07-019 (5) 326 NORTH FARMS RD BP-2004-1036
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 07-019 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Category: BUILDING PERMIT
Permit# BP-2004-1036
Project# JS-2004-1560
Est.Cost:$8400.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: David Johnson 055903
Lot Size(sq. ft.): 174240.00 Owner: LOVETT ROBERT N&IRENE M&
Zoning;RR Applicant: David Johnson
AT: 326 NORTH FARMS RD
Applicant Address: Phone:• Insurance_
P 0 Box 390 (413) 268-7389
WILLIAMSBURGMA01096 ISSUED ON:4/29/04 0:00:00
TO PERFORM THE FOLLOWING WORK:PORCH & SILL REPAIRS
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: L 1=S i��
Rough: Rough: House# Foundation: N
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupan �� Signature: _
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 4/29/04 0:00:00 141.5 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
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File#BP-2004-1036
APPLICANT/CONTACT PERSON David Johnson
ADDRESS/PHONE P O Box 390 WILLIAMSBURG (413)268-7389
PROPERTY LOCATION 326 NORTH FARMS RD
MAP 07 PARCEL 019 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Mt)
Paid �T�) MU
TvpeofConstruction: PORCH&SILL REPAIRS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 055903
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOJRMATION 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 Co 'ssion
74100
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.
tzsi
City of Northampton s. p . , 7 ` > >•.
mMing Department
; f d , la_
g
21112 Main Street
Room 100 -`t L. S ; 4-- ,,: , ;,
APR 1 6 2DClbrthampton, MA 01060 i
phone 413-5$7-I240 Fax 413-587-1272 1.“,:„.?“zrt-yt., r ° p 3 i,
APRL OTTON TO CONSTRUCT,ATTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
2.2 Proce Address: f. `,� "+ .� ,£,_ a -by Officer� e
3�.G 1)rn rtln 7-QvmS Rc{ t 147 1 ,z`"E ' Sfid•
Fic,r eLnc. r m 4 -J OFer�y D�stncT_.
"Ehn to iO#ct" s, wCBDisdid
SECTION 2-PROPERTY OWNERSNIPIAUTNORIUED AGENT:
2.2 Owner of Raton.-1..ro,n ¢. -C1Ve'�f ♦ese Fi r .. .. - - NIS}
Name(Print) Current Mailing Address:
&nature Telephone !. f �
2.2 Authorized Agent:-- V 7
IJ Avi'ol J I1.nj'o^ sI :_�. �e �'/i . -. .LA Ili •/d 9.
Name{Phri,nt} �J Current Malting Address:
. -ot i,,,_ae..... „.)-(et 73 8'9 ._
Signature Tie
SECTION 3-ESTIMATED CONSTRUCRON-COSTS.
Item Estimated Cost(Dollars)to be Official Use Onty
completed by permit applicant
i. Budding -:(a)Building Permit Fee
2. Electrical @}Esiin atad Total Cost of
Construction from(6)
3. Plumbing Building Pe
rntitFee
4. Mechanical DIVAC)
5. Fire Protection . .
6. Tatar=(1 +2+3+4 +5) r//1a/ {heck Number / � 4,
•his�7 Section For:Official Use Only
Date Issued:
Building Permit Number._
Date
Signature: _
Building LommissionerJinspector of Buildings
•
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 0.yarmcnt
Lo Size
Frontage
Setbacks Frool
Side U R:_ L: R:
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
II of Parking Spaces
Fill:
(volume&tocaSm)
A. Has a Special Pennit1Variarlce/Rrding ever been issued for/on the site?
NO DONT KNOW_l 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 ✓ DON'T 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:_
•.e�k.. 1'y"fiTL+
C o iTPs -r-73ai ¢ .<:Re ®� p'cp cael
.,
ti.' r s . Rel r. ..v. ah fiE ,u% .e, �'-s'M.- :'ry x . ,.
New House ❑ Addition 0 Replacement Windows Alteration(s) B Roofing 0
Or Doors 0
Accessory Bldg. 0 DemolitionV Newe�L Signs [ ] Decks [ ] Siding[ ] Other[
Q
Brief Description of Proposed Work: Sec .rlet C (ted 51/1 Iferre 'S n( rw, Ie�orzt
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative U Renovating unfinished basement Yes No
Plans Attached Roll O- Sheet❑
--::]dir!dagaNNTAni;07AlfditT5h1oe" istinirha¢stttnel Ti`e' a11S int
a. Use of building: One Family Two Family Other
M 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?,,,
1. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
I. Is construction within 100 ftof 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 .
L Septic Tank City Sewer Private well City water Supply
'S6'",*llb Fi�WNE QRJTATION
TO Bp CDNIBI TED Wal ,
0 AC$'OR A° PPL'3ES TOR BDILD1NG 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
A✓r&I U:ak,nspa-s , 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
v-ry—`hri
Signature of Owner/-'tent Date
5€CT10N 8 .)ON51 U_C-TION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : 64.-lo( C�(ekNdtl,n CS-S-903
License Number
Po. Box 39cj tut-1i ar p5 c IviA Aron, to 19 04
Address Expiration Date
$-. a-Cat73t9
Signature Telephone
'42 .,),leagg-'ut rl=Con . LSM- Not Applicable 0
.111 r C. /03 Loa
Company Name Registration Number
P0,(Aox 390 G(li ii/ow ku tL-9 / t 3 4 O/096 7 - 7- 6'I
Address Expiration Date
Telephone r}G t 7389
SEctl Bio ,"TOkERS.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
....: ctill 00e/1 eir m VIs,¢ o
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
(7•
KtNHPT
• ,:3' 4c:A
� Uxtiryr E�f �tYi•t!}at11}ttonT)
..„.niking
DkPARTh1E[d( OF BUILDING INSPECTIONS '�'
212 Main Street. ' Municipal Building �
Northampton, Mass_ 01060 "urn
WORKERS COMPENSATION INSURANCE AFFIDAVIT
(licecf.P rC.mosc,)
wit h a principal place of buscesslresdenc.c ;.r.
1-/i._ 8n-or- oat _ 114 s&A,.. 1Oi4..-- (f; )c ) oma_-CiF.738Q
_.
do het(thy aeras. , r .xler siva ptdns and p,-I t ,1;pt:s r y :Lr_. -
( ) I am an employer providing the ollc,.:i; _ a:orkcl's com.pc7s tion coverage for my
employees worzng on this job-V
- {Lesueua.Company) (Pe ;Tia }x:) +`^s.{>iraan Dare)
( j I am a sole proDnetor, general cOne7zcor er hocteowrer(crag one) and hove hired
the contractors listed below ho hzas2 the t wotkefs comp n$ Of f n&Cies:
(Name of Con nae annunincni l r .-;Polic. Numb_.) crununimiion, D_atc?
(Name.of Contractor.) u"suranc Co _ ,' .op , Number) (Di,N. Dare)
(Name of Contxac.or) (tnsunne a ,aPol 4 timb.N) N.'>= Date.;
(Name of tat uncini —
finsurance l v.uyioL +L'uv'tooi (F.O;T:O:-.OXn
fX I am a .;ole opnePs or.c Corse
( ) I 211 a home cv,'ncderftbadott +!t ., ysolf
not icon th_o throe ate_,4. zC tronnonty . '.)M
c_oployca%in:tn.:No toodorn. .{f,:.....: tZcctrrarr F t corm u l _3C .p'r_ - s.<...
1.sal naaa off cployar widest U'eric,C ..tion...c
I node-nand Inn a copy o(N:a'tatonnt=envy to EnV..dsdt�:'.l J:twuvn of Iran=n;non-noon'O C'of ±=for t><
covmp n iflafce.Mthn foilwc to raft connon.u.4o:;cciar'2SA oMOL.1.52an§.dwO> innon]tim
<tanning of a Cor of up to Slott°.00 nu:vn _sem.__ofzpvcon'fon n:dmilp'm1Ga;t, ccca ott Ctc 'n4.On'r_ trda
Iir ofa0000a my a,
/} rce dnonorn at,-
brrr
5is.uAturt of 1 t cJI runty :
Y
ep e
ctuGitp of Northampton
B nib/ ri �auaa�nuartta i �'
DEPARTMENT OF BUILDING INSPECTIONS '3€rf:
INSPECTOR 212 Main Street • Munieigrd Building
Northampnm,MA 01060 _ a
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 78OCMR 10$3.4 to
act as his/her construction supe:r'.sor. 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 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 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
I, 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
NORTHAMPTON COUNCIL ON AGING
s-fir_
�lilll iLChIIIlQnlli� Memorial Hall,240 Main Street
'n Northampton, MA 01060
m �'. TEL:413587-1228 FAX: 413 58 7-1 233
BID SPECIFICATION
Residence: Irene Lovett 584-2335 May 12,2003
326 North Farms Rd.
Florence, Ma.
Inspector: Bill LaBombard
Office# 413-587-1230
Home# 413-498-5856
Cell# 413-210-5856
STRUCTURAL and SILL REPAIRS
1. Provide temporary support of the South side of the main house while repairs are being
made. Remove enough of the siding to expose the sill, posts and wall studs on the entire
South side of the building up to the windowsills. Remove rotten sills and cut away rot
from the bottom of the posts and wall studs until solid material is found. Make any
necessary repairs to solidify the existing foundation and replace any insulation removed
during demolition. Replace sills, support studs and posts with pressure treated materials
to form a new solid base for the wall. Replace all sheathing, siding and trim removed
with comparable materials and finish with one coat of primerto-be.ready-for finish
painting. Finish painting to be done by owner.
The owner will be responsible for trimming or removing the existing shrubbery.
2. Provide all necessary permits and properly dispose of all demolition materials
3. Provide and replace the cellar window on the South side with a new one with a Pressure
Treated frame andprimedsash Include all work necessary to secure in opening.
4/2303 �,��� o
Please respond by: @4C�`V �
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Authorized Signature: .1Cani
Comoany Name:
, 1
•
--' --c--� --- NORTHAMPTON COUNCIL ON AGING
inl OillElli0 ill Memorial Hall,240 Main Street
Northampton, MA 01060
IA I •
. TEL: 413 587-1228 FAX:413 587-1233
BID SPECIFICATION
Residence: Irene Lovett 584-2335 Aug. 4, 2003
326 North Farms Rd.
Florence, Ma.
Inspector: Bill LaBombard
Office#413-587-1230
Home# 413-498-5856
Cell# 413-210-5856
PORCH REPAIRS
1. Support the existing porch roof. Remove the windows, siding, decking and framing and
dispose of the debris properly. Rebuild the porch framing with adequate supports,use
pressure treated materials. Provide and install new Mahogany type(Miranti or equiv.)
T&G flooring on the entire deck surface. On the right side of the porch a batten type
door must be built over the cellar hatchway and this should blend into the new porch
decking.
2. Build and install a new stair system of Pressure Treated materials and include a handrail
on both sides. Treads to be 11"-min.
3. Support the roof with new 4x4 posts and case with 3/4" pine. Build and install a new rail
system using 2x2" balusters, approx 4" apart.
4. Enclose the bottom of the new deck with privacy lattice and trim with P.T. materials
Please respond by: 8/21/D3
Authorized Signature:
Company Name: $ * 0 -
/
13. COMPEN.SA TION That for the consideration named herein, the CONTRACTOR proposes
to fiernish all the materials and do all the work described in, and in accordance with, this
Contract for the sum of$ Eight Thousand Four Hundred Fifty Five and 00/100 dollars
Upon completion of this agreement, the PROGRAM will provide a Deferred Payment
Loan not in excess of$ 8,000.00 to be applied as final payment for the completed
rehabilitation work. The balance of$ 455.00 shall be paid by the OWNER(S) to the
CONTRACTOR.
14. EFFECTIVE DATE OEAGREEMENT. This AGREEMENT shall not become a Contract
binding upon the parties connected until these parties have properly signed this AGREEMENT
and the CONTRACTOR for the respective deferred payment loan has received authorization to
proceed.
IS All contract prices are final They are firm quotes, not estimates. No changes will be
allowed on the work as bid unless authorized by the PROGRAM
16. ALL CONTRACTORS agree to abide by the Material and Performance Standards,
7 c /,
... of a m:✓ lyl. AC11/4 3 -,2 3 - GV
Owner's Signature Date
,
er' ignature Date
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Owner's Si to tore
I,48n r Sig 'lure Date
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(Owner's Signature Date
ner's Signature ®®� � ���� Date
C' ,e•,•etor's 5,,rt1• -ref Date
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a.� / .4 d /76-Dy
rector—Council on/n Date
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