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23A-084 (3) 7-9 MAIN ST BP-2018-1233 GIS#: COMMONWEALTH OF MASSACHUSETTS Map.Block:23A-084 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit. Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category' REPAIR BUILDING PERMIT Permit# BP-2018-1233 Project# JS-2018-002203 Est Cost$13500.00 Fee,$100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WILLIAM TUROMSHA 000515 Lot Size(sn.ft.), 18643.68 Owner: MURPHY DAVID A&NANCY E Zoom, GB(58)/URB(42)/ Applicant. WILLIAM TUROMSHA AT. 7 - 9 MAIN ST Applicant Address: Phone: Insurance: P O Box 141 (413) 586-4005 LEEDSMA01053 ISSUED ON.512112018 0.00.00 TO PERFORM THE FOLLOWING WORK.•RESTRUCTURE ROOF SUPPORTS, REBUILD FRONT WALL OF 3 CAR GARAGE 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 sienature: FeeTYpe: Date Paid: Amount: Building 5/21/20180:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Statusof Permit Building Department Curb CuVOnvaway Permit 212 Main Street Sewer/Septic Avililsbillty Room 100 WatersWell Asenabilily Northampton, MA 01060 T"Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 PIdf1Stas 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: This section to be completed by office -+-9 trAIH S7TL@CT Map Z3 Lot 024 Unit 061 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: lipiwin 6,41Uq—P_i4y 78 Nc1t:T-u Jam QT¢sET Nasi Ac ffcc*, Name(Print) Current Mailing Address: Telephone All', 586 SYyI Signature 2.2 Aulh.1rbed Agent: Willimm :T TR(1mSlln flO. BOK 141 LFFa NIA (1105_S Name(PCurrent Mailing Address '. I Q. =—'n a k— N/,3 CA/ 400S Signature I 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 IZ 600 00 2. Electrical Cp (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee N A 100,0-0 4. Mechanical(HVAC) lw N L� IOU• 5, Fire Protection }�{A 6. Total=(1 +2+3+4+5) dso Check Number 7 CQ ( This Section For Official Use Only Building Permit Number: Date Issued. Signature: Z.I I(T_ Building Commissioneolnspectar of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column m be filled in by Building Department Lot Size O. 1/28 R(,eas .... _. Frontage Setbacks Front Side L: :/S r.. R:_3 L: R: Rear f r Building Height w._61, --- Bldg.Square Footage .'. o Open Space Footage % _ (Lot area minus blur&paved parking) #ofParking Spaces ---- Fill: fvolnme&invau..) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW O YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T 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 ® DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained © , Date Issued: 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(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S.DESCRIPTION OF PROPOSED WORK(check all aoollcablel New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ or Doo s Accessory Bldg. Demolition ❑ New Signs [0] Decks [E] Siding[0] Other[M Brief Description of Proposed Work: -I?F< UdT[CM re Suplagi Rero.- � FAw4 wJI F i C.A. 6a2Ae — r Alteration of existing bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement _Yes No Plans Attached Roll -Sheet sa. If New house and or addition to existing housina. comolete 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. Proposed Square footage of new constructlon. Dimensions e. Number of stories? I. 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 Bui Ming 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, L�E 14�, d Hq R PI-IY as Owner fthe subject property hereby authorize lam to act on my be ive to work author d by this building permit application. ,� 18 Awl 2c1 S Signature of Owner I r d Date I, WIlI/rirn T n.,,s Ha . asewnegAuthonzed Agent hereby declare that the statements antl 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. WIIIIa• T 11i2omeA{a Print Name Q /iy 1.-- /ff• MAY- 20 f A Signature of Owner/Ag> t Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Constructio n Supervisor: Not Applicable ❑ Name of License Hold. 11/ m Y orNeoitrsSp1A ntsn Cry License Number SR Flitwr AZT- I—ESINS Mp O10S3 fxb Is Ze z Address Expiration Date �� Q Al L Signature / Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ '�A T 1 A m 6n '� e.- lkyL<1-a T 1 101-7ZZ Cpmoanv Name Registration Number 513 FPOV-/T ZTBES-r kel /1n 01.63 -Ti-uF Z01* Address Expiration Date Telephone x{12 6'946 Yi0i SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.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...... ❑ PROPOSAL RE; Restructure roof and front wall of 30'x 6"x 20'-4" three-car garage located at 7-9 Main Street, Florence, MA The two footings between the garage bays are inadequate to support the roof structure. The two roof supports at the ends of the roof ridge board are seriously undersized and are structurally failing causing a noticeable deflection in the roof. The framing above the door openings is undersized. The wall framing around the door openings is inadequate to support the new overhead garage doors. The footings between the garage doors are undersized to support the roof weight. The Project Rebuild the two "trusses" that support the roof and cavy the roof load to the supporting posts. Add 2—2" x 10" to the current 2 x 4'bottom cords. Also add 2 x 6 framing on both sides to the ridge board. Two lateral supports will be added on both sides at the midpoint of the roof rafters. See attached sketch. When the roof support has been made structurally sound, a double 2 x 10 girder will be temporarily installed to support the roof structure and the entire front wall will be removed. Two new footings poured and two 18" diameter,4'-0" deep steel reinforced concrete piers will be poured. The front of the building will be permanently supported by 2—30'-6" x 10" microlaminated beams with support walls attached to the new piers and to the existing side walls with new framing. The front wall will be framed to accept three T-O" wide x T-0" in height overhead garage doors. The exterior of the front wall will be sheathed with 5/8"" T-111 and trimmed with 1 x 4 primed weatherproof pine. Interior door openings to be 2 framed with 2 x 6 in accordance with plan provided by Raynor Door. Supports will be added to the ceiling rafters for garage door opener motors. Frame in the six window openings with 2 x 4s and cover with 5/8" T-111. Construct one new demising wall 20' long, 8' m height, 2 x 4' new demising wall with pressure treated 2 x 4 framing 24" on center,one side covered with 'h" CDX plywood. All construction debris to be removed from site. Agreement does not include garage doors, garage door installation, any electrical wiring or painting. Total Project Cost $9,220.00 City of Northampton Massachusetts � I� DEPMT T OF BUILDING INSPECTIONS 5 212 Main Street a Municipal B-1ding v Cn Northampton, es 01060 s irjl'�J 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:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: -47a& ,,OU&z_ I�PPFi -f' GPR GAaoy� Est Cost: Address of Work: 1-q-- RA& snare-r FiQam&gg &A Date of Permit Application: 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 142X.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: !s M 4 &.,a Wlllae, T. Torr° aHo lc) -4ZZ. 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 Massachusetts ( c DEPANI?IENT OF BUILDING INSPECTIONS � m 212 Main Street • Municipal Building " Northaaptcn, 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. c,. ,r City of Northampton Massachusetts q .• DSPARSf�IT of apx=D INSPBCPIONs x ; 213 assn ai[eai •aueieipal Building �T tloiCbuptov, MA 01060 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, 5 150A. The debris from construction work being performed at: Gq¢ra61C Wr -7" 9 1",4114 `-Mli �(na5u cr3 (Please print house number and street name) Is to be disposed of at: VPq�x,( �t�VGLfN6 (Please print nam and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) I— Signatureolof 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. The Commonwealth of Massachusetts Department of Industrial Accidems Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organintion/Individual): UM T —5;filan,i +'�- �•tau & ��u�rn +cTrOu Address: 51% ♦=RO&]T =P_A7T Ci /State Zi : LE s Phone #: 4/)-T S$L S aaS Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4. ❑ I am a general contractor and 1 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. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P i1' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.• required] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions :i ❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself ' com . right of exemption per MGL Y [No workersP 12.[] Roof repairs insurance required.] " c. 152. I(4),and we have no . employees. [No workers' 13.❑ Other!rn...Tt+na. RQPw�_ comp. insurance required.] L Te R.r-{ FILauT Wali t •My applicant that checks box pl must also till out the section below showing their workers'compensation polity information. Homeowner,who submit this affidavit indicating they are doing all work and then hire outside contractors most submit anew affidavit indicating such. ZContmaor that check this box must attached an additional sheet shoving the time of:he,sub-conoactor and state whether or not those entities have employees. if the sub-tormomm,have employees.they must provide their workercomp.policy number. I am an employer that 1s providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: TQ,A V H Rs Policy#or Self-ins. Lie. #:T%L,14 Ot.5-AM 4 7-5 Expiration Date: 6/3/ 201 q , r Job Site Address: _7 Ma:./ .STafA-r City/Smte/Zip: Flarz.frr•i h2,0 0101.2 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 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 cerrtify//under the pains and penaltles of perjury that the information provided above is true and correct. Sianatum N/4 Date Phone 9, h'/3 'VY` Offlelal use only. Do nor 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 3. Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: D91Y4JING of MFW ROOF SUPPORT T'jpl.I � ow, Ba4N i ' ZXIo�� oH pACN S'a of x2X(e' � Ex��-nuG 2k 2xto" O+ E oNFS S f �i C�Z_2N6 1 M �F XIST��6 k1L(t NF eeg b" q,-n" Lock 7.1Fp1 2 X i O" rCXi Ttv zxq of TR(, � FYt�_t.7,CTRttCT70N 'ptcof•�•S "f1�Ltr:a1. 4 r 11 fix. L6 1XW 1 1 i t y"Tin F.R Lack Nr W X I 2xy -A'T,aat_ of -�y�cc � n •cTRa C't'10N nyg�J�� l YJ UIQ 00 �plsu KY " pin0�15! p-Ai?ng 'a+ 521,3v-4 ?p , 47 �1 (�4VV`A� „ �b �i fi4 wnwIu, Vit -b LiAlm x p1A HSS S p-A-00q>� 61tA'X10 AOOP -N+ �roMro N -GI q �2q 4SnV.A l i JJ11 ttJ i 13A31 I r 40v-}-ir