24B-080 (14) 6 BRADFORD ST B P-2007-0216
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24B-080 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0216
Project# JS-2007-000328
Est. Cost: $800.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 10149.48 Owner: LARGEY MEG&
Zoning: GI Applicant: LARGEY MEG &
AT: 56 BRADFORD ST
Applicant Address: Phone: Insurance:
56 BRADFORD ST O 584-5849 O
NORTHAMPTONMA01060 ISSUED ON:8/28/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE NON BEARING WALL TO CREATE
MSTR BEDROOM
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 8/28/2006 0:00:00 $50.002566
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2007-0216
APPLICANT/CONTACT PERSON LARGEY MEG&
ADDRESS/PHONE 56 BRADFORD ST NORTHAMPTON () 584-5849()
PROPERTY LOCATION 56 BRADFORD ST
MAP 24B PARCEL 080 001 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 214 V°
Typeof Construction: REMOVE NON BEARING WALL TO CREATE MSTR BEDROOM
New Construction
Non Structural interior 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
INF9RMATION PRESENTED:
V 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 Co 'ssion
82/6/2 4
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.
c
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: n c� " -
11[J Map Lot Unit
(I_/� „^ S s Zone Overlay District
t) G-vv��p vr\ I //
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: _ 6,
4et—rellA i'\0"4111°Y11.
Nam- - int) Current Mailing Address: (I 1 : ^ �"?L/ _
Telephone `/ `
Sig -l/e
2.2 Au orize,LL ent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
Z
completed by permit applicant
1. Building g DO ----- (a)Building Permit Fee
2. Electrical n t (b) Estimated Total Cost of
Construction from (6)
3. Plumbing /� Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection �A +3j
6. Total = (1 +2+3 +4+ 5) Ut� Check Number 625' '`
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
( 1
(1o1 '\
�
'
Section 4. ZONING All Information Must ae Completed. Permit Can ue Denied Due ro Incomplete Information
Existing Proposed Required byZoning
This column mbe filled m»'
Building Department
Lot Size
'
Frontage
Setbacks Front
Side L:� R: L ! | |
Rear
Building Height
| i �
Bldg. Square Footage | � i ! %
Open Space Footage �
�mu�"m�mmu &v no�
p="~a
#uf Parking Spaces
Fill: � !' —�| ---'------�
(volume&Location)
A. Has a SpecialPerm it/Vahance/Findi ng ever been issued for/on the site?
/�� x,�
N0 �� DON7KNOVV �~� YES �~�
� }
IF YES, duteissued' .' �L_
IF YES: Was the permit recorded at the Registrynr Deeds?
'
NO DON7 KNOW � YES 0
IF YES: enter Book Pmge� | and/or Documant#� (
------- '
�� ��
B. Does the site contain a brook' body of water or wetlands? NO u���� KNOW 0}N7 KNO YES «~�
IF YES, has permit been orneed to be obtained from the Conservation Commission? '
Needs tobeobtained «~��~� Obtained «—~�� Data Issued:
!
� . : /
C. Do any signs exist onthe property? YES �_� NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
�
IF YES, describe size, type and location: �
E. Will the construction activity disturb(clearing,grading,
n.or filling)over 1 acre o,init part ofo common plan
that will disturb over 1acre? YES NO
IF YES,then o Northampton Storm Water Management Permit from the DPW io required.
4
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition ❑ Replacement Windows Alteration(s) C29.- Roofing n
Or Doors 54%.
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding[0] Other[0]
Brief Description of Proposed /� m t t r n c; �Lt..: l LT- oo tZt,,,4`4 (- �-O
Work: KnIMQJV� 4__)(�C S�1 �� � 1 CP``''��
�uct r"\S`- & r K-0
Alteration of existing bedroom 1Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes .-( No
Plans Attached Roll (Sheet
sa if.7 evv o t144 .i'or a ar io C:Wilkmq=hoci ii m' ie a wmq:
a. Use of building:One Family ?c., Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? (Lb
d. Proposed Square footage of new construction. /.\-G)?1 Dimensions
e. Number of stories? ilh ,
f. Method of heating? 4 O GL- Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction �C
i. Is construction within 100 ft.of wetlands? Yes `No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade 7 --ce4---
k. Will building conform to the Building and Zoning regulations? X Yes No.
I. Septic Tank City Sewer Private well City water Supply
rjp-
SECTION7a OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR.APPLIES FOR BUILDING PERMIT
I, ,as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
1, , as Owner/Authorized
71-
Age reb fare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and be ief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
•
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
-.Y �.. ...,_ „reiii ,�,-,.z �. 1. Not Applicable 0
9 Ttegtsterec��Home�"rnmpraverbent�Contraator=�,�;��,� �, .,;,��,,.,;,,�� e, �p..r_:
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-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
1.-4 n. . e 3 xe �0n ,
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own 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 homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be .
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from.time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,Stat and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
•
•
ItAH
(yII12 of Northampton
1 �t.sanchnsctta•
weavire
DEPARTMENT OP BUILDl'G INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 r1
WORIG R'S COMTENSATION LNSURANCE AVFII)AwrIT
•
I, -- — -
(li cc-as permi ticc)
with a principal place of businesslresidencc at:
•
(phone)
(st tici ty/siatdri p)
do hereby certify, under the pains and penalties of perjury; hat
( ) I am an employer providing the following worker's compensation cove zgc For my
employees woridng on this job:
•
i Y ' (.esurm=Corers,') (Policy Nutn.ocr) ---- (t=:.pinion Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below r,to have the following worker's compensation policies:
(Name of Coa'^cior) (Inn/area Cotnoan vi'oiic; Nunl�c:) tE4Irnuon l)atc)
(Name of Conractor) (lnsurancz CompaaviPo!ie; Numc-r) (ilaoiration Date)
(Name of Cotltracldr) (Lastoan= Comparey/Polio- Nanabc.r) (Expiration Datc)
•
•
(Name of Contractor) (Insnlranca Company/Poticy Number) (Expiration Date).
(nrta.Cb:ddi pal cSca.ifawcu_-y to bdu&infor oa perodninn to.11 ooca-_c.o:s)
( ) I am .a sole prop ictul and have no one wori;3ng for me.
(✓)I atn,a home owner performing all the work myself.
•
NOTE:pI a be as-xro t*i wL-1e bcmeowaczu wbo employ xivos in r, -� csr oo c rgair work.a.dwda..,of
apt tnocc t!»tl ro:tits in«'hies t o bomw,wc raid or oo the pound,appurter,•z them arc DO( oocr:daed to be
cnploy=uor'�c t o wcr1:tr's o— - ----1ioa Ac (GL152,n 1(5)) -ppliration by•botncoa-oc for:LCS_or{x lull n_y cvidmcc trc
Iesal rt+n,,of ea oX loyor coder duo Worker'.Cocorp000.aioct Act..
I undcsuad that a Dopy of thin rat®cm os.y b.forxarded to tbo pcpsrtmco¢or I •rric!nccdaau'O1Ooo or for tb.
oovc-a.cc vciIatioa dui.L•iltnc to serarrc boveryce und,,t section 2.5A of MOL 152 tan 1ed to the;'-'/ioa of cimiaal peoslrict
oomising of a ripe of up to S I S00.0o and/or i>na-rsoccoo=at or up to Doe ycor Lod cvi1 p r•ttio is 6c foam or.Stop Work Ord and
rum o(S 100.00 a thy u pima CDC.
For dep.rta.��u,e only
Permit Number
SigItiat of i ucc L7�te ��P� -- Lot -
a
O¢S tSAH PLO
MOM
A " Liter Jai Nnrz#11&ntptirt • _*
4. .4
—
DEPARTMENT OF BUILDING INSPECTIONS �4 _Mil4_/..
INSPECTOR 212 Main Street • Municipal Building '
Northampton, MA 01060
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sup,_: .' sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends 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."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill)z
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
. •
1
no........mia.1.1.1 , 1
4
1
_
--'-----
4 .
\ i
i
-
,
,.. . _
...ficia 44)t
____ __1
f
.._— i I jet,... vry#,-
__...„,..._,......1., ,,„„e"
t ---.
V. IN
IN,
( ' s,*441.2
err-1 / 1
J . 1 0---"t CL"
( :
-4 • i.. .._
• -yrorr,
a Ilk _
. I
f I _ . . ri,..3- • • 1 p.),_- . ,
) 1
i-1( Ne
Dilipp\Al 4 7 rr, '
14 ' 7-x-5--,.4 4 (T) c,-c---Ki
'
41k. 1
-14 J Li C:ii 4Ste,- --- • — -
1
. - - ...-wsaillIaltt
140
e i.- ...f.....wormas .11(rmo.11■11MPA..
1
'