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49-003 (3)
238 GLENDALE RD BP-2004-0337 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block:49-003 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0337 Project# JS-2004-0492 Est. Cost: $16000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 721789.20 Owner: FEDORA MICHAEL S&LILLIAN B Zoning: SR Applicant: FEDORA MICHAEL S & LILLIAN B AT: 238 GLENDALE RD Applicant Address: Phone: Insurance: 238 GLENDALER RD (413) 584-8873 () FLORENCEMA01062 ISSUED ON:9/29/03 0:00:00 TO PERFORM THE FOLLOWING WORK:ERECT 60' DIAMETER TENSION FABRIC STUCTURE 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: Receipt No: Date Paid: Check No: Amount: Building 9/29/03 0:00:00 3849 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2004-0337 APPLICANT/CONTACT PERSON FEDORA MICHAEL S&LILLIAN B ADDRESS/PHONE 238 GLENDALER RD (413)584-8873() PROPERTY LOCATION 238 GLENDALE RD MAP 49 PARCEL 003 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Qa�r Fee Paid 9 Typeof Construction: ERECT 60'DIAMETER TENSION FABRIC STUCTURE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commis 'on _ __,.4.e:tel 6,...e, 2 Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Wii:,-4,14.,':: ;; 9e a Q$e @ fi ;°r:8. �1 -ice # .., yu ti'�4ri wCity of Northampton ,rof-P r it'" � ; .' :.; wy,,"�`,,.�, ....;.. Rill ing Department urb1CtitIDrvewa �- -'_ L f"-- c' r, ( (1 v E Main Street weVA6• c a1 a• 17 vY ' 1 oom 100 a erlWell �yal abt i ' s = s''''''''jet..... ... ..u .- �= j ' `j No h pton, MA 01060 Two Setsof4'St c'rral P ap .. p F' '� am" !J i' SEP �h�n�( 13 1240 Fax 413 587 1272 IDiot/S to Pla0 L '' --- � .r >�: i Other Specifys,~ ,-Vz - . .z, ,,,. r..H.as � Alg �$ °�TRUC , ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION , 1.1 Property Address: • This section to be completed by office j Map Lot ` • 2. 3gCLe Unit golaLeR A teil- 4 fbW 4-55. 0/06 2- Zdne R Overlay District 'Y r► P , /' Elm St._District4f �,` CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: // MiG #i eL. S- Fec/oti' r4 238 cLevhze i c/• ,Z)411 �//Anpf4( Name(Print 1 Current Mailing Address: —,�2„ Telephone ,_//3, 6--gs'i✓- Q�¢ 73 Signature O c� 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant _ 1. Building �6 coo , and (a) Building Permit Fee 7 s- pa 2. Electrical (b) F.:stimated Total Cost of olf /6 000 , oe> Construction from (6) / 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection _ 6. Total = (1 + 2 + 3 + 4 + 5) r4ife/C/ 00 0- od Check Number 3gg9 40457— This Section For Official Use Only Building Permit Number: all' ` 337 Date Issued: Signature: _ Building Commissioner/Inspector of Buildings Date Section 4. - ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size fro 4c, e 5 Frontage Setbacks Front Side L:/ 5'O i R: L: R: Rear • Building Height 30 Bldg. Square Footage 2 5.27 S�•Fir. Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ✓ DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES ✓ / op o e, 9oc' A".qy 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 NO l/ IF YES, describe size, type and location: D. Are t e any proposed changes to or additions of signs intended for the property ?YES _ No IF YES, describe size, type and location: ... ........... SECTIOfituDEt PT bittot'PROPOSED ► dRKlcheck all°applacable) : xa`+T-a R•'cs±A`fl4c+X,YESYM1 MrP4+Y.+K:.-:O'Y4i W w� - �H v} Y a�'F!'+; . New House 0 Addition 0 Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other Brief Description of Proposed Work: to© � mete 'Yew sic,* rA$Ric Slit I. re) Alteration of existing bedroom Yes 1../.-No Adding new bedroom Yes r/ No Attached Narrative 0 / Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet D' 6aTtf :eWM-atistr nd ors ddit ontoTeTatling housi ipdorriptere tl e follibwing: 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. Mascheck 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 SECTIiOI��iaOWIIER/AUTHORIZATION TO,BE COMPLETED WHEN OWIJEFSAGEN tOttCONTRAC70R'APPL7ES FOR BUILDING PERMIT 1, , 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, / //G /Kri e L , . 6,104 )4 , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. fI c i4 e L. g fe old & ►� Print Name • ,d770_44411,— Signatu e of Owner/Agent ate SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone R gl"ste-redEH Tr e.Trirpr irn:ent-Con ractot '; "` Not Applicable 0 • Company Name Registration Number Address Expiration Date Telephone SECTIONI`0 a1NORKERS' COMPENSATION•INSURANCEAFFIDAVIT(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 0 No 0 The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of 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. 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 undersigned "homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zonino Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 74•Cf144441- OKttANPTO I � �� ` 1 i (Littu of ortl�cimpfuiu z ��_*----- —. .•• g a triii- ��6 fa�aaaacf111sctla -=L"—.. �W�r_ DEPARTMENT OP BUILDING INSPECTIONS �4 �=_1= 212 Main Street ' Municipal Building ` !ll===-- Northampton, Mass. 01060 IMP''�� WORKER'S COMTENSATION INSURANCE A.II('1 U)AVIT I, — /17_.ig (Iiccns_Jc rtnittcc) • with a principal place of business/residence at: • • (phone ).___ (street/city/state-zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I a.m an employer providing the followint worker's compensation coverage for my • employees working on this job: (Insurance Company) (Policy Number) (F_xpirnnon Date) • ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Cempan lPolicy Number) (Expiration Date) (Name of Contractor) (insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Exr:rancn Date) _ (Name of Contractor) (Insurance Corr:..,y/t olicy Number)m (Expiration Date) (attach ad•-liticral sheet ifreceissr to i^.Glnzbc i:_fcr:^.:tcc:,::._.:ire'__1T cee-a ctto:-) i ( ) I am a sole proprietor and have no one '::larking for me. ( ) I .ain a home owner neriorming all the work myself NOTE:please be aw•arC tli2:'.5i.•:1C 1)CeiCJµ1rr1'.t-J c npIcy; cr.:U)(1),;_1ttTtrsancc,corcerucio h or:cpair wo:)_c-n y dwelling Cf not[MCC than throe units in which;he I:.Yxrvv-reaiw ce oeh',he :•:r,is app rtenarl thccto are not generally considerc.:n be employes under the worker':cesrpamaticn Art(GLI5o2. 1(S)),application by a homeowner fora licc:sc cc permit may avi:%crs-c the legal etatua of an employer under tho Worker's cooper—ation Act. • I understand that a copy of ai.etatenloct otay be forwarded to the IYtxirta,,crht of Jnelmmtriy1 Aaeidems'()flit,"of!r_:urarrx for the coverage verification and that failure to c ere coverage and zcction 25 A of?.MOL 152 can lend to the imposition of cr:mina penalties clueing of a funs of up to S 1,500.00 a^.1'cx L-..-.prittostrocit of up to cm}w and civil pcnattin in d,c fc)nn of a Ste,,Work Order-r.d a f r=of S 100.00 a day a gain.:i m:. . __ _ - I For dcputroortsl u,c only l _ Permit Numlx•r ._.------_-_--. -- — __ I...._..... I`s p Lot. _-..-___ a ;' I -. I -r-1 i Signature of I.icctt^,cdPermiktct. - ' -.�� ut;-,' Occ p,. e 4. :� Gify of Naz#liamptart • L- =* i .1111:- W �JV' � � jTtassacttusetts " _—_ 1_ '4"" DEPARTMENT OF BUILDING INSPECTIONS �4 _`•..-= /_ INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup. r. sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made �/J �f / I, / /IC( (l R e L re ao h2 i - understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date q/23/c3 Address of work //�� 1,4 /�location 2 3 8 (r Lewd#ci-le to l/e t1 O NO rvt/.9 74-4 et / /1/45 S . O ( 0 6- 2— NOV 0_ _1 2001 60' ALTRA-DOME 34'-10"x 87" DOME CURTAIN LAYOUT POST & CURTAIN LAYOUT CURTAIN i --5( X'-• 11/ & / \ — act / '.4\ 60'ALTRA-DOME P.? q, z k/ N V I / 01 To -, qpii4114141 asr\ -14 .>- 4.i:/s: 'ql PC <0 / . TYPICAL POST `�^dry TYPICAL / .<3 0<< CORD LENGTH / t FROM CENTRE t OF POST TO 'f X 30' I CENTRE OF TO OUTSIDE POST t FACE OF 1� NOT' . ALTRA-DOME P. OUTSIDE CENTER OF POST \ / TO OUTSIDE CENTER POST \ POST IS 8'-6 MT \ / \ / NOTE: 'k. / i 22 HOLES REQUIRED FOR 60'FOOT DIAM. \+, ALTRA-DOME `. \———X———— ��— DOME POST LAYOUT