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24A-158 (2) f . WRIGHTBUILDERS IN C O R P OR AT ED 48 BATES STREET NORTHAMPTON, MASSACHUSETTS 01060 May4,2011 Ana Ferrer 349 Prospect Street Northampton, MA 01062 RE: Kitchen & Bath Renovations Dear Ana: Thank you for your confidence in Wright Builders and for the opportunity to work together and be of assistance. - -ape of the .Pro 'The scope of the work is as outlined below. The project is remodeling work to include a new kitchen complete with new cabinets, solid surface counter tops, windows, wood flooring and lighting along with the reconfiguration of an existing bathroom for new panty and new % bathroom. A living room closet will be remodeled for custom built -in. Also included is remodeling of the existing mud room entry and eating area That work is to include the removal of the existing floor tile and repair of the floor joist system and new tile installed along with modification to the space with new French door and new casement windows. The remodeling of the sec nd floor full bath, ereit and insulation improvements are listed as additional options. • r i SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ,�j.� i c 4 �f Not Applicable 0 Name of License Holder : wR(6 i I '� ` c 4r '' O 11 /) / o " ff 1' ./ J " - iv ' ' 1 / ' �� 1- ? Mk License NIf I NI 1 Address Expiration Date Signature Telephone V ,iii‘) 9. Registered Home.Im``provement Contract r Not Applicable ❑ (1v f - P t4W7 �.(L -fit; (61c31 Company Name Registration umber R f 4 1.. sr Nb M K, MIS & I)- Address Expiration Date Telephone - _ 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 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 • • SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House i l Addition n Replacement Windows Alteration(s) IBC I .Roofing n Or Doors ❑ Accessory Bldg. ❑ Demolition n New Signs [0] • , Decks [p Siding [p] Other [0] Brief Description of Proposed :. eiff,�i► p z p i q Work: '���I�G��'"' �' .+' Alteration of existing bedroom Yes No Adding new bedroom Yes N Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll Sheet I NSvU�o� sa.Cf,N W tioUS'e and ,orac1dl €ion foe 7stirtq hoes►nc , corn lete'th+e' fall uu na: 1114 II • 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. Dim- • ons 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 101 . of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of base . - t or cellar floor below finished grade k. Will b - • ng conform to the Building and Zoning regulations? Yes No . I. eptic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, • -e` ! V ` / as Owner of the subject pr. erty hereby authorize :(2.4:54 „ to act on my b- all matters rel. e to irk authorized by this building permit application. 57,4 V Sign. -re • :wner Date V V (24 C )f-( -iubt J , as Owne 'Authorize. ent ereby declare that the statements and information on the foregoing application are true and accurate, to the best o my now edge and belief. Signed under the pains and penalties of perjury. - 4 p..”- ‘*g. Print Na Signatu owner /Agent Date Att. / ve in ( woe.p. � k col vi 0 t57,, tst' -N,4-02,rir ot iti44/ , 4 . , Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Inf ' 6 A ' ' Existing Proposed Required by Zoning '4, ., Ak i This column to be fille. by . , 'N Depart 5 * s Lot Size_ r __._ , ._ ; : Frontage • .�. ..�., _I Setbacks Front l Side Rear Building Height i `"mm Bldg: Square Footage Open Space Footage % (Lot area minus bldg & paves parking) # of Parkin! :paces _ ,__ . ,...' F. ___ volume & Location) . �.� : 1 A. Has a Special Permit /Variance /Findin• ever been issued for /on the site? NO 0 . DONT KNOW 1 ' YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book Page ` and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 32( DON'T KNOW 0 YES 0 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 NO leo 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 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, gradin• exc- ation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NOS IF YES, then a Northampton Storm Water Management Permit from the DPW is required. O \ r ��` ��\ De. nerl use i� .' k '> , City of Northampton status of P erini $ - ft.,-c.;-z-,, '' ' Building Department Curb Cut/Drive ayPerr rit 2 12 Main Street . /Septic Ava €tabiirty Room 10 'kAiater/Weti Availability Northampton, MA 01060 I wo Seis o Str of t a( Pans , -- ,� phone 413 - 587 -1240 Fax 413 - 587 -1272 PIotfS€te, Plans Other Specify—„,:,,r. 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 3 ` i 1 of .6-cr � — g - i apap Lot Unit No �-T►�4 -,MP's �, /14r Zone Overlay District xEtm St. Distric Ch District SECTION 2 - PROPERTY OW•ERSHIP /AUTHORIZED AGENT 2.1 Owner of Re • : s Name (Prim Current Mailing Address, f1i s 9�n ( Q r I Telephone 7 Si ure 2.2 Authorized Agent: U 1 ( 1. 1 ', I s / ` s fi • / I v },MP N AAA Name (P • Current Mailing Address: 4 & / -11. Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS IP 9t ) t L/' /a o , --' L(.5 Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 4 p cloy . ...• (a) Building Permit Fee 2. Electrical ir 5 b ?j y / ' `(b) Construction from (6 of ) 3. Plumbing t p D b)„ i- Building Permit Fee A 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 15 t F itt /f >/. Check Number 1d a This Section For Official Use Only `i Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date ■ File # BP- 2011 -0954 APPLICANT /CONTACT PERSON WRIGHT BUILDERS ADDRESS /PHONE 48 Bates St NORTHAMPTON (413) 586 -8287 (116) PROPERTY LOCATION 349 PROSPECT ST MAP 24A PARCEL 158 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out � �(J P L[ Fee Paid j 77 Tvpeof Construction: RENOVATE KITCHEN, 2 BATHS & INSULATE ATTIC New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 068185 3 sets of Plans / Plot Plan THE FOL ING 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 Commission Permit DPW Storm Water Management De .li 'on D ay ' (1107/ , � 5 1911 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. 349 PROSPECT ST BP- 2011 -0954 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24A - 158 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 -0954 Project # JS- 2011- 001560 Est. Cost: $74461.00 Fee: $450.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WRIGHT BUILDERS 068185 Lot Size(sq. ft.): 13982.76 Owner: FERRER - VICENTE ANN MARIE Zoning: URA(100)/ Applicant: WRIGHT BUILDERS AT: 349 PROSPECT ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586 -8287 (116) Workers Compensation NORTHAMPTONMA01060 ISSUED ON:5/19/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: RENOVATE KITCHEN, 2 BATHS & INSULATE ATTIC 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 5/19/20110:00:00 $450.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner