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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 ► . ► • 41 . , 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 • V ƒ)1 2 \4 m 2.,.............;_.. . • . , ±ww� , f « \` hL. \ •-: - « H ?S \ III •:,.;\ »• :md .. \\\{ \ ar: a««zz / . . . . . .. . . . . . , . — '''.. , - %: ' ' '' ' : 4• ]. :: '' :41 t)'. ?i : ' % - “ 6. ; ,.... — * "Pi.... ,„ ...4. ., • ' " ' ' ' • ' -.. " - ICI ' '••• •••1 eck:'t '' '• : ) '' It4; - 7 .._'-' ;t,'t:,),".:.i; ;.).:4:*1;;•)•!,"!si•!;?J.:1" ) ' 'till ' .":---_,, -.,.. !7•-•-•. ,--- ------ ---,