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23A-005 (11) 36 MEADOW ST BP-2019-1324 GIs#: COMMONWEALTH OF MASSACHUSETTS Mav,BIOck: 23A-005 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Deck BUILDING PERMIT Permit# BP-2019-1324 Protect# JS-2019-002137 Eat.Cost: $1000.00 Fee $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot Size(sa. fo, 34020.36 Owner. KYLE PATRICIA Zoning,URB(100U Applicant: KYLE PATRICIA AT. 36 MEADOW ST Applicant Address: Phone: Insurance: 36 MEADOW ST (305)484-0564 0 FLORENCEMA01062 ISSUED ON:5/24/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:EXTEND EXISTING DECK ADDING 6 FT TO FRONT AND 4 FT TO SIDE 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 OccuoancY Sigpature: FeeTvpe: Date Paid: Amount: Building 5/24/20190:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner I File 8 BM019.1324 APPLICANT/CONTACT PERSON KYLE PATRICIA ADDRESSIPHONE 36 MEADOW ST FLORENCE (305)484-05640 PROPERTY LOCATION 36 MEADOW ST MAP 23A PARCEL 005 O01 ZONE URB0001/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out FCC Paid Typeof Constructiow EXTEND EXISTINGG New Construction Non Structural interior renovations Additionto Exiliting Accessory Building I Include& Owner/Statement or License 3 sets of Plans/Plot Plan THE VOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION PRESENTED: Approved____Additional permits required(no 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:§R, Findin&_.,..,.4._ Special Permit—__ Variance• Received&Recorded at Registry of Deeds Proof Enclosed —Other Formlts 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 Ponnit DPW Storm Water Management Demolition Delay 27 1 Signature of Building Official - Date r ' 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. r Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 9t'EHra./ lvktt. /rady Department use only City of Northa ptOn Et)f Petit Building Depart ent Curb C On y Permit / 212 Main Street MAY 21 2 n p[ic Availability Room 100 Water ell ailabilily " Northampton, M 010 'c7u� of tructural Plans phone 413-587-1240 Fa 41 a ';"=v�;" W pi. er peury APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1�Pro/perty Address: Thula section to be cRi ompleted by oc , 11X717--- 0 rno p Map X3/4 Lot cc 6' Unit Zone Owrlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT t� jWrt Tekph Signature '+ th rl ' � � Mrx�r�t�.�hr�ce (►'`R (P / Cur- r Miliing Address %s -y134 -os�y Signature Telephone, SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Oficial Use Only completed by permitapplicant 1. Building �^ry It c� . QO (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of , OO Construction from 6 I 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) C✓O Cfieck Number This Section For Official Use Only Building Permit Number. Date Issued: Signature: Building Commissionerllmpector of Buildings Date W EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Compteted. Permit Can Be Denied Due To Incomplete Information , Existing ,Proposed Required by Zoning This column to bu filled in by Building Dcyemairt Lot Size _ ... Frontage j f e.. Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage Open Space Footage % (W w minus We A pn,W pari #ofParking Spaces — Fill: wlume a L ationl A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 18) 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 ja 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 or is it part of a common plan Mat will disturb over 1 aae? YES O NO ( IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION DE IPT F OP D W R ck all a liwbIs New House ❑ Addition E] Replacement Windows Alterationjs) O Roofing O Or Doors El ../., Accessory Bldg. ❑ Demolition EJ New Signs [OI Decks IW Siding(01 Other[�`7 Brief Description of Proposed Work: Alterationexisting bedroom_Yes No Adding se new bedroom x No qI� Attached Naarrative Renovating unfinished basement Yes �No Plans Attached Roll -Sheet ga.H New house and or addition to existina housing, comlgleta the followina: (� a. Use of building: One Family Two Family Other to. 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? C Method of heating? Fireplaces or Woodstows Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 1. 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 conlonn to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer Private well City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property ere uthonze a o my beha in a matters ti rk authorized by this a ing permit application. Signatufl,of OinwDate I, as Owner/Authorized Agent hereby declare that the statements and /orm ion on the foregoing application are true and accurate, to the best of my knowledge and belief. u der the pains and penalties of perjury. 1 PnName Sig rlAg Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicablex Name of License Holder: License Number Address Expiration Date Signature Telephone �c 9.Reaistered Home Improvement Cordractor: Not Appliwbl.x Company Name Registration Number Address Expiration Data Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,$25C(S)) 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...... ❑ Ila City of Northampton t Massachusetts ( c �( x r212 Mn S or• eozzozc rnsnacrrons z1Y win atr«t • aunicipal auilainq xorcna.ew,., as oioao 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,aheration,renovation,repair,modernization, conversion, improvement,removal, demolition, or construction of an addition to any pne 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:Ifthe homeowner has contracted with a corporation or LLC,that entity must bbe e registered. Type of Wmk: — ^ r Q , s h tSJ t SD 1.7Ocn,w Address of Work:�/Ao � l_� \ �\ fi ©juad Date of Permit Application: I hereby certify that: Registration is not required for the following wason(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 I42A.SUCH OWNERS ALSO ASSUME THE RESPONSIBDdTES 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 perntit as theegant offt o er: Date Contractor Name HIC Registration No. OR: Notwithstan#diagAkabove notice,I hereby apply for a b lding permit as t o f tl�i a ve pro Date Owner Name and Signa City of Northampton Massachusetts a i DEPAftTT OF l LDINO INS7=Z0NS 212 Main Strut a Municipal Building '1 Northampton, MB 01060 i 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. City of Northampton r Massachusetts yi c DEPMTNLNT OF BOZZDZM M"ZCTZONS ZJ 212 t in 8trot •NwicipBl Bui101nq Northampton, . 01060 :y5if0 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: 3CP no c0 -��kpsa (Please print house number and street name) Is to be 1didi`sposed of at: n n1 l„� �and6 vu ease p nt na and Ilitcabon o liry) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) D0\q Signature of Permit plicaffor Ow r ate 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. C—N The Commonwealth ofMassaehuselts Department of IndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builden/ContrasCors/Ele"ricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly • x Name(Boniness/OrganizatioNlndivid-ual)f�_ Address: �(�rnA (�(]I,tCy.]l� 0101( Sl. City/State/Zip: y--}b'(`Q Q 111h'©I1 -)Phoneti: "4�� -'�5(c� Areyo.m employer^chera me Vpmprme hos: Type of project(required): 1.[]l an a employer with cnadoyem(fWl ander pmt-Hers)* 7. New construction 2❑lamawle pmpdetar or pmmership and have no,nployces working f,mein S. ❑Remodeling any twined, [No workers'comp.insurance national] 3 1 am a homers.,doing all were myself.[No actions com,huurasme reaumd]` 9. ❑Demolition 4MI a an a homeowner and will be turn tractors m conduct an work norm 10❑Building addition g can y pmp:ny. I will swc mat allconpactors either have workers'crmpmnbrn iaautameor aR sole 11.❑Electrical repairs or additions pmprictors with no empwyees. 12.❑Plumbing repairs or additions 5C]1 am a general co.Pacmr and 1 have hued me subtiano-acus.listed m the atrachad shat. These sub<ontmcurm have employees aM have workers count.manner: 13. Roofrepairs 6f]We are a cotprmurn and in officers have exercised their right ofexempdnn per MGL c. 14. Other 152,§1(4),and we have an employees.[No workers'comp.insuntce residual] 'Any applicant that checks box pt.muw rs must also fill out dre section beloshowing their worke 'compeion nsatpolicy connotation. e Homeowners who submit this aeidavit iMicu rng they one thing all work and then hire outside contractors most submit a new affidavit indicating such. rConnnemrs that check this bar muse anached an additional sheet showing the name of the sub-contmnhrs and aerie whether er not those chains,have employees. If the sub-contractors have employees.they must provide their workers'comp.pulicy numb I am an employer that is providing workers'compensation insurance far my employees. Below is the policy andjcb site information. Insurance Company Name: Policy#or Self-ins.Lia#: 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 under MGL c. 152,§25A is a criminal violation punishable by a fine up In$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 -atement may be forwarded to the Office of Investigations of the DIA for insurance coverage vej4ication. J do here ce maker the 'ns and pe ' ty that the information pro ' above is true and correct Signature: D 1 Phone#: 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.Citv/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: , Information and Instructions Massachusetts General laws chapter 152 requires all employers on provide worked 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 implied,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-comsmor(s)camels),address(es)and phone number(s)along with their certificate(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 sum 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob 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 file for furore 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 venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Departments address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext. 7406 or I-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia 114' I EXISTING EXISTING BARN BARN i I i i I ' i II EXISTING ,,, GARAGE ' a o 36 MEADOW ST. mN II�i PROPOS ADDITION Blue=addifion Grey=eistingEXISTING G HOUSE E porch IXx4' ...... existII i iI �g i u [ 10' 1 EBOPOSED CONNIRSIQlN OF IEXISTING PORCH TO SPACE � 165' / sz Carrying beam a111DP�[i YIFI. IFMA JNST HANG. .WTX.WAER J.W �¢wenaa�re Foa eararo xxar�v AIST8 WITX FW ffN tsor.a IOWr SPANS Proposal: extend existing wood porch(presently 12'x 4')by adding 6'to front and 4'to side. Based on footprint,original porch was 12'long and 8'wide,but 4"was cut from front edge long ago. Will replace rotted,thin wood deck boards with treated wood deck boards at 1"x 6"x 10' Deck framing will be 2"x 6"treated wood(to be painted). Additional carrying beam (yellow)will be added using 2"x 6"treated wood(additional beams maybe added depending on condition of beams beneath existing porch. Concrete footers at 10"in diameter will be dug at 4'depth,concrete filled,and placed at the junctions of each corner of added deck,under all center front carrying beam and elsewhere if needed for support. Appears that 7 concrete footers are needed at this time. Carrying beams are being placed parallel to the length of the house;deck boards will be horizontally placed. Joint hangers to be used with flush beam construction. Above building specifications are based on International Residential Code Commentary at 5-53. Rails of treated wood similar to existing rails will be placed,but temporary balusters will be used until home-owner can create templates and manufacture new balusters and corbels. Owners intend to keep decorative details to time and type of embellishments when the house was built in late 1800's. Dimensions: property boundaries are 283'x 180'long; 165'x 114'wide. Distances: completed porch/deck will end at property line(68'from Cemetary fmceline);Meadow Street property line(52'). Patricia Jean Kyle,owner 36 Meadow Street,Florence,MA 01062 305-484-0564 patnaa@kylecrimlaw.com PROPOSAL: to extend existing wood porch (12'x4)by adding 6' to front and adding 4'to side. Based on tbotprint, original porch was 12' long and 8' wide, but 4'was cut off front edge long ago. a'>< Existing porch will be retained and shored up as necessary according to Code. Additional deck4l W' treated wood stringers and treated Q"'x 6 x10' deck boards to be used; 10" concrete footings (or 12" if needed at connecting points)will be pl 4_depth-&L-4 comers anll°at 8'middle intervak•Deck will be painted i avy blue. Existing balusters and ails will remain for the present until new`unes ow er. Existing corbels will remaintil home owner can make up template and reproduce with new wood. All balusters,rails, corbels will I e painted white. a\1 C , Owner has restored the old 'ouse a III intends to restore the front porch eck ai the out-buildin keeping in mind the age of the house at�d the i me during wpg4M�uildings were onstr cte&XISTING I BARN BARN i i I Aaiom& i EXISTING ,,, GARAGE a gym;, I 3 " O 36 MEADOW ST. I I IEXJSTING HOUSE jexisti porch 12'x4' 8f --------------------- u � a / c [—X0'---1 F