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31B-117 19 EDWARDS SQ BP-2017-0125 GIS #: COMMONWEALTH OF MASSACHUSETTS :B Maolock: 31B- 117 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 q BP-2017-0125 Project# JS-2017-000209 Est.Cost: $48000.00 Fee:$312.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 3049.20 Owner: TAYLOR SAMUEL& SHERRY Zoning: URC(I00)/ Applicant: TAYLOR SAMUEL & SHERRY AT: 19 EDWARDS SQ Applicant Address: Phone: Insurance: 245 NORTH ST (413) 588-7421 0 NORTHAMPTONMA01060 ISSUED ON:8/2/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN, REMODEL BEDROOM, SHEETROCK 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 8/2/2016 0:00:00 $312.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0125 APPLICANT/CONTACT PERSON TAYLOR SAMUEL&SHERRY ADDRESS/PHONE 245 NORTH ST NORTHAMPTON01060(413)588-7421 () PROPERTY LOCATION 19 EDWARDS SQ MAP31B PARCEL 117 001 ZONE URC(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid (_30 Building Permit Filled out Fee Paid Typeof Construction: REMODEL KITCHEN, REMODEL BEDROOM, SHEETROCK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO MATION PRESENTED: pproved 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 I-molitio delay Si ret :u'.mg!fficia 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. RECEIVED Department use only I City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit JUL 2 8 2016 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability DEPT oFguLsNG N57E0110N4 I,orthampton, MA 01060 Two Sets of Structural Plans uonTNo.r,•,arcu,NIA Atte 4 '3-567-1240 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 1.1 Procell Address: This section to be completed by office 11 £J-44enG Sy . Map Lot Unit 1\-/ r Uor7Vv[r-tr^ / Pt Zone Overlay District 01000 EIm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 2_4-S r1/44 -4-1.4... 4;14-. sl ar/r-A A So-w— Tm(0.7- a tiNk-L-.... ✓tik 6 u 0 Name(Print l / Current Mailing dress 4/ rSec' �4z1 Telephone Signa . Authorized ee : €t r Sa,,w 1w)L -1 N - ... S f 3,41, Sk . ., ,�- c,...- Mk OIOtD Name(Pent Current Mailing Address: Ht —e5 — ± - -I Si, at Telephone S ION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only _ completed by permit applicant 1 Building G a (a) Building Permit Fee a Electrical •r��•a / O J (b) Estimated Total Cost of /2 O l�'�'�' Construction from(6) 3. Plumbing yJvam_ Building Permit Fee 1 Tt 312-- 4. Mechanical (HVV;T:C �5. Fire Protection4 / 0 / 6. Total=(1 +2+3+4+5) l*S 00 Check Number 367 This Section For Official Use Only Building Permit Number, Date / ///�//✓ice!/f/G� Issued: r / Signature: <//s /� �;C �Lt Building Commissioner/Inspector of Buildings Date 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 //r Building Deportment 7J Lot Size 6 Frontage TS Setbacks Front 'Z' 1—oz.,.,..ty_ Side L: 'f— R: 6 L: R: Rear 7_,C Building Height 2. RIdg. Square Footage 1j21/4- 3-7 % __ ,__ Open Space Footage ( % / (Loi area minus bldg&gaged / 11-/6 3 - r parking) k of Parking Spaces z— Fill: (volume&Location) A. Has a ecial Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document 7t B. Does the site contain a brook, body of water or wetlands? NODONT KNOW 0 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 i 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 IF YES, describe size, type and Location: E. Will the construction activity disturb(clearing,grading, exycavation,or filling)over 1 acre oris it part of a common plan that will disturb over 1 acre? YES O NO Sf:JJ� 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 ❑/ Replacementtdows Alteration(s) Roofing Li LrJ Or Doors Accessory Bldg. D Demolition New Signs [0] Decks [ Siding[0] Other[0] Brief Description ofproposed P 1 {� a l r _ 1, Work: P.2w..SOV K-.\O+- k— SNw. 4 wo-S'\t ot1tc PscO tr ,O (e-s}Q '/ Kt^-4-<+ ' '1-...- Alteration � Alteration of existing bedroom '✓Yes No Adding new bedroom Yes V No 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 Square footage of new construction. Dimensions e. Number of stories? f Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 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 CONTRACTOR APPLIES FOR BUILDING PERMIT I, Stan 4— I 6--1-)6,-- ,as Owner of the subject Property hereto authorize -.- - � C to act on y behalf, in . %afters relative to work out rized by this building permit application. —41iR/1 L Sig . • Owner Date I, ,as Owner/Authorized r- Agen decla , a statements and information on the foregoing application are true and accurate,to the best of my knowledge and of Signed under the pains and penalties of perjury. Print Name Rfrq//6 Signa gent -.- Dat SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: License Number Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 Company Name Registration Number Address Expiration Date 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. Signed Affidavit Attached Yes 0 No 0 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings 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 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 pcnnit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State an• Local Zoning La and State of Massachusetts General Laws Annotated. Homeowner Signature Proposed Work for 19 Edwards Sq. 19 Edwards Sq. is currently a duplex. We will move into one of the floors when we are done (we have yet to determine what floor we will be living on). Both floors are nearly identical. We are remodeling the kitchens. The square footage of each kitchen is "Iry X `t . 4 l We are remodeling the bathrooms. The square footage of each bathroom is 1 �L x We will change the location of an interior non weight bearing wall to make each bedroom more equal. We will be changing the boards on the current deck to composite decking. We will be replacing and snaking the electrical where needed. We will be replacing the current cast iron pipe with new pipe. We will be sheet rocking over the existing plaster in most places. In the places where there was water damage the plaster will have to be removed, and we will sheetrock over the lath. Thanks Sam Taylor 413-588-7421 —NOTE— . THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED NOW OR FORMERLY N.Y.N.H. & H.R.R.C. approximate location of stockade v - 45± BOOK 6604, PAGE 196 SEE: BOOK 510, PG. 70 LOT #6 26n1F6 ©p` se ' • fo Zo 3/4t0 m k m crs1o`c sP It 0 K L -a_ 45'f BIT. CONC. SIDEWALK EDWARDS SQUARE TO: FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 —NOTE— SURVEYOR: 0'✓n-S...i.QQ c . i THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY —MORTGAGE LOAN INSPECTION PLAT— NORTHAMPTON, MASSACHUSETTS /AEA�m` PREPARED FOR 8 IZER TAYLOR RE HOLDING, LLC /35032 SCALE: 1"=20' MAY 6, 2016 suavt1HAROLD L. EATON AND ASSOCIATES, INC. - - ' REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS • City of Northampton i H. K Massachusetts Si DEPARTMENT212 Main OF BUILDINGINSPECTIONS BuildingG �.. kelt ') US Northampton, to 01060 1. Nm.„L' vJ INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 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 Iwo 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 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 Dour), a rough building inspection (before Work is concealed). insulation inspection (if reauired)and a final building inspection. The building 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 permits 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 I, cr--)(0/ understand the above. (Home owner/redident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date }12. }//6 Address of work location / % EL..jaJ -s i. MP Glow 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 150A. Address of the work: ( 1 a -4;0 -S S (Lb — MP' (3' bev The debris will be transported by: Sc, TG--p-7 The debris will be received by: UA`r� l Building permit number: Name of Permit Applicant Sr,_„_ I xtr Date Signat. re . Permit ".plican The Commonwealth of Massachusetts `_--e- - Department of Industrial Accidents Office of Investigations .' F! 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly SName (Business/Organization/individual):: ki-7 la-- Address: 2_4-S 1U cA\ 5\ 0(06 e City/State/Zip: AJorPhone #: 4-13 -S8B " I Are you an employer? Check the appropriate box: Type of project(required): general contractor and 1 I.❑ I am a employer with 4. I am a g 6. Opew construction employees (full and/or part-time).` have hired the sub-contractors listed on the attached sheet. 7. odelin 2.❑ I am a sole proprietor or partner- g ship and have no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers' 9. [No workers' comp. insurance comp. insurance.! ❑ gmred.1 5. ❑ We are a corporation and its 10riding addition etrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGI_ 12 ❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.9 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I llorneowners 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 mus 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. #: 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. Sim ature: Date: '272-RP-6 Phone#: , 413 - 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#: /l p 4 %cc a. .uoFt/ 7-1,-16 2 201& OFq O .,— City of Northampton IC( 'Gi-wr,F; a4 -. Building Department U; Plan Review __ 212 Main Street qg Northampton, MA 01060 /?e i MM -� ! y y ,, a , � L.ri p u.- Cy4 " y.,i . ��Ii� �` Li: �..0-_-c� :Y 21c Sr i ii, r i -- bfiy1u4i oUe/e. 4Wa(It95 Neje/ EtGC. Litt t4.,/ nwsr7" .,,„ Two MecfteS off i eels