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24A-209
24 ADARE PL BP-2008-0683 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24A-209 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2008-0683 Project# JS-2008-001050 Est. Cost: 864200.00 Fee: $320.00 PERMISSION IS HEREBY GRANTED TO: Cnr.st. Clas!_: contractor: License: Use Group: Edward P Hamel 020695 Lot Size(sq. ft.): 5619.24 Owner: ROSZKO STEVEN R&KATHRYN K Zoning: URB Applicant: Edward P Hamel Al: 24 ADARE PL Applicant Address: Phone: insurance: 155 Glendale Rd (413) 527-0164_0 SOUTHAlv1PTONMA01073 ISSUED ON:2/12/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN, BATH & INSTALL NEW WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector t ut;erv,,vt:nl,;: .service: Meter: Footings: Rough:' :' ' t Rough:3 ,7/O� House# Foundation: �ll�r Driveway Final: Fi9a1: Final: _4/....6 ,,ft�f �.I VOYAg? �'6s� Rough Frame:J< - RE t6c-1c Gas: /70 ¢ Fire Department Fireplace/Chimney: Rough:`' --' • r :! it: Insulation:(L�` ?C 3-- 3 1 -y,6,....,4),3 • Final: Smoke: Final: O K 06106 f 6 g t_0141s THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc\=1 siTnature: �""". FeeTvpe: Date Paid: Amount: Building 2/12/2008 0:00:00 S320.005040 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo - 1 - .... BP-2008-0683 GIS v: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON 1 ,.: .007 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateuuorv.: renovation BUILDING PERMIT Permit4 BP-2008-0683 Project a JS-2008-001050 Lsl. Cost: S64200.00 s20 uo PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor: License: Use Group: Edward P Hamel 020695 l of Size(sq. ft.): 5619.24 Owner: ROSZKO STEVEN R&KATHRYN K Zonine UR§ Applicant: Edward P Hamel AT: 24 ADARE PL I ppl kart.4 delress: Phone: Insurance: 155 Glendale Rd (413) 527-0164 O S O U T HAM PTO N MA01073 ISSUED ON:2/12/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN, BATH & INSTALL NEW WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET 'ii pc cmr of I Itinibing Inspector of Wiring D.P.W. Building Inspector I nderground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Huai: 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: Feelvpe: Date Paid: Amount: Building 2/12(20080:00:00 $320.005040 212 Main Street, Phone(413) 587-1240,Fax: (413) 587-1272 Building Commissioner- Anthony Patillo • File#BP-2008-0683 APPLICANT/CONTACT PERSON Edward P Hamel ADDRESS:PHONE 155 Glendale Rd SOUTHAMPTON (413)527-0164 O PROPERTY LOCATION 24 ADARE PL MAP 24A PARCEL 209 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildipgpermit Filled out �-y��( Fee Paid LW* *3007 "Fypeof Construction: REMODEL KITCHEN, BATH &INSTALL NEW WINDOWS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 020695 3 sets of Plans/Plot Plan THEFOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO IATION 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 Demolition lay De� 4 Signatu iI&ng Official Date ,44. 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 Maiming&Development for more information. r, L.'I . LLONCOr I LJrc rf'Iu'c NU. • 41a DOC o r l r ED. GO LOGO L 1.44L11-111 ra sa -,..-. i e. City of Northampton n' `""- - ,g F * --building Department >nI .K = -'' �z..� #,,,, �� L,0 2)12 Main Street °= ^'"� "'1 :seat` '" w II.,5 ) Room 100 r ' '-r _ei &' OvP' ampton, MA 01060 �" „a_ '�'- �, J f`f` u-; " —phone 413-587-1240 Fax 413-SNI-1272 �•.141v ` 1 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.: -arrE INFORMATION 1.1 Property Andress This section to be completed by office LN 4442'r PL.Xs. WE Lot_. Una tope Overlay District Elrir4t Patriot CS DPstict SECTION 2-PROPERTY OWNEREHIP/AUTFIOR2ED 4GENT 2.1 Owner ofiecorl: _ Star 1-AA7'I44Vn le05Zgo 2_-1 Iili ftaltIck a_. _ Curers -30' -foci Te -i Sloe \/ kpnarre 2.2 Authorized Melt. E&hign A lame C.— /SC elaitfw ate Name(Mop Current moms Address: so✓rflAntroy , r14. oicr73 Sanative Teeplwne N1352.7 0/kit SECTIONS-ES.1IMATEO-cuNSERUCTNINCOSTS Iten, Estimated Cost(Dollars)to be OfPoaLUse Only compie&M by portrait applicant 1 Building � ,35,zoo-oz -F#Madam Permlt:Fee 2. Electrical4h).FSbnaled Total Cost of 1B, 100 . oo �coosbu or<wm(e) 3. Plumbing9a II D o , O D :minding Permit Fes 4. Mechanical(HVAC) 5. Fre Protection I) , 3ao.0D e. Total= tty (i +23 4+5) / (rt}I 200,00 I'.Check Number 6 64 I6,1;r/0— ' This SlCaortFos OficiatUse.Only Building Pantie Number issued. Signature: auikiroCommisionetAnepeirWitBSIMM-5.:. --- - Oats rru'1 • I-UrESEICO.Iur.z Yhuft IIL. . 413 JL! C(y( FED. GJ C 'v 1241141 I'd t. S-ECTION 5•DESCRIPTION OF PROPOSED WORK(check all applicable) New Rouse 0 Addition ❑ Replaeementlyrdbws I Alteratonls) ,R Roofing 0 Or Doors ..��II Accessory Bldg. 0 Demolition ❑ New Signs ICI Decks jq Siring Ol] Other ltd Brief Description Of Proposed Work: KITCHEN ?QAfH 2EIheDEL, NAJ a//UQ/bS Alteration of existing bedroom Yes_ No Adding new bedroom Yes 1," No AttachNative Renovating unfinished basement ✓ Yes Attached Narrative No Plans Attached Roil -Sheet ' -- - ' . - - ' ' Sa rENeyteroraaasluwei ,a'Frd6amm:cai � ewTSme�iva:. • a. Use of building:One Family Two Family Other - o. Number of moms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Sguare footage of new construction. Dimensions ' a Number of stories? f. Method of healing? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. MassCheck Energy Compliance term adacned? h. Type of consbydion E. la(Anstw ion within 100 ft ofwetands?__Yes No. Is construction'xithin 100 yr. floodpiin_Yes It j- Depth of basement or cellar floor below finished grade k. Wla building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer • • Private well City water Supply SECTION TA-OWNMRAUTNORMA'DOtk=itfil3E-zMMPCEmEDSWAEIL - - OWNERS AGEtn ORzCOw RACTORJRIEISWOMSUILFIMG2ERMIT _-„, __Th ' =7-cwt'' �.�'�--�� �C� ,as Ovmer of the subject property - hereby authorize arlh A Q !4Am CL. to act on my half,in ail matters relative to world authorized by this bulging perta pliration. -_____.32.--1------C--------- /-! 'L f fa /Us _ Signature of Owner n C. Date I, .0.04)444 A /1407.02-. as OwnnJAuthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best cf my knowledge and belief. Signed under tee pains and Penalties of pegury. 2/020 re Signature of Owner/Agent Section 4. ZONING I AU Information Must Be Completed. Permit Can Be Denied Due Ta Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Depamnent Lot Size L'}ISTPUb- . .. _.... Frontage EXISTIni F Setbacks Front _-- Side L: R: L: _ R _ . _ .. . .. Rear 4U- 6X/5Tlma- Building Height E}(I ST PO 11- Bids.Square Foots= ElU4 roo h-- Open Space Footage % - --- iLm area minus bldg&paved Dariunel EXlslltir of Parking Spaces E71/4T440-' - (volume antic A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES (3 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO ©" IF YES, describe size, type and location: E. MI the construction activity disturb(c!eanng,grading, ex vation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre, YES Q NO IF YES. then a Northampton Storm Water Management Permit from the DPW is required. • Department use only City of Northampton Status of Perrnd Building Department Curb CWDnveway Permit 212 Main Street Sewer/Septic Availability Room 100 WaterNVell Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: �/ 2q 4042E rtkC Map Lot Unit Zone Overlay District Elm St.District Cs District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: grflir -AAT14l°Y1t) ,eO$ZKO Name(Pnnt) Current Mailing Address_ Telephone Signature 2.2 Authorized Agent: EOw4K0 V- N4-/Y1 Et— iss G[E/vvytt etl Name(Print) Current Mailing Address so✓rilArlfTnnl , r1.9- 0/023 Signature Telephone y 13 r-2.7 0/1.1 SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 351200.OD 2 Electncal (b) Estimated Total Cost of 7$ p, 100 . Do Construction from (6) 3 Plumbing , 4 00 . 09 Building Permit Fee 4 Mechanical(HVAC) 5 Fire Protection X 11 , 3e 0,0 6. Total=(1 +2+3+4+5) ,(d VIy ZOO.OO Check Number This Section For Official Use Only Date Building Permit Number: Issued Signature: _ -Building Commissioner/Inspector ofBuildins--- Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder-. Chi 41n P,J4' EL- 02-06g1S License Number /S5 CLENOALE RU 50074 4077- n1 'MA- l//L/08 Add 55 )I ,, r Expir#ion ale (�ti4 4 k -- '!/3 S77 o/b y Signature Telephone 9_Registered Home Improvement Contractor Nut Appli-able ❑ a42441 137693 Company Name Registration Number H4-mEL COILIT447 S (2- ' 1408 Address Expiration Date SSS GLEW4tS go/ SooT/aArkomorhelephone&)z5L7o/l+ AA- 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 ple No 0 11.- Home Owner Exemption m. current exemption for"homeowners"was extended to include Owner-occupied Dwellings of o•- ) or two(2) families and to lbw such homeowner to engage an individual for hire who does not possess a license, r • ided that the owner acts as su ser or.CMR 780. Sixth Edition Section 108.3.5.1. Definition • Homeowner:Person(s)who own a parcel of land on which he/she re •-s or intends to reside,on which there is,or is intende• o be,a one or two family dwelling,attached or detached stru•• es accessory to such use and/or farm structures.A •erso• who constructs more than one home in a two-yea eriod shall not be considered a homeowner. Such"homeowner"sh• submit to the Building Official,on a form.• -ptable to the Building Official.that he/she shall be res onsible for all such : k •erformed under the building . -rmit. As acting Construction Su•e 'sor your presence on the-•• site will be required from time to time.during.and upon completion of the work for which t - permit is issued. .Also be advised that with reference to ix•apter 15 brkers'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Des • the Massachusetts General Laws Annotated,von may be liable for person(s) you hire to perform work for you under - s pe • it. The undersigned"homeowner"ce 'res and assu - responsibility for compliance with the State Building Code.City of Northampton Ordinances,State/'and Local Zoning La and State of Massachusetts General Laws Annotated. Homeowner Sign re SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacement jndows Alteration(s) Roofing n Or Doors L� Accessory Bldg. ❑ Demolition ❑ New Signs [Cl Decks [p Siding[D] Other[D] Brief Description of Proposed /�� - Work: KrrefIExi f. 41–)4 & IP? DEL, NEW le Z'EI&s Alteration of existing bedroom ✓ Yes No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes ✓ No Plans Attached Roll -Sheet Ga. If New house and or addition to existing housing, complete the following. a Use of budding 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 Woodstaves 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 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT X , as Owner of the subject property A /1 hereby authonze CSD k/h� P. 14-A CL— to Lto act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I. EQwd-go 9, Alm 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. eoW*Ld R. re 2-J Print Name 0,4)1.../.—. 2A1/4 13 Signature or Owner/Agent Date Department oflndustrialAccidents • Office of Investigations 600 Jfashin�aton Street -_ - Boston, MA 03111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .Anolicant Information Please Print Legibly Na111e coos 0 n c aiorhind .iduall_ Address: 65 GLE41MLC Rd Cit.} Stat2rzip: Soull/407p7mnJ fi7 Phone r'71: W35270)&9 Ara son an employer?? Check the appropriate box: Type of project(required): I a 4 n. ravel-wan U I am a general contractor and I 6_ Li New cons-traction e t e (car and or part-time i.' have hired me sub-contractors � listed on the attached shoe . gRemodehng '__ Ian a u proprietor or painter- _ andate no employees [Giesesob-conva to have s. H Demolition !Perking for me in a cs_oacits employees and have worker' 9E Buddn> 'ad t-on 1 ff rK ea' comp insurance comp insur c = J _ 5. U We are a corporation and is JO El Electrical repairs or additions 1 nieooi e dorm-all work officers have exercised their ] 11.n Plumbing repairs or additions e [No mvr,ee,n coin _ right of exemption per MGL p [ 1'_.(� Roof repairs insurancein6urance required ]t c. 152, ;1(4). and we have no employees. [Vo workers' 13.❑ Other comp. insurance required.] l apfficar. that checks be==: mior also rl out the sec on below showing cher worse s compensation policy information_ -::O ,intra affiaavit ffifficauffirthey g all work and then hue outsidecontractors must submit a new affidavit catin_such ._.o L: this bc iffist a:c_cie'an addict pal sheet showing the came of the sub-contractors and state whether or nor those entities have r ha soh-contract ra ilffie empiresthey mast ptheir aorkers.comp-policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job she information. u._crance Currpan/ Game: Polies =or S2bins_Lie . : Expiation Date: Job Site Address: Ctrs State;Zip: Attach a copy of the workers' compensation policy declaration page(showing the polio:number and expiration date). t _ re _ heiffilud doh cra2e as required under Section 25A ofMMGL c. 152 can lead to the imposition of criminal penalties of a up to SiSififf.Gu and or one-sear imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a time p to S 9, a day imomstthe violator Be advised that a copy of this statement may be forwarded to the Office of ins win midi _ the DIA for insurance coverage verification. Ida hereby certify-under d pthrmsandpertalties ofperjuty-that-the information provided above is true and correct. SI _attire: 0 Date: 7tJ S1 ZOO� tone = C /3 Sz9-olbf _ *dj kink asd only_ area to be compiered by city or town official. 11 Sin or Thou: . .._ Permit license# i)saing Authority (circle one): I. Board of Health 5. Building Department 5. City hewn jerk 4. Electrical Inspector Plumbing Inspector o. Other _.,r_toc Pero 0:__ Phone=: ' - �' } v _ _ -c. S • fi1� al _ '� i r`� Ncrn'srmr_ MA G.C60 y HO ME C`r'ri"EREXE'+u'TIO ACKNOWLEDGEMENT i The Stan-ofMassac::user:s al ws the homeowner the ris1: under 78r00a 1''.3 4 to I act as hislier cons.rucecr. sup The sale defines `Homeowner" as, •erson(s) I I I w c owns a parcel en which bels resides or intends to be, a one or two / all) i dove rein , tta hed or detached stria-res accessory to such use anP'or F a structures. A person w?ao constructs more than ore h.me in a two-year period shall tot be considered a home owner" I The buialela.-deoa:men_for the Cir of Nor' -upton wzt any --.�on(s)who seek to use the home owner emempdon, to am as their c , c .stri icn to be aware that by doing so von become responsible for cc.. III ace wi state building codes and regulations.atons. The inspection processrequiresh=the b cine deparrent be called to inspect work at varices sties, which include four :do: footings (before bacldill) sonotube holes (before flour). a rough building Inst- aon(before work is concealed). insulation insaectian (if renaled)and . r,*%t u17.i a insnectinn.The bui1din_deparanent requires these inspections before :.e w Lis concealed, failure to secure these inspections can result in failure to o'. in a ce_ ;late of occupancy until-the-work caabe-insverted... _ \ If rhe homeowner hires other trades :o perform w•r-(ele ti i, pNmbins& eas) the homeowiner will be responsible to make sure M. the trades hired se, ' e their proper pewits in conjunction to the buldiha pe-mi_ -: . d, and that they ge their required inspections.Fa_u e or'Me individual trades -o secse the permits and i ' anions as required can DELAY the proiea unihr sac' time as -the proper permits anu peaions are made � _.._ LTderstamd Gie ''pOti 2. (Home owner/resident's signa. re reques ng exemption) I will call to schedule all required ui ld ng inspections necessary for the building p t it issued to me. Dale / 3ddr'ss n'wnra / locatior. vs2Rp sc i4i I N. t , c, I r >d4 ° I .t`yt ! 4 . t w` 1 ! < 11 13z) 1 � �J _ ' �_ f • //�✓ IL S .-� ��, - - . �' -�— ._ IS ---�h __-.._..__ ; - - OPPIIISitT .474E eh; I .� �. I ' ° Ove ! Nt> / i r = NI'1e1j i Il Ji !7-2. ; 1 W I . I d Via ! .. _ 0 1 I A 10 III 1I I ell 1 I \ 1\N--.1 N? • /3 L # T--- i PZKIk_Y MS 1 d€SK__ C48J ' 1 } w- 64711....- 7-4:60_.`s',_2-09&_ . _ Eta einniFe- /CDSZAc 7 i -a - : :;:: - I o4‘. ‘: . ; i \ V or ' A II1r I _ . ,. < . T� r 4 j t ' ,, • 1 , , W I i J ..,........................._ .._ • 1 T ,r 1 1 , ! r-S---10( i i ; I .-1 •• 1 a I 1 5.1:14,, _TIP —"9579-17c 4. . Ii S-1/ ,..I \ 1 - 1 \ H i 1 I 4592 1 0 40 : 5 ‘ i , ,. . I 1 I', 11 ' • - • ... .. s ti ‘1 ... 1 \ / i rem, 1 1 1 1 1 ' 1 sto lev- ' A. , li -....