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15B-038 (2)
228 CHESTERFIELD RD-2 SHEPARDS HOLLOW BP-2017-1133 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: I5B-038 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BASEMENT RENOVATION BUILDING PERMIT Permit# BP-2017-1133 Project# JS-2017-001923 Est.Cost:$28312.00 Fee: $184.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PETE MONAGHAN 137943 Lot Size(sq. ft.): 119790.00 Owner: BAKER JOSEPH&NATALIE Zoning: URA(s6)/RR(45V Applicant: PETE MONAGHAN AT: 228 CHESTERFIELD RD - 2 SHEPARDS HOLLOW Applicant Address: Phone: Insurance: 60 SHAWMUT RD (781) 801-0744 WC CANTONMA02021 ISSUED ON:6/20/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:CREATE PLAYROOM IN BASEMENT 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: OI: 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 6/20/2017 0:00:00 $184.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File F BP-2017-1133 APPLICANT/CONTACT PERSON PETE MONAGHAN ADDRESS/PHONE 60 SHAWMUT RD CANTON (781)801-0744 PROPERTY LOCATION 228 CHESTERFIELD RD MAP 1513 PARCEL 038 001 ZONE URA(56)/RR(4,5)/ THIS SEC HON FOR OFFICIAL USE ONLY: PERMJT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT / 1� Fee Paid l(�� Building Permit Filled out Fee Paid --if Typeof Construction: CREATE PLAYRO 9M IR BASEMENT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Byiildine Plans Included: Owner/Statement or License 137943 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN O ATKIN PRESENTED: pproved 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 emolition Delay Signature of it lidding 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. aAIUM 4u City of Northampton Mrtt1. 7 l.'7L� v l Building Department 4yin..va`td1LC 'd.,tt6t ruaifis > ,�, ZUIi 212 Main Street xX -1491 r 1C71r45Ul APR I 0 Room 100 I,r/I,vru 1 ,.v pll LR �" Northampton, MA 01060 �,01144,(iStoffeltal 1 -, ry phone 413-587-1240 Fax 413-587-1272Ik .ttl�_o >ypr. APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: r,�Thihis section to be completedleby office Z 54eri c 44,e R> Map )55 Lot V,✓V unit L r enSI Mw . c/a 5-3 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: TSr Ph 44F7—,Frier 2,1 kelt_ 2 SNeYA--ibt Mie /2- Name(Print) Current Mailing Address: 26'2vs7• 67S? Telephone Signature ,Ct27r/f 2.2 Authorized Agent: hese 9 w's"G,.a4-1/1x Pe ✓kr/fit _C09,741/n-7 2‘.7.) 67. 4,4", 1 + 02 2l N nnt) Current Mailing Address: Signatur Telephone SECT ON 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building S —, (a) Building Permit Fee r 2. Electrical3 1 2 (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =(1 +2+3+4+5) 2g, 3/2o Check Number 907 54 This Section For Official Use Only Building Permit Number: IIsssued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING Alt 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 _._.. _._1 __... 7I .— __I] Frontage c ____._ Setbacks Front L -1 L�.__ Side L:r._A Building Height E_ 7 Bldg. Square Footage I_±i- / L I.-_... I Open Space Footage ii ll .1 (Lot area minus bldg&paved r .J L .I L__u . .I parking) 1t of Parking Spaces r^ LI___ PT. Fill: _(volume&Location) — — - — ----- — A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW O YES O IF YES, date issued:) ^1 IF YES: Was the permit recorded at the Registry of Deeds? 110 O DON?KNOW O YES O IF YES: enter Book l Page _,. and/or Document tF[ 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 Q , Date Issued: C. Do any signs exist on the property? YES O NO a 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 a IF YES, describe size, type and location: _ J^ _J 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 © NO O lF YES,then a Northampton Storm Water Management Permit from the DPW is requred. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) 0. Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [q Siding[0] Other[0] Brief Description of Proposed (� /� Work: (--le l-.� V�A�'/la:+m Su &lct"/l 77 v/wv 37,,,[ /J-F€b Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement ✓ Yes No Plans Attached Roll -Sheet Ba.If Newhouse and,or:SchlitiOe to exlstinq`housing, complete the followin : 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 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 I, , as Owner of the subject property hereby authorize n 'It ON 7n/ 1-'14 ' `-0^"`✓ ""'—i to act on my behalf, in all matters rel ive tgggetiork authorized by this building permit application. - 616 —wet y/,/) Signature of Owner / Date J frog. A.9>vA.-„k2e ✓Ai/=z7^J , as Owner&ttloarizacb gent he by declare that the statements a information on the foregoing application are true and accurate,to the best of my knowledge a ief. Signed uncle the pains and penalties of perjury. r. ......... . .414.v e"b4' G24-.��n f�-„ Print Name �� /6 / 3 Signature of r ner/Agent Date TION 8-CONSTRUCTION SERVICES .icensed Constructig Superviaar: / "t /� - hNot Applicable ❑ e of License Holder: ne- , ''"19f'r' 't'�C't /C tens nl'S y/-O1 / License Number 42 ---C47,01-1014 cur (141* C.-p/J rt - -j rrntt ' ? ' `Z?-i �— — s� ! / Expiration Date CT-74 9-8('SO 1 • G4-fcjCI e' � 4 �ture l/ �.yr Telephone 'Ri t: PP1rVr4 Oq1✓r*Yrr✓g (9060 STOIC/ Col.-•-i„ enistered-Homelmprovedent Contractor - . % -= Not Applicable ❑ LUX 0-0uk-Yq-71-r✓S iii 1e3 sperm Name rn Registration Number la e,f1ijigs'ni r- ab en-4.4,..,. nuct . en ( 2- 4%r, i? ressQ ,<t' Expiration Date r ) 2j-c06 Telephone ;TION 18-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(A.G.L.c. 152,§25C(6)) kers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result ie denial of the issuance of the buildin9Parmit. ted Affidavit Attached Yes Cl No 0 11, =H .... nerlExemntion 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 indihdual for hire who does not possess a license,provided that the owner act as supervisor,CDdR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a panel 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 alt such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,duringand 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 ander 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 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: z S &1t3rr.V ,Z[o ✓[ ' /6r-pc The debris will be transported by: &'t /2t k= ✓i+T/z '772c-c- e The debris will be received by: 2 3a y�a� DM PP= R� (voS`#" -2 hitt r`h S y wPHrt /N^•n?e*"�''r LH"�'M • J Building permit number: Name of Permit Ap• ' . � OFF Ant wt Date ignature of Permit Applicant The Commonwealth of Massachusetts Department of IndustrialAccidents tt .any , g Office of Investigations G:Tf C .1 Congress Street, Suite 100 Th„ Boston,AM 02114-2017 IIx^ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / /� // Please PrintinntLegibly Name (Business/OrganizatioMndividual): 2--tAC fZ-F7&_dV`+TYyTM^ pT✓b 61.... Address: ‘7c- <H<'rs-t L-7- GZ o] City/State/Zip: _6 ...,- .40.--, 0‘.1.44 • creal _ Phone ft: <Wj` � tree Are you3n.employer? Check the appropriate box: Type of project(required): 1. stn a employer with? $—>` 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction ) 2.❑ 1 am a sate proprietor or partner- listed on the attached sheet. 7. 13-feiiodeling ship and have no employees These sub-contractors have 8. ❑Demolition - working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance? required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.D Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp. insurance required.] *Any applicant that checks box NI 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. tContractars that check this box must attached an additional sheet showing the name of the rub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ,r Insurance Company Name: L.t e72'i"-7 my M-c- ' Policy#or Self-ins. Lie.u: N Go S 15-41s-27 Vert Expiration Date: S-2 y- t 4 Job Site Address: 2 „aernat1S' ELos t1' City/State/Zip: L S, rt'tfl. O/°T} 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 foe 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 foe of up to$250.0 ay against a violator. Be advised that a copy of this statement may be forwarded to the Office of Investigatio of the DIA fo surance coverage verification. Ido here& cer&a•/ er the pains and penalties of perjury that the information provided ohm is trite and correct. Signature: \ / (_ _ Date: 6/ ro� - Phone It: -),:ct' 82/ '©0bCV Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermiuLicense# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Citytrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other _- -_ Contact Person: Phone#:_ - CDSg'od nw0/ ,, a Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Masgachusetts 02116 Home Improvemett.Centractor Registration Type Supplement Card Registration: 137g43 LUX RENOVATIONS, LLC c- _ Expiration: 02/04/2019 60 Shawmut Rd =_ { ,- _- Canton, MA 02021 i /- Update Address and return card. M ark reason for change. SCAT Co 2GMdsnl ❑ Address C Re^ewal C Ernplutrnent Il-CStCard rAe'C-Oflt2n.r n(ZACO/t/,,jadl aacAuve11. Office f Csumer Affairs Si Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: Reoistrattion Fxniration Office of Consumer Affairs and Business Regulation *137943 02/04/2019 10 Park Plaza-Suite 5170 Boston,MA 02116 LUX RENOVATIONS,LLC. D/B/A Owens Corning Basement Finishing Systems /7 PETE MONAGHAN V% / PO Shawmut Rd Ir Canton, MA 02021 Undersecretary Not without signature co , Owens Corning Basement Finishing Systems CORNING it of New England Baker,Joseph & Natalie Contractor / Agent Authorization From 2 ShepherHollow5 Rd Lreds,M M A 01055] 802-4514932 �"'''fC <{ authorize Owens Corning Basement Finishing Systems of Boston to sign the building permit application on my behalf,to perform the work at: S/f1?� .3 s /*//°ti) /114 Home Owners Signature: t . Date: /�._.... _ Project Manager Signature: __ G /! / )- 60 60 Shawmut Road • Canton, MA 02021 • Phone: 781-821-0060 • Fax: 781-821-8552 • www.ocboston.com CONTRACT TO INSTALL OWENS CORNING BASEMENT WALL FINISHING SYSTEM Owens Corning Basement Pint/bins ONlelon(the Cant/actor)hereby sunmiR this proposal to se and install the Owens Corning RasemHnt Wal Finishing System and related items as described tterem at llbmsidennal prenvses set lath Cerow.Th%piaposai oha4 not MCOmea erNnp Comnume+A unk55and gots R has Man swan by the Contactor and the CuMonher. Contractor: Owens Cornlnw Besem¢nl Finishing Systema a dwsvn of OA Peneva(rms,LLC 60 SUawmut Roan.Canton,MA 02OLt (]WENS' Telephone it Mitt 021-U060 ( • Fa:alml@Y Mt)821-USS. Federal Tax ID M Is-18552O? Mass Home Improvement Contractor Repa re>Rae/CY# N/CO64/ ( oateL- Z /- / 7 .. 5»r7 Customer: ouammtr Nar.:ee 'J'�� <) / P If Nc .,/ „i;.:.. t Street Mdiesa ? ss(- `e k 'r/s 17Io//`t w }Yc/ GlySWte.zP L i!`-n G / U.=3 Telephone( . 0 2 )y-'S/ '- 5 32 Thi8 is a conteact between the ConUaidor and theabove named Oa:mar to sell and install the Owens Carreto Rasement Was e'iitttm g System and related hems specYied herein at the Customer's residential premises Iden eO below; Installation Premises: 4 M A (} Street Ad* 5 fess 6 s A s a t• City State,Zip Stops of Work' Are Sketches and'or speoihoa on sheetamsohedi o Yes' 'pNo:2. ut wmmenttee wgarrw TO W bmwcMtlwmunuf Description oh Worldspawllaadons; LA...A 7o ,...e_ C uel ('1'// ac- c- /'C c'•c5*dC'Atm / 3 21. 4A'c-�/`> All ex.- ./_) jI/ a / . h. OA . Ut Work Schedbe Appoxmate Commencement Data ApProxIma teCompletionOwe 6-t5-/7 ell "Twork he proposed scl'ICtlule l9@yYoximale and djeyt to chan9e contract Mita. �l ,V ContractTotsp Price: $ ? D /Z-C — Depositwanardar_ s 2' FS/2" on e van fl.Grrerxr t _7 / Helene Due. s `Z Tecate a Cash . Finance (Cash tents us 10%depcetL• •.mmsnmeert A@nen;O edon} $ Due an Cometencemnn 5 DLR.On CorMatotl DO NOT SIGNTHIS CONTRACT UNTIL ALL APPLICABLE BLANKS ARE COMPLETELY FILLED IN AND UNTIL YOU FIRST READ AND UNDERSTAND THE ENTIRE CONTRACT,INCLUINNO ANY ADDENDUM ATTACHED HERETO,AS WELL AS ANY ATTACHED SKETCHES,MATERIAL LISTS OR THE LIKE,AND THE TERMS AND CONDITIONS ON THE RACK OF TRIS CONTRACT DOCUMENT. YOU ARE ENTITLED TO A COMPLETE,FULLY EXECUTED COPY OF THIS CONTRACT AT THE TIME OF EXECUTION. Witness our headts)and neat(s)below on this 2- / day Of At /e 4 e ti . Z)/7 LUX Renovation LCJAuthonied Rsreeffiaapva. Splatu.fi / /1, ..______. j/ZDO NOT SIGNTE ONTRACT I'THERE ARE ANY BUNK SPACES Cu#tomer Ga. Customeremacs_ D ,. Sin aname Cs erStns Print Nemo Conlrecmr may have Adam len tVttsin The promises until the paws paid fn fun.You have lna t ybt to cancel mB coneacl Wdhobl any Penally or obligation,al any time prior to midnight of the mind business day after he date you signed This contract.See the notice of cancellation below for an explanation at this right. —CYeamw aMOwedgls rang ota We copy of Oa contrast which was Wmr{etely Oiled In poor to customers execaion hereof. Baker,Joseph&Natalie 2 Shepherds Hollow Rd CONTRACT Customs,Nam Leeds,MA 01053 __ Customer Signature_ >1 SKETCH Contract Date_ 802-451.6432 -- Sales Representative Signature t _ _ ATTACHMENT Customer Pnon Contract Pnce i a& / 2A!0 J ...- I , niJs ! [t / I I„ II /1I I ing [ 1 1 [ I ai •— re t I l I oi / 11 Ii 1 11 Or? 11 vt y I , Hi 1 I L hr�,�I it.r ./ .r 1 I I I3 i ,Vol ,r:( L ' INIX ' ' 1 ' ' 1 I I ' r 4. > i g ahs' ' III 11-'1 �` 1 'i / . tirli 1 : 0 0, , 1 i 1 1 i NOTES: x C.AiS/'/ 7 /N G ! p S?6 ) R ,,,,__,_Z d fi7 'Each hox equals one mm unkns:mss naiadhos skean is a good faith on a Oa work a b°one,it tmdenlaoc that a::Outlets ns y"r r u 4 G.. /—' o-t S J-4.+h, derived from this snatch are a toss ata,and that all locations of outlets,nghi Oggg;(Piga y PO and/or awlMhssate subleal lechange 9 neoeSsoP