Loading...
23D-175 (2) 28 BAKER HILL RD BP-2002-0363 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 175 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ADDITION BUILDING PERMIT Permit# BP-2002-0363 Project# JS-2002-0553 Est.Cost: $24000.00 Fee: $132.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 15986.52 Owner: SWIFT BRIAN M&SUSAN H W SWIFT Zoning:URB Applicant: SWIFT BRIAN M& SUSAN H W SWIFT AT: 28 BAKER HILL RD Applicant Address: Phone: Insurance: 28 BAKER HILL RD FLORENCEMA01 062 ISSUED ON:10/5/01 0:00:00 TO PERFORM THE FOLLOWING WORK:DEMO 14 X 13 PORCH & CONSTRUCT 22 X 15 FAMILY RM ADDITION 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/5/01 0:00:00 3712 $132.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2002-0363 APPLICANT/CONTACT PERSON SWIFT BRIAN M&SUSAN H W SWIFT ADDRESS/PHONE 28 BAKER HILL RD PROPERTY LOCATION 28 BAKER HILL RD MAP 23D PARCEL 175 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 11 Fee Paid 3I/? l3c Typeof Construction: DEMO 14 X 13 PORCH&CONSTRUCT 22 X 15 FAMILY RM ADDITION 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 INFO ATION PRESENTED: pproved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 /00 Permit from Elm Street C C. ssion . ,_-461 "-GL:A1--- ____.4 ii&—e _IC:70 Signature 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 0 C-----k i =° ` ?De'part e—rt set rrrm- , Ci orthampton Status of hermit 1 0' OCT — 3 2001 B i :: Department Curb Cut/Driveway Permit t"`i L -- -- 12 ain Street Sewer/Septic Availability_ _ • �� ,, ,�IpINGINSPECTIONS Ro.m 100 Water/Well Availability .,.,ON,MA link; . .. .... : on, MA 01060 i wD ScAs of Structural Plans___. phone 413-587-1240 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 This section to be completed by office 1.1 Property Address: �� / �" �/�>64 � A ,4 / Map 3 Lot f Unit Zone ald Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: sr ; a cssw , ag AcI /ci/ 0J f1,nee ,)c, n; Name(Print) Curr nt M ling A s: r2i yr s� _yes / ( (tif--- , - / � Telephone ignature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use Only completed by permit applicant 1. Building 1 / 0 (a) Building Permit Fee 2. Electrical 5f (b) Estimated Total Cost of i )S 0 O • 0 s3 Construction from (6) 3. Plumbing 5 J S a • O v Building Permit Fee i 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) S a vi 0 O • V Check Number ?7/ ;1 3a This Section For Official Use Only Building'Permit Number: rye'-da---,.63 Date Issued: Signature: Building Commissioner/Inspector of Buildings Date r 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 Departmentar� f Lot Size / 6, /6,60 0 g,J r= Frontage / S O 7 ° l v Setbacks Front 3 0 3 O 020 Side L: S R: a S L:5 R: S /� Rear LS� / / 1O Building Height / Q/ SS- Bldg. Square Footage /3 so p % 1 6 60 / 0 OlQ ado ` do Open Space Footage f.3 g 7 Q % l S6J � (Lot area minus bldg&paved 0 Cat C1J f parking) _ #of Parking Spaces 3 .3 Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO N 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 y 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 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: SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition )4 Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 Demolitior)i New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: ,as A", 4.• ,[ rCI o m 8c4'. ,-k , ,, 4 0,1.S ` A p ,f� ®r Alteration of existing bedroom Yes A No Adding new bedroom Yes No (�_ Attached Narrative❑ Renovating unfinished basement Yes X No Plans Attached Roll ❑- Sheet❑ OFIfirsleVhlidtefitiroTaaddition to existing housing, completfe,t_he following: a. Use of building : One Family X Two Family Other, ctY-}/')'t,'i y rO CIill 90 C/C411',,,-• b. Number of rooms in each family unit: I Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. 3 36 Se Dimensions / S x e. Number of stories? I f. Method of heating? /1 7 Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. yf Mascheck Energy Compliance form attached? h. Type of constructionki0 Od mN i. Is construction within 100 ft. of wetlands? Yes K No./ Is construction within 100 yr. floodplain Yes i i j. Depth of basement or cellar floor below finished grade (I ct' t/- n %rV k. Will building conform to the Building and Zoning regulations? ,Q Yes No . I. Septic Tank City Sewer ,k Private well City water Supply r SECTION 7a -OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I , as Owner of the subject proper- hereby authorize to act my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I , 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. Signed under the pains and penalties of perjury. Print Name ' ftj\- 1. 1�- 6c-`o e `S a 6 6 f Signature o Owner/Agent Date • SEC iON.B tCONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable D Name of License Holder : _3-1 0 a/I, IA i !de oS License Number Address r Expiration Date Zc� y0Z, Signature Telephone �n /i 4/VVI/► Re r—e. ni < rn• ., et a ''' a . , ¢ " ....... Not Applicable ❑ Company Name Registration Number 9a%wt,e # O c, o q t 5- Address Expiration Date Telephone 2 O Z 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 affida will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes........ ❑ No ❑ u Dniet. .P O , f 7a n The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)familie 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(: 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�Locall`Zoniing Laws and State of Massachusetts General Laws Annotated. ej ' � Homeowner Signature I Y ç1A11 / i , , , r g a74.,0 r .i of NoriIJantpthr __ 9 qYa%,,+^•i ?t 6 lassachasctts' _" '.-: — '�'W} DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 rr' WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, (licenseeJpermiuee) with a principal place of business/residence at: . • (phone#) • (btic t/city/state/zip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: - (Insurance Company) (Policy Number) (Expiration Date) I am a sole proprietor, general contractor or ••meo• s' (circle one) and have hired contractors listed below who have the following wor.er's compensation policies: i < _ d '11 ..I _ I i. / tune of Contra r) (Insurance Company/Policy Number) (Expiration Date) • (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additio ui shoot if ne .sry to include infonnaaon pertaining to all contractors) I am a sole proprietor and have no one working for me. ( ) I am a home owner performingall the work myself. y • NOTE:please be aware that while homeowners who employ persons to do trr.inr.o,r rr construction or repair work on a dwelling of not morn than throe units in which the homeowner reside or on the grounds appurtenant thereto arc Dot generally considered to be employers under the worker's rev:ye-DI sr ion Act(GL152,ss l(5)),application by a homeowner for a license or permit may evidence the legal status of an employee under the Worker's Compensation Act. • I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents'Otf oo of Insurance for the coverage verification and that failure to aecure covet-ago under section 25A of MCOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S 100.00 a day against me. • For departmental use only 64111/1-.. CLil (� Permit Number � Mapil Lot# .._... Signature of T.irrn cn,/Pr rm item Date - . • . .... ........... ......., 1 LE) ....„ _ liii il OCT - 3 2001 , <>) DEPT 0:*NUM INSPECTIONS -- Ef,1 . ION,MA 01060 '1 0 ->.-j I A a-) _z N . , _ .. Z , \ I s i ) 1 .J1 ,... „i , \ . o P 1 -A ..., (A \...) I i P t i 3 / ----------,- >,-) ) 4 v • i _ 1 ....._ , do r 1111 - �..�__ ,.,Y._.__.,. �iEc� -EoY ,7 `� ;1,; OCT - 32001 I)) 11 `DEPT OF BUILDING INAPEEC,T!< Nw ,"`S�fucfi+e•�. I NORTHA PTON, T1D 1 1 I ,;..„..2 . r II .,.._. . 1___- , ,g, 4......, • ___________..._i ,,. , , , ii 1 �� 1 New Ce*stev�c't�:vy �c41e - `�} , tt - 'Tr- . , 141 it a 14‘.le r"t-\'+d Mk f t-CUA p Th CSC [1dE r„ OCT - 32001 DEPT OF BUILDING INSPECCNrit R°ltcQ NORTHAMPTON,MA 01060 �O5 , . .--^."'��_ -----" Wig'° _-----r `_--- ,} fi Qb,.`�iwueu se 1 L" O�J'-�- • 0e,.- i Rom. S Ott Ve / jtvme W.lt gf'TtY att:4 ly ZaC4'oe aY"- I Re. „ � ems Est 411 µw.� Oos. 0„ Pvk+feS. '/a'I_c_t>K 11 II I � n IC ft.vx 1":. 0 Prs`Ai+- sak sa..1 Gcb.Qe / • 1' 4 " �14b 1/ 1, J/ f✓ - 8 n 10,Ar efil C.c vNctrttt FroStt tJa t t °17 41, Co StrH,c itr (0Qti , Site c - 84f(ev 14 11 a,, Sc. da e. %` = I ' i Vo 4r11N a+.4A.latC) 06-20-00 14 :03 DEPT OF PUBLIC SAFETY ID`14134431053 P01 'G1 ._. ��.�w r-'„t i91 RE C E U E I, : 'GY CONSERVATION APPUCATIGN FORM FOR 2W••• RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS • i OCT 3 • 780 pMR Appendix J*effective 3/1/98) S ri c 8- .6 ,I. Qii ,2 DE. f i 11 :� hJ Site Address: . 14 i licanf'11 dlr� .D• g- : A. 4. . , . ; /1 City/Town: ci-I p ✓c ri C_A -Pe.-,- e/ : Use Group: - pate of Application: _ 13 aj O •Applicant Phone: 41 1 3 —SX 6 "— 4/ Application Signature: COrtepitai Pith(check on O Prescriptive Package(Limited to 1- or-2-family wood frame buildings heated with fossil fuels only) Package (A through KK from Table J5.2. lb): Heating Degree Days (HDD6s)from Table J5.2 la: (For items d. through i., fill in all values that apply from Table J5.2) 1. G o~z Vail A:ea b b sq. ft f. -Wa I l f?Vahra- R- b. Glazing Areal /1 O sp. ft g. Floor R-Value R- c. Glazing%(100 x b- a) _ % h. Basement wall R- d, Glazing tj-va{_'e U, i, Slab Perimeter R- . e. Ceiling R-value R- I. HeatingAFUE ❑ Component Performance: 'Manual Trade Off` (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) ❑ Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trarle•Off Ilbrksheet from Appendix J,[and HVAC Trade-Off Worksheet, if applicable) Q MAScheck Software Attach Compliance Report and inspection Checklist printouts. ❑ Systems Analysis OR ❑ Renewable Energy Sources " Attach Mass Registered Architect or Engineer Analysis • ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall + Ceiling Area`Y3U sq. ft. b. Glazing Areal /f D sq.ft. c.Glazing%(100 x b+a) 'jf, ❑ ADDITION with Glaring% (c.)up to 40%may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value O, 3 5 Minimum RA/Wiles `Z I I Fenestration . Ct+ilirg Wall ` r� -Icx r - Basement Wall Slab Perimeter, Dept Lc„,,_ R-37 _R-I3 I R-19 i R-10 ' R•10,4 ft. ❑ "SUNROOM"addition (greater than 40%glazing-to-wall and ceiling gross area) Attach `Consumer information Form"fromm 780 C► f Appendix B. ,�,e� Ofn sau f Name: 4/ 5�� �/1TC - Official's Signature: 43 ,..e J Application- Approved W[ [enied ❑ Date of Approval:Denial: Rvaw,i(j)for Denial: (provide additional details as needed on back side) L G'� a Ivory be debts-Rough Opening ar Unit niimenticies. 06-26-00 14 :01 TO:DEPT OF PUBLIC SAFETY FRO11:413 4999444 P01