24D-192 (8) 4 WARFIELD PL BP-2017-0845
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D- 192 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: INSULATION BUILDING PERMIT
Permit q BP-2017-0845
Project P JS-2017-001413
Est.Cost: $2103.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BRYAN HOBBS 139564
Lot Size(sq. ft.): 4617.36 Owner: YOUNG KATHRYNE
zoning:URCtlool/ Applicant: BRYAN HOBBS
AT: 4 WARFIELD PL
Applicant Address: Phone: Insurance:
346 CONWAY ST (413) 775-9006 WC
GREENFIELDMA01301 ISSUED ON:1/11/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:AIR SEALING, WEATHERSTRIPPING,
INSULATION - R-38,R-30(ATTIC & KNEEWALLS)
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 1/11/2017 0:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0845
APPLICANT/CONTACT PERSON BRYAN HOBBS
ADDRESS/PHONE 346 CONWAY ST GREENFIELD (413)775-9006
PROPERTY LOCATION 4 WARFIELD PL
MAP 24D PARCEL 192 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid / 3„
Building Permit Filled out
Fee Paid
Tvmeof Construction: AIR SEAL _ '- •THERSTRIPPING,INSULATION-R-38.R-30(ATTIC&
KNEE WALLS)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License 139564
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOgAt'ATION 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
a- olitir. :vay
017
JJ •. - . Bui:ing Officio 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.
N.
•
� Department use only
City of Northampton
Building Department Status of Permit:
,-r;"
,. Curb Cut/Driveway Permit
f
kti
% 212 Main Street Sewer/Septic Availability
Room 100 Water%Vell Availability
/ Northampton, MA 01060 Two Sets of Structural Plans
phone 413-567-1240 Fax 413-567-1272 Plot/Site Plans
Other Specify
/APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 111
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
L- War Fye/ Ra Map Lot Unit
Ncw*+'arrPt-on Mb's Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: \l
(' I�
Q-1-V\f le 7oun/ 1{ U3Qrrt2\d �\C'J �16YH1to40-en
Name Print) �y> J � pp�� I (y, Current Mailing Address: c. !�
Z E. Q11V. e4 AIAPC �YYs LCCC On Telephone 1_Gn UbZ ' J` -I t'I
Signature V ,N
2.2 Authorized Agent:
---- ryan \ obbs (fie r,r,adellnc.� 34 b Conway g7eteengda. ,IAA
Name(Print
Current Mailing Address.
� Y/3 775- cleat,Signature !/ Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ai o3 —
(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 1 d /
6. Total=(1 +2+3+4+5) /0 3 - Check Number co 9/39 06
This Section For Official Use Only
Building Permit Number' / ,_ Date
Dated. �y�
Signature. - � /--/ / r
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING AU 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
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
parking)
g 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 O DONT KNOW 0 YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW CO YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained ® , Date Issued:
C. Do any signs exist on the property? YES 0 NO ®
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 iJ
IF YES, describe size, type and Location:
E. WIII the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over I acre? YES ® NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
•
SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ri Addition LJ Replacement Windows Alterationis) ❑ Roofing ❑
Or Doors C
Accessory Bldg. ❑ Demolition ❑ New Signs [Ci Decks [ Siding(C7j Other lg 1
Brief Description of Proposed
Work: AtrSCix11119, wpu+hex Qp;ny JIncU�DROn - R-3% --K—n)00:\k* c, 1,-,11etwcw\IS )
Alteration of existing bedroom Yes X No Adding new bedroom Yes A No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Rol •Sheet
6a. If New house and or addition to existing housing, complete the following.
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
I. Depth of basement or velar 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 to-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Bryan rl 4k S. ti _nne eltrt9 .as Owner of the subject
property
hereby authorize
to act on my behalf. in� allly,matters relative to work authorized by this builoing permit application.ee< )'F{ ithariZtt k cE &ujneAr. I /a t
Signature of Owner Date t
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.
Print Name
Signature of Owner/Agent Date
SECTIONS-CONSTRUCTION SERVICES
0,1 Licensed Construction ' •ervl.•or: Not Applicable ❑1G
Name of License Noldet'. T n \ .. I _6132 ,2
,
License Number
L Conkuoyt.C11 e� eit MN- Sp Jig
Ashlars Expiration 0 Sp
. . . .r1 1 3 -- 775- gob
'+i>rt ..f Telephone
9 R:.. t: ,, i.m• lu rr•v;ae ..antra ; Not Applicable.....
•
It Year t s asa w,! .. liU• tel f, �,•
om•an Nam, Regi2 Number
-r . .,.. _ . . :40 -_ � a 7�7��1
Address -7�/�^ (,+��(.! Expiration Oat
Telephone- / J7 621,10
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 buil no permit.
Signed Affidavit Attached Yes No 0
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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.CM R 780. Sixth Edition Section 105.3.5.1.
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 he,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 shell not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a tbrm acceptable to the Building Official that he/she shall be
responsible for all such work performed under the bnildingpermit.
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 pennit 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 maw be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies arid 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 __
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RISE60 Shawmut Road, Unit 2 I Canton, MA 02021 1339.502-6335
ENGINEERING' www.RlSEengineering.com
OWNER AUTHORIZATION FORM
I, Kee Af� LV L o ✓ n. CA
(qwner's Name)
owner of the property located at:
sic eij f , )\\rJC ' > O (6
CO
(Property Address) /
(Property Address)
•
hereby authorize (NI'1K? Bryant 4C)))45 /I nc�' el,i '/
(Su(NI/
or) //
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building
permit and to perform work on my property. This form is only valid with a signed contract.
Owner's gnre
Date
•
• The Commonwealth of Massachusetts
' Deparnnent of Industrial Accidents
1�'t ei Office of Investigations
„4 600 Washington Sheet
Boston,MA 02111
www massgotl/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electdclans/Plunabers
Anolicant Information Pleasejrint LeedWy
Name (Butner OrpvizatoMDdlvidial): Bryan G.Notts Remodeling
346 Conway St
Address: Greenfield, MA 01301
City/State/Zip: Phone is: (i( 7'�� �" l ocka
An you an employer? Checkk the appropriate box: Type of project(required):
1.V I am a employer with ICT 4. 0 I am a general contractor and 1 6, Q New=meson
employees(firs and/or Pan-time).` have hired the sub-contractors 7. ❑ Remodeling
2.Q 1 am a sole proprietor or parma- listed on the attached sheet. :
ship and have ro employees These sub-coatraclors have 8. 0 Dmoliuoo
working for me in any capacity. workers'cotta.insurance 9. 0 Building addition
[No workers'comp.insurance 5. 0 We area corporation and is •
required.] officers have exercised their 10.0 Ekxrial reps-ns or additions
3.0 I am a homeowner doing all work right of exemption per MGI. 11.0 Planting repairs or additions
myself[No workers' comp. c. 152,§1(4),sod we have no 12.0 Roof repairs
iastaince required.] t employees. [No wrkers' 13.®Other ellsv -
co insurance required.] 'iS.Can $t
*my applicant rot cbecro boa s1 min also an rater me=dem below bowing men aortas enyemsdoa policy mfornar an
I Hameowma who latch data affidavit odicelee toy an doing all work and tiro hen outdo anvoaetun mus mirth a new affidavit entrain rvoh
rCoauaemra tat check tis baa mkt Lanka d an additional ahem showing the vane of the sub cwnadon.nd ten workers'cans.poAry information
I am an employer tam Is providing workers'compensation insurance for my employees. Below ft the polity end Job.nits
inform s:km
Insurance Company Name: AiyiGUA KP IS( At oat nom044
Poling#or Self-ins.Lie #: (?`Z 1.4g...5 I 5 C N Expiratum Dae: I 0/2-6D) 13
lob Site Addreaa: C5ry/Star/Zfp:
Attach a copy of the workers' compensation polity declaration page(showing the policy Dumber sad expiration doe).
Failure to serve coverage as required under Section 25A of MGL c. 152 can lead to the imposition ofer®al penalties of a
fine up to 51,500.00 and/or one-year imprisonment, as wen as civil penalties in the from of a STOP WORK ORDER and a foe
if up to$250.00 a day against thc violator. Be advised that a ropy of this statement may be forwarded to the Office of
'nvtstigations of the DIA for insaavice avenge verification.
'do hereby cr and Me pains and pee+jabie,,of perjury Menthe Gfomamm smut above is trand correct
demure; .y`]/r��"_,r acted. Date, /01..2/'/6
bane#: 4I S— r7 o o1
Official use only. Do nm write in this area,to be completed by city or town official
City or Town: Permit/License#
baiting Authority(drde one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Atapector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
/
c .4.
, 21.11e (f P2 dl illEtdli'dreold f2/C7/6f ivaiiftdeyJella
Office of Consumer Affairs and Business Regulation
10 ParkPlaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 139584
TYPO: DBA
Expiration. 7123/2017 Trp 257354
BRYAN G. HOBBS REMODELI VG
BRYAN HOBBS — . ____,.
346 CONWAY ST —'__ — '" "-'—___
GREENFIELD, MA 01301 .._ ---
Update Address and return card.Mark reason for change.
o< 0 on os Address ti Renewal IT Employment T� Lost Card
"--72,, t,.,,,.,,:,i, r!/f„f^i/,,..,,/n„/i.
i ORkt of Consumer Affairs&Business Se utaeion License or registration valid for individut use only
CME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
,; egtetration: 139564 Type: Office of Consumer Affairs and Business Regulation
•° ",'ExplratIon: 7123/2017 caA 10 Pork Plaza-Suite 5170
Boston.MA 02116
IRYAN a.HOBOS R6M066LINO
.RYAN HOBBS
46 CONWAY ST
REENFIEI.O,MA 01301 -'Undersecretary Not valid without signature
•
•
ois Massachusetts Department of Public Safety
Board of Building Regulations and Standards
e:
LicenseCS-083982 . 1
BRYAN G HOBBS
968 CONWAY STREET44
GREENFIELDMA 01301
h•-•"-.w. Expiration: ,
Commissioner 08/0212018
Federal ID P 05-0405829
RISE Engineering RI Contractor Raglstratlon No 8186
MA Contractor RegNootion No 120979
CT ConOactor Registrodoo No
RISE60 aeBW,Nm Rw.ti Canton,MA B:er
ENGINEERING' CONTRACT
(339)9024335 X-71011 F:\A(40117843X0
Page 2
PROGRAM
CMA-HES Sem Eeu°004 r`E CUervMER nalW0'tO 1111
oncnI Im Davie
cuaTOMFN PNON6WWIr WORK GPlER
OAFE
Kathryn[Young (650)802-5194 10/01/2016 438386 32502
MERWCE Sinnn
eBsa.G mm
4 Warlleld Place 4 Warfield Place
,inv,‘EIrr,MT. .w BIUWO art MTAT zip
Northampton, MA 01060 Northampton. MA 01060
JOB DESCRIPTION
Total: $2,102.34
Program Incentive: $1,704.26
Customer Total: $398.08
WV AGREE HEREBY TO FURNISH SERNCP$.COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS,POR THE SUM OP
***Three Hundred Ninety-Eight&08/100 Dollars $398.08
MO PPPABVAL BY RIEE ENGINEERING.Ce TCMEa AGRE6E TO REMITAM0UNt WEIN FULL.IxrEAGT OP 1%WILL BE CHARM MONTHLY ON ANY
uMPAIB WAKE AFTER ID DAN.' REWBEE FOR IMPONMnT IKMW:RON ON GUatu'TEEE.RIONR OF RECwoN,5CNEWW.e,ANG cw:TRACTOR REGtsTMTON.
DO NOT SIGN TWS CONTRACT IF THERERARE AN`; N SPACES
Au . . ... E.RISE EnMAFFnrq
LER E��.
NOTE.T10 cON1Pacr MAY SE WIYNORAYs By UE N Nor EYECUtEB YATNiN DATE OF ACCESTAMCE
317 Diem WARTED PTED V011 ARE AUTNMVE11TO OO THE MAN
.AS SPECIFIED,PAYMENT Wu_BE MAGE AC M/ryNED ABOVE
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.a'v4.. :
c. r.: FRANK WDOWIAK i^=
MASTER
ELECTRICIAN
938 Bridge RD Unit 3
Northampton,Ma 01060 '
Cell#41.3 588 2756
Ma Master License#20409A
Ma Journeyman License#52085E
10/22/2016
Young
4 Warfield Place
Northampton, Ma
Check and verify that no knob&tube wiring exists in the attic.
Replace attic light.
Replace 2^rl floor office light.
Remove light and wiring in kitchen closet.
Install 2 15 amp outlets in basement.
Install GFCI outlet on kitchen counter.
Total labor and materials charges $580
4c c`C__ 7y c� fe �,
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:
The debris will be transported by:
The debris will be received by: __
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant