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24C-166 52 Franklin St BP appFile # BP-2019-0314 APPLICANT/CONTACT PERSON LOVELAND REBECCA ADDRESS/PHONE 52 FRANKLIN ST NORTHAMPTON (413) 586-3322 () ( PROPERTY LOCATION 52 FRANKLIN ST MAP 24C PARCEL 166 001 ZONE URB(lOO)/ ) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: BUMBP UP ROOF ABOV TO CREATE BEDROOM AND BATHROOM 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 INFORMATION 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 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 ofMGL 40A. Contact Office of Planning & Development for more information. Department use only City of Northampt n Building Departm nt SEP 1 1 ~~uU rivew yPermit ______ _ 212 Main Stree Sewer/Se ic Av ilability ________ _ Room 100 Water/Wei Avail bility _________ _ Northampton MA O 06(PEPT OF BUILDING lfW6~t;tsStru tural Plans. _______ _ ' NORT AMPTO , MA 01060 -phone 413-587-1240 Fax 4 - -· Other Specify ___ _ APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION I 1.1 Proeert)l Address: This section to be completed by office Map ~etc Lot t_{LY Unit 5"2. F°'f'4.vi.k ,;fl ~t\tc:Gt Zone Overlay District No .,+k"'-~ p+o n I MA 01060 Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT I 2.1 Owner of Record: 1ce loec.ca._ love { ~viJ S-;t FU'a~kf,'n Sfre.tf . Al11_~+~g,rne_+ot1. Name (Print) (j,',!J~ Cur(i/1 Ma1ing Address: O o-PE V ~ /3 ~C:-t./c;-332 ·t(.e T(4hone 1 Signature 3'~)~.sS--332. ~.e II ........ ./ 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollars) to be Official Use Only comoleted bv oermit aoolicant 1. Building 3J..., 000 (a) Building Permit Fee 2. Electrical ~ (b) Estimated Total Cost of 0 00 Construction from (6) . , 3. Plumbing Building Permit Fee tf. 000 r/1, J.OD ' , 4. Mechanical (HVAC) I I ooo 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) r-<10 000 Check Number ,?Jq/j, / This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed . Pernit Can Be Denied Due To Incomplete Information Existing - Lot Size O,L/~ t)J..t"(S Frontage ~(,. __ Setbacks Front Side L: R: ------ Rear Building Height Bldg. Square Footage 1/ll{q Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces 1 .... ... .. .. Fill: (volume & Location) --·- '( J r L: - % ,~ . % .. . l'roposed R: ----- Required by Zoning This column to be filled in by Building Department A. Has a Special Permit/Variance/Fin~ ever teen issued f_or/on the site? NO O DON'T KNOW C:!) YES 0 IF YES, date issued: IF YES: Was the permit recorded at the ~stry of [leeds? NO O DONT KNOW ® YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or v1etl,mds? NO (/J DONTKNOW 0 IF YES, has a permit been or need to be obtair ed 1 rom the Conservation Commission? Needs to be obtained Q Obtainej Q , Da~ Issued: C. Do any signs exist on the property? YES IF YES, describe size, type and location: 0 NO D. Are there any proposed changes to or additions cf si!:ns intended for the property? YES Q IF YES, describe size, type and location: YES 0 NO 0 E. Will the construction activity disturb (clearing, grading, ~vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO (o IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK (check all applicable) Replacement W(ndows Alteration(s) Or Doors IYI Roofing New House D Addition 0 D -'------------'-----------t Accessory Bldg. 0 Demolition New Signs [D ] Decks (0 Siding [Im] Other [q Brief Description of Proposed ! lo k'l. 1. L J. I J I _ J. I .L Work: Bu.Mr !A.f rut 0... OVl rn.111t~ 1""6 (. re.1..1t ID~'t"OOJ'VI. ~~ fDlt"Ikroomj f'e O..l!d rerq1,s Alteration of existing bedroom ___ Yes ___ No Adding new bedroom __j__ Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet &a. If New house and or addition to existing housing. complete the following: 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 ft. 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 7a • OWNER AUTHORIZATION ·TOBE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,-------------~.,,.''------------------------· 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 I, , as Owner/Authorized Agent hereby declare that the statements and informal n on the foregoing application are true and accurate, to the best of my knowledge and belief. ._s_E_cT_1_0N_s_-_c_o_N_sT_R_u_cT_1o_N_s_E_Rv_1_cE_s __ ~_"I __ ~_~_ ~o-rk1 'j w i-th 'Ptfe W j "'" o+ 0retn~e f ~ M~ss. 8.1 Licensed Construction Supervisor: Not Applicable D Name of License Holder : ________________ _ License Number Address Expiration Date Signature Telephone . 9. Registered Home Improvement Contractor: Not Applicable D Company Name Registration Number Address Expiration Date ______________________ Telephor e _______ _ SECTION 10· WORKERS' COMPENSATION INSURANCE AFFIDAV T (1111.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and sul 1mitt3d with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ....... D No ...... D City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 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: 5:L frttvif /,'ri Sf Norfhqm Ton MA 0/060 (Please print house number and treet name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: 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 Department of Ind ustl'ial Accidents 1 Congress Street, Suite 100 Boston, MA 12Ji4-2017 www.mas~.go ..,/dia \Yo rkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE Pl RMlTTING AUTHORITY. Applicant Information Name (Business/Organization/Individual): ---------- Address: ---------------------- City/S tate/Zip: l'hone #: ,---__::__ __ _:__:============- Are you an employer? Check the appropriate box: 1.0 I am a employer with ____ employees (full and/or part-time).* 2.o I am a sole proprietor or partnership and have no employees working for ne in any capacity. [No workers' comp. insurance required.] 3.o I am a homeowner doing all work myself. [No workers' comp. insurance equir :d.] t 4.lif I am a homeowner and will be hiring contractors to conduct all work on rr y property. I will ensure that all contractors either have workers' compensation insurance 01 ares )le proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on th< attached sheet. These sub-contractors have employees and have workers' comp. insuranc . I 6. 0 We are a corporation and its officers have exercised their right of exempti m per MGL c. 152, § I (4), and we have no employees. [No workers' comp. insurance req Ji red] Please Print Legibly Type of project (required): 7. D New construction 8. 0 Remodeling 9. 0 Demolition 10 D Building addition It .O Electrical repairs or additions 12. D Plumbing repairs or additions 13 . D Roof repairs 14. 0 0ther _______ _ *Any applicant that checks box #I must also fill out the section below showing th~ir w11rkers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and tb~n hue outside contractors must submit a new affidavit il1dicating such. !Contractors that check this box must attached an additional sheet showing the na ne of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their work, rs' c1>mp. policy number. ==================== I am an empliJyer that is providi11g workers' compensation i11su ·anc e for my employees. Below is the policy and job site information. [nsurance Company Name: ______________ _ Policy # or Self-ins. Lie.#: _____________ _ _ ___ Expiration Date: _________ _ Job Site Address: City/State/Zip: ________ _ Attach a copy of the workers' compensation policy declaratio page (showing the policy number and expiration date). Failure to secure coverage as required under 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 fo1m of a STOP WORK ORDER and a fine ofup to $250.00 a day against the violator. A copy of this statement may be forwar ed to the Office oflnvestigations of the DIA for insurance coverage verification. Official use only. Do not write in this area, to be completed l y cily or town official. City or Town: Permi1/License # _______________ _ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town C :lerl, 4. Electrical Inspector 5. Plumbing Inspector 6. Other ___________ _ Contact Person: Phone#: ------------------------------------ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street• Municipal Building Northampton, MA 01060 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 must 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-existing owner-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: If the homeowner has contracted with a corporation or LLC, that entity must be registered. Type of Work: ____________________ Est. Cost: _______ _ Address of Work: -------------------------------- Date of Permit Application: ___________________________ _ 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 RESPONSIBILITES FOR ALL WORK PERFORMED UNDE~ 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 the owner of the above property: D~~5,)0I~ O~gn~ City of Northampton Massachuse tts DEPARTMENT OF BUii,DHtG INSPECTIONS 212 Main Street• ~unic:ipal Building Northampton, MA 01060 Massachusetts Residential Building Code Section 11 O.R5.1.2 Homeowner: Person (s) who own a parcel of lancl on which he/she resides or intends to reside, on which there is, or is intended to be, a one or t o family dwelling, attached or detached structures accessory to such use and/ or farm stru ~tures . A person who constructs more than one home in a two-year period shall not be considem la homeowner. Section 11 O.R5 .1.3. l Any homeowner performing work for which a bt ilding permit is required shall be exempt from the licensing provisions of 780 CMR 11 O.R5 , prc vid ed that if a homeowner engages a person(s) for hire to do such work, then such homeowner s 1all act as supervisor. Such homeowner shall submit to the Building Of 1ci.il, on a form acceptable to the Building Official, that he/she shall be responsible for all Sl ch work perfom1ed 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 fo r which this permit is issued. Also be advised that with reference to Chapter 1: 2 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuriei not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for pers m(s) you hire to perform work for you under this permit. RIGHT ELEVATION ,,,.-.,.er FRONT ELEVATION REAR ELEVATION LEFT ELEVATION 3/W•l'O" SCALE 1/4"•1'0" PLAN PREPARED FOR NORTHAMPTON t,,iA PLAN PROV10EO BY L.AU'Vro'5 ARGM OAAFTING 220TAYLOR 5T GRANBY ~A 461-ieqq 'L~20H_J 3'-2" 3·.4· '.<f" -.----13·.,;· 4·.10· >---------22· NEV'4 5HED DORMER Y'41'2'6"X4'6"0M 5ECQHQ fLOOR PLAN PL.,lt,.N PREPARED FOR REBECCA LOVE:l.o'NO 52 FRANKL.IN ST NOIUHAMP-ON MA PL>,N PROVl0!=.0 BY L,1,AA'S AR.Cl-I OAAFT!N6 '220 TAYLOR ST GRANBY MA 4b'1-2~ < :I: "))- II!'. Q z '° I -z () z < )-t ~ "-< :I: ~ ~ ") Q-' 9 w UJ t-z "'Q ... ' ~~~~ QI ,n ~~~~ > \.) ~ ~ c:, II!'. () ~ \.) z < ~~~i ~ ~~~~ z~~~ < :5 '° u.. II!'. v Q.. ~ ~ ~ ~ :5 ~ ~ "' 1: .9, ..E-,Oc .. b·.Sc HOO'i9Z' HQOS9Z' HOOS9Z' HQOSQZ: =al .. E·,c( .L II I a II ~ I ~ ~ II I f I II a .... :t 1't ~ a N 91 N ~ N :t l ~ a i ~ II I lill Haoi;,qz: HCIOS\?Z i :I: 0 "' ~ A .. ---1 HOOSet -----i * :1l qqo€ qqot; ,.os 990€ 990€ 'd90€ ..E-.Oc .. b·,Sc ,qt, 7 .. -................... _ .... __ ....... _ 123 115.5 92,5 24s_-15s 1~ 1 209.5 0 ~ 33 1 1- 132,7 24C-166 L () r---, 276.5 ,;f' ~- 31A~ o fl uc:un:zu 1 u~• r1 94.5 I c:e:! I . BANCROFT RD M~b~iM,J/J~- S~~= d-1-F Ne-dt. ~= 35 ~ I Cityof . Irarthamplon Louis Hasbrouck <lhasbrouck@northamptonma.gov> Re: Question about building permit: how to fill out for a phased project 1 message Louis Hasbrouck <lhasbrouck@northamptonma.gov> To: Rebecca Loveland <loveland.rebecca@gmail.com> Cc: Kim Carson <kcarson@northamptonma.gov> Rebecca, Wed, Sep 26, 2018 at 12:30 PM Your permit application got clipped to another one and we lost track of it. I went over it yesterday and today. A few of things; The plans are too small to read. Please send an electronic copy. I'll be able to see window sizes, etc. It looks like there are smoke and CO detectors on the plans. I'm assuming they're in the right places. They also need to be in the basement. There's no information about framing. We'll need details. Raising the roof and creating a room can be complicated and we want to know how it will be done before it starts. We'll hold the permit until we have more information. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax On Tue, Aug 28, 2018 at 8:44 PM, Rebecca Loveland <loveland.rebecca@gmail.com> wrote: Thanks so much for the information Mr. Hasbrouck! I will work with my contractor and make sure we get it right. Sincerely, Becky Loveland Sent from my iPad On Aug 28, 2018, at 9:14 AM, Louis Hasbrouck <lhasbrouck@northamptonma.gov> wrote: This information is in the building code (pages attached). It can be difficult to understand; there are different sizes for different sizes of windows in different locations. They aren't even called windows. Massachusetts makes it even more complicated by amending the basic residential code. Short version; International Residential Code plus Mass Amendments section R310. You might need to consult a contractor. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax On Tue, Aug 28, 2018 at 8:45 AM, Rebecca Loveland <loveland.rebecca@gmail.com> wrote: Mr. Hasbrouck, Thank you very much for the information you have provided. Could you refer me to the specifications for the dimensions of a code compliant window as well as whole house fire and Co2 alarms so I can plan for them? Are these specifications on line? Sincerely, Becky Loveland Sent from my iPad On Aug 27, 2018, at 4:36 PM, Louis Hasbrouck <lhasbro Jck@northamptonma.gov> wrote: Rebecca, Fill out the permit application for the work included in tt 1e current phase. The fee isn't based on area; rather, on a reasonable cost estimate. You should ut clown the costs for each phase. Know that adding a bedroom will trigger the requirement for current mde smoke and CO alarms in the whole house. They'll need to be installed before the finish work i ~inspected.Also, the bedroom will need a code compliant window. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax On Mon, Aug 27, 2018 at 2:16 PM, Rebecca Love and <loveland.rebecca@gmail.com> wrote: I Hello Mr. Hasbrouck, I am planning a renovation project which would nvolve building up a currently unfinished attic to make a small bedroom and, eventually a bathro )m. The space is currently insulated from the existing I house so the work would not disturb the interior and would allow a phased approach. i It would be ideal financially for me to be able to Jhase the project: I 1) Phase 1 -building the shell, constructing and finishing the roof, finishing exterior, including windows; fix porch roof abutting the area. I 2) Phase 2 -electrical, insulation, interior finish work. 3) Phase 3 -Plumbing and construction of bathr Jorn as budget allows. I am wondering how to fill out the permit applica ion ,md calculate the fee in the case of a phased project. I am nearly certain I will do Phase 1 ano Phcse 2 in one period -one after the other -but not certain I will have the funds to complete Pha se 3. I Could you please advise on the best way to fill cut the permit and calculate a fee given the potential I phasing? I Thank you for your help in this matter. Sincerely, ! Becky Loveland ; 52 Franklin Street · Northampton, MA 01060 <&9th Res 780 CMR 2017-10-23.pdf> <IRC 2015 Escape.pdf>