Loading...
31B-304 10 TRUMBULL RD BP-2017-0106 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31 B-304 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-2017-0106 Project# JS-2017-000179 Est.Cost:$20900.00 Fee: $136.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WESTERN MASS MASONS 089376 Lot size(sq.1L): 2657.16 Owner: SPONG ELIZABETH Zoning: URC(100)/GB(0)/ Applicant: WESTERN MASS MASONS AT: 10 TRUMBULL RD Applicant Address: Phone: Insurance: 383 COLLEGE HIGHWAY (413) 540-1959 WC SOUTHAMPTONMA01073 ISSUED ON: TO PERFORM THE FOLLOWING WORK:REPLACE ONE SIDE OF FOUNDATION 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: OI: 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 7/27/2016 0:00:00 $136.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0106 APPLICANT/CONTACT PERSON WESTERN MASS MASONS ADDRESS/PHONE 383 COLLEGE HIGHWAY SOUTHAMPTON01073 (413)540-1959 PROPERTY LOCATION 10 TRUMBULL RD MAP 31B PARCEL 304 001 ZONE URC(100)/GB(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT /Ca did20 Fee Paid V Building Permit Filled out Fee Paid Typeof Construction; REPLACE ONE SIDE OF FOUNDATION New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 089376 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION 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 ii-, o . In Reta re 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. CEIVED - Department uo only • --' City of Northampton Status of Permit _ I 2 2016Building Department Cury,Guterlveway Permt 212 Main Street -SewettSeptic A.arinbtity Room 100 Wafet/Well Availability' .Nsrt000Ns No hompton, MA 01060 Two Sets of Struotul el Plans • t•`t- ' - •87-1240 Fox 413-587-1272 Plot/Cita Plans 2 - Otheiajc`ecdy APPLICATION TO CONSTRUCT,ALTER REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DIr'ELLING, SECTIONS-SITE INFORMATION 4.1 PropeYv Address. - This section to be.completed by office /0 T.-4,064///Q Map Lot Umt Zone Overlay District Ern St.O str ct _ CB Distoct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: / 5444 l0 7rb.,r /1 p/ Name imp Current Mailing Address'. Sof Cc ey/ Rct ;elePhone Signature 2,2 Authorized Auent: I ttJrs/cry Ale /ttelro ti. j-j 4:L���J� _ f�f- ✓7p„/�.t ,e/e NameCurrent MaurgAckl.e,`s: i l 43[UC/ 8194741 Telephone SE ION 3-ESTIMATED CONSTRUCTION COSTS Earn Estimated Cast IDol ers)to be Oficial Use Only com•Ieted b •ermita olicant 1. Building (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from{5) 3. Plumbing I Building Permit Fee 4, Mechanical(HVAC) 5. Fire Protection p��} potu n 6, Total=(1+2r 3+4+5) yp?Ct.�1 .c .Cheek Number ad?. I• „ This Section For Official Use Only Building Permit Number Cate Issued: Signature: F • Bullring Comrnissysfanerenspector of BuildPateings Et,na, / • C Lt a/17 e w2-(er v/144,1I A410/ CUM Section 4. ZONING All Information Must Be Completed. perm_ Can Be Denied Due ToIncomplete Information e.ry Existing Proposed scored by Zamn This mbedin Sy Building aznment +e-: y Lot Sze Frontage _— __ I Setbacks Front Side L- R_ 12 -_ Rear - Building Hefgat - Bldg. Square Footage _ .. .. Open Space Footage -- } tar a nvsblig&paved _ __ __ par}dnm #of Parking Spaces - " Fill: ( olume&Location) I -. -- A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES 0 IF YES: enter Book Page I and/or Document r, B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Cate Issued C. Do any signs exist on the property? YES . 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 0 NO 0 IF YES, describe size, type and Location: E. Will the construction activity disturb(clearing, wading, excavation or filling)over 1 acre oris it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WOR"R(check all applicable) New House Li Addition ❑ Replacement Windows I Alteration(s) l Roofing Or Or Doors (] LL Accessory Bldg U Demctmen ❑ New Signs CPI Decks ro Siding{CI Other COI Brief Description of Proposed nj� G c_ c 1 /Sand/4 el Work es/ Alteration of existing bedroom Yes No Adding new bedroom Yes _ No Attached Narrative Renovating unfinished basement Yes No Plans Attached Fell -Sheet -- Ga. If New house and or addition to existIna housing complete the foliowiaraa: 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 Square footage of new construction, Dimensions _ e. Number of stories? E Method of heating? Fireplaces or Woodstaves Number of each g. Energy Conservation Compliance, Masscaeck Energy Compliance form attache ? h. Type of construction i. Is construction within 100 ft of wetlands? Yes No, Is construction within 100 yr, Floodplain Yes No (- 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date e i rc 4 bYC. /'� /y at-Cb ,.yam -. , .x.. 0.4 it atCc g ,as Owner/Authorized Agent hereby declare that the statements and information on the foregoing applcation are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Nam far /- '_....... LII// • 7; 6/K signature ®awn: l .en/ bate SECTION @-CONSTRUCTION SERVICES.. SA Licensed Construction Supervisor: Not Applicable E Nameof License Holder: 0/11.4 C fcci).� ... �-J " op / 326_ — ' -. . License Number {�/ --......- �erraarn oar Address ,/,/ Signa Telephone 9, Home Improvement Contralto r' Not Applicable E (Nescr, Afi! /r/[>1k a). /77V? Company Name i Registration Number /x`/%7,2 _.— Address Expiration Dae _.._Telephone 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 _. Sinned Affidavit Attached e- E No Y]. -Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwe0ines 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 that 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"shalt submit to the Building Official,on a form acceptable to the Building Official that hetshe shall be responsible for all such work performed under the bnildine 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 ofEmployersto Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for oersteds) you hire to perform work for you tinder 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 .26 The C¢r srtrnenrveeft ,ofMas,stn ,erode .:._i Deparemeeei Thelmstrial Acetylenes eo–zig+ 6ff G"fjase i fdr res1gQtum:s i pt ip ,600 Washington Sweet §,1•K Borten, MA 02111 'Yorkers' Compensateen Emus—mace Ad,1utlav' t >hsallere/Curet esters/Elieeerieke :/Plienndeers Applicant Information d'Vease Te'ulset ]Leg tnty Name(Business'Organizatiom ndivniduat): Vk% fi-- I :_ ..1 _ Address: 3F,3 rc,l/q- • City;StateZip-.. f `L!f 0(0?-1 Phone#: lAre yo n ert employer?to er box: Type of project (required): Cli•ck t e appropriate am a �/ p y ❑ S am a general contractor and I employees (full and/or part-time),* have hired the sub-contractors6, El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' t 9. Building addition [No workers' comp. insurance comp. insurance. required.] 5. C We are a corporation and its 10._Electrical repairs or additions 3._I I am ahomeowner doing all work officers have exercised their lip Plumbing repairs or additions myself No workers' coin right of exemption per MOL - Y [ P 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 1,3.❑ Other comp.insurance required.] ',Any applicant that checks box kpolicy 1 must also fill out the section below showing ihnir workers'compensation p Iicy hrformaboa ti3o meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1C ontracmrs that check this box roust attached an additional sheet showing the name of the sub contractors and state whether or not those entities have employees. If the sub-consactors have employees,they must provide their workers'comp.policy number. �1 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information, Insurance Company Name: �oLn r7e ...1'.--te_ �� Policy#or Self-ins. Lk. #:, Expiration Date: // Job Site Address: to //zn eV / City/State/Zip: i(/2. "//r¢. (,[.,�2 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 MOL 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 fbrwarded to the Office of Investigations of the DIA for insurance cov' age verification. 1 do hereby cer.` der the . a-.penalties ofperjury that the information provided above correct is true and • Si,Cnature: Date: 7-21 .'y� Phone#: "'EfilG'u 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 #: City of in7o thanpton Mass echus to st c F4 i'� en T3PA- Tc NT or BUIL DING g S'ZCTTCN t 2122 Me'_- Stnmet o ✓4P 2 Bu_:.d3Pa ' ay Morthampton, MM01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXFMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78QCfelfit 108.3.9 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 per od shall not be considered a home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill). sonotube holes (before pour). a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The budding department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper pen its in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner/resident's signature requesting exemption) .. I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location City of Northampton 212 Main Street, Northampton, INIISA. 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 150A. Address of the work: 70 /� ((///, The debris will be transported by: bi/eJ(cr SF Ateky The debris will be received by: 73,7( &_/4" C Building permit number: Name of Permit Applicant kieder AIfi Date ature of Permit Applicant LICENSED REG1SI:ERED }NSURED WESTERN i1 383 College Highway, SOUTHAMPTON, MA 01075 • (413) 527-1800 V1tr`r717Vi STERN?i?ASSMASCNS,CQ OM QUOTE To: 1 BETH SPONG i Date: I1-20-2016 10 TRUMBULL RD. Qucte# l 674387 NORTHAMPTON MA Project FOUNDATION Phone: EMAIL _ Other Phone Phone Description of Work To Be Done: THE FOUNDATION WAS INSPECTED AND LOOKING FROM THE STREET, THE LEFT SIDE OF THE FOUNDATION IS STRUCTURALLY UNSOUND. THE WALL HAS PULLED AWAY MORE THAN 2" FROM THE FLOOR JOIST AND IS LEANING OUT. THIS ENTIRE SIDE OF THE BRICK AND RUBBLE FOUNDATION MUST BE REBUILT. THERE WILL A 2X6 TEMPORIALLY WALL CONSTRUCTED FROM ONE END OF THE FOUNDATION TO THE OTHER TO SUPPORT THE FLOOR JOIST THAT ARE SUPPORTED ON THE WALL BEING REMOVED. REMOVE EXISTING WOOD FENCE AND 1..64VE ON SITE. EXCAVATE DOWN TO THE FOOTING OF THE HOME AND DISPOSE OF THE OLD FOUNDATION. FORM AND POUR A NEW CONCRETE FOOTING\1vnH#4 REBAR X2 RUNNING THE LENGTH OF THE FOOTING. FOOTING AND WALL WII...L RETURN 2' ON THE FRONT CORNER OF THE HOME. FORM AND POUR A NEW 8"X5' CONCRETE WALL WITH",#a. REBAR EVERY 6' TOP 2'OF THE FOUNDATION NHL L BE FILLED IN WITH BLOCK AND BRICK TO SUPPOR" JOIST_ SPRAY ON A POLYMER MODIFIED ASPHALT LIQUID MEN-BRANS ON THE FOUNDATION WALL 60 MILS THICK TO PROVIDE WATERPROOFING BACKFILL WITH OLD MATERIAL,. IF OLD MATERIAL IS NOT ACCL-Pi 446LE THAN NEW CLEAN FILL WILL BE USED AND WILL BE ADDITIONAL COST FOR REMOVAL AND SUPPLY. LOAM AND SEED SIDE AND PITCH AWAY FROM HOME- i ANY TEMPORIALL.Y RELOCATION OF PLUMBING OR ELECTRICAL THAT iS NEEDED FOR THE WORK TO BE DONE CORRECTLY WILL BE THE FINANCIAL RESPONSIABILITY OF THE HOMEOWNER. PULL BUILDING PERMIT FOR THE JOB. T}l._ 54ou For ;'nc Ca'i_j. W.-astern Class Yii son.& ALL DIG SAFE BEFORE DIGGING. HOMEOWNER .O SUPPLY WRITTEN AT-P /AL 'N_ „ BO-' FOR EQUIRENIFN IT AN' MATERIAL TO BE SET ON NP 3HEORS PROPERTY RTY DURING HE CONSTRUCTION WE HEREBY PROPOSEEOFURNISH MATERIALS THE LUBOR- $ 2090000 IN ACCORDANCE WITH THE ABOVE SPECIFICATIONSFOR THE SUM OF. This quote may be withdrawn from us if not accepted within 30 days. 2880xlrut Quote Prepared By: David Osiecki - .al— >zl ` '-'.�,': TERMS:Any alteration or devotion from above spenficatons involving extra costs Rill be executed only upon writlen orders,and-Rill become an extra charge over and above the estimate,By sg gthis quote you agree and understand all the above terms and conditions thalapply to UM job. Any changes that are to be made,must be discussed prior o construction and agreed upon by corUedor and may also effect o the final price. PAYMENT TO BE MADE AS FOLLOWS:One hal:of quoted amount is due whenjob construction has begun.Remaining balance of bit will be paid in full when job is complete A Finance Charge of 1-1/2(18%annual rate)per month will be added to any unpaid balance overb°days. ACCEPTANCE OF PROPOSAL:The Above Made As O fined Above.And Contlf ns Ar Satisfactory And Hamby Accepted.You Are Acthor¢sd in Do ' The Wors As Specified Payment N911 Be Made,Aa Outlined Above. Signature — Date- Sg ��,1-----= - TSTA J : f._. v J a nC; '.n st r ,.ra P-cP(cct L