32A-168 (13) 50 HAWLEY ST BP-2017-0362
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 168 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Porch Repair BUILDING PERMIT
Permit# BP-2017-0362
Project# JS-2017-000602
Est. Cost: $4500.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WILLIAM TUROMSHA 000515
Lot Size(se. ft.): Owner: BURKE JUDITH A
Zoning: URC(100)/ Applicant: WILLIAM TUROMSHA
AT: 50 HAWLEY ST
Applicant Address: Phone: Insurance:
P O Box 141 (413) 586-4005
LEEDSMA01053 ISSUED ON:9/19/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIR TO SOUTH ELEVATION PORCH, NEW
CONCRETE PIERS, ADDITIONAL SUPPORT TO FLOOR JOISTS,NEW DECKING, LATTICE &TRIM
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:
FeeTvpe: Date Paid: Amount:
Building 9/19/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0362
APPLICANT/CONTACT PERSON WILLIAM TUROMSHA
ADDRESS/PHONE P O Box 141 LEEDS (413)586-4005
PROPERTY LOCATION 50 HAWLEY ST
MAP 32A PARCEL 168 000 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ,J/J �
Fee Paid CP a i-{-D 0
Building Permit Filled out
Fee Paid
Typeof Construction: REPAIR TO SOUTH ELEVATION PORCH,NEW CONCRETE PIERS,ADDITIONAL
SUPPORT TO FLOE' JOISTS NEW DECKING LATTICE&TRIM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 000515
3 sets of Plans/Plot Plan
THE FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I O 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
Demolition Delay
Sig r- o 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 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.
Versionl.7 Commercial Buildin&Permit May 15,2000
1 Department use only '
r. - City of Northampton Status of Permit:
IBuilding Department Cont t4lwrnreway Permit _
"- : 6 - 212 Main Street SewertSepticAvaitabitay
Room 100 WaterNVe6 Availabirity
oE>cc"ems"=c3F�a=0" Ni.rthsmpton, MA 01060 Two Sets of Structural Plans
NOaiHit ON.MA SIJ6n
-587-1240 Fax 413-587-1272 PlotSite Plans
Other Specify
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUIL DING
OTHER THAN A ONE OR TWO FAMILY DWELLING
Q, SECTION 1 -SITE INFORMATION
TI)
,`�"' 7.1 Property Address: This section to be completed by office
.10
'il So MA4f&.el StRCE'r Map 32A Lot 148 Unit
li NoRTHAMQTo?t MA Zone URC Overlay District
CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2,1 Owner of Record. _-
.SO.HAwI£Y.. EET _ "
7
. -_
&. tiaiHo.ae Co. 00ml:.r.. ASsocrettraer t.NgfitNneeepT634 MAT 019(w
Name(Print) 'Zvi rt-(e, sVvac_
_,Cfers 7a Curent MainAddress' _
Signature I Irj- ' - Telephone WS' JOr/ "' X qp
o
2.2AuthorL:d A•-or _.,.__t Q._ rdK-_P{i..
WldUrart T �4ntrS$ A _,. ..___ _..__I EEeE,_ IE.A .0)053
Name(Print) CurrentMail'vy Address:
2113 5?.c 78 H4
Signature � Telephone
i SECTION 3-ESTIACTION COSTS __
Item Estimated Cost(Dollars)to be i Official Use Only
completed by permit applicant
:__._... _
1. Building (a)Building Permit Fee i
'/500. 044
___._ ..
2. Electrical UM Estimated Total Cost of
— Construction Tram (S) - .. .
3. Plumbing Building Permit Fee ,,/��jt/
4. Mechanu2l(HVAC) __ _ __._. _.. " t 0 0
5. Fire Protection _ I /
6. Total=(1 +2+3+4+5) 1S00• oo 1 Check Number 67(111 !
This Section For Official Use Only
Building Permit Number Date
Issued
i I
Signature: i
1
Busking CommssioneCinspettar of Buildings , Data 1
Version 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs 0 Demolition Repairs 0 Additions 0 Accessory Building❑
Exterior Alteration El§ Existing Ground Sign❑ New Signs 0 Roofing❑ Change of Use❑ Other❑ i
Brief Description Enter a brief description here.
Of Proposed Work: RBPoea Ta 'Sete-SN Et EVa{'rair Pa"a "Eh)Canta +E PeEaa x
N1:14.a+••46�.Ppo+ '
in Reaa3'eriy Ne-n+ rectums TRlArrfo oEeielul 142-Mte4-TR i.
SECTION S-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A-t 0 A-2 0 A-3 ❑ IA 1 0
A-4 0 A-5 0 IB 10
B Business ❑ 2A 1 0
E Educational 0 21) F 0
F Factory 0 F-1 ❑ F-2 0 2C
0
H High Hazard ❑ 3A 0
I institutional 0 t-i 0 I-2 0 I-3 0 38 1
M Mercantile 0 4 T 0 _
R Residential 0 R-1 0 R-2 ® R-3 ❑ 5A I ❑
S Storage 0 S-1 0 S-2 0 58 I ❑
U Utility ❑ Specify:
M Mixed Use (] Specify:
S Special Use 0 Specify:.
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group; . . . _ _.. ._._. _ Proposed Use Group
Existing Hazard Index 780 CMR 34): _..,._ . -- _ ____ Proposed Hazard Index 780 CMR 34):
SECTION 6 WILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
2558 SF____-....—._.._.
1" 2555 5. F a
l .
2 —..1Yco s. _
as -- —
Total Area(sf) MSS C Total Proposed New Construction s(),_--
Total Height(ft) 32. F4
Total Height ft 32 FT _.
7.water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private Zone _. _ _. Outside Flood Zone I Municipal 0 On site disposal system❑
Version 1.7 Commercial Building Permit May IS,2000
S. NORTHAMPTON ZONING j
Existing Proposed I Required by Zoning
1}5 0011 be Hied in by
Dc
Building Depamnem
Lot Size _ _ _
Frontage 130 t„F . .. .. . i
Setbacks Front 351-0" I
Side }6//0 R: .ri. ._. ...
ear
p.pj �.S}. .. .
Building Height Sal air
Bldg.Square Footage 2358 _.._.. e Z558
Open Space Footage
pax area minus bids&paved _.....
mrkine)
*of Parking Spaces ._. -- .
Fill: / A
I (volume Etocaeionl I/- _.._
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW O YES a
IF YES: enter Book Page and/or Document Pt
B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW Q YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained O , Date Issued:
C. Do any signs exist an the property? YES O NO
1F YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO O
IF YES, describe size, type and location:
E. WII The construction activity disturb(clearing.grading,excavation,or filling)over 7 acre or is it part of a common plan
that will disturb over I acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Verson i.7 Commercial Building Permit May 15,2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES•FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 36,000 C.F.OF ENCLOSED SPACE)
Et Registered Architect
Not Applira0le ❑
Name(Registrant). ____ ..... ._
Registration Number
Address .. -. -. _
-- - -
Expiration Dam
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Reglstrabon Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Re�ist2tlon Numoe[
Signature Telephone Expiration Date
•
Name Area of Res sibd __
Redress Regisaabon Number
Signature Telephone Expiration Date -
Name Area of Responsibility
_ __ _._ . _ _,_—_ v_._ —. . ._._ ___ .—___.....___._.._.
Address Registration Number I
...___.�._ .__.._ .—._._. _.....__.._._. .. 3
Signature TelephoneExpiration Date
9.3 General Contractor
Combat,:Name:
ResponsIoN to Charge of Construction
Signature Telepnone
Version l.7 Commercial Building Permit May 15.2000
SECTION 10•STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Strudural Peer Review Required Yes O No Q
SECTION 11 -OWNER AUTHORIZATION•TO BE COMPLETED WHEN
OWNERS AGENTOR CONTRACTOR APPLIES FOR BUILDING PERMIT
t,__•,"c vd i - a-u(`k `e ..... _.-- - . . ,as Owner of the subject property
hereby authorize - Will/elm. T- - 1 Uwe):ma to
act on my ben If,in all matters relative to work authorized by this building permit application.
Signature of
ear
Dat Z ..J
, -- tatR1G3np - itTltfn6ldR _ _. .. _ _ _ ,as atomeriAuthorized i
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 deputy,, --
k----- -n _---------_
Print Name
a _ y _. .. . ... _ -
Signature+Comer/A.=, t Dare
SECTION 12-CONSTRUCTION SERVICES
10,1 Licensed Construction�, Supervisor: Not Applicable ❑
Name of License Holder .t1MIfltAMJ- 1149-41tots M.s . . . _. . 000 Si
—
License Number
S$'Pan_ST?fiat__.L tot. t/_i.. O1Q5 __. ._.._. . i -.oz1bs/:04 _- . .
Address Expiration Date
k -y. /tueeResem `!
- ' /.3-5 5 e8'/b----.
&gnaw / Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.a.152,§25C(6))
Workers Compensationf issuance
of he affidavituimustm be completed and submitted with this application Failure to provide this affidavit will result
in the denial of the of the building pehnit.
Signed Affidavit Attached Yes No Q
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Unit. 02 a yob a 1 // uwwnxaoe
f..100.0.rns,..r) I.atria.. First Floor Plan
• First Floor Plan UMill&&2
Does:
Rehm 4118101
I
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: _5o fla„tey CTgsrtr )loanam ,p/ct)
The debris will be transported by: \t/ is TuRomsNe AestGu g coma-p2n�.,;.t
The debris will be received by: VAilsy REQ/et/Ni
Building permit number:
Name of Permit Applicant� � IUrlllrT Taomsr+A
Date Signature of Permit Applicant
•
-, The Commonwealth of Massachusetts
, _„ Departmem of Industrial Accidents
Office of Investigations
- _ -.N 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information I Please Print Legibly
Name/Business/Organization/Individual): 4Willla r, T i uttomsnA
Address: 68 FReNT £TeF.KT Boy Ill/
City/State/Zip:AE Et7s IP1 0 tier Phone#: 'if?? 596 -11005—
Are
ODSAre you an employer?Check the appropriate box: Type of project(required):
I.❑ I am a employer with 4. ❑ I am a general contractor and I I r�
employees(full and/or part-time).* have hired the sub-contractors 6. a New construction
2.:a I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. Q Demolition
working for me in anycapacity. employees and have workers'
a ty 9. ❑Building addition
[No workers' comp.insurance comp.is corporal
required.; 5. ❑ We area corporation and its 10.0 Electrical repairs or additions
officers have exercised their 1 i.❑Plumbing repairs or additions
3.I: I am a homeowner doing all work
myself [No workers' comp. right of exemption per MGL 1 L ❑ Roof repairs
insurance required.]t c. 152, 61(4),and we have no
employees. [No workers' 13.. Other STehersu.L RLQ,gay
comp.insurance required.] 7 Soon& f!/sola.) og'4
Any applicant that checks box.1 must also fill out the section below showing their workers compensation policy information.
'Homeowners who submit this affidavit indicating they are doing all wok and then him outside contractors must submit a new affidavit indicating such.
:Corm-actors 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. lithe sub-contractors have employes,they must provide their workers'comp.policy number.
/am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: 11244OCI :R c
Policy or Self-ins.Lic. t.: Expiration Date: 6I zo//J
Job Site Address: 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
nine Ftp in A t,S00 00 and/or nne-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.
1 do hereby cervi under the pains and penalties of perjury that the information provided above is true and correct
J �—
Signature: /j/.5/. / Daze:
Phone#: 1'/S 4BG 1/44-15 GRP 49 £96 fl96.
Official use only. Do not write in this area,to be completed by city or town official �I
_.
City or Town! - - - - PerrnitlL-icense k------- -
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone 6:
/yepe ,eel—_r /egotiorry a
/ ,/ „ 49
City of Northampton
Si,ilding Department
in Plan Review
X12 Main Street
-inr+mpton, MA 01060
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DESIGN& CONSTRUCTION ,311-/6r-
September 16, 2016
Dear Commissioner Hasbrouck,
I would like to request that you grant a modification to waive the requirement for controlled
construction for the rebuilding of the south elevation covered porch (19' x 18'6") located at 50 Hawley
St. Northampton, MA"The Butler Building Condominium Association", for which I have submitted a
permit application on Friday 16,September 2016.
The work is of a minor nature and will not affect health, accessibility, life and fire safety, or structural
requirements and is impractical in that the cost of control construction is considerable when compared
to the cost of the proposed work.All work will be completed within the prescriptive requirements of
780 CMR.
Thank you for our consideration. "Mass Amendments,sections 107.1 allows for an exclusion from
control construction for this project."iRespectf Ily submitted,
----_!d. �LcRtm.sia-
William J. uromsha
Wm. J. TUROMSHA • P.O. Box 141 • Leeds • Massachusetts 01053