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10 Dickinson BP App 2020 10 DICKINSON ST BP-2020-1135 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-089 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2020-1135 Project# JS-2020-001901 Est.Cost: $70000.00 Fee: $455.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MICHAEL PHILLIPS 082683 Lot Size(sq.ft.): 5227.20 Owner. ROMAN MAGALY& Zoning URA(100)/ Applicant: MICHAEL PHILLIPS AT. 10 DICKINSON ST Applicant Address: Phone: Insurance: P O BOX 514 (413) 250-7990 O WC GOSHENMA01032 ISSUED ON.5/21/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPAIR/MODIFY FRONT PORCH, ADD 3 SEASON PORCH WITH DECK IN REAR 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: FeeType: Date Paid: Amount: Building 5/21/2020 0:00:00 $455.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner T S� e �fid` u - • • .__.Department use only City of Northampton Status�€���reit Building Department Curb Cut,'Drivdway Permit - 212 Maim Street Sewer,Septic Availability Room 100 Water"Well Availability,­­­­­-, Northampton, tv1A 01060 Two;gets of Structural Mans phone 413-587-1240 Fax 413-587-1272 PlotfSite Flans Other specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION __......................._._._.. _...__ ._.._...._ __......_._.__._..._. 1,1 Property Address. This section to be complete dry office 1P v '�..✓t � �5�� ''V � w M� �_I �._ Lot�__.._____ _Unit I Zone_ _ _..__.__.._ _.Overlay Dlstrlct. Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 21 Owner tqf Record: Ngmp(Print) Current ting dress: Teierilmne 2.2 Authorized Agent: Name Print) Current Mailing Address. Signatu reteptione TIt3N _W STIMAT CONSTRUCTION COSI Iter* Estimated Cast(Dollars)to be Official Use Only completed by perrntt apA)ticant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Gast of I }� Construction fro!n 3 Plumbing _......n.w.....�...a_ .�. �...��....�....�...� Building Permit I=ii .. ............... 4. Mechanical(HVAC) 5.Fire Protection t 6. Total=(1 +2+3+4+6) i heck Number m m This SWion For Official Use Only Building Permit Number /� �j 5 bate lI i .. ..... w............................ 4 Sicunture ___.. I Building Commissionedirtspector of Buildings EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR Section d. ZONING All In(ormation Must Be Completed. Permit Can Be Denied Due To Incomplete information Existing Proposed Required by&ning This column to he fillet]in by $uikfing Mpannnent Lc)t S`szt< F11)nta e Setbacks Front Sick; t..: -Q..._IZ.W ' ...... Rear Building Height Bldg.Square Ftxtat;c ( 5j I Open Space Fcx)tage �{> (I,tar area minus bidg&paved iat�:ins:} #of Parking S aces (vt tante R tnc,t�ionj A Has a Special Permit/Variance/Fir lir ever been issued for/on the site NO 0 DON'T KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YENS IF YES: enter Book Page and/or Document # B. goes the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtainer! Obtained 0 Date Issued: C✓ Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: E. Will the construchon activity disturtr(clearing,grading cavation,or filling)over t acre or is it part of a Common plan that will disturb over 1 acne? YES NO IF YES,then a Noftampton Storm]'Vater Management Permit fioni the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all appltcablel New House [l Addition � Replacement Windows Alteration(s) Roofing LJ €r Coors 0 1 Accessory Bldg. 0 Demolition El New Signs iol Decks C Siding[01 Other fol Brief Descriptio Pro 95 L, Work: Alteration of existing bedroom Yes_. No Adding new bedroon7Yes No f Attached Narrative; Renovating unfinished base ent W___ „-_No Plans Attached Roll -Sheet 6a,If New house and or addition to exi , houSin COMDWQ thO f0110win a. Use of buildinzg ; One Family—X­ TwoFamily Other b. Number of rooms in each family unit:___._....___............................ Number of Bathrooms c. Is there a garage attached? 5 __ d, Proposed Square footage of new construction,_ S, Dimensions 3 _. e, Number of stories? f Method of heating? _ _. _. Fireplaces or Woolstoves� .,...,._._Number of each,,LLV g. Energy Conservation Compliance.,,,,• � asscheck Energy Compliance form attached? i 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-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as towner of the subject property hereby authorize x ....._ to ct on nay behalf,irl all natters refative to rk at orize by t s buil rng permit application. ,tom } • .� _ _.._ l�'0Z L'7 Sr ature of a � Date 1 4 f as Owner/Authorized Ag4prit h ruby declare that t :�sta nt nd in orma so on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and Denalties of perjury. PrintN Si',3naiur> f C?wfieri e nt _ Dii e City of Northampton etc"#ssaclius tis EPJiIX WEsNT OF BUILDING TMWPECT"XONS 212 Main Street s Municipal Building Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The;Office of Consumer Affairs and Business Regulation("OCARR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one,to four family home S. Prier to performing work on such homes.a contractor must be registered as a Home Improvement Contractor("HIC") M.G.L.Chaprter 142A requires that the:-reconstruction, alteration,renovation, repair, modernization, conversion, improvement, removal, demolition, or constnictio►n of an addition to any pre-existing owner-occupied building containing at least ono but not more than four dwelling units....or to structures which are adjacent to such residence or buildin 'he done by registered contractors. Note:If the homeowner has contracted with a corporation or LI,C,that entity must be registered. Type of"44`o r � _. � � �_ _ Er t.Cast: �� ......... .w. Address of Work:--.-�-'�---Z Date of Permit Application,. I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(,explain): __.._.._._.____._._........__.__ _Job tinder$1,(IfXUX) Owner obtaining own permit(explain): ._.___. _ __.._._.._...................................__..._.........__. --Building not owner-occupied Other(specify): OWNERS OB'T'AINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITHH 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 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 went of the owner: v11 _f L�Mci_49f I_�(1� J0 Date C'tjntractcr tiatr HIC Re istration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above,property: Date Owner Name and Signature City of Northampton ` Massachusetts 212 Main Street • Municipal Building Northampton, MA 01060 Massachusetts Residential Building Code Section 11O.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 11 O.RS.L' I Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR I [O.RS, 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 farm acceptable to the [wilding Oft-icial, that he/she shall be responsible for all such workperformer[ 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 pernnit 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 Massachusetts 5 i7SPAR77EWT OP BT TWING INSPECTIONS " . 21.2 Main street *Municipal Building = 5� Northampton, tai 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 PMOL c 111, S 150A. The debris from construction work being performed at: {Please print house number and street name) Is to be disposed of at: t t,}�eanotse nam and loc 16_6 of fa ityj Or will be disposed of in a dumpster onsite rented or leased from: dm and Address ro...� { p �' � E Signature of Perrnit App{icant or Owner Gate 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 wealth of Massachusetts . Department of Iaadatstrial Accidents ' I Congress Street, Suite 100 Ruston, MA 02114-1017 wxn>w.mass.guvldira Worken'Compensation Insurance Affidavit:Builder-J(°antractors/Elt�ctririanslPlumbtrs. TO BE.FILED WITH THE PEItM11 l'ING At)`t'10RITY. APRWtttrt Informatkitt ( Please Print I.e rilrly Name ttiustness,(trgartix,itionr'Individintl):_.. City/State/'dip: _ Phone#. Are you an employer?Check thr appropriate fins: Type of project(required): i.[J l anx a emple,rer with__',_.._er ployees(furl atxL"rr�.ut�aixv�L" 7. New construction 2 lam a cote prraprietor or partnership and have axe etttirloyee%working for the in 8. Tternxleling any capaity.lNo workers'camp.insurance. reyuimL 1 I3enx,lition 3U]1 aril a ftcrrtxKawuer doing all wink rrtyu f.lNcs work "cotnp.iwsurssrtbe rcaluirecl.;) Building addition❑ 4.07 ant a hr3n�rereasrter and will be hiring r;r»ttractcrrs to conduct all work Cott my prtrpt:rty. l will 1t) ensure that all crrntra cors either have workem'compenwation instrrantck or are sale 1 1.Q 1eCtricad repairs or additions prtrprietors with cur eng)loyees. 12.❑Plumbing,repairs or additions S.�t am a general contractor and 1 have hired the tutus rntractrrn listed on flit-attached sheet.. Thesesuh-conawtors have errflloyees anti have w.Aers`comp.insurance,' 13.[:]lentil repairs iSWe are a e ution And its officers have exety sed their right 14. tx'pr>r leu ctf exemgrtion per MCit,.c. 152.410).and we have txr employets.(No workers`comp.iwuance r"iretl.l Any applicant rhu chm-ks tax 0 t rnu-ct also fill out tie that fielim showing their wafters'compen,"tion policy inforrrwtion. Homeowners whey submit this affidavit ittrticating tiwy are doing all wtA and then hire imtside conlraacir's must submit a new affil tvit mdicating such, :C'ontraLtors that t hock this box must attached an Additional sheet showing the nano of the sub-const ton and state whcthet or not thou'entities have employs. If the s-uh-'rmtraclom have eratiloyeAes,they rrntsi prrovicfe then cew�rk r."cxatatfr. rlriv srtntri r. 1 am an er»p yer that is providing wooers'compensaiion insuruncefor inn y employers. Below is the lwlic.v and j h site informarion, Insurance Company Nautc:.— Policy#or Self-ins.Lie. Expiration Tate: � Job Site,Address:_-. 1 f -. �-��_ ....._Cit}�!`State;�.ip:. Attach a copy of th11 workers'carhpensation po try declaration page(showing the polity number and expiration date). Failure to secure coverage as required unclear 11 U_c. 152,§25A is a criminal violation punishable try a tine up to$1,5M.M and/or tine-year imptisonnient,as well as civil penalties in the loon of a STOP WORK ORDER and a fine of up to$2500X)a Clay against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I dry hereby certify under tare pat.ns and pelta )re jury that telae information provided a#ove t.°true and correct Phone 4: Official use only. I.hr not write in this area,to be completed by city or town off cW City or Town. _.._-____-__. r_ m. _........._..._:..__._.Pa rcnEttt icmw# hinting Authority(circle one)- 1 I.Board of health ?,.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector ti.Other Contact Person. .....-... Phone#: S $2.11'02* E2yo . �.._ —.. N 82'11'02" w 136,21' 50. Alr tv �t 29.x' l / , i c mo---i1 proposed eq b ?fdit;�et O i KS yL i 3 ii t2 ASSESSORS MAP 17C z � � PAPCEL 66 / ZONING DISTRICT — Uf3A `�/ r/�i ''a { Bo 9608, PAGE 351 vi/ \'x i porch f 97.93' 50.02' 950'02' N g? 37 w 82"7'37" W DICKINSON STREET A 40' WIDE PUSUC WAY i ..___. .......... PLAN OF LAND 4N NORTHAMPTON, MASSACHUSETTS PREPARED FOR ,rte MAGALY AND MARIA ELIZABETH BABAJA S—ROMAN SCALE: 1"=20' JANUARY 13, 2016 RAND Au HAROLD L. EATON AND ASSOCIATES, INC. as a REGISTERED PROFESSIONAL LAND SURVEYORS � 235 RUSSELL STREET — HADLEY — MASSACHUSET'"S 413-584-7599 413585-59761 (fox) esmoA — hlaoton0ool.com I gg � i s 82'1''02" E -- N 82*13'02" W 536.21` r ml V garage � f f a dwelling ASSESSORS MAP 17G z sr� �1 P,A.RCE 66 X10 j ZON(NG Dls RICT _. URA I _ BOOK 9608, PAGE 351 porch 33£ M 97.91' 50.02' 50.02' N 82*1737' W —-- N 82*1T37- W r j A 40' Aip£ PUBLIC WAY i s' Y G, 20, 40, 60' _. .......... l f { �s sit :t ar4�na�• <a ,.a.. x..... w,..F.{.� �. F Sx 3.$raw�e..a.. .3n.. ..,.. � i>Y.1, hot a L� w r. R z + a � x .rr � n'E Ery➢Y a� lii� 9��t'rq�II�IV�II�OV�������IlyUy�,��' "`'�- '�''✓�'� ,, ;� "�` ��� �`'�.a� f�' ,�''i��.k���I+1�'... �, .� _"�G w t> .... � 5 ti y 3 r L 4' f { l;No' } ry 111 @� IF � � a & i `{1 f � ri y 5 6 v II, �y� x Y i �p J 9' r. rt .;F MOO f i k Y� F, VT x SIT aim r 9 r k vaa � J, Y G r-t a ° r 44 v E A R E a^ I \ �W �0 3 �w1 n �.4 T Top View of Your Deck The Scale is 1/4' : 1' _2Z ------ — 15 494 zo T6 ��- - J1 ILI `--b CD Top View of Your Deck The Scale is 1/4" : 1' ` ! I � � t� L i f. G i I I - - - `-'l.r Permit Application for 10 Dickinson St. Northampton MA 1 message Louis Hasbrouck<Ihasbrouck@northamptonma.gov> Wed,May 13,2020 at 3:48 PM To: Mike Phillips<mikephillipsinc1 @gmail.com> Cc:Jonathan Flagg<jflagg@northamptonma.gov>,Carolyn Misch<cmisch@northamptonma.gov>, Kim Carson <kcarson@northamptonma.gov> Mike, It looks like this will all work as far as zoning. We need to know about the footprint of the front steps; if they stay in the same footprint,they're fine.There's maybe an extra 12" available. The addition will work. It needs to stay even with the house on the west(left) side but the rear and east setbacks are fine. We do want framing plans. You can email the plans or put them in the building department dropbox outside our office.The permit fee will be $455.00. Put the check in the drop box or mail it. We'►I process the permit as soon as we have plans and a check. it won't take long. We'll mail the permit card or you could pick it up by appointment. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax [Quoted text hidden] 5/19/2020 City of Northampton Mail-Fwd: Permit Application for 10 Dickinson St. Northampton MA � �IOf Kim Carson <kcarson northam tonma. ov> N @ p g Fwd : Permit Application for 10 Dickinson St. Northampton MA Louis Hasbrouck Wed, May 13, 2020 at <Ihasbrouck@north amptonma.gov> 3:48 PM To: Mike Phillips <mikephillipsinc1 @gmail.com> Cc: Jonathan Flagg <jflagg@northamptonma.gov>, Carolyn Misch <cmisch@northamptonma.gov>, Kim Carson <kcarson@northamptonma.gov> Mike, It looks like this will all work as far as zoning. We need to know about the footprint of the front steps; if they stay in the same footprint, they're fine. There's maybe an extra 12" available. The addition will work. It needs to stay even with the house on the west (left) side but the rear and east setbacks are fine. We do want framing plans. You can email the plans or put them in the building department dropbox outside our office. The permit fee will be $455.00. Put the check in the drop box or mail it. We'll process the permit as soon as we have plans and a check. It won't take long. We'll mail the permit card or you could pick it up by appointment. Louis Hasbrouck Building Commissioner City of Northampton https://mail.google.com/mail/u/O?ik=286O5c8627&view=pt&search=all&permmsgid=msg-f%3Al666605996014980464&simpl=msg-f%3Al6666059960... 1/2 5/19/2020 City of Northampton Mail-Fwd: Permit Application for 10 Dickinson St.Northampton MA Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax [Quoted text hidden] https://m ai I.google.com/ma i I/u/0?i k=28605c8627&view=pt&sea rch=al I&perm msg id=msg-f°/o 3A 1666605996014980464&si mpl=msg-f%3A 16666059960... 2/2 T � f(P(P 'o / ` ki d J_ YA _ V- LbL Se L cka, L e e WIR6� L)