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29-245 (6) BP 2022-1174 86 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-245-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1174 PERMISSION IS HEREBY GRANTE I TO: Project# ROOF Contractor: License: Est. Cost: 13450 ALDEN EMRICK 068078 Const.Class: Exp.Date:07/06/2024 Use Group: Owner: MARYELLEN SCOTT KENNETH P& Lot Size (sq.ft.) Zoning: WSP Applicant: AE REMODELING Applicant Address Phone: Insurance: PO BOX 291 413-658-4192 SOLE PROPRIETOR HAYDENVILLE, MA 01039 ISSUED ON:09/20/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO TION OF ANY OF ITS RULES AND REGULATIONS. Signature: r • r . >2 - Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner SF 2 0 2022 The Commonwealth of Mas achu etts Board of Building Regulations nd S ndards FOR Massachusetts State Building C de,7:','eMVI11nLDING INSPECTIONS USE NORTHAMPTON.MA 1 B0 Building Permit Application To Construct,Repair,Renova e ised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number:cg R' .`j X I/ ? y Date A plied: /} il u�] > j `1 •Z / S ,f�!,/� 0 zQZ2 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numb sr 86 OVV)c—Ivor 1.1a Is this an accepted street?yes Nino Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public t Private 0 Zone: Outside Flood Zone? Municipal IV On site disposal system 0 Check if yeslIV SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Play rll eh. Scott of QC; Name(P nt) City,State,ZIP f56 ov/crl 09k h r No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(chec all that apply) New Construction 0 Existing Building ISV/ Owner-Occupied Repairs(s) li Alteration(s) 0 Addition ❑ Demolition H Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work2: jp 0-41 d r-e-iPpd(c' Cr r;v C._ h 4C.4 C aw sora_5 c--. A STI of SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1 3 y'O,0O 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ •) 0 Standard City/Town Application Fee 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees: Check No. 1 heck Amount: 6.Total Project Cost: $ 1 3 y p, 0 0 0 Paid in Full 0 Outstanding Balance Due: City of Northampton 1 0 Massachusetts e. DEPARTMENT OF BUILDING INSPECTIONS Z3 212 Main Street • Municipal Building ,1.0.* Northampton, MA 01060 T`).‘ PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS, RENOVATIONS, ROOF MOUNTED SOLAR, ETC. 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specification of proposed work(digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate (new/replacement windows). 7. Homeowner's License Exemption Form(if applicable). S. Note any Special Permit requirements (if applicable). 9. Energy Code—all new construction(Gut/Rehab)requires an HERS Rater Affidavit. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) o&r o7f5 o v6 a. f /�IC .CYO Eh - - eK License Number Expiration ate• Name of CSL Holder List CSL Type(see below) LL boX Act I No.and Street Type Description ,y� PIAey U Unrestricted(Buildings up to 35,000 cu.ft.) ITQ t<Yl V I L QI J3 1 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Telephone 3 (.h tS ''919'P �Oh C. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) A E• R e.h Oc 'i hg HIC Registration Number ©6ira5bn D�at'e HIC Company Name or HIC Registrant Name p,o. (3ac act( / Ydcnv, Il c /Pone No.and Street Email address esiat— Q1039 13 — 65 ct?._ City/Town,State,ZIP Telephone SECTION 6: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 IssuJce of the building permit. Signed Affidavit Attached? Yes ISK No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize /lfri—en Ew r`i Ck to act on my behalf,in all matters relative to work authorized by this building permit application. r/ Ell cn Sc ot�t� O/I7/�Q Print Ow er's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Alcterr a9/17/2Ql x Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms' Number of half/baths Type of heating system Number of decks/porches Type of cooling system_-. Enclosed Open 3. "Total Project Square Footage"may be'substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 , Boston,AlA 02114-2017 WWIV.mass.gov/dia %Yorkers'Compensation insurance AMdavit:Budders/ContractorstElectriciansiPlumbers. TO BE FILED WITH THE PERMIITENG AUTHORITY. Applicant Information Please Print Legibls Name(ausiness;Organizatioru Individual):A/Ed R-e,riocict, v15 Address: p, Q . 6 cx 9,9 1 fici—xcienva c 1 City/State/Zip: 03 7 Phone#: jf/3 —6 g<5 Are yea an ersiphry re!Cheek the appropriate hot: Type of project(required): i.71 I am a employer with enspieyees(fall isulor part-tintel.• 7. 0 New construction 3rn a sole proprietor or partnership and have no employees wodting fur reie in 8. El Remodeling Arm:ay[No workers Colnp.unittninet ittiturezil 9. 0 Demolition in I sin a hurninisner doing all wort myself.[No workers'comp.irtsuranue required.] 10 0 Building addition 4.0 I ors is homeowner and will Se hiring contractor%to conduct all wurk on criy property. Iwill cnsim:that all contractors either have workers'OURVC11.521:1011i ileluranct or are aisle 111:3 Electrical repairs or additions proprietors with no employees. 12.E3 PI robing repairs or additions 17:3 I am a general contractor and I ha. hired the aub-contr-acturs listed on tbe attaduad%beer 11 oof repairs These wth-eontracturs have anployee,and have workers'comp.insurance,: 14.C3 Other 6.0 e arc a eurpoeitsun and as officers have exercised their nght of exemption per Mt.&c. I:5.2.i Ii4i,and*I have no employees.[No workers'comp.ins Uratle.t:required. Any applieinit that cheeks box gl mum also fill out the ioection below braving then viutiii-s'compensation policy information. 1-11;meowners who submit this affidavit indicating they are dosing altwork and then hoe outside contnii....turs matt submit a new atiidi it ICOntractiim that check this hot must attached an additional sheet showing the name of the sub-contrador%and mate whether or nut lituse entitieil have ormloyee.N. If the Nub-contractor%havecit lu.eCh.thav must provide their workers'oorop.policy number. I am an employer that is providing ovorhers•compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: CityiStateaip: Attach a copy of the workers'compensation policy declaration page(showing the policy nintber and expiration date). Failure to secure coverage as required under NIGL c. 152,§25A is a criminal violation punishable by a tine up to SI,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a tine 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. 1 do hereby certify angler the pains and penalties of perjury that the information provided above is true and correct Si'nature: Date: C.) I 0\ Phone : Li/ -- C5 S' Official use only. Do not write in this area.to be completed by ciiv or town official.. City or Town: PetinitiLiCe n rtl 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#: City of Northampton \ si Massachusetts DEPARTMENT OF BUILDING INSPECTIONS /it 212 Main Street • Municipal Building Northampton, MA 01060 s'k f' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: A/Of - eron The debris will be transported by: _ Name of Hauler: 3- ) g San. Signature of Applicant: ? Date: 07 I '7 ,2Q d,, .441 City of Northampton s she Massachusetts ‘ c ,,gea ? DEPARTMENT OF BUILDING INSPECTIONS x' 212 Main Street • Municipal Building Northampton, MA 01060 4 , �� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (insert full legal name), born_(insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this day of , 20 . (Signature) E. REMODELING "Yak alC auk nvnwde�iruy needd" ROOFING SIDING WINDOWS DECKS . ALDEN EMRICK • OWNER LICENSED CONTRACTOR ,„-.. P.O.Box 291 June 21,2022 HAYDENVILLE,MA o1039 (413)658-4192 MaryEllen Scott °1 1"^- —m-� - - i 16 _.fr M i[Y :'..i 4-ii 2 -i •-q M,' A+R },, i Ai 86 Overlook Dr Florence MA 01062 Subject Property: 86 Overlook Dr Florence MA 01062 • Remove old shingles from entire house to also include garage • Lift, straighten, and reinforce garage roof- as much as possible • Remove rotted fascia at the rear of garage and replace with new • Install insulation in one roof bay near the gabled end on main house • Install new architectural shingles, drip edge, underlayment and flashing where needed on entire roof- including garage • Clean up of all debris TOTAL- $13,450.00 • Acceptance of Proposal: O\o_` ,6 Contractor: 2 -I-,-7 t-rlfrard