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38A-104 (24) 74 VILLAGE HILL RD-UNIT 2N BP-2018-0973 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:38A- 104 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv:renovation BUILDING PERMIT Permit# BP-2018-0973 Project# JS-2018-001776 Est.Cost: $12000.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WRIGHT BUILDERS 060378 Lot Size(so. ft.): 24175.80 Owner: NELSON JANET&PAPOUCHIS NICHOLAS Zoning, PV(100)/SG 6!100)/ Applicant: WRIGHT BUILDERS AT. 74 VILLAGE HILL RD - UNIT 2N ApplicantAddress: Phone: Insurance: 48 Bates St (413) 586-8287 (116) Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:4/3/2078 0:00:00 TO PERFORM THE FOLLOWING WORK MOVE NON-STRUCTURAL INTERIOR WALL 2 112' FROM STUDY INTO M BEDROOM, INSTALL FR DR @ STUDY 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: Drivewav 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 4/3/20180:00:00 $100.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2018-0973 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116) - PROPERTY LOCATION 74 VILLAGE HILL RD UK 7+ Z N MAP 38A PARCEL 104 001 ZONE PV(l000SG b(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 TypeofConstructiom MOVE NON-STRUCTuIML INTERIOR WALL 2 1/2'FROM STUDY INTO M BEDROOM, INSTALL FR DR n STUDY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 060378 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 7INF RMATION 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 Stora Water Management Demolition Delay / __ �_,(2y P' Signature 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. ' ♦ Version l.7 Commercial Building Permit May 15,2000 Department use only ity of Northampton Status of Permit: Uilding Department Curb Cut/Dtive ety Permit OR 27 212 Main Street Sewer/Septic AvalaCady Room 100 WatadWell Avaiiabllity orPr or su•.ciuo wsv=eons No hampton, MA 01060 Tva,Sets of Structural Plans noarnmarce,N�aone 3-587-1240 Fax 413-587-1272 Plot/Site Plans Omer Specify APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: 1�.., (T7his section to be completed by office I q V juA-r& w n` Map 3 DA Lot J&LUnit Up i-r 20 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: - AtJerNulgbo Nip ns '71 ViU.AW ft-tU- Ph, 7-0, N'+00 Name(Print) P�1 �PA1'S Current Mailing Address: 1 � - g 13 -Sb8- 1901 Signature Telephone 2.2 Authori aril: IN Pot-1- Ye BPS Sr., jVD PhtA-n,ho0 Name(Print) Current Mailing Address: Signature �y. Telephone SECTION 3-ESTI T TED CONSTRUCTION COSTS -7 "D mi", Item Estimated Cost(Dollars)to be Official Use Only completed bPermit applicant 1. Building /O /c.D -� (a)Building Permit Fee 2. Electrical r—p„ „ (b)Estimated Total Cost of 'J "✓ Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection No d . 6. Total =(1 +2+3+4+5) 0. Check Number This Section For OMclal Use Only Building Permit Number Date Issued Signature: Building Commissioner/Insnector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4•CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations Existing Wall Signs ❑ Demolition Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing[I Change of Use❑ Other❑ Brief Description Enter a brief description here. 0 0 V o W kw Of Proposed Work: Z S P M `rG 1" S Lfi �� �1' ' f y%� a�.�l., i� SECTION 5•USE GROUP AND CONSTRUCTION TYPE M l N 0lf— fy LUOFF PEI _ USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3q ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile r❑ El4 R Residential uy R-1 ❑ R-2 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: N 6 Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1.x 2n° 2 a 3. 3. 4" 4m Total Area(so Total Proposed New Construction(so Total Height(ft) Total Height It 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewa e D posai System: Public Private ❑ Zone Outside Flood Zone Municipal On site disposal system❑ VersAAion,l.7 Commercial Building Pemtit May 15,22000 '1, •' n,. �y� S. NORTRAMPTON ZONING a tt/ pt Y„ "Fuer, r V G y1W tjj� Existing Proposed Required by Zoning This colucao to be filled w by building Depamaeal Lot Size Frontage Setbacks Front Side L R: L R: Rear Building Height Bldg, Square Footage % Open Space Footage % (Lot area minus bldg&paved to kin #of Parking Spaces Fill: volume At Wcation A. Hasa Special Permit/Variance/Find' ever been issued for/on the site? NO O DONT KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO � 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: C. Do any signs exist on the property? YES O 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 or 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9.PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES•FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.7 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Data Name Area of Responsibility Address Registration Number Signature -Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor ,gyp W�IV � I t VC r' Not Applicable Company Name: LI'/"ADA GA �D?�h� 100531, Responsible In Charge of Construction 'ff 6R res S1 Nb Vt*A-n'r T-D ,J Address /fit �'",1'(MAiD Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW 1780 Cl 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES �FOR �BUUILGINNGQPERMIT I, �r-'rTr (I•NO✓X'D j4 /l iCti !_r"e pfA n 6 414h ,as Owner of the subject property hereby authorize W � " Lr'1 k 1 "��} to t on my behalf,in all matters relative to work authorized by this building permit applicaticr . Si at ''ar '' II,, Data I, V- � "iybtlaop as Orvn u oriz gent ereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge at. Signed under the pains andnpenalties of pperjuryy. ' tAPc li`yT V DR'E`AD PMt Name L Signature o(O r/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction I Ssu_p�ervis/or: Not Applicable ❑ �Xy Nam.of License Holder W rte," rr 1 ✓�I ""�T'I�1, U� -�s "' ' o too 9 r/ License Number Y9 BA'rl?& STI No ,�'htnn rlror� q l IR Address Explrat(or7Dae Signature Telephone SECTION 13-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 No WRIGHT BUILDERS March 23, 2018 Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 RE: Building Permit for: Massachusetts Audubon Society 123 Combs Road Northampton, MA 01060 Dear Louis, We respectfully request that you grant a Building Code modification to waive the requirement for control construction of the project at 74 Village Hill Rd, Unit 2N for the relocation of the Study wall 2 W into the M Bedroom 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. Thank you for your consideration. Please let us know if you have any questions or need additional information. Sincerely, Linda Gaudreau Operations Manager NEW HOMES+WORKPLACES+DESIGN+RENOVATIONS+ENERGY RETROFITS+CONSTRUCTION MANAGEMENT 48 Bates Street, Northampton,MA 01060/413.586.8287/Fax 413.587.9276/www.wr'ight-builders.com 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: -]y I IZ4-AK Fh'W N D The debris will be transported by: WI�'6n-1{ BVjc be*-f The debris will be received by: �M�'� / �U 't✓(r Building permit number: Name of Permit Applicant Wh'G-h- 4V t"k`" 31l�Jig 1, -- Date Signature of Permit Applicant �\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 700 Boston,MA 02774-1017 US ww .mass.gov/dia Workers Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Appticapt Information Please Print Letribly Business/Organization Name: W p-, u T &1V' (/b t,&r Address: rr Bp `Sly City/State/Zip: '•0 e!4Ar4Tb 13, ni{r0(0(a0 Phone#: y13- ST(,—( 21`9 Are yqu an employer?Check the appropriate box: Business Type(required): ,.F Ism a employer with employees(full and/ 5. ❑Retail or part-firm).. 6. E]Restauranr/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per a. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp. insurance required]' 4.❑ We are a non-profit organization,staffed by volunteers, I I.❑Health Carppe with no employees. [No workers'comp.insurance req.] 12. Other lYG •Any applicant that checks box 41 most also fill out Ne seen=below showing tho u war as'compensation policy information. "If Ne corporate officers hove exerused tb.,ves,but the corporation has wher en ployces,a workers'compensation he,is regoved and such m organivation should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Pre I. Al '' n/] M ur Inser's Address: s I/ �Pp I I-t/�• ps, City/State/Zip: k"In M Y,- 0 1 p D Policy#or Self-ins.Lia# M CCl )100'a- 0 S3'/a-O (Ki ' Expiration Date: 3 1 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. I do hereby certify,under the pains and pens t�ie,Is�ofDperjury that the information provided above is our and correct Si stare: w"D ) Date: �/ lie Phone#: I 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone ft: www.masagov/dia Di ,acoR& CERTIFICATE OF LIABILITY INSURANCE 031222018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORQED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlDcah holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or M endorsed. If SUBROGATION IS WAIVED,subject to the terms and cond Mons of Ne polity,certain Policies may require an endorsement. A statement on this certiRcata does not confer rights to the certHlcale holder In lieu of such endorsement(s). PRODUCER C XRIACT Janna ROdngue,CISR Elite We5ber8 Grinnell PHONE INC, Ish, (413)586-0111 FM"O NU: (413)5861 8 North King Streetdri ue® 9 sMNI ri mebdemntl nnnelLmco ADDREee'. I 9 IXSUREUS)AFFOR°MG Consu E XNCe Northampton MA 01060 INSURES.: Albella Insurance Group 17000 INSURE° INSURE.B: A.I.M.Muni Wright BUill Inc. INS..C: ABnI Jonathan Wright INSURER O: 48 Bates Street INSURERS Northampton MA 01060 INSURER F: COVERAGES CERTIFICATE NUMBER: Master2019 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR P pCY EFF POLICY EXP LT0. TYPE OF INSURANCE YAND POLICY NUMBER Mq M. LIMITS occuRRErvtE S X COMMERCIAL GENEMLLLBILITY 11000,000 EAGl CLAIMSMADE O OGGUR pgEMl$ES Ea cwinnm S 100'000 M E.OF I.,ane wmanl $ 51000 A 8500068268 031012018 031012019 pERSORS,Sq Rul $ 1,00'000 GEN'LAGGREWTE LIMITAPPLIES PER'. 2.00'000 GENERALgGGREGATE s POLICY JECT I LOC PROOUCTS-COMPIOPAGG s 2.000.OW OTHER Empleyee Benefits 5 1,000,000 AUTOMOBILE I-All EOMBBIINOEUDSINGLELIMIT 5 1,000.000 ANYAUTO BODILY NJURY tFerp¢rwnl 5 A (ANNE. F.ram0eo0 AC- E EO 1020070845 03/012018 03/012019 BOOILYINJUBvt $ AUTOS ONLY X AUTOS X HIRED INCHOriPROPERTY DAMAGE AUTOSONLV X AUTOS ONLY P.,vgEnl $ PIP-Basic s 8,000 X ...NS -AUAD X OCCUR EACH OCCURRENCE s 5000,000 A EIGEB.LNB CLAMS-MAGE 4600068266 03/01/2016 0310112019 AGGREGATE IS 5000,000 DEC RETENTION$ 10.000 5 WORKERSCOMPENS"TON ANO EMPLOYERSLIABILITY YIN /� STATUTE ER B ANY PROPRIETORNARTNERIE%ECUTIYE EL EALHACCIOENT E 500,000 OFFICEwMEMSER ExcwDEDv MNIA MCC2002000534201BA 031015!018 031012019 ou.dvlori EL.DISEASEFA EMPLOYEE E 500,000 urce OescRlPrr°IFTICN OF e FOO pPERAnGNs eebn EL.DrsEgsE-Poucv uMlr s 1,000,000 DESCRIPTION OF OPERATIONS LOCATORS I YEHICU S IACORD 101,Addel Wmerse SIHIUUM,MW W e0eceeE Nm rs Fpem It reel CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIMTHON DATE THEREOF,NOTICE WILL BE DELIVERED IN Informational Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORESS REPRESE WATIYE ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks Of ACORD Office of Consumer Affairs and Business Regulation - 10 Park Plaza- Suite 5170 Boston, MassacjAsetts 02116 Home Improvement CAWtor Registration Reglnhatlon: 101538 Type: Pdvafe Capotutlon F.Jmiralbn: 52&2018 TM 418781 WRIGHT BUILDERS, INC. Jonathan Wright 48 BATES STREET Northampton, MA 01060 Update Address and return rard.Mark rauov for rhav8a' 4 [] Ad&. E] Beomel E] Hmployment Lost Car*, Omee NCoasmer ARaln k Hatlaer He{alatlav Lm eee or reBYlratlov vaBd for hadMdual moody HOME IM ENT CONTRACTOR before the ezplradou data If found return to: Raola4atl�1536 Type: O®o of Consmer Affitn and Business Betrylation E1pirntlo 8 Pdvab COWmflon 10 Par0 %IIU6"O 00'�'�11 Bwtoq WRIGHT BUILDERS Jonathan Wright 48 BATES STREET Northampton,MA 01080 U.40 eoelary of a5 tore Massachusetts Departm m of Pubes Safety Board of Building Regulations and Standards lrxnse: CS-M378 Construction Supervisor LINDA M GAUDRPIIU ms's 167 MAIN ST A/ EASTNAMpT Expiration; Commissioner muntZat; _ e t T 7 KUHN RIDDLE ARCHITECTS H E R S T S T AW Sr. SlR1 A A )A R NAYS!C111S9TISDIODi 113 2 59 1670 PAIL 911 159 1621 MOOD ud so. 11 Z �/w14.9.W9.ed.e�°ar sows .• I$�I.�f :I ow IBy130 R �e b • "^°" i �}—}'I} 1lLio Ir.elw 9P V/I'SIo9 © dlGua,lewwlx I __ 9l. 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