35-196 Board of Building Regulationwand Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 13709.7
`. Eiipiratw4:,- t0/4/2Q06
Type:! DBA
RAINBOW HOME IMPROVEMENT
THOMAS MALONE
128 RYAN RD. .
FLORENCE,MA 01062 Admimstrato�
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"`b§M BUILDIN o�REGULATIONS
License: CONSTRUCTION-SUPERVISOR
Number: CS 055236
Birthdate: 01/18/1964
Expires: 01118/2008 Tr.no: 13333
Restricted: 00
THOMAS P MALONE
128 RYAN RD
FLORENCE, MA 01062
Commissioner
03126/2006 18:14 9547838353 CARRIE GDLDSTEIN,ESQ PAGE 01
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BURTS PIT ROAD
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NOTE:
This plan has been compiled from deeds, plans of record, assessors maps, and inspection of the
property, for mortgage purposes only, and should not be construed as an accurate boundary
survey, nor be recorded in the Registry of Deeds.
TITLE: Mortgage Ina ection Plan SCALE: 1" = 20'
OWNER: Joan M. & Kim A. Williams
LOCATION:
STREET: 1174 Burts Pit Rd TOWN: Norl ham ton COUNTY: Hampshire STATE: MA
DEED HOOK: 7775 PAGE: 332 PLAN BOOK: 77 PAGE! 3
REPORT TO: Florence Savings Baak & First American Title Insurance Company
I hereby report that this plan shows the results of a Mortgage Loan Inspection performed in
accordance with the Technical 'Standards for Mortgage Loan Inspections adopted by the Massachu-
setts Association of Land Surveyors and MW Engineers, Inc. Furthermore, I have inspected the
premises shown hereon and appropriate leeds and plans of record. Accordingly, record easements
and encroachments of buildings or improvements across boundary lines, if any, are indicated on the
plan, and the buildings are not located within a Flood Hazard Area as defined on Federal Insur-
ance Administration Maps.
INSPECTION AND PLAN DATE: A r 1 21, 2005: BY: V
HERITAGE SURVEYS, INC.
COLLEGE HIGHWAY A.
SOUTHAMPTON, MASSACHUSETTS OOOMBS
Na M4
L IAIN
Job 5584-060400 Dw . # 55mgo01 Map 5584-050421
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63126/2006 18:14 9547838353 CARRIE GOLDSTEIN,ESQ PAGE 03
• Estimate
Date Estimate#
HOME IMPROVEMENT 5/17/2006 492
128 Ryan Road
Florence Village
Northampton,MA 01062
MA reg#137087 CT reg#0722787
Name/Address
Leah Finch
Terms Project
On receipt 1174 Burts Pitt deck
Description subtotal
*Project Total
Total $3,585.04
We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as
follows: 113 of full total upon acceptance,1/3 of fall total upon the shut of project and the balance upon comptetiom All material is guaranteed to
be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications
involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements
contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insuraniiis A tan-e of
Proposal will commence with the home owners signature.Prices,specifications and conditions are satis111 to d are h accepted upon
signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as speci This estim good for 30 days.
Phone# E-mail
Signature
413 885-9038 riinhonie@wl.com ,
Page 2
03/26`20�0�6 `18e'.14�Q954783835 9547838353 � �j RRIE GOLDSTEIN,ESQ PAGE 02
mi hmin
PMU =41 i Estimate
Date Estimate#
HOME IMPROVEMENT 5117/2006 492
128 Ryan Road
Florence Village
Northampton,MA 01062
CIA reg#137097 CT reg#0722787
Name/Address
Leah Finch
alao �Jc 31st sk
f I,rc,ye.. Terms Project
W4 L# On receipt 1174.Burts Pitt deck
e a I Description
subtotal
12 x 12 Deck.Pine,pressure treated decking 514 x 6 and 2 x 8(12 inch on center)
144 SF
Deck railings,42 in,high handrail Pine,pressure treated,per running foot
45 LF
Deck stairs Pine treads,open risers
20 LF
Building permit fees
1 LS
Demo existing deck
144 SF
Recycle fees Mixed loads
2 Ea
Lattice
184 LF
Project material,labor,subcontract
Material,per job
Labor,per job
Subcontract,per job \E,
2
'Project Subtotal
Total
We propose to hereby furnish material&labor complete in accordance with the above specifications,for the sum total.Payments to be made as
follows: 1/3 of full total upon acceptance,113 of full total upon the start of project and the balance upon completion.All material is guaranteed to
be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications
involving extra costs will be executed only upon written orders,and will became an extra charge over and above the estimate.All agreements
contingent upon strikes,,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. ptatice of
Proposal will commence with the home owners signature.Prices,specifications and conditions are safisfhoory and are h y accepted upon
signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as s led.This esti is good for 34 days.
Phone# E-mail
Signature
413 885-9038 rainhome ao(.com
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipa Building '
Northampton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CNM 108.3.4 to
act as has/her construction sups., ,, Sor. T he 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 any 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
permits 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 me.
Date
Address of work
location
Zi
(rLif-�) of �\Torfljallip oll
9 - f �ZcsaRChrttrltn- -
DEPARTMEIJT OP BUILDD\jC INSPLICTIOA'S -
212 Alain Strcct Kunicipal Dudd;nG
?Northampton, A1ass. O)OGO
j :
tiN'OJUCCJZ'S COA[PENSAZZON MSUT -,-NCF Al,M, A.VIT
(IiccnsxJpcl-allitcc}
\%riLb a principal place of business/residence at:
_ (l hone:')
do hereby ce ', under the ppluis --ad penalties of pe rJury h.=.t
( ) I am an employer providing the following worker's colnoeasa ior, cove.--,;c for In),
etvployees N,.,orldng on tiiis job:
(Incur-� Conr �) (Pclic: ?Nu_-nir_r) (E;pircion Dzce}
( ) I am a sole propr;etor, general contractor or homeowner (circie one) aDd have hired
the cona-aclors listed below who have the fok%ving workers coLnentaaon pokies:
i
(NIMC Of Co-rMcw-) Ons-ur3ricc Comps i}'fPc6ci ?�rOSSt�C:) fr::7liJ�o 1 1�1tC)
(NZMC of Conmaor) (Insarancr Comoany/Pok Number) (ExDlr-,ldn Date)
(Name of Coanamdr) (Insuranc:Companyfpobcy Numbu) CE.qirrien Date)
(Name of Coacdctar) (L=ran(-- Comr..aay/PoLicy Numbcr) (Expitatio❑Darr)_
(-Mach xS-ai;Deal r'x�.if nccc _-y to C eau&Mform'M oa w aU
{ ) I am a sole proprietor and have no one worL-ing for me.
( ) I am.a home owner performing all the work myself:
NOTE:pica be eonrc thi v.-t ]a bcm�+vcra u-bo employ pezo=to do m ix-i - �-•raoo r rgau wom o�.d.•cl_C of
ant morn Lb-- QL-a?o is%-t icfi cbc b=o.-..r r=dcs oc oa the p-ounts zppurtcu tbacw LT Dot c==-.ny oc=d cd w be
cavioyes uoe--the.it'%o=*=rl oa Au(GLI52=1(5)),apptia.00a by a bomeoaac fcr c 6c=,or perms rr::y n-idaocc the
Iegal m of ea c:Ptoyac uoder dro W orkolc Compoaaation Acs
f uodazrand dLd>oopy of thin—t—may bo foc—,dnd to tbo Dcganznmi of loduxr;cl luvdc�Off o0 or lsz—for tba
coverzsc vrrirezIiaa=d dUI L-hurt W sccvrt:bovrrnbr under sedioa 25A ar MOL 152 na led to the=qo5iioa of eimiwl pcuzW=
coawx,=g of&fix orup to s1}oo.00 andlor cz>grcyoem�orup to ooc y,end avil pcazltio in ex focal ors Stop Work Ord-and n
rim of 5100.00 I d:y.wins[tnc
For��,r ux Doty -
[�trTlrl7[rt llIDt�S .�-
�(�P�-- Lot "
e ¢.
Signaturr of LiccnscclPcrmiucc -
e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder: -11)
License Number
1 2 `9 h r� �I -��, L vim,!2
Address Expiration Date
Signature Telephone
�. _,� �,
9:Rears#eyed( omelmprovemen Canna for a ' ATM'
� - � � �� � �>�� Not Applicable .❑
Company Name Registration Number
Address
Expiration Date
1 �i oc V1 J �o��nCs2 �t 3 " �7`���0�`�
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GL.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...... ❑ �i
: i�nn�e
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-vear period shall not be considered a bomeowner.
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 buildine 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
ti
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aimlicable)
New House [❑ Addition ❑ Replacement windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [[3] Decks [t Siding[0] Other[a
Brief Description of Proposed , ' P��
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes ___Z_No
Plans Attached Roll -Sheet
6a.tf 15e' ' 0118e anc or.a' C 1llloK,'t0&ejdi9U housing' com-0 e t o Owmq:
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? f' cz
M PI G Cf['wE[4'
d. Proposed Square footage of new construction. 5✓ 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 N I�IGtCe cic trS f1 j 21C 12 c C'I�
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-OWNERAUTHORIZATION.-TOrBE COMPLETED WHEN
OWNERS,AGENT `C
ORONTRACTOR-APPLIES,1,OR:BTJitDING PERMIT
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 of Owner Date
I 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 penalties of perjury.
Print Name
Signature of Owner/Agent 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
�F
Side Lxi R:=-_ L _ R:=
Rear —i
Building Height r--;
t
Bldg. Square Footage % -- --
i s
Open Space Footage % _
(Lot area minus bldg&paved
parking)
LL•1.1---� e
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Findin ever been issued for/on the site?
NO Q DONT KNOW YES 0
IF YES, date issued:, i
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Books Page and/or Document#
r
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q 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 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,ex vation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
i
1040�t,
City of Northampton
Building Department
212 Main Street .t
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
SECTION 11-SITE''INFORMATION'.
1.1 Property Address:
Th>fs sectiart to be completed bX office:
P,
?yi - , Maw t ' u�u
E��t;Chstr�ct � 'z.�`< 'C�<Distrtct
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
h G Cg r rt e b i J c� F,�rn :.;2 lac, N C 31 fi J+- L i a hth c� _ ►.�
Name(Print) Current Mailing Address:
F•L 3"���
Telephone
Signature 9,s Lt - a- '
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3..ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by rmit applicant
1. Building �,� (a-'Building-Permit'Fee
2. Electrical (byEstimated Total Cost of J �
Construction from 6
3. Plumbing Building Permit Fee-
4. Mechanical(HVAC) �� Q
5.Fire Protection ` MINJ
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number. =Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2006-1248
APPLICANT/CONTACT PERSON THOMAS MALONE
ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038
PROPERTY LOCATION 1174 BURTS PIT RD
MAP 35 PARCEL 196 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
C,A�uilding Permit Filled out
(/1!`ee Paid 5 Q
Typeof Construction: Replace existing deck
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 055236
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION 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
-1
Signature lrtti'��✓ �5 ! C1
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-2006-1248
GIs#: COMMONWEALTH OF MASSACHUSETTS
k , CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-1248
Project# JS-2006-1849
Est.Cost: $3585.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THOMAS MALONE 055236
Lot Size(sg.ft.): 11717.64 Owner: WILLIAMS JOAN M&KIM A
Zoning: SR Applicant. THOMAS MALONE
AT: 1174 BURTS PIT RD
,plicant Address: Phone: Insurance:
128 RYAN RD (413) 885-9038 WC
FLORENCEMA01062 ISSUED ON.511912006 0:00:00
TO PERFORM THE FOLLOWING WORK:Replace existing deck
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 si nature:
FeeType: Date Paid: Amount:
Building 5/19/2006 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
1174 BURTS PIT RD BP-2006-1248
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35- 196 CITY OF NORTHAMPTON
Lot: -001
Permit: BUllding
Category: BUILDING PERMIT
Permit# BP-2006-1248
Project# JS-2006-1849
Est. Cost: $3585.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THOMAS MALONE 055236
Lot Size(sq. £t.): 11717.64 Owner: WILLIAMS JOAN M&KIM A
Zoning: SR Applicant: TH MAS ^J'•ALO`:E
AT. 1174 BURTS PIT RD
Applicant Address: Phone: Insurance:
128 RYAN RD (413) 885-9038 WC
FLORENCEMA01062 ISSUED ON.511912006 0:00:00
TO PERFORM THE FOLLOWING WORK.-Replace existing deck
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: :3-11: insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
4
ANY OF ITS RULES AND REGULATIO S.
Certificate of Occupancy f signature:
FeeType• Date Paid: An>iount:
Building 5/19/2006 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo