Loading...
24D-048 (6) 32 STODDARD ST BP-2016-1113 GIS#: COMMONWEALTH OF MASSACHUSETTS Maap Block: 24D-048 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-2016-1113 Project# JS-2016-001899 Est Cost: $6860.00 Fee: $65.00 PERMISSION IS-HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BARRON & JACOBS 60475 Lot Size(sq. ft.): 13547.16 Owner: FULLER SARAH JANE Zoning: URB(100)/ Applicant. BARRON & JACOBS AT. 32 STODDARD ST Applicant Address: Phone: Insurance: 70 OLD SOUTH ST (413) 586-8998 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:3/22/201¢0:00:00 TO PERFORM THE FOLLOWING WORK.REBUILD REAR ENTRY ROOF (SAME FOOTPRINT) 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 3/22/2016 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File# BP-2016-1113 APPLICANT/CONTACT PERSON BARRON&JACOBS ADDRESS/PHONE 70 OLD SOUTH ST NORTHAMPTON 01060(413)586-8998 PROPERTY LOCATION 32 STODDARD ST MAP 24D PARCEL 048 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATIQN CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REBUILD REAR ENTRY ROOF(SAME FOOTPRINT) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 60475 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR ION 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 el Signature of Buil mg 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. i Department use only 7 C ty of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit ` } 212 Main Street Sewer/Septic Availability. Room 100 Water/Well Availability LDDEPT8(j11no01M FCnONs No hampton, MA 01060 Two Sets of Structural Plans IHAM ON,MA 1650 587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 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 31 STbbb*RD 5TRET Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: SNRAt �L 3a Sr�D�q�D s`1a�T NOnn4a ,M� Name(Print) Current Mailing Address: (413)Cs Telephone Signature 2.2 Authorized Agent: CH RIS S Wgs 20 OLD 500SSRE cc NORfH6MPt •j Name(Prino Current Mailing Address: (h1j) - rya a,----- Signature VTelephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /`; ' $ 0 Od (a)Building Permit Fee 2. Electrical lU (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) 10' t7o Check Number This Section FOfficial Use Only Building Permit Number: pate 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 G e 3 1 c N/A- Frontage Fronts e tJ 0 C4 Ari GES0 Setbacks Front Side L: R: L: R Rear 40 CH4946-5 Building Height �S Si�RIIrS No (v1"Glas Bldg. Square Footage 13 t0 SP % IU 1„(!(�it N Open Space Footage r� ! (Jlk Not % (Lot area minus bldg&paved I a d , 01 V.4 parking) I / #of Parking Spaces IV1(� Fill: NO 064&A3 volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO QK DON'T KNOW ® YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO qR DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES Q 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 eft that will disturb over 1 acre? YES © NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows I Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition New Signs [O] Decks [Q Siding[0] Other[O] Brief Description_of,Proposed �. Work: 1)15MO F�IStt46 Q-7"x I-II 901 tiNnit? 'tOOF. T-66rr 't'p MP(T-al Z1LSf k Alteration of existing bedroom Yes X 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 existing housina,1complete the following: a. Use of building :One Family — Two Family / Other b. Number of rooms in each family unit: 'rMAA. Number of Bathrooms �2 CA)--) MD'00'AS' c. Is there a garage attached? d. Proposed Square footage of new construction. SF Dimensions e. Number of stories? 01,N omf3 f. Method of heating? N/k Fireplaces or Woodstoves -0 Number of each g. Energy Conservation Compliance. IJ�� Masscheck Energy Compliance form attached? P is 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 0 f/� k. Will building conform to the Building and Zoning regulations? ✓ Yes No. I. Septic Tank City Sewer j/ Private well City water Supply .� SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, S I MIA 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. Cs�6- . w 0'f 14 r m kemm*x�-t err Wg-15p) Signature of Owner Date I, CHRis 7 C0(3S 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. CMits 3kolyaS Print Name 3 (616 Sign ture of-owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: �j Not Applicable ❑ Name of License Holder: CN�ISfi��H�'\ S CS 60 47 S License Number 7F) OLD SOLN ST. 11holaolG Address Expiration Date Signature Telephone 9.Restistered Home Improvement Contractor: Not Applicable ❑ S WROW & 3AOS SSdGf�'x' , INC loo coq Company Name Registration Number ?o o uc> Som ST, N16 91 N-t�1,N I N A G/93/a 0►C Address ) Expiration Date Telephone C4�3�5g6' 899 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(;�7� 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 buildi g permit. Signed Affidavit Attached Yes.......It< 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 binding 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 £` The Commonwealth of Massachusetts Pant Form ter. Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Barron & Jacobs Associates, Inc. Address: 70 Old South Street City/State/Zip: Northampton, MA 01060 Phone #: (413) 586-8998 Are u an employer? Check the appropriate box: Type of project(required): o 1' I am a employer with I ( 4• ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ 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.I required.]ui5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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. xContractors 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: Webber & Grinnell Insurance Agency, Inc. Policy#or Self-ins. Lic. #: WMZ 800-8006365-201j( .A Expiration Date: 3/1/201T Job Site Address: 3� S-FU DDKI) St. NIU I H r1V(Kd N,qA 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 herebycertify under the pains d penalties o r'u ethat the inform atio n provided above is true and correct Simature: Date 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#: 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: �� stc)Dp/�O stlZC'F-Y The debris will be transported by: CbM PAKY TJON\II- ou< The debris will be received by: �ALCT Building permit number: Name of Permit Applicant ASSO[1At&-S,1\k Date Signature of hermit Applicant SIGNATURES By signing below,you agree to items A,B and C. DO NOT SIGN THIS AGREEMENT IF THERE ARE ANY BLANK SPACES. A. Alternative Dispute Settlement(Arbitration Clause): The Seller and the Buyer hereby mutually agree,in advance,that in the event of a dispute concerning this Agreement,the parties shall submit such dispute to a professional,state-approved arbitration service(cost,if any,to be paid by the submitter)prior to either party proceeding to legal action in the courts. B. By signing this agreement,you,as the owner of record,are hereby authorizing Barron&Jacobs Associates Inc.to act as your authorized agent in all matters pertaining to the building permit application. C. This is a binding Agreement. You may not cancel it except as stated. This Agreement covers and supersedes all conversations,statements and agreements,expressed or implied,between the parties,their agents or representatives. You,the Buyer,may cancel this transaction Buyer Date at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form Buyer Date for an explanation of this right. Seller retains an equal right to cancel. Barron&Jacobs Representative Dat Designer/Salespersons Registration Numbers ❑ Cecil R.Jacobs MA HIC 100809 El Christopher R.Jacobs MA HIC 100809 CT HIC 0518617 CT HIS 0554397 Barron and Jacobs-Key Personnel Contact Information: Office Cell Home Office Manager: Sandy Scavotto 413.586.8998,x100 Vice President and General Manager: 413.586.8998,x103 413.250.6677 413.665.9113 Chris Jacobs President: Cecil R.Jacobs(Jake) 413.586.8998,x101 413.250.2327 Service Agreement Page 14 of 14 t, y aj a Y 3a r .�r`Y7� Sg PORCH SECTIONAL SCALE: 1 /2" = 1 '-0" w 3'-5 1/2" Q AWNING OVERHANG NEW FLASHING DETAIL z cn X W It � T q �a .ec"�C✓n,� o k 2X4 (?Att-3 WITH LEDGER LOCKS INTO EXISTING RAFTEf�; ' EXISTING EXTERIOR WALL 45° EXISTI O1-1 VE ANG N N I � N Ln 4X4 PT POST—/ 00 Ln Ln 4X4 PT POST , N I F.F. — ,_ 7 11 5/8 4'-7 1 /2" 2-2X4 RIM JOIST FOR SUPP LANDING N F-H FRAMING PLAN SCALE: 1 /2 = 1 '-0" SC.' U:1/2'=1' DRAWING PROJECT: CLIENT INFO: DRAWING PHASE: Barron & JacobsSHEET: TYPE. PORCH FULLER RESIDENCE BLIILDINGPERMTT Design . Build . Remodel FLOOR PLAN 70 OLD SOUTH STREET,NORTHAMPTON,MA 01060 Al AND 32 STODDARD STREET DATE: 3.15.16 SECTIONAL REMODEL NORTHAMPTON, MA DRAWN BY: WAN' ALL DRAWINGS,PLANS,&DESIGNS ARE PROPERTY OF BARRON&JACOBS,INC. 23'-4" 4'-7 1/2 N tet' I N F.F. 4' HASEBSCALE:1/2"=1' DRAWING PROJECT: CLIENT INFO: DRAWING PHASE- Barron arron & Jacobs SHEET: TYPE. PORCH FULLER RESIDENCE BLnLDINGPERMIT Design . Build . Remodel 70 OLD SOUTH STREET,NORTHAMPTON,MA 01060 A2ELEVATION 32 STODDARD STREET DATE: 3.15.16 REMODEL NORTHAMPTON, MA DRAWN BY: WAW ALL DRAWINGS,PLANS,&DESIGNS ARE PROPERTY OF BARRON&JACOBS,INC.