Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
16A-018 (9)
478 SPRING ST BP-2019-1041 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16A-018 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT permit BP-2019-1041 Project JS-2019-001698 Est.Cost:$23370.00 Fee:$40.0o PERMISSION IS HEREBY GRANTED TO.- Const. O:Const Class: Contractor: License: Use Group EDWARD RICKEY 96159 Lot Size(sq ft,)7 14549.04 Owner: BRIDGMAN JAMES E zoning: URA n00 / Applicant. EDWARD RICKEY AT. 478 SPRING ST ApplicantAddress: Phone: Insurance: P O BOX 62 (413) 695-7059 WILLIAMSBURGMA01096 ISSUED ON:3/2212019 0:00.00 TO PERFORM THE FOLLOWING WORKINSTALL 15 REPLACEMENT WINDOWS 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 3/222019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner Department use only - --- City of Northampton Status of Permit: ,a Building Department Curb Cut`Dnveway Permit 212 Main Street Sewer/Septic Availability 1�! Room 100 WaterANell Availabiliy 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 E lqE I V E D A9-14-041 This section to be completed by office 1.1 ProoerN Atltlrass: 7/178 • MAR t ! 2019 M p A Lot. ( 1Unit 7__ /, m n ,.-r a Overlay District lnx.6 w., i " in rcTIC NS % CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: N e riot) d Current Mail ngA ress'. Telephone S gra re 2.2 Authorizetl Agent: EAWi4KD R/GkEY fb.&,z!zt. .�.» 7M 01094 Name(Print) Current Mailing Address' Y/a-srs-lars Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 23 370. °O (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee N qo 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Z3 70.°t' Check Number This Section For OMciel Use Only Building Pemllt Number ale Issued: Signature: Budding Commiasionedlnspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 auti sing Department 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) 9ofPicking Spaces Fill: .. volume&Location _. _.. A. Has aS�pecial Permit/Variance/Finding ever been issued for/on the site? /V NO DON'T KNOW © YES Q IF YES,date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO GJ DONT KNOW © YES O IF YES, has a permit been or need to be obtained from the Conservation Cornmisstan? Needs to be obtained Q 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 © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing grading,is vation,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. SECTION S DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement rdows Alteretlon(s) E] Roofing E] 01 Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [O Siding Other[a Brief Des�rriptf Proposeit Work: K!K Alteration of existing bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Ba.If New house and or addition to exietlna housing'complete the fallowina 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? In. 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_ CitySewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CrOONTRACCTOR.APPLIES FOR BUILDING PERMIT J I, X ames C, Fri d9 rnan ,as Owner of the subject property �-• �T hereby authorize l:Qr1,,d 2?1; 4 64- _ to act on my behalf,in all matters relative to ork authorized by this building permit application. /1�(,cst, ao, aoi 9 Signat of Owner Date I, F60WAIW RICKer J Co. 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. Prinntt Name ame 7 3-20-1,9 Signature of Op9i Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder ��i t"S 9 License Number Number 6a 7JZ4 0/09 7-/3 - 2OZO Addl Expbahon Date fS-7459 Signator Telephone 9.Re tMmd:HOMOlMproveMMAHContractor: Not Applicable ❑ fa-J 2a4,� 0 15am Compenv Name Registration Number io. ( a 62 &al � 2)0 O/oPt $- 7-- 202o Address Expiration Date G Telephone Jam. SECTION 10.WORKERS`COMPENSATIONfNSURANCE AFFIOAVIT(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....... 6 ' No.-- ❑ City of Northampton Massachusetts � S. �AnIMaZ " =W]CNa "SPECY1aB3 �. 212 Nair Street • Nw !Pal Bu 1,ung N.thaagt., M 01060 rah `q0 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, afteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not mon:than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:Lf the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work: Est. Cost: Address of Work: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other (specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 3-zo -/9 e;: 17 .. e /2". -*Co. 16'oaYO Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton S5 :�' - Massachusetts LL 1Y e l"- ; '� '� rr9ue2asax of soranac asracnoas i 212 Nein Street • Nunicipal 9uiiding < �* Q,�� Northampton, MA 01060 spry. �Po Massachusetts Residential Building Code Section 110.R5.1.2 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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. City of Northampton r' Wit' � Massachusetts F? � a¢Eetv®z OF BOZLDZNc Z88PBGTZalB � 212 Nein St t •l6 Cmpa Badding Q'Q'\ �. Northampton, N 01060 fhyt 3n� Debris Disposal Affidavit In accordance of the provisions of MGL c 40, 554, 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 150A. The debris from construction work being performed at: V78 gp,,;o gE, oda i W (Please print ho sen ber and street name) Is to be disposed of at: ldfl �,� Please int n e and d location of ff if Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) "- 3- 7,0- 17 Signature f Permi pplicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth ofMasseichaseas Department of lindmmalAicridelst, / Congress Sheet,Suite 100 Boston,MA 02114-2017 www mass gov/dia \\orkers'Compensation Insurance Affidavit:Builders/Contmctors/Ek-dricions/Plumbers. TO BE FILED WITH THE PERMrrTING AUTHORITY. Applicant Information r � Please Print Legibly Natne (Busiaees�ss/Orgmintiowlndividual): & 4 r-a Address: .A k 6 2- City/State/Zip: err 2M 01016 Phone p: 1113 -4595-2659 Are yon an employer?Check the approk6fats,box: Type of project(required): 1.E]1 am a employer with employees(fall and'or,xo-tima)- 7. ❑New construction 201 am a sole propocim or partnership and have no employees working for me in 8, R1 Remodeling any capacity.[No workers comp.insurance required.] 3.❑1 am a homeowner doingall work m self kers'cam .insurmn re d 9. ❑Demolition y [No war P 9uhc It 4❑1 am ahmneowner and will be hiring annvactors m conduct all work en 0 E]Building addition my vropeny. 1 wm eruure that all cono-azwrs eithar nava workers•aompeevsatlon ministers.,me sole 11.❑Electrical repairs or additions prepriomrs with no employees. 12.❑Plumbing repairs or additions 5.C]I an a general contsemr and I have hired the sub-cmimcums listed on the mm6cd sheet. There subcontractors have employee and have workers'temp. nra m nce.t 13.�ROof repairs 6.F1 We are a corporation and its officers have exercised then right of exemption per MGL c. 14.❑Other 152,§I(4),and we have no cw d,,ecs.INo workers'comp.iruurance required.) •Any applicant that checks box 01 most also fill out the section below showing their workers'mmpeneation policy information. t Homeowners who submit this affidavit indicming they me doing all week as idon,Mrs omside commouts most submit a new endsoia indicating such. SConvacmrs that check this box must anarchist an additional sheet showing the name of the sub-contractors and state whether or not those canoes have employees. Ifthe sub-wnvactors have employees,thry must provide they workers comp.policy number. turn an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy k 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 MGL c. 152, §25A is a criminal violation punishable by a fare 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 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cenify under the pains and penalties of perjury that the information provided above is true and correct. SigtgfiureD&, 3-2o-19 Phone a Ufa-L 7M0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License R Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone p: Information and Instructions Massachusetts General Laws chapter 152 requires all employers it)provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment he deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its politica] subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contraoor(s)name(s),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the Department of Industria] Accidents for confirmation of insurance coverage. Also he sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pennit/license applications in any given year,need only submit one affidavit indicating current policy information(i£necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid atlidavit is on file for tb[ure permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised o2-23-15 www.mass.gov/dia OMS Ver.0002.24.05(Current) RICKEY Product availability and pricing subject to change. CORN Quote Number:SsRQWx _Architectural Pro ect Number: Ogee Interior Glazing Profile Bottom Sash Stone White Clad Sash Exterior Painted Interior Finish-White-Pine Sash interior IG Low E2 w/Argon Stainless Perimeter and Spacer Bar 5/8"SOL-With Spacer Bar.Stainless.........................................................................................166.32 Rectangular-Standard Cut 3 W2H Stone White Clad EM-Painted Interior Finish-While-Pine Int Ogee Interior Glazing Profile White Interior Weather Strip package White Exterior Weather Strip Package Wblte Sash Lack White Top Sash Stoke Place Assembly Color White Window Opening Control Device......................_.....................................................................57.20 MTheExtenor ! HWScreen CN 2424 Stone White Surround FS 291/4"%551/2" Charcoal Fiberglass Mesh R03O 1/4'x 56" 49/16"lambs Evans information I Nailing Fin Width:2521/32" Height2231/16" ""'Note: Unit Availability and Price IsSubject to Change Net Clear Opening:4.04 SgFt Sash Unions and Window Opening Control Devices,when engaged,may reduce the egress opening dimensions of windows. Pa/amnnce information U-Factor.0.3 Solar Heat Gain Coeffcierc 0.27 Visible Light Transmittance:046 Condensation Resistance:56 CPD Number:MAR-1,1425-17180-00001 ENERGY STAR:NC PerformanceGrade Licensee#1127 AAMA/W DMA/CSA/1C1/I.S.2/AW-08 LC-PG501149%2223 mm(45.3x87.5 In) LC-PGSO OP aSO/-SO FU7535 Project Subtotal Net Price: USD 16,266.80 6.250%Sales Tax: USD 1,016.68 Project Total Net Price: USD 17,283.48 OMS Ver.0002.24.05(Current) Processed on:2/16/20199:59:17 AM Page 4 of OMS Ver.0002.24.05(Current) RICKEY Product availability and pricing subject to change. LOAN Quote Number:SSRCZWX Architectural PIT Number. UNE ITEM QUOTES The following is a schedule of the windows and doors for this project. For additional unit details,please see Line Item Quotes. Additional charges, tax or Terms and Conditions may apply. Detail pricing is per unit. Line#1 Mark Unit: Net Price: 1,057.76 Qty:8 _ _ EXt. Net Price: USD 8,462.08 NIARYINi stone white clad Exterior w • ••• •^ o••' Painted Interlor fihsh-W Im-Pine Intevor..........................................................................................113.52 • Clad unumate pouble Hung-Nekt Generation 24...................._...-._........_.........._........_..........._......611.60 CN 2424 Rough opening 301/4"X 56" Top Sash Stone White Clad Sash Exterlor Painted Interior Finish-White-Pine Sash interior IG Law E2 w/Argon Stainless Perimeter and Spacer Bar 5/8"SDL-With Spacer Bar-Stainless..........................................................................................166.32 Rectangular-Standard Cut 3W2H Stone White Clad Ext-Painted Interior Finish-White-Pine Int Ogee Interior Glazing Profile Bottom Sash Stone White Clad Sash Exterior Painted Interior Finish-White-Pine Sash Interior AB Viewed Frpm The Exterior IS W 2420 tow E2w/Ngon O 29 244'%551/2" Stainless Perimeter and Spacer Bar IS 29I) 4^%56" 5/8"Sol-With SPacar Bar-Stainless....._....................................__..._..,....................................166.32 30 agrees information Rectangular-Standard Cut 3W2H Width:2521/32' Heigh:2211/16" Slone White Clad EA-Painted interior Finish-White-Pine Int Ne[[IearO opening:4.0459Ft Ogee Interior Gazing Profile g' White Interior Weather Strip Package Performance Information White Exterior WeatherStrip Package U-Factor:0.3 White Sash Lock Solar Heat Gain Coefficient 027 . Visible Light Transmittance:0.46 White Top Sash Strike Plate Assembly Color Condensation Resistance:56 Half Screen . CPC,Number:MpR.&425-ll180-00001 Slone White Surround ENERGY STAR:NC Cha¢oalFlberydass Mesh 4 9/16"lambs PserfaUtensmana Grade Nailing Fin Licensee#1127DMAJ ***Note: Unit Avallablllty and Price is SubjeatoChange AAMA/WOMA/CSA/101/l.5.2/A440-08 ', LUPG501149X2223 mm 145.3X87.5 in) LC.PGW Do+50/-50 FL17635 Line#2 Mark Unit: Net Prce: 1,114.96 City, 7 Et. Net Price: USD 7,804.72 RAN Stone White Clad FMerior ....... •.. °•^ Painted Interior Finish-White-Pine Interior.,..................... ................... ........... 113.52Clad Ultimate Double Hung-Next Generation 2.0..................................................................................611.60 CN 2424 Rough opening 3o 1/4"X56" Top Sash Stone White Clad Sash EMerlor Painted Interior Finish-White-Pine Sash Interior IG t wE2 w/Afgon Stainless Perimeter and Spacer Bar 5/8"Sol.-With Spacer Bar-Stainless............ ............. ................................................166,32 1 Rectangular-Standard Cut 3W214 Stone W hite Clad EM-Paln[ed Interlor Finish-White-Pine Int OMS Ver.0002.24.05(Current) Processed on:2/16/2019 9:59:17 AM Page 3 of 7