The URL can be used to link to this page

31B-036 (6) �r P f t f'' f Quote valid for 30 days. Quote prepared by: David Osiecki Homeowner will pay mason contractor one half of total amount of bill when job construction has begun,remaining balance of bill will be paid in full when job is completed. I By signing this quote you agree and understand all the above terms and conditions that apply to this job. Any changes that are to be made,must be discussed prior to construction and agreed upon by contractor and may also affect the final price. A finance charge of 1 I/2%(I g%annual rate)will be added to any unpaid balance over 30 days. THANK YOU FOR CHOOSING WESTERN MASS MASONS To accept this quotation,sign here and return to above address: 5 WESTERN MASS MASONS LICENSED INSURED 147 Middle Road Southampton,MA 01073 (413)540-1959 WWW.WESTERNMASSMASONS.COM QUOTE DATE 10-11-05 QUOTE# 76243 TO: R(PMONA RISTAU 10 MYRTLE ST. NORTHAMPTON MA. 584-8875 s7y-ayyf BECAUSE OF EXTENSIVE DAMAGE TO THE CHIMNEY, IT MUST BE TAKEN DOWN TO THE ATTIC FLOOR AND REBUILT WITH NEW BLOCK IN THE ATTIC AND BRICK THROUGH THE ROOF.NEW LEAD FLASHING WILL ALSO BE INSTALLED AND THE NEW CHIMNEY WILL EXTEND 3"PAST THE PEEK OF THE HOUSE. A STAINLESS STEELS CHIMNEY CAP WILL ALSO BE INSTALLED. MASON CONTRACTOR WILL SUPPLY ALL NEW MATERIAL FOR JOB AND DISPOSE OF ALL OLD MATERIAL. TOTAL$ 3265.00 <- FOR A STAINLESS STEEL LINER TO BE INSTALLED AND CONNECTED INTO THE FURNACE ADD TO THE FINAL PRICE. $ 1624 �h i �StuMP�. Grif of Xart4autpfan . i _ s _ �TI1835RttillSttt3 DEPARTMENT OF BUILDITIG INSPECTIONS /= N INSPECTOR '212 Main Street • Municipal Building '>a Northampton, MA 01060 r • HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as hds/her construction sups:,,i:or. The state defines"Homeowner" as, "-Person(s) who owns a parcel on which he/she resides or intends to be, a 6ne or tW—o dmi - 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." Teeth lhome owner exemotione to act�as Northam own construtction supervisor,e to�eek� use e p e aware that by doing so you become responsible for compliance with state building codes and ft ulations. 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 ins ecti n-The building department requires these inspections before the work is concealed,.. ilure to secure these inspections can result in failure to obtain a certificate of occuT)ancv until the work can be inspected. i If the homeowner hires other trades to perform work (electrical, plumbing& g s) the homeowner will be responsible to make sure that the trades hired secure their roper permits in conjunction to the building permit issued, and that they get their r quired inspections. Failure of the individual trades to secure the permits and inspecti ns as required can DELAY the project until such time as the proper permits and ins ections are made I 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 j location s1 I 1 ;I (rii� of �TarfljzI]I:pfoil — p _ — -.3*jqchngc(Is 4.. DEPARTMEIJT OF DUILDr),,'G INSPECTION'S 212 Alain Street ' Muniupai Budding Northampton, Mass. 01060 WOR3:aR'S CO[VIPENSA71O.N CgSURANCF- A1 Qi ccnsaJperml tfcc) % l h a pfb*lcipal place of businessfresidence at: - (su=vci ty/sutcIn P) do hereby cerd--, under tlic.pains and penalties of pegury, h.1 ( I am an employer providing fire following wori:cr's comocnsaJon cov=ge for lily �lovices «vorang on tliis job: i (L2su1-:ac Corer ml) (Polic-:Nu.mbcr) -- (E:-pin on DZL^.) i - ( ) I am a sole proprietor, general contractor or homeowner (c cie one) and IhFve hired the consactors listed below wbo h2ve, the following worker's cac.2pen_,,adon policies: (Name of CG:I ac-,or) (Intiranc c- Compan)-pt ouc;?`urn=c) (r';o1+J on Datc) I (Name of Conrraor) (1ns-ara0CZ Comma-VIPotiM• Nt Minf) (E.-D Lrz-ilon Datc) (Name of Conlraao,) (nsuranc-- Compare)-fPone-• Numbcs) (txPilaaon Dale) (Name of Contactor) (Insuran Comp any/PoLicy Number) kT.%pilaaon Dale). - (nCY'31:dii;,ocl c�C,iraco�.._-}w c�c_'�iafocaaa_ioa pctaiaia�to.17 oocc-so:a) - O I am-a sole proprietor and have no one woridng for me. ( ) I am:a home owner perform ing all the work myself. NOTE:ptesc be cw 7rt tfi-, .,.moo c lay pc wm w cs c oo rgair•oric m of a0(@aCC li,.Ld I.�'SU:L^1tJ lII liZp. cb tb.bom a-DG r=6.aC cc lfYC pvuz)&Z7pI j-tG�1b1—,LT DUX CaDa--uy 00=-d--cd b NC �ploycs unG=the..u-l;dz r�-�---�:cn Aa{Gilt 52�t(S)�apPlir_�oa by.bomc»w•oa fc a li�c a pcmit cry c.�d�oc�c lcp.l cum-oian e",-loyot under dw Wotk,,le compamsiioa Aa- '',, [uadesxaad�,s a Dopy of tai.©.ee:meua any tx for-�.u,aed to tha l�n,tmcoa orin�s�riel,tieod�7'office nrttiur.00e rot ch. aovc�.sc`ti c—%iioa sud U at Utac to L==boveraat imdr:soeUoa 23 A of htOL 112 ew lc_d to the idol of ciutimA Pcc.Wcs oomirixg oI a mine or up to S 1}00.00■ztdfor i=PrL,0 mew!or up to Doc ycr t od ei,tid P.r,i. a 5c ro=of.Stop Work Ord-- wd` 1'2=of S 100.00 i d-y at^ains rile For N.rtu•=-�u,c only Permit Number -- Si o ic�>sr/Pctzrtitic Ce SECTION 8-CONSTRUCTION SERVICES r 8.1 Licensed Construction Supervisor. Not Applicable 4`] f� c �) 3� Name of License Holder: � ,l i i 1 �✓ / t L r License Number Address ^ Expiration Date Sign t Telephone 9 Re°asler-e" ,Mm din`a�"`a `e�erii:� ' � �, � , � � `' Not Applicable O Company Name —" t Registratton m er -3- C; Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSUkkNGE-AFFIDAVkT`(M.G:L.,c.45Z,. 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...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of ore(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provilIed 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 t reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to suc�use and/or faun structures.A person who constructs more than one home in a two-year period shall not be consi ered 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(Lia4ility of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you moy 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 `r I i i SECTION 5-DESCRIPTION OF PROPOSED WORK(check alt-applicabiel New House ❑ Addition ❑: Replacement Windows Alteration(s) ❑ Roofing Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [E3] Decks Siding[E3] Other[[I] Brief De clipti n of Pr posed Work: r a I, h .A_w,� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa_ if*6 Buse an r"dd ra rr to�aex>Is I ct ia>I s>Inct: of t et .f i ,x O t ur�i g: 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 R.GONtkAGTORAPPLI&FOES%BUILDKG(10ERMIT- 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, 0 a!C l5 , as Owner/Authorized Agent her by 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 penalpes of perjury. CJJS/� Print Name 41-2 J-. SigVature of Owner/Agent Date Section 4. ZONING All Informati6h Must Be Completed. Permit Can Be Denied Due To Incomplete Infotlmation 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 % i--- Open Space Footage % (Lot area minus bldg&paved I__! i parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? N0 Q DONT KNOW 0 YES 0 IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES 0 IF YES: enter Book Page' and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q 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 0 NO 0 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 Q IF YES, describe size, type and location: y E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES r NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. . 1 City of NortWampton Building Department _ a 212 Main Street e Room 100 , e E Northampton;AMA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1,-.SITE INFORMATION 1.1 Proaertv Address: This section to be completed+byaftFce � rOt Un}t M ---aaw� Ove�Ia}r DEStrrcf SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT- 2.1 Owner of Record: \ (")A'0 () � � R ,'sly► - l6 tIr11e 5i Name(Print) Current MailigcL�d s: Telephone Signature 2.2 Authorized Agent: Name(P' Current Mailing Address: Signalute Telephone SECTION 3-ESTIMATED'CONSTRUCTION COSTS Item Y 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=(1 +2+3+4+5) C 'Check Number This Section Foe OfficiaFUse Only Date ; Building Permit Number Issued: Signature: r t Building Commissioner/Inspector of Buildings> Date 10 MYRTLE ST BP-2006-0495 CIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 113-036 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0495 Project# JS-2006-0720 Est. Cost: $3265.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WESTERN MASS MASONS 133234 Lot Size(sq. ft.): 4530.24 Owner: RISTAU RAMONA M Zoning:URC Applicant: WESTERN MASS MASONS AT. 10 MYRTLE ST Applicant Address: Phone: Insurance: 147 MIDDLE RD (413) 540-1959 WC SOUTHAMPTONMA01073 ISSUED ON.111312005 0:00:00 TO PERFORM THE FOLLOWING WORK.-REBUILD CHIMNEY FROM ATTIC FLR 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 11/3/2005 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo