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17C-218 (5) File d BP-2019.0078 t APPLICANT/CONTACT PERSON STEPHEN CAMPi_, ADDRESS/PHONE 46 EAST ST EASTHAMPTON (413)527-7124 PROPERTY LOCATION 29 NORTH MAPLE ST MAP 17C PARCEL 218 001 ZONE GB(]OOU THISSECIlONFOR FFICIAL USE ONYc PERMIT APPLICATION GHEC IST LOSED REQUIRED DATE. Z ING FORM FILLEDOUT Fee Paid B a i IdingPenn!I he—dtnd Fee Paid VV TvoeofConstmction: INSUL. E UPGRADE -C R] A E 'WINDOWS.t SHEETROCK IYeW Construction Non Strueivmi interior renovations Addition to Existing Accessory Strucnue Buil m Plans nclud Oxmed Statement or License , 2531 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON "Z INFORMATION PRESENTED: _Approved_Additional permits required(see below) 1 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: Cub 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 OYHcial 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. City of Northampton '„ $r , i� Massachusetts z � 9 DEPARTMENT OF BmIDING INSPEMONs 212 Main Street,Room 1o0 Northampton MA o1o6o (413)587-1240 Complaint Inspection Report Date of Inspection: 6/26/18 Address/Premises: 59 West Farms Road, Florence Summary: On 6/26/18 an inspection of the premises indicated above was conducted. Findings: Regarding specifics of the complaint,the following conditions were noted: (1) One (1) broken window pane at front garage door. (2) Side door to garage unhinged and unlatched. (3) Unregisteredpassenger vehicle(pickup truck) parked in driveway, (4) Overgrown brush and grass at side and rear yards. Of the items listed above, item (3) is the only clear violation of the City of Northampton Zoning Ordinance. Per the ordinance§3$0.8.8 Parking and loading space standards items (L) and (M), no more than two unregistered motor vehicles (any vehicle that does not have a valid registration legally issued by a governmental authority),and no motor vehicle accessories which are not parts of said two vehicles may be parked, stored or otherwise placed on a parcel of land in the City of Northampton without a specialpermitfrom the Zoning Board of Appeals.All permitted unregistered motor vehicles and/or motor vehicle accessories shall be screened from the view of thepublic andfrom abutting public ways and from abutting properties by being enclosed within a structure or sight impervious fencing or screening. Attachments: • Photos(7 images) • Complaint letter David Gardner Local Inspector Northampton MA _----_71•_�__- 9-4, .�,<.--__--10.6••. __. .. _ I 21 I BEDROOM BEDROOM 10-6"x 10'-2" lo,-;,x ry >I ry i� ,� 6•'10••— I 'O UTILITY - LIVING 9 LAUNDRY �' I� 5'S"xfi' I Ned}V . KITCHEN y \ R� ,N CL pp17'-a x5 ry PORC71 H c�enw iWESTWDOD T.FR� I LIVING AREA 972 s9 R xo/ ECTOR UBNO.: CONNE TION SUBJECT: CONNEC81 TION E fl O 1 rT E E R 9 PROJECT: Douglas Warner Residence Lag Screw Connection Capacity: Demand: Lag Screw Size[in]: Max. Trib. Cd: 1.6 NDS Table 2.3.2 Pressure Max z Max. Uplift (0.6 Wind) Tributary Area Embedment' [in]: ""' (psf) Width (ft) (ftp) Force(Ibs) Grade: Zone Capacity [lbs/in]: NDS Table V12.2A 1 14.9 16.5 247 Number of Screws: 2 28.2 16.5 466 Prying Coefficient: 1.4 3 43.2 11.0 475 Total Capacity[Ibs]: 586 Demarl Capacity: CONNECTION OKAY 1. Embedment is measured from the top of the framing member to the beginning of the tapered tip of the lag screw. Embedment in sheathing or other material is not effective.The length of the tapered tip is not part of the embedment length. 2.'Max.Trio Area'is the product of the'Max.Tributary Width'(along the rails)and 1/2 the panel width/height (perpendicular to the rails). City of Northampton Building Department �r 212 Main Street Room 100 t Northampton., MA 01060 ,_,a , phone 413-587-1240 Fax 413-587-1272 PaPtana 1'i 1 ' ; APPLICATION TO CONSTRUCT,ALTE ,REIRE@ OL H A ONE OR TWO FAMILY DWEWNG SECTION i SITE INFORMATION JU t.t Property Address: 1 Th section to be completed by office d! J•P /y/ �/ s/lP �' DEPT OF BUILDING y-... Oclw Unit NORTHAMPTpN.MAOidv Zone Overlay District Elm St.Olstdd Ca District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Racord: r� 4i r. A G,uF.rnn c� Mang^'�.�t�zct.'� LZ�O Name(Pont) Cured no ;`ilf'.... ,01"' ` Y -,?Z�4 a_ �" j �: Te one Signffit¢a 2.2 Authorized Agent: Name(Pont) Curent YaiOng Address, Signature Telephone SECT!ION -ESTIMATED CONSTRUCTION COSTS Item Estimated Cast(Dollars)to be Official Use Only com leled b emit so licant 1. Bulding J0 D O O U d (a)Building Permit Fee 2, Electrical O'U (b)Estimated Total Cost Of O Construction from s 3. Plumbing Building Permit I" 4. Mechanical(HVAC) E" 5. Fire Protection & Total={tat+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date (Z EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column in be filled in by Building Depvnurnt Lot Size Frontage Setbacks Front Side L - R: R.,-- Rear Building Height Bldg. Square Footage "—' —' % Open Space Footage . ._.___ % -- (Lot area minus bldg&paved ,kir ) #of'Parking Spaces '— Fill: (volume&Location) -- — A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW O YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW _O YES ©_ IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 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 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading excavation, or filling)over 1 acre oris it partof 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 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Atterationi ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [0 Siding [p] Other[a 4/, r Bnef Description of ProposedJP 01 Work: fS,2t,i P . Grime_ ¢1ce� .[n \. Al u� crvti}S ] (1) k opJ S� act Jae �7rir Alteration of existing bedroom—Yes K_No Adding new bedroom Yes k No Attached Narrative Renovating unfinished basement Yes XNo Plans Attached Roll -Sheet ea.!f New house and or addition to existing housing. comotete the following: a. Use of building: One Fani Two Family Otherr Cv / S7o re- b. Number of roams 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? elf C lu-' Fireplaces or Woodstoves C Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction LU aea i. Is construction within 100 ft. of wetlands? Yes 9 No. Is construction within 100 yr. floodplain—Yes-_&No j. Depth of basement or cellar floor below finished grade it. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer_ Private well City water Supply x SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, JA/VOiCIS' �iOFFiA!/L�-' as Owner of the subject property hereby authorize T& PNFA/ �A/yi� r�nw��a iii- 7-Ln to act on my beohaR, m all matter`s reellallvvee to work authorized by this building permit application. Signature of O\w/n+e/r Date as Owne Authod e Agent here dec re that the statements end into on the foregoing application are hue and accurate,to the best of my ge and belief. Signed under the pains and penalties of perjury. C Print Name Sig atu of Owner/Agen Date SECTION 8•CONSTRUCTION SERVICES 8.1 Licensed Construction S u p ervi s or: Not Applicable 0 Name of License Holder -r- ,, / LOy✓I/ (/�G,] 7 I If ��� �y License Number 54eeY Address Expiration Date Sig ure Telephone 9.Registered Home Improvement Contractor,. Not Applicable ❑ C,9 o nt�tir iso✓ �35� Company Name Registration Number 3 /3- Zo Address — Expiration Date J Telephone� Z 7� SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152,§/25C(i 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......11fr No.._.. ❑ 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: �19 /lac G`ddv� 5- - The debris will be transported by: 7�'/< A7'/✓z The debris will be received by: Building permit number: Name of Permit Applicant j Date Signature of Permit Applicant City of Northampton -;� Massachusetts DEPAa13JENNT OF BUILDING SNSPEC'lZONS x 212 Hain Street a Mvaicipal Building \ uortba tan, MA 01090 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 W performing work on such homes, a contractor most be registered as a Home Improvement Contractor('H1C"). M.C.L.Chapter I42A requires that the"reconstruction,alteration, renovation,repair, modernization, cronversioa, improvement, removal, demolition, or construction of an addition to any pre-existing ownerroccupi sd building containing at least one but not more than four dwelling unas....or to structunes which are adjacent to such residence or buiiding"be done by registered contractors. Note.If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:—,Z,- y�v� Est. Cost:_ /ij, "-- Address of Work: 02y 't/"/l7e7T l/ P ,i(�vc- �J7f� Date of Permit Application: y I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain):_„ Job under$1,000.00 Owner obtaining own permit(explain): Building 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 HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONStBD,ITES FOR ALL WORK PERFORMED TINDER 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: �t l3 S20 Z Dae Contort ctor Name H[C Registration No. 1 OR: Notwithstanding the above notice,l hereby apply for a building permit as the owner of the above property: /1) ) / Date 7 Owner Name and Signature City of Northampton SSy-...JIC4 Massachusetts �?' S- s ( x DEPARTMENT OF BUILDING INSPECTIONS \ 212 Main street • Municipal Building Northampton, M 01060 �\ Massachusetts Residential Building Code Section 110.R5.1.2 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 110.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 be liable for person(s) you hire to perform work for you under this permit. The Commonwealth ofMassaehusens Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 01114-10177 www.mass.gov/dia \corkers Compensation Insurance Affidavit:Builders/CantractorsBlectricians/Plumbers. TO BE FILED WITH THE PERMrrMG AUTHORITY. Applicant Information Please Print Legibly Narne (Business/OrgmizatioNIndividual): Address: L� S,fi�.u`f City/State/Zip: ) JI A O lc 1Phone#: Are yon an employer+Check the appmprkne box: Type of project(required): 1 I an a employer with employees(fun and/or pert-time)` 7. ❑New Construction Z am a sole proprietor or patmership avd have m employees workivg forme in $,v Remodeling My capacity.[No workers'comp.uxsumncc ventured] 3.❑lamahommwoerdowganworkmyself[No workeri comp.ivsuance mgwred]' 9. Demolition 4 I am a homeownm and will be lain 10❑Building addition �❑ laws to work my pmole Iwill wsurc hat all rooaacmrs nher rave workers•nnmpensetiov hsmanne mare sole 11.❑Electrical repairs or additions pmpricmrs wih no employees. 5❑I am a geoeal cenvacturand I have hired the sub-conredoanccamrhed aheec 12.❑Plumbing repairs or additions [mence, These ese sub-covtractohave employees and have workers''comp insurance: 13.[:]Roofrepairs. 6.❑We are a corpamtion and its officers have exemisedox vght ofexemption per MGL a 14.❑Other 152,41(4),and we have no employees_[No wodmrs'comp.insurance requbed.I 'Any applicant hat checks box#1 must also fill out the section below showing their workers'cootpensavon policy mformztion. 'Homeowners who submit this affidavit indication hay eve doing all work and then hire outside contramus must submit a new affidavit indicating such. :Ceubactors that check his box must artached no additional sheet showing the name of the sub-c—touters cod state whether or not those entities have employees. Irthe suh-wntraztorshave employees,hey must provide their workers'cum,.policy another. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. coInsurance Company Name: ke _T4f/, c y Policy#or Self-ins.Lia#: Expiration Date: Jab Site AddressCity/State/Zip: n f _� n Z Z Attach a copy of the workers'compensali n policy dela tion page(showing the policy 111141-nand expi anon date . Failure to secure coverage as required under MGL a 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 Form 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. I do hereby certify under the pains and nalhes ofperjury that the Information provided above is true and correct Sicnature Date f,� � ? Phone#: �� — 2 2 i T r 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: Plane#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or unplied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cenificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permiolicense number which will be used as a reference number. In addition,an applicant that must submit multiple permitdicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under`Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on fisc for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial vwwre (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Streets Suite 100 Boston, MA 02114-20]7 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia Y K .1� It p:.. ri14p v . Y M �lop r,Nc Co Ob L ' T pt1"'! -� •--t Oma' _ 1 - � It 07 % Ql��ff S sl fi- Fos .Ya llcrAm .0 Pt Vftza sr to" .24010 - AM 35tu-VAoJ"; 7/30/2018 City of Northampton Mail-29 North Maple Steel Florence,Me Cft LY R David Gardner<dgardner@northamptonma.gov> 29 North Maple Street Florence, Ma 2 messages campsat46@aim.com <campsat46@alm.com> Sun, Jul 29 2018 at 8:39 PM To: dgardner@northamptonma.gov Please to whom this may concern, i stephen camp is no longer involved in anything for the job at 29 north maple street florence.ma as a contractor. Sandra Lawrence will be working with a architect as needed for the size of the building. Thank you STEPHEN CAMP David Gardner<dgardner@northamptonma.gov> Mon, Jul 30, 2018 at 8:30 AM To: campsat46@aim.com Thank you, Stephen. [Quoted text hidden] David Gardner Local Inspector Northampton MA 712 Q hftps://mail.google.comlmail/?ui=2&ik=3c de2al f&jsverMm6"AtNO_o.en.&cbl=gmail_fe_180724.14y4&view=pt&search=inbox&th=164eb2ac d... 1/1