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29-047 (8) 298 RYAN RD BP-2018-1191 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-047 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Categorv' WINDOW WELLS BUILDING PERMIT Permit BP-2018-1191 Project JS-2018-002135 Est.Cost$800.00 Fee $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot Size(sp.ft.): 12501.72 Owner. GAMMON IRVEN&BRENDA zoning: Applicant: GAMMON IRVEN & BRENDA AT. 298 RYAN RD Applicant Address: Phone: Insurance: 298 RYAN RD (413) 320-6955 n FLORENCEMA01062 ISSUED ON:5/16/2018 0:00.00 TO PERFORM THE FOLLOWING WORK INSTALLATION OF BASEMENT EGRESS WINDOW WITH EGRESS WINDOW WELL 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 5/16/20180:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner RECaml ton } Building D artir ient RDWELLING MAY 142ti ain Stre toom 00 MA 1060 HA ''a%WNx 13-587-1272APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE ORR TWO F SECTION i -SITE INFORMATION 1.1 Property Address: Thissectionto be completed by office a9��/`I4ry I«aMap oZ [ Lot. .. 01-7-7 Und f/",' pli ., erl Zone Ovay District Q106;L- Elm St.Disirid CS District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Irve„ A- C,., m9 0/ 06 Name(Pnni Current Mailing Address'. c � 5'� ? -3z0 _ 6gs5 --- Telephone Signa 2.2 Authorized Apart, Name(Pant) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Oficial Use Only completed by permit applimint 1. Building �oG (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) P-0 7 5- 5. Fire Protection 6. Total= (1 +2+3+4+5) 00 Check Number This Section For Official Use Only Building Permit Number. Date Issued: t Signature: k if �//� / Building C missionedinspector of BuildingsDate IT X757'/1 Trl /a2 n0 6/r'a,/ Co/*i EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Infonmiion Existing Proposed &Nuired liy 7 g this-culoiAn ob in by Building Departmmr ry LotS. — J Frontage Setbacks Front Side LR: L:L— R= Rear -- Building Height -- -- --- Bldg. Square Footage % Open Space Footage Jt % (Lot area minus bldg&paved �— ark v ) #of Parldng Spaces --- Fill: t ---- (volume&Lowtiou) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES IF YES, date issued IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW Q YES IF YES: enter Book I Page,— and/or Document#I B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW ® YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained Q , Date Issued: '4 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 is required. SECTION S DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows AReration]s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding [m] Other[O] Brief Description of Proposed Work: 1/,s/ U.�,-„ ✓ /� „{ zy .css c�ii� �u7 w,446 et Q.x W,. dew tbl( Alteration of existing bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Ba.fF New Norse and or addltlom:fc eiis &iuslna, cairnule#e the followiesf: a. Use of building : One Family Two Famity 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 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 Ta-OWNER AUTHOR17ATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner /' Dale I, rr✓en A. t rc,mrn or as Owner/Authorized Agent hereby 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. /✓ , � mm, Pnnt NaoW Signature of Owner/Agepj� Date SECTION 8-CONSTRUCTION SERVICES 8,1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Reaiali Home lmuroyeme tontrarAm: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-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...... ❑ City of Northampton Massachusetts L� `°$` DEPARTMENT OF BUILDING INSPECTIONS Y r 212 Main Staaat Mwicipal auilding10 ♦ �/ aortha ton, NA 01060 �1a 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 most be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteretion, renovation, repair, modemization, 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 re¢istered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must he registered l Type of Work: 4 e$ras w dew d ,.,1( Est. Cost: Address of Work: 2W � 4-( rllt9 Q1661— Date Io6zDate of Permit Application: 5110119' I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under 1,000.00 _ _Y Owner obtaining own permit(explain): ( ot II C" -�f'L W" ecezro A�f _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 pedury: I hher�e�by� apply for a building permit as the agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,l hereby apply for a building permit as e ownyr of thabo property: Date - Owner Name and Signature City of Northampton w Massachusetts s DEPARTlfEAT OF BVZI.DING INSPECTIONS Hain in St et aunicipal Buila ng 4 s Northampton, ah 0106000 Massachusetts Residential Building Code Section 110.125.1.2 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 zv- _ Massachusetts r c DEPARTN6NT OF 80ILDING INSPECTIONS 212 Min Straat Municipal nuilding Northampton, NA 01060 4 .fit 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 150A. The debris from construction work being performed at: (Please print house number and street name) Is to be disposed of at: (Please 6Cepr 9t / — print n e and location n o facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature bT 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. �\ ...� ..�......r.....cu.... iv, ......+........nuc.. ` Department oflndustrial Accidents Office oflnvestigations 600 Washington Street Boston,MA 02111 raww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(susiness/Organizatiowmdividt t): Address: City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or pan-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. q, ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their ]0.❑Electrical repairs or additions 3,X 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself [Noworkers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] ' employees. [No workers' comp.insurance required.] 13.❑ Other *My applicant Nat checks box#t must also fill out the section below showing their workers'co apwsation policy mfommust. t Homeowners who submit this affidavit indicating Ney are doing all work and then hive outside contractors must submit a new affidavit indicating such. tCommemrs that check Nis box must attached m additional shcet showing Ne nese of the sub<onaacrots and him 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. Lic.#: 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 adopt to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ai a penalties ofperjury that the informadon provided above is hue and correct Sienatumj= —� Date- .1/��//$ Phone#: �3-32c, - 6955 Official use only. Do not write in this area,to be completed by city or town oJjieiaf 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the Foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor airy of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to you situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required in carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you we required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating curent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each you.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia 8/17/20T7 StakWELO Window Wells-Modular Design-Detail information for SokWELO Window Wells-Modular Design Login I Register My Account Shop The Worldwide Sourcefor Specialty Access Products _s � StakWELOa Window Wells Modular Design COMMERCIAL I Me' tlulersys emdoneof thegress 1 11 rean y Otl wtla ,Ilan l e mergencdakk l In rea.Simply' M1e Nelmel Venl lelors a rias l0 moaueelecks na ' ) ale yc 1 note 11 a aasdsignto r abasement.s Eu e smoke ahis Crra e Iwa'Grail'a g a g y gmzs dna prw ora conos 0n e event p enormanre atataa a s Il pacde. Hoot narama - _._e uMnnnt1, Aulomallc Smoke Venle SEAI FlooiAttess Doora nlom tory aeWty Imucty corroded Door Lacks y"Ide ,, _ Just stack modules to meet the homes foundation ---. ------- - \ '1 restaremenls Module.can be rtacid up to m. M1gM1 allowing them to by came on foundations DOWNLOA RESIDENTIAL i greater than tan feel in depth Dao.Basement Doors sakWELu works with 36"di 1cm)add 48"(12 leart egress entered, Sae SrapeoVEL model for Egrah,W do,At installations using 1(15.game)egress wremed, PemnilyL nre —_ Numb I _ A vembl tl H �ht 'onto P ganc Mostno,.. h its e' mac 1 - -- p .. ]fi]/9 _ g24 YI 170.5_ _ _ -5 62 112 1— er 98 0( 24Bfi___, `—edea p�auTa cam withstand m/n mem agdlolive loaf Go to Mobile 5i1e hide'.//www.bilco.com/Foundations/Storelshopdetail.asp?product=l W W%2D5.StakW EL-Window-Wells—Modular-Design'SIakW EL-W Indow-Wells---M... 1/1 Selecting the Proper Size stakWEL° Egress Window Well STEP 1: Building Measure and calculate dimension A Line window well side panels must as shown in the detail on the right carand4 inches others grade level. based on the site's grade conditions Grade must be sloped may tram well,Downspouts must also be and foundation height directed away Train the well. i. STEP 2: wmaow+ �- Determine the required window well Egress height by performing this simple Dmension CA) Window calculation: Measure from top of wind. l to gratl.levImml el Well Required Window Well Height System =Dimension A+7.1/2" Use 314 dean '3-112" free dra n n9 !eek a!AB stn ne 44 Maxmum at least 12 From the first column in the table from Ooor tow ndow width around all below, select the closest height that sol to meet egress sides of the well. will meet the site Conditions, code requirements Fit to depth of foundation !opting. n' STEP 3; "' 'wells can be Installed lower Once the height has been s than the recommended 3-1/2' determined,read across and select to help meet grade conditions the number of modules required for y . Tia ruck fill' to your site condition. perimeter tl din If evellable stakWEL®STANDARD SIZES AND MODEL NUMBERS Keyhole on Projection Optional Modules Height Width Center from Dome Note: stakWEL Dimension Foundation Cover Window Wells cannot stkwl 1 module=21" 54" 58" 40-1/4" stkwl-C be Used with 60" wide 11 2 modules=36-318" 54" 58" 40-114" slkwl-C windows stkwl 3modules=51-3/4" 54" 58" 40-114" stkwl-C stakWEL modules are stkwl 4 modules=67-118" 54" 58" 40-1/4" slkwl-C designed for use on 36"and 48"windows only(See stkwl 5 modules=82-112" 54" 58" 40-114" stkvi ScapeWEL model for 60" SAW 6 modules=97-7/8" 54" 58" 40-114" stkwl-C window installations). Bilco Egress Window Wells satisfy International Building Code requirements for Emergency Escape and Rescue Openings per section R310. 6124114 �rvt�+ l� �,�,�„�� a5s �y�., Rd �'/��<„« prl�l oir�c� ._ � V. 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