32A-057 38 UNION ST BP-2021-1469
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-057 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: shed BUILDING PERMIT
Permit# BP-2021-1469
Project# JS-2021-002445
Est.Cost: $22500.00
Fee: $79.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): Owner: VAN EPPS TIMOTHY&WENDY
Zoning: URC Applicant: VAN EPPS TIMOTHY &WENDY
AT: 38 UNION ST
Applicant Address: Phone: Insurance:
38 UNION ST #1
NORTHAMPTONMA01060 ISSUED ON:6/10/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:392 SQ FT SHED
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.
• >2 .
Certificate of Occupancy Signature:
I • i
FeeType: Date Paid: Amount:
Building 6/10/2021 0:00:00 $79.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
z-o 1z
File#BP-2021-1469
APPLICANT/CONTACT PERSON VAN EPPS TIMOTHY&WENDY
ADDRESS/PHONE 38 UNION ST #1 NORTHAMPTON
PROPERTY LOCATION 38 UNION ST
MAP 32A PARCEL 057 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
—CLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: 392 SQ FT SHED
New Construction _
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:
X 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
orAev,.., 9., 10i.; (0/)
Signature of BuildingOfficial •A Date
i�
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.
17)
c`C0-72,
,/ tph, .1.) `..-,,
The Commonwealth of Massach / OR
), Board of Building Regulations and Stat1c14,4
Oi CIPALITY
a Massachusetts State Building Code, 780 T4c,
\,r 04,MSp� USE
Building Permit Application To Construct,Repair,Renovate Or R ised Mar 2011
One-or Two-Family Dwelling
WirSection For Official Use Only
Building Permit Number: 6,"0?/".igirl Date Applied:
i` /.ins,, , 71 - alai
BuildingOfficial(Print Name) Signature I Date
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SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& ' • cel u 1 : •rs
38 Union Street,Northampton,MA 01060 32A-057-0 1
1.1 a Is this an accepted street?yes x no Map Number - , • ber
1.3 Zoning Information: 1.4 Property Dimensions:
23,941 sqft 103.81 ft
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)12 Feet
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
14ft 217.38ft 5ft 12ft 5ft 12ft
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public la Private 0 Zone: Outside Flood Zone? Municipal El On site disposal system 0
Check if yes
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Timothy and Wendy Van Epps ,Northampton,MA 01060
Name(Print) City, State,ZIP
38 Union Street 413-834-7346 tvanepps@sandri.com
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:392 sq.ft.Shed
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $21,000.00 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $1,500.00 ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $0 2. Other Fees: $
4. Mechanical (HVAC) $0 List:
5.Mechanical (Fire
Suppression) $0 Total All Fees: $
Check Nojy?r/Check Amount: 4 Cash Amount:
6.Total Project Cost: $22,500.00 ❑Paid in Full ❑Outstanding Balance Due:
/461"auttbd,':,n ft r P_ all 71 C c Q. s a c r y S tr! (j-4 t' f ftr'm,i f`
City of Northampton
Massachusetts
rtA' *
DEPARTMENT OF BUILDING INSPECTIONS =.
212 Main Street • Municipal Building C,'
Northampton, MA 01060 s^ 3.,;y1
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS,DECKS,ACCESSORY STRUCTURES,
FENCES,GROUND MOUNTED SOLAR,ETC.
1. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specification of proposed work(digital and hard copy).
3. Site Plan with location of proposed structure(s)and setbacks.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/replacement windows).
S. Home Owner's License Exemption Form filled out and signed by homeowner(if applicable).
9. Note any Conservation and/or Special Permit requirements (if applicable).
10. Driveway Permit(if applicable).
11. Proof of Water and Sewer entry fees paid(if applicable).
12. Trench Permit-public land by DPW/Private land by Building Dept.
13. Stretch Energy Code—all new construction will require a HERS Rater Affidavit to be submitted with
permit application before issuance of permit.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
y M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6: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 0 No .0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Timothy and Wendy Van Epps June 7,2021
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) 392 sq ft (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) n/a Habitable room count 0
Number of fireplaces° Number of bedrooms
Number of bathrooms 0 Number of half/baths 0
Type of heating system 0 Number of decks/porches 0
Type of cooling system 0 Enclosed 392 sq ft Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT: 32A-041-001
LOT SIZE:23,941 sqft
REAR LOT DIMENSION:63.99 x 78.31
REAR YARD 15 ft
SIDE YARD 15 ft SIDE YARD 40.33
FRONT SETBACK 217.38 ft
FRONTAGE 103.81 ft
City of Northampton
i Massachusetts
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¢ t l DEPARTMENT OF BUILDING INSPECTIONS :'
1, .s, 212 Main Street I. Municipal Building
Northampton, MA 01060 ;',:J, „i1y'''
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 77 West Hatfield MA 01088
The debris will be transported by:
Name of Hauler: USA Recycle
Signature of Applicant: Timothy and Wendy Van Epps Date: June 7, 2021
Me Contniottwa?olth of 4lassaclrusetts
Deportnietit of Inrlat strial Accidents
,'` ai‘v
VA
1 Congress Street, Suite 100
n .v.rrta.ssgor Mira
- 11..d&er<'C ompeu:ation Insurance?.ld;aa t:Builder: C onrractor:Electricians Plumber:.
TO BE FILED WITH THE FERNIIT'r1Nc-AUTHORITY,
.Applicant Information Please Print Legbh-
Name- (Blume.,urr=r-ationT i-adta: i-
Ackires ::
Citv'State, ip: P.i°,:"ve_:
z_t {,.c x,,,tzmpEtryte, Check d at mpprQFriUU boz: Type of project(required):
D:.a amplovar trig: amply x:(full am <azr Batt-ti sa1.« 7 ❑':ew conscructon
:❑:.a sasa Im'=p=iam:c:R=3E i a=.'=,-,•:no aspic:x„i.,..,c fax ma m 8_ ❑?emode
1:7,•_aparhss=, c wthigars'camp.=s rum= rag-Mrs:1]
9
❑I a.:.a h a raar daanr al:, [1,c ,ri. s`cog,ansura mta raaj._irsad.l'' _ ❑Demolition
.
10[l 3uildirsg add on
4.CI ath a hamsou max am3 will bc:hirimg caatamors to tomb t all=oak au=y pcuperty. I wall
b=1.1:a that a can-rite^r•-hb*liars w=a3an'campaaa..atea imt=3. cc or 1a sole _1 ❑Electrical repairs or additions
pxapriatcc with lac=plc-vacs_
-- ❑_':[milbinE repairs or addtticais
' ❑I a=a sta ara:c=ra: :=-:d:liar:a:b_--ad tha:ul:-cc atcr.L•atad c thhc 3,==ed=w.
i
Thaw smbrccaaa-aar:haoro�; and an-6W,Mit n.co .=Ittranr�c t14 I = 1�'
Ej
`.❑u:-.ma a cmr€aratczt amd ir,tamer.,:M.;a :risad chair zit=.cf aaarcpaiea par MC L.. other
I52,11I41,and-s-a_r a ac ar=splayaa ^' z-e_-i.47..ca^.`.?.•.escrancs:a . .-d
hf_.-3sat chaaw: ::c k __arks+311,,El:tut .sct ts nn :avr tna i=c ttas xc:;,az c c,a=:ataa p=_ld:an aanuad ,a., ....
::: . ...
_.::AM Gv a MitO smbam:-..:s 9==,e1-it- irat±sr flay ass cleans a work amd than lima Ol_r.da cantracrcth.=nt rZam.:a mar of 3ar._.i¢,fica'ims rnd..
_ :t7Ts d ,bcz mall at ,:, ad a=ad ana .1w7:ssasri:u the .—,s of tta rm-ccatr...-tms acid set:=bath cr c mot thow r atdat as a,
,epic-,aa If:ha;:ea-comr=zon have buthlaybw,&.a v rim.t ar_.-Lib dwi: .c c: ca•:„.pt tic;: xbcr.
I am an e oti°ev'that is providing ng workers'ers'compensation insuwiwe for ini employees.es_ Below is the polity and job site
information
Insmance Comps_y Name:
Policy=or Self-ins.Lie.--: E nru-on D e
Job Site Adsh :_ ��...� Ct'=` te :
Attach a cope of the workers'compen stun polio declaration pa4e J.rlroitine the poky number and e1pir.anon date E.
e 700 secure coverage as requiredarr,dPr Me..t_152,125.j_is a t~rmina' :zolat€a put:shable ,y a fina,=;rp to$L OO_O
-_. DI o -cea::mprfsoxt. t as well as civil pe:mltier:th.the foma of 3 :STOP'.,,,'ORDER and a tine of up to 525C CO a
3=_a:=t die tzclaror.A o's � cocv of this Arta+: �t may be forwarded to the Office of Irs:•e aEani of the DIA for in-ura e
aee�enficat r_^w.Ido herein- >,,- ,..� -_.°aims cnd rah sofpe'u', a�r:r � .
_ ., _ ..e.. . a.r-r tstrrxe and correct.
Timothy Van Epps June 7, 2021
_-_.-:- 413-834-7346
?Mcial use 0111t. Do not write in this area to be completed by oi or townofficial
City or Town: Permitlicense
Issuing Authority(circle one):
L Board of health Z.Burl linff Department 3...0 ity'Town Clerk 4.Electrical Inspector F.Plumbing In:pectar
b.Other v
Cont art Person:: Phone=:
City of Northampton
Massachusetts . .., '" .
i ,'I ;J; DEPARTMENT OF BUILDING INSPECTIONS
-�s ; 212 Main Street • Municipal Building '.
. x" Northampton, MA 01060 ��k` „•
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
1, Timothy Van Epps (insert full legal name), born 12/15/73 (insert
nicnnth, day, year), hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a
parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption,
does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3.
3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2:
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or
is intended to be, 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 home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for
and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work
on my parcel, I am not engaged in construction supervision in connection with any project or work involving
construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any
provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my
parcel, I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this 7 day of June ,20 21.
Timothy Van Epps
(Signature)
City of Northampton
Massachusetts �� <<
A.gt J,
DEPARTMENT OF BUILDING INSPECTIONS re 212 Main Street • Municipal BuildingtIr
J` �a
Northampton, MA 01060 rN %
ACCESSORY STRUCTURE PERMIT APPLICATION
(For freestanding structures less than 200 sq. ft., at least 5 feet from any other structure)
Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: TIMOTHY VAN EPPS
Address: 38 UNION ST, NORTHAMPTON, MA Telephone: 4i3 . 034 7 3 q.t.
2. Owner of Property: TIMOTHY AND WENDY VAN EPPS
Address: 38 UNION ST, NORTHAMPTON, MA Telephone:
3. Status of Applicant: X Owner Contractor
4. Structure Location: RFAR OF PROPFRTY
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Single or Two Family: Multifamily: Commercial:
6. Description of Proposed Structure:
One Story Shed under 200 sq.ft.: Freestanding Deck under 200 sq.ft., less than 30"above grade:
SIZE OF STRUCTURE:- 392 sq ft
Other(describe):
7. Attached Plans: Sketch Plan Site Plan x Plot Plan
8. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES__
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Obtained , Date issued
CONTINUED ON NEXT PAGE
9. ALL INFORMATION MUST BE COMPLETED; PERMIT_CAN BE DENIED DUE TO LACK OF INFORMATION.
This column to be filled in by
the Building Department
Existing Proposed Required by Zoning
Lot size
Frontage N/A N/A N/A
Front: 217.38'
Setbacks: Side: 12'
Rear: 12'
Height 14'
% Open space:
(Lot area minus bldg and
paved parking)
10.Certification: I hereby certify that the information contained herein Is true and accurate to
the best of my knowledge.
DATE: `I i t l I APPLICANT'S SIGNATURE t
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities