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17C-319 70 CHESTNUT ST BP-2017-1276 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 17C-319 CITY OF NORTHAMPTON Lot: -OW PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2017-1276 Project# JS-2017-002124 Est.Cost: $3500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: DAVID CLARK 000635 Lot Size(sq. ft.): 11979.00 Owner: CLARK DAVID M Zoning: URB(8I)GB(20)/ Applicant DAVID CLARK AT: 70 CHESTNUT ST Applicant Address: Phone: Insurance: 16 SHEFFIELD LN (413) 586-4347 FLORENCEMA01062 ISSUED ON:5/11/2017 0:00:00 TO PERFORM THE FOLLOWING WORK BUILD DORMER IN EXISTING 2ND FLOOR WORK/STORAGE SPACE ATTIC 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 if 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 5/11/2017 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner • File#BP-2017-I276 ��� d�U APPLICANT/CONTACT PERSON DAVID CLARK 4 ADDRESS/PHONE 16 SHEFFIELD LN FLORENCE (413)586-4347 PROPERTY LOCATION 70 CHESTNUT ST MAP I7C PARCEL 319 001 ZONE URB(81)/GB(20)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT .AV�I\ r/ Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: BUILD DORMER IN EXISTING 2ND FLOOR WORK/STORAGE SPACE ATTIC New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000635 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: I 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 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 40k Contact Office of Planning& Development for more information. �-;De omen -Dnl City of Northampton Building Department (eyi a n + Su M1 212 Main Street ,v .� + _c Room 100 ,4" /, Northampton, MA 01060 N1• a. Fr phone 413-587-1240 Fax 413-587-1272 J PPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING DL SECTION 1 -SITE INFORMATION 1.1 Property Address This section to be completed by office rj Cr1E51 tV VT ST BEET Map nl.�r. Lot $/q Unit F Lo R e RiC:.E Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: DAV ID CL h {y K ?LCC .EIV('.E MR i(o 5REFFlELD LAniE 01062 Name •rint) 446. Current Mailing Address: f - 14i3 6V. - 4 3 q7 Telephone �1 Signature C` \ �/9'Ili/: Oove_ciark 03e36 9 Mal I.0M 2.2 Authorized Agent: IL SHEFFIELD Lat-ic FLeRENCe 114 PF-Un ) rc A-nt 01062 Name(Pri .. Current Mailing Address: t1" 1 -413 - 584.- 434' Signature 411o Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only °citric R completed by permit applicant 1. Building FRAM Y 4 3 500 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing _ Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection / 6. Total=(1 +2+3+4+5) $ 35 eo Check Number /,�q�7 [/'y This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date � On +llLphmh ;s Ws/ 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 tilled in by URg Vftt3 5a,wC- Building Department t5R+`4E _ _ __ Lot Size EI. �f?OQ_ i r ._ __ — ____J — Frontage L— _ ___ --� Setbacks Front ac1I i I L Sn.ie I_---1 ao SU1Lmus Side L:La`'-J R:i_ a7 L:C ] R: .._...- I I-�I sr_l a Rear niE I+ L-J Eli i Building Height FM MIS r----r "'a- r-11 seen“ Bldg. Square Footage % ss I"" _ LT FXts7 $45004 . r_—I _ �� C__i I___ , 0o p" Open Space Footage % SrtnF „ Y !- I O f E fd i -5o96¢ parking)t area Rag,nus bldg C� 3i �_-J J SPAc-5. = Jrlo/ _ o Sams. __ ‘y 0 4cN ° #of Parking Spaces —�--� -- �- ov' - .Pace., Fill: r mosQ II (volume&Location) ---- --- — A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW ® YES O IF YES, date issued:( ---- 1 IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW O YES O IF YES: enter Book r J Page — j and/or Document ft. — B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Mor APPcicat Le_ Needs to be obtained © Obtained © , Date Issued: f C. Do any signs exist on the property? YES O NO IF YES, describe size, type and Location: L -- _ D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and Location: r — -- — : E. WII the construction activity disturb (clearing,grading,excavation,or flying)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO ® N„,,- Ar PLICA LS IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Ay.A. C],r-, • SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) pottoi CP. Pfl nrIWL New House n Addition ❑ Replacement Windows Alteration(s) ® Roofing Jr(, Or Doors ® PPR Ile ft. Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C Siding Io] Other[0] ✓ ., Brief Description of Proposed Sul L9 pa(a MER W ExiS r1NG- SECCNbAVJCRK - S TCPPAG-E SPACE ATTk- Work: PLc.;a Alteration of existing bedroom Yes )C No Adding new bedroom Yes X No Attached Narrative (Yrs Renovating unfinished basement Yes A. No Plans Attached Roll E Sheet) Sa If New house"angfor addition to existing housina,complete the following: a. Use of building : One Family Two Family )C Other b. Number of rooms in each family unit: y Number of Bathrooms I c. Is there a garage attached? 1 ES Nb NCL PLr.zp, ru-Sr RR1'S wG- Rucc- d. Proposed Square footage of new construction. Pcc 1-A&E Dimensions Roc F( oo t.n e R 15 lb-pc aM e. Number of stories? SE-Et. D FL040. pocnrA f. Method of heating? AlC H'E pr N rH-i$ A-rrtc Fireplaces or Woodstoves No Number of each NOJc g. Energy Conservation Compliance. N. A-. Masscheck Energy Compliance form attached? 74A' h. Type of construction x t. F rz A H E i. Is construction within 100 ft.of wetlands? Yes S. No. Is construction within 100 yr. floodplain Yes X No j. Depth of basement or cellar floor below finished grade N A k. Will building conform to the Building and Zoning regulations? )C Yes No. I. Septic Tank City Sewer YES Private well — City water Supply YES SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT D AU t D CLARK ,as Owner of the subject property hereby authorize DAV ID CLARK to act on my If, in al - . - s relative to work authorized by this building permit application. ,�• _•, 4-9. 17 Signature of 0 ner Date I, DAV if) GLA R K ,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.// - DAVID CLARK Print Name D4Ufl) CC_*RK 4' 4 ,+ Signature of Owner/Agent Date • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: DAVID Clq .K Ib SitErr IG LD LIJ• License Number FLe Anfce- MASS 0I Obi 000G. 3 5- Addres Expiration Date 1 —b— i8 — I 1 -413-5�6- ti39'7 Signature Telephone Emar'r• govt clack 0303 @ 5 ra o. f , u>n .9.Registered Hemedmorovement Contractor. :I , ". r f Not Applicable 0 D (}VI O c-ARK Company Name Registration Number CLARK Corsi 5 ! RUctIcNU Cb I-"1 PAN-IIN13oZ3 Address lb $1+ E F F I E L-O L P rJ E Expiration Date P LOI� EniCE n was 01661 i413-5&6439'1 6-4 �3p+$ Telephone — 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. Plc( r7a Pu CAS LE Signed Affidavit Attached Yes 0 No 0 ll. -Hoiime.Owner Exemption The current exemption for"homeavners"was extended to include Owner-occu N ied Dwellin•: of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a lie' e,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/ -- resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detache. : ructures accessory to such use and/or farm structures.A Verson who constructs more than one home in a tw N.ear .eriod shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a • - acceptable to the Building Official that he/she shall be res I onsible for all such work N erformed under the bui • N ermit. As acting Construction Supervisor your presence o. ejob site will be required from time to time,duringand upon completion of the work for which this permit is ` ed. Also be advised that with reference to Cha.-r 152(Workers' Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting '. i•eath)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for yo • der this permit. The undersigned"homeow.- certifies and assumes responsibility for compliance with tie State Building Code,City of Northampton Ordina ' , State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowne 'Ignature ALL - ntrA, • D,C The Commonwealth of Massachusetts Via= Department of Industrial Accidents =gill= Office of Investigations '' 1 Congress Street, Suite 100 i'MmiltBoston,MA 02114-2017 � www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): D Av t 0 CL ARK 1 4, SHEFFIELD LANE Address: F r_op. Fit CE MRS$ 01042, City/State/Zip: Phone#: t-4 t3- 58m - 434`1 Are you an employer? Check the appropriate box: Type of project(required): I.❑ 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 Do a in c¢. 2.1'C] I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance? 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.CI 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.D Roof repairs insurance required.] t c. 152,§I(4),and we have no employees. [No workers' 13.11[ Other comp.insurance required.] *Any applicant that checks box#1 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 andjob- information. .— Insurance Company Name: /' Policy#or Self-ins. Lie. #: xpiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compens. ': policy declaration page(showing the policy number and expiration date). Failure to secure coverage as r-•.L -• under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 ••_•.r one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$ !,i t a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of • Igations of the DIA for insurance coverage verification. I do hereby c und- , •0 0 nd penalties of perjury that the information provided above is true and correct. Signature: / — tab Date: r-4 ' 17 Phone#: t . 4t3 -S $6 - 4347 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 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: 70 cuEST Nui CT' FLA', REF., nA 0ioc2_ The debris will be transported by: D a v. D CL pcr. K The debris will be received by: VA- LLE r R E CY CLING Building permit number: Name of Permit Applicant Davi 0 CSA D-K. S- 4 - 1017 Date Signature of Permit Applicant BUILDING PERMIT REQUEST 70 CHESTNUT STREET David Clark 586-4347 May 5. 2017 This request is for an alteration to a two-family house, second floor walk-in attic storage- workspace. The roof on this building suddenly started leaking last year. We are making arrangements to replace the entire roof this year. The cost is significant. We believe it would be a good idea to make a few alterations to the building now before the new roof is applied so a partial re-do would not be necessary later. We would like to frame a dormer within an existing walk-in attic space. No new floor space will be added,just some increased ceiling height for better use of the space and for a possible new outside entry to the room. We are asking for permission to frame this dormer now so the roof replacement can begin as soon as possible. As a second phase to this idea, we would also like to build the access stairway. landing. and doorway to this space burs ctfor your permission with a second formal permit request for this part of the work very soon. If permission is granted for this work we will start building the stairway after the roof replacement is progressing or finished. The plan we have submitted shows the existing floor space and framing layout. We propose to build a twenty-four foot wide dormer on one side of the room that would be built with 2 x 6 lumber for both walls and roof structure. The roof structure as designed will fit nicely into the existing frame and will be strengthened using MI width collar ties/ceiling joists with generous support from extra cross-bracing and two knee walls built inside the roof structure. The dormer structure will be sheathed with 5/8" plywood or greater, all necessary metal clips, clamps, straps, and fasteners will be applied. The roofing will be a rubber or similar synthetic membrane and the building exterior will be suitably completed for weather tightness and protection. We have not chosen a specific window because we dont know what the final use of the space will be, but we propose a typical Andersen double pane Lo-E energy efficient unit for now. We will answer any questions you may have. My telephone number is 586-4347 or e-mail is daveclark03 03 @gmai 1.com. Thanks, Dave Clark :' a 1 N 08'2)-qi ` BE SET rip- \ 1 PTo 5g.33' - /; JAMES R. �.BE SET -1—. 1 N LINDA A. — F ,� see BOOK 226' PARCEL 1L.4. La 1 2,000 S. F.± �n � Pi s NOT A BUILDING LOT ri 1 z 5689' _,\ IP IND . p8•21'47' W N11'18'15"E _,,,_ -_ IP FNo S_ - -- — _ _. _ 21.13' 1.71 BNo FNo IP END , FNO I IP FND I 5 7535'12" E ed-u3 ! MA _ ! COOT x 1 - , - _ I I - 4 „nit L Ai i' 9418 of y lirAMO4 4 rf'z1JI ` N F JAMES F. BOYLE 3c - 43%404 1 PATRICIA A. BOYLE tM. CLARK .,f 1 see BOOK 4997 PAGE 373 - :see BOOK 0-940 PAGE 330 I '1 - \ \ 9419 see ' N 300K 780 P. 90 ^r, 8 i 4.1. PARCEL 8 a' ni i i•, j 11 1 4snn9 oy IE- .��t , d enitet 9„>_ v P flip 1V 'END IP FN( MASSACHUSETTS R&RV I RED: DORDINATE SYSTEM S 1 D E SET 8 Ac'c : N: 488,967.761 CHESTNUT STREET , S+ E 284,233.834 3 RODS /49.5') WIDE 70 1 Northampton,MA Residential Property Record Card 5/1/17,10:33 AM Northampton, MA : Residential Property Record Card Search For Properties Parcel ID Name Street Name 17C-319-001 Search Reset Parcel ID Card Map-Block-Lot Location Zoning State Class Acres 17C-319-001 1 70 CHESTNUT ST 104 - n/a 0.275 Owner Information Property Picture Clark David M 16 Sheffield Lane Florence MA 01062 ~y r '�� ' • ,� Deed Information d`ve Book/Page: 4940/330 _ ( ;' Sale Date: n/a r F ---1 L Dwelling Information 04r Ilir Living Units: 2aR / Style: Conventional � Story Height: 2 .0,009.0,009e. 1,Chi. Exterior Wall: Frame I , Attic Living: Unnn rx. / q Basement: Full y' ■■■■. + Year Built: 1900 ■R - Ground Floor Area: 1644 Unfinished BSMT Area: 0 Fin BSMT living; 0 Tot Living Area: 3509 Rec Room: 0 x 0 Tot Rooms: S Bedrooms: 4 Full Baths: 2 Half Baths: 0 Mas Fire Place 0 Frame Fire Place 0 Heating Type: Central Am Valuation Land: $120,700 Building: $254,000 Total: $374,700 Sales History Document No Date Price Type Validity Permit History httpNMwwnorthampton.univers-cltcom/viewyroperty_R php?account no=17C-319-001&saries_card=1 Page 7 of 2 Northampton,MA:Residential Property Record Card 511/17,10:33 AM Date Purpose Price 1996/08/22 MOVE HOUSE 50 Out Building Information Type Qty Year Sizel Size2 Shed-Frame - t996 _ 80 Building Sketch • 19 De.cuprpdare.a 13 ti I_Iq,nFd6 5F1/FG qrr 532j -}FG B 1 SFr C21 31 G40;qtr F6, f 1E q!r t_5F G SFo/FG 2 qtr (640i E FG 171 312-parr 15 F EFF 1{I 1 ¢ 1ii�3 zqn 114 GiOFF 104 ;tin H',�,and D art/ DA/2Ft/B 3 104::qtr LU r 966) -n I. Wood D-cl. 9 1*, _qn 14 1 ®14 Notice http://www.rwrthampton.univers-cItcor/viswyroperty_R.php?account no=17C-319-001&series card=1 Page 2 Of 2 SIOZ1901LL JOUOSsiwwOD uogends9 , . ti/2 1(, Z90L0 VIN 33N38Oli 3NVl al31ii3HS 9L RBV1O NI 0IAVG 11 !oSE90dng ua suaolla� S£9000-so '.asoao,i spiepuclS Pull suoitelnbed 6uippn2 to pleog A. Alales o4n^d to Luewpcda0 stasnyoessevJ ((' l( (1/1/ ///('/(/NCY(/// n 741 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration 143023 Type: Individual Expiration: 6/9/2018 Trit 419291 DAVID M. CLARK DAVID CLARK 16 SHEFIELD LANE - - FLORENCE, MA 01062 - -------- Update Address and return card.Mark reason for change. Address Renewal Employment II Lost Card /L, r ,,, ,,,,.,/i/,. 7/.,.,,,L,,..✓i. Office of Consumer Affairs&Business Regulation License or registration valid for individual use only -t.k+v i HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:, ✓ 3 Registration: 143023 Type: Office of Consumer Affairs and Business Regulation f':-' Expiration: 6/912018 Individual 10 Park Plaza-Suite 5170 Boston.M' I , --- DAVID M.CLARK 1 DAVID CLARK 16 SHEFIELD LANE , FLORENCE.MA 01062 undersecretary Not valid without signature aretie/QS d4�y 5—I/ 17 S ,,o E ' li / F III I I J., II �: , ' 1 1.City of Northampton 1i-• e — 1 _ �. ^,^.-•.BuildingDepartment ,� ,� 1`�,. ,. w._..Plan Review •• .� i, I _ I212 Main Street > 1�JP Northampton, MA 01060 I� ..Z.,?,,,'.fn I i i i DORMER JAL L IRAnf DESIGN • , '^' - _ I X.7i NG ATCiL '. 1 I lI 1 ov it 1 _. ito _ LP MAP DOIAILR FR" " fE51GN r s'NLE I S _ a� 1 , �.w�.u..., .�,. „ IE v,E�� I ^' 4 NN: � r R ,, I. AR .IL i ' sis ve { � Ian-An V VVVV DORMER DESIGN • 70 UR .'! : STREET QAvIC CLARK MAY 2017