Loading...
17A-259 (2) i POUT 0 , , ,,,,,/ ,// DESIGN B BUILD / / / /1 / , A/ 1 / / / /1/ // / / / / // / / / , /// / - / � ' x 3' walk m r showe 1 / / with custom bench/ / I 104 Elm Street �// j� / //' / Northampton, MA 01060 ' / ' / / \, / � '� - s , � i (413) 587 -3050 i , // / / // / , __, / / / / __ Bath A Godin/ Petruccelli // 11.44 ' 4 f / �/ / 97 Oak Street �7 / / , //� / Florence, MA /. // I // /i i, ;// //; i,/ ' %/ / // /24 / /Attic/ Storag ,/ / , / / // // 2nd Floor Proposed 12' 9 / Al 02c Scale 3/16" = 1' -O" rim 2nd floor p ose r ro p d 1 -0 — — — VI __ Project number Project Number -- 3/16" -J - " Date issue Date Drawn by_____ Author Checked by Checker __— ______ I 1 ROUT I DESIGN B BUILD , ://// / // / // //// // / / � / / / �� /�/ �/ /// / 1 O4 El / � � / i m Street /� / ////// 4 /�� / . Northampton, MA 01060 ,_ / ///// , / / radiator to be moved // /// (413) 587 -3050 / / ./ / 4 //,///// 1-- Existing door an adjacent / i / wall to be removed /��/ / / / ' / /// / Godin/ Petruccelli / / / � / , / // //// // ✓ � / 6 97 Oak Street / ///' //' / / , / j / / , Florence, MA / / /// / / // // // / %/ /, / ,/"/„/ /�/ / ' / //� / a // / /, /// ✓ / / / / �i / / , / / r rim / / __---- -- Existing brick chimney / / �® / to be removed down to / / /// , /// / / basement floor // // / / i/ / / / //// // /// / /j / 2nd Floor Demo - - -- - - - - -- - - I A102 17.9" / / I Scale 3/16" = 1' -0" I --� 2nd floor Demo `- �J 3/16" = 1' -0" - - -- - - - - -- - - -- Project number Number _ l Date -__ Issue Date- Drawn by Author Checked by 1 RO UT 0 1 DESIGN 6 BUILD // // /// / //// y / / / / /// /// // //, �� //, / // , / , / / 1 // //// // // / // / // / / / / / /// ///////// �j ;/, 104 Elm Street I� / / / / j / Northam ton, MA 01060 / / /� / �j / /� (413) 587 -3050 / / /// / ' / / / / / i/ / �// /2/ / ' // / / ,/ Godin/ Petruccelli / / /, / Office / / / / / / / j //7 / ; / / , /// 97 Oak Street / / �/ / / —, / /// / / Florence, MA / / /, / / / / / / / / / / // _ / //// '7 /� / Dr // i ; I ' 1- DNy / // /I / / /� / , / .1■11....■.1 / / // //// / /, / / / / /,•1 /// f / /, j� ' l Storage' ' %/ // '// / i / /// /' / // // / ///// / //1 / 7/ / /��% �� ' 2nd Floor Existing 1 12 ,_ 9 ., A102 Scale 3/16" =t-0" 2nd floor Existing Mr U 3/16" = 1' -0" Project number Project Number_ ;-Date____ Issue Date — _Drawn by Author__ Checked by Checker___ 1 1 1 , ms s 1 ',N �" Imo' 1 ROUT9 F 1 . ✓ "` "� ' $2 At*. - I DESIGN B BUILD ■ Project Scope: I I A second floor office space will be converted into , " p �` ` AI" ' a full bathroom with a walk in shower. The 104 Elm Street I Northampton, MA 01060 existing brick chimney will be removed down to ,, the basement floor. There will be no alterations to (413) 587 -3050 the exterior walls or structure. 1 Godin/ Petruccelli —NOTE— ^ THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND I5 NOT TO BE RECORDED. 97 Oak Street BUILDING LOCATION ACCURACY IS NOT GUARANTEED Street View - Existing Florence, MA 82.5'± NOTE: SUBJECT TO EASEMENTS AND chimney to be removed RIGHTS OF WAYS OF RECORD• r -- -, down to basement floor ,.._ n , wpm/ LOT #6 �,• - r i . • I FV M, a 1 f Bit. /" j v - ' ,- ,:i.' ri s REFERENCE: ; .,,-^' - _ 'Tf .:X �" 4' - a BOOK 1663, PAGE 91 $ ; / w r _,t 4 BOOK 320, PAGE 30 R , 1 i ; ` & ?1- Bit. Conc. Driveway Extends I over Property Line. 1`' 82.5'± 1. 5' ±-1 - OAK STREET I TO: BERKSHIRE BANK & ' COMMONWEALTH LAND TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF 4ir I 97 Oak Street r I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING �,- MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON ��" -la . .u, Wig- +a 1 THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, r ,: * — - - - -- EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN w , A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR O 0 1 Al COMMUNITY #250167 .. Ar kp , ' ' -NOTE- SURVEYOR: 02./n t Q Q T -1-.23,-, THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY - MORTGAGE LOAN 1N INSPECTION PLAT- 1 Scale NORTHAMPTON, MASSACHUSETTS Rear View - Existing RANDA PREPARED FOR IZER P RUTH M. LaFRANCE 135032 SCALE: 1"=30' JULY 18, 2011 e. 4» aue HAROLD L. EATON AND ASSOCIATES, INC. P roject number -_- _Project NUIT1ber___ -._ REGISTERED PROFESSIONAL LAND SURVEYORS H _ Date _ Issue Date - -___ _ 235 RUSSELL STREET - HADLEY - MASSACHUSETTS Drawn by Author _ Checked by _ Checker Mar 30 10 10:38a p.3 The Commonwealth of Massachusetts Department of Industrial Accidents "" ° .-. i Office of Investigations x411— 1 600 Washington Street • ; LM„ (- MEP '+ Boston, MA 02111 �., www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Le � Name ( Business /Organization/Individual): de 9 2 n,,,�� W jti■ 1 I & Address: /U /JOrh\ S 54 fee f /Vo; / /lb - Dfe6O City /State /Zip: Phone #: Tl3 - 5 ' - OSO Are you an employer? Check the appropriate box: Type of project (required): 1.I am a employer with r 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time). * have hired the sub - contractors listed on the attached sheet. 7. ❑ Remodeling 2. El I am a sole proprietor or partner- ship and have no employees These sub contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.+ 9. ❑ Building addition [No workers' comp. insurance p required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 1 ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. IContractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have etnployees. If the sub - contractors have employees, they must provide their workers' comp. policy number. 1 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. ,/ Insurance Company Name: / A lPr e , „p( G -4cX Policy # or Self -ins. Lie. #: /50e.,J (• ¥ // Ta Expiration Date: £ /'i 2 Job Site Address: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the Rains and penalties of perjury that the information provided above is true and correct. Signature: 7 Date: Z � 7 / Phone #: `i i — 58 /6 / 3e Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 = .CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : � � Y C 5 - i J 3 Y 5c) License Number Address u Expiration Date /01,/901V Y -9SRP Signat 4. 7 Telephone e m , n ... o . z . mow., ` �� KH� ai "s ered"j�io`rnet mar'ouemet�Gntractor. � <<,° _ Not Applicable ❑ & 9� Pp4, - . Q, d tairO3 Company Name Registration Number Ma I74 27 )7 -- Address Expiration Dat /./0.--JL G 54 / Telephone 1 /3 a0/�gliO SECTION 10 WORKER COMPENSAT1ON 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 ❑ No ❑ come- dv , ner xempti 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, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature • ............. ...._... -... SECTION 5- DESCRIPT4 t OPO'SSE all �catsie New House ❑ Addition ,J Replacement Windows Alteration(s) ED Roofing ICJ Or Doors ❑ Accessory Bldg. 1.=.1 Demolition 2ST New Signs [0] Decks 441 Siding %] Other [0] Brief Descrin +inn of Prn''rw"1 Work �. a 2.4 L� ct - � a�ev� cl�: ,, ��e y Alteration of existing bedroom Yes K No Adding new bedroom Yes ) No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet r� .,t.+ s.s.•�. rr &a�,c [ . =t4 Ea, ., �.«. ..W.°,...v `�u �.e `�- `�...�,�..��... . . a. Use of building : One Family / Two Family Other b. Number of rooms in each family unit: • Number of Bathrooms c. Is there a garage attached? VD d. Proposed Square footage of new construction. ,6. Dimensions 13 � , !I X / 1 >� e. Number of stories? 2e 7 f. Method of heating? !11,03 A /v#. p 1 fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Ma -. check Energy Compliance form attached? h. Type of construction w 00 D cYAMe• i. Is construction within 100 ft of wetlands? Yes No No. Is con ruction within 100 yr. floodplain Yes No No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supp SECTION "7st S NE . s� : � � ®• � � Al k r:„ v ' b, S OWNERS AGEi�tS?OR a r R' e _ d I, / k t 66I' V` k le C h 1 T t (T a i t.L. , as Owner of the subject property a hereby .uthorize _ Z K d.0 y to act • my be .If, i - relative to work autp(orized by this building permit application. /. Z Si • - of • ,x Date I, J D L l DkvtOmr , as Owner /Authorized Agent hereby declare that the state mi ts and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under a I the pains and penalties of perjury. /ILA, ttmotrt/ Print Name •.4 .- -' T -/ Signature of • r /Agen Date - •••`,„) • A ". f , .,• • "i• • • • ''sj 4 J • t. s , r 4 :4 s e" . • 4 .4 4 6 • ; sr : .1,„ . I ' • ‘ • . • , • - • r • • • 4r 6 U�1 72012 C of Northampton ' - Bui ding Department - ?C - 212 Main � , Roo 100 DE' . d A 01080 _ _._ . � v RTHAMF . _.�- �— No rthamp NO 3 - 587 -1240 Fax 4 ton, MA 01060 Street ■ phone 4113 - 587 -1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A LING SEC TtON.1 - SITE - a OR M N te r " 1.1 property Address: x �? Oak ONE OR TWO FAMILY DWELLING z SECTION 2 P1;'ERT YC3'r`I 2.1 Owner of Record: �1 (�� � ,. �-�cv�c 417 0 A (.ovtN[:>� MA- mJ t��z Na (Print) Current Mailing Address !. y/ 3 -$ — 8690 . , r , 4 , At r. . . Telephone 2.2 Authori * Agent: -- 37,1"• t .( r ■ /ay ��� IL Z/14% tidy Name (Print) / Mailing Addre ¶fl — 587— 3 cSo Signature Telephone SECTION 8 - E&[ATE#T Item Estimated Cost (Dollars) to be , � � « i e - , completed by permit applicant r ,c * ,. ; . " . • ,. 1. Building J + �! _ � r� — s .sew z r x1�S4' s ,�„ mtk 2. Electrical Q � � �) � , .� / � ` „� < �✓ Corlstorfrx 3. Plumbing d#L .S�ng Permit: - � : BOLT �a� 4. Mechanical (HVAC) Protection 5. Fire - „-,,,,,,,,,,,,,s .-,-,,,....,-,,,,,, ,,,,-, - Numbe 6. Total = (1 + 2 + 3 + 4 + 5) sLl�l1 i • Checkr i , . ,-- 'rt Se er on Fc rfli: r Check efse . <, ., Building Perm Nun ber- bate tssued Signature. Bu+fd#1gCs rz?cress�on ![nsPectoro€Su dings • File # BP- 2013 -0067 (� r APPLICANT /CONTACT PERSON JOHN LANDRY 1 t7 (�) ADDRESS /PHONE 104 NORTH ELM ST NORTHAMPTON (413) 204 -9880 S PROPERTY LOCATION 97 OAK ST MAP 17A PARCEL 259 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 3 ICE 'a'' Typeof Construction: ADD 2ND FLR BATHROOM & OFFICE & REMOVE CHIMNEY :: i4 A t `11-6' - v New Construction 1 F niter' t-( P j,7 „ ,60 Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 093450 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN1 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 17/ 9i 2_ Signatur f 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. 97 OAK ST BP- 2013 -0067 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A - 259 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2013 -0067 Project # JS- 2013- 000097 Est. Cost: $7800.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN LANDRY 093450 Lot Size(sq. ft.): 12719.52 Owner: LAFRANCE RUTH M C/O MICHAEL A GODIN Zoning: URB(100)/ Applicant: JOHN LANDRY AT: 97 OAK ST Applicant Address: Phone: Insurance: 104 NORTH ELM ST (413) 204 -9880 WC N0RTHAMPTONMAO1060 ISSUED ON: 7/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD 2ND FLR BATHROOM & OFFICE & REMOVE CHIMNEY - HARDWIRED SMOKE /CO 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 7/23/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner