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23d-163 (8) 127 MAPLEWOOD TERR BP-2000-1 198 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D- 163 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ADDITION BUILDING PERMIT Permit BP-2000-1198 Project# JS-2000-2090 Est. Cost: $34000.00 Fee: $170.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Jeffrey Bott 053157 Lot Size(sq. ft.): 37243.80 Owner: ISRAELOFF NORA&PHILIP S Zoning: URB Apolicant: Jeffrey Bott AT: 127 MAPLEWOOD TERR Applicant Address: Phone: Insurance: 32 Pine Street (413) 584-6251 Workers Compensation FLORENCEMA01062 ISSUED ON:6/29/00 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 16 X 20 (1 ) STORY ADDITION (FAMILY RM W/BATHROOM) POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough:ASO/V*6 Rough: '/i3/, 1 I House# Foundation: 3k "7 2/_©e Final:dKo9�o0 6 Final: rt bpi he )� Rough Frame:C � � Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: (h K .-9 -0 CD Final: Smoke: Final: 0k �_ a S OD �ZZG�i THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION ANY OF ITS RULES AND REGULATIONS. " si Certificate of Occupan ature: "' '' -�= :d Fee Type: Receipt No: / Date Paid: Check Nod Amount: Building 6/29/00 0:00:00 3148 $170.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo � T File#BP-2000-1198 APPLICANT/CONTACT PERSON Jeffrey Bott ADDRESS/PHONE 32 Pine Street (413)584-6251 PROPERTY LOCATION 127 MAPLEWOOD TERR MAP 23D PARCEL 163 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE. ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid L/re z/ o — Typeof Construction: CONSTRUCT 16 X 20 (1)STORY ADDITION(FAMILY RM W/BATHROOM) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053157 3 sets of Plans/Plot Plan THE 'OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: �/Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 C mmission Permit from CB Architecture Committee Signature of Building icial 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. Ci Northampton Status of Permit: Department use only u `I, Department Curb Cut/Driveway Permit 2 ZL2 ain Street Sewer/Septic Availability Ro m 100 Water/Well Availability DEP1 DF gUit�It�G prth�mpton, MA 01060 Two Sets of Structural Plans .- -587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 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 completed by office 2-7 MA Map Lot Unit_ i=LDY2AC. -, VIA Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ola t 5 s2 FIE Lorr 1 3-1 V+✓I�Ct�I'� \A 59P0 Name(Print Current Mailirtg Address: OR--Tf( ►'1A-PTDPO r'vitt - � .(�� Telephone .,,5.,ature g Z- � y b 7 2.2 Authorized Agent: Name(Print) Current Mailing Address: 5 gq 62 Sign re Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 3', QrCi0 tro (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number - ( 110 --- This Section For Official Use Only Building Permit Number: f q Date Issued: -,s,iature: �a��*-� _, 2 Building Commissione nspector of Buildings Date e , Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 0 f 3- S� Frontage Setbacks Front V ego 2-0 020 Side L:30 R: I50+ L: 30 R: (50 f- /6 Rear CEO 80 + t Building Height to , I �� Bldg. Square Footage I Z60 % i 58 5, Open Space Footage (Lot area minus bldg&paved .1124 I ej U �L `�L('j I q 3,3% 30 parking) c� #of Parking Spaces �' g Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 1 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. 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: C. Do any signs exist on the property? YES NO �C IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: "`:TION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: ' v-t-ek k 6 X 20' - i -fc7va- , k'ii4 F' itU Alteration of existing bedroom Yes No Adding new bedroom Yes x No Attached Narrative ❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ • Sheet 6o.ifiNeWahonte a tdrO addition exi Ong housing, complete the.f011owr ' a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: 8 Number of Bathrooms d c. Is there a garage attached? 00- (. d. Proposed Square footage of new construction. 3 2_a Dimensions /6 l )C 2Z e. Number of stories? f. Method of heating? GTa'Arin i'g•di ''` Fireplaces or Woodstoves 14 Number of each ('eti r g. Energy Conservation Compliance. --7= 5e 0`'t- Mascheck Energy Compliance form attached? Type of construction 1 h'iit' \` 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 S� 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, IV Ori .SS ra.(2_I a 1 — , as Owner of the subject property hereby authorize — )4 'r{- ' ` to act on my behal� in all m tters relative tsork authorized by this building permit application. / k1?.<9 00 Signature of Owner Date I, -TG & 1Uv` , as Owner/Authorized Agent hereby declare t lie 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. rrint Name Signat Iii•f I'n•r gent Date 1 SECTION 8 -CONSTRUCTION SERVICES Licensed Construction Supervisor: }— Not Applicable 0 Name of License Holder : `-trt �ci may- License Number 3 F‘,NE C S os3!s') Address Expiration Date Signature Telephone \ �� ,ram. e.�`� m 3 v` ..... E:EE Not Applicable 0 Company Name Registration Number 4 c so s z.2-1 Address Expiration Date Telephone .(1 6 I.2 S`O 7. 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 No 0 . � mar e ei on The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person(s)who own 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 homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 1 , N. • Oat1tAnpi. ar • •` 4.5*,E (rii� of �o ilJalil}�fon 1 II�,-��s�T ' ( �iasaRclincctla ' __ opPasoklate . cam' DEPARTMENT OP DUw Iri.c INSPECTIONS — , 212 Main Street ' Municipal Building Northampton, Mass. 01060 OW s WORKER'S COMTENSATION INSURANCE AIrFD)AV1T • WI, s-4.- �- �� v (liccuscc/permittcc) with a principal place of business/residence at: 3Z ?Wu, 5 C-Lop t( (14.1� (phone::) S�`� C2� 1 (strct/ci ty/sta icla p) do hereby certify, under the pains and penalties of perjury, that ( ) I am an employer providing the followintg worker's colnpcnsaUon coverage for my etupioyccs worming on this job. All-4 VW G , cabD s_3 ?-0/-9p /.2,, - a/ (basun.= Company) (Policy Number) (Ti).-pirztion Date) ( ) I am a sole propretor, general contractor or homeowner (ciscie one) and have hired the contractors listed below who have the following worker's conoen adon policies: fimeatcgn 5fittc.s od cg-3s-7y9o-2 to/ (Name of Contractor) (Insurance ColnpanyiPouc; Numb r) (I=x)tnli on Date) (Name of Contractor) (insurance ComoanyiP0ticv `umber) (Exuir Lion Date) (Name of Contractor) (I.tLsuranc;C.ompany/Polio• Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Numbs) (EXpildtion Date) . (aaich addi,:ocal s'_accl ifocc-cury to codducL inforrsaaoa c•rta.inin.t to all ooa7-_to73) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:pl¢sc bc as arc th„wiz):o bccockmocrs tabo ccaplay pcsoas co do c-.R-+.-1to, ccs-.:woo c rc,xiu work au a dwdi ng of not more than t'b oe tmkJ in Maich the bos000wocr resides or oo the atrrnh,appurtcaaat tbceo ear oo(gerccthy comid.-c i to bc employes imed:the tan-kr_ lea Am(GLI52,E 1(5)),application by a botncoova far a bez.a permit moy c idmcc the IcpJ rant of as employer uoder the Wortc.ola Coosp000ayioa Ant ) I undvstwact that a copy of(hi.cruccoccd co-ay be forwarded to the Dopertmcot of Indus/id Ar adeat>'Oftioo of Inau.000 for Me covcrtgc vcif cuoo and that(mince to soatrc coverage under suction 25 A of MOL 152 no lad to the is.wosition of aimiast penalties eoosisimg of■fiat of up to S I_100.00 and/or imprisonment of up to ooc ycsr cod civil perultio in t o form of a Stop Work Order end a fern of S 100.00 a day against ex_ if For dcp.rtm; s1 u,c only Ur%V �,i�, L`'VPermit Number:461 Map:: — Lot y Sign'It re of LiccnsccjPcnruucc Date 1 I 2 Design Firm Jeffrey Bott Contracting 32 Pine Street Florence, MA 01062 CS 053157, HIC #101227 \ '`\\ nt Consulta B v B yv v • i'' SO il C •? k%ei . _ � / � � Project Title ��oll ! Room Addition — Vora Israeloff/ Phil Korman ',' �/ 127 Maplewood Ter. A A. Mark Date Description _ Issue/Revision Revision Project ID 264 CAD File Name Nora#2 Drawn 6y Checked By Sheet Title Perspective Drawing No. 1 I 2 A-6 I 2 Design Firm Jeffrey Bott Contracting 32 Pine Street Florence, MA 01062 CS 053157, HIC #101227 Consultant 48'-1 1 5/8" B 16,, - B O', 0 b ado`• c� ��S O o � �o Existing Hous x • �`. Parking \ , + 1�� N Proposed 16 x 20' „� % '/Addition 0 V _ \ �� \ /' % i Protect Title o N\ / " Room Addition / Vora lsraeloff/Phil Korman 127 Maplewood Ter. / \ Setback requirements co cw w oo 9• o R% 230'-5 3/4" A A Mark Date Description Issue/Revislon Revision Protect ID 264 (;AU File mime Nora#2 Lot Size 28,051 sq.ft. brawn by (Required lot size 8,000sq.ft.) Checked By Existing coverage 1 ,560 sq.ft. 5.6% Sheet Title (max allowed 30%) Site Plan Proposed coverage 1 ,880 sq.ft. 6.7% Drawing No. 1 2 A3 7 2 Design Firm Jeffrey Bott Contracting 32 Pine Street Florence, MA 01062 CS 053157, HIC #101227 Consultant h ills III ,II 1100 I � 1 � I Protect Title Room Addition Nora Israeloff/ Phil Korman 127 Maplewood Ter. 'lii' ' II�IIII����� ark DateA , i �IIFJ A - p II I�IIIIII�IIIIIIIII lssue/ReWsbn Revision Protect ID 264 CAD File Name Nora#2 Drawn By Checked By Sheet Title -1 Elevations Drawing No. 1 I 2 A74 . 2 Design Firm Jeffrey Bott Contracting 1 I 32 Pine Street Florence, MA 01062 CS 053157, HIC #101227 20'-0" L 4(3) SD`- -411 I / / Consultant 3'-2 1/2" 71 /4 B i B \` r' Wall Shelf 72"L X 16"D K a xa ...iv:!g,,,a,,.,,,,,,;or, ? 4 ,;., --,-,,- ,.. __________, �y. 12'-0 1/2" ' \-5'-0 1 /2" o / // / k. . c,l 5 c. ( $ ` F�--�/ --- Project Title °(Lo J Room Addition o "O (11 Nora Israeloff/ Phil Korman 127 Maplewood Ter. CV ="--......) , r Y 1 M i o a 0 a'` 3'-2 1/2" d A / / A Mark Date Description a 3 Issue/Revision Revision a V Protect ID 264 q CAD File Name Nora#2 AA o'Lr'.5 ,,� o C I Drawn By 1 ems .-- Checked By Tv,/ 2g`ii° d ; 5 Sheet Title CTy , Floor Plan Drawing No. A-2 2 ,2 I l Design Firm Jeffrey Bott Contracting 32 Pine Street Roof System: Florence, MA 01062 truss- 8/12 24" On center CS 053157, HIC #101227 1/2" osb sheating w/ h clips #15 felt underlayment ice and water shield for first 3' metal drip edge Consultant 25 year fiberglass singles continous ridge and soffit vent B /AtitetnettiVMAY.Vittegtot•USWAININ1/►/►/►/►1/11G.1S1S1S1/l.ISISISISl 1LN `. Wall System: 2x6" wd frame on 16" centers Insulation: 2-2x1O" headers over windows & doors R-19 fiberglass insulation in walls = 7/16 osb sheating + R-19 fiberglass insulation in floor over basement. house wrape R-30 blown in celulose insulation in attic 8" white vinyl siding with metal trim Project Title Room Addition Floor System: Nora Israeloff/ Phil Korman 9.25" TGI floor joist, 127 Maplewood Ter. 16" on center, 15"1 " span 3/4" osb Sturdi Floor Carpet (by others) l I A Mark Date Description Foundation: Issue/Revislort Revision Protect ID 264 16"x 10" placed concrete footing CAD Fite Name Nora#2 8" concrete walls Drawn By Checked By 2x6" preasure treated mud sill 3" concrete floor slab Sheet Title 6" sand fill Emil. poly Wall Sections Drawing No. A-5 1 I 2 pt .U12 81 DEPT OF BUILDING INSPECTIONS NORTHAMPTON,MA 01060