The URL can be used to link to this page

24A-062 (3) 39 RIDGEWOOD TER BP-2017-1438 GIS#: COMMONWEALTH OF MASSACHUSETTS :B Maolock:24A-062 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:Plumbing BUILDING PERMIT Permit# BP-2017-1438 Project# JS-2017-002363 Est.Cost: $35400.00 Fee: $230.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(so. ft.): 5488.56 Owner: BORGOS JOAN E Zoning: URB(100)/ Applicant: STEPHEN D ROSS AT: 39 RIDGEWOOD TER Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584-1224 0 WC NORTHAMPTONMA01060 ISSUED ON:6/9/20I7 0:00:00 TO PERFORM THE FOLLOWING WORK:BATH FIXTURE REPLACEMENT AND SIDING 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 6/9/2017 0:00:00 $230.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1438 APPLICANT/CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413)584-1224 Q PROPERTY LOCATION 39 RIDGEWOOD TER MAP 24A PARCEL 062 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: BATH FIXTURE REPLACEMENT AND SIDING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 079160 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF.OQ.FIATION 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 Demo i• t clay ir Signature of Building t"-idol 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. 1, City of Northampton Status of Permit: Departmem Building Department Curb Cut/Driveway Permit �["' _ 212 Main Street Sewer/Septic Availability use only --i Room 100 Water/Well Availability C-:;1...:...u-- orthampton, 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 1.1 Property Address: 1 This, section to be completed by office 35 12:dyc✓.w'd- �`r✓-a Map 41 ` Lot 0622" Unit (1 �b ,¢ e .. /tr+ ,I G n Zone Overlay District l Y1Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.12, Owner of Record: / /- /.,16,1/45 4444Cie-- "3 gtj . .Setal '1:::•€ ac-s.. A/!�' d'�l•-., Nam (Print) �j Curreht Mailing A5ress: In69 t V2' 1ekmbona Signature 2.2 Authorized Anent: S4--5-204,-4/^- 'b. I?SS' 3*scy-vic r. .,L-41 t/ t,...,d,L, - Name P ) ,, Current Mailing Address: Sign tire Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 32 (JUU cal (a) Building Permit Fee 2. Electrical /9a) c..) (b)Estimated Total Cost of Construction from(6) 3, Plumbing 26 atBuilding Permit Fee 4. Mechanical(HVAC) S. Fire Protection �/ 6. Total=(1 +2+3+4+5) 6 ,',,. y2JG.o� C/Check Number 'f'g3O This Section For Official Use Only Date Building Permit Number Issued: Signature: Building Commissioner/Inspector of Buildings Date SECTION 5•DESCRIPTION OF PROPOSED WORK(cheek all applicable) New House D Addition El Replacement Windows Alteratlon(s) `"l l Roofing n �-r� Or Doors CD /' Accessory Bldg. 0 Demolition L� New Signs (Ca Decks [p Siding([g7 Other[c Brief Oestri o apos / �y'iP t Work: .-t=ie-/'✓-✓-r– j ,, a.0 4-�'-'-¢'" S 5'r d. t'—. Alteration of existing bedroom Yes No Adding new bedroom Yes V Nc ^"' 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 building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c, Is there a garage attached? d. P •<..ced Square fooe t- of ne construction. Dimensions 4. Number of stories? 1. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conse -i.. Compliance. Mass r=_ nergy Compliance form attached? h. Type of cons ction i, s co coon within 100 H. of wetlands? Yes No, Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade it Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank_ City Sewer Private well City water Supply I SECTION 7a..OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERSy%tow ,4%AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT t, l to fr*t-_ ,as Owner of the subject property / (^,, hereby authorize { 4-H– Ir' RC, to act os my behalf, in amus relative to work authorized by this building permit application. 'r.t+t./ lo- Cf 17 Si nature of Owner Date s- i, t rte G� 4 `o ,as Owner/Authorized Agent her y 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. ctlit & ye-n - TC-015 Print N.,./ natu -of Owner/Agent ate Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information 111.1111.1111.11. Required by Zoning This co ue to be Wed in by Department Department MIIMIIIMIMIIIIIIIIMIMIIIMIIMIII NIIMIIIIMHIIIIIIIIIMIIIIIIIIBWMIIIIIIMI FrontSide ReaA am Building Heia� �a gairkFootage Open Space F, -.11 --_ (Lot area minus bldg&paved .arkim.IMINIM___ BalellIMIN A. Has a Spec ermit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES O IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW CY YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NODONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO e 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 ter— IF YES, describe size, type and Location: E. Will the construction activity disturb(clearing, grading,exc ation, or filling)over 1 acre oris it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 LCpensed Construction Supervisor,: Not Applicable 0 Name of license Holder: 1. S1401#707 1 Ross . ..— ei 7914o License Number Curd' TAA O 4'anyN_AH *22 *i7 Address tte D Expiration Date e113•sty-zaa'71 Signature Telephone it Not Applicable 0 ..$ egMen RAZ �earral eon h efor 160A4' Company amen,,,, ^ l /` _ ,, fes,. tt, Registration umbe Address c.%-rote..te.. Gena/ ,rptr tfwyk)/M744 0/D40 Expiration-4 -.20113 Telephone 4'5'Si'f-122q SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§26C(6)) Workers Ccmpensadon 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 C No 0 lil a, :'neti 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.CMR 780 Sixth Edition Section 108.341. Defniflon 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 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-vear 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 he responsible for ail such work performed under the building permit 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 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 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- 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: 3 S g I d T-tifne-t The debris will be transported by: 40--..4irtsc/e444- /e-eco/ The debris will be received by: IA//..4 y 2-4- C . Building permit number / Name of Permit Applicant [71). t2_0 6/`54, `e l/Date Signature Signature of Permit Applicant A�De INSURANCE CERTIFICATE OF LIABILITY 4/12° ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. if SUBROGATION IS WAIVED,subject to the teens and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ICONTACT Barbara Grynkiewicz Webber & Grinnell rima. . Bir"INCq*),141315E6-64n S North King Street 11Ii9s:bgrynkieviczfivebberandgrinnell.corn _....... INSURER(S)AFFORDING COVERAGE NAIL I Northampton MA 01060 INSURER A:ErcelSiOr/Liberty, 11045 INSURED INSURER B A.I.N. Mutual Stephen Ron wBURER C: Attn: Kim Clairemont INSURERS: 36 Service Center Road INSURER E: ... Northampton MA 01060 INSURER F: COVERAGES CERTIFICATE NUMBER:Sap 3/1/18 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF 6NSURANCE LISTED BELOW HAVE BEEN ESSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSN ADGLSDe POLICY EFF LICYEXP LTR TYPE GF INSURANCE MAD IWO' POLICY NUMBER IMWDO'YYYYI IMM'DDNYYYI LWI15 X COMMERCIAL GENERALWBIUTV ' EACH OCCURRENCE 5 1,000,000 •- .GE TOR t.. A __CwM3WS1E X OCCUR P.lkg15EStEnmvnmcw) 5 100,000 _ C8P0898898 3/1/2011 3/1/2018 I MED EAR(Any one lvrton) 5 5,000 I PERSONAL B APV INJURY $ 1,000,000 I PERIAGGREGATE LIMIT APPLIES PER: I I GENP.RAL AGGREGATE 5 2,000,000 ._POLICY X ;pi LOC 4 'PRODUCTS-COMP:OP AGC. 5 2,000,000 OTHER: IS AUTOMOBILE UABILRY I OWNED!SINGLE LIMIT S Rrodon ANY AUTO ' ROPILY INJURY(Pet pinyon) '5 LYRYI ALL OWNED (SCHEDULED BODILY INJURY(Per yoRdennl5 AUT0.S AUTOS Imo.., .0 NONWN1U PROPERTY DAMAGE - HIRED.AUTOS AUTOS_ _ (>d KtlMft • 5 UMBRELLA LAB OCCUR !. EACH OCCURRENCE — EXCESS LIAR i CWMSMADE 'AGGREGATE 5 DED I I RETENTIONS S WORNEPS CpWENSATIOX . X EBBTUTE N- OY MOEMPLOYERS'LIAWUrT Y/XI , F— ,.RR i1111(PROPRIETORIPARTNEREXEc 'rc[ Y-1 1i 1 EL EcHACCiDENT 5 500,000 '1ME OYFICEREMBER XCLUDED? NIA1 B ''iMandMry in NH) Ii NNL80080065902016A 7/1/2016 1/1/20t EL,DISEASE-EA EMPLOYEES 500,000 If yyees de:mm undo. OF O OPERATIONS below • E.L.L115EASE-POLICYLIMRIS $00.000 I I • I DESCRIPTIJN OF OPERATIONS I LOCATIONS I VENMLES(ACORD 101,Add'ft nal Remarks Schedule,Indy be attached N mol,space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE **Fox Insurance Info Only** THE EXPIRAMOH DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IA Webber, CIC GTRES/BA ATT1°04"-....50,___c( 2Th"E"t '- ®1888.2014 ACORD CORPORATION. All rights reserved. ACORD 25(201401) The ACORD name and logo are registered marks of ACORD INSO2Stm1ADv Tr----- -- - - . ` 1 ❑ ❑ =Th 1 J ; , , I tr I I i , , , i i , , , 64.,, H) / ' i 1-14'‘)5i al /i City of Northampton —__,/�� f CL./, 4,wN <q-/7 Building Department Plan Review 212 Main Street Northampton, MA 01060 NOVAC t., — 39 --- 1dcjcwocz( ie (-race r1o27tiArhpror...1 , / 1A- 5TEPi+E& 5