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07-012 (22) 406 NORTH FARMS RD BP-2021-1105 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:07-012 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BARN BUILDING PERMIT Permit# BP-2021-1105 Project# JS-2021-001865 Est.Cost: $55000.00 Fee:$468.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 522720.00 Owner: WARNER GARY M Zoning: RR(100)/WSP(100)/WP(22)/ Applicant: WARNER GARY M AT: 406 NORTH FARMS RD Applicant Address: Phone: Insurance: 406 NORTH FARMS RD (413) 563-3818 O FLORENCEMA01062 ISSUED ON:4/6/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:AGRICULTURAL BARN 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. I ;. Certificate of Occupancy Signatur FeeType: Date Paid: Amount: Building 4/6/2021 0:00:00 $468.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner w 1L ULIVED II a APR — 1 2021 i The Commonwealth f MigsdoAEftlitsmG INSPECTIONS i Wt Board of Building Regul ' ns-a - �a a MA 01060 , FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling �/� This Section For Official Use Only Building Permit Number:L 2 /--/(C Date Applied: 1,6; da I 1 7 i'Li Building Official(Print Name) Signature ' / —L� SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Asse sors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map ber Parce umber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 /one: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'art Record; l re _ rb e e 0 r /P a Name(Print) I (/(J City,State,ZIP C 9 t 6 10 . FA-Okit., ei `M SG.3 3 t 9 _ No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 1317 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition ❑ Demolition 0 Accessory Bldg.CI Number of Units Other CI Specify: Brief Description of Proposed Work': i a(fir l 11,Lr ,i Cyr—N/ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 50 U o( 1. Building Permit Fee: $ Indicate how fee is determined: 2 Electrical $ �G 0 Standard City/Town Application Fee / 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 6 2. Other Fees: $ 4.Mechanical (HVAC) $ 0 List: 5.Mechanical (Fire $ /) T(� Suppression) �/ Total All F $ C�t4& Cash Check No. I Check Amount: Amount: 6.Total Project Cost: $ 5.3 0O0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D_ Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION 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 Cl No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S 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. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Sign ure) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton �,�Y"sAMpTa Massachusetts �? ar sJ04* !r{ DEPARTMENT OF BUILDING INSPECTIONS ' t 212 Main Street • Municipal Building Northampton, MA 01060 s j'‘ CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: \ci U �� ���L 1Jortipehrit+Al1� The debris will be transported by: Name of Hauler: CAC\/ nt,t, 051/\N,1%( J\ti • Signature of Applicant: Y//� / Date: l( The Commonwealth of Massachusetts ' ,. . `Y. Department of Iiadr:strial Accidents 1 Congress Street,.Strife 100 .— ` Boston,M101114 I01' ' ti Iry rass.govfdiia W„ckers'Comppeu:anon Insurance. idarczt:&uldecs,Contractor sect cians.Plumbers. TO BE FILED' TTH i ttt.FERN/ITT-LNG?li'THORTIY pphcantInformation Please Print Legibly NTartir Bu-:aneSE:Oran-W ricm Trhiniehtt1l: Address: CitylState,Zip: Phone#- Are FOR as ernpto r'C le.c the ippropreAte box: Type of project(required): :Or=a omp yra witl amp3opao:4fnli sacker past-tuma4.* • 7 El New comtruchon .❑I an+a acla proprietor or pa.-t ears:ap and lava as a oplaroas aroziaa.: ill(ma $ El Remodeling asr•nepaccy.[No weaken'ca_p. .arttsaaca mgrirsrd.] 5 ❑Demolition lition 3.0I am a hasaaaamer clamp all wail Resat:(No arodsraa'camp msA-a:ua racrairtei. ICE❑Builg addsnstn 4.®I am a hntaaaownar and will Ica hiring,coatras:ors to r::od cr tit work roll my pc cgaarty I actil assure that a0 cuoz:acrars arhar have wntion.costpsst atie5 uu"Lray_a as as Iola 11.❑Electrical repairs or a on propaacm:with ac a�ptcTaat 12.❑Plumbing repair or addition `_.❑I ac a panes:cmwamor,and i hac•a hi.-ad tha:nkccaatract^or;kaad cm the attacbad rasa*.:u a �- ❑Roof INN Thasa:WO-ccnaa to lace aaup s�aa.mid bawd workan'cors'. nza: 0 Other 4. f❑G e aw a ct-paxaccn and it:afficars naz a wnauisad thair ti*of asamavca par 33i i c i I53./I{#},.amino lava no a.aplo) :.(;;a n c:•iw s'con-T.as:urad::na ad.l 'Any appli,aat dot t [s bit xtl moat also$IL inn thi sacs on ba pow shaa ing shalt woo/an'compaanatan policy m€aallation. Hcmavwnan who soleiatit tins affidavit• di;arras they axe doing a7 work and than has o soda cancactcs^z=nit sn'anin a vox afftda i miira-iyrc:wadi, l:cstru rail Mac::hank this box mint unclad an addicana:;hex iho aing la name:of tins nib-contra:tars and spa wwnthar a nor claw it=iiii ar:•. acglcycas If Ma rob-ceaatracrar:have amplayaa.isav mart nrov^..3a their ackars"eat*.policy nuzxkat I tart an employer that is providing workers'kers'compensation insurance for my employees. Below is the poIicv and job sire inforarustion Ix>_airance C:rtii y ,fat,,,,. Policy=or Self-m;.Lac._: Expiration Date: Job.Site Addaexs: Cuy'State/Zip: Attach a copy of the markers'compensation policy declaration page(shorting the policy number and expiration date). FaiLure to secure coverage a:regtnteduder MGL s_ 152. 25 c is a manna:violator.ptuacsh3bleby a fme try to SI.500,130 and or one-yen inapnsonment,a>well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S25G_0O a day agaits-.t die violator.A copy of this statement may be&awarded to the Office of In ve>tigations of the DIA for n roar ce coverage age verification.. I do hereby ce1tii under the pains and penalties ofperjarr_y°that the information provided above is true and c-on-ec SSaena$ffe: t✓Cz iC Date: ' I/(/ Z/ Phone ax- %' /3 5 g 2j 3 g` i F Official use pith-. Do not write in this area,ro be completed by city or town official City or Toad: Permiit:Liren>e= Issuing Authority(circle one): I.Board of Health :.Building Department 3.City Tov.0 Clerk 4,Electrical Inspector .Plumbing Inspector 6,Other C ont.act Person: Phone=: • City of Northampton Massachusetts ..,. N }3• DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 4,t:-m^ � II ,' 11 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Gj'A WG C (insert full legal name), born 6115 /53(insert month, day,Oar), hereby depose and state the following: ((( 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this_ ( day of v c l , 20 Z.r )1 (Signature) Gary Warner 406 N. Farms Rd Florence MA 01060 March 29, 2021 Hand Delivered to Drop Box Jonathan Flagg Building Commissioner 212 Main Street Northampton MA 01060 RE: Accessory Structure Permit Application 406 N. Farms Rd Dear Mr. Flagg: Enclosed please find my application for an Accessory Structure Permit together my application fee of$468 (2340sf x $.20). Because the square footage of the proposed structure is over 2,000, I also enclose a Zoning Permit application with the required $30 fee. Site: I own approximately 40 acres which is mostly forested. Approximately 10 acres are open pasture where I graze two horses, and I have a single-family residential home. The proposed barn will be set back 530 feet from N. Farms Road. Kings Brook, which runs along the front of my property, is 310 feet from the proposed barn, which is outside wetlands jurisdiction. The nearest abutter is to the south (or left setback from the barn) is 148 feet. For the right set back (to the north of the barn) I put n/a because I own this lot. It contains my house. For rear setbacks I put down n/a because it is very far away. I enclosed a survey plan on which I outlined my property in blue to provide an overview of the property. I am working with Wayne Feiden and Sarah LaValley to donate a conservation restriction to the City of Northampton in 2022 on this property, excluding the residential uses. Accessory Structure: I propose to build a barn constructed of metal and wood on my 40-acre property. The purpose of the barn is for hay storage, equipment storage, horse shelter, and tool shed. The ti barn will be custom made of metal for the center and side structure, with a wooden façade with traditional barn doors. I have constructed two similar metal structures on my property in Goshen MA. The left side of the barn will be open with a roof overhang supported by posts. There will be no floor or walls in this portion of the barn which is labeled Open Area on the sketch. Zoning Permit: • The total square footage for the main barn, side structure, and front facade is 1,660 sf. The square footage for the open area is 680sf. Because this is an agricultural use and the floor area, which does not include the open area, is less than 2,000sf, I do not believe site plan review is required. Thank you for your consideration. Please contact me at 413/563-3818 with any questions. I look forward to hearing from you. Sincerely, 6/02, Gary Warner VIP gal 7 'rO 4/ 'i-•Rd4•4017 , DE7M:SCALE 1 4 .— !R-lil 1 1 W�-s-r0 0" !p. 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