24D-167 (3) 39 MYRTLE ST BP-2017-1089
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D- 167 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: REPAIR BUILDING PERMIT
Permit# BP-2017-1089
Project#. JS-2017-001856
Est. Cost: $72064.00
Fee: $511.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WRIGHT BUILDERS 084280
Lot Size(sq. ft.): 6882.48 Owner: DWIGHT WILLIAM&ALIDA LEWIS
Zoning: URC(100)1 Applicant: WRIGHT BUILDERS
AT: 39 MYRTLE ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:3/31/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:NON-STRUCTURAL DEMO, REINFORCE
EXISTING FRAMING W/ NEW CONCRETE FOOTINGS, LOLLY COLUMNS & FRAMING, NEW
KITCHEN, REMODEL 2ND FLOOR BATH, ADD INSULATION, HEATING SYSTEM, ELECTRICAL
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 3/31/2017 0:00:00 S511.00
212 Main Street. Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1089
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116)
PROPERTY LOCATION 39 MYRTLE ST
MAP 24D PARCEL 167 001 ZONE URC(l00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid Gy
Building.Permit Filled out
Fee Paid
TvpeofConstruction: NON-STRUCTURAL DEMO, REINFORCE EXISTING FRAMING W/NEW
CONCRETE FOOTINGS,LOLLY COLUMNS& FRAMING,NEW KITCHEN, REMODEL 2ND FLOOR
BATH,ADD INSULATION.HEATING SYSTEM. ELECTRICAL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 084280 //
3 sets of Plans/Plot Plan e(e i 4//c /fNS
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
lenCiiroved 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
- ".n Delay /.
Signe of I ilding •ffimal Date
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
I[ 2 4117107 t Tay4 se°
, Cly of Northampton r '' . M, t 'c + i m '
Building Department m _, .� -
212 Main Street � ,,
MAR 3 2Q17 Room 100 ,,'i - ',� ,. �' 'E,
orthampton, MA 01060
� - phone 41 -587-1240 Fax 413-587-1272 , .+ .� - f,
g'1�",�,� xi �- �y sV �t l sa 't ,fi 1
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
3C1 M i p.m AvF. Map Lot Unit
N O'KTN R M PTT). M A O 1 O(o O zone _Overlay District _—
Elm St.District CD District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: �.... ..
FALL t4 1(oHT - ODA Lao S 39 MYRTtt AVE- o(0e
Name(Print) 2//7 Current Malting Address:
Al �.., i.. :: -IP-1. Tem uta. . 38t
2.2 Authorized Ment: Cm
RO(oER Aai?TF1l 4% -? 1ES SC., Nbt2TNAMPTDt.) NAA Otobo
Name{ // y�
Current M gAddress:
C / / 77 (W'�,) Stib -$tin
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS S i k x -7/1 cern $ 75-1 ‘
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building S Oke ce-513 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
S S Construction from(6) _
3. Plumbing Building Permit Fee
4. Mechanical¢iVAC) $ 7 r'i , SOS
5,Fire Protection c^
6. Total=(1 +2+3+4+5) $ 1a- , O 3
(o`I Check Number 3e s" ‘V5-7/
This Section For Official Use Only
Budding Permit Number _,_ Date
Issued:
Signature:
Buiding Commissioner/inspector of Buildings Dare
Section 4. ZONING AU Information Must Be completed. Permit Can Be Denied nue To Incomplete Information
Existing Proposed Required by Zoning
This tato=tobe filled in by .
Building Dqurmtiw ,.
_...
Lot Size —...._.— , r.
Frontage 7=...�._�..—.1
Setbacks Front _ ,,.1
� T—I
Side litR:i—.... L: R__..}
Rear ' } �- L.—,.._i .
Building Height �J . i,,. E
Bldg,Square Footage — I _i „ ii—i _..._I
Open Space Footage % i '_j
(Iotmm minisbldg a p L i :._J ` u
Perking) . ._
k of Parking Spaces 1 I r _ '
Fill: _ — 1 }
(tante&location) i
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES Q
IF YES,date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW Q YES Q
IF YES: enter Book I- I Pagel I and/or Document//IL 1
B. Does the site contain a brook, body of water or wetlands? NO r•4 DONT KNOW 0 ns Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued: i--- ]
C. Do any signs exist on the property? YES Q NO 0
IF YES, describe size, type and location: I I
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0
IF YES, describe size, type and location: l !
E. Wil the construction activity disturb(clearing,grading,excavation,or firing)over 1 acre or is it part of a common plan
that will disturb over I acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is regrdred.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors rEl
Accessory Bldg. ❑ Demolition ❑ New Signs (DI Decks [t7 Siding[E] Other(CQ
Brief Description of Proposed
Work Morn-5irueiwrnl ci. w..o re-�nkIrca +z*i AiVL5 {w rn4nel w/ v.e,w cmrCt- kwhti.AS .lolly C„1«i33h
[6Y\ e-v+fi l nA+3, rww t, cw.vi , ve rvwcLI Z" H.be.,i{q ced (nsul rt.w b.nci n'-y s1s1-3n-, xe
M vigv ec
Alteration of existing bedroom Yes No Adding new bedroom Yes ^,
chA
Attaed Narrative Renovating unfinished basement Yes No ~tc^"'� cn-c
Plans Attached Roll -Sheet +" co
se 1f New house and or addition to.existinn housing, complete the followiesl:
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?
d. 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. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 R 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 . GH water Suppy
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, LIDA LEWIS * 81LL DIu1CoNT , as Owner of the subject
property
hereby authorize RO(otg V-4177 ft / 1.A3IzJ6HT ?kik k—DEf -5
�to act on my behalf,in all matters relative to work authorized by this buildingpermit application.
�{
1 OSnereriA W> -(� 9 ��51e/7//
re m
I, RDk€R P-\Af2ElL ' WR1bRt RLLILlDF12S as Owner/Authorized
Ageot 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.
RO6CE 42 X77E* 44.1
�J / 7
3/z 4 ( � /
Signahae or Orrtier/`!Agent' t Date
}
SECTIONS-CONSTRUCTION SERVICES
BA Licensed Construction$uoarvisor. Not Applicable ❑
Name oftisanlDEUm7-f.
es Solara c) %r .1- 11.6 1`12-
License Number
L16 6RTES ST NC>w,31r>AM> i N, kth 010C90 3 7n / an1OI
Addre Expiration Date
�
212 7 ,A.4 (4ti)at- 828
SignaluTelephone
9,Reptetwed Hume1mDmvenientContriotdt Not Apptoable ❑
1D1Sato
Company Name Registration Number
1 -�'��. 12-1.0 0) $ ..
Address Expiration Date
Rd v-,Rws ST, NC*I\WAFTON. MA Oto a 9 Telephone(413 YSte (s/K1
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 iscrance of the building pend.
Signed Affidavit Attached Yes ❑ No ❑ ON H L c' s
11. , Home-C ►X�or,tin tjQP
The current exemption for"homeowners"was extended to include Owner-occupied Dwellinea of one(I) or two(2)families
and to allow such homeowner to engage an individual for hive who does not possess a lirruse,provided that the owner acts
as supervisor.CMR 780. Sixth Edition Section 1083.5.1•
Definition of Homeowner:Person(s)who own a parcel of land on which beishe 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-vesr period shall not be considered a homeowner.
Such shall submit to the Building Official,onn a form acceptable to the Building Official,that belshe shot 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 Ao otafd von may be liable for p,.rnou(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 Stam 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: 31 x,44 RTLF RVE
The debris will be transported by: W IRA ,HT BLuL S t u c
The debris will be received by: V.ALLE4 IZEcVeLL&RR uTC-17,
Building permit number:
Name of Permit Applicant 12t,6C12 BU72 1� in 'Rl h Ht Ri, 1 Lo S
3/2Ct /i7 (-?j - D
Date Signature of Permit Applicant
- iA,e ((pt2n '4 e ll u �C-i'L'Gazoaciudee
,.=-_,,„,,,
.
or Office of Consumer Affairs and Business Regulation -
_ 10 Park Plaza - Suite 5170
Boston, Massac e;,.setts 02116
Home Improvement A,,^h.: tor Registration
Registration: 101636
_ r Type: Private Corporation
E>glha6on: 612612018 Tre 419291
WRIGHT BUILDERS, INC. =4,1 - t
Jonathan Wright1 G
48 BATES STREET _
Northampton, MA 01060 t " _..
Lry sve y Update Address and return card.Mark reason for change.
acne 0 20M-05/11 LT Address 0 Renewal L Employment ❑ Lost Card
Office of Consumer Again&BusliW Regulation Lieeuse orrea64 anon valid for individual arc only
HOME IMPROMENT CONTRACTOR before the expiration den If found return to:
Registration: }}(011538 type:
Office of Consumer Again and Business Regulation
Ezpiratlo 6 Private Corporation 10 Park Pl. -Suite 5170
cr, re
IA
Boston, r l•116
WRIGHT BUILDE
l,e_. -1 1 Ili i
Jonathan Wnphl (j'
4@ BATES STREET ' '3-c-'- 4i /411/. '
Northampton.MA 01060 Undersecretary ` of in:.fi ::N, tun
lit Beard of Building Regulations and Standards
License: CS-084280
Construction Supervisor
ROGER S BU22ELL •
217 SOUTHSTREET. � 7
BERNARDSTON MA 01337 -'
Expiration.
jCommissio er 03/ 612019