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24D-207 (6) . George's Ren LLC 213 Broadway Street Chicopee, MA 01020 �� ~°.'�^-"��~~ MA Registration #152176 MA License #065409 Dear Mr. Hasbrouk, Per your discussion with Danielle McKahn regarding 234 State Street, I would like to withdraw as the licensed contractor for the entire project. It is my understanding that Danielle will be hiring contractors, and that for each portion of the work, each individual contractor will hold a license and accept responsibility for that portion. I will submit building permit applications for each portion of the work that will taking responsibility for. As you know, a permit application for the deconstruction work has been submitted. Thank you. Please feel free to caIl me if you have any questions about my portion of the work. My phone number is 413-246-5180. ~eocge /' bdovv ^= - ' 111. | ' City of Northampton email messages are public records except when they fall under one of the specific statutory exemptions. Danielle J McKahn 413.320.7208 I arise in the morning torn between a desire to save the world and a desire to savor the world. This makes it hard to plan the day. - E. B. White Danielle J McKahn 413.320.7208 I arise in the morning torn between a desire to save the world and a desire to savor the world. This makes it hard to plan the day. - E. B. White 4 From: Danielle McKahn [mailto:danimckalm �r gmail.com] Sent: Wednesday, June 22, 2011 4:42 PM To: Louis Hasbrouck Subject: Fwd: 234 State Street Hi Louis Can you please confirm that you have received this email with George's letter? Thank You Danielle Forwarded message From: <mitchgeoCu)aol.com> Date: Wed, Jun 22, 2011 at 4:21 PM Subject: 234 State Street To: lhasbrouck @northamptonma. go Cc: danimckahn @gmail.com Dear sir please see my attached letter regarding withdrawing my name from the building permit. Please let me know if you need anything else. thank you, George Abdow Danielle J McKahn 413.320.7208 I arise in the morning torn between a desire to save the world and a desire to savor the world. This makes it hard to plan the day. - E. B. White 3 • Hi Louis, Thanks. As a follow up on our last conversation, George has submitted a letter to you for your records indicating that he is no longer serving as the licensed contractor for the entire project. Instead, he will be serving as one of a number of licensed constractors on the project, and he will be responsible for his portions of the work. Also, you have received his building permit application for the deconstruction work, which is pending approval. Also, Henry indicated that you asked for $55 from him for his application for structural work. I just looked at the Building Permit Fee schedule, and it looks like $55 is the full charge for that permit (no money was drawn off the original $690 that I paid for the original permit application that was denied). To keep things simple, since you are not drawing off the original $690 for each application, I think it makes most sense for me to request a return check for the $690, and then each permit application for the project can be paid seperately by each contractor. Can you tell me how I can go about requesting this return check? Thanks - Feel free to call me if you'd like to discuss this further by phone: 413.320.7208 Dani On Wed, Jun 22, 2011 at 5:06 PM, Louis Hasbrouck < Hasbrouck northampton na.gov> wrote: I did get it. Thanks. Louis Hasbrouck Building Commissioner City of Northampton Town of Willi am sburg 212 Main Street Northampton,MA 01060 (413) 587-1240 2 � . George's Renovations LC �� n� Street �n&� MA �U�� ~.u"m�K�� a� �� -n��-~�-"-�vx"~^ MA Registration #152176 MA License #065409 Dear Mr. Hasbrouk, Per your discussion with Danielle McKahn regarding 234 State Street, I would like to withdraw as the Iicensed contractor for the entire project. tt is my understanding that Danielle will be hiring contractors, and that for each portion of the work, each individual contractor will hold a license and accept responsibility for that portion. I will submit building permit applications for each portion of the work that I will taking responsibility for. As you know, a permit application for the deconstruction work has been submitted. Thank you. Please feel free to call me if you have any questions about my portion of the work. My phone number is 413-246-5180. / George / bdovv u ` - ' ie r �_�____-_� Narrative Throughout the home, walls and ceilings (plaster) will be removed down to the studs. In addition, all doors and trim will be removed. The laminate flooring in the bathroom and kitchen will be removed to the subfloor. Please note that the building permits for the entire 234 State Street project have been paid in full, in the amount of $690.00, via Check #89 from Account #1982087025. All permit fees are to be subtracted from this payment. S0 /S9 39dd DdAd E6SZZEL 6E :80 ZtOZ/60/90 vJ /CY /GVit 13:z1 t-AK 4135654112 TownQfLongmeadow ®003/003 1X The Commonwealth of Massachusetts Department of industrial Accidents it = '7"ii . ft Office of Investigations Yji c — rill= y • 600 Washington Street � i s Boston, MA 02111 . ,, www.mass govtdia Workers' Compensation Insurance davit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Leeibly Name ( Business /Organization/Individual): 0^ e c, I j R[. e ii ( j <r1 l cl = ,S L ..._ ' ' Address: /.3 13 ''- -x ,16vek t/ ,S City/State/Zip: ( ? Z (/O) -U Phone• #: V 13 5 / 7 —.)._C/ (J Are you an employer? Check the appropriate bar: Type of project (required): 11 0 1 am a employer with 5 4. ❑ I am a general contractor and I ❑ employees (full and/or part - time).' have hired the sub - contractors 4. New construction 2.0 1 am a 'sole proprietor or partner- listed on the sheet. 7. ❑ Rertaodeting ship and have no employees 8. sub -contractors have 8. ❑ Demolition . working capacity. maPloyees and have workers' rlct:ag for me in any Y 9. 0 Building addition (No workers' comp. insurance comp. insurance.* ' required.) 5. ❑ We are a corporation and its 10.0 Electrical repair or additions 3.0 I am a homeowner doing all work officers have exercised, their 11.0 Plumbing repairs or additions nayself (No workers' comp. right of exemption per MGL I2. ❑ Roof repairs insurance required) t c. 152, §1(4), and we have no employees. (No workers' 13. ❑ Other comp, insurance required.) • *Any applicant that checks box Al mat she ell out the tacaon below showing their workers' compcasstion policy information. t Homeowners *ho submit this affidavit indicating they are doing alt work end then hire outride contractors smut submit a new affidavit indicating such. 1 Contrseeces Oat check this box mast attached an additional sheet showing the name of the sub-contrecta ra and sate whether err not tawse entitles have employees. lithe sub- cOniraceors have ar4rtoyees, they most provide their w orimrs' comp. policy number. rata an employer that is providing workers' causpe nsrr(ion insurance for my employee*. Below is the policy and job tits information. p Insurance Company Name: Ace. � L 1 5/ I / ,,, G'r^ / C t -,� r, S Cl '- Y7 c Policy # or Self -ins. Lic. #: / Y 1/ t� C C ' 4► 3 $1 0 q A Expiration Date: / () 4 / Job Site Address: r`H v * Ci ty /Stnte/Zi / '�''`7 /: .: �,` . � r J �'' C; • Attach * 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 e. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or once -year i npriso amens, as well as civil penalties in the form of a STOP WORK ORDER and a fiat 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 In L1 ..:.i_' L. of the a lA for . , .v.2 coveua _ y -:'i cation. Ida hereby , ' • - T er a pains-and penalties o pe rjary that the information provided above is true and correct. . Phone#' V ? `/ : - 1 — Official use only. Do hot write in this area, tale completed by city or town official Offi . City or Town: Permit/License # Inning Authority (circle one): - 1. Board of Health 2. Building Departmwnt 3. Cityll'own Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor; 1 Not Applicable ❑ �t game of License Holder : ( e �� P-. J /.5rlt't `, r / 5 + �) + / � /1 License Number l 2 /3 �� =7tL.� - ) aJ 1:. d"1, c 1 /�- ��S _ !'�t -� Cl �% i�' /�( .1— Ad / CS � i: Expiration Date /// gn / Telephone 9. 4 _ ."°., ",, ' . a c NotAppi Company Name Registration Number Address Expiration Date Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G,L, c. 162, § 26C(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..,...,X No ❑ 11. = $aerie unlit > e In0110 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 nwner acts as supervisor. CM.R 780, Sixth Edition Section 108.3.5.1. Deflnitton 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 two - year period shall not he 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 _ S0 /1,0 3Ddd DdAd E6SZZEL 6E:80 ITOZ/60/90 • SECTION 5- DESCRIPTION OF PROPOSED WORK (check alt applicable) New House ❑ Addition Replacement Windows Alteratlon(s) ri Floating Or Doors ❑ Accessory Bldg. ❑ Demolition New Signs 0] Deck, (q Sing (tJI Other [1::1) - 411' ff fr/w% r4.4.4.- — Brief Description of Proposed Work: W Ok: oauolldJa Jr w•Ih! ■d fir YWJO. Nc orlwwW. Iwo-wuu0 nuUlting in bulfvuuxo nnl ki Khcn, wad ywch miliryy. 44 Alteration of existing bedroom Yes X No A new bedroom Yes X No Attached Narrative ■/ Renovating unfinished basement Yes X No Plans Attached Roll - Sheet fir: If: New: Buse: ac�c7�il� :cl.Isri.etlid�ioi�etti� cplet- mssq,�eetlaq. 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. n Dimensions e. Number of stories? /f f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. tloodplain Yes -( No j. Depth of basement or cellar floor below finished grade k, Will building conform to the Building and Zoning regulations? X 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 gi4ck 5heeq oevL(o I-1-C. f (Jan etIt , WV ` KAR,J , as Owner of the subject property 6-e_ f � ! [ l hereby authorize ( .� N� ,�"1 `r C,�C.'l 't- C.:rr? J• 1 �n� i r i I e to act o3 my peps", in all att� ers��Ia t) authorized by this building permit application. Signature of Owner Data l % " "j4 ,41 _ - Ow uthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the .est of my knowledge and belief. Signed under the pains and penalties of perjury. i..> NJe &GE J' Mti 4 N Print Nam � � - -- 6 �y/ 11 Signature of 0 mowDA S0 /E0 39tld UdAd 66SZZEL 6E:80 I /60/90 [Section 4. ZONING ALI Information Must Be Completed. Permit Can Be Denied Due To Incomplete information Exiting Proposed Required by Zoning This column U bu filled in by Building Dvpnriment Lot Size _ . , . Frontage ..55 ft. :55 ft, ., Setbacks 2Qj T2Q 111 Side L:126ft - Rear '28 ft' 8 ft] Building Height 6i _........ Bldg. Square Footage 1,0 Open Space Footage (Lot arab minus bldt, paysd 4212; . L72:2 perkily) # of Parking Spaces !J-1_] ..• • — • • - --- • -- • •— Fill: (vcournc& Locailon) i:None • A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 - DONT KNOW 0 YES 0 • W YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book r Page! and/or Document t+' - B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 _ . . IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0 ...,... IF YES, describe sPze, 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 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SO/30 3E'd 3dAd E6SZZEL. 6E:80 TTOZ/60/90 RECEIVED Juts u,i DEPT OF BUILINNO iNSPECTION NORTHAMPTON MA 01060 aw+• ! .5 ° � k ' �� ,y eev City of Northampton Building Department „�Af�rt; Fw �x �,.�� 212 Main Street -, ,; ,; — Room 100 Northampton, MA 0 t i✓l14B6�� h �4 �dv :4<3i. phone 413- 587 -1240 Fax 413-587-1272 _ y ; 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 234 51 AT ST I: tc T Map Lot • Unit Zone Overlay District EIm at District CO District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 owner of Record: Black Sheep Development LLC (Closing Date June 21, 2011) 42 Day Avcnuc, Northampton, MA 01060 Name (Print) Currant Meiling Address: 413 -320 -7208 Telephone Signature 2.2 Authorized Agent: Name (Print) Current Meiling Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by perrnit applicant 1, Building f 4,000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee a. Mechanical (HVAC) 5-'1 �. 5. Fire Protection 191 / l $ .J 1 /.-- �i 6. Total = (1 +2+3 + +5 CneckNu bar � This Section For Official Use Only Building. Permit Number: Date Issued. Signature: �.._ "• 1 " /! Building Commissioner /Inspector a1 Bulltlings Date S0 /T0 30dd DdAd E6S66EL 6E :80 1106/60/90 234 STATE ST BP- 2012 -0014 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 207 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2012 -0014 Project # JS- 2011- 001342 Est. Cost: $4000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GEORGE'S RENOVATIONS LLC 65409 Lot Size(sq. ft): 7230.96 Owner: MCKAHN DANIELLE J Zoning: URC(100)/ Applicant: GEORGE'S RENOVATIONS LLC AT: 234 STATE ST Applicant Address: Phone: Insurance: 213 BROADWAY ST (413) 594 -2616 WC CHICOPEEMA01020 ISSUED ON:7/6/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: DEMO PLASTER WALLS /CEILING, REMOVE DOORS,TRIM & FLOORING 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 7/6/2011 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner