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(