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32C-200 (2) 93 WILLIAMS ST BP-2017-0298 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-200 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPAIR BUILDING PERMIT Permit# BP-2017-0298 Project# JS-2017-000499 Est.Cost:$30000.00 Fee: $210.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THAYER STREET ASSOC INC 045159 Lot Size(so.ft.): 10105.92 Owner: DANIELS JENNA zoning: URC(l00)/ Applicant: THAYER STREET ASSOC INC AT: 93 WILLIAMS ST Applicant Address: Phone: Insurance: 8A COATES AVE (416)665-4018 Workers Compensation SOUTH DEERFIELDMA01373ISSUED ON:9/19/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATIONS TO BEDROOM , REMOVE INTERIOR WALL, NEW CONCRETE FLOOR IN BASEMENT , EXTERIOR REPAIRS TO PORCH AND DECKING 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: FeeTepe: Date Paid: Amount: Building 9/19/2016 0:00:00 $210.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0298 APPLICANT/CONTACT PERSON THAYER STREET ASSOC INC ADDRESS/PHONE 8A COATES AVE SOUTH DEERFIELD (416)665-4018 PROPERTY LOCATION 93 WILLIAMS ST MAP 32C PARCEL 200 001 ZONE URC(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid `/6 ni 4 d/0 Building Permit Filled out Fee Paid TypeofConstruction; RENOVATIONS XTO BEDROOM.REMOVE INTERIOR WALL.,NEW CONCRETE FLOOR IN BASEMENT,EXTERIOR REPAIRS TO PORCH AND DECKING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 045159 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF MATION 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 I- mild. say 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. G/4G11 h✓s [' udt /lark Department use only Lit Ctty of Northampton Status of Permit: 4t co f Building Department Curb Cut/Ddversy Permit c& 212 Main Street Seaertseptic Avaitab3ity ROOM 100 Wateriwell Avabbe:4 •, f pow Northampton, MA 01060 Two Sets of Structural Plans atj v I ,Qe phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify o • - • ABON TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 property Address: This section to be completed by office Map Lot Unit /,{j {j Zone Overlay District 93 1 /////may , 57'. EknSt.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: 4ea.a• /./0.A./es4 Sr.a,. a Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: ,art S7 Llooac . 8 eoc4ea /fie Name(Print) Current Mailing Address: �.� 44-6-r-jai$ Sign re Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee /O. 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 3 4/,</c1 49/0 This Section For Official Use Only Budding Permitet Number Date Issued: Signature: Building Commissioner/Inspector of Buildings Dave SECTION S-DESCRIPTION OF PROPOSED WORM{(check all applicable) New House [] Addition ❑ Replacement Windows Afterafion(s) 174Y Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition 0 New Signs (01 Decks IM Siding Other(CO Brief Description of Proposed Work: Alteration of existing bedroom 1- Yes No Adding new bedroom Yes //No Attached Narrative Renovating unfinished basement Yes /,I No Plans AnalTed Roll -Sheet sa.If New house and or addition to existing housing complete the following: / n a. Use of building: One Family Two Family V Other 'f'/ b. Number of rooms in each family unit: Number of Bathrooms J c. Is there a garage attached? AJ) Lt Proposed Square footage of new construction. irkti/K Dimensions e. Number of stories? "L f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance, PPtlT Masscheck Energy Compliance form attached? h. Type of construction Le verb i. Is construction within 100 ft. of wetlands?_Yes 6-"-No. Is construction within 100 yr. floodplain Yes _No j. Depth of basement or cellar floor belowfinished grade K. Will building conform to the Building and Zoning regulations? A0 Yes No. L Septic Tank City Sewer AZ Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Jt U ria L Qghreis ,asOwner ofthe subject plroperty hereby authorize Yid- .'9A �7. .p ODd_. to act on my half, in all ttpfsJrgjtaaatt/�7(.e to u au orzed by this building permit application. Signatu Owner • `" �i Date 30 I, C Oaar�Ji-- Z GO 4-'7 /O as OwnerlAuthanied 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. Print N Signature of Owner/Agent Date • //, Section 4. ZONING Ml Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information r r I Il Required by Zoning _ _� Building n to Department in by Building Dspam„nn 110.111.11 Setbacks Front aft 1.1.11111 Rear Bldg. Square Footage OpenSpat11.111111 ' (lot area minas bldg&paved -,,II ii,11 � ii�- A. Has a Sp tat Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO CS DONT KNOW O YES O IF YES: enter Book Page miter Document# B. Does the site contain a brook, body of water or wetlands? NO V DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO lJ IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO ig IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,ex vation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applicable 0 fJmne oaLkaaa bider: Cf License Num•v ' A.. A. ,! //et e.! � .3 /7 Addre;>'/ "i j Explraton Date Ar Sign. ure Telephone ui•.u:-- .:.aye.. ••.. Not Applicable 0 t��ts.. om•a me t Registration Numb•r S tooc.. 1 I Address y Expiration *ate t9 d & difirwicfre4 i S ft +^eTelephone 4'Z- 4°'$ 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 Me denial of the issuance of the building permit. Signed Affidavit Attached Yes No...... ❑ 1.1.. - Home Owner Exemption 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 , s supervisor,CMR 780, $istb Edition Section ISS 3 SA 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 structure& 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 acceptable to the Building Official that he/she shall be as t ansibte. : t such sr,x,. :.0•.mi•. ..y,.r . - d'n' - 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"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 The Commonwealth of Massachusetts lent^ - • Department oflndustrialAccidents Office of Investigations c..., I Congress Street,Suite 100 : affil! Boston,MA 0211 4-2 01 7 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Maine (Business/Organization/Individual): �,� ' '- _ _ . - h - Address: SCC CAct 5 (`I 4 City/State/Zip.S-y.y� } JL(,a p yt in-Pt Phone#: t--t 13 • .S- yC21/2 Are yy an employer?Check the appropptiiffte box: Type of project(required):HI 1am a employer with ac 4. ❑ I am a general contractor and t employees(full and/or pan•time)' have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. 0 Remodeling 2.0 t am a sole proprietor or Dormer- ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance. required.] 5. 0 We are a corporation and its 100 Electrical repairs or additions officers have exercised their 110Plumbing repairs or additions 7.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12❑ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required] "Any applicant that checks box tll must also fill out the section below showing their workers'compensation policy information. t Homeowners wbo submit this affidavit indicating they am doing all work and than hire outside contractors must submit a new affidavit lathe ng such. 'Contractors that check this box must attached an additional sheet showing the name of the sub.contrsctors and state whether or not those entities have employees. If the subcontractors have employees.they must provide their workers'comp-policy number. I am an employer that is providing workers'compensation insurance for my employees. Below B the policy and job site information. Insurance Company Name: 2C Policy#or self-ins.Lie.#: I CC A 319 at o O Expiration Date: le' - I Co Job Site Address: -CityfStatetZip: 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 •_ ' .t the violator. Be -. that a copy of this statement may be forwarded to the Office of Investigations of the a IA for insuray"cove ' erifrcation. I do hereby c under y .1 that the information provided above is true and correct. tr or. Sienanne: /i Dat g' Phone#: 4/3-410..5- 01F'� 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: TA THAYER STREET ASSOCIATES . INC . JJ Guurnl(lmunrrmr * Rc=;Arnnn,C+;umm;nl fun::urimml Ffl,tancil Joe Zurylo ) joe@thayerstreetassociates.com ._n A..� IplAul: . .l rd Y`hH. i_ t il4 r..or4 NARRATIVE FOR SCOPE OF WORK AT 93 WILLIAMS STREET INTERIOR 1 expand bedroom closet add 1 new closet 2 remove interior wall replace with girder(structural PE consulted) 3 install new concrete floor in basement(dirt floor at present) EXTERIOR 1 replace existent porch framing with new PT joists 2 replace decking with new PT decking 3 replace exterior stairs to porch /41;)//Ati P�Q4.5. % Stf 7/A// THAYER STREET JC.R ASSOCIATES, INC. �., 8 Coates Ave. South Deerfield, MA 01373 �,u;,:ED e. DA e (413) 665-4018 Fax (413) 665-1142 www.thayerstreetassociates.com SCAL City of Northampton - -. Building Department Plan Review 212 Main Street Northampton, MA01060 -' I '! I \ I�' r . riSk- THAYER STREET ASSOCIATES, INC. 8 Coates Ave. .1•1.5 OF South Deerfield MA 01373 cLcLJLRrEae3v BCE (413) 665-4018 Fax (413) 665.1142 www.thayerstreetassociates.com CHECKED BY acE SCALE H 71T L'rx • -- - - •-•., .---1)/ / 1 -4 f .a<7 aa.Ma - • .14 I r. 4 ' r Yr -- e _17.'`, 74-7°-<•#0-- C or / ft. e_. p ) - THAYER STREET _e 1� ✓ ` - + �'4 ASSOCIATES, INC. _„aThe ee 8 Coates Ave. South Deerfield MA 01373 c .Uu;EDEV ___ DATE (413) 665-4018 Fax (413) 665-1142 www.thayerstreetassociates.com CHECKEDRV-_ --- -___ ,f/moo • et 44' v Ii �y ..L __.} WY - • c„}, -L 53 ed