Loading...
44-134 (3) S } ' �F t k 4 r k ! < b s: � e r a r f. I r Iw f� S I I: 9 1F; Ix l 4t r L} l 1Y; E J I � I �u 4 d 4., 4 3 4 b f o \\Billlakemserver\Auto CAD Shared\houses PR-1774.dwg,8/15/2014 8:42:43 AM M- r�, _ C7 SEP 2 9 2015 C# 60'-0" 40'-0" P 3 " Q� 51.E. •6" 8•_11" 101_0" 62 5'-7" 42" 13'-7" 3 ! _ 7 21 6'-0'X 6'-8"SLIDER t W3030 830 24A EM-N--I F ^ r' w D N FAMIL ROOM ( \�yp I II 1811 S .Ft. {I 1 PNR"E F 836 12 36L L� J L.� 1 " ni n ..5-0 BIFO D I LDI� N V DONS EBv I O I — RLA PREP _ FLOOwOR E - m- , '1 µS I . - o 2-B 9-LITE 1 , Foa cao UCTED (90 o BATH#3 .1•LB-TYPE'x•GY MBOANO ��IM! pp t0+1 Do INStALLED ON WTERI CE OF WALAT C' W > 1F'ACTORY. Q DITIONAL Fl TMiG. it 2-CAR GARAGE 0 HEN s / ,�' L � 0d ' l r f - _ _ __ � NING 1-2x10&1-1 3/4"x9 1/4" ICRO-LAM WITH NO SPLICES IN 1 T FLOOR C ING J 0c) C {—I�� &2ND FLOOR DEC PER MODU (/W N 2 " NOTE#1:ALL CHASE D Q SHALL BE FIRE-STOPPED NOTE:1-5/8"TYPE X"GYPSUM BOARD ih ON SITE BY OTHERS AT o W/I HOUR FIRE RATING CONSTRUCTION EACH LEVEL AS PER _ m IN INTERIOR GARAGE AREA CEILING AND - NEW YORK STATE N WALLS AT FACTORY.BUILDER SHALL RESIDENTIAL CODE. BE RESPONSIBLE FOR ANY 5'-0" '3' BuIRESPO RESPONSIBLE SHALL BE RESPONSIBLE TO ADDITIONAL FIRE RATING. '- (S COMPLETE ANY WORK � F � II (-Nq L e o, C/Jy'.� z NOT DONE BY BILL LAKE 8 O1 O� C V �� f S OI I MODULAR HOMES. IL n OPEN TO� t�ABOVE :r ✓✓ UP %\ PANEL BOX FOYER LIVING R OM IN BSMNT ON•STE BY DININ ROOM \� -FOR - w 192 Sq.F OTHERS 154 q.FL. o / ROptWG ��I PREP FOR PPE OR ONSRE N r OOORIMO OHD'S ON•51T BV OTHERS EP NP �.� \\ oTHERS ox.slrE eY 4'DRAIN TO 16'-0"O.H.D_�- �/•-'��. - V ornE SEPTIC / ornERS SYSTEM '` 3-0 2 SIDE LTS • 3957 3957 3957 3957 TEMPERED A q.L 11'-11" 3'-1 y" C" 84 �" 14,_5" �jv 11 _ 40'-0" b 0 -r c-r)� c cJ T-A - t" -1 ` wx v j i ,. alo W-v �--J V 0 40,-," 66 c43-`� ^rte 9(a©, r W `7(T ,,1 �L� t 3'-7 " f 4'-11' L 4L L" 2'-7" 3957 �641 f2032 b t s � MI m �s W/SH ,C LINEN 5� BEDROOM #3 ''���''"� 136 .Ft. - 2-0 W IN BA , � CLOSET ET i r o BATH #1 +' CM FATTIC� co 2.6 24 -- 2.6 =3 2 'vn' =Jo 2� i W • Z N 't N CLOSET 2-6 R 'o C .. ► . 3'-1" 2'-2' 11-i cw I ink, N • 2ND FLOOR CHASE 4- O �bo C Fry- c!� ui •- cQ in — T O BEC ROOM #2 BEDROOM #1 141 Sq.Ft. Z OPEN TO 238 Sq Ft. BELOW 09040 V'J'1 'uo2dwat41JoN oiloadsul seE),p 6uigwnld '0!l I Imp ip 3957 3957 36'x 24'F.G.OVAL 3957 r t 11'-11" 4j" 1.' " 14j- 8'-5j" 14j- 14'-5* 12''0" _16-0* tr-0" -o" Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the.foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 7-2010 Fax# 617-727-7749 www.mass.gov/dia The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations I Congress Street, Suite 100 + Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inform2tion Please Print Ilegibly Name (Business/Organization/Individual): 1 l' Address: City/State/Zip: &!�eK L(i Phone Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. F-1 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. F_�Demolition working for me in any capacity. employees and have workers' 9 F-1 Building addition [No workers' comp. insurance comp.insurance.1 required.] 5. 7 We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.7 Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy 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 penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certi under the pains and enalties of erjury that the information provided above is true and correct. — :rte - -- --- - ---- — -------- --- - ----- Simature. �. /_ Phone#: 1 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: INSURANCE COVERAGE: I have a current liar insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No❑ If you have checked Yes,indicatfhthe type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee anP-; nest haves the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waive this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boO l hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO prOareSS Tncn�n^S Data Comments Final TnQppetinn Date f nmmPntc Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature Fee$ of Licensee Permit# ��/ J.nu (1� rneyperson-Restricted f / ��T- F-1 License Number: �_ Check at wwrer mpgg gn f/rtni Inspector Signature of Permit Approval Commonwealth of Massachusetts ed�otts City Of Northampton CcN�oPrlumpig&,GMas i1ns6P 0 £18 harrP ton Sheet Metal Permit Date: 4/ 9 I I Permit# Estimated Job Cost: $ Permit Fee: 70 Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner JobLocation Informa—ti n Name: /A k6�'ym ali Ir Name: 0 � Street: _ � Street: City/Town: City/Town: �J C`(-4-V -CQ Telephone: Telephoned Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial (.J M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. X over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: 7"' Renovation: HVAC 7X— Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Q Syee l c4 o�-M i2T 4� rr 1 i n =Pry In DU C+ L'J0a- wk, ran up a- C l u--� Ap 4-vv o 6.1- 4-e-cc a C"n cl Fees with Building Permit: $25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees for jobs without Building Permit$50.00 Residential, $100.00 Commercial File#SM-2015-0038 N 3�+Y'I '� �IV`' t APPLICANT/CONTACT PERSON ATLAS HEATING&AIR CONDITIONING t466� � ADDRESS/PHONE139LOWER RD (413)522-9023 PROPERTY LOCATION 1006 FLORENCE RD MAP 44 PARCEL 134 001 ZONE grko THIS SECTION FOR OFFICIAL USE ONLY: �Tt til. PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ^� (� ZONING FORM FILLED OUT / l A 1 Fee Paid Building Permit Filled out N fW CJa 0q Fee Paid Typeof Construction: DUCTWORK FOR SFH ` 1(7 New Construction Non Structural interior renovations W L-T-O pr"kw Addition to Existing Accessory Structure IV~� Building,Plans Included: Owner/Statement or License 11617 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 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 the Office of Planning&Development for more information. �'ATRO RCTRIClAH CI� Proposal S�£C'A11ZA1�:7V. AiAIS 9 AiR^vND1TVNXG C N7:ZLZ Date Proposal# 4 Berard Circle Springfield,MA 01128 9/11/2015 1367 Phone # 413-782-2290 Name/Address MATHIAS KAINDL 108B DAMON RD NORTHAMPTON,MA 01000 Qty Description Total PRICE FINISH THE JOB AT 1006 FLORENCE RD,NORTHAMPTON. AT THIS TIME THE SECOND FLOOR 7,200.00 DUCTWORK WAS INSTALLED FROM THE CELLAR CEILING IN THE BASEMENT UP THREW A CHASE TO THE ATTIC AND SUPPLIED THE SECOND FLOOR CEILINGS IN EACH ROOM.THE GIBSON FURNACE AND A/C COIL WAS LEFT IN THE BASEMENT.THE ELECTRICIAN(THE WIRING)AND PLUMBER(TEE GAS PIPING)HOOKED UP THEIR PART ON THE FURNACE.THERE WAS SOME DUCTWORK FITTINGS LEFT IN THE BASEMENT.AT THIS TIME MY PRICE IS TO INCLUDE INSTALLING ALL THE SUPPLY AND RETURN REGISTERS THREW OUT THE HOUSE( 1 ST AND 2ND FLOOR).TO INSTALL ALL THE DUCTWORK IN THE BASEMENT TO THE GAS FURNACE,ALL DUCTWORK WILL BE INSULATED IN BASEMENT,TO INSTALL AND PROVIDE A 3 TON 13 SER GIBSON A/C UNIT OUTDOORS,INCLUDING THE REFRIGERANT PIPING, FLUE PIPING,LOW VOLTAGE WIRING,T-STAT ON THE FIRST FLOOR, INCLUDING THE SHEET METAL PERMIT TO DO THE WORK. TOTAL PRICE $7,200.00 TOTAL PRICE DOWN TO START $4,200.00 A- TOTAL PRICE DO ON COMPLETION OF THE JOB $3,000.00 Total $7,200.00 Customer Signature: ��� �� �� Installer Signatu D �I SEP 14 2415 911121 15 Deciri�F u "n:, � THAT 1 AM TERMINATING tc THIS LETTER IS TO INFORM THE BUILDING DEPARTMENT STARTED ON THE HEATING AND FROM THE JOB AT 1006 FLORENCE WAS SR THAMPTO T DO TO THEY ATLAS HEATING WORK THAT WERE PAID$1 Q,500 TO COMPLETE THE COMPLETE THE JOB.I HAVE HIRED BRIAN AND IONING SYSTEM.THEY FAILED TO COME BACK TO COMPLETE THE JOB. AIR CONDITIONING WILL NOT RESPOND N C PHONE CALLS TO TATRO T O COME IN AND COMPLETE THE WORK THAT WAS STARTED AND NOT COMPLETED. MATTHIAS KAINDL INSURANCE COVERAGE: I have a current liahilit insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes❑ No❑ a If you have checked Yes, indicate the type of coverage by checking the appropriate box below: - A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee einPS not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waive this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Frocrrncc lncnPrtionc �a commeats Final T=ci erfinn D21e n M im mis Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson ' Signature of Licensee Permit# Eli ourneyperson-Restricted Fee$ License Number: ❑ Check at immAr macs gnv_ld I Inspector Signature of Permit Approval [Electric. Sheet Metal PermitCommonwealth of Massachusetts SEP 15J City Of Northampton P �:,ca oas din Permit# Ncr � J CC-7 v� i Estimated Job Cost: $ 00 Permit Fee: $ �S __-- Plans Submitted: YES NO Plans Reviewed: YES NO 6710 Business License# Applicant License# / , Business Information: ---�-- 1,, Property Owner/Job Location Information: Name: Name: !N'\ A- 4k�\ k-Q S L Street: 4( 13'e Tc�\rrI9 G i r' Street: G 6 �' �o ('e C e— PC� City/Town: S 0 1'-1 City/Town: t'1 o C"��^ ci ­­(2 �6 e-N Telephone: L( � -'� 3 _S `iO Telephone: 3 — L-( 2 Photo I.D. regal ed/Co y of Photo I.D. attached: YES NO Staff Initial J-1 /M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family X_ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Fees with Building Permit: $25.00 Residential, $50.00 Commercial. Fees for jobs without a Building Permit$6.00 per$1000 Minimum fees for jobs without Building Permit$50.00 Residential, $100.00 Commercial File# SM-2016-0015 APPLICANT/CONTACT PERSON BRIAN TATRO ADDRESS/PHONE 4 BERARD CIR (413)7$2,129r0 y i`1 b 636 �V f PROPERTY LOCATION 1006 FLORENCE RD MAP 44 PARCEL 134 001 ZONE 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: COMPLETE DUCTWORK LEFT UNFINISHED FROM PREVIOUS CONTRACTOR- SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure - Buildiny,Plans Included: Owner/Statement or License 11990 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 3 StreeLCommlissil Permit DPW Storm Water Management 4._/r Sigg-L uilding Of cial 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 the Office of Planning&Development for more information. 1006 FLORENCE RD SM-2016-0015 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON GIS#. 11883 _ Map: 44 Block: 134 . , SHEETMETAL PERMIT Lot 001 Permit: SHEETMETAL, Category SHEETMETAL Permit# SM-2016-0015 PERMISSION IS HEREB Y GRANTED TO: Project# JS-2015-001018 -1 Est. Cost:; $7,200.00 Contractor: License: Expires: Fee Charged:$25.00 BRIAN TATRO Sheetmetal- 11990 12/28/2016 Balance Due:$.00 Owner: KAINOL MATTHIAS #of Fixtures Applicant: BRIAN TATRO DigSafe# T. 1006 FLORENCE RD UseGroup ' ConstClass ISSUED ON: 29-Sep-2015 AMENDED ON. EXPIRES ON. TO PERFORM THE FOLLOWING WORK: COMPLETE DUCTWORK LEFT UNFINISHED FROM PREVIOUS CONTRACTOR-SFH THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Sheetmetal REC-2016-001111 16-Sep-15 207 $25.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272,Email:lhasbrouck @ northamptonma.gov GeoTMS®2015 Des Lauriers Municipal Solutions,Inc.