Loading...
31B-103 (2) 145 STATE ST BP-2019-0007 GIs#: COMMONWEALTH OF MASSACHUSETTS Mau:Block:31B- 103 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2019-0007 Project# JS-2019-000009 Est. Cost: $2500.00 Fee: $65.00 PERMISSIONIS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: JAY BOLAND 101880 Lot Size(sp. ft.), 4051.08 OWner: SCIARRA GINA LOUISE&WILLIAM SCHER Zoning,URC(100)/ Applicant JAY BOLAND AT. 145 STATE ST Applicant Address: Phone: Insurance: 12 PISGAH RD (413) 203-2454 0 WC HUNTINGTONMA01050 ISSUED ON.71312018 0:00:00 TO PERFORM THE FOLLOWING WORK:BLOWN IN INSULATION AND AIR SEALING 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 7/3/2018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Depa�lmuseordy Q RE SId4Bd Pemdt.Curb Q&EVIvemmyPern*� Wa�nva„A„aa�y;Tao SeN OfSbucbgel Plan413-587-, 4, 7-1272 PktlSasDEPTOC BUILDINGM^PECKK APPLICATION TO CONSTRUCT,ALTEI,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAIRLY DWEILNG SECTION,-SITENlIFORMATION 6f- ' q- 7 1.1 PpRoorty Tide section to be 0001010W by office Map ?>1 L-t �5—LwvI zerre overlay owmd. EanSL Dbb[C CB Olowict SECTION 2-PROPERTY OINHERSIiGUTHORUMD; ; N T ZI 90K nL �,1/,InInl�lSc,,:Bio. uS_S-�'a�eq p��' CYv TwP Oe /� r &?o �33 �� (leyR I �wl_ A �jjA SwNw— Tel%l SECTION 3-ETT MILTED CONSIMUCTION COSTS kern Es6me0ed Cort(OOMM)b be Oficial Use Only 1. BriEng (a)BOIWrtO Pamdt Fee 2. Electrical `Jl (b)Eatenated Thi Cost of c"OlOwlan horn fal 3. PUnbbV Bolding Permit Fee 0 4. MCMaical(HVAC) O S.Fire Purl mon 6. TOW=(1+2+3+4+5) QO Choc Number This Section For Official Inas Only Date BndNtrng Pemrk Nunber. Issued: of BPadrlat Dime EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) RISE ENGINEERING' OWNER AUTHORIZATION FORM I, Gina Louise Sciarra (Owner's Name) owner of the property located at: 145 State Street (Property Address) Northampton, MA 01060 (Property Address) hereby authorize (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. This form is on lid with a signed contract. 4� A�� per's Signature 6 - � � - Ile Date RISE Engineering,a Division of Thielsch Engineering, Inc. 60 Shawmut Road Unit 2 i Canton, MA 020211339-502-6335 www.RISEengi neering.com SECTION 8-CONSTRUCTION SERVICES e LTIWG Not Apozade ❑ 1. alI Qf615ssrR Nuffdw a II � Ampfl Mid a 11a7,11sr A,3 U S"" Tawop o Not ADDlirabb ❑ cH �YYI¢_ �hex4U .�I�-�ors Inc_ R� Aadreaz E�irakon Date cAlIQTPz� hRvl Al 0�0�Sreleptroneeo( SECTION 18-WOW(ER.4'COW"SATION NSURANCEAIIWAVIf(MALL c 10.4 25q%) Workers Con0-isetion Insaanoe affWwv1t mat be caaplate0 and sub Itbld vriM Mie appbpkon.Fadum to provide ttua afmdaW will resuk In IDe dar8al of the iresuaoce of tM W"PMWL Signed AMdwAAkedred Ves....._ or No...... ❑ SECTION S-DESCRPIIOY OF PROPOSED NOW fdwck all applicable) Naw Notre ❑ Addition ❑ br=a wM wit Alleratlon(a) ❑ Roofing ❑ AmcorpBkIg. ❑ Damplition ❑ ` Nen Signe [CQ Decks UMsiding pj Other Wodc° [gq e�'YJIp«o.= lrlS✓b.�Frm arid a�f 52e.IrN Alteration of exacting bedroom Yes_No AI'Ift now bedroom Yes No Attached Narradve Rw*vetlng udmished besenwm Yes No Plarw Atlactwd Rog -Sleet sit:N New hauseaador adddioato exmdm housim.comMeta the followdRn a. Use dbuadvG:One FmNy Two Family Oder b. Number of rooms in each lenity unit Number of Batlnoorns C. is there a garage Ylacrad? d. Proposed Square footage of naw rnrwimrban. Dmwroioea e. Numbarofstu'es? f. Method of testing? Fireplaces or WooN4ves Number of each g. Energy Cawervatim Compliance. Mesec e& Energy Compaance form attached? h. Type of mrsurdwn L Is construction waanih 100 ft of wadwAs?_Yea _No. Is corablcaan within 100 yr. floodplain_Yes No j. Depth of basernerd or order floor below flrdshad grade k Will building CWfbrm to the Building and Zerung regulawra? Yes No. 1. Septic TaMc_ City Sewer_ Pmaatewet Cky water Supply_ SECTION 7a-GWM9tMTHOR17ATION-TO BE CollvnHIED WIEII ON11/1n11MAGGENTOR CONTRACTOR APPLES FOR BIRBI DC P6URr 1. C) ne- J(—lArro� .es Owner of the subject property harebyarrll� Shawn MI-k ll to act pn my beheatm all matters,rele nim to work aM � grd by this arm ue WWM9 Pa apPicaYan�a� �k��l/1 Date ��� pn 1 �tta clm Mt �ek �I asOwer/Auth zed Allard hereby declare tlatthe stawrrwms aW irdanna6orn on tlw toregonmg application are true and awaate,to the best of my lawwledge WO beltef. Signed uhdcr the lase and peruYk€of ShQW P6dlame Zoe, 0607 G06 'j err owe City of Northampton Ilase Chusntts y IWA6IOWP OF BUXLEIM ZWMXC=0K4 212 Main atwe • Wexudpal aaimaine arzi�, m 01060 e AFFIDAVIT Herne Irprovraet Contractor Law Sapphoent to PernR Application The Office of Corr Affairs and Business Regelation("OCABR")regulates the registration of contactors and subcontractors perfammg improvements or renovatmas on detached one to fore family homes.Prior to performing work on such homes,a contractor must be registered as a Horn Improvement Contactor("HIC"). M.G.L.Chapter 142A requires that the"reconskinficn,aftrasloa,renovation,repay madwizat n,cenvarsion, 41twoveamet renwve,,da noallan,waonalmaian of err adman to army preexlshm awneroc-AW bAWAma 9 at least one bit not am kiwftvNM urft..-or to 5&ucft ss Mdch are e*centto serh residence or be done by redaftred factors Nara If the honeosner has conbaded wkk a corporaden or LLC,that entry wast be regislexd Type of Wodc I Est Cost: 1-S6� Address of Wort. LIS 54a54 Date of Permit Appucatom([0y ') e I hereby certify that Regismmon is not required for the followingreason(s): _Wade mcl ded by law(explain): _lob under$1,000.00 Owner obtaining own permit(explain): _Building not ownervoccupied —Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME]NIPROVHMENT WORK ARE NOT EI GIprE FOR AND DO NOT HAVE ACCESS TO THE ARRTTRATION PROGRAM OR GUARANTY FUND UNDER M.G.T.Com'142A.SUCH OWNERS ALSO ASSUME THE RM"NSIBIIRTES FOR ALL WORK PERFORMED UNDER THE BDH.DINGPERMIT SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penaltes of pmjmy: I hereby apply for a building permit as the agent of the owner: ,5AW Wa.(I )bSK / Date Contractor Name HIC Registraton No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton dl � aaasacbuaetrs �0asa�r or aounnrc aWzcnoss 2u rtaeao e o uw I b0 Debris Disposal Affidavit In accordance of the provisions of MGL c 40. 554, I acknowledge that as a condition of the building permit all debris resulting from the construction aCW4 governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility,as defined by MGL c 111, S 150X The debris from construction work being performed at: Isis S�ck-� S4. (Pluses print house number and street name) Is to be disposed of at pnvi e� -e.4 Q P nine aW toca4orn of Or will be disposed of in a dumpider onsite rented or leased from: (Company Name and Adrtresa) 14. Akg;� Signature of Permit Appkant or owner Date If,for any reason,the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Budding Department as to the location where the debris will be disposed. +�a.�gdoa4taf>a OffWsOf "t W Ba ogoa ale! 02111 Wtrikels'Cesar L>t�oeA Ike Inc Adl 5S l©t�e5e_ I�IB{'1U�J n/l n!' �ydelT� m$/hn �� tl/F33 Pl>awe#: ZIC3 ' A'B�� D'Y�y Vaaar a�Ly+et?Chert the appropdaee bw Type of project(rem ama=Vbywwm C 4- 0lmapgnemlemtrac6oratdl Q. Obbvooeaaeeam, amployme("aadwpwtam}a larechinaddesu&coanscan 201ams selal Ip ororprmer- holedoatboadechedatictt 10 Remodeling dipmadhnenoe®pbyea 19eewboantrspateve 8. [1Dmolidon wUa8for aminmympocity. '�P 9- 0Bouldbsaddition, tNewmlaas'camp ismaom 5. We are acoapowtiosamdit3 rewil d.] drwmbmsaaaed*w 10-El al repaint araddifians 3.01smabommoardoinga0wodc rwofsamptimprMUL tl-[]t iapaiearadditios eagmlE 120 Rooftroliks lasomene powainq t ea>pbyea.[No wmlra' 13JU Oliver comp-knomace nap®ed.] `M+aaaattleee4ahteaita.a>bo�aareaa>lie Wovdio.yavwadva•mayeaaampatlytiPoaafiaa tsa.ee..:aia.�aac+1'aa�initaieliaasq�do®Fa➢saa:aa,hmeoe oredsFG- law do ilawdo 51sr31t6 eiaw*when'maepsNMGMa ranwiror ABY,MERIDIAN. WNtjWm xCaeepeeyNaae:` 'Sj`t.ip� �f1SurGdtr_ t-6»1�a�+! Policy tka Iu d: �L Lyiye�f-Q teDatc i sloenai.. 4 10. ) f G /066 AttatiaraP7aeFHetsedsees'oeaapudrpaieydedratlaaPass(dowl spolicyversede>pt adue) Patlmemsmmeawlassegnmdaod=Socbm25Aof Mm 152eanladttomeiepaMesofaa—Inalpmakinsofa dee apse SI,Mmamyor oeo yeerimpsigmaneat,aswa as dvllpenalties in9ee f®aof a nOP WORRORDER and a fine 3fvpsu.250A0sdagapp®attmvWhMW Beadvisedim a copyoftbic Msammtmaybe forwarded to the Office of iavamnp6oes of tree t7iA Ror itemasce mvaage wai5cotim. tdeh cad d"We"Oh"'wamasPsariiats6asa8are earract A�ddaaewe@e Srmraitfe7.Aidso�Kmlrawpkaadbi�iarmsa tsaysr x«rs i'ti'i # fmaMe6�..w�y(.tw...cp 3.lomdefMaddh 2.axMM Dopm;te�t 3.CWrwat]wk 4.Moddedbaspedw &Pbmbb&UWrmr CO" CaasaetPeeiac Pleaeafe 1 Jay Boland IDDM-664 tntildt4txllip. h4 r+, x luro'II'. WWI l l"I mollm ll,nllb x t I'll R14A8'MrIN/H/t•;H:4NlfA f 17 YJAI aiAt4 MmowbtM0B0 00 n of Publlo Gold of BWiding f4pWatlom and uandartla ' Lkans0t OBBL M constmuon Bup0 em a0 Mmy JAYAIOLV MIM fHLW M0TW MA 0"00 i � s Icher 44WITO 01 nlfif� Ipa�rrarrzc>ru«,a�l�t ���r?/l�Gcz�uzc�t2alelGJ Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 6170 Boston, M uselts 02116 Home Improve tractor Registration TYW: CarPoranon Reglev80724 Home Energy Solutions Inc l Exoredon: 0110312019 68 Russellville rd - 1 Southampton, MA 01073 ', UpE Addrno rid rMum o.rd. Mak rran lar ah.n8.. s,n+ c xunue.�� C] Addrc.S Q R.nawa I-1 EmplOymmt C7 Lea Card Sr,? Or"M Co...&ANaM 4 Sual....MpWMlon HOME IMPROVEMENT COWFIACTOR Regdltrallon valid for lldWldual me My r x ° TYPE:Corporalkn o.klrs M.WWI,~dal. N round r tum to: E501VIIa0 oSaa or CoowPla Affairs and Euelrxa.Regulation 01/03/2010 10 Palk Puts-SUN.5170 MA 02115 H om Energy BONory Shawn MlbheM 118 RUSS.eAM rd 01a+'� Undenecraary Not valid without Signature 1