24C-065 (3) 82 MASSASOIT ST BP-2017-1443
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:24C-065 CITY 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-2017-1443
Project# JS-2017-002407
Est.Cost: $12450.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(su.ft.): 26136.00 Owner: GHAZEY ROBERT G& HOLLY N
Zoning:URB000)/ Applicant: JAMES FLANNERY
AT: 82 MASSASOIT ST
Applicant Address: Phone: Insurance:
I LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTON MA01027 ISSUED ON:6/20/2017 0:00:00
TO PERFORM THE FOLLOWING WORK STRIP & 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: O1: 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 6/20/2017 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
Deportment use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability •
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets 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 ,8 P" 7 4 / `(j
1.1 Pro e A tlress: /y This section to be completed byy office
S2 I SSaSo& St. map ,�cfG Lot (j�/,7 Unit
NOYthamptOn) MU Zone Overlay District
CAa (oElm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
hbx
Yt and H011\I 5h $ > �)2
MaSSIQSoLLSb .Nopa
N� nerLnm) - ing Addresk 4I5- 2_9_, - 6314 �apo Telephone
Signature
2.2 Authorized Anent
,James FlanrrYL� I WI I l i Mins St-. HOlyouui
Name(Print) Current Mailing Address:
(��})�'�"'�`y,�'�1}1{ 5Ce3 - Zq 4 - 4 L°�
Signature r/ � /I` Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 5 I2 /Ay(� o D (a)Building Permit Fee
J 1TiJ�J
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(I-IVAC)
5.Fire Protection // Y,(y/C
6. Total=(1 +2+3+4+5) 4) 12`.4 . Check Number /466' 7,
This Section For Official Use Only +, ;-7
Building Permit Number: Date Hit-vE Y ED
Issued:
e,
q 2
Signature_ � /�� 6r7s) JUN ( 20i
_� - _._-___..___
Building Commissioner/Inspector of Buildings Dare - i
Section 4. ZONING Alt 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 Departm®t
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
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 O DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , 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 pan of a common plan
that will disturb over 1 acre? YES O NO O
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 El Replacement Windows Alteration(s) E Roofing IXI
Or Doors ❑ 1'"�
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [❑ Siding[❑] Other[0]
Bnef Description of Proposed P p ace_ iz^ IWork:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housing,complete the following:
a. Use of building :One Family Two Family Other
b. Number of roams 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?
t. 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
I, 120Y:riff / not-e_
, as Owner of the subject
property 1/� yy�/� ) /; y��pl/� Jr. (yr
y ,/� / 1✓�/t ,/)���[;M\
hereby authorize jl 11 i 1� 5 N. . P a Il IU u J ( P at k (ayty ^.V 'l �.. 2ccn )
to act o y be If, in all atte elative to work authorized by thj building pe --application. J
Signature of Owner ��(/-/�/ Date
I, �c,ames ). Flan nI lel ( I cfes.• , as Owner/Authorized
Agent hereby eclare that the statements and information on the for oing application are true and accurate,to the best of my knowledge
and belief.
Si under the pains and pe of perjury.
. Ha
�a ned alties
� ti J e .
Print Name ^
Ir}j 52bIf
Signature of 0 r/Ag t ! Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: /'� Not Applicable ❑1IU,,
Name of License/folder:r 11 AJ l l.`bLI Flan,/'�� d l
. es— I B3Dfl License N ber
t W i I IiQr S 54— . H01\100( I U UM 9121 I$
Address Expiration ate
(nrfl` 214- 4052Signatur / Telephone
•.R-•i-tared H• - Ire• ove r.nt C•Mee •r: NotA plicable ❑
L -
r .rmancr, Poc icn LLo _ If3L018
Company Name Registry on N tuber
1 I OveEte ld S+. EOSfhlmptm, Mg,��t I n C I T
Atl ress 11,�� �r�2 023 Expirati n Dale
Telephone U 2.f .s )5
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 affidavit will result
in the denial of the issuance of the\building permit.
Signed Affidavit Attached Yes J� No 0
11. - Rome Owner 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.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(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
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 �fac�ility, as definedl � by MGL c 111, S 150A.
Address of the work: 8 . v IUS (I h �� . NOOMM ,Nb%
The debris will be transported by: ens `z4 I I (��UI
The debris will be received by: v3 I fl i4CyC.I I 1
Building permit number:
Name of Permit Applicant JCmcS Flan ne rc(
51251 �� HS J
Date Signature of Permit Applicant
SECTION 8-CONSTRUCTION SERVICES
—
Q.1 Licensed Construction//Supervisor: Not Applicable 2❑ j �
Name of License Noider�1. 'Ji a a ! CS- 1b D(.o I _.._.
License N her
WI 1 . a . . ■ 41\ . _ $
' • s • q 2.111
Address Expiration ate
1,%ce)-2q4-- 4052
Signatu re
uc mY r a.w;e. .u.taat t - Not A plicable 0
-
Company Name Registraa N mb
er
Ad� {{ Le-Reid Sf. 4 its t``, . l ` ''
ress § Expire Dati
Sr.:Telephone _
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..._„ 1 No...... ❑
—
11.-Home Owner 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 acre
as supervisor.CMR 780, Sixth Edition Section 108.35.1
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 niav 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 Genera)Laws Annotated.
Homeowner Signature
avPeak Performance Roofing LLC Contract
1 Lovefield St
Easthampton, MA 01027
Date Contract#
5/25/2017 254
Name/Address
Robert and Holly Ghaze MA CSL# 103061
82 Massasoit Street MA HIC# 183698
Northampton,Ma 01060
Description Qty Rate Total
We hereby propose to provide the labor and materials for the 12,450.00 12,450.00
completion of the following works
1.Remove the existing roof shingles
2.Install six feet of ice and water shield at eaves and 12"around roof
I wail int-n Mows
3.Cover remaining roof with synthetic underlayment
4.Install 8"aluminum drip edge
S.Install Landmark shingles by Certainteed
6.Install ridge vent 0.00 0.00
7.Complete all necessary flashings including new pipe boots
Remove all debris from premises,and throughout the job,continue
cleanup and keep the premises undamaged
A deposit of 1/2 is due prior to the beginning of thejob=$6,225
'We are not responsible for ' de risthat fall into attic"
Customer Signature:
Contractor Signature: jJ"a
Total $12,450.00