38b-080 (3) 179 SOUTH ST BP-2016-1478
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-080 CITY OF NORTHAMPTON
Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catetorv:renovation BUILDING PERMIT
Permitil BP-2016-1478
Project# JS-2016-002532
Est. Cost: $20500.00
Fee: S130.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
use croup: Homeowner as Contractor
Lot Size(sq.ft.): 161172.00 Owner: GRAVES GREG
Zoning: URB(100)/ Applicant: GRAVES GREG
AT: 179 SOUTH ST
Applicant Address: Phone: Insurance:
179 SOUTH ST (413) 773-1157 O
N O RTHAM PTO N MA01060 ISSUED ON::6/13/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATION OF KITCHEN INCLUDING NEW
HARDWOOD FLOOR, APPLIANCES & CABINETS
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 6/13/2016 0:00:00 $130.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
Department use only
i City of Northampton Status of Permit
,7< Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
/.,., Oj Room 100 Water/Well Availability
"" Northampton, MA 01060 Two Sets of Structural Plans
7$,..4'•hone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPIS •TION 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
139 SocriL CI. Map Lot Unit
/Jor-tiscnetor M�} OIOGO Zone Overlay District
Elm St District Ca District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Gre5oey 1Q Grw-ec 9 JoJ/l9 C i14c., x" 13-9 504-41 St. Nhri6 m1atar, , /141
Nam inti Current Mailing Address:
3y3 - 535- ASIS
Telephone
Signature
2.2 Authorized Mont:
Name(Print) 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 112�Q1.f- (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
g' 5,000 Construction from(6)
3. Plumbing 4 3,500 Building Permit Fee /f
4. Mechanical(HVAC) . `/7Q/ 3 6
5. Fire Protection
6. Total=(1 +2+3+4+5) OSO, 500 Check Number iS
This Section For Official Use Only
Building Permit Number: Date
Issued:
',
Signature: ser—Vg �O
Building Commissioner/Inspector ommissioner/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
—r Building Department
Lot Size 3. t CCdf 5
Frontage 90
Setbacks Front
Side L: 341 it 251E L: R:
Rear
See ti#Wctied)
Building Height 2 519vie5
Bldg.Square Footage 3900 Z0
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill: (4)
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW ® YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW ® YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O 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. WII 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? YEE O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND 15 NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
190.33'
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,ON' SUBJECT TO EASEMENTS AND
RIGHTS OF WAYS OF RECORD.
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,a,':
SOUTH 90'* STREET
TO:
CONNECTICUT ATTORNEYS DILE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL NSBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT NE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
SURVEYOR: aAUA.QZ T 1 THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
``���°°qq,, -MORTGAGE I OAN INSPFCTION PLAT-
KARNORTHAMPTON, MASSACHUSETTS
8 RN DU
E. PREPARED FOR
SIZER GREGORY R. GRAVES & JODY A. CALLAHAN
SCALE: 1"=100' MAY 2. 2016
lib save' HAROLS, INC.
REGISTEERDED PROFESSIONAL LAND I- EATON AND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
I
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 [Ell Decks [CI Siding BEI] Other[p
Brief Dewiption of /-y
Proposedr� / 1
Work: Kcno✓ati on Tcov- d TIDor kr,(hr, 1Hcffrd,:.5 hewYk�I✓VO&I C Icc/, crAphe,cer1 ccb. ,ns
Alteration of existing bedroom Yes X No Adding new bedroom Yes x No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll -Sheet exp eery a kw 1
ea. It New house and or addition to existing housina. complete 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
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.
Signature of Owner Date
, as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowiedge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
7 /-17tX r
] 2869
2668
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LIVING AREA
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SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9.Realetered Home Imorovement Contractor: Not Applicable 0
Company Name Registration Number
Address Expiration 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 ❑ No 0
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellines of one(I) 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 108.33.1.
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
stmctures.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,S to-apd I neat Zoning Iaw`y.• tate of Massachusetts General Laws Annotated.
Homeowner Signatu
-'' 47, Massachusetts
.l)44 � � t
D212 ENT OP BUILDING INSPECTIONS ai $. 212 Main Street . Municipal Building
Northampton, MA 01060 Prry ^`^ s
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). sonotuhe 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 occuoancy 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 Dpi AY the project until such time as the proper permits
and inspections are made
Crn qqoc Cro..Aef understand the above.
(Home owner/rksident 's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date 4//3 )/ e
Address of work
clocation I R ) , or.-/G, 5-/, /Uo✓yG,,,r., /`24
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: 3 R el Sot-11" S-i.
The debris will be transported by: PM s9ou
The debris will be received by:
Building permit number:
Name of Permit Applicant Gye507 G, * 5
410 /""
Date Signature of Permit Applicant