Loading...
24D-317 (16) All Exteriors Roofing, Flat Roofing, Siding, Windows, Repairs, Snow Plowing 21 Rolf Ave. Chicopee, MA 01020 MA H.I.0 Registration#174528 CT H.I.0 Registration#0636067 MA Construction Supervisors License#106836 9/23/2015 Dear Northampton Building Inspector„ I request that you grant a modification to waive the requirement for control construction for the project at 161 Round Hill Rd in Northampton because the work is of a minor nature, will not affect health,accessibility, life and fire safety or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work.All work will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration. Mass Amendments,section 107.1 allows for an exclusion from control construction for this project. Respectfully, Jeremy Sawyer All Exteriors (413)478-1536 Allexteriorsl@gmail.com (413)478-1536 Allexteriors 1 @gmaii.com _ t 1 ALL EXTERJURS Jt00FING-FIAT ROOFINQ-SID11,10-WI.N'D0'VVS RE.ARE LICEMED REPAIRS-SNOW PLOWIN143 1'G'ILI'tNSCIItLD (413) 47$-1536 TACTMYTRAINED d t)VE4 CCEN77FIEn Jere ly Sa't% yer,PresideIlt/Owlizi- MA Registration#174528 21 Rolf Ave.Chicopee,kA 01020 CT Regiscration#0636067 Allexteriors.l @gmail.c:om MA Const.•uction Supervisor Lic.#106836 Proposal Submllted To: Date -/c. Phone#'s % W_ �I "Er Street ! rraiL City, State,Ztp Coda 7. t- �Speci�;Requiroments: '•"'r�(.rY_,"�^f %� "�f` /" pp ✓l�l' / "`�,I f1/arrm� tc'91 f?/�� Lcr. /%!'•i:'.y���'j Lat.; M`A� r,t' �" '1're.�$ <d,.;/ j,r»,•i<.tC. [i Recover ® Strip t r, Cy i . d e // r d. >�.•� f Complete hoot System _ We shaft acgtifre all'3Prop�t pi 7mlis r"ai`aJf'Ii�ii< ,I ® Home exterior'and land$ca}iitl.,q:tp.:4e protected Strip existing roofing to eAstind decking and dispose of, too not Do. [� Deteriorated existing decking Will be replaced at$3.47 per sq,ff.after full inspection, InstaA Ica&Water Barrier at alf eaves,valleys,chimneys,pipes and skylights > lnstaq:�4 _)N_; thetic u:nderiayment over remaining decking area Install Metal drip edge at eaves,and rakes F 5") vE�ft�i1brown/copper} 7 Install manufacturer's stiiter shingle on all eVaves and rake edges NJ Install new pipe boot flashfng(4copper)/vents Install new vent ridge vent ❑ Install proper soffit ventilation Shingles: ( 6 nails per shingle) I ( Z Shingles ❑ 25 year E1 30 year ❑50 year Color_ ._ ____.,------Ridge cap shingles Warranty Options: L-� We guarantee Dur workrnanShip for 10 full years(see our warranty coverage) Estimated Start Date 0 Estimated Completion Date Chimney Options: '"'" ❑ Lead Counter Flashing ❑ Water Seal.&Tuckpoint ❑ Rubberized Crown ❑ Metal Chimney Cap o;Ofu osa,h�rtlb�r to fumish materials and tabor.complete fn accordance with above Spadficat;ons for the sum of:Total OLie($ t Fta r Ti rr FA (3HP IIQ17 ISrPI{OPRSRLs Tit@ above prfaea,specific a a a ut (tl8fls a6� Down Payment v .�, a ys6 tit d �y! rh�sly idr?b ecc. ,d Yost Ora authorised as iilad. `Y .5 yqt tpxTlAe'3J3 tl8{Nh 1¢tta1fi pt`i Vai b 3Tance .n�opa Col alto liafa cf7 tJtfe UgA.IL(ip117p1gtfAO rt+� � ,r _ t a # re j YY `` ��5.�,••f�a�-n jY sus �� .� r� kt ck 3"' Ic p ,. , �_r..� _ �• (~ .,�SiIr31�.tOr 11 r1rX1TYQi I"F'`_ ems,tom, ,a -(Sign,Name µ-�S-'•F'j! .._.._..._ t� nj�r5j+y 3 `r.? ttatefi ire hanobc�torsfsc (tlj �iys from above atp s i l'1 �i p Hp1�fE1;V1fAl i S f�l tasQ> All personal imloilgs In the AQ,garage or storage due to the possibili#y a £ tC raciifngTd rr&of $t13I-�ssrKti rte tnTzox fgll crEaa otth v atF A Extdf tors Wig not ba'rasponsible for debris or dust in t :t>'ie attic,nr sto ap;areas• ..A The Commonwealth of Massachusetts DepartmentoflndustrialAccidents Office of Investigations � • X� 600 Washington Street Boston, MA 02111 - �, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): =el-('M 's c; L✓ti rl z�// Address: City/State/Zip: C M ©/vaa Phone#:Are you an employer?Check t e appropriate box: Type of project(required): 1.[1'I am a employer with J_ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required.] D. ❑ We are a corporation and its 10.E]Electrical repairs or additions �. g El am a homeowner doin all work officers have exercised their 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#1 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 outride 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �/ t"7/ t- �'?��r<+- /7`c°r1' i►3' �� Policy#or Self--ins.Lic.#: /� C/o? S /a d—,r^ /S� Expiration Date: Job Site Address: X70 �7ri /� '`� City/State/Zip:/I/o 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. I do hereby certify under the Pains and alties of perjury that the information provided above is true and correct. Sianatu Date: a. Pho Fcial use only. Do not write in this area, to be completed by city or town offcciaL or Town: ____------ --- _- __ _ Permit/License# ng Authority(circle one): . oard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL.PEER R:.EVIEW(;750 CMR.110.11) i. Independent Structural Engineering Structural Peer Review Required Yes No 0 SECTION 11 -OWNER AUTHORIZATION-wl TO,BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING:PERMIT I, _.__. _......_ ._..:_.__. _ ._.e__--._. 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. f Signature of Owner _Date ._� C'T1° - 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 underthe pams.and penalties ofe �_,� _w� Print Name _. ,_ _._,.__...:.._ _.._ ._ __._............. _ nature of Owner/Agent Date SECTION 12-CONSTRUCTION:SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder _.1r' C° C License Number A _----- Expiration Date ignature Telephone SECTION 13-WORKERS' M G L c 1522§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 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN'AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR.1.16(CONTAINING MORE THAN 35,000 C.F.OF Et LOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address _. Expiration Date Signature _ Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility i Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number _w._�.�_�.. i Signature Telephone Expiration Date Name �_ Area of Responsibility Address Registration Number .___.........._..........__-.__.:....._......__.___._....__.................. Signature Telephone Expiration Date _......_.._._..._........._...... _...._. .. ..._.__ _� µ. — , _ _. . ..._. ____.__... _........ .... _ Area of Responsibility Address Registration Number F Signature Telephone Expiration Date 9.3 General Contractor _..,_.._ __. _....._m.. m.. .,...... __. __._...__, Not Applicable ❑ Company Name: Responsible In Charge of Construction P Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning . This column to�l e 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 #of Parking Spaces ---- Fill: _._._.. .._.... _.... (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES IF_YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW A—% YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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 0 NO eF IF YES, describe size, type and location: 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 0 NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. V Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS-THAN.35,000 CUBIC FEET OF ENCLOSED SPACE- Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofin Change of Use❑ Other❑ Brief Description ;Enter a brief description here. Of Proposed Work ` SECTION 5-USE GROUP AND CONSTRUCTION TYPE:" USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly E3 A-1 El A-2 El A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B - ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ -- - - --_ -- 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 54 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: .,.....�. ._.�...._.._..,_..._.___._.__.__ M Mixed Use ❑ S fY•eci P S Special Use F-1 Specify �.�., '"'..-, ".."'"_ ..�..--__...A�._.__.�........_...w�..._.,_..a._ COMPLETE THIS SECTION IF:EXISTING BUILDING UNDERGOINO RENOVATIONS,ADDITIONS ANDlOR CHANGE 1N USE Existing Use Group: _ _., ' _ w _ 1 Proposed Use Group. Existing Hazard Index 780 CMR 34):_, _.._.-. Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 5t 151 - _.._.._.>_, 2nd '. 2nd ....- .......__._._'. .. ... _. 3rd 3rd t" 4t" 4 Total Area (so Total Proposed New Construction(sf) Total Height(ft) ---- —-- Total Height ft- �.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: 'ublic El Private ❑ Zone ,.,,, Outside Flood Zone[:] Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building.Permit May 15,2000 tuse,only City of Northampton St�atbt of Perm r I Building Department Curti Cut/Dnveway ermit. r �OjS 212 Main Street SewerlSepticAvailabrlrty 4 Room 100 water MCell Avatlability Northampton, MA 01060 Tw L-__2 o SetsVofi Structural Plans phone 413-587-1240 Fax 413-587-1272 EloflSite Prans Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 PropertyAddress: This section to be completed by office - ...._.._. ._._.._..___.. _ O� o:�r��,rr _ _..._ Map Lot ° Unit Zone Overlay District Elm St:District`. CB District` SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address. Signature Telephone 2.2 Authorized Agent: Name(Print) All 4-cr7 e J!'m" /, cc Current Mailing Signature Telephone SECTION`3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant - 1. Building 7 s° (a)'Building Permit Fee 2. Electrical M.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) j� Check Number This.Section For Official Use Only.' Building Permit Number Date Issued Signature:__ Building Commissioner/Inspector.of Buildings Date File#BP-2016-0382 APPLICANT/CONTACT PERSON JEREMY SAWYER ADDRESS/PHONE 21 ROLF AVE CHICOPEE01020(413)478-1536 PROPERTY LOCATION 161 ROUND HILL RD MAP 24D PARCEL 317 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid J Building Permit Filled out Fee Paid Typeof Construction: REPLACE SHINGLED &ROLL ROOFING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106836 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 Permit from Elm Street Commission Permit DPW Storm Water Management o S ure of Buil in 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. 161 ROUND HILL RD BP-2016-0382 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D-317 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2016-0382 Project# JS-2016-000619 Est. Cost: $34775.00 Fee: $243.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JEREMY SAWYER 106836 Lot Size(sq.ft.): 34020.36 Owner: HAMPSHIRE PROPERTY MANAGEMENT Zoning. URC Applicant: JEREMY SAWYER AT. 161 ROUND HILL RD Applicant Address: Phone: Insurance: 21 ROLF AVE (413) 478-1536 WC CHICOPEEMA01020 ISSUED ON.912412015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE SHINGLED & ROLL ROOFING 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 Sienature: FeeType: Date Paid: Amount: Building 9/24/2015 0:00:00 $243.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner