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42-125 (4) BP� 022-0927 142 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-125-001 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-2022-0927 PERMISSIONIS HEREBY GRANTE/ TO: Project# RAMP Contractor: License: Est. Cost: 17000 RICHARD HANKS 108730 Const.Class: Exp. Date:03/30/2023 Use Group: Owner: COMMUNITY CARE RESOURCES IN Lot Size (sq.ft.) Zoning: WSP Applicant: RICHARD HANKS Applicant Address Phone: Insurance: 267 FOUNTAIN ST (413)433-7425 SPRINGFIELD, MA 01108 ISSUED ON:08/05/2022 TO PERFORM THE FOLLO WING WORK: REPLACE ADA RAMP 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAitTION OF ANY OF ITS RULES AND REGULATIONS. Signature: 14 • if ›.9 cSsAv Fees Paid: $111.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / F /��jj//YYw 4� The Commonwealth of Massachus s �(/G Board of Building Regulations and St ndar•s ' 4 FO. p Massachusetts State Building Code, 70 .�I= 2c ICI'ALITY � b Opp U:E Building Permit Application To Construct,Repair,Renoir-ateAc. . : R ised 1 ar 2011 One-or Two-Family Dwelling -°"' "4q oro Ns This Section For Official Use Only `� Buildin Permit Number: rs j2 - 'd - 9;3.1 Date Applied: WN ss /7.- - a-`J"ZDZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 ropeh' 7c/ /`t 1.2 Assessors Map&Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number 11 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Fro 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 yner;of ord: Aiet_ Name(Print) City, tale, IP 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) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Otherpecify: Brief Description of Proposed Work': ar e-ss,at,r- oh( 4 0 4 F4 /a &,,� /ti- r. a j A/ 7 p" 0, X.4 �� I SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /, 6,a .D / 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ I Suppression) Total All Fe , J Check No. r1Check Amo ash Amount: 6.Total Project Cost: $ /, �Uv 0 Paid in Full 0 Outstan• ': valance Due: City of Northampton tM !, ,vit. Massachusetts 4 DEPARTMENT OF BUILDING INSPECTIONS,. 212 Main Street • Municipal Building ."ter Northampton, MA 01060 rre ,O°'� 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. /o " '? 30 3/30/ 3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor 'cense CSL) /!!c�(/ License Number Ex ' ation ate Name of CSL Holder L �+ r List CSL Type(see below) f v k,z o.and StreetI it- J Ll Type Description A�� v/1�� () Unrestricted(Buildings up to 35,000 Cu.ft.) ` Restricted 1&2 Family Dwelling Ct /Town,State, M Masonry RC Roofing Covering WS Window and Siding � SF Solid Fuel Burning Appliances 40-xa 2 .i? pits/fort e„ I Insulation Telephone Email address D Demolition 5.2egiste��Hom Impr ement Contractor(HIC) Af3 / Z f 7 2 !c HIC Registration Number Ex it on'Date HIC Company Name'or HIC Registrant Name No.974 S?t !� d✓N7.a, if44�1/L.s q ) 1�. 1 a Email ad ss G� D/l City/Town, State,ZIP Telephone r hanks cE @ ya 1 .WA-. 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 Z No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR B DING PERMIT I,as Owner of the subject property,hereby authorizeh-- i cfAx-/1 4�f to act on mybehalf,in all matters relative to work autho�d bythis buildingpermit application. PP Di/ 2d rPrint Or ��/ 1 Z s Naive(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under ,- ,.ins and penalties of perjury that all of the information contained in this application is l+ ,. •nd ac ur. - tot `►-st ,f my knowledge and understanding.� Vte! ' %J / % CP so t Owner s or Authorized E e Agen Na ectro c Signature)g ( ) 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 fotrtd 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 SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE • City of Northampton Stis Massachusetts DEPARTMENT OF BUILDING INSPECTIONS a' 212 Main Street • Municipal Building S3 Northampton, MA 01060 srt kV VD°�. 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: Name of Hauler: Wee_si c Me-Ak.c/(p �A v Signature of Applicant: Date: Od- L— 1 . 04 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 0114-2017 www.mass.gov/dia 1$01 kers Conipensstion Insurance Affidavit: BuildertrentractorsiElectrkians/Plumbers. 11.1 HE 1 ILL.:0%%1111 THE PERM!ITLNG A LTHORITV. .tpolicant Information Please Print Legibl% Name iBusinpess=-Organizationindividual)- * Vi .01—axiC/ . _ Address: o2‘ 7 .1=-,?, .".-,Taf,, s- i City/State/Zip: $ R "-Ifreq 0//0401 Phone#: 1/X //33 p yi, 1- tre yor sai employer?Check the appropriate hos: Type of project(required): 1.0 I AM• Oyer*IA employees t full mirror part-time 1,.° 7. ti New construction 21 un a wie proprietor or portnership arid have no employees wort for use III 8. Cl Remodeling any capacity.[No iwOrkert`curnp.inSuranot recininlil 9. El Demolition .t.D I am a homeowner doing all work myself.[No workers'comp,insurance required.]' !0 cj Building addition .40 I arm a homeowner and*ILI be hump contractors,to conduct all*ink im my property,. 1*ill mauve that all,,:untructors either have*rakers'corripensation insurance or am sole 11.0 Electrical repairs or additions prom:imam with no employees 1 2.C3 Plumbing repairs or additions Ism a general contractor and I have hued the sub-contracturs Listed Oil the attached sheet 130 Root'repairs These sub-contrackin have employees and hose workers'comp.insurance:. 14.0(lthei- e...C3 We art a oarporation and its officers have etc-coed their right of exemption per S,161 c. 152,§Ital.and we have no erriplo."-ets.[No a.ortem'comp..Illid27111C.0 IregULTttil An appth.-iont that checks bet 41 mini As till otit the section below but in their w miters'compensation policy infermanori. '..I tortieuwiterN who submit this affidavit maKatina they arc doing all work and then hue outside contractors must submit a new affidavit indicating such. Contractors that check this box must anaLiaeti an additional sheet showing the name of the soh-curitractors and state whether ow nut thaw entities hal,e empluyevi„ It the stib-eorsir actors La.e enurlo..el:4..they rnit,t pit..ide their witrLers',..r pulls*number I am an employer that is providing ivorAerv'compensation insurance/iv my employees. Below is the policy and job site information. Insurance Company Narne: _ Policy g or Self-ins.Lie.#: Expiration Date: Job Site Address: CityState 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 NIGL c. 152, §25A is a criminal violation punishable by a fine up to 51,500.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to 5250.00 a day against the violator.A copy of this statement may be forwarded to the°nice of Investigations of the DLA for insurance coverage verificati . 1 .. . I do hereby r' ify wale II pa' . and ten ". perjury that the in,lOrrnation provided at )ve ',,true and correct. Signanire: D.:... "2-2___. Phone : /C gFk? c723.------ Official use only. Do not write in this area to be completed by city or town official ('it' or Town: Permit/License g Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbiii.. Inspector 6.Other Contact Person: Phone g: —- — - City of Northampton r .k Massachusetts Ci_� fDEPA.RTMENT OF BUILDING INSPECTIONS212 Main Street • Municipal Building Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (insert full legal name), born _ (insert month, day, year),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 MR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110. .1.2: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on w ich there is, or is intended to be, a one-or two-family dwelling, attached or detached structures access ry to such use and/or farm structures. A person who constructs more than one home in a two-year pe od 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 , 20_. (Signature) To the best of my knowledge thede plans art drawn to comply with owner's and/or builder's specifications and any changes made on them after ,, 7'-8" r l' l'8"= >I prints are made will be done at the owner's and/or builders expense and responsibility.The contractor Q J shall verify all dimensions and enclosed drawing. n/ • I (AURAS HOME DRAFTING AND DESIGN is not liable for 2X8 PT FLOOR JOISTS Q 16"OC errors once construction has begun.While every o w ,'2x4rail 1 / effort has been made in the preparation of this plan TD. '¢��� �,� to avoid mistakes,the maker can not guarantee t t • I 12"X 45"CONC.COLUMNS against human error.The contractor of the job must Q ��4��n1 1 U G1 on / check all dimensions and other details prior to w Q ! MINN i 1'' r - construction and be solely responsible thereafter. a z f] If 'm surfa,m 2X10 PT LEDGER / v _ 2x4 we board BOLTED 6; Fs 2.2X5 PT DROP BEAMS 16'0"x b'0"PT DECK .`c 1.- .j stinger Q 4X4 PT POSTS ►^u 5/4 X b DECKING I �, Vy/4X4 POST BASE = 16' Grp-- 4x4 post • f = i•1 2X8 PT FLOOR JOISTS @ 16' i- z. NEIN DECK `o }c si detail 0 Ia;1,1,1.1 30510 I„ -Vi II,II, .i 1,lll:l li �i r': / •-I` , III.1.4. 4II,'llpll 7 Iii,"I I 5'0"X 30'0"PT RAMP 1:16 PITCH ` :I;III,I I LI, 1 1I1111,''o,il 1N/DBL HANDRA L6 / cr �� Lie,. c411 \\ �\ �\ V •1iti,1„ u,l' TO MEET ALL ADP`REQUIREMENT° z ry `\ �\\ ��-- �\ to i O m 'n \. ��� 4at1.,,, NEI^l RAMP m c m i m JO \��\ � \\\\ �,;���\ CONCRETE PAD > F E a z = F z z o inm g z a J H O N CD N 6' 2 INTERNAL HANDRAILS DATE: 36"HIGH RAILING X 5"PT BALUSTERS Q 4"SPACING �_ 4X4 PT POSTS RIOR HAND RAIL @14"HIGH 7/21/202: UP 5/4 X 6 DECKING I' '•�I���I 2X5 PT FLOOR JOISTS `! —' _'I. 6'X6'GONG.PAD ;�I�III Il�j IIIII SCALE: �"� b"-8'THICK CONCRETE PAD @ 16"OG 4X4 PT POSTS �- -I® IIIII IMIEMIIIIIIIIMIll6'0"Xb'0" 1/4"=1'0" 1Nf POST EASE APPROX.GRADE 2X8 PT FLOOR JOISTS @ 16"• SHEET: 6'0"X 16'0"DECK /— —