17A-304 (4) 97 HILLCREST DR BP-2020-1160
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-304 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING P E RM I T
Permit# BP-2020-1160
Proiect# JS-2020-001955
Est.Cost: $14000.00
Fee: $91.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: LUKE DOODY 107945
Lot Size(sg.ft.): 21823.56 Owner: LENTNER KAREN W
Zoning: URA(100)/ Applicant. LUKE DOODY
AT. 97 HILLCREST DR
Applicant Address: Phone: Insurance:
PO BOX 225 (413) 772-9208 SOLE PROPRIETOR
WENDELLMA01379 ISSUED ON.512912020 0:00:00
TO PERFORM THE FOLLOWING WORK:demo old deck and replace with new
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:
12uugh 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 Sifynature:
FeeType: Date Paid: Amount:
Building 5/29/2020 0:00:00 $91.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Department use only
City of Northa'rnptoy�''�.r Status of Permit:
Building Departm�._ i,. Curb Cut/Driveway Permit
212 Main Street �` Sewer/Septic Availability
Room 100 �� WaterlWell Availability
ay, , Northampton, MA 01 d6U q TVo Sets of Structural Plans
Y` phone 413-587-1240 'FaIx 413-587-¢Zr � Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR,,R.;Er10" DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property AddressThis section to be completed by office
.
C,/u st Map Lot � U /c../
Unit
GJ 6 l Zone Overlay District
1, Y
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
6COQ E&) L /0 7 134- 4111 Cx
Name(Print) Current Mailing Address:
C Telephone `-�/Z
Signature
2.2 Authorized Agent:
Name(Pr t) Current Mailing Address:
4�
Signatu e Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building I y v 40 (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
Date
Building Permit Number: 61'-,,20 /I lam✓ Issued:
Signature: a-�
Building Commissioner/Inspector of Buildings Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing
Or Doors 0
Accessory Bldg. ❑ Demolition ® New Signs [0] Decks [M Siding[0] Other[0]
Brief De cri tion of Prosed
Work: A�I�(VW g,'A. �Wi' � rl ( l �,�illUK w
Alteration of existing bedroom Yes 4__No Adding new bedroom Yes _No
Attached Narrative Renovating unfinished basement Yes —t—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?
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
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
j!��if� as Owner of the subject
property y
hereby authorize L Ems( 1/E C)C)
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, Aas Owner/Authorized
Agent hereby declare that @e 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.
� r
Prinf Name
Sign lure of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑ ,1
Name of License Holder: LS- tP3�q'"1�
License Number
17so G ��IIg� Ray. § 4
Address Expiration Date
4rI - US
Ign4ature Telephone
9.Reaistered Home Imorovement Contractor: Not Applicable ❑
C ca .1160 U c, Rq 16S-
Company Name Registration Number
Address Expiration Date
Telephone43-" 7,)�ql)d
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
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building may.
Y� Northampton, MA 01060
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: I( P/�l) �'�(a�Est. Cos
Address of Work: 0 1 14,11 C,{@s�1 ��)te, rI Oiu rue. im U.o 6a,
Date of Permit Application: I ao
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: tN44____
I hereby apply for a building permit as the agent of the owner:
5- aX - 1':N I6
Date Contractor Namt HIC Registration No.
OR:
Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts ,
i- DEPARTMENT OF BUILDING INSPECTIONS '
212 Main Street •Municipal Building
,- Northampton, MA 01060 �t"i ,•>>�'
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:
q3- Ulu�t Wr'
(Please print house number and street name)
Is to be disposed of at:
Akw e 4 /-4-jA !SX5+t3 s
(Please print name ancHocation of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
Rs
(Company Name and Address)
� &:e&
S gnature of Pe it 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 Accidents
0
1 Congress Street,Suite 100
Boston,MA 02114-2017
p. www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
A licant Information Please Print Leeibly
Naive (Business/Organization/Individual):
Address:��_l�� k
City/State/Zip: G Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
I.❑1 am a employer with employees(full and/or part-time).* 7. ❑New construction
2.�1 am a sole proprietor or partnership and have no employees working for me in S. ®Remodeling
`"Puny capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10❑ Building addition
4.01 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees. 12.E]Plumbing repairs or additions
5.❑1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6 1:1 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#I 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:
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 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. _
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si nature: Date:
Phone#:
Official use on/t'. 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#:
PRODUCED BY AN AUTODESK SJUDENT VERSION
i
Assess Ledger & Connection to Foundation xisting 2x8 Joists @ 16" O.C.
Showing significant deflection.
Sister with new 2x8 Nailed @ 16" O.C.
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eplace Beam with m
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Spaced 6'6" O.C. z
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Set @ 4' Bellow Grade
--NOtS�I3n 1N3an1S Ns3401nd N`d A-9 IEMCIO2I --- ___-- ---___--
Cool Hand Builders
Home • Stead • Agriculture
Luke Doody• 413.772.9208 • P.O. Box 225 Wendell MA 01379 • CoolHandBuilders@gmail.com
Deck Replacement 5/20/19
Karen Lentner
97 Hillcrest Drive, Florence, MA
Scope of Work:
Demolish and remove existing deck surrounding hot tub. Remove
decking from remaining 16' x 20' deck. Load in dumpster.
Remove existing wooden piers and replace with 4 - 12"x4' poured
concrete piers. Add new beam above new piers. Assess existing
ledger connection to house and remedy if necessary.
Sister new 2x8x16' PT joists to existing 2x8 joists.
Build new stairs.
Replace decking with Timbertech decking. Replace railing with
Builder Rail Classic from Timbertech.