23A-056 (8) 45 MAPLE ST BP-2016-1362
GIs#: COMMOI WEALTH OF MASSACHUSETTS
Map:Block:23A-056 jCITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2016-1362
Project# JS-2016-002343
Est. Cost: $22500.00
Fee: $158.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BRIAN ST ARMAND 101094
Lot Size(sq.ft.): 16814.16 Owner: FITZGERALD REALTY CORPORATION
Zoning: URB(100) Applicant: BRIAN ST ARMAND
AT. 45 MAPLE ST
Applicant Address: Phone: Insurance:
P O BOX 471 (413) 736-2766 WC
WEST SPRINGFIELDMA01090 ISSUED ON.5/23/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.STRIP & SH I NGLE ROOF
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 Silrnature•
FeeType: Date Paid: Amount:
Building 5/23/2016 0:00:00 $158.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1362
APPLICANT/CONTACT PERSON BRIAN ST ARMAND
ADDRESS/PHONE P O BOX 471 WEST SPRINGFIELD01090(413)736-2766
PROPERTY LOCATION 45 MAPLE ST
MAP 23A PARCEL 056 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building-Permit Filled out
Fee Paid
Typeof Construction: STRIP&SHINGLE ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building-Plans Included:
Owner/Statement or License 101094
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
✓pproved 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
2 S-��-l�
Signa a of Buildifig 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.
Version 1.7 Commercial Building Permit May 15,2000
Department use only
Ci of Northampton Status of Permit:
Bu ding Department Curb Cut/Driveway Permit
7 2016 2 Main Street Sewer/Septic Availability
Room 100 Water/Well AvailabilitOFBUW y
rth mpton, MA 01060 Two Sets of Structural Plans
WORTH-M -1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
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
I_ t� Map Lot Unit
Zone Overlay District
......... _ ._........_... _.... _.._......... . Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
_ A)
Name(Print) J` j , `-! / � � Current Mailing Address:
Signature Telephone
2.2 Authorized Agent:
Name(Print) �J/lCa� �jC / 9' Curr@nt Mailing Address........ . ..
Signature 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
t ....
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
This-Section-For-Official-Use-Only-
Building
_his_Section_For_Officiall_Use_Onl _Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Versionl.7 Commercial Building Permit May 15,2000
z ..o,,.,.,,�
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ AccessoCudExterior Alteration EDExisting Ground Sign❑ New Signs[9 Roofing ElChange of Use[jOthBrief Description Enter a brief description here.
Of Proposed Work
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential 4 R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
. : :
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
...._..... .......... -- ..._. .......... _._._.
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: .. . Proposed Use Group:
Existing Hazard Index 780 CMR 34): .,. Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 St
15t
2nd
2 nd
3rd
3rd
_._.. ._...._.......... ............ _._ .......
4th
4th _.. .. .............................................................
_
_.................._......................................................_._.
Total Area (sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height ft
7.Water Supply(M.G.L. c.40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system[:]
i
I
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L. R:__
Rear _.:... ....'
Building Height
Bldg. Square Footageox
Open Space Footage
... :
(Lot area minus bldg&paved
parking)
_.........
#of Parking Spaces
Fill:
volume&Location) _...
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW /T�r YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO C) DONT KNOW YES 0
IF YES: enter Book Page, and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
........................ .._.. ...
Needs to be obtained Obtained Q , 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 0 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 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.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 ENCLOSED SPACE)
9.1 Registered Architect:
_....:..._..,. Not Applicable ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
_...._ _......... _._... ........ ... ......._.. . ................. __. .. _. _..__.... _._..
Address Registration Number
i
Signature Telephone Expiration Date
.......... ..... .._..... ......_ ............ _. _...... .......
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
........... _....
Name Area of Responsibility
Address Registration Number
..,... ....................._...... .. ........ .. .....
Signature Telephone Expiration Date
.............
Name
Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
...... _...
Not Applicable ❑
--Company-Name.— - —
ICA..
Respo sible In Charge of Construction
_ ............
..
Address
bre Telephone
i
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, 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.
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
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
.... .... ....... ......
Name of License Holder
License Number
/o/of�SJ
Address Expiration Date
�36�2�6
Si nature Telephone
SECTION 13 -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 O No 0
The Commonwealth of Massachusetts
Department o f Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.rnass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:Za W x
City/State/Zip:A Phone#:/)_�AU 6
Are you an employer? Check the appropriate box: Type of project(required):
4. I am a general contractor and I
1. am a employer with � 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
2.911
These sub-contractors have g, ❑ Demolition
ship and have no employees
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers' comp.insurance comp. insurance.$
required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions
�.❑
officers have exercised their 11. Plumbing repairs or additions
I am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp. c. 152, §1(4), and we have no (L=_1,
12.E Roof repairs
insurance required.]t
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.
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: P� !'�
Policy#or Self-ins.Lic.#: /I (J� Expiration Date:
Job Site Address:�� _/"/ �'L City/State/Zip:
page showing the otic number iration date).
c declaration a P )
Attach a copy of the workers compensation policy p b (showing policy
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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do.hereby certify under the in n pe alties ofpeJury that the information provided above is true and correct.
Sienature: Date:
Phone#:
Official use only. Do not write in this area, to be completed by citJ)of 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#:
GENERAL CONTRACTING
P.O. Bos 471, West Springfield, MA 01090
Ph: (413) 736-2766
Brian@classgeneralcontracting.com
Pro oral
Ma Lic# 141838/Cs 101094
Ct Lic#0621747
Better Business Bureau Member
ClassGeneralContracting.com
PROPOSAL SUBMITTED TO:
Name: Fitzgerald Realty
Phone: //3 83� c r Date: 05/15/16
Street: 37 Mary Jane Ln
City: Florence
State: Ma Zip: 01062
We propose to furnish all materials and perform all labor necessary to complete the
following:
Roof @ 45-47 Maple St Florence
Roof on entire House
To app/y for permit for roofing work
To install a neve roof by doing the following
To strip all layers down to sheathing
To install Ice & Water barrier along edge of roof(6 ft on eaves)
To install/ce& Water barrier around chimney
To install lce & water barrier in all valleys
To install 151b synthetic felt paper on sheathing
To install neve Drip F 8 edge on all eaves @nd rakes
To install new pipe boots as needed and gny step flashing as needed
To install 30 Year Architectural Shingles(IGAF Timberline brand)
To install new lead flashing around chimney x 2
To install a new ridge vent(cobra style ) on ridge where needed
To remove all debris
All of the work is to be completed in a substantial and workmanlike manner for the sum
of TWENTY TTWO THOUSAND FIVE HUNDRED S 22500.00 DOLLARS *�
!12down ,Y2Lipqn completion
473 Union St ,
F O Box 471
www.socrates_--m Page 1 of 2 SS4301-340•Rev_05/04
GENERAL CONTRACTING
P.O. Box 471, Nest Springfield, MA 01090
Ph: (413) 736-2766
Brian@ class generalcontracting.com
** Our quote allows for 3 sheets of plywood as/where needed
Any alterations or deviation from the above specifications involving extra cost of material
or labor will be executed upon written order for same, and will become an extra charge
over the sum mentioned in this contract. All agreements must be made in writing.
**any rotten or damaged plywood will be billed at $ 50.00 per sheet as needed
Authorized Signature Brian St Amand
45-47 MAPLE ST
ACCEPTANCE
You are hereby authorized to furnish all materials and labor required to complete the
work mentioned in the above proposal for which Fitzgerald Realty agrees to pay the
amount mentioned in said proposal and according to the terms thereof.
Signature ,��' Date
r'
www.socrates.can Page 2 of 2 SS4301-340•Rev.05/04
GENERAL CONTRACTING
I request that you grant a modification to waive the requirement for control construction for the roofing
project at 45-47 Maple St in Northampton because the work is of a minor nature, will not affect health,
accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control
construction is considerable when compared to the cost of the proposed work.Thank you for your
consideration. "Mass Amendments, sections 107.1 allows for an exclusion from control construction for
this project"
Respectfully,
Brian St Amand
Class General Contracting
P O BOX 471
West Springfield Ma 01090