32A-202 BP-2022-0165
59 PHILLIPS PL COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-202-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0165 PERMISSIONIS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 105000 KRIS THOMSON CS084152
Const.Class: Exp.Date:04/09/2023
Use Group: Owner: LULA ARLINE L &NATALIE E LULA
Lot Size (sq.ft.)
Zoning: URC Applicant: KRIS THOMSON CARPENTRY
Applicant Address Phone: Insurance:
362 KENNEDY RD (413)695-6487
LEEDS, MA 01053
ISSUED ON:03/02/2022
TO PERFORM THE FOLLOWING WORK:
RENOVATIONS TO CONVERT TO SINGLE FAMILY
•
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: .
sati
Fees Paid: $735.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
R� Fa .FLI
4
The Commonwealth of Massachusetts
', V Board of Building Regulations and Standards r FOR
Da
Massachusetts State Building Code, 780 C B 1 5 2022 ',MUNICIPALITY
USE
Building Permit Application To Construct,Repair,Renovate Or r Demolish a ' Revised Mar 2011
One- or Two-Family Dwelling . .!
This Section For Official Use Only
Building Permit Number: 6P- 2.2-- I C.A g' Date Applied:
Building Official(Print Name) I Signature i 0date
5-q ill,l bl'p,‘ ?fcic .E, _ SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
.S 1 -PO WI Q.1 D ..--7e,✓f• 5'e e "C k cLI.4
1.1 a Is this an accepted street?yes no Map Number 344•4. o,O=yparcel Number
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 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑ ,
SECTION 2: PROPERTY OWNERSHIP'
Z.1 4 caner'of R cord:
J J)Pro ticuk+ntt Flo.a.(4- M/-1- 014 62
Nar►�(Print) City,State,ZIP
\/ 91 iN-'- 'S.‘ 9 ►3 61i- 6411 atLe ,—(ti <Z@ cd, r4a--,,e-i—
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction 0 Existing Building Owner-Occupied 0 Repairs(s) 14 Alteration(s) Egls Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units / Other 0 Specify:
Brief Description of Proposed Wore: \r tick c , e Wt O de,1 1`�0 0 5c�1-:
know_ , N e J V-)-h • 1 s,i 10,t'e.. Loa lls 4 c.c.,'l,'v3 . i14 ,—) 'e la i
Jsa_ �_x 'WY.7., PL,,,._.id/v)S 6 1,-47
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item I Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 7 O/ O 0 tJ 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $ 2-- O O o 0 Standard City/Town Application Fee
/ 0 Total Project Cost (Item 6)x multiplier 10S x 7--.'c'
3.Plumbing $ i O/ o 0 0 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ 7 ,OB
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ f f) 5 0 0
/ d ❑Paid in Full 0 Outstanding Balance Due:
City of Northampton
4
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building ti
Northampton, MA 01060 /h ��d�� .
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR, ETC.
I. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specifications of proposed work. (Digital and hard copy)
3. Site plan with location of proposed structure(s) and set backs.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/ replacement windows).
8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable).
9. Note any Conservation and/or special permit requirements (if applicable). 10.
Driveway Permit (if applicable).
11. Proof of Water and Sewer entry fees paid (if applicable).
12. Trench Permit - public land by DPW / private land by Building Dept.
13. Stretch Energy Code -all new construction will require a HERS Rater Affidavit to be submitted with permit
application before issuance of permit.
14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
• (.5 • OcK 41. 15 2- - 2 3
��r, 5 l3 /1 0�s U ►� License Number Ex iration Date
Name of CSL Holder
No.and Street List CSL Type(see below)
3 ,2 ��v v' e ( CA �Q Type Description
�-�- ( S q U 3 U Unrestricted(Buildings up to 35,000 Cu.ft.)
'�Cb ZIP R Restricted 1&2 Family Dwelling
City/Town,State,
M Masonry
RC Roofing Covering
WS Window and Siding
R rr s*-ln 0 w,S o r C0./('Q wt✓i SF Solid Fuel Burning Appliances
4/ 7 'L 9 5 • I. 4•7 Cr vi.C4 ; Insulation
Telephone. Email address .D Demolition
5.2 Registered Home Improvement Contractor(HIC) 1 1 I 543I(o(2
50. - HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name r is +Loin-,s- + ca./p j✓"'
No.and Street - writ • CO'Lt-%
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 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 r 3 7i o MJ.-, Cc •74
to act on my behalf,in all matters relative to work authorized by this building permit application.
./11-‘ r\-- I I 9 (z_2_,
Pri wner's Nam lectronic Signatur Date
SECTION 7b: OWNER1 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 Signature) 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.) I 1 '0 0 (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 9cAJIr1-e_ Habitable room count �o
Number of fireplaces ^ 0 — Number of bedrooms S
Number of bathrooms 3 Number of half/baths
Type of heating system N o+ 0-;✓ Number of decks/porches 1
Type of cooling system 0 - Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
6
City of Northampton
Vy(/e'f---
Massachusetts ., 'iee
*
DEPARTMENT OF BUILDING INSPECTIONS �s 4212 Main Street • Municipal Building g c.iP`
Northampton, MA 01060 'r` go
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:
The debris will be transported by:
kName of Hauler: 1 4 JJ
+0c., I/. D ,?5_, ,RDscs2.____
Signature of Applicant: Date: Z/ S/2_2---
The Commonwealth of Massachusetts
. -
Department of Industrial Accidents
1 Congress Street,Suite 100
,....3 .... s 1,
Boston,MA 02114-2017
_11 ,
' ' A
www.mass,goiltlia
Wia kers'Compensation Insurance Affidavit:Builders/ContractorsfElectriciansiPlumbers.
10 RL FILED'WITH THE PERM1111NC;At THORITI.
A nolican t I n formation Please Print Legibis
Name 4,BusinessiOrgantiationl1ndivAttal): Kr(.5" B 17-0.1no c.61-)
, - -., „ 1
.,„
iAddress: 340? -e--4/1 n-e- d) ( '
C ity/Sta t e/Zip:40..c15 Ack , O.jCi. ....7 Phone#:, 1-i -3 • (093-7- ‘ 4 -4
... .... .
Are yes ao employer?Cheek the appropriate teat: Type of project(required):
1.1:3 lain a employer with eregioyees tfult anther pariAirnek.* 7. 0 New construction
X1:::3\litallti a wale proprietor or partnerahip and have no trIvioyeft working I'm rise or Se:n Remodeling
y eapacity. Na warkefs ebatp.itaittralwe repined"
9. fl Demolition
1.0 1 AM a horremwrim denne all wort myself[No workers'camp,reistuante monied]'
10 0 Budding addition
I an a homeowner and will he lining akar:roots to conduct all wiek on rity property. 1 will
ensure that all cmorackin either have worker.'conmensation mairrance or are sole 1 ID Electrical repairs or additions
proprietors with no ottployets,,
12.13 Plumbing repairs or additions
sin lath a general contractor avid I have hired the sads-k‘earraelars hated an the attached sheet,
I 3.IDRoof repairs
These oabooinisciois haw earmloyem mil haw workers'teem.nisoemee.:
1
6.0 We are a earporehon wed its gat time exercised thin tight of exemption per NiCit e. 4.0 Other
1.12,I Itak and we haw tip mmloyees.[Ne workers comp r:awe resprited,1
Any applicant that check bet 41 Mita also till out the iection below likywiruz their warkffS,',Mtilprak,i,41:1 the ntrarmanen
P themeowners who Sailik doh affidavit millicatirat they are doing all work and then hue°Ulm&annum-tem mum submit a new atreitm it itiiiicating math.
tContracturs that deck this bat roost attached at additional sbeet showing the mine of the sith-eClarAVUSIM iffld 47.17& hother or not those lattiLici hart
employees, lf the Auti.corgrlincin,F-.2ve entrioyee%..they illkM ptovule their work.e.r.,',''...,....v.poitel.itamber.
lam an emplOyer that is providing worAerv*compensation insurance far my employees. Below ia the policy and lob site
information.
Insurance Company Name:
Policy 4 or Self-ins.Lie.4: Expiration Date:
lob Site Address: Orr StateeZir. ...._
Attach a co ) of the workers'compensation policy declaration pageishowing the policy number and expiration date).
Failure to secure coverage as required under MOE c. 152,§25A is a criminal violation punishable by a foie up to$1.500.0O
anskor one-year imprisonmetit.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a
day against the violator.A copy of this statement may be fort arded to the Office of investigations of the DIA for insurance
coverage verification
- . .
I do hereto .c eider pa s and pe,nolttes ofperfary that the italarmation provided above is true and correct.
Si ture: Deo. 4-.-) / 5-- -Zo? .
Phone 4: 4' /3 . Co ' (r-,4 Y7
1
tint use attly. Do not write in this area,to be completed by eke or town officiat
City or Town: Permit/License 4
lulling Authority(circle one):
; 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector
Other
Contact Person: Phone 4: i
4
59 Phillips Place secondary building (aka 51 Pomeroy Terrace)
1400 sq ft residence
Proposed Improvements(see drawing):
First floor:
Remove one first floor bathroom
Redo kitchen—cabinets,counters, appliances
Partially open wall between kitchen and dining room
Replace some windows
Remodel first floor bathroom (reduce from full to half bath)
Add utility closet in hall
Remove existing exterior stairs to second floor
Second floor:
Add shower to bathroom
Move closet door from bathroom to hall
Move sink
Structural work:
Support cracked 8" x 8" carrying beam in basement
The building shall receive:
New sheetrock ceilings
New wiring
New insulation
House was a 4 bedroom/3 bath, will be 3 bedroom/1.5 bath
Z
File # 12
APPLICANT/CONTACT PERSON:KRIS THOMSON CARPENTRY
362 KENNEDY RD LEEDS, MA 01053(413)695-6487
PROPERTY LOCATION 59 PHILLIPS PL
MAP:LOT 32A-202-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: ZPA -CONVERT TO SINGLE FAMILY
New Construction
Non Structural Renovations
Addition to Existing
Accessory.Structure
Building Plans Included: SCy."--5))
Owner/ Statement orLicense
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
V Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR SpecialPermit With Site Plan
MajorProject: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Specia l•Perm it Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic ApprovalBoard 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 ManagemeM
Demolition Delay
-t2 ,15-2.Atri
Sign at re 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.
F E B 1 5 7022
File No.1-
File
ZONING PERMIT APPLICATION (gi 0.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
City of Northampton
1. Name of Applicant: r---V' (
Address: ?h l.2 N /t, Telephone: 41 3 .�� (;)
2. Owner of Property: ���P I? l�r l �� ✓'G U V/
Address:4/ VC-1 ✓ tz•C C347 • Pelr‘sy-r) C Telephone: 4( , (,9 ,-t'�
3. Status of Applicant: Owner 0I-N\\l Contract Purchaser Lessee Other (explain)
4. Job Location: - Y t I t / S
s
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: Ib(:6 v2` \t)('S-Q _
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan v Site Plan V Engineered/Surveyed Plans
8. 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#
9.Does 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 obtained Obtained , date issued:
(Form Continues On Other Side)
W:\Documents\FORMS\origin]\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
10. Do any signs exist on the property? YES NO •._
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
Frontage
Setbacks Front
Side L: R: L: R: L: R:
Rear
Building Height
Building Square Footage
%Open Space: (lot area
minus building Et paved
parking
#of Parking Spaces
#of Loading Docks
Fill:
(volume Et location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 1 ) c' a l2 Applicant's Signature
NOTE: ssuan of a zoning permit does not relieve C}n app cant's burden to comply with all zoning
requirements and obtain all required permits t�Om e Board of Health,Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED.
LOCATION OF FENCES ON OR NEAR BOUNDARY LINES
IS NOT VERIFIED BY THIS INSPECTION.
NOTE:
PROPERTY LINES SHOWN ARE APPROXIMATE, A NOTE:
FULL FIELD SURVEY IS REQUIRED TO SUBJECT TO AND TOGETHER
ACCURATELY DETERMINE THEIR LOCATION. WITH EASEMENTS AND RIGHTS
OF WAYS OF RECORD.
89'±
1
-H ///// 75.08'±
w /garage/ BOOK 3744, +I
U rn //// . PAGE 83 0
06
Q PARCEL II ,i-
_ 77'±
Cr 90'±Ct �V //
W I #51
I'-- I Pomeroy
o C°/ o
o
(� / / BOOK 3744,
a PAGE 83
3 , , r- PARCEL I
� I
a. - - J
90'±
PHILLIPS PLACE
TO:
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
SURVEYOR: CRANIAB Z I THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
�N \ -MORTGAGE LOAN INSPECTION PLAT-
C
S'y�. NORTHAMPTON, MASSACHUSETTS
NDALL Gp,\ PREPARED FOR
ZER y) DEBRA T. BERCUVITZ ET AL
5032 ) SCALE: 1"=40' DECEMBER 27, 2021
s f °� / HAROLD L. EATON AND ASSOCIATES, INC.
SURD
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS