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The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations 600 Washington Street 9 ' Boston, MA 02111 - www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): (D> -4 �,> E) s. t - Address: F� City /State /Zip: Phone #: / - .5Z� Are you an employer? Check the appropriate box: Type of project (required): L ❑ I am a employer with 4. ❑ I am a general contractor and I 6 [] New construction pn ployees (full and/or part- time).* have hired the sub - contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have g. M Demolition working for me in any capacity. employees and have workers' 9 uilding addition [No workers' comp. insurance comp. insurance.+ required.] 5. F1 We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ 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 #I must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employ 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. 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 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 17IA or insurance coverage verification. I do hereby certify u eirt a pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: / Phone #: 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applic ❑ Name of License Holder : i , � U �!�' 1�� � (5 S - / 8 `1 4 License Number Addre Expiration Date o�� Sign ure T e 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number 91i©/2�-0i� Address / Expiration Date �01 &lephone / -3 -SZ9 -1 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 buildirIg permit. Signed Affidavit Attached Yes....... No...... ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) 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 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NC IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1,,acre or is it part of a common plan of development that wilt disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size Frontage i Setbacks Front Side L: R: L: R: L: R: Rear' V ti Building Height Building Square Footage % Open Space: (lot area minus building ix paved parking # of Parking Spaces # of Loading Docks Fitt: (volume Et location) 13. Certification: I hereby certify that the information contained4erein is true and accurate to the best of my knowledge. r ` Date ` Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W:\ Documents\ FORMS\ original \Building- Inspector\7.oning- Permit - Application- passive.doc 8/4/2004 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 Building 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 p arkin g) # of Parking Spaces Fill: volume & Location A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ® DON'T KNOW © YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW ® YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW ® 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 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, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO 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 ❑ Addition Replacement Windows Alteration(s) ❑ Roofing Or Doors 171 Accessory Bldg. ❑ Demolition ❑ New Signs [r-3] Decks [[_'"] Siding [O] Other [O] Brief Description of Proposed Work: �D� f Z X Alteration of existing bedroom Yes Adding new bedroom Yes I" Igo Attached Narrative Renovating unfinished basement Yes Q 0 Plans Attached Roll - Sheet Sa. If New house and or addition t o existing housing, complete the follow a. Use of building: One Family Y Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? o 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? h. Type of construction hJ,Oe c> � i. Is construction within 100 ft. of wetlands? Yes /- 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 J- -' Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGE "OR CONTRACTOR APPLIES. FOR BUILDING PERMIT j r -1 k , as Owner the subject property hereby authorize to act on my be in al matters relati a to work authorized by this buildin permit appli tign. / J Signature ofb6e - Date r T5 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 Signe nder t e pains and penalties of perjury. P t Date Signature of Owner /Agent ,, _ .. ... 6 S � � ! s.... Department use only �, � -. .,_ � NED 1 of Northampton Status of Permit: ME �h� Bu ding Department Curb Cut/Driveway Permit 12 Main Street Sewer /Septic Availability Q� j 2 1 20II Room 100 Water/Well Availability t mpton, MA 01060 Two Sets of Structural Plans 7 -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 This section to be completed by office 1.1 Property Address (p V64,1-10 W S�i�' �it' --�- -- Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Name Prin I ! Current g ddre �s G Telephone Signat e 2.2 Authorized Agent: /--3 }3�41,AI 1 Name (P ' Cu nt Mailing Address: / z "eo� - Sign tur Telephone SECTI 3 - ATJiIIATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only com leted by ermit applicant 1. Building t70, e© � (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) ow Check Number This Section For Official Use Onl Date Building Permit Number'. Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -0419 APPLICANT /CONTACT PERSON DAVID GARDNER ADDRESS/PHONE 13 Plain St EASTHAMPTON (413) 529 -0741 PROPERTY LOCATION 26 VERNON ST MAP 31A PARCEL 118 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_ypeof Construction: CONSTRUCT 12'6" X 12' DINING RM /SUNROOM ADDITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building _Plans Included• Owner/ Statement or License 059846 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Commission Permit DPW Storm Water Management Demolition Delay Signa a 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. 26 VERNON ST BP- 2012 -0419 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Bloc 31A - 118 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2012 -0419 Project # JS- 2012- 000558 Est. Cost: $55000.00 Fee: $330.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DAVID GARDNER 059846 Lot Size(sg. ft.): 10933.56 Owner: HUBBARD JAMES B & MARI H Zoning: URB(100)/ Applicant: DAVID GARDNER AT. 26 VERNON ST Applicant Address: Phone: Insurance: 13 Plain St (413) 529 -0741 EASTHAMPTONMA01027 ISSUED ON :1012512011 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12'6" X 12' DINING RM /SUNROOM ADDITION 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 10/25/20110:00:00 $330.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner