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38C-022 (3) 355 SOUTH ST BP-2017-0858 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 38C-022 CITY OF NORTHAMPTON Lot:-00 i PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) category:renovation BUILDING PERMIT Permit 4 BP-2017-0858 Project# JS-201.7-000299 Est.Cost:$9000.00 Fee:£38.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group; THOMAS AQUADRO 083682 Lot Size(sq. ft.): 6359.76 Owner: AOUADRO.IUSTIN Zonlne: UR..,,, l00 Applicant: THOMAS AQUADRO AT: 355 SOUTH ST Applicant Address: Phone: Insurance: 38 LINSEED RD (413) 3484444 WEST HATFIELDMA01088 ISSUED ON:Z/13/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL NEW BULKHEAD, FRONT STEPS AND REPLACE HOT WATER BOILER 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 it 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 Occupanc V.nature: FeeType: Date Paid: Amount: Building (/13/2017 0:00:00 $38.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck- Building Commissioner File#BP-2017-0858 APPLICANT/CONTACT PERSON THOMAS AQUADRO ADDRESS/PHONE 38 LINSEED RD WEST HATFIELD (413)348-4444 PROPERTY LOCATION 355 SOUTH ST MAP 38C PARCEL 022 001 ZONE URB(I00)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid I�- Building Permit Filled out `iY./"1 Fee Paid ✓ j-- Typeof Construction: INSTALL NEW L , FRONT STEPS AND REPLACE HOT WATER BOILER New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 083682 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 molitio De ay 7..; Si eo B i fficiff 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. • City of Northampton �. , ice "` 7,, , rik ,- ,tet. `Building Department ejl .a: ^r t^Q �'l. • X212 Main Street tAcg?. �, 1 f Room 100 �,f R� xi�,l I>!.ia itOirt Northampton, MA 01060 ^'��'"" a 'rab +`1a ' pJa6ne 413-587-1240 Fax 413-587-1272 ��' P, "� " P ATION 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 .35g- Cv,lb sr Map Lot Unit No } (A -rywZ SO Zone Overlay District t CZ'([ Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: �ILSTr ,_ 4Arrno 3?) �LN GCG} d LJ , fjAh 'nl� Name(Print) Current Marling Address- ,03 y 3,520 2cn _ Telephone Signature ic-yjiTj 2,2 Authorized Agent: Name{Pool} Current Mallin Address: lilg ure 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 46106. 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) ,�' 5. Fire Protection .5 00 Ao(5/X'� 6. Total=(1 +2+3+4+5) 9,1Ste Check Number r 3J ,.•��J This Section For Official Use Only Building Permit Number: Date 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 I This column to be Filled in by Building Departmcm Lot Size Cijg. 4..Pi-._iii I.___..._ ___.. -1 L ..-1 Frontage L..'tI-I1 .._J 11___ Setbacks Front FL-Li I 1 Side L:irr-L��l,�;;:I R:� �_ L:�—,-1 Rin -,I L—..I _-.1 Rear t.>v� ._...) ___.1 / Building Height II�f - E— Bldg.Square Footage L}-�:jy / _ -� '- Open Space Footage __ _. % I rr - (Lot area minus bldg& L laved .„_,.1 L._ L.._......� L � `--� parking) #of Parking Spaces G- I — i±11.1 _ Fit(: _� Fill:(volu &Location) _.._� A. Has a Special Permit/Variance/Finding/ever been issued for/on the site? V NO 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 Il IF YES: enter Book Page and/or Document 4 + B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained © , Date Issued: 1 C. Do any signs exist on the property? YES O NO IF YES, describe size, type and Location: L 1 D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO QP'''. IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excav n,or filling)over 1 acre or is it part of a common plan that win disturb over 1 acre? YES a NO 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 Alteration(s) Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [q Siding [0] Other[O] Brief Description of s Proposed,�p /�- Work. LL/UsIRA) S. `A - . . , j: : ,'I toAi gai1BA Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Sa If New house an"i"oh addition- to tilstirei housinlvtompletethe face/win& 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 R.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes�No j. Depth of basement or cedar 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� r- OR CONTRACTOR APPLIES FOR BUILDING PERMIT :/ (-I SrTh) /4 U AD12n ,as Owner of the subject properly �} hereby authorize J /COAJI}S 074rQF LL J94b to act on my behalf,i alt matters relative =+-ork authorized by this building permit application. Si of Own-rs— pp Date �-- nM I, chI1 S [Q tt A-DAC ,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. /h Jvuts Ar2UApea Print Name Signature of Owner/ et Date SECTION 8-CONSTRUCTION SERVICES 1 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder I .b I( . AS'C/1 t n License umber Y w� . !1..O 4 . r•oi`�, d 11- Address Expiration Date Signature if phone einar'/ r 41Atq_ a' Cistritsr. No— s.Registered HpmelmefovementContrector:, Pl Not Applicable e 0 Company Name Registr1ra//jitJoA Number Address Expir'allon'D1 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 0 No 0 11. -Monter Owner rExemntion The current exemption for"homeavners"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 108.34.1. Definition of Homeowner:Person(s)who own a parcel of and 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 he required from time to time,duringand upon completion of the work for which thispermit 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 _ r The Commonwealth of Massachusetts Jy Department of Industrial Accidents Office of Investigations _ o 1 Congress Street, Suite 100 "" ' Boston,M.102114-2!117 —Li- 1b: www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):` Al • r ,ice /r Address: 38 4VS a2,0 lea w7- flng7,std City/State/Zip: Phone#: .._i: L '9 Are you an employer? Check the appropriate box; Type of project(required): 1.❑ 1 am a employer with 4. I am a general contractor and I employees(full and/or part-tune).* have hired the sub-contractors 6. FII New construction 2.9 lam a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have B. Q Demolition working for me in any capacity. employees and have workers' 9Building addition [No workers' comp. insurance comp.insurance? required.] 5. 9 We are a corporation and its 10.E Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.9 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I2.E Roof repairs insurance required.] t c. 152,§I(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] ,Any applicant that checks box N1 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 outside contractors must submit a new affidavit indicating such. tConiractars that check this box must attached an additional sheet showing the name of the sub-contractors and state schether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number t am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ ____ Policy Policy k or Self-ins. Lie.#: Expiration Date: Job Site Address:_ City/State/Zip: 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 clay 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. 1 do hereby certt&and:, ,pains and penalties of perjury that the information provided above is true and correct. AI Siena Jr , ic�L.j... �j p/ Date: H) I ��7 Phone It: 13e`.3 tip^' Lit' -7- Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermwLicense# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4,Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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: )i3 The debris will be transported by: ic,,,frbeetima The debris will be received by: , e iN Building permit number: Name of Permit Applicant ' AmA S AQ1.1A7>Rn Date Signature o�Applicant FLAGG-PALMER PRECAST /Siragile/s �/ate / /� 7'7 I Industrial Park West Road . Oxford,MA . . www.Flaggpalmerprecast.com PRECAST CONCRETE STEP SPECIFICATIONS p MIS Cale MIN 3(" ;et o4eccwcrive 4V vp( /Q3 j/,3 STEP WIDTH 60" Plant Produced --- Manufactured in conuofd anmmmtent which eroma=Wean quality. DECK SIZES ffi -- I High Strength Concrete 30 1 =_ I In business since 1957 Our experience has led to the development 12"r- -- I of a special mix using approved materials which produces excellent 27. . -_— concrete density and product durability Our cement meets or -- exceedsC1ceeda ASTM 5081Steel Reinforced 4'-0" ASTM A615.Engineered for added tensile strength with 40000 I - 5'-0" PSI rPis RISERSyieId reinforcing ods. T- 6'.0" Attractive Railings Custom made to fir our steps.Welded steel or aluminum available. Only 4'wide side inky steps have 60"long enclosed deck.(6)riser maximum. Now:From Ill es 161 risers available. Hand Finished Optional brick or stone is applied by highly skilled craftsmen City ofNorlilarr'O[On techniquedevelopedofex singssh p yearsexperience.Variety Building Department of sizes and finishes which blend with only type of architecture. Plan Review Design criteria 212 Main Street Optimal step height,depth,and width. Brushed tread surface. Northampton. MA 01060 STEP WIDTH Maintenance free. 4III 8" I •- Other ReardalProducts DECK SIZES I. —__I,_— Basement entriesseptic systems,dry wills,retaining walls and more. 1 __-�,-- Warranty km In the event you experience a problem with our workmanship,we m nwmr __.,-- will stand by our reputation for quality and dependadependabilityThe __-'-- warranty is limited m repor replacement of the product, our option.Our steps have ave a a one year guarantee against excessive --II I • • cracking on settling,customer negligence excluded. 7"RISERS I F-- 4'-0" T— 5'-0'-4" Note:As nurse da ag and rcproid the thewrue eat a recomnr kah 5 .t," tory caws dmrmse ad will voiddter months.warranty. We rcemmmend L l0' a' 7' using 04 clean mndduring wlmo monehr. ,p� p Note:From p)w le)risers available. (\e,/ +Zla C_.f',1Oe Al r rs , - Few _5 3` Sco /A.f /- For more information,please contact Flagg-Palmer Precast an www.Plaggpabnerprecasecom Z-44'dl v5? 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