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32C-284 (20) 3 MONTVIEW AVE BP-2020-0365 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-284 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-2020-0365 Project# JS-2020-000610 Est. Cost: $2500.00 Fee: $656.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM BELCHER 104221 Lot Size(sq. ft.): 4486.68 Owner: OPPENHEIM CAROLYN Zoning: URC(92)/ Applicant. ADAM BELCHER AT. 3 MONTVIEW AVE Applicant Address: Phone: Insurance: P O BOX 1354 (413) 539-4937 WC NORTHAMPTONMA01061 ISSUED ON.9/20/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:EXTEND LANDING ON FRONT ENTRY STAIR 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 9/20/2019 0:00:00 $656.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0365 APPLICANT/CONTACT PERSON ADAM BELCHER ADDRESS/PHONE P O BOX 1354 NORTHAMPTON (413)539-4937 PROPERTY LOCATION 3 MONTVIEW AVE MAP 32C PARCEL 284 001 ZONE URC(92)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIS ENCLOSED REQUIDATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: EXTEND LANDING ON FRONT ENTRY ST New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 104221 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: ,1-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 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 Demolition Delay Signature of girifdinj 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. Department use only City ofNorth; ���I� � ,ttus ermit: y — '� BuildingDe MmAn b Cu Drivewa Permit ,vx � 212 Main tree Se er/S ptic Availability l�y Room 1 0 W er/W II Availability 2019Northampton, A 0'06F Tw Set of Structural Plans phone 413-587-1240 ax 4587-1272 PI Site sans -- DEPT OF eUILmw-,mspFc7,Oftr S cify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be comp ed by office Ma Lot p c-) fo Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: p Name(Print) Current Mailing Address: S Li -Q T �2 Telephone 1 Signature 2.2 Authorized Agent: ,4'�', 9 064 (t_,, jw,✓�- o Name(Print) Current Mailing Address: 41 Signature k/ Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee Sao, c.v 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee boo 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 + 2+ 3+4+ 5) `L S'o o .6 o Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: VU a� y Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 Building Department Lot Size Frontage t 2 Setbacks Front 91 -t Side L: u R: 3 Z L: 0 R: 17- Rear 2Rear l Z Z Building Height Z g Bldg. Square Footage /Shr. % ICGL Open Space Footage % (Lot area minus bldg&paved 3yL'r 3`f if parking) � 2 #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW (?r YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Or DONT KNOW O 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO a 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 ❑ Replacement Windows Alteration(s) E5 Roofing ❑ Or Doors 17-1 Accessory Bldg. ❑ Demolition ❑ New Signs [[I] Decks [p Siding[0] Otheir[CI] Brief DescJri tion of Proposed Work: f="p*end` 10-016 nA a-,- �C-r1- antic 5k-.2,r Alteration of existing bedroom Yes `/ No Adding new bedroom Yes / 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, S &C:] ZL I OV 11G�71 -- , as Owner of the subject property VV hereby hereby authorize �Z i , ��✓ to act on my behalf, in all matters relative to work authorized by this building permit application. n ci Signature of O ner D to as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signedunder the pains' and penalties of perjury. /n Print Name 6�//L Signature Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: „��c�t/ _ CS ` kO L`2"2 {� tee- n License Number �^� V f��cw� h . moi V�C��', l /O /7 111 Address Expiration Date Q)-,-k Sign re Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ M4Li,-- &tckij- _ 14 T z-3 1 Company Name Registration Number 0 s'A �f ���u . �g opo �v /27 126 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....... EY"' No...... ❑ The Commonwealth of Massachusetts Department of Industrial Accidents f Office of Investigations UVIL 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Belcher Woodworking Address: P.O. box 1354 City/State/Zip:Northampton, MA 01061 Phone #:413-539-4937 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 1 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 9 Remodeling ship and have no employees These sub-contractors have 8• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners 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: Traveler's Policy#or Self-ins. Lic.#:7PJUB9F74883718 Expiration Date:6/15/2020 Job Site Address: 3 1;t64 � AVP- City/State/Zip: / r--_v 1a Ai A c J dG u Attach a copy of the workers' compensation policy declaration page(showing the policy number ani 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 insurance coverage verification. I do hereby certifyder hep ns and penalties of perjury that the information provided above is true and correct Signature: Date: 9//,// , Phone#: 5// 63i_11934 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#: ww"', t, """9­41rkot U !CL! Cj LJ•P ;,:I: WI(A ktl, I,;. t1t ...(f.1', it 1.1,; !1 It 10 flY. )l'f Al i f! 1" e.' 1401 It e, 'I !j: !IV OLj* !.;A, U, r1. 34 11c, Ir I U, w ix j J, V.1 Ar V,! L 11 A'I'JJ 91!,: H i L pr 7 "J:t If At:it. t it F —3 01 G L41, j jj(, 4( JkA VI6OLIC13 .9,tl 3I);A,L;O it III ' 111 tI tj, v City of Northampton r •"f Massachusetts 4 s . DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 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: (Please print house number and street name) Is to be disposed of at: \/'q 11 Aa ►�- (Ple se print fiame ajd location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) 9N Signat a 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. MONTVIEW AVE 72'-11" SIDEWALK. 7-3 1/4" 18'-9" DRIVEWAY ADDITI 13-2 1/2' 2'-D.. 0. 54'-8" 62'-2" 80'-4" 1��'�ooduaor.�ir� P.O. Box 1354 CLIENT JOB DESCRIPTION DATE Noctha pton NR, 01061 Page 4 CAROLYN OPPENHIEM ENTRY STAIR LANDING EXTENSION PLOT PLAN SEPTEMBER 12, 2019 belcA 1 3wu84 9 coa 13 LANDING LANDING 4 -0" DN O 3-4 1/2" 1 1'-10" 1 3-0 1/4" � VVV VVV VVV P.O. Boz 1354 CLIENT JOB DESCRIPTION DATE N—th..pton W1, 01061 Page 1 CAROLYN OPPENHIEM ENTRY STAIR LANDING EXTENSION EXISTING LAYOUT SEPTEMBER 12, 2019 belcA�ww@cp�iicom LANDING 4�-0" DN LANDING ❑ 131 1 3-4 1/2' 1 1'-10' 2-0' ------------------- P.O. Box 1354 CLIENT JCB DESCRIPTION DATE W.th—pt..MA, 01061 Page 2 CAROLYN OPPENHIEM ENTRY STAIR LANDING EXTENSION PROPOSED LAYOUT SEPTEMBER 12, 2019 bl,herwwegailcom EXISTING CONCRETE FOOTINGS Al NEN DIAMOND PIER DP-55 MATCHAM EXISTING PRES. TREAT. FRING AND DECKING -2X8 016 0.C. -5/4 PT DECKING -4X4 POST AND 2X4 TOP/BOTTOM RAIL -2X2 PT BALUSTERS LEDGER ANCHORED TO CONCRETEFOUNDATION N/ SLEEVE ANCHOR 3/8^ X 5^ 2016' O.C. �7rl�r �oocfi�or�rn� P.O. Hou 1354 CLIENT 108 DESCRIPTION DATE North-wton MR, 01061 Page 3 CAROLYN OPPENHIEM ENTRY STAIR LANDING EXTENSION ELEVATION SEPTEMBER 12, he2019 uB1h413053 7 lcAerugteailil.com