Loading...
17D-040 (9) Remodeling bid for 6 High Street, Florence, MA Matthew Kozuch and Tammi McBath July 18th, 2005 The third floor attic room is currently unfinished. We are making it into an office/storage space. We would like to do some renovations. The room is approximately 22x18. We would like to put in non-weight bearing knee walls that are 4 feet high and a frame around the stairway leading into the room. We would also like to knock down the chimney throughout the whole house to the bottom of the first level. F �'CtlAMP�. -• e Crify oaf Xart4aulptan �Giassachusrtts DEPARTMENT OF BUILDDkTG INSPECTIONS f INSPECTOR '212 Main Street • Municipal Building ' Northunpton, MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction sup,,:--,,`Sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two fami - 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." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and fegulations. 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 inspection.:.The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are ruVe ✓OI, 1,� J ` understand the above. e owner/r est ent's signature requesting exemption) I l to schedule all required building inspections necessary for the building permit issued to me. = Date Vq 1 Address of work N . location r a , r , O�Y 111J!PLO R E (rT'[-) Pf �'Tortlji3111pt0t.l R E -qiczaachnsctle' — o DEPART)vfENT OP DUIL00\10 INSPPCr(OI.'S 212 Alain Strcct Municipal Building I Northampton, Mass. 01060 j WORICER'S CONDENSATION CSISURANCE AI,=AVIT '• (liccusa-Jpermittcc) \=rith a prLncipal place of businessfresidence at: — (phone-') j (stztr tJci ty/sua.tc/zi p) do hereby certify, under the.pairts and penalties ofpc -ury, -hat i ( ) I am an employer providing die followint-7 vvorkces CO1nDCOS-2JOi: cove age for In_y emplovccS vvor 3ng on t3tis job: I Onsur-:-n=Comaaml) (Po1ic: Nt--,bcr) -- (I-xpirztion Dale) ( ) I ain a sole proprietor, general contractor or homeov' finer (ciu c:e one) aid have hired the cocua.(ngrs listed below ryho have the follotV* P- worker's co�oen_sa�on pa!icies: i j ('NSID: Oi Con- Mc.o-) (Insurance CoiDDlrl}'hoUCi NluII1-hC:) (Etimn'luOn Date) j - (Name of Coolraaor) Onsaranc-- Comoaa`vPol y Numc_r) Date) j (Name of Connaao;) (insurance Company/Pol,•cy Numbu) (Expiruea Datc) (Nae of Contractor) (Insuraa� Comcauy/PoU y Number) (Et�ilatia❑ Date) m - (xa�Gft_ci�rcr___l�ca,if oaoc3i-y'w a>` iafvr=L•]OC pertainiag to.L 000?--=o:a) i O I am'a sole proprietor and have no one workiDg for me. (/} I am,a home owner performing all the work myself-. NOTE:pl=-7e be cw7,m t*•• 1 )e hem vcrs.to employ p=-L=to L�D ssr= ss ua r rcpair w-orx on c d.vc ,-y of jm«o th a rwj is u3id3 the bocnoowva rvida«w tb c p ounC,z,�purteb tbcao c c wt r•1)y oeer:dasa7 ro tti ' eitploy-�ux e the ui rtz C=ap ca Aa(GUI 52-=1(5)x=pptia.00n by a bomcna-oa f=a 6c-----or pemh tr_r-id—LL- IC-PI n-xu of en C=:Playor ucda dre wockc e&C� nd 1 u-d—d rha-ovpy or tbL6��o y bo f--- i-d to the Dcpnccmcs a OT,-or t,. o roc tb. covey gc veriCcaioa,md th t Li)tac to s«auc oo.erase trade U=e On 25 A of h(GL 152 can led m the i saioa of c imiall pcailtie coaysmg of a fix orup to 51}OO.00-sdfoc of up to ooc y=r ead civU pcoaltio is 6c form of.Stop Wort;Ord=and. f=of S 100.00 i d_y Lpaiast tD,- For dcp.rta.�u.c onJy I jj Pcrmtt NttIDbcr 4), /l' / 5/ N42 P."-- Lot° — ig—LU>:of Li CMIiucc j E SECTION 8-CONSTRUCTION SERVICES 71 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone 9 Jteasfe�eckNom' mn©venectsContiacfo gj: ! Not Applicable ❑ Company Name Registration umber r�--- ---- Address Expiration Date Telephone 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....... ❑ No...... ❑ 11� Hame- �:ner �em� 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-vear 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 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 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"c fies an assumes responsibility for compliance with the-State-Building-C—ode,-City-o--- -- N rthampton Ordinances,State Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r SECTION 5-DESCRIPTION OF PROPOSED WORK(check all°applicable) New House ❑ Addition ❑:- Replacement Windows Alteration(s) Roofing Or boors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding[0] Other[d] rief Descriptio f Proposed Work: OVC�hI 2 Ulf n i5 ' Cs Alteration of existing bedroom Yes y'No Adding new bedroom Yes f No f Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 1k a=1f N'dW14ibu tf_0Vb ih011,t6th- nQ: 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 Ta-OWNERAUTHORIZATION-1O BE COMPLETED WHEN OWNERS AGENT;ORCONTRACTQR APPLIES'FOR BUILDING%PERMIT I, 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 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 under the pains and penalties of perjury. Pri4�ta m .7" V 71/ Sig ure of Owner/Agent Date Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Deparnnent Lot Size Frontage I Setbacks Front Side L: R: L: R:i I Rear I Building Height ' '— Bldg.Square Footage % �- Open Space Footage % (Lot area minus bldg&paved azkin #of Parking Spaces Fill: (volume'&Location) f A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW U YES 0 IF YES: enter Book Page, and/or Document f B. Does the site contain a brook, body of water or wetlands? NO 0 DONT 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 NO 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 , NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. IL a City of Nortf ampton �n I ing Department 2 Main Street Room 100 ` I ans r . nnc, mpton; -MA 01060 ! JUL � $pltiL 41 - -1240 Fax 413-587-1272 [Q r r Df4 �MAIt+fU' TRUC ,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMATION 4 f Thts sectfnn tQ be,conateted by oifce Al Property Address: A LIU i;-i vlo(' 7-,5_77, 77 7", Zone O�erlayD�snct ' CB D�s#rtct �ElcrrSt:DIstnot SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT' 2.1 Owner of Record: MA a'- Name(P' Current Mail'n Qdd ress: T. 01 > &0117 ,Y Telephone S nature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3.-'ESTIMATED'CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant ol 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) Check Number This Section For Official Use Only Date Building Permit Number Issued Signature: i Building Commissioner/Inspectorof Buildings Date r i File#BP-2006-0058 APPLICANT/CONTACT PERSON MCBATH TAMMI&MATT KOZUCH ADDRESS/PHONE 39 STILSON AVE FLORENCE (413)584-5862 Q PROPERTY LOCATION 6 HIGH ST MAP 17D PARCEL 040 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: RENOVATE ATTIC SPACE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON FO INATION 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 Str ommission 12,4 2 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. r 6 HIGH ST BP-2006-0058 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17D-040 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0058 Project# JS-2006-0075 Est.Cost: $800.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 16509.24 Owner: MCBATH TAMMI&MATT KOZUCH Zoning.URB Applicant: MCBATH TAMMI & MATT KOZUCH AT. 6 HIGH ST Applicant Address: Phone: Insurance: 39 STILSON AVE (413) 584-5862 O FLORENCEMA01062 ISSUED ON.7128105 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENOVATE ATTIC SPACE 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 7/28/05 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo