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18C-154 28 WARBURTON WAY BP-2017-0462 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: I8C- 154 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Stairs and porches BUILDING PERMIT Permit BP-2017-0462 Project JS-2017-000764 Est.Cost: S 10400.00 Fee: $71.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS C MCCARTHY 053221 Lot Size(sq. ft): 0.00 Owner: AUBREY CHRISTINE Zoning: URB(100)/ Applicant: THOMAS C MCCARTHY AT: 28 WARBURTON WAY Applicant Address: Phone: Insurance: 3 BRODERICK ST (413) 527-5141 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:10/24/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:CHANGE SCREEN FRONT PORCH TO WINDOWS & SLIDER, REPLACE STAIRS - NO CHANGE TO FOOTPRINT 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: FeeTvpe: Date Paid: Amount: Building 10/24/2016 0:00:00 S71.50 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0462 APPLICANT/CONTACT PERSON THOMAS C MCCARTHY ADDRESS/PHONE 3 BRODERICK ST EASTHAMPTON (413)527-5141 PROPERTY LOCATION 28 WARBURTON WAY MAP I8C PARCEL 154 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ,,/� Fee Paid Cr y¢+ 6001 1Q' w.c,n Building Permit Filled out Fee Paid Tvpeof Construction: CHANGE SCREEN FRONT PORCH TO WINDOWS&SLIDER REPLACE STAIRS- NO CHANGE TO FOOTPRINT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053221 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION 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 Demoliti. Delay /i-2%// . re o Bui ung 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. RFr , . 1t . . � ` . � r, r a t�. -1; 0 Xis ;;--t e,n o e.2 1 . I ; i i I _ 1ii ; __ _1 -; i I i - Iti , I If1 t iti`` !!s 14 i!_ f._a a t i.. t, (-1,414,-). Its " 4 Q I � � t• 1 � x ( 10 r I. i 15 y ' -?-, )if .gMei Sfcal d.e,it 1k I) r r It • 111' 1-1. -e-rr ; zf & ri t I 1 / 5+0 i .G9i ft if -... 17,5 -t - ,:ar! rr, I alit^' qty City of Northampton `" "a sYaa "ntpemakrT.*> Building Department BStmewy'�aermRa,:. a _ 212 Main Street SelSephcAwaifakR�^ _ Room 104 Yv_"6f}YUN3Avad:ATtY-'° Northampton, MA 01060 TWO%etso6fSUuct&a(P1ar1;- phone 413-587-1240 Fax 413-587-1272 Wor(6itePlans " _ OUtei'Speay - APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 •SITE INFORMATION 1.1 Property Address �^y Thissection to beAcompleted by office .y g 4�la bortot( t�/y - 1 roc pcca (3cnd9 Map 14t Unit - ,hlonhnrnpioC )YIA 0:060 Zone- -OverlayDisbHct Edrz SL nwtrkK ._ Ca District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 12.1 Owner of Record: Cttrr5rl+Nr Auhreti dZ OArbun n! t�hy_1)t0•terr Doortc 1u'd0N Nam Print) Current Mailing Address: X /tll1(/ tilat/ ✓y Telephone Signature if// Z2 Authorized Agent: That: . . . . . I r • - ' .. - r1D.07 Name(Pnnl) y/ Current Mailing Address: /1 —tlllC"-5. �y _-....... 413- 54)7-5)41 Signature Telephone SECTION S-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit appilcant 1. Building /0 ‘100 , (a)Building Permit Fee I !1 2. Electrical (b)Estimated nffr Cast of Construction from(6) 1 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=0 +2+3+4+5} /;7, E(Oa Check Number lea) r! 't�/r60 This Section For Official Use Only Date Building Permit Number. — Issued: Issued: Signature: Building Commissionerlinspector of buildings pate Section 4. ZONING AB Information Must Be Completed Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size - ---- -------- -- - - Frontage ---- — Setbacks Front - Side L:— R;__ L: R. - _ Rear Building Height Bldg. Square Footage — — —_ Open Space Footage (Lot areaminus bidg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW © YES IF YES: enter Book - Page and/or Document#- B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained C) , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: '.. D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O 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 O NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacement Windows Alteration(s) [X Roofing n Or Doors C Accessory Bldg. ❑ Demolition ❑ New Signs [C] Decks [(] Siding[C]] Other[C] Brief Description of Proposed Work: 1kA -f v, SG4/ev, Bahtan v 11 tto Lvl- dawI r SG/4 e/7 - cti) g- fig ' Alteration of existing bedroom Yes No Adding new bedroom Yes & No � l/10(/ Attached Narrative <f X Renovating unfinished basement Yes ' o Plans Attached Roll -Sheet gp:If-Newhouse-and l'a additiodid-eidit nn housing:completellietannwmq: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. _ Masscheck Energy Compliance form attached? h. Type of construction 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 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 CAQ f�� I, erty (y✓� Av i le y ,as Owner of the subject Property ,--.7-1 'AA hereby authorize 1 ® 1M 4S C• $1C L/Lt ( Y to my bei�`'�n all ma rs%lative t ) k authorized by this building permit application. �( YX t� 1NRJ }-/4 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 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor ./� Not Applicable 0 j{ame of License Holder: - IIpennm n4...... C. Jt lC ri,f')fly L 0534.q ( _ License Number 3 13rodoticic 5f. . ' x a , •+r 111 r a 1a9 17 _ Address JJ f�,� Expiration Date l%! /ie 14 — fir Dal- KILO Signature Telephone RegistetedNomehnpm`vemeIiiConimetdr:::. : 'iM. _ .. "fifilififil"_t Not Appticabie 0 '{+¢es.r • a 100344 ., Cempanv Name r� Registration Number GQfdernl . (nN1(AM"7Y5 lhiC x 11411 ( , Address vt I Expiration Date ..� L3rodertrt( S Ef got ✓?4 Telephone 413 -537- 5'1) SECTION 10-WORKERS'COMPENSATION.INSURANCE AFFIDAVIT(M.G.L c.152,§25C(8)) 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 11: Home+Uec'Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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. %person who constructs more than one home in a two-year period shall not be considered a homeownet. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that betsbe 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 ,,,,_ • The Commonwealth of Massachusetts Department of Industrial Accidents Office ofInvestigations • tet: ' 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/OreaniiatioMndividual): Ihornna C. in( Cheil.t1 ._ Address: 3 arndrrrr „ J(ree4 / City/State/Zip: EAsihempin( AA 0jQ27 Phone#: yi,@- 5;7 -5I11I Are you an employer?Check the appropriate box: Type of project(required): I.ZaI am a employer with 1-- 4. ❑ I am a general contractor and I employees (full and/or part-tune).' have hired the sub-contractors (' New construction 2.[� I am a sole proprietor or partner- These on the attached sheet 7. remodeling ship and have no employees sub-contractors have g. Q Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance. 9. ❑Building addition required.] 5. 0 We are a corporation and its 10.[ Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 120 Roof repairs insurance requires]: c. 152, §1(4),and we have no employees.[No workers' ISLE Other -` 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 art doing an work and wen hire outside contractors must submit a nodi affidavit indicating such. tCont actors that check this box must attached an additional sheet showing the name of the subcontractors and state wheeler 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: ti)essfi1efc1 .)Uordeure C• rnQhv ) Policy II or Self-ins,Lie,it: ZOO E;303 10007B Expiration Date: a I!Of 17 Job Site Address: $ L3Arh121i*4, 09 flD3p(tl orod Pi City/State/Zip: N ']nn M N 0:060 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 of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisotunent,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 for insurance coverage verification — Ido kereby ccer/tify/under the painsinand penalties of perjury that the information provided above is true and correct signature: 44._ (ii4 '- :1" - Date: /, >.— /42 _ Phone k: L ,z) --rr / Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License 5 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 it: ' a} a Q.,ito of Northavtfrton �y_ 4 B ., di.e.Nehns�ne _ r� 4� r1 VEPnRTMENT OF BUILDING INSPECTIONS U INSPECTOR 212 Main Street • Municipal Building s� Northampton, MA 01060 e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780048 1083.4 to act as his/her construction sup/. isor. The state defines "Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends 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." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor,to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings(before backfill) sonotube holes(before pour), a rough building inspection (before work is concealed). insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections.Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, _understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150k Address of the work: al W F\ /Q LA"- ar v"$ 1�- a/O omit' i"A The debris will be transported by: '%?ten+4t/ C. MtinilA,/ (,c,Ir4/<t,,bvbr1'^( i,/ The debris will be received by: V47/e Y h cz ycii'y t %RNi+q P?,/ Building permit number: ��/ Name of Permit Applicant ',/Ga AJ (�. Mf CO�'4 f tie tNa/ (o, vrert++tr AV, Date Signature of Permit Applicant • 01Bre of Costumer Affairs&Betleeu Regalatioa _ ROME IMPROVEMENT CONTRACTOR ryPe '' �^^.t�trtIon: 100364 Prorate Corp:ralio apiration: &162016 THOMAS C.MCCARTHY GENERAL CONTRACT Thomas McCarthy 3 BRODERICK ST Easthampton,MA 01027 Oadenecrctary irMassachusetts-Department of Public Safety Board of Building Regulations and Standards CnrLicense:CS-05322 S '4„. THOMASM C CCA27 's 7 3 BRODERICK st InP e. RAS711AMITTOAFM.1t�� f. .� � rrre Expiration Commissioner 05/2312017 Christine Aubrey 413-522-0550 9/16/2016 28 Warburton Way-Prospect Woods Same Northampton.,Ma.01060 Same Estimate for the following work for the three season porch. We will support the back wall, remove and dispose of framing and screening, We will frame with 2"x 4"construction,2"x 8"for the header,and frame and install 1-Anderson PS6068 white slider, and 3 Trustguard white,vinyl double hung windows with 112 screens,these and the door all with insulated glass. The door will have standard hardware and a full screen. We will use Texture 111 for the exterior sheathing and also for the interior wall,insulate w/R13 first. We will trim as needed with primed pine for the windows,door and baseboard. We will build a new set of stairs using pressure treated lumber,4'wide with railings&pad to the building code. Approx size of the windows are 3'wide x 4'tall. The ones next to the slider will be tempered. Ali clean up and rubbish removal included The Northampton Buiding Permit is included,we will get, Add$1,000.00 for picture frame vinyl lattice for under&around the stairs. MASS.HOME IMPROVEMENT Contractor's Registration 4100364 er,06/16118 Mass.Construction Supervisor's License#053221,ex. 05/23/17 E-mail address—TCMGCI®AOL.com Ten Thousand Four Hundred and xx/100—•------------------------------- $10,400.00 1/3 Down for order:$3,466.67 1/3 Upon Start: $3,466.67 1/3 Upon Completion,$3,466.66 45