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17C-298 Barron & Jacobs DESIGN . BUILD . REMODEL Dear Code Official, Enclosed please find an application and related documents and information for a requested building permit. Our client will be out of town. I am enclosing a self-addressed, stamped envelope for your convenience. Please mail the building permit to our office. Thank you. Sincerely, Y cobs President A Tradition of Building Satisfaction 70 Old South Street,Northampton, Massachusetts 01060 413.586.8998 www.barronandjacobs.com Barron & acobs DESIGN . BUILD . REMODEL Established in 1986 Neil and Joan Bach 148 Hillcrest Drive Florence, MA 01062 Building Permit Narrative: No Structural Changes 1. Current second floor exhaust bath fans are exhausting into attic,we are replacing both fans to include exterior exhaust. 2. Master bedroom and closet: replace carpet floor with hardwood floors and install Unique Closet System. 3. Repaint interior of master bath. 4. Repair existing drywall above existing shower. Design Center: 70 Old South Street,Northampton,MA 01060 • Telephone: 413.586.8998 • Fax: 413.585.8715 www.barronandjacobs.com . ... .... ...... 03/09/2005 10: 26 4137590017 PAGE 01/01 AMOR A, _CERTIFICATE OF-LIABILITY INSURANCE _ OF ID DATE(IWIIt,DL?M1yYY) ____ X35 0 0 3 0 9 0 5 UCER THIS CE-vTIFICATE IS ISSUED AS A MIA'ITER GYI-INFORd'AAT'ION 3 In RLSZaszat� Agoncry, Inc- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Barry pJ 5toplsrarss CE'�LT HOLDER."HIS CERTINCATE DOES NOT AMEND,EXTEND OR 5 North Ma.i n St.-'Y o Boa. 564 ALTER THE COVERAGE AFFOFdCjEI7 BY 7IiE POLICIES BELOW. East Longmealdow MA. 01026 Phoistr: 413-759-•0010 Fax,413-759-0017 ! IN' URFRS AFFORDING COVERAGE i LAIC 0 INSUR7_C' INSURER A: c-tral l:neucanoe eompani- i 20230 ! naSURFR B: Safety Innur8,nce co 39454_ 1]'�iY1:OZl tTE1(:: ha Assoc, Inc. INSUREFtC: heneriopn Hwnu Aseuexnc• Co_ _ 3D North Maple St. , 2nd Flr- i IWWRERD: Florence m 01062 SURE THE POLICIES OF INSURANCE LISTED BELOW HAVE ilEEN IS�Jl1ED TU THE INSURED NAJdED ABOVE FOR THE POLICY F'ERIDO INDICATED.NOTWITHSTANDING. ANY REQUIREMEHT,TERM OR CONDITION OF ANY CONTRACI'OR OTHEF DDCUMENT WITH RESPECT TO WHICH THIS CER11f-ICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRI BED HEREIN)S SVSJECT TO ALL THE TF_RNW,EXCLUSIONS ANO CONDI'TIONE OF SUCH - POLICIES.AGGREGATE L1N,ITS SHOIA'N MAY HAVE.EC•FN REDUCED BY PAD CLAIMS. IN UK, ��- f� :=TIVE:rTn.�YLRPIPATYdTT LTR hlNR _ TYPE OF INSURANCE __ -.� POLICY NUPAl3ER [SAT£ RfN'17UD(1't' I OATF.tF1rvVG0(Y'f7 _ -�_"W LIMITS __j.___..._...__.I...y_.....__5..._.._...� �GENEf�J4L LIAW'LiTl• I "EACHOCCVRHE}4CE 5.1QDOGOO__ I ATvfti'U"ET=, 6ITEU- A X I 's; C0WAFRCIAL GENERAL LIABILITY 8OP7933761 03/()9/04 I 0.3/09/05 PRE'ISLS(Eacccucnos) +� 10000th CLAIMS MADE l—J OCCUR NEED EXP(Any one person) _ li-� -- P79 33'7&1 I 03/0'3/05 C13/C1KJ/06 PERSQNA.L&ADV INJURY $1000000 GENERPd.-AGGREGATE T.200000Q.- 1 GEhLX.3GREGATE LIMIT APPLIES PER:� - I PRODUCTS-COMPIOPAGG S 300000 POLICY JE 7 LOG �.LL)TCMOSILE LIABILITY COM81NE0 SINGLELII471T $500000 ANYAUTO 2399802 06/22/04 06/22/05 1 ,Ea axlde 11 ALL OWNED AUTOS BODILY IIsJURY-u-- _ (Per(iSrFOn) S SCHEDULED AUTOS HIRED AUTOS I BODILY INJURY (Peraident) J 400-OWNED AUTOS I c., �I _ PROPERTY O,:411A[,E S - I ._ CvA,^.AGB UABIL ITY" - I AUTO ONLY•EI+.ACCIDENT 5 _— ANY AUTO i I OTHER THAN EA ACC S AUTO ONLY AGG I f. -I Y CXCE�SIIJMEIRF_LLAL7ARILI7Y EACH OCCURRENCE 1.5 10'00000 ', i aS OCCUR ]CLAIMS CC S74'3;�`62 I. 03/0.9/..05 '.CJ3/'Q9/0$' AGGREGATE f ffi 14400000 J DEDUCTIBLE - ---! s'---- 5L RETENTION 3 1 Q 000 I ,. I I TATU- --T-V77- S WC ERS(,Otr1F'EhSAT'ION AND -� � I GR1'LIItITS X i ER 0 eMbLOYI R 'Llnaalm ti;76827'7� 03/01/OAR 031437/05 LE*.L.LACH AC CIOENT 1500 ANY PROPRIETQR/PARTNcR/LXECUTIVE OFFICERIhIFLIGERE:CCLUDEU7 T/�I(.'.76e.0.7"�5 03/01/05 0.3/01/06 E:I...RISEA9E•EAENPLQYEE�=!3.00000 0 yes,dascrlbe under E.L.DISEASE-POLICY LWIT S 5-0 0 0000 _ 'SPECIAL PROVISIONS 7elove - . Pa .)OTHET<' � - LJaLbxc2lza --- C C 75M 3"162 03/09/05 03/09/0(.± 1000000 DESCRIPTION OF OFELATIONS I LOCATIONS/VEHICLES!EXCLUSFowdADDED BY ENDGI4SEP bAT f SPECIAL PROVI53lr CERTIFICATE HOLDER C_ANCE'LLATION__..-..._�_ SHOULD'ANY OF THE ABOVE OESCRIISED POLICIES BE CANCELLED BEFORE THE EXPIl4ATIDN DAZE THCREOF,THE'ISSUING INSURER.WILL ENDF-AVDR TO MAIL. 3 0 DAYS wRITTEN _ NOTICC PO THE CERTIFICATE,HOLDFER Nk1,4E0 TO THE LEFT,BUT FAIL.VRE TO DO SC SHALL IMPDSE N0 OBLIGATION OR UACIL.ITY OP A14Y KIND UPON THE INSURER ITS AGENTS-OR" REPRESENTAW9S.. - AUTHORIZED REPRESENTATIVE i IF9I Iris carafnce .Aqcn.c� ACORD M5{2007/0a) -__ ----..— 0ACORD CG3F£PORATIOIN 138E ,tt Board of Buildin Re ulations One Ashburton P ace, m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 09/20/1941 Number: CS 030739 Expires:09/21/2007 Restricted To: 00 CECIL R JACOBS 70 OLD SOUTH STREET NORTHAMPTON, MA 01060 Tr.no: 4025.0 Keep top for receipt and change of address notification. DPS-Cbi £S :4r -iJtrr5rPC8o:i8 ".'�r/c t%at�tr�tr:�tuxrtcGrf cjj, (fir�:starlri.�nr BOARD OF BUILDING 1 EGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 030739 Birthdate: 09/20/1941 Expires: 09/21/2007 Tr.no: 4025.0 Restricted: 00 CECIL R JACOBS 70 OLD SOUTH STREET NORTHAMPTON, MA 01060 Commissioner Board of Building Regulatfons and Standards - ' One Ashburton Place - Room 1301 = Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100809 Type: Private Corporation Expiration: 6/23/2006 BARRON & JACOBS ASSOCIATES, INC. Cecil Jacobs 30 NORTH MAPLE ST. FLORENCE, MA 01062 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card ,. :-%/rr (�r>r�ri�znn�iretcllfi o f", t(l�r,.t.tai/ru.�tls Board of Building Regulations and Standards _ License or registration valid for individul use only 'ki` ; HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100809 One Ashburton Place Rm 1301 Expiration: 6/23/2006 Boston,Ma.02108 Type: Private Corporation ! BARRON&JACOBS ASSOCIATES.INC. Cecil Jacobs /s 30 NORTH MAPLE ST. FLORENCE,MA 01062 Administrator Not valid withou ignature Florence, Massachusetts, United States Bridge St Ra , 10 sod _ �- a . `T 2 SIT N A Elm St Laurel Park. Leeds 1 Cc Z 5 t4epanset Rd a -n o ��, 148 Hiilcrest Dr,Florence,MA 01... Connecticut m 7 ce St 148 Hillcrest Dr 10 �a q`Gh St lL Florence,MA 01062 t Look '� Honey Pot Rd wi Memorial ' r eetefield Rd cD Park % rn 6'rf 0 Cemetery Rd h 00 20 s 1-4 Sf = eA S 9 High St Z m � _,,Florence m Meadow 5t a� L 3 Co Barrett St R� N 19 l Vonotk 'L proSpe St ct St i d Old 10 °'c Sri Rd i'Yarn S 5 : Fair St el t Cn t Bay State N to Northampton c�D 0 P°�eb1ooK < e4rts pit 68 Co'� Fza Ica, 0 mi 0.5 1 1.5 2 Copyright©1988-2004 Microsoft Corp.and/or its suppliers.All rights reserved.http://www.microsoft.com/streets/ 0 Copyright 2003 by Geographic Data Technology,Inc.All rights reserved.0 2004 NAVTEQ.All rights reserved.This data includes information taken with permission from Canadian authorities 0 Her Majesty the Queen in Right of Canada. �{. bav� -Y� �I,j.TflT >,lf �t:ill7�'�l?cil]l�)f011 6 {S�i55 A[}I 116[115 "r m DEPARTMENT OP LUILDmG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 010G0 WORICER'S COMPENSATION INSURANCE A c�.N'-I.T G�� �iccrscJrfimutc^) ith a principal place of busmessh,esidencc _ jis penailc5 of pc-, uf-J, dl !C{O 1101"Cby CCrill}% LI]C'cl tl1C p i . (� I ni an employer prOVld ng the ollo',rint '.'.'Q[rr:ci's co"VcIM60I] cOYCr:' C for my eltiployces wor�drig on Lhis job: rdr,'ra,� int urany eo_ kc1(o82 �15 a3 e/ o(�o (LnslranG Coapam') (PGlic,NUm,b--r) (F -T,!r.i__ Datc) ( j I am a sole proprietor, general C CIJF .e ' tj( ata the contractol-s listed below 11- r r tl) o .�;; Rorke s cor�per�a on ;,�ilc s: (-`'amc of Cont-mcto') (Irl_L nc Nw-nh i) i�EX '.n icn Datc) (Name of COLtLP:CiGr) -- (ll>s1r nC COL} G1V1PG!ic, Nlumb,--r) (1 :Direiin�Date) (Name of Contractor) (In;rr?s]e� Com zn;iPoGc Nun)Ir r) 1.;r oa Date) (Name of Contractor) —- (It]s1lrance Co[Lr._I),rPo1ir--v Numb-_.r) (I:;:r;i-ain- Dale) (r.t ad1:diit cr iJ rst i`t:c.<- •.n i.._ .- ;:;,:i:; i:=._..r:r.;,'. .ii o:<:-_: ir•) l_ 1 ialll it SOIL pl ol?C1CLC)i i'.itQ i] V []O 011 i;!��iii` fo; M - ?ill 1 l:on)e oWnc- i)Crio rl]lr?" a, ! l C i R>.:_f,:C�'Y1 l::i?H L!��'"i?;�_^..:<;��Li- not cnocc t1L.n duuo Lib's in u L c t�!{I; y .:tug rr c o'oq' :_.._� ut cr r1 uhc ,o c:t n-{ cmployc3 un.:!> t}x tw;i:r_ccz; _.i^n +r.(GL.!'2--n 1(S)),r.1:;is -- lcg,l rtatuc of as to�e<undrr - I � '•1c:; y�hortco<�•�ct`or e lirc:;c cr p-rn:r.:• 'tir.-c t °�P S tLn Workcet caz-;—r Lion .c,(- I un-d=ztxnd diL a cony of(h:,c:xtcts•mvy bo to 11»IYtrut�rzL of Ind s!riJ Azci&—:Y(✓If c o(:= r.r_a for tlx covcsage vm-iGGtioc and that f ilure to az c m«,ut cL1iM 25A oC?.{Crk 1 2 cttt I�ci to tl e impo Ilion of r ir_1 pa al:cs oo4miilmg Of IL fur_of up to S 1-500-00 n:1,9rr i-:,ui r,� :•1 of::?to or. } r-.7 civil rrsu.ltia in d-C fc-,crn c(n Lra oCS100.(>U a d_iy tg�.in:1 m.. �\ - For dq',— \c,c oily i Pcrrnit NUUAD' r _ I . 1 :. 5i�naturc of . c. 07P I :, 1 SiECTiON B CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : 69!ft t ell License Number a a✓ !9 ©/OC�a 9 Z ©o' Address Expiration 6ate Signature Telephone a.Re fferie . , rne� r emen ...Con r ctor:¢ Pg ,,,�;n�_ � � r��r ,,, � Not Applicable ❑ ✓®r �l ® /Gto�©9 Company Name Registration Number d 4 17 312©0 Address p �J Exp tare tare iodate TelephoneO SECTION i0 WORKERS' COMPENSATION IN SURANCE:AFFIDAV,IT(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...... ❑. 1�1. � omen �w��r �eemp.M fln 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 acecptable 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 fi:-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 gc- _SECTION DESG�RIPTION OF PROPOSED WORK deck.alJ applicable) New House ❑ Addition ❑ Replacement Windows [Alteration(s) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ) Brief Description of Proposed Work: d AA 22 _+ Alteration of existing bedroom,-Yes No Adding new bedroom Yes _, No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 5a" IUMe0fiousnd or.addi116 n,rtoexistingh using corrip.leheollowinsr 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 N/ e. Number of stories? f. Method of heating? Q Ci y10 Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Q Mascheck Energy Compliance form attached? h. Type of construction -YNEb - Q 4lC1�VW i. Is construction within 100 ft. of wetlands? `J Yes , Q No. Is construction within 100 yr. floodplain Yes e1K Nc j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? _ X Yes No . I. Septic Tank City Sewer_�. Private well City water Supply _ SECTIQM 7a 'OWNER AITTHORIZATION 'TO BE COMPLETED WHEN. OWNERS°AhGENTOR CONTRACTOR APPLIES FOR BUIL;pING'PERMIT as Owner of the subject property hereby authorize ✓Orr 12-n to act or my behalf, in all atter relative to work authors d by this building permit application. Signature of Owner Da-re I, G2U�L Cd,�J as Owner/.Authorized Agent hereby declare that th atements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the ains and penalties of perjury. � �'.k Print Na Signature of Owner/Age 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 �I S� fia Cpl I& Frontage 115 ' Koch Setbacks Front �3 ' pe 44.1 ma'oj Side L:�_R: L: R: l'YIG�h� G�d✓o®ryv, Rear 8P 1 Building Height 1 ne _C:/a Bldg. Square Footage 2,341 v ,r t,C % �oIG�� � e Open Space Footage J (Lot area minus bldg&paved ' �'gj,3 �.2,5 'M an1Z 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 DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT 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. Are there any proposed changes to or additions of signs intended for the property ?YES_ No X— IF YES, describe size, type and location: ��. e arxi�e useonl � >. City of Northampton 4 Building Department 212 Main Street e :j b, �' � ' Room 100 3 .Northampton, MA 01060 T ►' teuctulP�aras phone 413,587-1240 Fax 413-587-12721ps Fg r�er �ea 3 APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION This secfion to be completed by afflce 1.1 Property Address: // 14g flill4res7 1 Pi Ve Lot f tintt r L 8 n A/l`7 G���D,,2 j,Zoge O'verlayDistnct Distxyct SECTION Z- PROPERTY'OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record:: A14611 -&,A — Name(Print) Current Mailin Address: -f�� X82 -azZ1 Telephone Signature ' 2.2 Authorized Agent: �o ov Name(Print) C ^ Current Mailing Address: �' M/�5-s -8179 Signature Telephone SECTION 3-- ESTIMATED CONSTRUCTI COSTS Item Estimated Cost(Dollars)to be •OfFcial-Use-Only completed by ermit applicant 1. Buildin g (a) Buildin:9 Per'mit.Fee 2. Electrical (b)-fstimated Total Cost`of. 9f Construct'ion:from-6 3. Plumbing D Building`Permit Fee 4. Mechanical (NVAC) D 5. Fire Protection 6. Total = (1 + 2 + 3 + 4+ 5) 11.Check Number ju I Aq, I Le This Section For OfficiaLUse On! Building Permit Number: Date issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2006-0575 APPLICANT/CONTACT PERSON Barron&Jacobs ADDRESS/PHONE 30 NORTH MAPLE ST FLORENCE (413)586-8998 PROPERTY LOCATION 148 HILLCREST DR MAP 17A PARCEL 298 001 ZONE URA 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: REPLACE BATH FANS&REPAIR DRYWALL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• - Owner/Statement or License 030739 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOP4ATION 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 mmission 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. 148 HILLCREST DR BP-2006-0575 GIS#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 17A-298 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0575 Project# JS-2006-0838 Est. Cost: $24831.00 Fee:$124.16 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin Barron & Jacobs 030739 Lot Size(sq. ft.): 20342.52 Owner: BACH NEIL D&JOAN E Zoning:URA Applicant: Barron & Jacobs AT. 148 HILLCREST DR Applicant Address: Phone: Insurance: 30 NORTH MAPLE ST (413) 586-8998 Workers Compensation FLORENCEMA01062-1367 ISSUED ON.]]/]712005 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE BATH FANS & REPAIR DRYWALL 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 11/17/2005 0:00:00 $124.16 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 '' Building Commissioner-Anthony Patillo