11C-073 (8) BP-2024-0200
114 FLORENCE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
11C-073-001 CITY OF NORTHAMPTON
Permit: Acc Structure
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-0200 PERMISSION IS HEREBY GRANTED TO:
Project# SHED 2024 Contractor: License:
Est. Cost: 8000
Const.Class: Exp.Date:
Use Group: Owner: A TATARO JOHN M&DEBORAH
Lot Size (sq.ft.)
Zoning: URA Applicant: A TATARO JOHN M&DEBORAH
Applicant Address Phone: Insurance:
114 FLORENCE ST
LEEDS, MA 01053
ISSUED ON: 03/01/2024
TO PERFORM THE FOLLOWING WORK:
10X20 SHED,DEMO 10X12 SHED
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:
// ".7
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
File #BP-2024-0200
APPLICANT/CONTACT PERSON:TATARO JOHN M&DEBORAH A
114 FLORENCE ST LEEDS, MA 01053
PROPERTY LOCATION 114 FLORENCE ST
MAP:LOT 11C-073-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $65.00 .
Type of Construction: 10X20 SHED,DEMO 10X12 SHED
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION PRESENTED:
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
/14-2
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.
-r Erna 11 acQ-y
The Commonwealth of Massachusetts
wt Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: b I t H/,Vll Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
l RcN4-t s-t
1.1 a Is this an accepted street?yes tk, 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 a Private 0 Zone: Outside Flood Zone? Municipal IR On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
zrb t-l.id —r.44kw R.a l E Fb c rn w 0 I n j
Name(Print) City,State,ZIP
l iuPioac=UC.G S 11 et- 413 524-3y4 7 JCwt-bM-a2..10ki Awe,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition ❑
Demolition In Accessory Bldg.EL Number of Units Other 0 Specify:
Brief Description of Proposed Work': i 0Skatl "D2tCjvc#a.ucted I. ' 2.01 wccd. 5-7hrLA7t $I+C d,
�pwwL.yh I0 Y.11.8 wond STo(.ASo. 5k-veA
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ g 000. —' 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
0 Total Project Cost (Item 6)x multiplier x
3.Plumbing $ (6 2. Other Fees: $
4. Mechanical (HVAC) $ 5List:
5.Mechanical (Fire $ 0 Total All Fe $
Suppression) ��
Check No.%. heck Amount._
6.Total Project Cost: $ 61)0. 0 Paid in Full 0 Outstanding Balance Due:
City of Northampton
Massachusettsr !�
tfs :cam
t DEPARTMENT OF BUILDING INSPECTIONS ?e_ `
212 Main Street • Municipal Building )� Jb
Northampton, MA 01060
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS,
DOORS,ROOFS,RENOVATIONS,ROOF MOUNTED SOLAR,ETC.
1. 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. Construction Debris Affidavit filled out and signed by applicant.
4. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance.
6. Energy Conservation Compliance Certificate (new/replacement windows).
7. Home owner's License Exemption Form(if applicable).
8. Note any Special Permit requirements (if applicable).
9. Energy Code:—all'new construction(Gut/Rehab) requires a HERS'Rater Affidavit
10. Please.provide theappropriate fee in.the form of a check made payable to: The.City of
Northampton.
City of Northampton
HAM• -.....
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. ' Massachusetts �2' L -'.
Id- 4. ,: li DEPARTMENT OF BUILDING INSPECTIONS 'P. jb`
i.�� 212 Main Street • Municipal Building Js c,
;_�,�- Northampton, MA 01060 0.s.`; ...',..1.
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HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, \lee 4„1 --1-44 ,zo (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 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 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.
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 a eo day of Ft a eau.4-itti , 20 z t1.
6i( ture)
City of Northampton
pat H6AM o�
7Q• Massachusetts ��? _ <<
�l ij. ' f DEPARTMENT OF BUILDING INSPECTIONS
11 212 Main Street • Municipal Building O�
Northampton, MA 01060 r7'p , \,vo
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 15nL
The debris will be disposed of in:
Location of Facility: N�
c 3 ti ��-s+Lk P4 Ra. LW rt L plc.�
The debris will be transported by:
Name of Hauler: NA- CJNs-t (ZLlc+►o
ignature or Applicant: Date: L/26,/2,
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