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23A-009 (2) BP-2006-1360 GIS#: COMMONWEALTH OF MASSACHUSETTS OSSie CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit BP-2006-1360 Project JS-2006-2008 Est.Cost: $6790.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CDT CONSTRUCTION 148610 Lot Size(sq.ft.): 18251.64 Owner: GILBOY JOSEPH T&KATHLEEN A Zoning:URB Applicant: CDT CONSTRUCTION AT: 36 PARK ST Applicant Address: Phone: Insurance: 158 NORTH MAPLE ST (413) 585-8677 FLORENCEMA01062 ISSUED ON:6/14/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP, PLY & SHINGLE 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 Signature: FeeType: Date Paid: Amount: Building 6/14/2006 0:00:00 $25.007101 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo • - -'1 � -,• -a 9 Z,.ur: seatd >fr a s C,1Ay. NQrthampton "t ' �' m `�, .: Building Department �`-' a.-is! It * " •' � �C��12 Meth Street r ,� ,- 3011 1 4 Room 100 F ,.' -rw r 'sm- s ^ North ton, MA 01060 z n-+-0't.- '' -`r r'+ A, -phone 413-58f 240_Sax 413-587-1272 ,x, . "� , r __ " s rs, sem'=°.. ... .'? ...... APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 SL9 Property yAtltlress: T inoc6uatabe eanpfefedbyoffce rS �. -Ume b`1-C311jfl£one OveAay,District . - lIi SE-Otsbict ` CBfismict` SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: G'I \�o 3C?c \e---_,S\. �to�«� Name(Print) Current Mailing Address. -_5%L.-, LIDS. Telephone Signature 2.2/ ized— A�uthorizedAgent: \\\ , ` \ � 1 Ck1OT`c--.)- - AC% `Vo. V\ \6NPi\-1 s-- (Print) Current Mailing Address. re .A o"\ SS-SSL n 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 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) L. -NibCheck Number-- This Section For Official Use Only Building Permit Number. -Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All 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:--: L: R:' _ Rear Building Height Bldg.Square Footage % . Open Space Footage (Lot area minusbldg&paved I _ i , . . parking) #of Parking Spaces -- Fill: , (volume&Location) _ ' A. Has a Spe ial 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 0 YES IF YES: enter Book Page. and/or Document# B. Does the site contain a brook, body of water or wetlands? NOt� DONT KNOW © YES O 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 Cy IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO a 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 (3 NO ca- 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 [l Addition ❑ Replacement Windows Alteration{s) I ' Roofing Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [tD] Decks [p Siding[O] Other[ol Brief Dose ption of Proposed Y� 0.'4\A � ���1 Work: SI r 1p cx151t I '011 ul en\ 1- \trn Y-e^�N.)ntSli 34\ir PIS P'r1C\' Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes V No Attached Narrative Renovating unfinished basement __Yes ✓ No Plans Attached Roll -Sheet sa t iiiii o sea ts'gam}r Itile rtiattia67tlooitttartimiTT o oW' t A: a. Use of building:One Family Two Family 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 0. Number of stones? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? R 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 lc Will building conform to the Building and Zoning regulations? Yes, No. I. Septic Tank City Sewer Private well ,,, City water Supply SECTION la-OWNER AUTHORIZATION—TO BECOMPLETEYWHEN OWNERS AGENTORCONTRACTORAPPUESFORgUiLDING PERMIT ,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, ` 1ST hS� - ,esteem/Authorized Agent hereby d Clare 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. 0.--tittnNekti Print me 9 tune o omen/Agee Date SECTION 8-CONSTRUCTION SERVICES §.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Helder: License Number Address Expiration Dale Signature Telephone tic- 1 . „,.. t"�au' .=:,. „_�_:'. tx.:1;.;- a°' -! Not Applicable 0 jr) Company N.int Registration Num/r Address Expiration Da c ear , S\a, t TelephoneScC5-esln1 SECTION 10-WORKERS'COMPENSATION INSURANCEAFFIDAV(T(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 � .Att�acheedd Yea ❑ No 0 mKit .v'61F w 'bpi WaitrS The current exemption for"homeowners”was extended to include Owner-occupied Dwellings or 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 1083.5.1. 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 pot 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 0.Yanar PTO pr,,AA__a� Vt. (city) of Part1?nzillptol1 I- '�*� ‘11:1�• DEPARTMENT OP OUILDITC INSPECTIONS 212 Maio 5tx'cet Municipal Building Northampton, Macs. O10GO r WORKER'S COKYRNSATION INSURANCE A.1TIDAvIT with a principal place of busiaess/residenoc at \ cc .t, Y\Q) l\c>- ¶'\otcr&&. C+. O1b\oZpbonen)5�6'Sr6t.1 : (sec/cirfin tcrrip) do hereby certify, under the pains dad penalties of perjury, that ( ) I ora an employer providing the following worker's comber:mon coverage for my employees wor?5ng on this job'. • • (tosu.r�=Coop ny) (POLO Nu.-aocr) --... (r enin:on Dy^) aam a sole proprietor, general contractor or homeowner (cure one) Lod have hired the coninacors listed below who have the following worker's comae_sadon pChCieS' (Nam( of Conc earl (Ineurancc Company/lobo Numbc:) (Fvvnuon Date/ (Name of C060"aCOr1 (1n(aac entunar wPoncy NusecO {UXUu tion Dart) (Noma of Cooracic ) (tnsuranc Comtuoy( oncy Nesbj1 (E.Wvvica Daic) (Nunn of Coavaoor) (1.asvnnc Cocutaay/Policy Numb..i) (Earpuauoo DaIcl (.cad! '-.'m_.I c v if oos..u.�-:o a.ck&' -w pa,uinc w w�>Cc ) (N I am a sole proprietor and have no one wor)ang for me. ( ) I am.a home owner performing all the work rnysef SOTS,pi be.%u• flay pcseastam o ram-.eek a.a..tc of act mac m_.:So: ..to ata&Is ha.caeowtKrn id «CO rya -......ti,pp,yt h - 4 as -_a.av:dv-e em cgioy) arra ca An(GLI52.n I(5)) 4r$i ioa by.bravo a lot 4c_...a po-ron nM-w LL< Inc.;co=o.Pea Gley.c wie:da w ecluer.Co apmuwa M. I uaderuzid foot con of Nu mmmm.Y b fm...a.d is(b.0.:5>a ofW"te'.l.w4my OLo-of Ls+rvom for LL. co d teccuuss oa'ad r:i3vc to ,.•rt cn cmc 4utaiw 2SA dhip41S'ca le-41Drtn c tc arc ara51 PcuJno .�'..:r:`rg ofa.Jofup to SI)0000ssil+orn=Wilma of up to_r—r cod chi!Pec••Ge ram or.Slop W t0cd —t f or 2100.00•thy.p.ina tot Fu ay.v. 'd u.c mly •,.__ Pcrait Number � ({� oft,_ c .3 �_ . .J F. KaA•lPr. _..— e (Eitg of Northampton PFA1; $leeerehuaetle 1 -y–1 Skttey _ =an 'tF 7 DEPARTMENT OF BUILUiNC INSPECTIONS Di INSPECTOR 212 Math Street i Municipal Building > �% Northampton,MA 01060 t HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supc: . sor. 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 roueh 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 RELAY the project until such time as the proper permits and inspections are made 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 CDT Construction 158 North Maple Street Florence, MA 01062 (413)585-8677 April 29, 2006 Joseph & Kathy Gilboy 36 Park Street Florence, MA 01062 (413) 586-6135 Proposal for roofing services; Propose to remove all existing roofing material from main house and dispose of properly as it is generated. At this point roof substrate will be inspected and minor repairs such as re-nailing will occur at no extra cost. Then to cover entire roof deck with plywood, then drip edge throughout, then weather shield at all eaves and valleys, then 15 lb felt paper drought, and finally to cover with 30 yr IKO Architectural asphalt shingle (color of Choice). This proposal also includes all necessary flashings, plumbing boots, ridge vent and lead flashing at chimney. For the sum of--Six thousand seven hundred ninety ($6,790.00) with payments to be made as follows, $3,170.00 upon acceptance, $1,650.00 upon commencement, balance upon completion. Thank you very much; T Construction 042920061445eat Acceptance e,,.., �' Date a� - / > - 0 G Acceptance - � - J( ` Date t2 2.-C/c