23 Fair St Garage BP 2013-08-30 (2)---
File #BP-2~245
APPLICANT/CONTACT PERSON OBER JEREMY D
ADDRESSIPHONE 8 HOCKANUM RD #14 NORTHAMPTON (413) 658-7583 0
PROPERTY LOCATION 23 FAIR ST
MAP 25C PARCEL 255 001 ZONE SC(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
TypeofConstruction: CONSTRUCT DET 12 X 22 GARAGE & 12 X 18 DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets ofPlans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P~SENTED:
__Approved _V_ AAddditional 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
WNING BOARD PERMIT REQUIRED UNDER: <l' _________
Finding_____ Special Permit'--______ Variance*____
___R.eceived & Recorded at Registry ofDeeds ProofEnclosed,_____
___Other Permits Required:
Curb Cut fromDPW ___Water Availability ___Sewer Availability
___Septic Approval Board ofHe.alth Water Potability Board of Health
6ermit from Conservation Commission ___Permit from CB Architecture Committee
___Permit from Elm Street Commission ___Permit DPW Storm Water Management
___Demolition Delay
~LW
Signature ofBuilding 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 ofMGL 40A. Contact Office of
Planning & Development for more information.
\-\cx:k'-"V\\.I~ gJ
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060 ;
phone 413-587-1240 Fax 413-587-1272
,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
1.1 Property Address:
)-3~cX\r§
2.1 Owner of Record:
::J~e.~ p. o\yu '3 ~V-t
Name (Print)
,MC,
.5
Name Current Mailing Address:
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
~o-o
. ,
Section 4. ZONING All Information Must Be C~mpleted. Permit Can Be Denied Due To Incomplete Information' . .
Existing Proposed Required by 'Zoning
This column to be filled in by
Building Department
Lot Size I IL: : ]1 J
II !I, lal , ]!Frontage
Setbacks Front I I ~ , j L-J
Side L;l I R:! I L:~R:ISI
Rear I I CJ I I
Building Height [5dP\ CJ [:=J
Bldg, Squ~e Footage CJ CJ% ~ CJ c:J
--cOpen Space Footage -C]-%: , •• __ •••• _ _ w ___,.~ -_._--.._.-. ••••_".______ -e.
j I(Lot area minus bldg & paved II c:J i I
parking)
# ofParking Spaces I I CD c=J
Fill: II I(volume & Location)
A. Has a Special PermitlVariance/Finding ever been issued forlon the site?
NO .,
\: '-:J
'.'"
-.~~-----------~"-----.---.
-DONT KNOW YES0 0
IF YES, date issued:1 I
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONTKNOW· f·· -. YES 0
IF YES: enter Book ! I page1.....___-' and/or Document ~I...._____...J
'. B. Does the site contain a brook, body of water or wetlands? NO'O DONT KNOW 0 YES 0
IF YES, has a permit been or need to beobt~ined from the Conservation Commission?
r--l---, Needs to be obtained· . J Obtained, _; Date Issued: j1O 0 '-------'
C. Do any signs exist on the property? YES 0 NO l!J..
IF YES,describe size, type and location: 1....___________________---'1
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NOO
<~:----=~-~---'~-Y~S, describe size, typ~--;nd~~ation: '-I--------·--·--..-··-----_______~__.....l.l
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
thatwill disturb over 1 acre? YES 0\ NO .t'O\ ~~~~-.---~.._-_. ,.. ,.~-......_.,,,--~-"._______.._._-:._~_ .. -,-... -_~_.___ __.W--.:.~:.._.:--___ ~____.__ . ... .. .
I F YES, then a Northampton Storm Water Management Permit from the DPW is required.
..
Accessory Bldg. ~.
Brief Description of Proposed 1-;I" -G"
........
D I Roofing D
Siding [OJ Other [0]
.,.J) \ "' I~ Work: ~C C\.{.f'\of. (l).. ..,-." PC?cK
Alteration of existing bedroom __'_~\f~No' :dding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
c. Is there a garage attached? ____
d. Proposed Square footage of new construction. Dimensions _______________
e. Number of stories? ______________
f. Method of heating? ______________ Fireplaces or Wood stoves Number of each
g. Energy'Conservation Compliance. Masscheck Energy Compliance form attached? _______
h.
i.
Type ofconstruction , ~'iY hr:i..""Jj
Is construction within 100 ft. ~f wetlands? ___Yes -X-No. Is construCtion within 100 yr. floodplain _'__Yes __No
j. Depth of basement or cellar floor below finished grade ___________
k. Will bulidirt~, conform to the Building and Zoning regulations? ~Yes No.
),,
I. SepticTank__ CitySewer ___ Private well City water Supply ___
~. :;a·~t··'~t'~~1l'~t~j."'.!iiilltM'lIIN!....,.::wmp""~I·i":~t'M'!'"'ti!..R'~'li''''''lu·'."'.'.;·<=I'.i:'~l'it<'f,\~i't::~~~S:;i~a~.oJ!.l"~a·'" l,Ib;'111:"",¥,'ffiIl'.p'a:;,; J!.New,;;u(;JUse;an .10r.,a '-II. Ion" o..exls mg',uousmg.,)COrnp e 9: lIe;~lo owmg.
a. Use of building: One Famiiy Two Family Other 6tA.~')P
p,.Number of rooms in each family unit______ Number of Bathrooms'-----
property , as Owner of the subject 1'=De~--------~--------------------------------------------
hereby authorize :-:-:_~--:"~_-:-:~-:--_-;---::;---;---;-:--::-;-:--;--:;-;:--__-;;-_-;:--;:-________________
to act on my behalf, in all matters relative to work authorized by this building permit application.
'''--'-1'' ._, , ....,-_ .. "'0_-'-,. "'''--,...--...--...,._...•
I. ' as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Date
..
Not Applicable 08.1 Licensed Construction Supervisor:
Name of License Holder: t\\,L..~\ l XIQ~
Company Name Registration Number
Expiration Date
______________________Telephone,________
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
AffidavitAttached yes....... 0 No ...... 0
The current exemption for "homeowners" was extended to include Owner-occupied Dwellings ofone (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 7S0, Sixth Edition Section 10S.3.5.1. ,
Definition ofHomeowner: Person (s) who own a parcel ofland on which he/she resides or intends to resiru;~,pn 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 ina two-year period shall not be considered a homeowner.
Such "homeowner"shallsubmittcrthe Building Official, on a form acceptable to the Building Official, that he/she shall be
respogsible for all such work performed under the bnilding permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion ofthe work for which this permitis issued.
Also be adVised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability ofEmployers to
Employees for injuries not resulting in Death) ofthe 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 ofMassachusetts General Laws Annotated.
Homeowner Signature __________
INSPECTOR
Louis Hasbrouck
Building Commissioner
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main street • Municipal Building
Northampton, MA 01060
Chuck Miller
Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State .of Massachusetts allews the hemeewner the right under 780CMR 108.3.4 te act as his/her
c'-,,,constructien superviser. The state defines "Hemeewner" as, "Persan{s) whe .owns a parcel en which
,---TIe/she resides Dr intends te be,' a one ortwo1amily' dwelling, attached .or detached' structures
accessary te such use andier farm structures. A persen wha censtructs mare than .one heme in a twe
year peried shall net be cansidered a heme .owner."
The building department fer the City .of Nerthampten wants any persan(s) whe seek te use the heme
.owner exemptien, te act as their .own censtructian superviser, te be aware that by daing se you
become responsible for compliance with state building codes and regulations. The inspectien
pracess requires that the building department be called te inspect werk at varieus stages, which include
foundation/foot'ings (before backfill). 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 inspectiens befere the wark is cencealed, failure to secure
these inspections can result in failure to obtain a certificate ofoccupancy until the work can be
'inspected.
If the hemeewner hires ether trades te perfarm wark (electrical, plumbing &gas) the hemeewner will be
respensible te make sure that the trades hired secure their proper permits in cenjunctien te the building
,permit issued, and tl1at they get their required inspections. Failure .of the individual trades ta secure
the permits and inspectiens as required can DELAY the project until such time as the preper permits
and inspectians are made "
---------I, understand the abeve.
(Home owner Iresident's signature requesting exemption)
I will call ta schedule all required building inspectiens necessary fer the building permit issued te me.
Date,_____________-,
Address .of werk lacatien, _________________________
/-I
The Commonwealth ofMassachusetts
Department ofIndustrial Accidents
..Office ofInvestigations
600 Washington Street ....... Bosion, MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/ContractorslElectricianslPlumbers
Applicant Information Please Print LegiblK
Narne (Business/OrganizationlIndividual):'_-1'~'Ll"I.L'~'J....t.:"~,:!! ~~_~....... ...:!.",,.~':L--=-==---"--==-'lI:!L.:""""":"::;"'>"_-::-_____________
*Any applicant that checks box #1 must also fill out the section beiow showing their workers' compensation policy infonnation.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:tContractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and state whether or not those entities have
employees. Ifthe sub-contractors have employees, they must provide their workers' compo policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy andjob site
.information.
InsuranceCompanyName:__________________________________________________________~--------~---
Policy # or Self-ins. Lic. '_______________________________ Expiration Date: ______~___
··---Job Site Address: City/StatelZip:_________
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 ofMGL c. 152 can lead to the imposition of criminal penalties ofa
fine up to $1,500.00 andlor one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
ofup 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.
pe,.nalties ofperjury that the information provided above is true and correct.
Date: \~ \)
Phone#: L\\'7> ~3l:\ :Sc~o
Address::33 \\ \\,"~,-dA _.~~
C\3>S \
City/State/Zip: ~~~"-l..e «\'A-Phone #:
Are you an employer? Check the appropriate box:
1. 0 I am a employer with 4. 0 I am-a general contractor and I
-employees (full and/or part-time). * -have hired the sub-contractors
_"':"'L2~~ a.m a solepr6prietor or partner--listed on the attached s~eet.-
V' ~p and have no employees -These sub-contractors have
working for me in any capacity. employees and have workers'
[No workers' compo insurance compo insurance.+
required.] 5. D We are a corporation and its
3.0 I am a homeowner doing all work officers have exercised their
myself. [No workers' compo right of exemption per MGL
insurance required.] t C. 152, §1(4), and we have no
employees. [No workers'
compo insurance required.]
s~~
Type of project (required):
6. 0 New construction
7. 0 Remodeling
8. 0 Demolition
9. 0 Building addition
10.0 Electrical repairs or additions
11.0 Plumbing repairs or additions
12.0 Roofrepairs
13.00ther________
---II-Official-use only;-Do' not-write-in-this-area;-to-be completedbycity or-townojJicial
City or Town: PermitlLicense # ______________
_Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/TownOerk 4. Electrical Inspector 5. Plumbing Inspector
6.0ther _____________________
Phon,e #: ___... J~_oJ]Jact Person:
Sht. 1 of~.Vreeland Design Associates
An integrative approach to design, engineering and ~ite planning
Date: August 10, 2013
Re: 23 Fair Street, Northampton: Proposed Garage foundation and wall detail for flood hazard
area. Note: Base Flood Elevation from FIRM Flood Map #250167-0002A =125.00'
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Phone: (413) 624-0126 116 River Road'lLeYdenl MA 01337 Fax: (413) 624-3282 Email: dvreetan@verizon.net
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FAIR STREET
60.85'± -t
in
c:i I"")
17.3'
proposed
dwelling ~
0.
(existing dwelling
to be demolished)
17.1'26.0' '1"",\ 1-,I deck \ t» I h-=_---1'1
tJI--. ",-I
5.0' 12.0' q I
~ -0OJ \0'"'1 No 0P N'"'1-00 o 0 0. o~ \OlD (1) (1)
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PLAN BOOK 70. PAGE 119
JEREMY D. OBER
BOOK 11149. PAGE 201
60.00'±
"PROPOSED IMPROVEMENT LOCATION"
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
JEREMY OBER
SCALE: 1"=20' JULY 16, 2013
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET -HADLEY -MASSACHUSETTS
413-584-7599 413-585-5976 (fax)
email -hleaton@aol.com
0' 20' 40' 60'
~ 1__-