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31A-074 (5) 1 GTONtAVE !: BP-2008-0028 GIS#: COMMONWEALTH OF MASSACHUSETTS 111111.1111.11111, CITY OF NORTHAMPTON ot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Porch Repair BUILDING PERMIT Permit# BP-2008-0028 Project# JS-2007-001965 Est.Cost: $15000.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CDT CONSTRUCTION 003666 Lot Size(sq. ft.): 10628.64 Owner: FOUR WASHINGTON LLC Zoning: URB HD Applicant: CDT CONSTRUCTION AT: 4 WASHINGTON AVE Applicant Address: Phone: Insurance: 158 NORTH MAPLE ST (413) 585-8677 FLORENCEMA01062 ISSUED ON:7/18/2007 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR PORCH & REPLACE DECKING & RAILS 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: FeeTvpe: Date Paid: Amount: Building 7/18/2007 0:00:00 $75.007489 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2008-0028 APPLICANT/CONTACT PERSON CDT CONSTRUCTION ADDRESS/PHONE 158 NORTH MAPLE ST FLORENCE (413)585-8677 PROPERTY LOCATION 4 WASHINGTON AVE MAP 31A PARCEL 074 001 ZONE URB HD THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out X ! y�, 7 Fee Paid - Typeof Construction: REPLACE DECKING&RAILS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 003666 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit _ Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Co ion * 64 --, _ Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Ilealth,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. File#BP-2008-0028 APPLICANT/CONTACT PERSON CDT CONSTRUCTION ADDRESS/PHONE 158 NORTH MAPLE ST FLORENCE (413)585-8677 PROPERTY LOCATION 4 WASHINGTON AVE MAP 31A PARCEL 074 001 ZONE URB HD THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �V� ! 4675-- Fee Paid Tvpeof Construction: REPLACE DECKING&RAILS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 003666 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PR$ NTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW _ _Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee /Armit from Elm Street mmission Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Elm Street Historic District Commission - Certificate of Non ;lip liGa i 1~-,' 1 To Be Filled out by Staff: 1. General Information l - W L 1 6 2C07 .._ Applicant L,OO16 � w Al L-_fir„ :� �:�S Address \ Telephone '4 - `Te Fax Property Owner (if different from applicant) Address Telephone Building Address /� Assessor/Zoning Map# J�il Parcel .0 li Property Deed recorded in Hampshire County Registry of Deeds: Book : i4/„__el_ Page : ____ 2. Description of Project M1I- R -k--A1 -1*41fIRA PO, 166-n\ --- -T , 1LIINVC1-- .- 47 ..10t PQRCI-. FUQ41)4•1(-- Certificate of Non-Applicability: Applicant appeared before the Elm Street Historic is rict Commission or had a meeting with the Commission's designee on 7 i/ .p'� . Based on the information presented, the designee/member ade the determination that this project is exempt from further review according to Section 26-5 and 26-6 of the Ordinance of the City of Northampton. 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's'•'#•: : ''...)''•••1•'''.s..\;•si' : t ••••)-"k= , - • - •:,• 1 ."r6'.• • CDT Construction 158 North Maple Street Florence, MA 01062 (413)585-8677 July 9, 2007 City of Northampton Building Commisioner Anthony Patillo Re; Porch repair/rebuild @ 4 Washington Ave.- Owner, Louise Jeffway Greetings, We have been hired to perform services for the repair of existing porch that is in the Elm Street Historic district. The porch in question will be repaired/rebuilt exactly as was existing. No changes to any architectural detail will be made. Photos have been taken and will be available for review upon completion of job. Any existing materials that can be salvaged for reuse will be, others not salvageable will be re-manufactured. Prints are being generated and will be submitted with this narrative. ank you very much Eugene . acy Louise Jeffway owner of record CDT Construction 070920070726 •, A\I\_ jul_ 1 1 2G01 ; . , Versio Buil4n - tMa d 20 4 ity of`lyprthampton- L L.LJ�� ota us,o"'ermif - " � �' Eklifdirlg Department urb CutfDr vewayPermit • _ , 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 to._ • .... APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING _SECTION 1_-SITE INFORMATION " �w 'his"section to be completed- office -- --"-Li Property-Address: - I /--\ W A.S‘•,v\%*bYN Ntt, Map Lot Unit. v1 l\,‘Wc\ ' 14\1\ Zone Overlay District - Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Gov\••kt. S v3o./ i i -Y-4.S \'ON 1%- N' }ax\ i Name(Print) Current Mailing Address: ... 1 .--‘ i''),) 514 -1-kSe . Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: 6\3) C4S`11,11\-1 I Signature <k Telephors 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 I Building Permit-Fee 4. Mechanical(HVAC) t t -- — 5. Fire Protection 6. Total=(1 +2+3+4+5) 1 tV c c -- Check Number l`-i '49 This Section For Official Use Only B.uildingi?ermit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date • Version1.7 Commercial Building Permit May 15,2000 f.. SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition El Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other 0 Brief Description 'Enter a brief description here. y,Ir. %\\r. rt.,, Nr5 .N.,,, ` \•ti-.� ,dh(, Of Proposed Work: 1 • f SECTION 5-USE GROUP AND CONSTRUCTION TYPE _ USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly CI A-1 ❑ A-2 0 A-3 El 1A 1A I A-4 ElA-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional El I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential 0 R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage 0 s-i ❑ S-2 ❑ 5B I El • Utility , ❑ Specify: !: L M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLE I E THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use.Group: ______ ' Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION .. Floor Area per Floor(sf) t--° x,11= `: - � —4f- t�'� 1st 1 st 1 ' llrl j i _ Ti.; ti -;- .. 2nd I �, 3',"r Yet'W g-APk i ,5 r °^7 f2R +Tr d s arc 1 I s x: Total Area(sf) l Total Proposed New Construction(sf) Total Height(ft) Total Height ft i 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public [p' Private ❑ Zone' Outside Flood Zone❑ Municipal ❑ On site disposal system , • Version1.7 Commercial Building Permit May 15,2000 ' A- OILS to 7 U" ,.. Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size i i i f 1 Frontage 1 ' ' Setbacks Front ! _ I Side L:' f R:i L:—J R:?_1 . ' I Rear , . f---' -Building Het— f i i� .__ Bldg.Square Footage 1--- Open Space Footage % , (Lot area minus bldg&paved F-1 i i f 1 parking) #of Parking Spaces 1-1 Fill: ' ; (volume&Location) i I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO GY DONT KNOW 0 YES 0 1 IF YES, date issued: 1 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book i j Page; ; and/or Document# B. Does the site contain a brook, body of water or wetlands? NO er DONT KNOW 0 YES 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 O NO EY - IF YES, describe size, type and location: 1 D. Are there any proposed changes to or additions of signs intended for the property? YES O NO GY IF YES, describe size, type and location: I E. Will the construction activity disturb(clearing,grading,exca ton,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. Versionl.7 Commercial Building Permit May 15,2000 f.. SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780'CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): - - • i Name Area of Responsibility t j t Address Registration Number Signature Telephone Expiration Date { I Name Area of Responsibility Address Registration Number • I Signature Telephone Expiration Date ! I Name Area of Responsibility I Address Registration Number Signature Telephone Expiration Date Name • Area of Responsibility Address Registration Number I l I Signature Telephone Expiration Date 9.3 General Contractor • Not Applicable • ❑ Company Name: E i Responsible In Charge of Construction r Address 1 } Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 4 SECTION 11-OWNER AUTHORIZATION'-TO-BE COMPLETED-WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING'PERMIT as Owner of the subject property CDT Co r o ^\ hereby authorize � � !to act on my behalf,in all matters relative to work authorized by this building permit application. --- // O• f Signature bf er / Date I,' �U �t,�n e.c v‘ 0 :VT ,2S•CmcReWAuthorized 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. - Cn%v►� � /mac.� i P . N,me Sig 7,"rof Owner t Date -SECTION ',2 CONS'IROOVC rOgi,VICES 10.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Holder:; � t-S Tom`t-‘A 00 3 fir L l ! License Number 1�,FI CrPer <k• 1•‘1-41, Y`na. 1Ol00 \ 'b.- --o") Address Expiration Date CIS) tIAD Asti k re ._-••••T Co-m) Telephone SECTION 13 WORKERS'-COMPENSATfON::INSURANCE AFFIDAV1r(M G L";c.15Z.;§25C(6J) 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 0 No 0 • The Commonwealth of Massachusetts _,F Department of Industrial Accidents c= i• ( Office of Investigations l' 600 Washington Street • Boston, MA 02111 www.mass.gov/dia :Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Q. \c Address: I g Nh G-42\4 City/State/Zip: 1-��'�c�,`�`�e\ Q'00 Phone#: `11 c c ) Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. [1] Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' _ 9. ❑Building addition [No workers' comp.insurance comp. insurance.required.] 5. ❑ We are a corporation and its 10.❑ Electrical r epairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption'per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.0 Other • comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c fy under ains and penalties of perjury that the information provided above is true and correct. Signature: - Date: Phone#: 4 ) � S b L,1 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# 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#: CDT Construction 158 North Maple Street Florence, MA 01062 (413)585-8677 July 9, 2007 City of Northampton Building Commisioner Anthony Patillo Re; Porch repair/rebuild @ 4 Washington Ave.- Owner, Louise Jeffway Greetings, We have been hired to perform services for the repair of existing porch that is in the Elm Street Historic district. The porch in question will be repaired/rebuilt exactly as was existing. No changes to any architectural detail will be made. Photos have been taken and will be available for review upon completion of job. Any existing materials that can be salvaged for reuse will be, others not salvageable will be re-manufactured. Prints are being generated and will be submitted with this narrative. ank you very much Eugene . acy Louise Jeffway owner of record CDT Construction 070920070726 i s i I r. - r. . • 1 i • . 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