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29-234 (2) 134 SPRUCE HILL AVE BP-2017-1501 GIS s: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-234 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) caterain BUILDING PERMIT Permit# BP-2017-1501 Project# JS-2017-002482 Est.Cost:$29984.00 Fee:$194.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq. ft.): 21954.24 Owner: HINDLE JAMES K&EMILY W Zoning: Applicant: THOMAS MALONE AT: 134 SPRUCE HILL AVE Applicant Address: Phone: Insurance: 128 RYAN RD (413) 885-9038 Liability F LO R E N C E MA01062 ISSUED ON:6/23/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:BSMT- LAV, SHOWER, TOILET, PIPING 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 6/23/2017 0:00:00 $194.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck.-Building Commissioner File t/BP-2017-1501 APPLICANT/CONTACT PERSON THOMAS MALONE ADDRESS/PHONE 128 RYAN RD FLORENCE (413)885-9038 PROPERTY LOCATION 134 SPRUCE HILL AVE MAP 29 PARCEL 234 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST •SED REQUIRED DATE ZONING FORM FILLED OUT Feed \ft( Building Permit Filled out Fee Paid Typeof Construction: BSMT-LAV, SHOWER, OILET, PIG • New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 055236 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR ATION 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 Demolition Delay S ature of:ui +int 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 40k Contact Office of Planning&Development for more information. • F.4 0._ F t -laM i — City ay Northampton Building Department kirds« > fI r !IS N E 2 212 Main Street r� ' •`:' a€ _ Room 100 Northampton, MA 01060 - `a7 :a l tcfrphone 413-587-1240 Fax413-587-1272 t-t V.< ' APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: 1 1 Thishi/� section to be completedeby office \�(3�,�LA,� � `lq coc.L �A Map A.% Lot: 43Cr Unit S ""L'•cy_- (`(\fN— 0 tO(p Z Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 5C--..rti..s r‘..).—kc- VI k 5 «z-C— W\\ t\\C Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: ‘—cl., t r i-s (INC\vim 2..76c2_ c-/N 0- 1— P\t P—et — Name(Pnnt) Curren(Mailing Address' / >/I `\v —PS—C=9 I t') 1 �• ='re 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 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection Q/' /}[� 6. Total =(1 +2+3+4+5) 2-' �ZIA •1t Check Number a 6 95 � f This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date na EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) ti Section 4. ZONING AU 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 — —_ Frontage .__-- -- __— . _ .. Setbacks Front , _ Side L:---1 It: L:L_. = R:' ____ I i __ __ ---- Building Height I — ---- .. Bldg. Square Footage % 1 __ Open Space Footage ____ _ % __ ------: (Lot area minus bldg&paved ' i ---.., Parking) d of Parking Spaces ___ - "" Fill: I _ (volume&Location) — — ' A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW © YES 0 IF YES: enter Book ; Page, and/or Document 4 B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained ® , Date Issued: I C. Do any signs exist on the property? YES ® NO 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(cleating grading,excavation,or filling)over 1 acre or is 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 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ✓ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other[CO Brief Description of Proposed Work: ' rr t k.Ar.n\E‘ Ny s V �L ail 4 cticin Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes ✓No Attached Narrative Renovating unfinished basement ✓ Yes No Plans Attached Roll -Sheet sa.N New house and or addition to existinu housing,conciliate the#allowing: 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 ' ;&r •-s— ARAm _Lr "S as Owner of the subject property hereby authorize r\N _.s -1 ,{(�eNAi to act on my behalf, in all matters relative to Work authorized by this building permit application. Signature �of"Owner '" Date I, v�.c...•.�ra ,as Owner/Authorized Agent he eby 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. 't'c.mo-) Met\ury Print Name &gnat. - of• - /Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Z Name of License Holder'. CS"- O SS Z-b L License Number Addre sec, Expiration Date Signatur Telephone \2� 0--Son P 1 frl <— `-\\)—Ift 9.Registered Nome inomvement Contractor: ,,, ,..„ Not Applicable ❑ Crv-S laws,v� -p * Ci (0-1 S'S C Company Name Registration Number �Z ��) VW(/ ¶W tMsC f IU -\et s Atldres _ Expiration Date Telephone yv $ff--5o)6 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be complete 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 Ves....... ❑ No City of Northampton /÷.9444.44-rt. t0 Massachusetts tL w i 1' DEPARTMENT OF BUILDING INSPECTIONS `%T 212 Main street . Municipal Building F >1» vYl' '' Northampton, NA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:Lithe homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work: / e-44,0 Est. Cost: I p 9 O t' Address of Work: / 3Y ryf1kjoct M /7 Date of Permit Application: 42 3 -/' I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of/the owner: a3 7fbmAs 44e_ 75 ?5 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton s r. t.. Ag/41,..t.„0,&�' Massachusetts \ce et is ,retal, DEPARTMENT OF BUILDING INSPECTIONS =� 1 212 Main Street • Municipal Building fp* Northampton, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 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-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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 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. City of Northampton Massachusetts to DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building 0'. fir+! Northampton, MA 01060 h w01M1e Debris 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 150k The debris from construction work being performed at: OD`\ SQty_ V\,\\ (Please print house number and street name) Is to be disposed of at_: ` \Jw\� tnarne r GAS (Pleas riot name d location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Si* ature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Saa -I .,,,, pry in..:• , arAtsa.3. .._ Department of Industrial Accidents __)jf st Office of Investigations 'fn- ' 600 Washington Street - c - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information g 1 t r�Please Print Legibly Name (Business/Organization ndividual): �.V1771:-. (yM.St-t J&,' . Address: V7 City/State/Zip: X\(ft,nre2i ('( P tAo b L Phone#: 1/4-kc Are you an employer? Check the appropriate x: Type of project(required): 1.❑ I am a employer with 4 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity workers' comp.insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its have exercised their Electrical repairs or additions required.] officers 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself [No workers' comp. c. 152, ¢1(4),and we have no 12.0 Roof repairs insurance required.] employees. [No workers' 13 ❑ Other comp.insurance required.] *Any applicant that checks box di must also fill out the section below showing their workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Tic.#: 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 day 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. l do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Estimate (1ofaY WLL{{SQL. u 128 Ryan Road L Florence,MA 01062 Date Estimate# 4/25/2017 1596 Name/Address lames Hindle 134 Spruce Hill Ave Florence,MA 01062 Terms Project On receipt Hindle Basement Description Removal of insulation in ceiling 759 SF Removal of interior wall assemblies 2 in.x 4 in. 224 SF Waterproofing walls 2 coats 384 SF Stud walls 2 in.x 4 in., 8'high 940 SF Window opening framing,2"x 4"Over 2'to 3'wide(4 in.x 4 in.header) 6 Ea Door framing,2"x 4"To 3'wide(4 in.x 4 in.header) 4 Ea Fiberglass batt insulation 5-1/2 in.Kraft faced,R-21,between studs 940 SF Gypsum drywall, 1/2 in.moisture-resistant greenboard 940 SF Painting Plaster or drywall,latex Rough surface(walls and ceiling) 1699 SF Polyurethane epoxy floor system 759 SF Acrylic three-piece shower stall(renovation)Shower stall,trim and valves(add rough-in) 1 Ea Floor-mounted flush valve type water closet Water closet,trim and valves(add rough-in) 1 Ea Countertop-mounted china lavatory Lavatory,trim and valves(add rough-in) l Ea Plumber 4 Ea Electrician 1 Ea Bath Fan Light Total Phone# E-mail �. •y Signature (413)341-3838 tom@rvnhome.net Page 1 Estimate Rainbow 128 Ryan Road Florence,MA 01062 Date Estimate# ick` 4/25/2017 1596 Name I Address lames Hindle 134 Spruce Hill Ave Florence,MA 01062 Terms Project On receipt Hindle Basement Description 1 E Project material,labor,subcontract Material,per job Labor,per job Subcontract,per job *Project Subtotal *Project Total Total $29,984.22 We propose to hereby to furnish material and labor-complete in accordance with the above specifications,for the stun total.Payments to be made as follows:half of full total upon acceptance,one quarter of full total upon the start of the project and the full balance due upon completion.All material is guaranteed to be as specified.All work to be completed in a manner according to standard practices.Any alterations or deviations from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Acceptance of Proposal will commence with the home owners signature.Prices,specifications and conditions are satisfactory and are hereby accepted upon signature.Rainbow Home Improvement is authorized to do the work as specified and to be paid as specified. Phone# E-mail lhatf 7/ �/ .let Signature Of (413)341-3838 tomal(fninhome.net Page 2 /Y /� 4,9veig,S itot a 6,42/a iv j 93 i7 City of Northampton Building Department ;0"/ Plan Review 212 Main Street Northampton, MA 01060 11 r;,/0;415:ahetiormid �/4 �,. (I (eYvl ( fir ,,, ,• at--7-0? 64-coil is and evey /d ' I haR;z w74/, r ge 0 1J4 )/5 .c.osr I( hove I - larov1 Tmark) -role Frelowgcede Fart/ ,Cria4c1 8 LseivteeL ,, ,, l 13 `i S�ecce i/ O( ( Fh 2eNce 74 - 9 ../i7