge,IS,
n w!173H11100 hh,pe plat..
I i fn
['3 M Rev-skw E6e OdorbPulbut Waste
Contekwr -Z 300.62
x _ ❑
R--t.9 Lazy Susan B.M Comer PullaW
00
4WLS882-3BS70
R1 ❑ Rev-.4,841/2'B—Ca61ne12-Tar
Organizer Chm WWW 5322-"P
to
i, MiB -m T-1 m—newer loogn;cops
�I ���111 7570t10120R end 751080120E
� 24-5/16 j ! Htl
--- — - ---- - —, Hatch Legend:
Lr
zq!" � Pre-finished Maple Ply VC
-a-- e
ShopShop Plywood
ltl RunMp 3x10adan,.-,..7
Maple Plywood(A-1,VC)
'�sJ J �4�` ronewon�n,45-,sz
Maple Plywood(A-1,MDF)
i
MDF
------ Solid-Hard Maple
\�\ \\ Solid-Soft Maple
I f
Refrigerator Bba.ea,,5x
New England School of
Plan View-Lowers @Woodworking Architeetural
Greene Kitchen-Northam ton, MA 6
P Plan View-Lowers Ona 13-527$1)=aelllRmRton.MA 01027
GWL Ae Noted March 11th,2016 413-527.6103 www.neaaw.,wm
General Notes:
218"
------ - ------- - ------- — am"aNrWUNwGwCee.
. 12-3/4"
-----73-1/4" 132
- � - -- til ----
' 49-1/4" -- r.:r arw.aeu rx.
_ 46-25/32"
is aek.,.a..w.•edom`,.w.�r,...,...o.eee.
__' � � Nab loin rm31M WBr'uC�dtN�bEetlmm,ran�Mwroa01.
Ba N
_ Material Legend:
H1
81-71B3'50110'-t hmpe,SC,
blu-motion /173H9100 hinge plate.
./bWNm T undemnunt allele,SC,
+,wg-,tbn,21',583H5330a
9
H3 BWm Tandem undemaurd clbo.SC,
he
-motion,21', avy ,dory,5B9H5330B
22-5/8� wl bll 35-31/32" ._..-22-5/g„- Blum 798955o 951-1 hkW,N4W comer,
-- -- blu don w/173!49130 Screw on(3)plebe
--- H5 Bl-71BIM 110'1/2 OL King.,SC,
I w/17
bha-motlon 5t/503021 IF i lata
D
Blum 70T3150.TL 110^Wet t,”,FS,
W 1731-19100 hinge pleb.
! h Rev a-nMMOdorleea Pulbut Weeb
h
_. _.. ....._.... .. ....__........ .._..-_.....__ .........__ ..........._i .. ._....... H7
Container E-Z 30042
Revs ahe0 Lary Susan BYnd Comer Pulbut
4WLSW2-38570
P11-! OM.Lhea h,orn117 eeae Ca 5322- br
O]ganlzor Chrome/Mepb 5322�d-MP
l H70 Blum Tandem nenow drawer looking clips
T51080120R and T51090120L
i� I Hit
Hatch Legend:
Pre-finished Maple Pty VC
78-1/2„ oo
P Shop Plywood
°erne I w3x10eM1en,OS°,7
Maple Plywood(A-1,VC)
'�sl � � HoroYsan�a,46',-Sx
Maple Plywood ywood(A-1,MDF)
wiser M.o<w unx,n,sx
MDF
ebck 0oa 1,lM,75.
Solid-Hard Maple
anck Comnrn F-P..75x
\ \
I
i AA���� Solid-Soft Maplei Refrigerator .�� ad«.W,.7:.
New England School of
Plan View-Uppers Architectural
lWoodworking
sawn l+.,w. o,,.n er s�.m: 0•r: v�l.n w,n5r. snxre- �College�k�IIIJ Mri,MA 01027
Greene Kitchen-Northampton, MA Plan View-Uppers GWL Aa War, March It.,
x013 3 413-527$103 www.neeew.-