Loading...
17C-064 (4) 167 CHESTNUT ST BP-2017-0953 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-064 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# B P-2017-0953 Project# JS-2017-001560 Est. Cost:$60000.00 Fee: $390.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DOUGLAS THAYER 107699 Lot size(sq. ft.): 14984.64 Owner: DOUGLAS THAYER Zoning: URA(I00)/ Applicant: DOUGLAS THAYER AT: 167 CHESTNUT ST Applicant Address: Phone: Insurance: P 0 BOX 60322 (413) 530-4785 0 FLORENCEMA01062 ISSUED ON:2/17/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATION OF HOUSE 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 It 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 2/17/20170:00:00 $390.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Filen BP-2017-0953 APPLICANT/CONTACT PERSON DOUGLAS THAYER ADDRESS/PHONE P O BOX 60322 FLORENCE (413)330-4785 0 PROPERTY LOCATION 167 CHESTNUT ST MAP 17C PARCEL 064 001 ZONE URAL 1001/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST .;NtbQSED REQUIRED DATE ZONING FORM FILLED OUT 9(�� Fee Paid ���}}} /t rut 1 Building,Permit Filled out t (! i Fee Paid !!!/ TLypeof Construction RENOVATION OF NOUS New CNnStrucn Non t on to E interiortrenovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 107699 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INti1RMATION 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 Comrnission Permit front CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolitio• it la • ore of Bui di •f- ial 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: Building Department Curb Cut/Driveway Permit • FEB71L)il 212 Main Street Sewer/Septic Availability Room 100 WaterNJell Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office IG 7 chicA,1 Sf Map Lot Unit FLOWV 'tf M /) 0?0 C a Zone Overlay District cl Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: '7'� ,(/ //' Do cja, / 'Ili e, Re i7OX /o 22 Name(Print) JJ ✓ Current Mailing Address: t* Yrt 53o v7�S Telephone Signature 2.2 Authorized Aaent: Name(Print) Current Mailing Addres ) Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (�^ (a)Building Permit Fee 2. Electrical (f / Q0,10 (b)Estimated Total Cost of U, Construction from(6) 3. Plumbing (/ Oct) Building Permit Fee I () V 4. Mechanical(HVAC) ( 5. Fire Protection .y 6. Total=(1 +2+3+4+5) 60 Check Number 627,:227,7,2? �� This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House l l Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs Ili Decks CI Siding CD Other[q Brief Description of Proposed ,o I t1��, Work: VC P1�p rdeg1`LM O I lYu>/ Q Alteration of existing bedroom Yes 7t No Adding new bedroom Yes /k No Attached Narrative \ Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building:One Family X Two Family Other b. Number of rooms in each family Niit: Number of Bathrooms . Is there a garage attached? I 0 7 b t I d. Proposed Square footage of new construction. G K I Dimensions O k 12 e- Number of stories? I a \ 1 f. Method of heating? RO wA+tg Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. 1,`fe 5 Masscheck Energy Compliance form attached? / h. Type of construction Old / Fs 3 i. Is construction within 100 g.of wetlands? Yes X 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 X Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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 11111111111 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. D2u51a5 -thq� Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage % Open Space Footage (Lot arra minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW 3 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW 0 YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 15' 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 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 l� IF YES, describe size, type and location: J`''� E. Will the construction activity disturb(clearing,gradin excavation.or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: DCCty I&5 �1Q` e J t/ License Number ?o &o> LQ3ae Address Expiration Date er r �Clucuf J ' A Go() Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 ureJas That179095 Company Name '1 Registration Number ��� 6 A0'27 � 6/1a Address Expiration Mae lV✓Telephone /q- 574 / (1 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 0 11. - Home Owner Exemption 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 10835.1. 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 assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and 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, 854, 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, ass defined by MGL c 111, S 150A. Address of the work: it 7 PAapha7 The debris will be transported by: ! /Igga 5 1 7 h ab> The debris will be received by: 11111)5J ?Pcjrf l _ Building permit number: Name of Permit Applicant iJOuc,la 5 7j u , ��(7��C 42 ( J Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/die Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orguniaatioruindividualy ji d a e ,i _ Address: Pe 670'x 6G i a a r /Orem 14 A 0 jd fJ City/State/Zip: Phone#: Y(1-- S2C0 -771$ Are you an employer?Check the appropriate box: - Type of project(required): I.0 I am a employer with 4. ❑ I am a general contractor and I 6. ®New construction employees(full and/or part-time).* have hired the subcontractors ��r}{�t i am a sole proprietor or partner- listed on the attached sheet 1. ❑Remodeling `chip and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp. insurance comp.insurance.: required] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.r]Roof repairs insurance required.]t c. 152, §I(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.) 'Any applicant that checks box at must also fill out the section below showing their workers compensationpolicy information. s Homeowners who submit this affidavit indicating they are doing all watt 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 dm sub-contractors and state whether or not those entities have employees. If the sub-contractors have employes,they mutt provide their workers'comp.policy number. ...� .. . ..._ .... _. a 7 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sire information. Insurance Company Name:_ Policy 0 or Self-ins. Lic.is 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci under the ns and ofperjury that the information provided above'.trite and correct. Signature: Date: I / Phone$; - ...__ ..,. __ ..... ,__ —__ — 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#: 4 cc¢,.r,., v . . 1 .. . .... . . .......r. ..... Massachusetts (� ) DEPARTMENT OF BUILDING INSPECTIONS i.Y -j 272 Main Street • Municipal Building —..` Nor tharrpton, u 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner 77 HOME OWNFREXEMPTION ACKNOWLEDGEMENT T State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her onstruction 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 Dour).a rough building inspection (before work is concealed). insulation inspection(if reauired)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 #/droVe Vela s leccuir7 Qwd, l' a/?/7 oi 167 /CP/e-e, /e24r'e yofec4 a al sVvete /mr al 1 �' L1P5}nut City of Northampton BuildingDepartment 11 01 eViCe it/ A Plan - PlaReview 212 Main Street Northampton, MA 01060 7\ A Bt K-411I CC � if cn;51inq Poo, ij o a c J I to?oS{ak 1 4, porch 501 add � o� Chestnut 7 0 �ea� _ Front Street Lai Lne5 sir � t _. \' E>;5i;x� to Dr;vevt," Gaoae V V V. Porch lc 4e t Aces 4 Ba Se✓NPY1± - 1.1 - -- eXi S-11 1 Chestrukk Li7 Crawl Space From F t Q-roeNa Level ay ' \,J.lk aol Iron-1 PorA 1 z?®SEl( 131,rk K ?I 5G We 9 II „We ck I 1,7 s • K , Q`, 9r y Vd - � oS r ---r E 1 ] >voli w�ori to \tP1-i A.4,,00 �� !1'-{- p ck" srnopH M M 11 -aN ,>l,o�, — m �xh L ., , ,ao h L o v„od I — on t_uo,j co ipui OS;.nks?x311oLS 4l MaN • Ate- , C cep\ a}p(psUT o4b0 Av`� • , Re aiodS s _A 003 d)o(CLZ, e tMnJ7 V i r u � SMop � SI(lad , 1 n -'4 4 1 Al .6 S int 5aL1°IAD q 4211.44S a U 1 L9 l ---- / looldoa 04 as ©d oa 4 r *ih� ' q^t°"°s „hi 4sy ool V"VCJ ' IuflAOSne cloy ks,x3 cyao4 K 6 ---?1 15 t Floor 4 q 4� Ex; s�on un cordNkohes i • ` 4 iI _t �- T Upl (�NC�OSfG< 9Orf� � Cooq�e� 6 7 ne5+nwt Tra EnclosP� \11 Pet" p ) urcondi },ona ROO 0) Pire 5' - iO o o �( ay' x�' I a� T . u' §1 .514'X,' II' x1 I " aI t - _ K ue g` to il G' I ju-\)'1 EXlSt(ir ) Covekke( ir 1201- N0 I ch J � 5 + F100N— X e+w - ro po 5 ecL Cove ecl l t i ' _f (moo°) UP r _ __ �. t. 1 7 (lies-kat- ? ' hesfra� ?ovcn JA I 1 / — It coni;bona J� �r he O ° Iii �- L uNcaid<i?,d r J ' povch , Ic�-tclleh Ptt �p L v,r� . n : Ail \D'irrin 5-6\ts 11' x 1 0 0 Ya 1 0 Re'plecevMertt n s %55 WA t . . .,,r ._ \' t __. . _. ._. 4 NE;Sht. Tvov^'c G £ FI A 9o1' G g ?" B `�rP 6 6?Y" N ay" c dr i 90" CD XVII E V " c 9,Y ° F1°" K 6F )'\ G EXis l COvevett 7 �� porch 5 aX �" IG oc / St /' 0or IG— s,st 9 In 6,5 +,4) 0216 14'1 9d5 eei Trot) 1oi5f5 rrawf r ✓lo 0 g f5 Al' t up ' I 67 CChes+n t w Sox. +u 4' PI', 1 ` 4, Flared, ad" Pg I jo‘5} Mase A �6 0° r I T' -t .1 _ L ^ ` p irct- New covered. 1 - ,�''u' ^47 A Yavc\-\ 17 ' 4 a x JoisI- --f- - G„ o 1 — 13 gx to Dauhle 1eam5 \- ; 1 . 4 , Point (Oac,( Lv` d,5 to 0u4R0.+:.o,-, 5pft Zeck 13) Ei-thee`r 17 ) t.0,,3U 131061A IA l PI1N103C 16 7 ( 145thai iY16 (51 t13 Sty 3p)s 5l ExisiiDvwaII � i Xs Tosrlatton 1 �V ©Sj F; hey lass S ?C�i 0✓� Cr o 5 5 /� Hoar Assev, b� 7 SPdfitovA GG 11 r C C X�SI n ) �a5�nry and Float II 2 X S P -Ini, La t;a a J __44 7/- p ) '' . ( Far(d ISO ro' i �1 ' Fran" iw� N,;417 1 40106 50 riefweeo f(Atir ixfr WIY F*;sic�� mud i � r� Fxpand n Foan Fu voce In — ``00m a,IFw kAclien �diFIr _ Ex;s A) Led)e. No T Ovc Y 1 Wal /7. "� .l Led) s /� a �'�3 YC /` To Con AnC�0'r$ . f n A) -.--___________ThC7 1ll / X6 .r Basev emi ��Pde C spray 04m JOIAI5 ------'-N, o t dc ToY6" 1Y Sono �� J , .- / ta *Q.. �y56 C n tlaSonn y. s-At wh F � XiS�inq / i✓ia - + r£ i c layei /C J l , -- • i O l - — Ratl� C} QYI I('�I I 1 D l' 1 I t\ - Ate~ I�P(714CP YM(N I 1y 1 W,�MAows —lJ B��oom C. II �J nn 1Jo,t� A io �4x �;1� . ?ep)ne Doors 4J n� +riwi X11 ID ' �' A • Re paint walls ' ail ey\cite Tnesid 0 E'kelt;cal uPgr°Aes \\I , Aaow 5 c ° Add hlJrdnic (VOA law,a< hea+� G �jF�cc�iM it I Ba se Wind° 'N erectl` MO' closet Rood l /{ce4 Oeii-ht it oN Floo rI y 7 A I ' C'hesfivIafi 13 19t° C- 48° 0 30" 50" -Tempered (&41h) • I 96"