25C-182 (8) BP-2022-1518
83 NORTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-182-001 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-2022-1518 PERMISSION IS HEREBY GRANTED TO:
Project# STAIRS Contractor: License:
Est. Cost: 29800 TOBY BRIGGS 96304
Const.Class: Exp.Date: 01/15/2024
Use Group: Owner: DANICA PHELPS,
Lot Size (sq.ft.)
Zoning: URC Applicant: T BRIGGS CARPENTRY
Applicant Address Phone: Insurance:
69 BOYLE RD (617)877-3686 SOLE PROPRIETOR
GILL,MA 01354
ISSUED ON: 12/02/2022
TO PERFORM THE FOLLOWING WORK:
BUILD EXTERIOR STAIRS TO PROVIDE 2ND EGRESS
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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
feNti&k,
f r►.
Fees Paid: $194.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Z
File #BP-2022-1518
APPLICANT/CONTACT PERSON:T BRIGGS CARPENTRY
69 BOYLE RD GILL,MA 01354(617)877-3686
PROPERTY LOCATION 83 NORTH ST
MAP:LOT 25C-182-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $194.00
Type of Construction: BUILD EXTERIOR STAIRS TO PROVIDE 2ND EGRESS
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
X Approved 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 Commission Permit DPW Storm Water Management
Demolition Delay
; .117 V 301( :),
Sig ature of BuildingOfficial I 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.
N
The Commonwealth of Massachusetts
f p Office of Public Safety and Inspections
I3y Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number:A+ /SI Date Applied: Building Official:
SECTION 1:LOCATION
No.and Street
/1la Pf City/Town ZipCode- I p� Name of Building(if applicable)
83 N iO
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used Zjt5 If New Construction check here 0 or check all that apply in the two rows below
Existing BuildinggB► Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes Ai No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No XET
Brief Description of Proposed Work:_Ai1.J e-XTRL-/D/t_ 7 4f,C5 j �AG.rrf��
- TAM' U,N/T- e , AI-/i/C.7. "7-A1/25
NDG(11 Lif177-/ 3 Q 6 Doo2.
MIS77' f g(77yGZic4C ON 3:COMPLETE THIS SECTION yI EXISTING BUILDING UNDERGOING
RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): , Z. Proposed Use Group(s): SA Al
SECTION 4 BUILDING HEIGHT AND AREA
. Existing Proposed
No.of Floors/Stories(include basement levels)& Area Per Floor(sq. ft.) 2 5,4/IfE
Total Area(sq.ft.)and Total Height(ft.) 25123 2 S/ 5A 1E
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ❑ E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 ❑ H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ 1-3 0 1-4 0 M: Mercantile❑ R: Residential R-10 R-i019‘ R-3 0 R-4❑
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 0 IV 0 VA 0 VB 0
SECTION 7: SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information Sewage Disposal: Trench Permit Debris Removal:
• Public Check if outside Flood Zon Indicate.municippiQ
A trench will not be Licensed Disposal Sj,tJ
required or trench or specify /✓V r
Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 it.c.Zyct/
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review I'roc:ess:
Not Applicabj Is Structure within airport approach area? Is their review completed?
or Consent to Build'enclosed 0 Yes 0 or Noo Yes 0 No ❑ /"
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Z Type of Construction: 4
Does the building contain an Sprinkler System?: /1/0 Special Stipulations:
Design Occupant Load per Floor and Assembly space:_
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
7,4,vci- P/i P 5 Wcelf. GN' ,wro
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
- - I/7 i7 ge6 - &-z I.
Title Telephone No. (business) Telephone No. (cell) e-mail address iO/
If applicable,the property owner hereby authorizes:
e11 gr2/G6c 0 /5aytr , 4'/IC A44_ /
Name Street Address City/Town State Zi
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑.
Otherwise provide construction(ontroI forms(see section 107 in the code)as re.uired.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
y ie e/gr .S+ i el e,/Gf ())/1- e i
Company Name
— j/G'f ‹L u 96301 //c / oa'z�
Name of Person Responsible for Construction License No. and Type if Applicable
tr . ate / Al (9/?c
StrMt Address City/T6wn State Zip
ea-w-7 36 - - T1,4e--(Ay4-=ti ' 6 /6_
Telephone No. (business) Telephone No. (cell) e-mail address 0 ti/
SECTION 11: WORKERS COMPENSATION INSURANCE,AFFIIAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must he completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildi ig permit.
Is a signed Affidavit submitted with this application? YO.EP'No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)=$
1. Building $ t CV O Building Permit Fee=Total Construction Cost xc. (Insert here
2. Electrical $ Zaoo appropriate municipal factor)=$i 4 i'
3. Plumbing $
4. Mechanical (HVAC) $ / Note: Minimum fee=$ (contact municipality)
5. Mechanical (Other) $ Enclose check payable to UMPR`/ -02.Z//2 ..77V f 7 2-
6.Total Cost $ Zy Yee) (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
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.
?T f
&y .—(6 _ -V7 36‘ t Please print and sign name Title Telephone No. Da e
Or / ( yi( yio& �'(ef 4/T$i r
Street Address City/Town State Zip Email Addr ss
Get.c4AA
Municipal Inspector to fill out this section upon application approval: 06, . it 1 d p1.�0Name 'Dat
Nc.tcH North
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CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD _--
SIDE YARD SIDE YARD
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FRONT SETBACK / �( ,v
FRONTAGE
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS af;
212 Main Street • Municipal Building
Northampton, MA 01060 Lsry ;,-3I,)\be
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: 477-7(4/4-774-- 4-tic( iiv Ale/xi-2P
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date: f / - 2 Z' GZ
°'""� The Commonwealth of Massachusetts
jo
` = ' Department of Industrial Accidents
I Congress Street, Suite 100
r r 7:- 1 Boston, MA 02114-2017
4, .ti w w14-14tmass.gov/dia
11 orkers'('ornpettsation Insurance Affidavit: Buiklersi/CantractorstElectrician%fPIwnlbers.
TO RE Hill)WITH Tar,Pt RM11TINC AUTHORITY.
Y.
Applicant InfortnaHon y n�� �y /PIeast Print .Ltiibth
Name r.l3ittixa s'tlt);a>�tr tticrrt tutte�attazuti; f� �L .,__-.0 !.. ../.1 �11.�.._.F>-.zly
Address:_
City/StatelZip:._..,__ _ 44,1 .__L2f3c4 Phone #: _�. /'? Y77:3'i(b
Are putt tad ettiploaw:"Cheek the appropr r box;
Type of project(regal 'rfy.
t L..E l ant a employer with _._.._..emi►topces Obit undo/part•tonel-' 7. 0 New construct
am a bole proprietor or partnership and have nu trttiptoyca xorkiagq (Or me are �, a°enrxleltrig
any<;apserty,[No we rk ta'clam tetr p.,rrance reagrssrtsi.)
9. ,0 Demolition
3.J I arse a konaaowner doing all tarsit myself.l'tia>xvo•t#tta'corny.'insurance n cttaircrl.j"
I 0 CI Building additio
4.i"`" I Ara a Ituu cOVeturt and wall he haring omitrsctur to earndtn't:ill iv talc on my trrarpirrty. I to ill r�l
e eiibitre that all(Arai-actors either haw boar en,'exarrtx�rtsatron inNurankt t#are sole I I i...i Electrical repa' • or additions
prupruntwo with au emptoerea
12.0 Plumbing tepai or additions
.50 I am a Itt name contractor and t have hared the xuh.,cuataacwrs Gstsui on the attached sheet I 3.0Rootrepairs
These tulioeurrtraeiurs ba,oti,outplayee,bnu have workers'comp.issuance.
4
6. We are a corporation and its officers have exert ised then right of e:t>`iraptzott per Wit_c. I � ' --~-- ~--~—
152,yf!IA).and we Katie no ena Iu}~Lea.[No workers'comp insurance required.'
*Ars+•applicant that checks box k t mist also fill can the net lean below showing their*taken'compensation l+oit y information.t 1• ,-' ling Homeowners who trti too elms affidavit vtclaa aiann iiw are gi.arr4tt'ail w'97rtti and titer!hoe outside contractors rtrt]tib sunewurt a new atf d11a'Jit!nit .ing atia:ti.
.t'ontractorn awl cheek this box must anat.heti an.eAdctioraal shvxt,4tote ins;the name c,t the vtM-canto,.tor'and'Cite et heat::or ntit those emt•leis have
r+atQI zee. It the mufreurtractors fv:4,:emp'tuyees,they must pro:felt nicer wort,en'i.ut s ixtlic,rsumh r
I stet an employer that is providing workers'compensation insurance for my entpdolees. Below is the policy a rd job site
information.
Insurance Company Name:
Policy#or,Self--ins. Liar.tl=....q _________.___.... _____ ._ ______ Expiration Dare:w.._._.___._._--__
.lob Scit Attclress:_ _._._. ...._.._......_._..,._._...._._. _.__.__..._....._.__._._._._ _._._fi_°its'Stattel7,ijd:.____..__ _
Attach a copy of the workers'compensation oilier'declaration pule(showing the polity number and etpi ation date).
Failure to secure coverage as remitted ed under NIGL c. 152. 25A is a criminal violation punishable by a line up to SI,SQO O()
and/or one-year imprisonment,as well its civil penalties in the form of a STOP WORK ORDER and a tine of up to S2500)a
day against the violator. A copy of this statement inlay be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certifyt under the pains and penalties of perjury that the information provided above is true and ccrrrec-z.
Si tature Date: ,f -2 7 - -
Phone#: ( 9( 7— q77 — 36 g6
Official use only. Do not write in this area.to he completed by city or town official
City or Town: Permit/License h
Ruling,Authority(circle one):
t.
I. Board of Health 2.Building Departnteut 3.tlty.tTown Clerk 4.Electrical Inspector 5. Plumbing 1 pectar
6.Other
Contact Person: Phone tz:
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Stringer/Landing attachment via Simpson LCSZ or equivalent __.,,,`.
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Stair separated from window by guardrail(not shown)
approx TO'landing,
12Ail
landings to be 2x5 framing TYP
P 4 supported by 4x4" of all landing
PT posts on helical piers
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Stringers to be cut from 2x12"PT
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r-- Stairs to have 7"Rise&11"run
Ali open sides of stair and landing areas to have 42"guardrail(not shown) ___
after finish treads and risers applied
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