23D-124 (18) 176 FEDERAL ST BP-2019-0116
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma -.Block:23D- 124 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv: Deck BUILDING PERMIT
Permit# BP-2019-0116
Proiect# JS-2019-000192
Est.Cost: $13600.00
Fee:$88.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Group: JAMES O'SULLIVAN 66335
Lot Size(sq. R.): 20952.36 Owner: ALTER ANNA&BRUNO TRINDADE
Zoninn:URB(100)/ Applicant. JAMES O'SULLIVAN
AT: 176 FEDERAL ST
Applicant Address: Phone: Insurance:
264 BUCK POND RD (413) 532-1312
WESTFIELDMA01085 ISSUED ON:8/2/2018 0:00:00
TO PERFORM THE FOLLOWING WORIGBUILD 20X16'9" DECK WITH SINGLE STEP
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 Occunancv Signature:
FeeTvoe: Date Paid: Amount:
Building 8/220180:00:00 $88.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File 4 BP-2019-0116
APPLICANT/CONTACT PERSON JAMES O'SUL VAN
ADDRESS/PHONE 264 BUCK POND RD WES -IELD (413) '32-1312
PROPERTY LOCATION 176 FEDERAL ST
MAP 23D PARCEL 124 001 ZONE URB(100)/
THIS SECTION P R OFFIG.FAL USE ONLY:
PERMIT APPL-CATION CHECKLIST
ENCLOSE'._t REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvpeof Construction BUILD 20X16'9" DECK WITH SINGLE STEP
New Construction
Non Structural interior renovations
Addition to Existine
Accessory Structure
Building Plans Included:
Owner/Statement or License 66335
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9fiMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ ��V~
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Pian
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 Stonn Water Management
Demolition Delay Q
- 1
// -( � V 8 B
Signature of Bm �lding 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.
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Prooerty Address: This section to be completed by office
Mep -A 30 Lot y Unit
zone Overlay District
Y` 1• Elm SL District CB District
SECTION 2.PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Pant) Cunant Mailing Adtlress: —
`aQAND TQ_1N1�r11Jt � - S
HeP w e
Signature
1*1�Abt ant:
awns o5��la(anl z�4uc1L?oN� Rj wsaIw
Name(Pool) Currant Mining Adm.
\K IO Yj
`i�3 -zSe- 14zg
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed bpermit applicant
1. Building /3 6200 65- (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) aC/
5.Fire Protection
6. Total=(i +2+3+4+5) 00nc Check Number
This Stolon For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building CGommissianarllnspador of Buildings Date
rn�\�0� _C9NS1 Q�JCT\UrJ @ C d1M �\ . N C1
EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
RECEIVED
JUL 3 0 2018
DEM OF 6UILDINC+IN6PECTION3
NOPTHAMPTON.MA 01060
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed n u ion§ummisor: Not Applicable ❑ `
Name of License Holder: \A-Y%';—S CIAAI m tJ 0
'11 License Number
2 .,y '- oc- F?6tJ7 �� w ts�� 1k-21 -19
Atl��ress � Expiation Darts
c� il3-z5o -1428
Signature Telephone
9.Repbtarotl Nome Improvement Contractor: Not Applicable ❑
MW)IS0rJ CO^J,�rRucna \J Iy569,p
Company Name Registration Number
ZLedJ l,�uc�L �oND Az� I - Lo -I 9
Address ''II�� F�imfion Date
W&;7( -DI §T 1}� Telephone W 750-?M
SECTION 70-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 Me building permit.
Signed Affidavit Attached Yes....... No...... ❑
Bnet Descdplia of Pm sed xl
Work: U14 �.( SCK 1K Sit.
Alteration of existing bedroom_Yes V No Adding new bedroom Yes 'bi No
Attached Narrative Renovating unfinished basement _Yes -1J.—NO
Plans Attached Roll -Sheet
aa.If New house and or addition to existing housing complete the followina
a. Use of building:One Family -IJL- Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? kJ
3 5 ` ZO ll (7
J. Proposed Square footage of new consWction. . l" Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or W oodstoves 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
Is. 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
I, VyvT�rli as Owner of the subject
property
harebyauthodze � SDN t.laT P--I)�T 101J
to act on my behalf,inII matt9 ars relative to work authorized by this building permit application.
Sgnam.ofOwas �r�Date
I, 3ya'-NmE'S o c Os 11yVp N M Kby N co �—IZX)Crtq P ,as OwnedAuthonzed
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 and the pains and penalties of perju
d�d�l.YP N'
Print Nar(�a\
Sgneture of OwnadAgwrc Data
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This In.w be filled in by
Building Upumeut
I of Size
Frontage
Setbacks Front
Side L: { R: �a+ L .
Rear j p
Building Height
Bldg.Square Footage %
Open Space Footage
(Iut erre minus bldg&paved
hin
#of Parking Spaces
Fill:
wI.&Iuemion
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW Q YES O
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#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW Q 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
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 0
IF YES, describe size, type and location: P�
City of Northampton
� ... Massachusetts
A ry z
\ ,1. oseaaTassz of eorzorero issesCaross
zlz win st.t .xuwiciwi auildi ,
9ont ,s , M 01050 ry a
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, 554, 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.
The debris from construction work being performed at:
(Please print house number and street name)
Is to be disposed of at:
UflU�� f� cuNS
(Please print name ana location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
1 -3O -) Ss
Signature of Permit Applicant or Owner Date
If,for any reason,the debris will not be disposed of as indicated,the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
\Corkers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricfans/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant information Pletess,Print Ledbly
Name(Bulineaalorgoni,atioldmdividuap: APfte,. R'S,,i \LW W
Address: ZLC �Qt,� Z,1N
City/Stata/zip: [,% rj G� wmsa o 1,6%S Phone#: 413 —2-S"
Lf Z8
Are you an employee card,the appropriate ban: Type of project(required):
I.❑Iuilionooyvwith onesoyeall.n
(fadn)brpw- 7.�,Zlew econtraction
'
`tz�amaimis papnaormparmendipandhave,memployses working rormem g. E]Remodeling
kny cepociry.[No armEr i camp.lamureace retained]
❑l.m a on—.dais Il workm self. No workers'mra redl• 9. Demolition
3.
Ba Y L P.msumnce rgvi
a❑eam nM1oeaownm and will be hiring c orkeo'n bpeasomtall workre my property. [will 10❑Building addition
m the en<omrrmrs either have wa�kers'compenuaoa iasmance or are axle il.❑Blecnical repairs or additions
pmpdemrs with no employed.
12.[]Plumbing repairs or additions
iE]I am aBemml corers,and l have hired the subconasaors lend on sheatmchet sheet 13.E]Rnofrepairs
mese one-commuters have employees,mad have workerknewinsmmce.:
b.❑We mea totpmation and iroffielasman Exorcised theirdeat ofexempnon per MGL c. 14.❑Other�fG�
152,4447,and we havew employees.[No workers'camp.msumace rnauirN.l
*Any applicant arm chxks box#1 must also fill oat Ne ttctian below,shawl"men workers'con wasation policy infommfion.
t Homeowners who submit this atfidavil indicans,me,are dome all work and men him oauto.coveraaors main submit a new andave indicating such.
IConba ter,that chose this box court machcd so ablition s ah«t showing me name ofine subconlaaon and slate whether or net ewe emibes tout
employees. If wsubcommustor have employees,day mon provide their workers romp 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.Lie.#: Expiration Dale:
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 MOL e. 152,§25A is a criminal violation punishable by a line up to$1,500.00
and/or one-yew 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cert\fy_:!jfhep mins undpenali s ofperju y teat the infwmaden provided above is bar and correct
Sign mr ' a��1—OIC —.+I't.aA Dle
Phone#' 1'f'�3— Z llY]
Official use only. Do not write in this area,to be comphded by city or lawn fciaL
City or Town: PermitrLicense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Towo Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
r� -
: f
CJ
Please provide all information/specifications that apply to your proposed deck/porch project.
o Total Square Feet of Deck/Porch:A3 [ SF o Height of Deck/Porch Surface from Adjacent Grade: C)ft. 26 in.
o Footings: tKoncrete: Depth: 'Lft. o in. Width:90in. o Helical Metal Pile o How Many Footings?
❑ Post Dimensions:A' in. (x) n. [] Beam Dimensigns:`J�L in. (x) 1)�q n. Max.Spani
o Ledger Board: Dimensions:?in.(x) ))VZin. Attachment Method: o Lag Bolts It OtherU= T1�?r
El Joists: DimensioniLz in. (x)L?in. Span: S' R in. On-center Spacing: I& in.
D Decking Boards: o Wood *Composite o Other Dimensioni in. (x) Le in.
o Railings and Balusters: o Wood o PVC rapther f4NE Height:_ft.in. Space Between Balusters:_in.
Does the project include continued use of a preexisting roof or construction of a new roof? ❑Yes ANo
If Yes,please provide the following information:
•Total Square Feet of Pre-existing or New Deck/Porch Roof: SF
• Rafter Dimensions: in.(x)in. Rafter Span:_ft._in.
• Post/Column Dimensions:_in. (x)in.
• Beam Dimensions:_in.(x)_in. Beam Span:_k.in.
Does the project include continued use of pre-existing stairs or construction of new stairs? ❑Yes 4,No
If Yes, please provide the following information:
• Width of Pre-existing or New Stairs:_ft._in.
• Riser Height: in.
•Tread Depth:in,
gaps Cap rail
-- foist hanger _ Top rail
Ledger Bridgtng�'y4'�`_ Decking
g I I
Tread
Riser I Baluster
' Rim joist
' Rim Rail post
joinst Post - Post
%'Stringer Beam anchor
l' Concrete footing
Note: •Ledger board installations must include use of approved flashing at the ledger board/building connection. • Ledger
boards must be attached with approved fasteners installed according to prescriptive code requirements or manufacturer's
instructions. •Approved post anchors,joist hangers,post/beam ties,hurricane ties,and all similar connection hardware shall be
installed at all appropriate structural connection/attachment locations. •All structural wood elements,including decking,must
be pressure treated or naturally durable wood,or made of an approved decay and weather-resistant material •Rim joists
perpendicular to beams must be doubled