39A-018 (2) •
Louis Hasbrouck
From: Rusty Hunter [rusty @preremo.com]
Sent: Wednesday, June 29, 2011 5:23 AM
To: Louis Hasbrouck
Subject: 9 Wright Ave stair treads
Thanks, Louis -
Of course 36" treads are no problem. Something that my sketch does not show
(sorry!) is that the right side of the stairs, l000king up from the bottom, is against the
house. I am proposing to put a handrail /guardrail only on the outside perimeter of the
stairs /landing.
Thanks again,
Rusty Hunter
Original Message - - --
From: Louis Hasbrouck <lhasbrouck @northamptonma.gov>
To: Rusty Hunter <rusty @preremo.com>
Sent: Tue, June 28, 2011 8:57:42 AM
Subject: RE: 9 Wright Ave exterior stair sketch
Thanks, Rusty. I'll look this over carefully this afternoon. One thing that jumped out is
width; is 33" between handrails? I'd really like to see 36"
treads.
Louis
From: Rusty Hunter [rusty @preremo.com]
Sent: Tuesday, June 28, 2011 5:52 AM
To: Louis Hasbrouck
Subject: 9 Wright Ave exterior stair sketch
Please find attachted a sketch of the proposed plans for the 9 Wright St., Northampton stair
permit. Also attached is a photo of the existing stairs.
Thanks in advance,
Rusty Hunter
Precision Remodeling, Inc.
413 - 575 -1097
From: Louis Hasbrouck <lhasbrouck@northamptonma.gov>
To: "rusty @preremo.com" <rusty @preremo.com>
Sent: Fri, June 24, 2011 1:56:19 PM
Subject: my address
Here's my address
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
1
•
. The Commonwealth of Massachusetts
u Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, Mass. 02111
wwx.mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business /Organization/Individual) : ?lee i?i 4,4tudf I ff r A; 3 L
Address: 21 i oseve H 4
City /State /Zip: 14/y o k. " O(0(0 Phone #: ` (3 - S' 7s - to 9 7
Are you an employer? Check the appropriate box: Type of project (required):
1. p I am an employer with 3 4. ❑ I am a general contractor and I 6.1 I New construction
employees (full and/or part time).* have hired the sub - contractors
7.11 Remodeling
2. ❑ I am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees These sub - contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. II Building addition
[No workers' comp. insurance comp. insurance. $
required] 5.[ 1 We are a corporation and its 10. ❑ Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11. LI Plumbing repairs or additions
myself [No workers' comp. right of exemption perm MGL
insurance required] t c. 152, § 1(4), and we have no 12. ❑ Roof repairs
employees. [no workers'
comp. insurance required.] 13. Other s f clCtN+
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contactors that check this box must attach 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: G, K ?. d '4 4Sut z hC e 6i-+wro
Policy # or Self -ins. Lic. #: P.) i.k/ C / Z eI ?el 7 Expiration Date: / Z //is / //
Job Site Address: ? dire S k f Aue City/State /Zip: ye, T'f) s * q m4
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 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
$250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the
DIA for coverage verification.
I do herby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: /C Date: Co 63 be
Print Name: I RJbe.- f /4, s(4-er Phone #: eft?-3 /0 S 7
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 Heath 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: , f Not Applicable 121 tt
Name of License Holder : 10e# r 4 d T e f GS g 8 7 Y ?--
License Number
po a °x /0/32- /(01 /- ° ro ef ///6,/,z
Address Expiration Date
04- g.,,s y ,3.5 7 s - (0
Si Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Preca/o. 2evs,o0 . t _ /
Company Name Registration Number
21 i?ooseva( �oI 4kg. W1 01b Y0 /o /(y //Z
Address /' -7 Expiration Date
P -— Telephone g(1-sir-10 9 T
—
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 building permit.
Signed Affidavit Attached Yes A1C 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
f
$EG3'tON 3- t�p�'tQl�i-f� �i�'iN�RK- fci�ic al �t�Nt�tb(ej!
New House f . Addition fl Replacement Windows Alteration(s) El Roofing LI
Or Doors El
Accessory Bldg. f Demolition L New Signs tOl Decks Ip Siding [0] Other (ki
Brief Dessri • i .; of Proposed ,� � — 1
Work. . " e/plac - _eicrs /i43 exfe✓ ;o' Je?r ..dairS 4o 2_" -f /uo a 5; 'QJu�1��A5, eoeud�o
Alteration of existing bedroom Yes No Adding new bedroom Yes No tJ �
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
b.a L 3'. E 9 : > !oto .. • Lilt ..9 F6 �. i - i k k_
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 coristruttioft. 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 wetl ? Yes NR Is construction within 100 yr. fkiodpiain 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 Sew Private well City water Supply
SECTION Ta O1i R UTHORi24T1ON TO BE COMaETED WHEN
OWNERSAGENT OR CTO APPJJESFLIBflli�31NG PERMI1r
I , c7, e_ - Rj(5 /e/ . as Owher of the subject
property 1
hereby authorize / (twi e / ?tcr3joi &e vc)e ( 4 - 4 0 - 1 .
-KL
to act on my behalf, in all matters relative to work authorized this building permit application_
A f _ 4/7/c (
Signature of Owner ,- Date
I, Z10e." t v rV1 Q' , as fawner /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 penalties of perjury.
gL)Je t`rti
Print Name
(KAACA/-• 043/f (
Signature of OwnedAgent Date
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
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO #4 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 Q , Date Issued:
C. Do any signs exist on the property? YES Q NO iw
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 4
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 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
P- ' - Y
9 WRIGHT AVE BP- 2011 -1096
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 39A - 018 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- 2011 -1096
Project # JS- 2011- 001762
Est. Cost: $1905.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ROBERT HUNTER 88742
Lot Size(sq. ft.): 5967.72 Owner: RAISLER CAROLINE
Zoning: URC(100)/ Applicant: ROBERT HUNTER
AT: 9 WRIGHT AVE
Applicant Address: Phone: Insurance:
P O BOX 10432 (413) 575 -1097 WC
HOLYOKEMA01041 ISSUED ON:6/27/2011 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE REAR 2ND FLR STAIRS
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 6/27/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner
9 WRIGHT AVE " BP- 2011 -1096
GIs #: COMMONWEALTH OF MASSACHUSETTS
illap:Block: 39A - 018 CITY OF NORTI AIVIPTON
I.ot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit": 1:)1.11IdirICI DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovat BUILDING PERMIT
Permit # BP-2011-1096
Project # JS-2011-001762
Est. Cost: $1905.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Coast, Class: Contractor: License:
Use Group, ROBERT HUNTER 88742
Lot Size(sq. ft.): 5967.72 Owner: RAISLER CAROLINE
Zoning: uRC(00)/ Applicant: ROBERT HUNTER
.4T: 9 W 1GHT -rA r-E- _ , '
Applicant Address: Phone: Insurance:
P O BOX 10432 (413) 575 - 1097 WC
HOLYOKEMA01041 ISSUED ON:6127/2011 0:00:00
TO PERFORM THE FOLLOWING WORK :REPLACE REAR 2ND FLR STAIRS
P9ST THIS CARD SO g IS VISIBLE FROM '11 11; STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: .
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Filial:
Rough Frame: ,fie c t c.. ' u , ,
a 911 111 f ' #e ")
Gas: Fire Department Fireplace/Chit
Rough: Oils Insulation:
Final: Smoke: Final: OKI- - 419.- 1( e ,
THIS PERMIT MAY BE REVO 1 BY THE CITY OF NO : AMPTON UPON VIOLATION OF
ANY OF ITS RULES AND , tlii - i
4444 • "�
Cert of Occuoa 1 b, Signature:
FeeTyi)e: Date Paid: Amount:
Building 6/27/2011 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis 1-Easbrouck — Building Commissioner
_ 4, _ . .
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