Loading...
10B-065 (2) l T i p - I t r� � E i r, i : t 1 wz i ! ' Matthew Thomas 539-3165 9/2/2014 35 Water Street Same Leeds,Ma.01096 Front porch Estimate for the following renovations to the front"L"porch at the above listed address. Install supports to support the roof while rebuilding the porch. Remove the 4'x 16'of the front part of the porch, including the walls,flooring and framing. Install 3-"Big Foot's"concrete filled piers,4'deep-remove the 3 layers of plywood on remaining 4'x 21'porch Install 2"x 8"framing 16"on center tying into the other part of the porch,we will inspect this area for any other updating. We will shim to level or pitch so away from house. We will install a 2"x 8"girder,4"x 4"pt for supports We will install white vinyl lattice work to finish underneath For the 4'x 21'porch area, pull up 3 layers of flooring, Inspect for damage,contact customer with any concerns Supply and install 1"x 4"tongue and groove Fir flooring Install molding on the sides to meet up with the vinyl siding,or add to siding. Patch siding to finish. We will prime and paint deck gray or color of customer's choice. All rubbish removal included. The Northampton Building permit is included,we will get. MASS.HOME IMPROVEMENT Contractor's Registration#100364 ex.06/16/16 Mass. Construction Supervisor's License#053221,ex. 05/23/15 E-mail address—TCMGCI @ AOL.com Eleven Thousand Eight Hundred and xx/100------------------------- $11,800.00 20%Down for order: $2,360.00 50%Upon start: $5,900.00 30% Upon Completion: $3,540.00 45 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: PeelSf The debris will be transported by: s (�� ��1� , JV 1=,�,y, C,c The debris will be received by: Building permit number: Name of Permit Applicant -�► 'S Date V41 Signature of Permit Applicant 77ee Commonwealth of Massachusetts fir--—ib nt of Industrial Acd*nt r Office of Invesdgations 600 Washington Street Boston,K4 02111 www.mass govldia Wwkers' Congmmsation Imu ance A tv t: Bui lders/Contrac toni/ElectricianslPlumbers .Awheant InfsrmsUM Please Print L-Web-k Name(Business/orgauizatic�viduaw 4 A4» ,4 s C N c C A it 4't,�J ��'�9 e WA J L J".e ', 'Tile City/Sta&Zip: - r Air VAC Phom#: Are you an employer.Check the appropriate box: Type of project(required): 1.0 I am a employer with 1 4• C] I am a general contractor and I employees(� #and/or pat .* have hired the sub-contractors New construction 2.❑ 1 am a sole proprietor to partner listed on the:attache sleet. 10 Remodeling ship and have no employees These sub-contractors have 8. []Demolition working for me in any capacity. employees and have workers' 9. D Building addition ; [No workers'camp insurance romp.tee.-t 5. [] We are a corporation and its 10.Q Electrical repairs or additions officers have exercised their 11. or additions 3.Q 1 am a homeowner doing all work ❑1"�bmg myselL o workers' right of exemption per MGM ❑ repairs insurance�J t c. 152,§1(4),and we have no i2_ Roofr employees.[No workers' 13.[]Other cxrtnp.irmzrance r .J *Any applicant chat checks box#1 aazst also fill out the section belaw showing their workers'compensation trop int mnfim t Iiomeeowiten who sabaw this affidavit indicating they are doing all work and then hire outside contractors mmst submit a new affidevt:'uxdkxftg. sari. tContractors that check this box moist attached an additional sheet sborviug lie name of the sub-contractors and stale v ixedw or not those eactities have employees. Ifthe subcontractDn have empiloyees,they must provide their e+oskers'camp policy number. I mn an Troyer dW is pry workers'compensatiron hourmece form!°epgplayem 3dowlsAepoNcyandjobske information. Inm rariceCompany Marne: Idd e e Policy#or Self-ins..Lic.#: A Expiration Date: S- Job Site Address: / 4 `re-z( t3/State/ZtP: / d / G Attach a eopy 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 c. 152 can lead to the imposition.of criminal penah ms of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties inthe form of a STOP WORK ORDER and a fine of W to V50.00 a day against the violator. Be advised that a ropy of fts statement may be forwarded to fife Office of Investigations of the DIA for insimmoe coverage verification- .7 de lswvby v"J6 an/rar rice pow and paw of p+erjury dud the i nm*on frnuvsderl above is true aNd carried (221-1 0',1" Date: 0,07dat use only. Do not write In IhLc area,to be covWktad by city or town officiaL City or Town: PermitUcense# Isauing Authority(eircle one): 1.Board of Health Z.Building Department 3.Cityfrown Clerk 4.Ell Inspedw S.Plumbing`haptdor 6.Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su e�sor: /� /{� �1 Not Applicable £ Name of License Holder: f �LLZt IT l / 4'"(C-�–`94f 0 ��,�� � "-" tj License Number Ale 64 61 Address y Expiration Date Signature Telephone .9.Registered Home Improvement Contractors Not Applicable £ Company Name Registration Number Address E iration Date mil - i d Telephone Tc 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...X-£ 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 ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding [O] Other[[3] Brief Description of Propo ed t Work: lC e, f1 r n! t"1� � `�� � t� V, 4 F t°63 Alteration of existing bedroom Yes Y<1 No Adding new bedroom Yes Noy , Attached Narrative Renovating unfinished basement es X No Plans Attached Roll -Sheet sa e anoditio o exsfing 'm fo.1f New hous d n t 116 16i 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 1, �� ��,�� as Owner of the subject property hereby authorize to a t n behalf, in a matters relative to work authorized y this building permi application. Signature of Owner Date 1v ,!n�° y as Owner/Authorized Agent h re eby 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. 71 key A s' (,- l Nei Print Name /l S nature 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 ED Rear Building Height Bldg.Square Footage Open Space Footage % (Lot area mirius bldg&payed E-1-7- #of Parking Spaces (volume&Location) IL A. Has aSpecial Permit/Vahance/Rriding ever been issuedfor/on the site? NO v���� DONTKNOYY YES �~�� � IF YES, date issued:! > IF YES: Was the permit recorded at the Registry ofDeeds? NO � / D �^ �� 0 IF YES: enter Bonk 1 Page and/or Document#,L B. Does the site contain a brook, body of water orwetlands? NO 0 DON7KNOYY 0 YES 0 IF YES, has a permit been or need tobe obtained from the Conservation Commission? Needs to be obtained �~� Obtained x-� Date �_« �_v ' � C. Do any signs exist nn the property? YES �—� NO IF YES, describe size' type and location: D. Are there any proposed changes tour additions of signs intended for the propert «�� y� YES �~\ NO IF YES, describe size' type and location: ___ | E. Will the construction activity disturb(clearing,grading, excavation,orfiUing>over 1 acre oris it part ofa common plan ' that will disturb over 1acre? YES (��l NO Kx� �m IF YES,then a Northampton Storm Water Management Permit from the DPW is required. ^ '^ _. i-^` � Department use onl�r City of Northampton Status of Perm t r "` h '' Building Department Curk�CurlDnveway Perrrtit r � G 212 Main Street Seyrer/SepticAyaifa6lfrty Room 100 /ater/VifAvailbihty _--°Uasinspect,ons Northampton, MA 01060 Twa Se#s of S#rcrctural Plans ' r umg 01060 Ete tr,N� MA r:an.pto e 413-587-1240 Fax 413-587-1272 R[.P.-V 5e Plans f , Other 5peoify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: Thissection'to be completed by office � L° i Ma Lot Urnt 3 ; p `eel/ y(i1 tf0 Zone Overlay_Distnct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT: 2.1 Owner of Record: V. Name(Print) Current Mailing Address: �. �W fw� Telephone (! gna ure 2.2 Authorized Agent: 7Z, AL.Y4�4 C, N G 6 zi fl Name(Pr Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building �, (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector'ofBuildings Date File#BP-2015-0288 APPLICANT/CONTACT PERSON THOMAS C MCCARTHY ADDRESS/PHONE 3 BRODERICK ST EASTHAMPTON (413)527-5141 PROPERTY LOCATION 35 WATER ST MAP lOB PARCEL 065 001 ZONE URB000)/ 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: REBUILD FRONT PORCH(FOOTINGSYLOOR&FLR JOISTS) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053221 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN OR PRESENTED: pproved 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 . ion Delay Sign e of ildin f ial 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. 35 WATER ST BP-2015-0288 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: lOB-065 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-2015-0288 Project# JS-2015-000550 Est. Cost: $11800.00 Fee: $72.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS C MCCARTHY 053221 Lot Size(sq. ft.): 10018.80 Owner: THOMAS MATTHEW DAVID& Zoning: URB(100)/ Applicant. THOMAS C MCCARTHY AT: 35 WATER ST Applicant Address: Phone: Insurance: 3 BRODERICK ST (413) 527-5141 Workers Compensation EASTHAMPTON MA01 027 ISSUED ON.911612014 0:00:00 TO PERFORM THE FOLLOWING WORK:REBUILD FRONT PORCH (FOOTINGS,FLOOR & FLR JOISTS) 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 9/16/2014 0:00:00 $72.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner