17D-044 (9) 62 STRAW AVE BP-2017-0795
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Biock: I 7D-044 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-2017-0795
Project n JS-2017-001323
Est.Cost: S 12000.00
Fee: $78.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEPHEN D ROSS 079160
Lot Size(sq. fl.): 5183.64 Owner: BALDI BRYON&LESLIE YALEN
Zoning: GRB(I001/ Applicant: STEPHEN D ROSS
AT: 62 STRAW AVE
Applicant Address: Phone: Insurance:
36 SERVICE CENTER RI) (413) 584-1224 O WC
NORTHAMPTONMA01060 ISSUED ON:12/28/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW WINDOWS & STAIR AT EXISTING FRONT
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 12/28/2016 0:00:00 $78.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0795
APPLICANT/CONTACT PERSON STEPHEN D ROSS
ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413)584-1224 0
PROPERTY LOCATION 62 STRAW AVE
MAP 17D PARCEL 044 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid 301)
Building Permit Filled out
Fee Paid
Tvoeof Construction: NEW WINDOWS&STAIR AT EXISTING FRONT PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 079160
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 Man 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
Airy
/777/C
Signature of 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.
• ity of Northampton
tr B.ilding Department
\<c„C> s 12 Main Street
Room 100
- Northampton, MA 01060
" phone 413.587-1240 Fax 413-5871272
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION SITE -• 'MA • r
11 Property . . ,. /•
,.. e - •�'•f ',t z -) ` 3 iy<.
_ y tr 'Sr yu,$
`01 S t •P • tC�1 Jv� M ,` _ k Yyk A
-ORpce NVt 01062. ZCne _ t` �
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2,1 Owner of Record:
Be1AP TMUI #/./b1_ WY YJ.LEu to ST 4J Attt-tom
Name( �J,/% Current ailing Address'
. (i�i !/ Telephone
oignature
2.2 Authorized Agent:
STS VI{- N a . RO4S GevL CaJI✓TR. 9D S UIC— CTP poly
Name(Print) ' Current Mailing Address:
o' 44-122 . 5-, 4' • 122 -
natu Telephone
SECTION 3:-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building l ,, COTO CAL (a) Building Permit Fee.
2. Electrical Set)- w (b)Estimated Total of
Construction from 6f
)
3. Plumbing — — Building Permit Fee
4. Mechanical (HVAC) Q
5, Aire Protection
6.6. Total=(1 +2+ 3 +4 + 5) 2—/on, �cr Check Number 4tQ f j
This Section For Official Use Only
Building PermitNumber: Date Issued:
Signature: -_
Building Commissioner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
��
S3°"417 AC-PotAC-PotA)0CAAA/CE-
Frontage
Setbacks Front 7..8'--7° -co ca.wb Z% - -?" To ci-45
Side L: N`[,R: FJ/e.- L: R: Al/L
Rear NO CA4AtiC&E N() (ffA&C.E.
Building Height uo c*A&io /.JC7 Gkkecioab
Bldg.Square Footage z Li Orp % Z475or
Open Space Footage % 52m/ yy
(Lot area minus bldg&paved q"(GZ 0 4686 Ode
Ping)
#of Parking Spaces
Fill: OAJ NOKJE
(volume&I oration)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X 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 X 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 NO
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:
'ECTION 5-DESCRIPTION OF PROPOSED.WORK(check all applicable)
New House 0 Addition 0 Replacement Windows Alteration(s)B1 Rooting 0
Or Doors E.
Accessory Bldg. 0 Demolition❑ New Signs [ I Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: ( eAfii WAkI OA'e hn.A ST/to /C-t- t-Xt9ttr--'4 Fern r Po F-c-ii
Alteration of existing bedroom Yes X No Adding new bedroom Yes )C No
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll U- Sheett
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?
a. 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. Mascheck Energy Compliance form attached?
Type of construction
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 AUTHORIZWTION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, f-`f )J kbAL-Dt ,as Owner of the subject property
hereby authorize �T�:fl L) D. P-0S5 , GFl,.1~(GAL CUNT(f-ACTe P� to act on
my behalf,n all matters relative to work authorized by this building permit appli ation.
Signature of Owner Date Ij
1, sT tPt{+c1.1 Poet ,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.
ti
ST PI-te P. ?oe.S
Print Name /
-!iature(Owner/Agent ( Date /
SECTION S-CONSTRUCTION SERVICES
1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder sePN - go 65 7 (li / Q
License N tuber
3c, 6ER C C—Ev3TF-e- 12-0/1,7) L./ l ?
Addr-ss Expira ion Date
:!�/G D 4(92- S84- \ 4-
:i('nat i Telephone
-+c:','; Not Applicable ❑
Site.0e .) . 2os5 Gtn.; WiLneh-CT02 i S.-U 8 ti 7
Company Name Registration Number
(c, sL.evlcc eeAJ—rue- -OAD � /
Address Expira ion D to
Telephone "I?2 d"
SECIWN 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 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,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
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: (o0Q S iRAuj &"JE
The debris will be transported by: C°P61evCj 1 P�
The debris will be received by: VALLEY P-t✓Cra-Inc.
Building permit number:
Name of Permit Applicant Si c 120x5 � - C CQkr ?,
Date Signature of Permit Applicant