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25C-008 (7) 150 NORTH ST BP-2016-1543 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C-008 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: REMODEL BUILDING PERMIT Permit# BP-2016-1543 Project# JS-2016-002633 Est.Cost: $15050.00 Fee: $98.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS Lot Size(sq. li): 16683.48 Owner: ARCHAMBAULT GERALD R&MARY E Zoning: URB(100)/ Applicant: STEPHEN D ROSS AT: 150 NORTH ST Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584-1224 O NORTHAMPTONMA01060 ISSUED ON:6/27/2016 0:00:00 /I.tr.vaedi IA/ TO PERFORM THE FOLLOWING WORK:Remodel bath no structural changesjACwalls windows or doors 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: Housed 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: FeeTvpe: Date Paid: Amount: Building 6/27/2016 0:00:00 $98.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner City of Northampton Status of Permit: Department use only - Building Department Curb CuUDriveway Permit 212 Main Street Sever/Septic Availabilityri - Room 100 Watet/WetlAvailability I . 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: /Cc) lderl� S �w4 Map Lot Unit Mt-#-L-10/°1— 4 V/p&o Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Fce� ° Name nnQ I, An' Current Mailing Address: 1 Y`�" " ' Telephone Signature 2.2 Authorized Agent: 17 c+. — c, l'Zrc 36 5-4 c- c/�rEd Name(Pri Current Mailing Address: 5 � U Gam-- yr 3 ray /z2 gnatu Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building w (a) Building Permit Fee /7 O O. 2. Electrical 0 w (b)Estimated Total Cost of C)�U• Construction from (6) 3. Plumbing 3 Zoe Lt-0 Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) j �](/p p �f0ro. C Check Number, ;TQ `r p O This Section For Official Use Only Date Building Permit Number: Issued: Signature: /pa CCC��O/ Building Commissioner/Inspector of Buildings Date N. 4 a k 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 Frontage Setbacks Front V Side L: R: L: R: Building eight Bldg. S. are Footage % Open Sp. a Footage (Lot area min. bldg&par parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO 0 DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW �. YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO e. 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 ei IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO ,eL IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,e cavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © 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 J Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [C) Decks [q Siding[C] Other[p] Brief Description of Proposeda Work: ) //-ie le_ /"�Lx t 4 2< 13k:4"i" "...t_— � Alteration of existing bedroom Yes t-----No Adding new bedroom � NYes ' o ,..--- Attached Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet 6a. 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 c. Is there a garage attached? d. Proposed Squ. e foo'ge of new constru 'ion Dimensions e. Number of stories? f. Method of heating? Nir Fireplaces or Woodstoves Number of each g. Energy Conservation Compliant-. _ _ • , c eck Energy Compliance form attached? h. Type of constr ction 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 k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR1APPLIES FOR BUILDING PERMIT I, 5-ncty Ya K ,as Owner of the subject prope I hereby authorize t-.S.cJ1 LA—t L- -ss• to a on my be If,in all matter relative to work authorized by this building permit application. 5 W �� l I� gna we of n Da I, L,..„...._ (-k-\-- C(?,c5,-5 , as Owner/Authorized Agen ereby d fare 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. 1-c/11-•-- r. uO S Prin i pr r3 /G S'•ature oir er/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction rSupervis r: Not Applicaabllee 0 Name of License Holder: )� . t�Y/s7 7�( t�-0 mber License N 361 5v-,- L:-. ��,� ' (172-1) l 9 Address Expiration Date /Yh-in--/Pa4.x /Via- 0/4,6.<O SS t� Telephone VC"" 4(/ 3 Ceti 12zFt 9.Registered Home Improvement� Contractor: Not Applicable 0 �2 (2_ 'Y�qc35 6K_<JCA Ce"^-4ra 7C7) 61/4 ? om.f,n Name Registration N ber Address Expir tion D e " Telephone "2 Sit / e?4' 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. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 pop epl 4 S 5w^,7 ce^«(dv I�a7 '� �� City of Northampton // o Building Department / Plan Review �� ' / 9T9In Street Northampton, MA01060 CONSTRUCT DORMER DORMER T F .,. _ _. _ __ __ _,, ASSOCIATES,INC. _ as SERVICE CENTER NT NORTHAMPTON.MAOID60 I TOILET �� Ap/� lel 584.1224 tax 684]SM 1, / ,l7:::� a4yd rAlitiare ' 6 - b II Q ( , AOTHRDOM / / 9ATHROOM le Wee`5 4 Nw� C % ✓ _ C RENOVATIONS FOR, 1/, C 5 Ix5 VSTACEYDAKAI /2 y�//��� &ELIZABETH KNEE WALL / KNEE WALL KNEEwnu = `PKN�wnu ARMSTRONG ,�j `J/ .I WENS NEW VANR. 2-112.6 RESIDENCE 150 NORTH STREET ill NORTHAMPTON,MA 6nr a.c.HT. BFDRODfG 6.n cam.nT. 01060 / f�0 I IINcNS P ��OO ,S06ET, BEDROOM U q 000&i ENELVE9 350500M _ PFOROOM • Ji HN�WAY �t/ DOWN / HS WAY _ DOWN / fB J rI OSF[ CHIMNEY J CI OCFT CHIMNEY B 1 EXISTING UPSTAIRS BATHROOM FLOOR PLAN I 2 PROPOSED UPSTAIRS BATHROOM FLOOR PLAN 1I2 1.0^ I c GLASS SHOWER LIGHTING TO BE ENCLOSURE ERMINED DP 6-10-16 REVISED 1 / / K 5-9-16 REVISED K / / T 4-10-16 FOR REVIEW / K KDateDate/ / DETERMINED / K > rr m^.^vy ml V K O O / / o _ K /K A /v vv / I ° 11 '� I A EXISTING AND / K / -�N�I �7 , / PROPOSED 2ND i. — FLOOR BATHR PLANS E< 3BATHROOM ELEVATION 4 BATHROOM ELEVATION /1 1 1 2 3