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32C-129
DALE HAWLEY P.O. Bog 273 HUNTINGTON, MA 01050 1-413-667-3149 Dale's Stonework & Carpentry Ma. Licensed 055048 — Insured - H.I.C. 111932 2 2 2000 To: Richard Lockwood Date: August 6,2000 48-50 Fruit St. Northampton, Ma. O1060 Living-room Floor; Add center beam where rotted and sagged one will be removed by the bathroom entrance living room area. Some plumbing will be removed and re-installed for this work to be done. A steel lolly column concrete filled with a concrete footing will also be required. This will involve jacking up the floor joist(beam) and will result in damage to the plaster or sheetrock wall. Estimate is not for cosmetic,plaster sheetrock damage only for structural. Total Material &Labor $ 1,500.00 Kitchen Floor, Remove, replace damaged sub floor, floor joist due to moisture and rot under the sink base in the kitchen. Jack up two center beams that are detached from the sill timber and are causing sagging of the floor in the same area. A third floor joist will also be jacked up and supported by steel lolly columns and concrete footings as will the other two in the kitchen area. Total Material&Labor $ 1,635.00 A � O��ttAMP�O ti' ti °g (rit� af 'Xart4allivtott 9 B �iasaschnsrtts, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building 'a Northampton, Mass. 01060 wORI{ER'S COMPENSATION INSURANCE AFFIDAVIT (licensec/permittee) with a principal place of business/residence at: (phone#) (stroet/cityistatd2ip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy N (Expiration Date) I am a sole proprietor, general contractor or omeowner ' cle one) and have hired the contractors listed below who have the f llowm wor ei's compensation policies: ()6RCU M 4►uLJL20 t c68o7640 (Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date) (Expiration Date) (Name of Contractor) (Insurance Company/PoLicy Number) (Exp (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (affarh ad&6oc l shed ifneomary to iaohrrle information pertaining to all ocatn ors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing akl the work myself. NOTE:plisse be aware that while homeowsxts who employ persons to do,,,a:do ante construction or Bair worts on a dwelling of not more than throe units in which the homeowner resides or on the grounds appurtenant thereto are not generally cocsidered to be employers under the worke's compensation Act(GL152,ss 1(5)),application by a homeowner for a license or puinit may evident the legal status of an employer under the Worker's Compensation Ad. I understand that a copy of this statement may be forwarded to the Depdamcat of liiiiu ial A=dca&Oboe of Insrrcaooe for the cove ago verification and that failure to sea=coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties oomisting of a fine of up to$1,500.00 mtd/or imptrsoa of up to one year and civil penalties in the form of a Stop Work Order and a firm of$100.00 a day against me. gPermit tWal use only Number Lot# Signature&Licensee/Permitiee ti-ACTIO 8-CONSTRUCTION,SERVICES 1 Licensed Construction Supervisor: Not Applicable Name of License Holder License Number Address Expiration Date Signature Telephone j e Mae MmUSLYMUMMI Not Applicable ❑ 09Gg lS STOvewo eir+ C�J��f�7"iPY /"�� af-6-0 zf? Company Name Registration Nuryber ,04/ Address Expiration a e Telephone / S.EOTIQCw11Q-YVORKERS'COMPENSATION tNSUR"ANCE AFFIDAVIT(M.G..L.c. 152,§215C(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. igned 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 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 N ton Ordinances, State and Local Zoning Laws and Sta a Massachusetts General Laws Annotated. Home ner Signature N'55- ESC PT' New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ Brief Description of Proposed Work: OP RAOIu& 12,66-RA12910 Suffb6 s 6114-TeAt/2-y Alteration of existing bedroom Yes_6,, No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes .i No Plans Attached Roll ❑ - Sheet❑ am 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. Mascheck Energy Compliance form attached? 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°AUTH0RIXAT,ION' TO RE COMP#.IE'1'ED WHEN QW� RS AGENT OR CONTRACTOR iPPLIEO BU1I,AING HERMIT p, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. "Signature wner Date C#P if to (JC1CW00/J as wne Authorized Agent hereby declare that the statements and information on the foregoing application are true and accura e, to the best of my knowledge and belief. �*igned under the pains and penalties of perjury. oe KW o r3 Print Name /��/"/0'0"'�" ?�/e ew o Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF 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 DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 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 NO IF YES, describe size, type and location: D. Ar�re any proposed changes to or additions of signs intended for the property ?YES— No IF YES, describe size, type and location: Y� A� 2 City A, Northampton BOdir Department Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587.1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING S$"ON:1-SITU: I.Nt:ORMAT[ON 1.1 Property Address: o eo- ©vO21 �pro N a /X xoe RM SECTION 2- PROPERTY OWN,ERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: �/�UIT" ,f►CHRK'11 T Si (:21d4 d - g4 $ Name(Print Cur t Mai'dr Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone S' CT"ION" ESTIMATEQ CONSTRUCTION COST5 Item Estimated Cost(Dollars)to be Off vial VUse OnIS' completed by ermit applicant. 1. Building (a) Building Permit Fee r 2. Electrical (b) E Imated Total Cost"of :Construction from:,tl'; 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =G +2 + 3 +4 + 5) 3 Yr 0 Check Number This Section For Official Use Only uildlrtg Ierrriit Number: pate Issued Signature: Date Building Commissioner/Inspector pf,BuJlcdngs File#BP-2001-0203 APPLICANT/CONTACT PERSON LOCKWOOD RICHARD ADDRESS/PHONE 48 FRUIT ST (413)536-5532 Q PROPERTY LOCATION 48 FRUIT ST MAP 32C PARCEL 129 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: UPGRADING DEGRADED SUPPORTS IN BASEMENT New Construction Non Structural interior renovations Addition to Existing Accesso_ry Structure Building Plans Included• - Owner/Statement or License 3 sets of Plans/Plot Plan THE,,POLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Conservati Commission Permit from CB Architecture Committee Gj ZS oat 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. f 48 FRUIT ST BP-2001-0203 GIS#: COMMONWEALTH OF MASSACHUSETTS MV-Block: 32C- 129 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category'Non structural interior renovations BUILDING PERMIT Permit# BP-2001-0203 Project# JS-2001-0326 Est.Cost: $3135.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(sq.ft.): 9496.08 Owner: LOCKWOOD RICHARD Zoning:URC Applicant: LOCKWOOD RICHARD AT: 48 FRUIT ST Applicant Address: Phone: Insurance: 48 FRUIT ST (413) 536 NORTHAMPTONMA01060 ISSUED ON:8128100 0:00:00 TO PERFORM THE FOLLOWING WORK:UPGRADING DEGRADED SUPPORTS IN BASEMENT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/28/00 0:00:00 117 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo