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38B-203 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper iermits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to Date Address of work location - -,- 4 The Commonwealth of Massachusetts Department of Indus Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia • - -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electhcians/Plumbers Applicant Information Please Print Legibly -' k Name pusiness/Organization/Individnao: r—., j VA Address: 1 ‘ PT S+ c<+ r - Cit f 01%e LA CS Attt .3\O/c a._ Phone.#: T 7_6.) — / 8 1 / Are you an employer? Check the appropriateliox: ' 1 Type of project (required): i . 1. 0 I am a employer with 4. 0 I am a general contractor and I 6. 0 New CO have hired the sub-contractors employees (fall and/or part-time).* listed on the attached sheet 7. Remodeling I am a sole proprietor or partner- These sub-contractors have ship and have no .r.loyees 8. 0 Demolition employees and have workers' working for me m may capacity. 9. 0 Building addition _ _ [No workers' wrap. insurance comp.insurance..t.: required.] . : 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3. 0 I am a homeowner doing all work officers have ttercised their . t 11.0 Plumbing repairs or additions myself [No workers' co mp. right Of exemption per MGL r--, 12. Li Roof repairs . • insurance required.] t ' c. 152, § 1(4), and we have no 13.0 employees. [No workers' Other comp. insurance =gaited.] ' *Any applicant that checks box #1 roust also El out the section below showing theirworimrs' compensation policy information. - - . • t Homeowners who submit this affidavit inclination' " they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that checic this box mustattached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees lithe sub-contractors have employees, they must provide their workers' comp. policy number. 1 am an employer that is providing workers' compensation insurance for my employee& Below is the policy and job site Mfonnation. • . • - 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 unfit Section 25A ofMGL 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 DIAfoiiiiSiiiinciroveraee "fication. - _ _ _ ..... .,. . _ „„ . . . I dd hereby_certz.67 under paws and p — that the information provided_abOVe_lSirlie_andcorre /.. r . &nature: „wale' 7 , - If - . . ft : — / — , ' • - Phone *: 3 0 ' - e -( - _ • Official use only. Do ot write bz as 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. Electricalinpector 5. Plumbing Inspector 6. Other , f- • . ■ Contact Person: Phone #: • SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction S upervisor: Not Applicable ❑ Name of License Holder : 1/� j V►1 � 1 4.... 4.... i c ti 6. L i License Number 3/I )—\) tic ' -.4-- i i / z Address Expir ion D o I C.1f( -0.1 I,- A t 1 v re) Signature APPIP" / Telephone : 7/ g ei . S ? C, -7(S-3 / aCit . k . ; fries ® i#r itiirr ! ir t '4. 'r '< I . ; : n * " 3 7 :;a Not Applicable ❑ Company Name Registration Number 31 \ ) J C�t,�.q) Z Address Expira ff fio� Lite I or v ik 6_s_ ( Telephone 3 ZO 'i 3 — 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 issuan f the building permit. Signed Affidavit Attached Yes No ❑ 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 1083.5.1. 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [I=J Siding [D] Other [CO S Brief Descri tion 'of Propos �� `` I jj _ Wor k: 1 I CUo . � `t-� �` !"�► It �� ilLQ,(,�.r" I.l 1 Alteration of existing bedroom Yes No Adding new bedroom _ Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet s 1f. it i is i aicia di a l ttr is t ` siffa n i rlil : 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? h. 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 City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Cock- Lys Cr G 5 5 , as Owner of the subject property 0 hereby authorize 1 ' ^^ �� �' to act on my b , in all matters relative to work authorized by this building permit application. - ' //3// / ( eliel, Signature of Owner Date l k 1 (A.& F S LJ a , 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 pe ties of perjury. ell I VIA C I Li_ Print Name Sig o - • e of saner /Agent 4 Date j r 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 1 Setbacks Front = L„, Side L:! R : I L := i R: I , ' . { Rear ` f Building Height r I Bldg. Square Footage [' °— % 1 1 1 Open Space Footage I ' i (Lot area minus bldg & paved ; ... parking) # of Parking Spaces - i L Fill: „_..........7r,______.,7 (volume & Location) i - A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO e DONT KNOW 0 YES 0 IF YES, date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO ` DONT KNOW 0 YES 0 IF YES: enter Book 1 Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES Q 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 0 NO IF YES, describe size, type and location: j D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: I E. Will the construction activity disturb (clearing, grad' excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • • City of Northampton Building Department "S "0�� 212 Main Street S4k Room 100 Northampton, MA 01060 �a �g�� 4 _�' phone 413- 587 -1240 Fax 413- 587 -1272 � s APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office s7 1, LtA 1il et,t,. Map `' Lot Uni Zone Overlay Distract 0. ( t l.t,t 6L\ 1 )t Ck Elm St District CB District SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Na t Current Mailing Address: Telephone Signature 2.2 Authorized Agent: f f I1 i loo �( Y�JCiL(S Name (Print) i Current Mailing Address: Signature, Telephone SECTION 3 - ES ATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 4920; v C)U 2. Electrical (b) Estimated Total Cost of � 1 0 Construction from (6) 3. Plumbing Building Permit Fee 6 62 4. Mechanical (HVAC) 5. Fire Protection 44 / 6. Total = (1+2+3+4 + 5) � %3 Check Number /oL This Section For Official Use Only Date Building Permit Number: Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2011 -0603 APPLICANT /CONTACT PERSON KIM RESCIA ADDRESS/PHONE 311 Locust St FLORENCE (413) 320 -1831 0 PROPERTY LOCATION 37 MANHAN ST MAP 38B PARCEL 203 001 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 LVo7 O , /30 Typeof Construction: REPLACE KITCHEN CABINETS & ADD NEW LIGHTING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 022464 3 sets of Plans / Plot Plan THE FF LLOWING 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 V 3111 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. BP- 2011 -0603 GIS #: COMMONWEALTH OF MASSACHUSETTS } CITY OF NORTHAMPTON { Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2011 -0603 Project # JS- 2011- 000967 Est. Cost: $22000.00 Fee: $132.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KIM RESCIA 022464 Lot Size(sq. ft.): 5009.40 Owner: CROSS JOSEPH G & CATHY G Zoning: URB(100)/ Applicant: KIM RESCIA AT: 37 MANHAN ST Applicant Address: Phone: Insurance: 311 Locust St (413) 320 -1831 0 FLORENCEMA01062 ISSUED ON:1/4/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE KITCHEN CABINETS & ADD NEW LIGHTING 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 1/4/2011 0:00:00 $132.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner