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23D-004 (10) 15 NONOTUCK ST BP-2020-0533 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-004 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPAM BUILDING PERMIT Permit# BP-2020-0533 Proiect# JS-2020-000921 Est.Cost: $3900.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RICHARD ABUZA 019062 Lot Size(sg.ft.): 5270.76 Owner: WALDRON BRIAN Zoning: URB(100)/ Applicant. RICHARD ABUZA AT. 15 NONOTUCK ST Applicant Address: Phone: Insurance: 181 MAIN ST (413) 586-8681 Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:10/29/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE DECAYED BEAM IN BASEMENT 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 10/29/2019 0:00:00 $65.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of No harm�`�', `� us of Permit: Building Department`-- z urb C 't/Driveway Permit C i 212 Mein Stljeet ewer! eptic Availability ROojn 100 OCT 7 8 20'9 ater ell Availability Northampton, 01060 f S is of Structural Plans wo phone 413-587-12#0 F -1272 Iot/S to Plans ^Jo ri u�lIAJCPF ther Specify {q.,gpT CTIO' APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENO A E'U1rDE LISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION �—.20'" 1.1 Property Address: This section to be completed bb ffice Map Lot (J� Unit *A- Zone Overlay District 6u36� Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 2, ��cP eGt Name(Print) Current Mail Addres CJIo�Z .. 2- Telephone Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed b permit applicant 1. Building 9�, (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 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only BuildingPermit Number: Date issued: Signature: 6 ju �Building Commissioner/Inspector of Buildings Date I��Y "" �i l(J`��✓l EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) CACL l ihU r-�. CL O p rd(/4 ,"1--2, �;r,- X 99 -- l t1 a4d Section 4. ZONING All 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 Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO O DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Re try of Deeds? NO O DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW � YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , 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 10 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, cavation, 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 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors t] Accessory Bldg. ❑ Demolition ❑ New Signs [O] D [Ea Siding[[3] Othefq#- - Brief Work:Description of Proposedy ��>_ // r �/n� IN �( L �j,ayNr` �,,,`� �r' (�j1 Alteration of existing bedroom Yes No Adding new bedroom Yes X' N" W US Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete 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? 4V d. Proposed Square footage of new construction. Dimensions V e. Number of stories? �V 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 I, 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 Date 1, l �`h Lie," 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. Pri ame W311 q S re of Owner/Agent Date ................ .................... SECTION 8-CONSTRUCTION SERVICES Not Applicable ❑ 8.1 Licensed Construction Su eryisor: CAppl dl ^ o62 J7 Y Name of License Holder: I L�Q cense Number 5 ck�-�- s�- R*ems M ©[a 6-1J52-02-0 Expiration Date Ad g68'► Signature Telephone 9'Realstered Home Irewro�rement`contactor: Not Applicable ❑ b V ��L 7 7 Registration Number Company Name - / I el MQ(a �'� 1 bl l7I201( Address [[ ��,, Qp Q Expiration Date k� ©1060 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 _ ' `.`*A", sus•� sf s' Massachusetts �a?r" �fcr ,c DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 ;T 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:&Sente.� soot- �a MeJ'� Est. Cost: t3 90c) Address of Work: 11� !y©N d+J t:k-St Plo t eluc-e A/7 Date of Permit Application: �0� �2 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: t,'Mzotq A bu20-eiE M Q `E Pjc_ q70o7 Date Contractor Nam LA11C 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 4 DEPARTMENT OF BUILDING INSPECTIONS x 212 Main Street •Municipal Building Northampton, MA 01060 ssN�y �^�`c 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: MW 'Wi C iC62 (Please print house number and street name) Is to be disposed of at: V RUV PECIC LJAr �1�41�f��(/� (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature 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. EONarfJL 1-5 No No-rock. ST F/o-W ave ' l u Q-{-►o v e r u 'ro be ds uji+-( ��xlsf►N� !o xg loQai �o�s+s z�''o� VerscZ_Lam I3e�M Fas}eaeCt CM(-09P i a { i i �' New Co►.icRet� 'F,((a.r,{ Sf-e���os.'�s-j CoNcR�T� �oo�'i a�S �xlS+i.,9 Mctsc,,)t -To+gZ►OQ Walt �XlsfiN4 GKrc?Ai0/` S7`OrAI�/� cZ n�� �►v�p S a�1 P 4---- z p�1 y 5 I 1 wtf7- S&�I\ (311'4 a} no.1 �r,fsIx� TRI E 9 n)49 � �M►+fly. � �aap►�� M-4 N E f � � T r is CS Beam 2018.9.0.16 Nonatuck 10-9-19 IanBeamEngine2018.9.0.1 Northampton 2:13pm Materials Database 1572 1 of 1 Member Data Description: Member Type:Beam Application:Floor Top Lateral Bracing:Continuous Bottom Lateral Bracing: 0.00 Standard Load: Moisture Condition:Dry Built;hg Code:IBC/IRC Live Load: 40 PLF Deflection Criteria: L/360 live,L/240 total Dead Load: 10 PLF Deck Connection:Nailed Member Weight 14.7 PLF Filename:Beam1 Other Loads Type Trib. Other Dead (Description) Side Begin End Width Start End Start End Category Replacement Uniform(PSF) Top 0' 0.00" 9' 0.00" 10' 0.00" 40 10 Live Replacement Uniform(PSF) Top 0' 0.00" 9' 0.00" 10' 0.00" 30 10 Live Additional Uniform PLF Top 0' 0.00" 9' 0.00" 0 56 Live 9 0 0 9 0 0 Bearings and Reactions Input Min Gravity Gravity Location Type Material Length Required Reaction Uplift 1 0' 0.000" Wall SPF#3/Stud 2x or 4x End-Grain(650psi) N/A 1.500" 4439# — 2 9' 0.000" Wall SPF#3/Stud 2x or 4x End-Grain(650psi) N/A 1.500" 4439# — Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Live Dead 1 3201# 123W 2 3201# 123W Design spans 9' 1.750" Product: 1-3/4x7-1/4 VERSA-LAM 2.0 3100 SP 4 ply PASSES DESIGN CHECKS Connect members with 2 rows of 112"diameter bolts at 24.0"oc Minimum 1.50"bearing required at bearing#1 Minimum 1.50"bearing required at bearing#2 Design assumes continuous lateral bracing along the top chord. Design assumes maximum unbraced length of 0.00'along the bottom chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 10149.'# 17424.'# 58% 4.5' Total Load D+L Shear 3852.# 9642.# 39% -0.06' Total Load D+L TL Deflection 0.3437" 0.4573" L/319 4.5' Total Load D+L LL Deflection 0.2479" 0.3049" L/442 4.5' Total Load L Control: LL Deflection DOLS: Live=100% Snow--115% Roof=125% Wind=160% Design assumes a repetitive member use increase in bending stress: 4% Al product names are trademarks of their respective ov\ms copyright(C)2018 by Simpson Strong-Tie Company Inc.ALL RIGHTS RESERVED. —Passing is defined as Nhen the member,floor jdst,beam or girder,shorn on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spare listed on this sheet The design must be reviewed by a qualified designer or design professional as required for approval.Ttlis design assumes prcduct installation according to the manufactirer's s 'ficafiore. SST Connector Selector (R): Ply Join Version 2019.1.1 (3/15/2019) Page 1 14:16 10/09/19 Application Roof Truss, Solid Sawn, SCL ❑FF SET MIN END Load Duration Head Load (Plf) Conn ID Length Ft a MIN EDGE D D Floor 100 494 _ —L D * R❑WS MIN R❑W C3shown) D O O Loaded Ply Type Size Memb ID SPACIN LVL DF/SP 1.75x7.25 QUAD SCREWS I FR❑NT FACE SCREWS IN L❑A4 BACK FACE Model Rows Spacing (In) Sides Quantity Min Edge Min Row Min End Offset Tip Load (Plf) SDW22634 2 24 Front 1.438 0.625 6.000 0.625 371 Refer to current Wood Construction Connectors catalog for General Notes & Installation Instructions. Commonwealth of Massachusetts A Division of Professional Licensure Board of Building Regulations and Standards Constro,016n' x)pervisor CS-019012 ires 0512W2020 E RICHARD F ASUZA 245 C HESTNUT,STif2EiET, FLORENCE MA.41062` i, Commissioner The Commonwealth of Massachusetts Department of IndustrialAccidents 0 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Abuza Brothers Management Inc Address:181 Main ST City/State/Zip:Northampton MA 01060 Phone 4:413 586 8681 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 3 employees(full and/or part-time).* 7. ❑New construction 2❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition ❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 1❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[2]Other repair 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Quincy Mutual Policy#or Self-ins.Lic.#:WC 001694 Expiration Date:12/31/2019 Job Site Address:15 Nonotuck St City/State/Zip:Florence MA 01062 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certi-tiv un rt ains and penalties of perjury that the information provided above is true and correct! Si afore: Date: Phone#: 3 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#: RUINCY MUTUAL GROUP Washington Street BILL TO: CUSTOMER Quincy, MA 02169 WORKERS COMPENSATION POLICY RENEWAL POLICY MA TAXPAYER ID NO: XXXXX5487 NCCI NO: 32247 PRIOR POLICY NO: WC 001694 POLICYNUMBER POLICY PERIOD COVERAGE IS PROVIDED IN THE WC 001694 12/31/2018 12/31/2019 QUINCY MUTUAL FIRE INSURANCE COMPANY I 02712 INSUREDNAMED AND ADDRESS 1.ABUZA BROTHERS MANAGEMENT INC ALEXANDER W. BORAWSKI, INC. 181 MAIN ST 88 KING STREET, SUITE B NORTHAMPTON MA 01060-3188 NORTHAMPTON MA 01060-3257 (413) 586-5011 NAMED INSURED IS: CORPORATION OTHER WORKPLACES NOT SHOWN ABOVE: ON SCHEDULE ATTACHED IF APPLICABLE. FEDERAL ID NO: XXXXX5487 RISK ID NO: 0067613 2. POLICY PERIOD: FROM 12/31/2018 TO 12/31/2019 12:01 AM STANDARD TIME AT THE INSURED'S MAILING ADDRESS. 3.A. WORKERS COMPENSATION INSURANCE: PART ONE OF THE POLICY APPLIES TO WORKERS COMPENSATION LAW OF THE STATES LISTED HERE: MA 3.B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO WORK IN EACH STATE LISTED IN ITEM 3.A. THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE: BODILY INJURY BY ACCIDENT $500,000 EACH ACCIDENT BODILY INJURY BY DISEASE $500,000 POLICY LIMIT BODILY INJURY BY DISEASE $500,000 EACH EMPLOYEE 3.C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO THE STATES, IF ANY, LISTED HERE: ALL STATES EXCEPT ND, OH, WA, WY. 3.D. THIS POLICY INCLUDES THESE ENDORSEMENTS AND SCHEDULES: WC000000C WC000422B WC200302A WC200303D WC200601A WC 20 QM 02 WC 20 03 01 WC 20 04 01 WC 20 04 05 WC 20 06 04 4. THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUAL OF RULES, CLASSIFICATIONS, RATES AND RATING PLAN. ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE BY AUDIT: PREMIUM BASIS RATE PER TOTAL ESTIMATED $100 OF ESTIMATED CLASSIFICATIONS CODE ANNUAL REMUNERATION ANNUAL NO REMUNERATION PREMIUM (SEE EXTENSION OF INFORMATION PAGE) TOTAL ESTIMATED PREMIUM $827.00 DIA ASSESSMENT ( 3.830%) $20.00 TERRORISM RISK INSURANCE CHARGE ( 3.000°x) 9740 $11.00 MINIMUM PREMIUM $280.00 TOTAL ESTIMATED COST $858.00 DEPOSIT PREMIUM $858.00 COUNTERSIGNED BY AUTHORIZED REPRESENTATIVE: 11/27/2018 WC 00 00 01 C CONTINUED ON NEXT PAGE INSURED COPY