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12C-061 (5) 12CLOVERDALEST BP-2019-0005 GIs 4: COMMONWEALTH OF MASSACHUSETTS M".-Block: 12C-061 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv:ADDITION BUILDING PERMIT Permit BP-2019-0005 Pro ject# JS-2019-000004 Est Cost,$3500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use croup: Homeowner as Contractor_ Lot Size(sq. IT): 8363.52 Owner. HATCH OLIVER zoning: RI(I00)/(TRA(100)(WSP(100)/ Applicant: HATCH OLIVER AT: 12 CLOVERDALE ST Applicant Address: Phone: Insurance: 12 CLOVERDALE ST (413) 237-0328 0 FLORENCEMA01062 ISSUED ON:715/2018 0:00.00 TO PERFORM THE FOLLOWING WORK REPLACE EXISTING COVERED SIDE ENTRY WITH 4X18 ROOF PORCH ENTRY 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: FeeTVlfe: Date Paid: Amount: Building 7/5/2018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File k BP-2019-0005 APPLICANT/CONTACT PERSON HATCH OLIVER kl ADDRESS/PHONE 12 CLOVERDALE ST FLORENCE (413)237-0328 Q �� PROPERTY LOCATION 12 CLOVERDALE ST MAP I2C PARCEL 061 001 ZONE RI(100)/URA(100VWSP(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TypeofConstruction: REPLACEEXISTWQ2VEBED SIDE ENTRY WITH 4X18 ROOF PORCH ENTRY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF MATION PRESENTED: _IZApproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate ProjecC Site Plan AND/OR Special Permit With Site Plan Maj or 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 Demolition Delay 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. RECEIVED Department uae any JUL may dB}&rth mpt n Status of Permit Building Dep none nt Curb CUVDrinewey Pelma I , . �A tree Sewar/Septl--AuaWbily EPT CP BUILDING In +FCTIO S NoarnAmPrON.rrA@OBD�t10 WaEaMVell Availability o ampon, 1060 Two Sets of Structural Plana - phone 413-587-1240 Fax 413-587-1272 Plet/Sre Plans Older Spa* APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Pronerty Atltlreu' Thnis section to be completedM by oce Map IQPLot Lot 0& Unit 12 Cloverdale St,Florence MA 01062 Zane Overlay DlaMet Me 91.District co Maine) SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Oliver and Molly Hatch 12 Cloverdale St,Florence,MA 01062 Name(Pring Cement Mailing Address: 413-237 0328 Telephone Signature 2.2 Authorized Anent: Name(Print) Gurrent Meiling Address: Signature Telephone SECTION 3.ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bermitapplicant 1. Building 3500 (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=0 +2+3+4+5) 3J0iv Check Number This Section For Official Use Only Building Permit Number Dare Issued: Signature: Building Commissioners/wpecmr of Buildings Dale C) kt., �C r1 @ EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Most Be Completed.Permit Can Be Denied!Due To Incomplete Information Existing Proposed Required by Zoning This column to M filled in by Building nepa,unem Lot Sim Frontage Setbacks Front �r}}��{—�-1 1—I rr}}��--� Side LM R:M I,l_t Rim Rear 1" I Building Height Bldg.Square Footage fi5flfh % Open Space Footage LIJ % Qat area minus bldg&paved skin #of Parking Spams FII: volume&foci irr A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW Q YES O IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O 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 O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q IF YES, describe size, type and location: E Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre or is B part of a common plan that will disturb over 1 acre? YES© NO O IF YES,Mena Northampton Stoon Water Management Permit from the DPW is required. SECTION S DESCRIPTION OF PROPOSED WORK(check all aoollcablel New House ❑ Adanlon ❑ Replecenrent Windows Anemllon(s) ❑ Rooting ❑ er Doors D Accessory Bldg. ❑ Demolition ❑ New Signe [p] Decks [q Slding[7] Othei Bnef Descriptionof Proposed Replacing existing—red side em.y(eoeerere asp eo.eren.;m duainea zwnmg)ivith4xl8shed root porch enrry Work: Alteration of existing bedroom_Yes x No Adding new bedroom_Yes x �o Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet ea.It New house and or addNlon to exlethla houslna- complete the falkini a: a. Use of building:One Family x Two Family Other b. Number of rooms in each family unit: Number of Bathrooms no c. Is there a garage anached? 72 4'x 18' d. Proposed Sq uare footage of new constmction. Dimensions e. Number of stories? 1 oil f Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? wood flame h. Type of construction x I. Is construction within 100 n.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 7e-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ti ,as Owner of the subject property hereby authorise to act on my behalf in all matters relative to work authorized by this building permit application. Signature of Owner / / r— Date I, ( / r tT as Omer/Authorized re Agent here y declathat the staleme is 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. PrintNa 20/.8 Sign re of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 licensee Construction Supervlsor: Not Applicable ❑ Now of License Holder: License Number Address Expiraton Date Signature Telephone 9.RaalatenE Nonce Imorovemard Conlnelar: Not Applicable ❑ Cornoanv Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATIGN 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...... ❑ City of Northampton a -. Massachusetts a. 1 s 213 Min etxaet • aun 010 OvilEing J s C ttvxt8uptvn, !A 01060 p:iijP AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the`reconstruction, alteration,renovation,repair,modernization, conversion, improvement, removal,demolition, or construction of an addition to any pre-exisfing avner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:Ljthe homeowner has contracted®wits d I' h a corporation or LLC,that entity must beregistere Type of Work: 6i` (1 A/4�n , L Est./Cost-,' J' (o Address of Work: C�r"r Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _Job order$1,000.00 /( , tO Owner obtaining own permit(explain): 0-- ,- Building tin ,iBuilding not owner-occupied ^ Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT RAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as weer of the roperty: Date Owner Name and Signature City of Northampton ' MaaeacEusatta l 'I lEPaa'RffiiT OF WIMING IaSP& rzms ; s zIz u.in ecr.ec . tawciwl auala:.w aocuuaDeon, as aaoca sry., 37� Massachusetts Residential Building Code Section 110.85.1.2 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. Section I I O.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5,provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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 he liable for person(s) you hire to perform work for you under this permit. City of Northampton .+ Massachusetts F1s scG s D212 a in S OF 9UI Ci IPSPECIZ�IS 2 Z" 212 win 9tha •INnicipsl Pvilaig �. C PentTempten, DY 01060 Debris 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. The debris from construction work being performed at: i2 c ('"-4 (, f'f- (Please print house number and street name) Is to be disposed of at: I/."' .y �'' c l"—) (Pte se prim name and location facility) Or will be disposed of in a dumpsler onsite rented or leased from: pGlPga � Vvs-`c 'r'Q (Company Name and Address) ature of Permit Applicant or Owner Date If,for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. �\ The Commonwealth of Massachusetts DepaRment of IndtistrialAccidents I Congress Street,Suite 100 Boston,AM 02114-2017 www.mass.govldta WBarkers'Compensation Insurance Affidavit.Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoolicao[Information Please Print Legibly Name(Business/OrgammatiuMndividtmlf Oliver Hatch Address:12 Cloverdale St City/State/Zip:Florence, MA 01062 Phone#:413-237-0328 Are you nn employer!cnmk me.ppramide boa: Type of project(required): I.�Iam aemploym wile employees(fW1aM/m part-time).• 7. []New construction z.❑lamawle proprieormpamamhipard hevememployees wonting Por mein 8. ❑Remodeling my esteem.Mo workers'wmp.im sive r i,woul l 3.❑✓ I am a homwwner doing ell work myself Mo workers'eioo, insurercocuned_It q. Demolition 4.01 amahommwneram will behirngconlmcmrsmemductall workmom pmo' twin 10 ✓❑Building addition ore thin all cmmamni dtna have workers'cvis,io oma�mmmaem are to Il.❑Electrical repairs or additions popreors with Ira employees. 12.[]Plumbing repairs or additions 5❑I am a general cmLLraclar and I have beird Ne sub oo actors hard on Ne mmclied slwn. These subcorhar.have employees and hive worker'camp.in.; 13.❑1toofrepairs 6.❑we am a wrpomtion aM iu omeen have exemima their rain ofexemption per MGL c 14.❑Other 153,§I(4),and we have no employees.INo workerswmp,iniomnce r inicii] •iu,applicant dm checks box 41 must dor fill out the section below slowing am workers'eompsmav n policy insinuation t Hom oworm who whmit this eamovit iMicming they are doing all work and Nm hire outside 000mm ev most submit a new affidavit usiusi ing such. :Conbamors that check Nis box mus,afthi an Mditioml shat showing the nine ofthe aub<anuacwn mu ante whether or on those entire hove employes. IfNe subsonwctors have employes;they must provide Heir workers'wmp.policy number. lam art employs thous providing workers'compensadon immu cefor my employees. Below is the policy andjob she irtformatlon. Insurance Company Name: Policy N or Self-ins.Lic.k: 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 order MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the four of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ldoherebycera u ,ferthepalns d nonce ofperjury thatthe informadonprovided aboveistrue andeorrect p Signature q �'Z Date: v ` I Z0//, Phone R; L( 3 - Z37 OBleiul use only. Do not write in this area,to be cwn0demd by city or town offuiul City or Town: Permit/License ft Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cilyfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phoaetk. 21'-6" Rafters a ers 16" OC 2-2x10 header j 4x4 posts !I "knee" braced as required I v i Finish deck to be 14"-24" above finish grade' Mahogany 1x4 decking 2x6PT joists run perpendicular to house and are supported by joist hangers i 2-2x10PT beam parallel to house 14'-0" t 4'-0" Footings 48" below grade v Grade drops off approximately 10" from left to right " v I a v 18'-6" w ! a I ! v li o ,III Fabral roof material General Notes: Roof ledger lagged to —Footings to be 48" below grade wall framing —Pier footing spacing dictated by existing 1" board ceiling concrete ramp structure— to be partially demo'd to accommodate new deck framing. —stairs as follows: 2 steps to grade on the left(east)-14" to - grade 3 or 4 steps to grade on the right(west) —23" to grade — All joists to be hangered as required —Rafters too be attached with blind timber lock i fasteners from above Deck ledger fastened to rim joist of house with 1 ledger lock"lag bolt' fasteners 10" dia. tube footing 0 I 4'-0" a s _v a 0 u 2 7 1/211 11-x0 1/2" .�_�. .y . � ��_ � � : � -�^ - \ � � ���� � � « � d\z \\��2 ~ � . � � / ^ ,�/���/�� � \ � \ � �` ���/ § �{ . \ \��\�ƒ: . . � ��� �� yge . � � �� ��� � � � �. . . : - �� . \