32C-301 (3) 21 VALLEY ST BP-2017-0557
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:lack: 32C-301 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Stair BUILDING PERMIT
Permit# BP-2017-0557
Project# JS-2017-000903
Est. Cost:$10000.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: LEARY BUILDING COMPANY 104806
Lot Size(sq. ft.): 6708.24 Owner BRENNAN EUGENE E GLORIA 1
Zoning: URC(100)/ Applicant: LEARY BUILDING COMPANY
AT: 21 VALLEY ST
Applicant Address: Phone: Insurance:
1039 EAST MOUNTAIN RD (413) 336-2611
WESTFIELDMA01085 ISSUED ON:1/23/2017 0:00:00
TO PERFORM THE FOLLOWING WORIGLANDING WITH STAIRS TO GROUND LEVEL
ADDED TO SOUTH SIDE OF HOME
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:
FeeTvpe: Date Paid: Amount:
Building 1/23/2017 0:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
EEb sista' 'yPN-MA
File p BP-2017-0557
"j
APPLICANT/CONTACT PERSON LEARY BUILDING COMPANY O E 2� F`'D t�
ADDRESS/PHONE 1039EASTMOUNTAIN RD WESTFIELD (413)336-2611 .53
r te�an,, N�
PROPERTY LOCATIONXcALLEY ST F SZEp F�M""�
MAP 32C PARCEL 303 001 ZONE URC(1001/ l� 1 )
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
/ ENCLOSED REQUIRED DATE
t/
ZONING FORM FILLED OUT / it
Fee Paid
Building Permit Filled out
Fee Paid ud0
Tvpeof Construction: LANDING WI AIRS TO GROUND LEVEL ADDED TO SOUTH SIDE OF HOME q /
New Construction p pfQ k
Non Structural interior renovations .l d!(� �y
Addition to Existing ♦ anO
def
Accessory Structure re"
�� r/
Building Plans Included: (/
Owner/Statement or License 104806
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOI;,YY.CTION 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
_ Demol ion I-lay r
pe
� Fg)3 /%
ure of .1 di g 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.
. _ —..
3a e- so3
I Depaitment use only' City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Pelma
L," ' 212 Main Street Sewer/Septic Availability
_ Room 100 Water/Well Availability
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 DWEWNG
SECTION 1 -SrrE INFORMATION
1.1 Pro rty Address: This section to be compitted by office
AI VAL S k Map Lot Unit
RRR,,C.21t•iA's k 2 i MA Zone Ove tay District
(,ii)(zC Eke St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
(tcEut . YZGUNAN II taltet ST Nnc:kAr,r-c•- MA rme..o
Name(Prim) Cum Mailing A
7� 7 /? ��ge� /33Z 4 d el S?4
mac% T21�ph e
Sign re
2.2 Authorized Agent:
M LEAZ //hi'f i%AS Mi.:ir tti PA IN)FSrR¢o) MA GINS,`
Name(Print) _ Current Mailing Address:
�.. _- don 33C, Zen
Signatu Te ho
SECTION 3-ESTIMATED CON UCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Buildingct//� cs0 (a)Building Permit Fee
2. Electrical Y� (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection 'n
6. Total=(1 +2+3+4+5) Check Number /�9VLL l(,[Z6
This Section For Official Use Only
Building Permit Number. Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
\�
C
? (gk 1
1
cI i `
Section 4. ZONING AU 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
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Lot area minus bldg&paved
Parking)
#of Parking Spaces
Fill:
(volume&lunation)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
Jam)
NO AZ DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O 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? N07/ DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained O , Date Issued:
C. Do any signs exist on the property? YES O ND
IF YES, describe size, type and location: 1.,6
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO p:
IF YES, describe size, type and location: /�C
E. Will the construction activity disturb(clearing,grading, =ovation,or filling)over 1 acre oris 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 n Addition ❑ Replacement Windows Alteration(s) ❑ Roofing C
Or Doors 0
Accessory Bldg. ❑ Demolition El New Signs [C] Decks.PEI Siding RD] Other[Di
Brief Description of Proposed
Work: /F,kibLui, Al ,HAWS -ro (FL-L.i ,' l r-i;F,. AbbtO --fur &SILTud4rbr: cF t-fr:,.E
Alteration of existing bedroom Yes No Adding new bedroom Yes Pc No
Attached Narrative Renovating unfinished basement Yes p< 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 healing? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
L. 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 APPUES FOR BUILDING PERMIT
(i/CL1•h Lj(<.EN^ h,� , as Owner of the subject
property
hereby authorize /t.r,0�r-r j L A�2.
to act on my behalf, in all matters re ative to wor authorized by this building permit application.
Signature of Owner Date
I, 7.1i m7 f.-r-/ L-EAR7" ,as Owner/Authorized
Agent hereby declare thkt the statem nts 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 N.• (
Signal ,- S
Owner/Agem Dat
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder'. LcA2i ('S • /OyjrpL-
License Number
/O:1/4 EAST knot m iAr- (a / (,Ja>c FIEu9 1A nt O C— 2 • /1 ./X
Address r Expiration Date
y &i 336, - Z&/1
Sig ature / lap e
9.Registered Home Improvement Contractor: . . Nat Applicable ❑
Lew 5rw,-4-6 /L( /.V/Cls
Company me Registration Number
SEE Ate. . 7 ' 2 t •
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 /i4(
No...... ❑
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 Is)who own a parcel of land on which he/she resides or intends to reside,on which there
is or is intended to bc,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 petson(s)
you hire to perform work for you under this.permit.
The undersigned-homeowner'certifies and assumes responsibility fir compliance with the State Ruilding Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
The Commonwealth of Massachusetts
=are. Department ofIndustrial Accidents
d--`
Office of la�vestigations
cls ? 600 Washington Street
77:1=1 Boston,MIA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant InformationQQ Please Print Legibly
Name (Business/Organization/Individual): ( &•rys/NG �o _
Address: /0511 kn-f, (Ybu.J:A.e a
City/State/Zip: • . 6s Phone#: _ 736ZGl1
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. El New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
worldn for me in anycapacity. employees and have workers'
g P ty. 9. ❑Building addition •
[No workers' comp. insurance comp. insurance..
required.] 5. 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.'Other 5:D/A14 get/5a
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners 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. #: 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 cera up•' s penalties of perjury that the information provided al/ove is true and correct
/
Signature: / Date: Q 10. %/0
Phone# ( 3',G - Zfi/) •
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 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: j/ 04C1 S'F Nc2F-tA,&&vfcti MA
The debris will be transported by: teeit
The debris will be received by: UALI /cu.cr„
Building permit number:
Name of Permit Applicant T L60427
Date Signature of Permit Ate ant
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ej +�Rn_sSa k °=`S { ¢1 .DEPART.-NE\'T OF BUILDING INSPECTIONSt s u
212 Main Street o Municipal Building
_
Northampton, MA 01060
INSPECTOR
Herschell Cronkite
CO/Gloria Brennan October 31, 2016
11 Valley Street
Northampton, MA 01060
Property: 21 Valley Street, Northampton MA
Map Lot: 320-301
Dear Sir,
After reviewing a building application for a second floor stair received by our department and
speaking to a contractor on site it has become clear that the property at 21 Valley Street in
Northampton is being used as a two family dwelling. Although the URC zoning allows for two family
dwellings there is no building department record of a conversion from one to two family dwelling at this
location. This is a violation of the provisions of the Northampton Zoning bylaws Chapter 350-10.10 and
the Massachusetts State Building Code, 780 CMR Chapter 51, section 5118 and section 5120. This
situation must be rectified or we will have to issue an order to vacate the illegal unit. You have 15 days
to address the issue and obtain building, plumbing and electrical permit to bring the structure into
compliance.
You have the right to appeal this action under 780 CMR Chapter 51, section 5122.
Feel free to call if you have any questions. Our telephone number is 587-1240 and our office
hours are Monday through Friday, 8:30 am to 4:30 pm, excepting that we close at 12:00 noon on
Wednesdays. My email address is: cmiller@northamptonma.gov
Thank you for your cooperation in this matter.
City o Nod ampton
Assistant Building Commissioner and Zoning Enforcement Officer
cmiller@northamptonma.gov