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City of Northampton Mail -Re: Porch on North St
Re: Porch on North St
1 message
Carolyn Misch <cmisch@northamptonma.gov>
To: Louis Hasbrouck <lhasbrouck@northamptonma.gov>
ok, looks fine. Such a nice guy you are.
Louis Hasbrouck <lhasbrouck@northamptonma.gov>
Fri, Aug 17, 2012 at 2:01 PM
On Fri, Aug 17, 2012 at 1 :47 PM, Louis Hasbrouck wrote:
Carolyn,
I gave conditional approval for this porch at 64 North St; he's got plenty of setback and URC=30% open; not a problem. I told him he's
proceeding at his own risk until Thursday.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
office
(Ci~y of Northampton t-mail is a public record except when it falls under one of the specific statutory exemptions.)
Carolyn Misch, AICP
Senior Land Use Planner/Permits Manager
City of Northampton Office of Planning & Development
210 Main St, Room 11
Northampton, MA 01060
413-587-1287
cmisch@northamptonma.gov
www.northamptonma.gov/opd
(City of Northampton E-mail is a public record except when it :alls under one of the specific statutory exemptions.)
The Commonwealth ofMassachusetts
Department of Industrial Accidents
Office of Investigations
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): _____________________________ _
Address: ------------------------------------------
City/State/Zip· Phone#·
Are you an employer? Check the appropriate box: Type of project (required):
1. 0 I am a employer with 4. O I am a general contractor and I 6. 0 New construction ~ployees (full and/or part-time).* have hired the sub-contractors
2. ma sole proprietor or partner-listed on the attached sheet. 7. D Remodeling
ship and have no employees These sub-contractors have 8. ~olition
working for me in any capacity. employees and have workers' 9. ~lding addition
[No workers' comp. insurance comp. insurance.+
10.~ctrical repairs or additions ~uired.] . 5.o We are a corporation and its
3. m a homeowner doing all work officers have exercised their 11.0 Plumbing repi].irs or additions
myself [No workers' comp. right of exemption per MGL 12.0 Roofrepairs
insurance required.] t c. 152, § 1( 4), and we have no
13.0 Other employees. [No workers'
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 nam: of the sub-contractors and state whether or not those entities have
employees. lfthe 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: · -------------------------------------
Policy# or Self-ins. Lie. #: ____________________ Expiration Date: ________ _
Job Site Address: ______________________ City/State/Zip: _________ _
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A ofMGL 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 fi surance coverage verification.
ins and penalties of pe1jury that the information provided above is true and correct.
Si nature: Date:
Phone#:
Official use onzJI. 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#: _______________ _
I/
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 10-STRUCTLJRAL PEER REVIEW (780 CMR 110'.t1)
Independent Structural Engineering Structural Peer Review Required
SECTION 11 -OWNERAUTHORIZA TION -TO BE COMPLETED WHE:N
OWNERS AGENT OR CONTRACTOR APPLIES FORBUILDINGPERI\IIIT
Yes 0 No 0
I, ---------------'--'--"="'-''-'-····~-·-=-=··_c:··=-=,,=··~-c;_· ~~=~==::..=~===~~=~----"" .. ·=· , as Owner of the subject property
hereby authorize·
act on my behalf, in all matters relative to work authorized by this building permit application. _____ " ______ --··· ,,..... .. , ... ···--------· _ -,.
Signature of Owner Date
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Print Name
, Signature of Owner/Agent Date , ,')o -I
SECTION 12 -CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor:
Name of License Holder :t. ____ ~.t\..{J(Lfa!£:l.:-, .. :~.L-~~-tttJ~:=i:~-J:~ ~--... '
Not Applicable D
License Number
_Ji.~--··· .t-:Q ~[~L __ ~j~_!_ _____ Ji1TtldtZ1~L~-~-.t&lL-itii ,b ... ----·-... lC.'JC)lf~_ .
Address Expiration Date
Signature Telephone
:. . .. ·.. . ·.
SECTION 13 ORKERS' COMPENSATION:INSURANCE AFFIDAVIJ'(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 O No 0
Version l. 7 Commercial Building Permit May 15, 2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF EtiCLOSED SPACE)
9.1 Registered Architect:
Not Applicable D ........
Name (R~9istrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility . ---·~--·~----···.,·"'"·"-~' . .,,.,,.-.. ·-···~·-------·-
Address Registration Number
• -.,-,,,.-,..,w,s-, -··" ,~,~ ~~w -·"-,.~
Signature Telephone Expiration Date
' ..
... ........................ ..
Name Area of Responsibility .................... -. ............................................................ .
Address RegistrationNumber ..... .......... . .............. . . ( ==~,-~~-v--·---•
Signature Telephone Expiration Date
i
Name Area of Responsibility
Address Registration Number
..._v-=~-~~= ·,.~·•v"''~•=
-:-:-------------------[·======·· ............................................. .
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable D
Responsible In C~~rg~ ?f.~?n .. stru~ti<:~ ...
Address
Signature Telephone
.------------~Version 1. 7 Commercial Building Permit May 15, 2000
8. NORTHAMPTONZONING
Lot Size
Frontage
Setbacks Front
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
arkin )
# of Parking S aces
Fill:
(volume & Location)
Existing Proposed Required by Zoning ,
This column to 0be filled in by
Building Department
.A. Has a _Special Permit/Variance/Fin~g~ been issued fo. r/on the site?
NO O DONT KNOW fl6' YES 0
"'=--.=--·-=-,,....,,.v__,,, _ ___.+
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O . DONTKNOW o. ~ES O __ _
IF YES: enter Book' Page and/or Document#
B. Does the site contain a broo~~·::::~;·::te;·or wetlands? . NO ~NT KNOW 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained
C. Do any signs exist on the property? YES
IF YES, describe size, type and location:
0
0 , Date Issued:
NO~
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q
IF YES, describe size, type and location:
YES 0
NO~-·
E. Will the construction activity disturb (clearing, grading, excav 1 , or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO ,
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE I
Interior Alterations D Existing Wall Signs D Demolition D Repairs D Additions D Accessory Bu~ !lJ f
Exterior Alteration D Existing GrmJT~d}>ign D New Signs q __ RoofingD_,,_Change of Us~ D ___ Other o,,.,.,---·-·
Brief Description . Enter a brief descriptiof\ here.
Of Proposed Work: J-> j 1.
--------.,,,,,, Ct L~
SECTION 5 -USE GROUP AND CONSTRUCTION TYPE I
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly D A-1 D A-2 D A-3 0 1A D
A-4 D A-5 D 1B D
B Business D 2A D
E Educational D 28 C r D
F Factory D F-1 D F-2 D 2C D
H Hiah Hazard D 3A D
I Institutional D 1-1 D 1-2 D 1-3 D 38 D
M Mercantile 0/ ./ 4 D
R Residential [1'
S Storage D
R-1 0 R-2 fiZ" R-3 D 5A V S-1 0 S-2 D 58
U Utility D
i('---~---... ~~--,~~,.--,-,,.·-=,~N,~•A"-~~· .·.-~---~-=-.-~.-m~N,.,~yAN•~=· ,.~~,~=·-~m,-,J,~~~ -~~-~N·-~ """ A
Specify:•
M Mixed Use D Specify:
,,.,.~ ... .,.....,,--.,.,...,._.,..,-~,.,..-..-,~-,A'>,,.....,,,,,,.,,._.,.,,.,,,.,,,..,..,.,=,''"'""''"-""'"""~~•"'-... >"• <«,~·-...... -·~ ~· •••' .....,_,.,, . .,,, ,> / ~--·••••-~,,..,,.._,,',< •• ,,_,,, ... ,, ..... ,,, < ,,d -H;,<'-,.••••• ,.,,_,.,_..,,,,_,N
S Special Use D Specify:;
COMPLETE THIS SECTION IF EXISTING BUILDING·UNDERGOINGRENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
Existing Use Group:
SECTION 6 BUILDING HEIGHT AND AREA I
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf) I
Ja-, .. /Cf .1 '
'-., •-'"""'"''~ ,,N~,o~,,,-m~,,,.,~,--,vu-,vrla<~.-,_.,,w~~= f.,c~)
.
Total Area (sf) Total Proposed New.Construction (sfL."',.
/
~7 ,..')
'.,, .. ,.,., .. .-.. ,. ... _; ... ;.,;-:, .....
Total Height (ft)
j I Total Height ft ,, ./..
7. Water ~ply (M.G.L. c. 40, § 54)
Public 13' , Private D 7.1 Flppq_Z:o!leJnformation: _/ 7.3 Sewage Di~osal System:
Zone .....•. -..... , Outside Flood Zone~ Municipal IJ]/'On site disposal systemO
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: . This section to be completed by office
~·~-jJo'irrr ·~··
l' /1\ I {) tl 7 /'1 /' t [ I ,-'! (\ I /
Map Lot Unit
Zone ' (2 (. Overlay District
Elm St. District 1--------------------------, CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
l>A \ ., .. H. /'J. t.L ... 1~:. _tf ttf: .. i.:.Jl,t:.=~-~11 .... _ --.. ---..... . --.. -· ··-·-·· 0 .................... ,. . . . .. ·--· .... . · __ J~DY . 313 11-J .Jl r !-I "hM P7:o /J Ml,: 15G "J
Name (Print} t I Current Mailing Address: ..... _ ....... .. u, 3 . ·-.;., <',~.js .::;1.1.> .....
Signature Telephone
2.2 Authorize
Name (Print}
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Official Use Only
1. Building (a) Building Permit Fee
2. Electrical / / (b) Estimated Total Cost of
· Construction from 6
Hr•,,_,. • ~~ '
1--3._Pi_u_m_b_in_g-------+-...::·:....:·...::-::;;;··=··:::· ·:::· .. ...::·...::·...::·=-"=···:::···-=··::.:···=-·=·-:;... .. .::::-·.::::"·..;;:-=·=·"·~· Building Perm~;~ , , 1 Lj
4. Mechanical (HVAC)
5. Fire Protection
6. Total= (1 + 2 + 3 + 4 + 5)
Building Permit Number
Signatur~
Building Commissioner/Inspector of Buildings
Check Number
This Section For Official Use Onl
Date
Issued
Date
64 NORTH ST
GIS#:
Map:Block: 24D -089
BP-2013-0187
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
_Pe_nm_·t_: ___ B~ui~ld_in __ g DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2013-0187
Project# JS-2013-000306
Est. Cost: $7000.00
Fee: $96.00
Const. Class:
Use Group:
Lot Size(sg. ft.): 7100.28
Zoning: URC(lOO)/
PERMISSION IS HEREBY GRANTED TO:
Contractor:
MICHAEL L HARRINGTON
License:
102948
Owner: HARRINGTON MICHAEL L
Applicant: MICHAEL L HARRINGTON
AT: 64 NORTH ST
Applicant Address: Phone: Insurance:
PO BOX 393 (413) 575-8345
NORTHAMPTON ,MA01061 ISSUED ON:8121/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 12 X 16 SUNROOM
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: 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 8/21/2012 0:00:00 $96.00
212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272
Louis Hasbrouck -Building Commissioner