Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
29-183 (5)
BP-2023-0439 105 BRIERWOOD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-183-001 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-2023-0439 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: DAVE MINER EXTERIOR HOME Est.Cost: 21327 IMPROVEMENTS LLC CSSL0999'3 Const.Class: Exp.Date: 10/20/2024 Use Group: Owner: B JONES PETER A&ELEANOR Lot Size (sq.ft.) DAVE MINER EXTERIOR HOME IMP"OVEMENTS Zoning: WSP Applicant: LLC Applicant Address Phone: Insurance: 264 SOUTHAMPTON RD 6ZZUB9F45112621 HOLYOKE, MA 01040 ISSUED ON: 04/12/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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 ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I , it Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts q' ' 12 ?� Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE "r,7-141k 4 g Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 Q ' ' '�'SN,t: One-or Two-Family Dwelling This Section For Official Use Only Building P rmit Number: 0- L3-* y39 Date Applied: =„;�, „ I/7/2 1-1-I2.2oz Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers I e' s i3t,r/ 1.1 a Is this an accepted street?yes no 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 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 piTnerl of Rewd cerr Jan-e-S 6rrvicC ./" &" 61 o (.2 Name(Print) City,State,ZIP I 0 J3ifter . D dL .ceyC 1 &-/o P / • ig: Qo nts @ CoM CC . No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed W/o�rk': �f C6 ( �� k e $"/r�«t SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) Total All Feel j, Check No. `"��'1� Check Amount: Cash Amount: 6. Total Project Cost: $ 2 31 , 7 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) O Q QQ61 /p /- o /03 t e 1'r License Number Expiration Date Nam CSL Holder List CSL Type(see below) dG 2 `t sb„ P re.-t9 No.and Street Type Description J.\o/rt /3f 016 4 O U Unrestricted(Buildings up to 35,000 Cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances i �j 7 7 67 1<3 GQ/1V QAlV t tie icy r LL G.Cc+.— I Insulation Telephone Email address D Demolition 5.2 Re istered Home Improvement Contractor(HIC) rd �,52 2/�/?6r' 0 e / ►A t t`r-- 5o4`c n iv- f' / LL (. HIC Registration Number Expiration Date MIC Company Name or HIC Registrant Name No.and Street E -i`tiT p. p� mail address City/Town,State,ZIP `7 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 Issuance of the building permit. Signed Affidavit Attached? Yes 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 `)-t et /x t2 to act on my behalf,in all matters relative to work authorized by this building permit application. it-bc.1 j-cOrs 7112./ 23 Print Owner'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 th. application is true and accurate to the best of my knowledge and understanding. ,►'►►r y /jv- /A3 Print Owner's or Authorized Agent's Name(Electronic Signature) Date 1 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/dps 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" City of Northampton Massachusettsif DEPARTMENT OF BUILDING INSPECTIONS y ft 7Q 'e 212 Main Street • Municipal Building p.,..= Northampton, MA 01060 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: U4A1 al"ce- ^-t e I t"1 The debris will be transported by: Name of Hauler: n t� Signature of Applicant: Date: /;7 .j The Commonwealth of Massachusetts t; Department of Industrial Accidents l ,� 'l 1 Congress Street,Suite 100 _ li ,=4' Boston,MA 02114-2017 .;--- -....._",..,/ K'WW.mass.gov/din )%orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PEit%il`ETING AUTHORITY. Applicant Information Please Print Leiibls Name 1.13uainess,'Organization'Indtvidual): 01-4 r C IC '{ e.n-,-c.. V Address: ; t Lf S-, .t._Q4 w'+' 0(1"- ' City/State/Zip: o 0 16-e iel"' Phone#: J 7 y—" 6 ) a Ci Are you an employer?Cheek the appropriate but: Type of project(required): 10 ratn a e utplaryor with __employees(full and+'or pact-time)-• 7. ©New construction 20 I ant a,uk prupnetar or partnership and have no employers working forme in 8. 0 Remodeling any.capacity-[Nu workers'comp.insurance rumored" 9. D Demolition 3.J 1 ant a homeowner doing all work myself.[No workers comp_Ift Amulet required"! i 10 D Building addition 4.0 I am a homeowner and will he hiring cattractws to conduct all work on my property. I will ensure that all contractors either have workers'auptertsatrun insurance or are sole MCI Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5C:I I am a general contractor and I have hired the sub-contractors Bated un the attached sheet, 13 tlQfrep$trS These sub-contractors have employees and have workers'comp.insurance.= Other 6.0 we are a culporatiun and its officers have exercised their sigh of exemption per Mt L c. 14. IS2.flit),and we have no employees.[No workers'comp.rnataancerequired.] •.Any applicant that checks boa al must also till out the wetion below showing their workers'corm:ten:aion policy information r flotneu.rwraers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new afftdav it indicating suck %1,urttractun that check this lick must atts:hed an additional sheet showing the name of the sub-etxaractrms anti state whether or nut those entities have cmploycea. If the sub-contractors base onu`luvices.they ntu.t provide their worker ..ontp.policy.nunber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. c--� Insurance Company Name: ! ,-r ( I c,V _ Policy#or Self-ins.Lie.#: tj 2 2 v,A ei F 1-vc- (I xtf, 2-2, Expiration Date: C a 9-.3I 0/ /9- Job Site Address: I b 5-- 4,0 Pi r I L e i de. 10 City/State Zip: F l,f e et e . Attach a copy of the workers'compensation policy declaration page(showing the policy number and enpiratlon date). Failure to secure coverage as required under MGL c. 152, *25A is a criminal violation punishable by a fine 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 S250.00 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 certifj•under the pains and penalties of perjury than the information provided above is true and correct I (1-2\ / 3 Signature: I)sli (' � Phone#: 7 Y 632 -4 6 Official use only. Do not write in this area.to he completed by city or town offcial City or Town: Permit/License b Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.('ity°/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DAVE MINER Date: 3 Exterior Home Improvements (413) 533-0481 www.DaveMinerRoofing.com 264 Southampton Road,Holyoke,MA 01040 MA Registration#186552 cp A Customer Name: rO `' Telephone Number `�? A Address, City/Town, State: CertainTeed Roof System • Strip off existing roof and remove all debris from worksite • Line all edges with 8" aluminum drip edge • Install_feet of WinterGuard ice & water barrier along eaves and up any valleys • Install Roof Runner Diamond Deck synthetic water resistant underlayment • Install CertainTeed Landmark Landmark PRO Landmark Premium Other shingles to manufacturers specifications. Color: • Install SwiftStart starter strip along eaves eaves and rakes • Install using 4 nails 6 nails for maximum wind coverage up to 130 mph • Install a ridge vent along the length of house approx. 15" in from edge of roof • Install new vent stack collars • Replace step flashing as needed along walls and chimney • Re-flash chimney with lead flashing as needed. Install Cricket at chimney. • Plywood Install 1/2" CDX plywood Install 1/2" CDX plywood as needed @ per sheet • CertainTeed SureStart Plus 4-Star 5 Star Warranty Coverage • All workmanship is guaranteed for 10 years unless otherwise specified. • Protect siding and exterior of house • Protect trees and shrubs • Magnet ground for loose nails • See Other below for any additional work or comments • Other: Contractor is not responsible for any damage to interior of home.Any loose articles on walls/shelves should be removed before work starts We Propose hereby to furnish material and labor-complete in accordance with the above specifications for the sum of: dollars($ ) A deposit of 1/3, $ ,is to be paid before materials are ordered. A Payment of$ ,/ is due at the halfway point,and the balance of$ paid upon completion. All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed upon written orders,and will become an extra charge over and above the estimate. Our workers are fully covered by Workmen's Compensation Insurance and Liability Insurance. Authorized Signature: Note: This Proposal may be withdrawn by us if not accepted rithin 30 days Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and we hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature: Signature: Date of Acceptance: This agreement may be cancelled by Customer within 3 days of acceptance for any reason as detailed in the accompanying Notice of Cancellation Customer's Initials