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31B-043 �e S CONTRACTOR: �� 28400H REMOVE EX5ITIN67 TUB RAINBON HOME IMPROVEMENT RETAIN FOR REUSE 128 RYAN ROAD FLORENCE, MA (413) 341 3838 REMOVE EXI5TING TOILET 0 CLIENT: - q_6 = REMOVE REMOVE EX5ITING 1 EX5ITIN6 BATH CABINETRY ROBYN AND JON NYN N VANITY AND 51NK i _ 25 SUMMER STREET _ a -s xq o NORTHAMPTON, MA REMOVE EX5ITING FLOORING BsoiB- —R— BBO e DOWN TO 5UB FLOOR NORK TO BE COMPLETED A5 FOLLON5: 2668 DEMO SECOND FLOOR BATH - EXI5TING Existing sink and toilet to be removed. Toilet to be retained for reuse. Existing clawfoot tub to be removed and retained for re-use. Existing cabinets, countertop and wainscotting to be removed. Existing linoleum flooring and sub flooring to be NEW 2X3 WALL removed to facilitate new shower plumbing installation and tub relocation. FRAMED OVER Wallpaper to be removed by client. Existing ceiling fan to be removed. Existing NEW TILE FLOORING WITH EXI5TING WALL medicine cabinet and lighting to be removed. Electric towel warmer bars and NEW EXHAUST FAN ELECTRIC HEAT MAT AND associated electrical outlets to be removed. Existing electrical near door location AND LIGHT COMBO WALL CONTROL EXI5TING TUB RE- to be removed and relocated. INSTALLED—L - FRAMING /ROUGH INS NEW TOILET INSTALLED 2840 H WITH NEW CUSTOM New 60 x 32 fiberglass shower stall base to be framed in opposite current tub WOOD BASE location, with glass partition wall. Removed sub flooring to be replaced. New AND CLAW FEET electrical switches for lighting and fans to be installed in common location (TBD). NEW CUSTOM BUILT I I ✓ I REMOVED A new half wall will be installed at the rear of the shower stall. New 2x3 wall to be IN VANITY 51NK I ° NEW WALL MOUNT framed over existing wall at side of new tub location, to facilitate install of new tub WITH 5TORAGE I ' I TUB FILLER W/ HAND filler fixture. New 2x3 wall to be framed over existing wall at sink location, to SHELF UNDERNEATH conceal currently exposed pipes, and facilitate correct install of wall hung vanity I = I I SPRAY sink. NEW VANITY 5HOWER CONTROLS TRIMS AND FIN15HE5 LIGHT AND GFCI Sub floor will be sheathed u5ing3/4 plywood at open areas, 1/2 durock, and ditra I _ OUTLET membrane with electric mat radiant flooring heat system. New 6' x 24 grey I I 32" X 60" FIBERGLA55 porcelain plank floor tile with light grey grout will be installed. In shower stall, wall I 5HOWER BASE WITH tile with light grey grout will be installed to 6' from floor surface. New shower NEW 2X3 DIM. I 5UBWAY TILE WALL5 faucet and rain head wall mount shower will be installed . Existing claw foot tub LUMBER WALL ( 2666 q,_6„ I TO 6' ABOVE FLOOR to be re-installed with claw feet removed, and secured to new built up base. New tub base will be reclaimed lumber plinths, cut to fit tub profile, and secured to the FRAMED OVER I 3/8" TEM 'ERED floor. New tub filler with hand held New water saving toilet will be installed at EXI5TING WALL ' 6LA55 PARTITION NEW WALL MOUNT previous toilet location. A new rectangular shelf sink with storage shelf RAINHEAD SHOWER underneath will be installed at previous sink location. New recessed medicine cabinet will be installed over new sink, with vanity light. New towel bars and toilet paper holder will be installed. A new bathroom exhaust fan with light and 5 EGO N D FLOOR BATH - P RO P05�D appropriate ductwork will be installed to ensure proper ventilation. All walls and ceiling will be patched and sanded to a smooth finish. Priming and painting to be completed by client. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holde M,4,4 KAI p NJP G rj Z 3,6 License Number o� b 7-- l--� - gib Address Expiration Date Signatur Te hon 9 Registered ome IrtMoroi etti OM Contikaetor Not Applicable ❑ 1 1�-7 5151 Company Name Registration Number 944 1 (oh1,; vu&h nti 1 me _ to _j Address Expiration Date PC 1 Dtrem(,C Telephone 4f:; -:2P4+1 12 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 t w ear Ezemufion 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.CAIR 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 ❑ Addition Replacement Windows Alteration(s) EJ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition rl New Signs [p] Decks [0 Siding[p] Other[a Brief Description of Proposed , Work: ) gehn awfi h111 +V 2 X/4-11-/h,* Zyb aa- W& n b VS .4iyJ"VBS k f"f 1 Alteration of existing bedroom Yes No Adding new bedroom Yes _�No / Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6aAf New house and or'addition to existins housirta complete the followina: 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. Masscheck Energy Compliance form attached? h. 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 AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, D 6a/ f;?OQ, 1�,vk —Jahl_ lU� ,as Owner of the subject property 1�n n hereby authorize �Q/✓� fv r A IONP � l—1(IA bpL) �M-e 'M nLDy?AAPAA+ to act on my beh all afters relative to work authorized by this building permit applicati n. Sign re of Owner V Date 2-0 iq I, �1✓1 M Ol Ol�(� 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. -1'0M M A VN2 Print en.t.e 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 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 DO N7 KNOW 1�57y' YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW 0 YES 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 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, avation,or filling)over 1 acre or is it part of a common plan jcnk that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only `(pity of Northampton Status of Permit AUG — 5 2014 ,. � uiiding Department CurblCut/[3rcvewayPem►tt 212 Main Street SewwrlSepttc„Avaitabhty Electric, Plumbing&Gas inspections Room 100 Watert►t1leIl%attaMl#ttt Northampton. tv1A 01060 orthampton, MA 01060 Tv ;Se of StrUdWtal€Mans phone 413-587-1240 Fax 413-587-1272 Plot/Scte Plans Other Specify 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 7-,-,- S N M M-,V Map Lot Unit Y a y--j+A/W P 4V N I N Zone Overlay District U !J Elm.St District CBDlstrict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: )J 25 �C4 AA M,-v II/u✓-t'�a n44 N VA me(Print) Current Mailing Address: (a477) z/09• 3285 Telephone Sigdature 2.2 Authorized Ascent: f'o M M A LyVt / �p I'1A bn[[A) AA f. �T. I yY� P�,.I a�vt •( • V:IQ Vftl he V2 4r Current Mailing Add ess: k3) 3411 ' 3 00 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 10 ©� (a)Building Permit Fee 2. Electrical 00 (b)Estimated Total Cost of 1 v Construction from 6 3. Plumbing 00 A Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) [ Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2015-0153 APPLICANT/CONTACT PERSON THOMAS MALONE ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038 PROPERTY LOCATION 25 SUMMER ST MAP 31B PARCEL 043 001 ZONE URC(100)/ 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: REMODEL 2ND FLR BAHTROOM New Construction Non Structural interior renovations Addition to Existin Accessory Structure Buildine Plans Included: Owner/Statement or License 055236 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOQWATION 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 D olition Delay eT rlY ignat of Building icial 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. 25 SUMMER ST BP-2015-0153 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-043 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-2015-0153 Project# JS-2015-000270 Est. Cost: $19080.00 Fee: $114.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq. 1): 7013.16 Owner: WYNN JON&ROBYN GOODMARK Zoning: URC(100)/ Applicant. THOMAS MALONE AT. 25 SUMMER ST Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 WC FLORENCEMA01062 ISSUED ON 81812014 0:00:00 TO PERFORM THE FOLLOWING WORK.REMODEL 2ND FLR BAHTROOM 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 8/8/2014 0:00:00 $114.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner