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BOX 151 MA 01060 ROOF FRAMING DNTL 10/Sr2n,S w WILLIAMSBURG,MA 0109b BOULEY PLAN DRAWN er-su. l•� areremoe to ary brm Tonna Pm nose ar' ' '" U•.oh.••,.reo,.,,...• .L,e,.re,o,•,.•s„tt, r.•.w Nu,e nowng in suppplNB the waJr p! 411111'1' vw cunvxm•v =°«vPnr+zmy^utu„mxcwa,rrtr milieu! n+ w,w,.ym�wmn.�-�,aaaa d mDiue,•> """".""o`",w„`•'aexs�m.�re wee«,«r,wn.w,.� n,r ..a.o,� --1 0 m Q @ L P IT iui C .—. rn o o alp-11 C tJ1, o�..o :nice- 0101 IT lit O in -101 A I u O -n. u' p M v1 (ID C oN 1-h �•m Vki )4 �'iA 41) U9' io RI 6 �� O � [i km kli 'L - '. .4H.• . d 7X3•-- 43 62 ]l. V 9 16. � 479'6 � }� 0 A rl z to CD toL ii rio Mr- ZIX �. e •�aanr-r:laOO Z IN ^., l a os Ian 2 t - _ i$ EDI 1 at ok•= :7 x c .P a 65 ill— = B tt reatM1 r. Ei Era v LOUIS J MONTGOMERY III 277 BRIDGE RD FLORENCE, PO.BOX R5i MA 07080 CROSS SECTION 1 �C�E SEE VIEW SHEET "oMflFR WILLIAMSBURG, MA 010% 1 onTervstzma BOU LEY ..morn ~.,Se w,ee.,),UUI U.Uew.,,e eWIts e","e,aa,ae,e „e"",m,U p ,,,,,IjeUI tedI,, epurpseo�e,wn.,..&uporn,.,, opacfo,srmis,*fan,dcoe pord any corm for uuposo meneminu or suppprting the rrorxoroomcenop MSC(eoanacmrs wrcn�mi the cermrsvor,nM1 eoe oompeosannry w,osc a I s ?ICI 15S3O-111H _ * ,:3, ! y Q7 :I7 il Lot r 01 N13 401• Z I 0 ' • RS 33 O X TXIT M 3, .6-.191 LOUIS J MONTGOMERY III 277 BRIDGE RD FLORENCE, a= SHEETNUMNER MA 01060 PLOT PLAN P.O. BOX 951 OATE:10/5/2016 �� WILLIAMB$URG, MA 010966 DitAlP.1 6Y..Sc. / cf Lai 111' �_ I555 • p h, tF = N 32 E u(iii Ir �.—.,_..___ — '"`' 3 r ,_irim: M . ° �� . ;Tip - ti. 101211 f �I l: � 4 Ip, (-- ) I �' 0, irl / .-7-1: W ry R� 1 ,� n { IL f 7ti iI W OO r Z W iO LL CL �� Z A CL0 iE LL uf Tt I tit. LI te �` £i I E F E 2t €33Sf TA iz 54"--- 2-1-1:12122.12-6a9-44. .£'EWEI 1Z LU oN ;5 ;HS 0 r `" •, id. caa o a .3 - zS D 3s („ 0f O ,, I G m .U. N N. N 5 ) E I ♦ ), .i PROJECT SET PROJECT NOTES: PROJECT PLAN = } Q. o THIS PLAN5EPROVIDES BUILDING DETAILS FOR THE RENOVATION PROJECT. THE GENERAL CONTRACTOR SHALL OWNER'. !FOULLYINDEX OF DRAWINGS aaf75 VERIFY THAT SITE CONDITIONS,AND DIMENSIONS ARE CONSISTENT WITH THESE PLANS BEFORE STARTING WORK. TITLE SHEET I ; Q AS v WORK ED.NOT ALLSPECIFICALLY SHA DFTAILED C CONSTRUCTED TO THE SAMENATIONALRESIDEN WORK THAT IS PROJECT BRIDGE RV PROJECT SUMMARY 1 P e DETAILED.ALL WORK SHALL BE DONE IN ACCORDANCEWITM THE 2009 INTERNATIONAL RESIDENTIAL CODE AND ADDRESS FLORENCE.MA EXISTINGCONDITIONS NS $ O�p PROPOSED FLOOR PLAN 3 V MASSACHUSETTS STATE AMENDMENTS,AND ALL LOCAL LOGES. ROOF FRAMING PLAN 4 � � BLDG PERMIT' CROSS SECTION 5 ~ m Ea 15 N WRITTEN DIMENSIONS AND SPECIFIC NOTES SHALL TAKE PRECEDENCE OVER SCALED DIMENSIONS AND GENERAL PLOT PUN 6 O ON q$ NOTES.THE DESIGNER SHALL BE CONSULTED FOR CLARIFICATION IF SITE CONDITIONS ARE ENCOUNTERED THAT ARE I dQ Q DIFFERENT THAN SHOWN IF DISCREPANCIES ARE FOUND IN THE PLANS OR NOTES,OR IF A QUESTION ARISES OVER „£ THE INTENT OF THE PLANS OR NOTES.CARPENTER OR SUB-CONTRACTOR SHALL VERIFY AND IS RESPONSIBLE FOR ALL 3 DIMENSIONS(INCLUDING ROUGH OPENINGS). AD Z — E ALL TRADES SHALL MAINTAIN A CLEAN WORK SITE AT THE END OF EACH WORK DAY. 5 P O PLEASE SEE ADDITIONAL NOTES CALLED OUT ON OTHER SHEETS. J :22 1 1 ! presented In any form for the purpose p anabbng or supe rtn9 the work of omply project confadrSwthout the permission of and comeO a�sef o pad b, pC . Eau I, II ".� 1T 1l: I Im1 . . hh x -_ . 7 12 z1 4, AliIIT I A I Ili, I 1 . IMMO Ca: e --13i > '' Eft 1 7 � j li Lt I I t � h r -1 ' "INE--- '[kill III 1 X i I I 9:1' .E. I ..,.1 -Mn I oE. Z `) Z + y v itL____[ k fl�l!i it �B .,4 EZ3 reeve le �` _- d PI 1I IAl 1 I� -13 �� I E!I !IN l ISI � g E. - e�h 1� Il . rn z L. / ,�I� ']y �; Z ,.f I' h eh CPhh H. ill /0 I ill i -a < _ 11 � . ii Q I Z ' el i LOUIS J MONTGOMERY III 277 BRIDGE RD FLORENCE, aAl.E SEE W f SHEETh. UMBER..._ P.O. BOX VSI MA 01060 EXISTING DATE'maws Y'SlLUAMSBUR6, MA 01016 BOULEY CONDITIONS O&nWNBY-sG presented;n any form for the purpose f enabling or supporting the work rcompelle wuroa mmrecterswrnout the Ferns ron r and fomoensamnv m,o ,DGC a,T._. H I . i III 4 ii 1 s, Iss ill ir ': { c t Ihl t , I I I — I1 Gikk la r_ _ [; j_1 c -'1 1 I '1 , - 'i I 79d➢] 6ffijiiiiel : ?�i, I - 1 = f el . �F III,I, '�i I IICI :To': y 73 A ( -1 11,1CP 'fli Vi pi ,;" n i til ? u G 11;! , \II urn x < • -+ 0 ti� i^ } 11 ; � 0 F� �. II \ c5:F '' 11kIII ` _s:1- 9' _ _ _ .- _____ fiCAt}.SfiE@ E'N SHEET NUMBER J MONTGOMERY III 277 BRIDGE RD FLORENCE, MA 01060 PROPOSED FLOOR P.O. BOX 9st wre,a z0,6 WILLIAMBEURG,MA 01096BOULEY PLAN [xwwm arse 277 BRIDGE RD 7\/19` BP-2017-0458 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A- 125 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ADDITION BUILDING PERMIT Permit ie BP-2017-0458 Project# JS-2017-000756 Est. Cost: $16000.00 Fee: $104.00 PERMISSION IS HEREBY GRANTED TO: Coast.Clash: Contractor: License: Use Group: MRJW ENTERPRISES INC 013471 Lot Size(so.h.): 23914,44 Owner: BOULEY LAWRENCE F Zoning: URA(100)/ Applicant: MRJW ENTERPRISES INC AT: 277 BRIDGE RD Applicant Address: Phone: Insurance: PO BOX 951 (413) 268-2028 O W ILLIAMSBURGMA01096 ISSUED ON::10/17/201 6 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD 14X14 DINING ROOM AND 10X10 SCREENED IN PORCH 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 10/17/20160:00:00 $104.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#AP-2017-0458 d+e �iS d 1c_ APPLICANT/CONTACT PERSON MRJW ENTERPRISES INC t ADDRESS/PHONE PO BOX 951 WILLIAMSBURG (413)268-2028 0 n /j„ - fj,QIJ3 PROPERTY LOCATION 277 BRIDGE RD tY)[.ttx"t' MAP 17A PARCEL 125 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLISS ENCLOSED REQUIRED DATE ZONING FORM FIL ED OUTr� a Fee Paid slr San J 4 /e Building Permit Filled out Fee Paid TvpeofConstmctiQru ADD 14X14 DINING ROOM AND 10X10 SCREENED IN PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Stmemre Building Plans Included: Owner/Statement or License 013471 3 sets of Plans I Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: le 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 *emir '.n Delay — y Signature of B 'iirig 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. e EIVEDI f,,;�' -#4,D epa Ifs ani t "S.F 4_ r� City of Northampton Sta, sofpe - sr "* Building Department arlaaL ,ry w- `� OCT - 5 �` 212 Main Street `-.g Room 100 $rirl �,�„_ Northampton, MA 01060 :5', 'ra` ,rux , - phone 413-587-1240 Fax 413-587-1272 .f a cTr _may :, APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION ` 1.1 Property Address t 4. i Threaectiorrm be completed by office.n . 777 tiya< n� ; � �i x Zo e ' Y OaNay-Ols{rie[ !`+' s �>, Sr z14- Y Yt�i EIm SE'OfsYn�� � 3^16+, CB Di tricf� � 4 �� SECTION 2-PROPERTYOWNERSHIP/AUTHORIZED AGENT ': _ 2.1 Owner of Record: L.n.e.ey .Buu/y 277 /S2ryoc.- /Lel Name(P t) Current Mailing Address: /6/0.,ty. - t� ( Telephone 74- Sig t o _re L — Z(7 U iY Z2 Authorized Agent: e?"-'f---1-7 z?f r72 J w tea,Tcnp.tr 70C/ „., 0C/l urs /24s6a-rie// fl6 -4o If 7s/ t✓. '/,--"..-, ' Name(Pn , Current Mailing Address: - ZC. b — Zo23- Sign- Ire Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be " Official Use Only completed by permit applicant _ 1. Building (a)Building PennitFee - 2. Electrical CO L 4,t, (b)Estimated Total Cost of. Construction from(6) 3. Plumbing /V/A Building Permit Fee �y G{/ 4. Mechanical(HVAC) ..o,,, a -t V j z .•o , u PPP 5. Fire Protection -- -. 6 Total=(1 +2+3+4+5) /6. COd . ou Check Number - - This Section For Official Use Only Building Permit Number. Iss Issued: - - - Signature - Building Commissioner/Inspector of Buildings Date P Section 4. ZONING AR Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by toning This column to be filled in by Building Department Lot Size ' ' • Frontage • Setbacks Front i re, Side L:'%U R: y.✓' lit Ri' 1 R: I�. �I Rear 1SO,' Building Height Fir '_____ Bldg.Square Footage I I ; : Open Spin Footage (Lot area minus bldg&paved _i i ! ! Parking) #of Parking Spaces ' Fill: I ,,ii (volume&L)cation) 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 0 IF YES: enter Book l i Pagel ! and/or Document#1 ; B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW O 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 0 NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © 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 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 applrcabte) New House ❑ Addition Q Replacement Windows Alteration(s) n Roofing in Or Doors (71 Accessory Bldg. ❑ Demolition ❑ New Signs [CI] Decks [p Siding ICI] Other[DI Brief Description of Proposed Wart .4 DD /Y Y/✓ ' / m,,arafa 4%4,1 /e W yrCnxvr m Pr.ee f� Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes {✓ No Attached Narrative Renovating unfinished basement Yes t/ No Plans Attached Roll -Sheet ser. IYewaliousciran ,orsaddit[otrtoexis`i • ousrno eompa ei ti,Z .Vowing: a. Use of building: One Family Two Family Other b. Number of moms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number t stones? 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 rank_ City Sewer Private well City water Supply SECTION 7&„OWNER AUT ORIA.TION-TO BECOMPLETED WHEN r-, OWNERS AGENT-OR CONTRACTORA�iPEPLIESFOR'BUILDINGPER5tre” I, w .� {. • ,as Owner of the subject Property hereby authorize $4 4- m- / r4tJz ?••r r 2i •z/lGc:.ir fien.T��.,.�. to act p/�i�my behalf, in all maatterssrrelative to work authorized by this building permit application. V+, r7 "t J 1` ( r A!f„1.--. 1D jn-' / 4. of Date ,..1-7z1.. at- 2nertes,rat/yam ,as OwnerfAuthonzed 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. Parc maitre —. Signature of OwnerlAgen Date SECTION 8-CONSTRUCTION SERVICES {+I 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: Gov/S /7 e , . Tes•,«G a� G/ 3 17/ License Number A 0 /3rY gr/ w //, ,-T-.r /5.-/ /A q//7 Address - Expiration Date signature . Telephone VIII ATdferedf fe eanprirmmmenf.Cbrifraact Not Applicable 0 `Gvx J ✓ ,,,� cite- 7-'-0....-..{y zZL / 73 3- Company Company Name / Registration Number n. G . ✓S0v 6-7/ v/ /7, r //-rc i73Bs/ Address Expiration Date Telephone ZL'i - 7�a� ////-37/ ` SECTION 10:-WORKERS'COMPENSATION INSDRANCEAFFIDAVIT(MGL'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 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,oris 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 The Commonwealth of Massachusetts �, _ j Department ofIndustrial Accidents 4 Office of Investigations > _w 600 Washington Street ` •sm. Boston,MA 02111 "'sr'� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: City/State/Zip: 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 listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. Buildingaddition [No workers' comp. insurance comp.insurance.: ❑ required.] 5. IN We are a corporation and its 10.0 Electrical repairs or additions 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.] 'My applicant that checks box al 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. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: / /t— 42 f rex Z.-a - K -..•A,. Date: /o .f /6- 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 • }`tcr 't�. Massachusetts ( P i Ry DEPARTMENT OF BUILDING INSPECTIONS t. S" 212 main Street • Municipal Building 41' 104 4 Northampton, MA 01060 Jb1y \'�� 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), sonotube holes (before pourLa rough building inspection fbefore 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 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's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location