17A-063 (2) 251 BRIDGE RD BP-2017-0034
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-063 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2017-0034
Project# JS-2017-000058
Est.Cost: $65800.00
Fee: $448.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: SERENA TORRY 078904
Lot Size(sa. ft.): 8929.80 Owner: FABEL EMILY
Zoning: URB(1001/ Applicant: SERENA TORRY
AT: 251 BRIDGE RD
Applicant Address: Phone: Insurance:
158 PLEASANT ST (413) 634-8088
PLAI N FI ELDMA01070 ISSUED ON:7/20/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:DEMO 1 STORY ADDITIONCONSTRUCT 2
STORY ADDITION(SAME FOOTPRINT)1ST FUR MUDROOM & BATH,2ND FLR MSTR
BEDRM/BATH
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 7/20/2016 0:00:00 $448.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File F BP-2017-0034 got)/1 a~
APPLICANT/CONTACT PERSON SERENA TORRY e fl n r,0� pJ,((Qy5/
ADDRESS/PHONE 158 PLEASANT ST PLAINFIELD (413)634-8088 �!A/
PROPERTY LOCATION 251 BRIDGE RD
MAP 17A PARCEL 063 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT �J
Fee Paid CL f- 75-7 ñ ei% U
Building Permit Filled out
Fee Paid
Tvpeof Construction: DEMO EXISTING 1 STORY ADDITION AND BUILD ON THE SAME FOOTPRINT
CREATING A 2 STORY ADDITION,ADDING MUDROOM&BATH ON 1ST FLOOR,
MASTER BED ON,��/`µ�
2ND JZr�' .
V%II.vV pIG_414, '>t0C
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 078904
3 sets of Plans/Plot Plan
TOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
941
RMATION 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
De. oli '.n 13-lay
b' � � 2-/Q--/O/
ature of Buns Official
Date
* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning& Development for more information.
City of Northampton Sta (PeasE F
Building Department CabCuM:MmymMP0Oi* ,-
212 Main Street seyveilSeptleAwueUigr
Room 100 - WeserANal
Northampton, MA 01060 TwoSela# _.,
phone 413-587-1240 Fax 413-587-1272 PbfS1tePlats
Ogren Spear.
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
110
`a SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completcompletedpby office
2 5- 1 ( ,Ay pc) Map Lot Unit
INN
Na r h,.r,.„eft r, Aif1 Zone Overlay District
Elm St.District CB Mulct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
'7r 2.1 Owner of Record:
' �� Telephone K tor 251 ' i ‘261Name(Print �\ _— Current Mailing Addres
C h 4t3- 201-5194g
\ Signature
2.2 Authorized Apert:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building S 6 , 6 o D.c (a)Building Permit Fee
2. Electrical -7 ��0_ �v (b)Estimated Total Cost of
Construction from(6)
3. Plumbing1-1 0OO ^J Building Permit Fee
4 Mechanical(HVAC)
5. Fire Protection r2bo -vU 'pd
6. Total=(1 +2+3+4+5) 65, loo -Jct Check Number 99'x'7 " 5(12'
This Section For Official Use Only
Building Permit Number: Issu
Dated:
Signature:
Building Commissioner/Inspector of Buildings nat.
RECEIVED '''=" "'J=�
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 7.9 X Ho 7°X Pio _ ...
Frontage •7C) 7P. .
Setbacks Front y 6 tl 6
Side L:2'1 R: 2-' L: ?H . It a° - .
Rear 6° E r'
Building Height ` 6
Bldg.Square Footage 11 45 7. 6 f 59 7.6.
Open Space Footage
(Lot area minusbldg&paved RCID" t L -
parking)
#of Parking Spaces
Fill: _..
(volume&Location) - _....
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 0 YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 13.
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Addition Replacement Windows Alteration(s) Roofing 521
aad� Or Doors El
rr
Accessory Bldg. 0 Demolition In- New Signs ID] Decks [IZ Siding ma] Other[01
Brief Description of Proposed Oewol„k P <;,n.y i -sro.y , dd it‘-on can o ;�d n. w,,. d�>pr(„1-,
Work: Cre..-hsj a a Sfbrj vdd,'-ry o, 4dc/ir.. m d roc, a,4)' b4'Ynroor_ kbit. r1 arlen
Alteration of existing bedroom C. Yes No Adding new bedroom X Yes No 2��n
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll -Sheet
ea.If New house and or addition to existing housing.complete the following:
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 2-
c.
c. Is there a garage attached? //n
d. Proposed Square footage of new construction. y 00 s'F Dimensions / 7 X 15
e. Number of stories? 2
f. Method of heating? —Feo vK Fireplaces or Woodstoves AL Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction 2K "6 .w.6
i. Is construction within 100 ft.of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade 5i4: b
k. Will building conform to the Building and Zoning regulations? .)<- Yes No.
Septic Tank City Sewer x Private well City water Supply X
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
,1
I `–yn t .� FoAe ,as Owner of the subject
property
hereby authorize Se'CYIA
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signa7e •.1r�1��_ Date
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.
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: Serea in (_ S - 07,3904
License Number
1 .58 pre,>u.,f 34 Plorl, ri-erd to 01070 -3 1 -2-or7
AddressExpiration Date
S _ lin - 69S- goSS
Signature Telephone
S.Registered Nome Improvement Contractor Not Applicable ❑
�Orrey ICer .ta/ / 780'f0
Company Name Registration Number
1St flek,,a„d 57 , eq./5‘ 6 cid /H{/ 0 /070 3 -06 —20/7
Address Expiration Date
Telephone Y 13—195-2055
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 No...... 0
11. — Rome Owner Exemation
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families
and to alto uch homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor. R 780. Sixth Edition Section 108.3.5.1.
Definition of Home per:Person(s)who own a parcel of land on which he/she • 'res or intends to reside,on which there
is,or is intended to be,a or two family dwelling,attached or detached s, t es accessory to such use and/or farm
structures.A person who con cts more than one home in a two-y v, eriod shall not be considered a homeowner.
Such"homeowner"shall submit to Building Official,on a fo - ceptable to the Building Official that he/she shall be
responsible for all such work perform under the build', • . •rmit.
As acting Construction Supervisor your pre ce on th• 'ob site will be required from time to time,during and upon
completion of the work for which this permit is iss
Also be advised that with reference to Chapter Jb2(Wo • 'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in De of the Massac -tts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you and is permit.
The undersigned"homeowner" dies and assumes responsibility for pliance with the State Building Code,City of
Northampton Ordinances, a and Local Zoning Laws and State of Massac setts General Laws Annotated.
Homeowner Signature -_
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150k
Address of the work: 2 -5I 6 r adz ied
The debris will be transported by: /}l+e r^4 i%vz lee c/c f
The debris will be received by: w o f tVn> ' 7L‘t„ 7rq 0-s{e-
Building permit number:
Name of Permit Applicant Sc re '4s 7 ° tie
Date Signature of Permit Applicant
' The Commonwealth of Massachusetts
w— Department of Industrial Accidents
to =^t
_ ip= Office of Investigations
r = e= 1 Congress Street, Suite 100
' _'_` Boston, MA 02114-2017
,L* www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Se re na Tbflee
Address: ISS fIPc',4^ t 54
City/State/Zip: Plm 'fi< ld AA t ol0 20 Phone #: `1 i3 — ( 9 S-23 SS
Are you an employer? Check the appropriate box:
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. of project(required):
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
22JK I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.[ 9. ❑Building addition
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 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.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.It; Expiration Date:
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.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: S�—i�p —`--F Date: 2-/ / -/ 6
Phone#: "-/ I 3- 6 5 5- 3° 5s
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#:
Vd iQ S Cie4W K re / /arY NO /" -/0 City of Northampton
/�7) Building Department
Plan Review
212 Main Street
Northampton, MA 01060
251 Bridge Road Plans
vim= , t
Fabel 2n°Floor
13 x 15 int. dimension
7'-6 11/16" '1 Pass thru to existing closet
Hip roof tied to existing
..7
g 2x6 walls,cellulose insulation
X S,ry>er"t'n ferwe,.v R>rrop,3
$ Sheetrock walls
q
4 new windows
- Mac? pricer LM?N y Este�eg&Jaeai
R I r� 2 closets, no doors
zcceNo trim
Subfloor only
I®I
Fabel 1"floor
— / Demolish existing 1-story
� l(\ 13 x 15 interior dimension q
F
Use existing foundation
Floor level with kitchen
Add bath, closet,laundry
Pass thru to kitchen
Subfloor, no trim
Move fridge, radiator
II m "DN n ,
I ,
\ 1
I
36" below grade
R-P24" horizontal in
Existing slab is on 28"frost wall with 8"footings,total 36" below grade.We will be augmenting this foundation to create a frost protected
shallow foundation.We will be adding Rib solid foam insulation vertically along outside of foundation down to 16" below grade.We will then
install R/'8 solid foam insulation horizontally,to a distance of 24" beyond foundation.
11lAle '
. •
.111ill r . . ,.., . 1
II
1111 II �
11111 ii t .
,
2x6 PT floor system built up from slab to allow plumbing,%"Ply subfloor
2x6 wall studs, 16 O.C.,34" ply sheathing,concrete composite horizontal siding
2x10 2n°floor system, 16"O.C.
Double 2x6 headers on openings less than 48". Double 2x8 headers with double jack studs on openings over 48"
Dense-pack blown-in cellulose to R-18 in walls, Loose blown-in cellulose to R-30 in flat ceiling
4 , � 4w
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41
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I
Hip roof tied to existing
2x8 rafters 16"O.C.,2x10 hip and ridge, 5/8" roof sheathing
Flat 2x6 ceiling joists tie rafters together
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