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Untitled 96 OAK ST BP-2016-1464 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-267 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Porch Enclosure BUILDING PERMIT Permit# BP-2016-1464 Project# JS-2016-002514 Est.Cost:$26000.00 Fee: $169.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 15594.48 Owner: HALE MOLLY 0 Zoning: URB(100)/ Applicant: HALE MOLLY 0 AT: 96 OAK ST Applicant Address: Phone: Insurance: 96 OAK ST F L O R E N C E M A 010 6 2 ISSUED ON:11/9/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR EXISTING FRONT PORCH & ENCLOSED SOME OF IT FOR A STUDY SPACE & HALLWAY 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 St 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 11/9/2016 0:00:00 $169.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2016-1464 APPLICANT/CONTACT PERSON HALE MOLLY 0 ADDRESS/PHONE 96 OAK ST FLORENCE PROPERTY LOCATION 96 OAK ST MAP 17A PARCEL 267 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 4' /SOW 44 /0g Typeof Construction: REPAIR EXISTING FRONT PORCH&ENCLOSED SOME OF IT FOR A STUDY SPACE&HALLWAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Demolitlay • /l 77 a . r- .. ffieial 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 Status of Permit g \ Building Department Curb Cut/Driveway Permit 1\i� `• 212 Main Street Sewer/Septic Availability Room 100 Water/Weil Availability Northampton, MA 01060 Two Sets of Stmetural Plans _ phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPUCATION TO CONSTRUCT.ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION IA Property Address: This section to be completed by office Map Lot Unit R� C4k S� ��oye>love. 01062 ) Zone Overlay District Elm St.District CB District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 2,1 Owner of R"j�coord: 1 -1.000 1"4(t—. cc 041( Sr. FGgrCn� cc Name(Print) Current Mailing Address: .5- 67 G1 'Telephone Signature 2,2 Authorized Anent: • Name{Print) Cuneni Maung Address: • Signature Telephone SECTION 3•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant rdi I. Building 402 1 e^ob U (a)Building Permit Fee 2. Electrical -1 f COO (b)Estimated Total Cost of j Construction from(6) 3. Plumbing J/A Building Permit Fee 4. Mechanical(HVAC) 1in dimity(r+ fIr iA` 5.Fire Protection j- 6. Total=(1 +2+3+4+5) a x000 Check Number /S(I V kr'/[/ This Section For Official Use Only Date Budding Permit Number: Issued: Signature: Building Commissioner/Inspector 0 BuNdings Date • SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) a Roofing n Or Doors IC Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [J Siding[0] Other 0 Brief Description of Proposed 611. L , ` Work: Ke'pairRe,QS?t/15 /Yl . Po Vrj AND BNc/Dsej Sd.1c o{ t4 - r� Ct S+U�4 .Kt c.& Alteration of existingbedroom Yes (( ASD Ibli Wa 1 I X No Adding new bedroom Yes �C No Attached Narrative Renovating unfinished basement Yes jC No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: A/c f ADD Ina-( In.,� a. Use of building:One Family .k Two Family Other 6 {4 evo-4 to oc •PovcL_ • b. Number of rooms in each family unit: ..3 Number of Bathrooms c. Is there a garage attached? N o c nlo5 � ppOYc:� I:1'6'4110 Ye.��� S-K / 7 Apr zi T d. Proposed Square footage okew Conscmchbn. F. Dimensions /0 k 7 tv { f-tb fri SAieft e. Number of stories? r�' AND ,3/X ly df S�'DE ;�ve& C'nt(cc 2d / Wootlstove} --col-- haliasy L Method of heating? 1)11u/ Ani le✓ c4/ Glood vc Fireplaces I e—Number of each ,U SToily g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction o21(({ /6 ot f6' ply cAeatry i. Is construction within 100 ft.of wetlands? Yes ,X No. Is construction within 100 yr. floodplain Yes /X No j. Depth of basement or cellar floor below finished grade AprY.. a k. Will building conform to the Building and Zoning regulations? X Yes No.. I. Septic Tank City Sewer X Private well City water Supply 2c SECTION 7a•OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR/ CONTRACTORRC( APPLIES FOR BUILDING PERMIT I, P1 o/(V (/ (-4- ,as Owner of the subject property / hereby authorize to act on my behalf,in all mattersrelativeto work authorized by this building permit a plication. iniSignature of Owner ,f Date - I, ,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. Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Aust Be Completed. Permit Can Be Denied Due to Incomplete Information Existing Proposed Required by Zoning This column to he tilled in by Building Department Lot Size :Ay 40 S F Frontage t4 ff. Setbacks Front Side L: R L: R: Rear Building Height /� I Bldg. Square Footage IADO ,n Open Space Footage (Lot area minus bldg&paved parking #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding goer been issued for/on the site? NO O DONT KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page -s and/or Document# � B. Does the site contain a brook, body of water or wetlands? NO W DONT KNOW O YES O 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 SCSI 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 (9j IF YES, describe size, type and Location: Y' 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 O NO �Q( IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton C, Massachusetts F ' ee ® , T DEPARTMENT DOF BUILDING INSPECTIONS 212 Main Street • Municipal Building i V - l Northampton, MA 01060 s'"h ET-P‘ INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWI FDGEMENT 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 f• '•,_ ootin•s • ,f II , sonotube holes (before pour). a rough building inspection (before work is concealed.). insulation inspection (if reauiredl 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 occupancy 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 DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner(resident' gnature requesting exemption) I will call to schedule all requi d building inspections necessary for the building permit issued to me. Date ‘,/h‘ q Address of work location f& Q 4 Sr h h,AI,—>n u; Mit O/04'Z. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder License Number Address Expiration Date Signature Telephone 9.Registered Home Improvement 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 0 No X 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings 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 108.3.5.1. 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 1411 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: 96 DSK 514 The debris will be transported by: DAdf-- W(CKLG5 —jeatNG 7 The debris will be received by: r Building permit number: Name of Permit Applicant libiLi pte. ft-Da6/i�/i6 WEI "loft- Date te Signature of Permit Applicant Plan Book 118 Page 73 i4" 90 ittif4 rElor k0 _ 4 LAND OF POH£NT A AYOTT£ — GOOK 151>, PAGE 1 3 o e ry �5>f' ♦9 1!"F �� UVZO li¢6IOiM/ 1 3 LAND OF ROBEPT if ANO FLORENCE COLMAN -- BOON 1982 PAGE 323 5 Z Z O REMAINING AREA Dr£4/xG I 39,032 S0 FT! 63.626 El CEN TAKES AI 1 J-- - » E£ 1 “a l n PAPLEL CONTAINING 5.9350 FT 1458 99 CENTARES!1 TO G it CE CONVEYED TO WILLIAM D ANO MARY Al. AHEARN a. t.L" t '82 Q. I Q PORTION OF BOOK/BBR. PAGE JPJ em N t A v. {, f49•5O'v`E c4 ' f , roCI yeawassa - 845.40801tAJ¢O RY6sIMf 2✓' � *S31'l W 4. I Ca on?AGe F---_ ( ( DWELLMIG YVr` S a p0 ;b M g 4p LAND OF W/LLIAM O. 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