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38B-227 55 FAIRVIEW AVE BP-2017-0823 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:38B-227 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Building BUILDING PERMIT Permit# BP-2017-0823 Project# JS-2017-001377 Est.Cost: $14000.00 Fee: $91.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.ft.): 5532.12 Owner: STOVER GERRIT T Zoning: URB(I00)/ Applicant: STOVER GERRIT T AT: 55 FAIRVIEW AVE Applicant Address: Phone: Insurance: 55 FAIRVIEW AVE NORTHAM PTON MA01060 ISSUED ON:12/30/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVAL & REPLACEMENT OF ATTIC INSULATION, REINFORCE RAFTERS, ADDITIONAL ATTIC OUTLETS & LIGHTS, REPLACE FLOOR, 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 12/30/2016 0:00:00 $91.00 212 Main Street.Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0823 APPLICANT/CONTACT PERSON STOVER GERRIT T ADDRESS/PHONE 55 FAIRVIEW AVE NORTHAMPTON PROPERTY LOCATION 55 FAIRVIEW AVE MAP 38B PARCEL 227 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid qi Building Permit Filled out Fee Paid Typeof Construction: REMOVAL& • ' - MENT OF ATTIC INSULATION, REINFORCE RAFTERS ADDITIONAL ATTIC OUTLETS&LIGHTS,REPLACE FLOOR,DRYWALL 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 LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 1 F 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 D-, of7 Delay /7 - 36 -/K Signa • di g 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. Ma 9 ��6 City of Northampton ' as Building Department 111h° I ,S.C, to 212 Main Street 'i. I t •<m 3. , llv >° Room 100 4<'r�� r , 3 - Northampton, MA 01060 of Phone 413-587-1240 Fax 413-587-1272 r I•k la r .,i APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 11 Property Address: This section to be completed by office Cs f"Al(ZvtevJ —. Map Lot Unit : tJO@tM, APW , NA-55 . Zone Overlay District Om St District GB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 6 et— T. STOvCr— SS Ruttavrct,✓ R/E. Name(Print) en'ttllMailing Address: ^/ ttynly �-f3.^ai� � \ Telephone Signature 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 permit applicant 1. Building 3500 (a)Building Permit Fee 2. Electrical f 3S0 (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) -- 5. Fire Protection P/SO (dyl4.b/y) go.i 6. Total--.(1 +2+3+4+5) 41t/, 000 Check Number p/ at 6-7° This Section For Official Use Only Building Permit NumberDate Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size __ -- - ) Frontage i '._.— Setbacks Front '---1 L_ 1"---' Ss L:1--------i RL— L— I R. — _ L___i Building Height I r — FL—Li Bldg.Square Footage I L Ji ,_ 1 1 Open Space Footage % i____ —. (Lot area minusbldg&paved l �J L_� L l Parking) j —" #ofParking Spaces --- `___, --'-' Fill: I (volume&Location) -- - - -- - -- - - - -- - A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES O IF YES, date issuedr IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book '__.__—._____ J Page' _—___—__, and/or Document#i B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW © YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: l D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type and location: j E. illlthconstructionover 1 acre?ltyYES ON © disturb(clearing,grading.gvation,or tilling)over 1 acre or is it part of a common plan that will disturb IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteratlon(s) ® Roofing In Or Doors 0 ATTL Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[O] Other[C] Brief Description of Proposed Work:Ramo++) •nA rcplw.nnt t- dic issjl.h,r• ri s • ald;h+.set as_ orhdss- ;estkra{1ar dryir4/ Alteration of existing bedroom Yes X No Adding new bedroom Yes k No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sartf New'Fious -aNd of:8ddition to exlstinthousim re'ompletefthe'folfowinq: 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? ft 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 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,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 GEaLK rT 7: C7De ,as Owner/AMheeteed 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. GE/cc, r T- STOv-,. Print Name DeC. 30r 20 go Signature of OwnerlAgedt Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ! Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Realsteied HomelmotoJenient Contractor. Not Applicable ! Company Name Registration Number 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 11s.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 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 acceptable to the Building Official that he/she shall be responsible for all such work performed under the building 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"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State anal Zoni ws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts Department oflndustrialAccidents l� _,ih CI Office of Investigations e=v 1 Congress Street,Suite 100 '—i�itr a Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation InsuranceAffidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /+ Please Print Legibly Name(Business/Organization/Individual): E.2/2 /r 1 STo`yi=. Address: SC t74 IgVlunJ 4v1=. City/State/Zip: T/OKWtf}PtpT° J MA-n5. Phone 41:1913) 25, - SS/3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ [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.ty employees aid hareworkers' = 9. ❑Building addition [No workers' coup. inarrance comp,insurance. required.] 5. 5 We are a corporation and its 10.®Electrical repairs or additions 3.N I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers camp. right of exemption per MGL 120 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees [No workers 13.N1 Other 12elnw4+,;,' comp.insurance required.] 'Ary a visit Uri duckslm#1 mus aso fill M lhessYim below*boxing Over waked corrpers4ion policy inforrngicn. t ilomeowners 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-contra crshaveeratoyses the/rust prod cletlar waked trap.who/motet I am an employer that is providing workers mmperlstion i nal ranee for my employees. Bdc tisthe pol icy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of IheworkerS compensation policy declaration page(diowing 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 penalties of perjuly that the information provided above is true and correct. Signature: Date: Dec- ?o, 201(0 Phone n: qr3) SES- 8s!3 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 ft: City of Northampton 212 Main Street,Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: SS F412 v/Ew Avc. vog-alAM r,vv The debris will be transported by: Num,,,,,„52 The debris will be received by: Gy maivcc,i z 57'47oJ Building permit number: Name of Permit Applicant 6a2eI7 i-- -117)v DEc. 30 Zx16 Date Signature of Permit Applicant Information and Instructions Mamma iusdts Genera Lams chapter 152 requires al employers to provideworkat corrpansdion for the r amployeF,s Pursuant to this statute,an employee is ddinef as"...every penin in the service of atthe under ay contract of hire express or irrplied,oral or written.° An employer is defined as'a1 individud, partnership,aecxdaion, corporal on or other legal entity, or any two or more of the foregoing engaged in ajoint 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 bui!di rig appurtemalt thereto shall not because of such employment be deemed to beat employe" MGL chapter 152,§25C(6)alsevery 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)&des"Nether the conrmonweeith nor any of its pditital subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requi rements of this chapter have bmf presented to the contrasting authority." Applicants Resefi ll out the works$ cxrpeedion dfida'it completely, by checking the boxes thd apply to your situation at, 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 mattes or partners ere not required tocary workers mnpeisetion 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 I nduslrid Accidents Should you have my questionsregadirg the lav or if you are required to cbtan aworkerS 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 netessay) art under"Job Site Address' the applicad should write"all locations in (dtyor town)." A copy of the dfidavit the has been offidaly standar!or marked by the dty 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 Depatme i s address,telephone aid fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. it 617-727-4900 ext 7406 or 1-877-MASSAFE Revised 7-2013 Fax#617-727-7749 www.mass.gov/dia City of Northampton �"" ei Massachusetts a t~fe X s 2:..,e*;)..":, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 5A Northampton, Mw 01060 y` ge INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner'as, " Person(s) who owns a parcel on which he/she resides or intends 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 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 regulations. 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 ) a rough building inspection (before work is concealed). insulation inspection (if reauiredl 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 made I, 6etc1c rr T $Yov understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Disc . 30, 2 (G, Address of work location ,S.S FI-fRv//cc-- th- EA/Ac 4-.44En*.) slapad�s h4c N / 9-36/6 ���L'�'�/�L�i�� EXIST. 2x6 EXIST, lx8 RIDGE EXIST. 2x6 404o�F, wy, City of Northampton /. / (6) 12d COMMON "0" \\ nurv� �1� Budding Department NAILS, TYP. i� ci 9"`Q �5e5 �n Plan Review 90 �" 212 Main Sheet Northampton, MA 01060 � �--`E�6`E o 4/ 2 2x8 35. 41" (2) 12d COMMON NAILS @ 12' O.C„ TYP. 'i 1 k MINIMUM 2x6 SISTER n 2x6 SISTER BEARING, +i TYP. SIMPSON H2.5 HURRICANE TIE, TYP. a,,.,,.. `j- EXIST. JOIST dl. t23'-7' , SECTION SK3 i'= r-0' Structural Support PROJECT: CLIENT' LOCATION' DRAWING TITLE' 8` SOLAR HOT WATER SPARTAN SOLAR 55 FAIRVIEW AVE. ALTERNATE ROOF .lisjDesign Services 6 10 CHARLES ST. NORTHAMPTON, MA FRAMING 236 S.Shirkshire Rd. PHOTOVOLTAIC PANELS GREENFIELD, MA REINFORCEMENT S K 3 Conway,MA 01341 INSTALLATION 413-522-7771 Stover-55 Fairview Avenue Attic insulation removal and re-insulation, wiring, drywall,prep.for 2017 solar installs Abide Inc. Removal of existing attic floor Abatement of vermiculite and cellulose attic insulation(12/20, 12/21, 12/22) $3635 x 2=$7270 Luke Doody/Cool Hand Builders LLC Structural reinforcement for 2017 solar DHW/PV installs (12/16, 12/19) $740 Install new plywood floor Install drywall on attic ceiling Electrical wiring(homeowner) Pull 3 new supply cables basement-to-attic (in existing chase) Install, run cable to 11 new boxes for wall outlets, 3 boxes for new overhead lights Third cable is 10/3 for 2017 PV install Materials- $350 Energia Foam re-insulation in attic floor and on attic ceiling Supplement existing blown cellulose in walls Scheduled for 1/3/17 through 1/10/17 $11,070 bid,perhaps$1,500 additional final Luke Doody/Cool Hand Builders LLC Install new plywood floor Install drywall on attic ceiling After re-insulation (no estimate as yet) Cool Hand Builders LLC INVOICE P.O. Box 225 Coolhandbuildersaamail.com Wendell, MA, 01379 (413)-772-9208 Job: NE Solar Gerrit Stover INVOICE NUMBER 28 55 Fairview Ave INVOICE DATE December 20, 2016 Northampton, MA TERMS Net 30 Job Descrition: Structural Roof Support Weekly Notes: Sister 2x6 to existing rafters, intall collar ties at each rafter location, install hurricane ties at each rafter-top plate connection. QUANTITY DATE DESCRIPTIONHOURLY RATE AMOUNT 12/20/2016 Labor 350.00 - 12/20/2016 Material390.00 // 12 22 < \ SUBTOTAL 740.00 TAX 0.00 $740.00 DIRECT ALL INQUIRIES TO: MAKE ALL CHECKS PAYABLE TO: PAY THIS AMOUNT Luke Doody Luke Doody 413-772-9208 P.O. Box 225 coolhandbuildersCdtamail com Wendell, MA 01379 THANK YOU FOR YOUR BUSINESS! 11111111111111111 Proposal for Insulation Services November 4, 2016 Cierra Stover 413.585.8513(11-7) 55 FelMew Ave 413.584.4398 (h) Northampton, MA 01060 gernt9aodoer:com The following is a bid proposal for Insulation Installation services for the above referenced project based on a site scoping visit on 11/3/16. location Measure ot'pth R-value # t sr Cost • • •?So, -_-- Spr Foam C •sed 6 40 11120 8 .00 •of Sb• Pad out Donner 2x4 0 'N/A48 9301.00 Wa - _-- . S• - Foam Closed Cel 3 21. J.._288 821.00��s .awe i I 111,"•_141 i Et11111Manasa r rru �l.T r.Aff•+= ab To• of 2nd ibor lose !