16C-013 (10) BP-2023-0893
272 SPRING ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
16C-013-001 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-2023-0893 PERMISSION IS HEREBY GRANTED TO:
Project# POOL DECK 2023 Contractor: License:
Est. Cost: 16000
Const.Class: Exp.Date:
Use Group: Owner: ANN LOVELAND-PANDORA BETH
Lot Size (sq.ft.)
Zoning: WSP Applicant: ANN LOVELAND-PANDORA BETH
Applicant Address Phone: Insurance:
272 SPRING ST
FLORENCE, MA 01062
ISSUED ON: D7/14/2023
TO PERFORM THE FOLLOWING WORK:
POOL DECK
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:
Fees Paid: $104.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
r- z -BIZ .10
1 - ly
REC° D
�.= d he Common ealth of Massachusetts
Board of Build'i• ' egu i s tions and Standards FOR
n• r.k s : •• Ve3ui1 i'ing Code, 780 CMR MUNICIPALITY
•'' 1 ' ' DEPT.OF •� ON.MA Q1 USE
No : • in: P-I.i' _A T . on o Construct,Repair, Renovate Or Demolish a Revised Mar 2011
CO
One;OF Two-Family Dwelling
I;uu
_ This Section For Official Use Only
Bui��ift-P_ 1 umber: 6 P 4)./3- gG/3 Date Applied:
I 1 1 ,2
uri
f; • • 1 k
'i/a3
Building Official(Print Name) Sig nature /Date
SECTION 1:SITE INFORMATION
1.1 Prop Addre s: 1.2 Assessors Map& arcel Numbers
1.1 a Is this an accepted str . yes no Map Number Parcel 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 Private❑ Zone: _ Outside Flood Zone? Municipal*On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP
2.1 0 er'of Recor aRylio A C'! P
� `e z
me(Pnnt) Ci ,State,Z %
z 1 - 1—
o.and Street Tele one ail r s
SE TION 3:DESCRIPTION OF PROPOSED WORK2(check all that ap
New Construction Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:
(09/ 'bed& 5 e
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ / 'O 1. Building Permit Fee: $ Indicate how fee is determined:
/ ❑Standard City/Town Application Fee
f
2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $ oo
Suppression) Total All Fees: $ /04
Check No.010 Check Amount:/D1-Fe-Cash Amount:
6.Total Project Cost: $
4a0/ W ❑Paid in Full 0 Outstanding Balance Due:
e -yo,,..0 C1.--aohi 9/72C'C.cYy1c&s1",
City of Northampton
Massachusetts
@1ft
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
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.
A
•
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
N eqp44-/AfLicense Number Expiration Date
Name of CSL Holder
List CSL Type lsee 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 1 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 0 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 authorizegdiAl) ,0,6-
Eto act on my behalf,in all matters relative to work authoy t is building permit application.
2
Pr' wner's ame(Elec onic Signa ) i/ i ;
SECTION 7b:OWNER'OR AUTHORIZED AG ENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjt,ry that all of the information
contained in this applicatio4 ' aL
e and accurate to the •-st of m knowleand understanding.
Print 0 eP s 6r'AutNorized Aamee
c onic Signature) D t
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,P,laan'�}ed,provide the information below:
Total floor area(sq.ft.) ffi�'l� (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) `v// Habitable roam 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
-59
O
SIDE YARD fID
r I�V 1 SIDE YARD /
0
.46,4
540 FRONT SETBACK
FRONTAGE
t
City of Northampton
,i�tir.
(1.-
j
* Massachusetts , tit z C
4 ,DEPARTMENT OF BUILDING INSPECTIONS Itt
°. ;212 Main Street • Municipal Building ,''''
Northampton, MA 01060
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: 4
The debris will be transported by:
Name of Hauler: l ,, ,rf _
Signature of Applicant: Date: 1 7 /1
...
1
The Commonwealth of Massachusetts
inv..40 Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, MA02114-2017
lax,
www.mass.goildia
--- norkers*Compensation Insurance Affidavit:Builders'f'ontractors/Electricians/Plumbers.
It)BE FILED ViT1111 TIIE PERM II I Nt;AUTHOR]lir.
Applicant Information Please Print Le2ihls
,
Naafi:i HILSItteSijOrgantzation,individual):___4te,„A42...-C. m_
Address'
. -f2- 504,p+1_674-
City'StatelZify_tz,12,44_,L44_ Phone •#. 43
Are you an employee Check the appropriate tsot:
Type of prujeLs (required 1
1.0 1 am a erripkixia with employees(fail=dor part-timel.* 7. 0 New construction
20 lam a sole proprietor IX purtnenhip and have no employess wuthinE tor roc in 8. 0 Remodeling
any capacity,INu is arhers'comp.insurance isstamesil
9. 0 Demolition
in I AM li homeowner dinng all iscirk myself[No*oilier."con*" insurarwe required.)'
10 0 Building addition
iCkhore a homeowner and will be hiring cyranacturs to conduct all wink on my property. I will
,.ircuni Am all imitracturic either li Walk.1.11'conapensinum in:militia:.ea are sole I 1.1:j Electrical repairs or addition
propnetols with no emploYees.
110 Plumbing repairs or additions
.1ri 1 ant a ipmend contractor and 1 luxe him/the aub-conameturs lined on the anachoil sheet.
I 3 :IRoof repairs
Thiesc sub-contractors franc employees and eta r worker.'eornp.itintranee.';
ii-iln Other
cilD We are a evrperatiuu and it.offwir.have esistised their right of eserriptimi per AIWA c.
1,11,§li 41,and we have no employees.[No ciurkers comp.insurancs:Ts:I/um:ill
'Any applicant that checks but P I mama alai,fill out the section belocc show IN;their workers'compensation policy crifunruition,
*Hointivwnett who submit this attickii it incheanna du"are doing all work and then hire outside contractors mama submit a new officias it milicating such.
IC:ow:actors that check this box MUNI an: bud an additional sheet show ins the name of the sub-contractors and suite whether o nut those,artarts.rs,ha,
einplilyel7%. lithe sub-contractors base empls.s:s co.,.Sky.ntrAt prs.,id.:!ben' ALM kt.!Th.'<:omp.pokey number,
...
lam an employer that is providing it:oilers'compensation insorance for my employees. Below is the polity Lind fob site
information.
Insurance Company Name:
Policy 4 or Self-ins.Lie. 4: Expiration Date:
Job Site Addres.-s: City,'State,'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 MGL c. I 52. ':.'25A is a criminal violation punishable by a fine up to SI,500.00
andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S2501X1 a
44 i ,
day against the violator. A • y 's statement may he fomirded to the Office of Investigations oldie DIA for insurance
coverage Verifi- ion.
I do hereby clv-ly slt/ . sr' t f In 1 perjury that the information provided above is i ea I crerre e
Signature ,1 1
Dale: -7
Phone' : Zit Z40,c &O iLZ?
' Official use only. Do not write in this area,to be completed by city or town official
City or Town: Perant/License*
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town('Ierk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
('ontact Person: Phone 4:
/
City of Northampton
y1:r.T.I.,pi 0 . ..
Massachusetts
.*. , hi
a tra
DEPARTMENT OF BUILDING INSPECTIONS S
a ,,. +, 212 Main Street • Municipal Building �,{;,_ i
Northampton, MA 01060 '�sbA'ir,`'
H MEOWNERS'EXEMPTION ELIGIBIL AFFIDAVIT
I, ,v`Ge,A ,p,..(40--
/ lins rt full legal name), born _ (insert month,
day, year), hereby depo e and state the following:
1. I am seeking a building permit pursuant to the homeowners' e emption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1. .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 constru ted 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 •etached structures accessory to such use
and/or farm structures.A person who constructs more than o e home in a two-year period shall not be
considered a home owner.
•
4. I do not hold a valid Massachusetts construction supervision licen e and, except to the extent that I qualify for
and will abide by the Massachusetts State Building Code's requirem• is for the supervision of the project or work
on my parcel, I am not engaged in construction supervision in co nection with any project or work involving
construction, reconstruction, alteration, repair, removal or demoli 'on 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 wit the aforementioned project or work on my
parcel, I acknowledge that I am required to and will act as the supe isor for said project or work.
Signe• u > ile' s an, 'enalti• of perjury on this 7day
of _®i __ 202/
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SCALE: 1/4" = 1' WHEN PRINTED ON 11x17 PAPER BASED ON THE INTERNATIONAL RESIDENTIAL CODE
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OISCWMER:THIS PLAN IS NOT CONSIDERED COMPLETE UNLESS O ii,ii)19'
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STAIRWAY ILLUMINATION:ALL EXTERIOR STAIRWAYS 13•-61�j6" CI
SHALL BE ILLUMINATED AT THE TOP LANDING TO j• �" \16 1
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DISCLAIMER: ONLY USE 12 OR BETTER PRESSURE TREATED 1 '� <
SOUTHERN YELLOVI PINE 2 a 10 FOR FRAMING MATERIALS -mi. 15•-015/1B" 0 _ o r" c u
NEVER SUBSTITUTE COMPOSITE OR SOFTWOODS FOR FRAMING MATERIALS I +"'�%
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SELF CLOSING GATE M s
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12'DIAMETER FOOTING TOOTINGS' TO BE INSTALLED I I,
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REQUIRED BY YOUR LOCAL (f)
BUILDING ORDINANCE /
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ON 55 LB PER SQUARE FOOT HANDRAIL
TRIBUTARY LOADS APPLIED TO 2—3" 6'—SY4" 8'-10y4"
1500 PSI SOIL COMPRESSION
CAPACITY(ASSUMED CUY SOIL)
0 22"DIAMETER FOOTING
DEC FOOTINGDETAIL J,
DECK CONSTRUCTION
N GUIDE. 20'
DISCWMEIA THIS PLAN IS NOT CONSIDERED COMPLETE UNLESS APPROVED BY YOUR LOCAL BUILDING INSPECTOR OR STRUCTURAL ENGINEER.BUILDER ACCEPTS ALL RESPONSIBILITY AND LIABILITY. OECKS.COM LLC,AND ASSOCIATED SPONSORS ACCEPT NO LIABILITY FOR THE USE OF THIS PLAN. 0 DECKS.COM LLC
SCALE: 1/4" = 1• WHEN PRINTED ON 11x17 PAPER BASED ON THE INTERNATIONAL RESIDENTIAL CODE
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DISCLAIMER:THIS PLAN IS NOT CONSIDERED COMPLETE UNLESS APPROVED BY YOUR LOCAL BUILDING INSPECTOR OR STRUCTURAL ENGINEER.BUILDER ACCEPTS ALL RESPONSIBILITY AND LIABILITY. DECKS.COM LLC,AND ASSOCIATED SPONSORS ACCEPT NO UABIIJTY FOR THE USE OF THIS PLAN. 0 DECKS.COM LAX
decks.com
Plan Specs for Plan poolhalfround
Plan Description This 20'x 34'deck wraps a quarter way round a 24'wide and 52"high above ground pool.
Railing Sections 21
Railing Posts 24
Square Feet 484
Railing Length 92'
Height 4'4"
Ledger Length 0"
Levels 1
12"Foundations 0
16"Foundations 16
22"Foundations 0
Price 0
Width 34'
Depth 20'
Support Posts 16
Privacy Sections 0
Privacy Length 0"
Privacy Posts 0
Bench Length 0"
Porch Square Feet 0
https://www.decks.com/umbraco/Surface/DeckPlanSurface/DeckPlanPlanSpecs?planSizeld=•'50 6/26/23, 12:44
Page 1 of 1
/decks.com
Material Order List for Plan poolhalfround
Quantity Material Material Type
1 Gate Hardware Kit
193 Balusters
17 2 x 4 x 12 Pressure Treated
8 2 x 6 x 12 Pressure Treated
12 4 x 4 x 8 Pressure Treated
5 5/4 x 6 x 10 Pressure Treated
16 5/4 x 6 x 12 Pressure Treated
10 5/4 x 6 x 14 Pressure Treated
20 5/4 x 6 x 16 Pressure Treated
20 5/4 x 6 x 18 Pressure Treated
20 2 x 10 x 8 Pressure Treated
8 2 x 10 x 10 Pressure Treated
13 2 x 10 x 12 Pressure Treated
4 2 x 10 x 14 SYP Pressure Treated
1 2 x 10 x 16 SYP Pressure Treated
1 2 x 10 x 18 SYP Pressure Treated
9 2 x 10 x 20 SYP Pressure Treated
8 6 x 6 x 8 Pressure Treated
16 16"Diameter Footing
4 2 x 12 x 10 Pressure Treated
4 Stair Stringer Connector
16 Post Base Connector
16 Concrete Anchor
48 1/2"x 5"Lag Bolt with washers
https://www.decks.com/umbraco/Surface/DeckPlanSurface/DeckPlanMaterialsOrderSheet?pl.nSizeld=6950 6/26/23, 12:44
Page 1 of 2
15 Joist Hanger Nails(Lbs)
32 1/2"x 6"Carriage Bolt
15 16#Framing NaiLs(Lbs)
30 Decking Screws(Lbs)
65 Hurricane Ties
https://www.decks.com/umbraco/Surface/DeckPlanSurface/DeckPlanMaterialsOrderSheet?pl-nSizeld=6950 6/26/23, 12:44
Page 2 of 2
%.//decks.com
Material Breakdown List for Plan poolhalfround
Railing
Quantity Material Material Type
1 Gate Hardware Kit
193 Balusters
17 2 x 4 x 12 Pressure Treated
8 2 x 6 x 12 Pressure Treated
12 4 x 4 x 8 Pressure Treated
Deck
Quantity Material Material Type
5 5/4 x 6 x 10 Pressure Treated
10 5/4 x 6 x 12 Pressure Treated
10 5/4 x 6 x 14 Pressure Treated
20 5/4 x 6 x 16 Pressure Treated
20 5/4 x 6 x 18 Pressure Treated
20 2 x 10 x 8 Pressure Treated
8 2 x 10 x 10 Pressure Treated
13 2 x 10 x 12 Pressure Treated
4 2 x 10 x 14 SYP Pressure Treated
1 2 x 10 x 16 SYP Pressure Treated
1 2 x 10 x 18 SYP Pressure Treated
9 2 x 10 x 20 SYP Pressure Treated
8 6 x 6 x 8 Pressure Treated
Footings
Quantity Material Material Type
https://www.decks.com/umbraco/Surface/DeckPlanSurface/DeckPlanMaterialsBreakdown?planSizeld-6950 6/26/23, 12:44
Page 1 of 2
16 16"Diameter Footing
Stair
Quantity Material Material Type
6 5/4 x 6 x 12 Pressure Treated
4 2 x 12 x 10 Pressure Treated
Hardware
Quantity Material Material Type
4 Stair Stringer Connector
16 Post Base Connector
16 Concrete Anchor
48 1/2"x 5"Lag Bolt with washers
15 Joist Hanger Nails(lbs)
32 1/2"x 6"Carriage Bolt
15 16#Framing Nails(lbs)
30 Decking Screws(lbs)
65 Hurricane Ties
https://www.decks.com/umbraco/Surface/DeckPlanSurface/DeckPlanMaterialsBreakdown?planSizeld=6950 6/26/23, 12:44
Page 2 of 2