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07-052 (6) 384 NORTH FARMS RD BP-2019-1297 GIs COMMONWEALTH OF MASSACHUSETTS Mau-.Block: 07.052 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Cateeorr. ADDITION BUILDING PERMIT Permit# BP-2019-1297 Proiect# JS-2019-002094 Est.Cost:$53000.00 Fee: $345.00 PERMISSION IS HEREB Y GRANTED TO: Coast.Class: Contractor: License. Use Groua: Homeowner as Contractor_ Lot Size(sa. ft.): 34717.32 Owner: STRONG KENNETH A&LINDA E Zoning:RRI100)(WSP(100)fWP(26)/ Applicant: STRONG KENNETH A & LINDA E AT: 384 NORTH FARMS RD Applicant Address: Phone: Insurance: 384 NORTH FARMS RD FLORENCEMA01062 ISSUED ON:512412019 0:00:00 TO PERFORM THE FOLLOWING WORK.FIRST FLOOR BEDROOM AND BATH ADDITION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P."'. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Drnve ar Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: On: 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 Occuoancv signature: FeeTvpe: Date Paid: Amount: Building 5/2420190:00:00 $345.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Pile N SP•201961297 Q P, APPLICANT/CONTACT PERSON STRONG KENNETH &LINDA E Y/"r ADDRESS/PHONE 384 NORTH FARMS RD FLORENCE PROPERTY LOCATION 394 NORTH FARMS RD C / MAP 07 PARCEL 032 001 TONE RWI00)/WSP(1001/W (,p 26V Q I THIS SECTION FOR OFFICIAL USE ONLY: n R/ PERMIT APPLICATION CHECKLIST C D REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Illed out Foe Paid Tvacof �e Construction, F FLOOR TH ADDITION ....Jl..V New Construction ZM 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 INFORMATION 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 REQU@ED UNDER:§ Finding ,^ Special Permit #, Variance• Received&Recorded at Registry of Deeds ProofEnclosed 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 Brom Elm Street Commission Permit DPW Storm Water Management Demolition Delay 2�� /Y , S 23 I Signaturi of Building 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. A / dPrd�v's, V 1- Department use only City of No am on S s Permit: Building De art entMAy ( C rbC Dnveway Permit 212 Main Streit 5 .019 en ptic Availability ROOM 00 is ell Availability Northampton MA'M7M1 SUILDIN61NSPECT Se of Structural Plans phone 413-587-1240 _ N mP MAmr an, Omer Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING //S NOT SaoCq-XC 11Zl2u S 'IcL SECTION 1 -SITE INFMATION ORW / . y6- 1.1 Property Address: This section to be completed by office 3S' 4 Nr FAkMr RA " P 07 Lot pSa unit F1 O R r NC r= Zone Overlay District Elm St.District Ca Dealct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: }CcNNrrµ S7-/? OPG- 3S4 N, PAR/4r AD , f-cORrNCr Name(Pn� Cument Melling Address: .4i3-3 X0- $09 0 Telephone signature 2.2 Authorized Agent: Name(Pimb Current Meiling Address, Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 40 1 000 - (a)Building Permit Fee 2. Electrical 3f S'OO,gp (D) TotalEstimated [of Construction from 6 3. Plumbing �,f-p0— Building Permit Fee 4. Mechanical(HVAC) f 5. Fire Protection if SC 6. Total=(1 +2+3+4+5) 000"- Check Number This Section For Official Use Only Building Permit Number: DateIssued: Signature: Building Commissioner/Inspector of Buildings Date I-CI S-tI- on g @ c0 N" Ca r2`, he r EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) _ ___ , _ . ;�, . ,,, _ I i , • _'. SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicablel New House ❑ Addition RS Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doom D Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks IM Sidirl Otherl= Brief Description of Proposed fRST Lcc2 tie OOM /h Work: F Q.ED R f 6A TH A oa Alteration of existing bedroom Yes No Adding new bedroom /--Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet /3 0 L L se. If New house and or addition to existina housing, complete the following: a. Use of building One Familyy Two Family Other b. Number of rooms in each family unit g Number of Bathrooms a c Is there a garage attached?_xis d. Proposed Square footage of new construction. .4020 Dimensions l'�- FT X 30 FT. e. Number of stories? I. Method of heating? J4, w, 13 A Y rr y3 aAA 0 Fireplaces or Woodstoves N 0 Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Typeofconstruction WOOD F?Arrr 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 & 7— k. Will building conform to the Building and Zoning regulations? t� Yes No. I. Septic Tank` CitySewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner of the subject property hereby authorize to ad on my behalf, in all matters relative to work authorized by finis building permit application. Signature of Owner Date I, KC NN FT H -$'7 R 0 N G as OwnedAtdhonzed 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 under the pains and penalties of perjury. N/TH STR0 NF Prim Name wy[71v .s=i¢- a�i9 Signature of OwrierlPigenl Data City of Northampton Massachusetts c r (6PAR1fa�S OF mRLOlna IPBPiLTZ®H 212 Mein Stmt • auniclpal Suilaina N. w,tun, Ma 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization,conversion, improvement, removal, demolition, oroonstmotion or an addition to any preexisting owner-occupied building containing at least one but not more then four dwelling units....or to structures which are adjacent to such residence or buildlng?'be done by registered contractors. Note:Ljthe homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: Est Cost: Address of Work: Date of Permit Application: I bereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied _Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.I.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBH.I'TES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: Date Contracmr Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the�owner o�ff,the above�property: S-/4-dgi9 /YCNNTTN STno ^�� �iy�t.�>( �iGtm,Ln Date Owner Name and Signature ' arm City of Northampton -..:. � •' ' Massachusetts x ( 06PAR'DffiIT OF 80ZLDIaO ZNSPSCTI09a 212 Nun Str t a icipal Building NorNa ton, Na 01060 Debris 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. The debris from construction work being performed at: 3 8 4 N, F,4 R Al s ft p, (Please print house number and street name) Is to be disposed of at: v A L Lx-7 y /?/` C y C / Al C- -4 F2-#A,4.0 7-6 N—4F2-#APr/1r6N Alp12T/+Ap.rpTaA/ (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) 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. �\ The Commonwealth ofMassaehuseffs Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 0211 4-2 01 7 www.massgov/dia Workers'Compensation Insurance Affidavit:Builden/Cont mor/Eimtricinns/Plumbers. 10 BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Letibly Name(Business/OrgmiwioMrdividual): K,-ti N)c TJ/ -77/F O NG Address: 3 64- Nr /=ARMS ROAD City/State/Zip: I-1A o)o G '1 Phone#: An yes an employer'Cheek the eppreprul,hoer: Type of project(required): L[j I...ployerwith emplgees(fall and/or pons.). 7. ❑New construction 2.❑lam.sole propacon,or pemiership and have no employees working for em in 8. Remodeling any capacity.[No workers'comp.insurance minimal 1 3®lamahommwnerdoingallworkmyself.[Noworkers'extip.auumnceralunedi' 9. El Demolition 4.191 con u Iwmwwasnand will be hirng comocmn w corWuctall work on my popmy. twill 10®Building addition create fet all conr2cton either new workm'eanperectu.n eeni eor are sole 11.jo Electrical repairs or additions proprietors with no employees. 12.NPlumbing repairs or additions 5 C3m general 1 aa neral container and 1 have humid the the sub-contmelon listed on the attached shoot. These sub-contractors have employes mid have wmkers'canp.imuenceJ 13.❑Roof repairs 6.❑We are a mrporauon eM iu oaimshave aemisad their right ofenanpaon per MGL c. 14.[]Other 152,41(41 and we have no employees.Mo worano'comp.ireumce required] •Arty appleant that checks bon e l must also fill out the section below,showing their wodns'compenanon polity inf anon. r Homcoxacm who submit this affidavit indicating they are doing all work and then hire outside connectors must submit a new affidavit indicating such. :Contractor that check this boa must ahached an additional sheat showing the name of the subconfmctom and stale whether or not thou entities have ernpthyees. If the sub wsacmn have employees,they most provide their workerscomp 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/StaWZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this staternew may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains aAdpenakes of perjury that the information provided above is true and correct. mature' Data' s f9 Phone# �f-�3 - 3020 - QogO Oficial 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.Ciy/l'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M il�dla'.A pf d Louis Hasbrouck<1hasbrouck@northamptonma.gov> 1Zpy Fwd: Fwd: FINISHED Louie Hasbrouck<ihasbmuck@nonhamptonma.gov> Thu,May 16,2019 at 7:19 PM Draft To'.KENNETH A STRONG<k1swong@demo ot.mt> li.Kevin Ross<1 rossl@mdtamplonme.gov> Ken. Here's a copy of the plans with a few notes;let mB know what you think. Smoke100 alarms Landing sae at Biding door Septic syslem capacity Means a egress through a bedroom. We'll hold Ne permit until we hear from you. Louis Hasbrouck Burdng Commismoner Diq of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Wed,May 15.2019 at 9:37 AM<klstrwlg@ omcasLnet>wrote: Fix buidbg petmil application. Ken Strong Sent hon Xiinity Conned Application —0h inal Massa" Froni Igaj413@1vecom To:kiWong@comwsl.net Sem'.2019-04-26 8:55:10 AM Subject:Re:Fwd:FINISHED NOW!Let nbe know,if your good with this I would be good with$50 for all the changes Thanks Laura Gaj Lai Architectural Drafting add Design 220 Taylor St.Granby MA 01033 H:(413)467-2899 c.(413)205-7659 This e-mail transmission may,contain inlomla0on Nal is propriei privileged ardlor wonderful and is intended exclusively for the cements to whom it is addressed.My use,copying.Warren or disckenore by any person other Nan Ne intended acquart or Ne intended recipent's designees is oddly praNNled.If you are not be imendetl recipient or their designee,pause notify the sander immediately by return ii add delete all defies. From:KENNETH A STRONG<Mstrong@comcast nel> Sent Thursday April 25,2019 9:43 PM To:lana Gaj Subject:Re:Fwd:FINISHED Hello Laura, Just checking to see when we ran expect our revised plans. Ken Strong On December 10,2018 at 9:35 AM Laura Gaj<Ihu413@ive.com>wrote'. It doesn't have to be 5/8'that is used for trusses at 24"oe spacing so i think you are all set but..if you want to use 5/8"you can. attached is the inwice thanks in advance Thanks Laura Gal Lava's Architectural Dm irg and Design 220 Taylor SL Granby MA 01033 H:(413)467-2899 0:(413)205-7659 This a-mei transmission may contain information that is proprietary,privileged andlor confidential and Is intended exclusively for the persom(s)to whom it is addressed.Any use.copying,retention or disclosure by any person other than the Intended recipient or the intended recipients designees is sbiNy prohibited.if you are not the intended recipient or their designee,please now the sender Immediately by return e-mail and deet,all copies. From:KENNETH A STRONG<Mstmng@comcast.ni Sent Sunday,December 9,20188:16 FM To:Laura Gat Subject Re:Fwd:FINISHED Hello hula, They look, my only comment at this time is that I think 518 sheathing is required on the roof instead of 112,however you probably know the Building Code better than I do. Send your bill anytime. Thanks, Ken On December 6,2018 at 859 PM KENNETH A STRONG<klstmng®comcasLneh wrote: Original Message— From:Laura Get<Igaj4130Iive.coms To:"KLSTRONG@COMCASTNEP<KLSTRONG@COMCAST.NET, Dale:December 6,2019 M 5:24 PM Subject:FINISHED Hello here you go let me know H your good with this Thanks Laura Gaj Laura'sAMMedtrel Drees,antl Design 220 Taylor St.Granby MA 01033 H:(413)467.2899 D:(413)205-7659 This e-mail transmission may contain information that is propholary,privileged and/or WnBdenlial arttl is intended exclusively for the pereo im)to whom it is addressed.Any use,copying,retention or disclosure by any person ether than the intended recipient or the intended recipient's designees is strktly prohibited.If you are wt he intended recipient or their designee.Issas,hoary he sander immediately by rearm email antl delete all copies. 384 NOM Farms addieoe 2pt111,O5-1640 72N(