38B-242 (2) 10 OLIVE ST BP-2017-1212
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-242 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2017-1212
Project# JS-2017-002040
Est. Cost: $16300.00
Fee: $104.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq. ft.): 8232.84 Owner: SINGH MAHAN
Zoning: URB(100)/ Applicant: JAMES FLANNERY
AT: 10 OLIVE ST
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAM PTO N MA01027 ISSUED ON:5/2/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE SHINGLES, INSTALL METAL ROOF
OVER FRONT STAIRS
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 5/2/2017 0:00:00 $104.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck- Building Commissioner
File BP-2017-1212 (Intl Ili .
APPLICANT/CONTACT PERSON JAMES FLANNERY ! &A !77 P�Q�
ADDRESS/PHONE I LOVEFIELD ST EASTHAMPTON (508)294-4052 � r A
PROPERTY LOCATION 10 OLIVE ST ci- 15 rt � ' \
MAP 38B PARCEL 242 001 ZONE URB(100)/
Pr � baizcS
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE (�I',,.'
ZONING FORM FILLED OUT �N^" l
Fee Paid �qak ,1W "^L{/✓
Building Permit Filled out
Fee Paid
Typeof Construction: REMOVE SHINGLES, INS L METAL ROOF OVER FRONT STAIRS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 103061
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
o Dela
Si lure 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.
/\
TeX v� k
City of Northampton `f--41:-,ti t.ft` r ,- .A {�
r�01 /,� Building Department Pro` rri
• h 212 Main Street <;P w ' ,St r"t -
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x2'Y, a ' `a
R' Room 100 y �' .-t-';“---
< �e Northampton, MA 01080 7 7 �" �'""g. ;
a ,er
phone 413-587-1240 Fax 413-587-1272 s {`�" ca . ' T' i 'yr
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APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION B O- 1 7- 1
21
1.1 Property Address: .(-- This section to be completed by officer 0 olive S l - Map 326 Lot Unit
/� /o r�-yt Cs Zone Overlay DistrictJ " Elm St District CB Mania
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Own of •
Name(print) Current Maigne Addrosa
X r�-/._v7 L5
Telephone
Sonaure
2.2 Authorized Anent
,Ti1MF s ;T, FuitotA/6t2 2 Love74e/d s* C '4 , /Nil- oioz;
Name(Print) Current Mailing Address.—
r
413 2033 ` Sax-2q1- gosZ
Si lure Telephone
S CION 3-ES MATED CONSTRU TION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Conslrucfion frau(8)
3. Plumbing Building PermitFee / ti-
4. Mechanical(HVAC)
5. Fire Protection /
6. Total=(1 +2+3+4+5) IN ) 3 d 0 Check Minter / q
This Section For Official Use Only
ate
Building Permit Number Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING AU Information Must Be Completed.Permit Can Be Denied Die To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
r t--
Lot Size r � t . ..__..�.__�.j
Frontage
Setbacks Front
Side _J - —I RE-1
La� Rr-1 L:�_� 'i' r_,
Rear
Building Height r--11
(—�
Bldg.Square Footage Lai 1—.7.d % l_sl .i I
Open Space Footage 11
(Lot area minus bldg&paved LI L___A Ell Ell
L-1
parkins)
#of Parking Spaces -- I r
Fill: 1 __ Jr ---i
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW O YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES O
IF YES: enter Book Page I l and/or Document#1
B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 O , Date Issued: L_ 1
C. Do any signs exist on the property? YES O 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 O NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW S required.
SECTION 6•DESCRIPTION OF PROPOSED WORK(Check all anollcagle)
New House ❑ Addition ❑ Replacement oors tWWindows Alteratkm(s) 0 Rooting
OAccessory Bldg. ❑ Demolition ❑ New Signs [O] Decks (q Siding(C7] Other(eV
Brief Description of Wed / / ..�- /�
Work: /' .MO rt SA// c7/ LS ' SIR'/ Gk °Y/ rt-ziF
Alteration of existing bedroom Yes No Adding new bedroom_Yes No
Attached Narrative Renovating unfinished basement Yes No _,,,r
Plans Attached Roll Sheet T
sa.If New house and or addition to eltistino housing.camuiete the following bc/i 14 coop
a, Use of building:One Family Two Family Other O✓P..� vICI-
s'jct i e 4 e
b. Number of rooms in each family unit: Number of Bathrooms 0. ��
C. Is there a garage attached? a'"-c'r'V [ w1
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
9. Energy Conservation Compliance. Masscheck Energy Compliance farm attached?
h. Type of construction
I. la construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
i. Depth of basement or cellar floor below finished grade
k. Will budding conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION Ta•OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERSr1 AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, { ' ovet Ut ( te L, ,as Owner of the subject
property
hereby authorize .T4/)1 ,S T. P(�t1AlEA\/ _ _
to act�on�/my behalf, In all matters relative to work authorllt(ed by this ttiiding perm) application. ' �� '
f"l4l-i<-.r9 5•-vt,1+%.1 L7-f 7-, / 7
Signaturee of Owner (i Date
IIMIIIIIIIIIMIIIIIIIIMMMIIIIIIIIIIIIIIOIMIC
I. TAMES 3- f Z44.0 u _ - ,as Owner/Authorized
Agent hereby declare that the sta encs and-information on the foregoing application are true aifd accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
TAiwE$ 3. fl'mtrAr C
Rina Name /` /
S 2z`r f 1
Sig at re of Ov�ii r/Agent r _ Date .„_
SECTION 8•CONSTRUCTION SERVICES
6.1 Licensed Construction SupervisorNot Applicable
Nam7I tier e S "llr7/
License Number
103 0./1
Address Expiration Data
s08.29/-1052
Signature Telephone „ 1A [7
tt5,eate4t6UtT leoofrAa6 LLC /83&98
Comoanv Nome Registration Number
.z. iaeJe/d & )/j4J,9.
Address Expiration
Telephone 413 263-5 ft
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MOS.C.162,¢25C(63)
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....... H
�..�,.-�f31#2O:Q4YB81;.�EC76
The current exemption for"homeowners"was extended to include ea, e .i v Du _ ,•of one(I) or two(2)families
and to allow such homeowner to engage an individual for hire who •sea not possess a license,provided that the owner nets
ereor ' • 780 d ion ,,. lin 08.33.
Definition of Homeowner:Perso who own a parcel oft. ..on which hetshe resides or intends to reside,on which there
is,or is intended to be,a one or two f: 't'dwelling,attach' or detached structures accessory to such use and/or farm
structures.A h. on who w 7r cts more n one hem..... two- ea I pod shall n, cot'i a h r I o
Such"homeowner"shall submit to the Building a form acceptable to the Building Official that he/she shall be
i indble -, Isuch wo , r erformed �.ert ,„.irmit.
As acting Construction Supervisor your presence on .b site will be required from time to time,during and upon
completion of the work for which this permit is iss -•
Also be advised that with reference to Chapter 152 ' otters'Co •-nation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of Massachusetts Ge :el Laws Annotated,you may be liable for person(s)
you hire to perforin work for you under this penni
The undersigned"homeowner"certifies and ass. -s 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
Department of Industrial Accidents
1 Congress Street,Smite 100
Boston, MA 02114-2017
- - wen ntaesgov/dia
Mcgdiers'Compensation Insurance Affidavit:Bni tiers/ContnemrslEleetridmtsfPlumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Anoljegat Information r� n /� Mom Print Legibly
Name(Bid incss/Organbstion/lndividual): POLL Pe-C7161907/lair?IR. Ce ,�/lr)/7/Tl .2-LC
1 LoVe741C/ SI- Ne 1 J
City/State/Zip: L-4dt*$* WttN , M4-- o/023-phone#., 4/3'-ZO3 -58$$
Are you au employer?Cheek the appropriate box: Type of project(required):
1.01 am a employer with 2 employees troll and/or pan-tirrel' 7. ❑New construction
?.❑1amasole proprietororpartnership and have noemployees worki g tor int in 8. ❑Remodeling
arty capacity-[No waken'comp.insurance required.j
3.❑Iani ahnhowndoingallworkmyselfINoworker cony dl'cerequire9. ❑Demoliton
em
4.01 am a homeowner and will be hiring contractors to conduct all wink 0❑Building addi on
k
ensure that all contractors either have workers'compensation insurance or are sole t II.❑Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet. i3. RooF repairs
lhseemployees sub-contracton have and have workers-comp.iamce
sutr .r
6.0 We arc a corporation and its off ers ave exercised their right ofcxemmvion per MGL c. Id.❑Other
152*I141,and we have no employees.[No workers'corm.insurance matured.]
'Any applicant that checks box a I oust also fill out Nesection below showing doh workers'corgnnnotim policy hilly-notion
t Honnmvuers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tConnactots that chock this box must attached an additional shed showing dm ohne of die stbcontmctors and slue whether or not those entities have
employees. lithe sub-enntraciurshave employees,they must provide their woken'comp.policy number.
tam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. �{�� /�., `',off
Insurance Company Name'. &€CM-2S /r7f1k/C) 7 67o'-sec.
Policy#or Self-ins.Lic.#: 22 WC 7-90 g-41 / Expiration Date: 11/2 //7-
Job Site Address:l0 Oh ye O/- _ City/State/Zip:. i ,�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expire ate).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 fee of up to$250.00 a
day against the violator.A copy of this statement may be Forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do her y certify made ',he pains penalties ofperjury that the information provided above is true and correct
SI_'amrc\ IaA k,I.it. 4 a . Dat : S J i
Phone#:
13-/ -51 -;
Officr use os- . Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
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: [0 Olive yr
The debris will be transported by: J4flE_5 S• Fut1/4/4.../f./2/
The debris will be received by: VALE/ i2.ECyeL1NC
Building permit number: 7
Name of Permit Applicant ' _ S. Fowl'„'
Date 1 Di i
Si g_ture of P .r 'It Applicant
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: l 0 Nike S 17
The debris will be transported by: Potf o n r SS Z`{ — 7
The debris will be received by: Uef LI/ey I`L0 cy
Building permit number:
Name of Permit Applicant e &Lk- Pe r-� g e
0C// 111111n
Date S nature of �e it Applicant
Peak Performance Roofing LLC
Commissioner Hasbrouck May 1,2017
Subject: Request for Waiver
I request that you grant a modification to waive the requirement for control construction for the
(Montessori School)at (51 Bates Street) in Northampton because the work is of a minor nature,will not
affect health,accessibility, life and fire safety,or structural requirements and is impractical in that the
cost of control construction is considerable when compared to the cost of the proposed work.All work
will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration.
"Mass Amendments,sections 107.1 allows for an exclusion from control construction for this project"
Respectfully,
James Flannery
Peak Performance Roofing LLC
1 Lovefield St.
Easthampton, Ma 01027
7471
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7 4r City of Northampton
Building Department
Plan Review
212 Main Street
Northampton, MA 01060