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24A-071 (2) 56 RIDGEWOOD TER BP-2021-0947 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-071 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 PERMIT Permit# BP-2021-0947 Project# JS-2021-001623 Est.Cost: $11000.00 Fee:$71.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NICHOLAS JONES 066878 Lot Size(sq. ft.): 7405.20 Owner: LAFOREST MARY Zoning: URA(100)/ Applicant: NICHOLAS JONES AT: 56 RIDGEWOOD TER Applicant Address: Phone: Insurance: P O BOX 515 (413) 665-7927 WHATELYMA01093 ISSUED ON:3/12/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL SLIDING GLASS DOOR TO ACCESS NEW DECK 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: (tough 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. I Certificate of Occupancy Signature: ( • • , • YU FeeType: I)ate Paid: Amount: Building 3/12/202 I 0:00:00 $71.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2021-0947 B C APPLICANT/CONTACT PERSON NICHOLAS JONES ADDRESS/PHONE P O BOX 515 WHATELY (413)665-7927 PROPERTY LOCATION 56 RIDGEWOOD TER MAP 24A PARCEL 071 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOS IRED DATE ZONING FORM FILLED OUT Fee Paid /1,60 Building Permit Filled out Fee Paid Typeof Construction: INSTALL SLIDING GLASS DOOR TO ESS NEW DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 066878 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: X Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 111. I Sign;ture of Building Official ! ► Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. • t RECEIVED I i , The Commonwealth of Massachtsetts FOR 7..4 i Board of Building Regulations and Standards F E B L b 2021 MUNICIPALITY Massachusetts State Building Code, 780 CMR USE Building Permit Application To Construct, Repair,Iilenov ised Mar 2011 DEPT OF DUt f)!NG INSPECTIONS One-or Two-Family Dwelling NORTHA''''TON.M.A01030 i ha'��' �y, s Section For Officialp Use Only BuildingPermit Number: Date A lied: BuildingP9V.*I\JSIN , 7 1 Alat Official(Print Name) Signature 1 Date l I. SECTION 1:SITE INFORMATION 1.1 Property dress: 1.2 Assessors Map& Parcel Numbers SY ita .tw��ecN Ttraxce 2-'-‘ 6 0-1I 1.1 a Is this an accepted street?yes K no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 13c1° S0 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided l 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public I. Private 0 Zone: _ Outside Flood Zone? Municipal lk On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Reco d: 1 _ /� M k r\) `0.lD i tYk N b 4L it' .� - r"A 0(0 6 0 Name(Print) City, State,ZIP r ``- S4 R`4)L.,Jou,\ Ve ce.. 1{I5-131-9%31 Mar4 r�illedino.‘, t•w. No.and Street JJ Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building ril Owner-Occupied IQ Repairs(s) Al Alteration(s) K. Addition 0 Demolition ilk. Accessory Bldg. 0 Number of Units Othe 0 Specify: Brief Description of Pr9poseidvyork2: r- r4,rY,n S louGd. �,r, 8`1, `ttic l` o r� S e 1 a,Kovt i r w,K akn Cti bt“ w, a eA J SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 101600 I. Building Permit Fee: $ 11,50Indicate how fee is determined: 2.Electrical $ 13.Standard City/Town Application Fee 'sue 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fe�ess: $ '71.St7 i Check No,�n 4v/ Check Amount: 71.-Cash Amount: 6.Total Project Cost: $ I Il C6Q 0 Paid in Full 0 Outstanding Balance Due: r SECTION 5: CONSTRUCTION SERVICES 5.1 ACo struc ion Supervisor License(CSL) cs-o66�g sjt� �( (i a5 e ne5 License Number Expiration Date Name of CSL Holder `i S d h(fj' i _� (1a`n List CSL Type(see below) V No.and ree t f1 d ( Type Description A/ d ©�� U Unrestricted(Buildings up to 35,000 cu. ft.) ' _ City/Town,Stat ZIP , V l 1 R Restricted 1&2 Family Dwelling M Masonry RC . Roofing Covering WS Window and Siding �// 3 � _ SF _ Solid Fuel Burning Appliances t% 144 P A g S e typ o f eot act I insulation Telephone Email address D Demolition 5.2 Reg' terep Home Improvement Contractor(HIC) e Alichi US 6 �„,�; (itK� ( 6Al2_ _____) HIC Comp N e or HIC strant N e HIC Registration Number Expiration Date No. d ree Email address t,-) Mt 01013 tt i 3 56 3-W1 IC City/Town, St e,ZIP Telephone SECTION 6: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 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR IeB-BUILDING PERMIT I,as Owner of the subject property,hereby authorize , I 1 c Li..It, 1—; 1t) to act on mybehalf, in all matters relative to work authorized by this building permit application. / '4 V`{Name L1r'r'tibY ill-1I1 ' 'Print Owner's (Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" r 7 City of Northampton -ram Massachusetts �4, '<< /nii,, � w G i 4'~. DEPARTMENT OF BUILDING INSPECTIONS x , /a 212 Main Street • Municipal Building vy ca: ti, 3' .. Northampton, MA 01060 ssfy ',,'`ti CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: Vr atti'( Pe-cyc,L4 The debris will be transported by: Name of Hauler: Aidto(cts j9012j 7 Signature of Applicant: `_,,,L,/v Date: /y 2 J CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE The Commonwealth of Massachusetts n. Department of Industrial Accidents TtlimS 1 Congress Street,Suite 100 -;rt i�ittT► Boston. MA 02114-2017 \t �. www.mass.gov/dia II takers' Compensation Insurance Affldat,it:Builders/Contractors/Electricians/Plumbers. 1•0 HE. E ILE.I)N I EH'I'M PERMITTING;AUTHORITY. Applicant information Pleas Print Legibly Name iBusiness,or;.ani iron Individual):_ , Nil a) - J7=✓.14 .— Address: e0 8 Sl S / / City/State/Zip: (A) ma o1013 Phone#: y SOl3 3 ' �v -5s Are yet en employer!Cheek ere tip fret: Type of project(required): I.❑1 am a employer with ,._ employees(full and oa part-time i' 7. 0 New construction 20l am a sole pnrprntot or pannemhip and have nu employees working for me in x. aRemodeling any capacity.[Nu*tickers'comp.insurance reyuirenl_) 30 I am a homeowner doing all wort myself.[No welters'comp.insurance twined"* 9. Demolition 4.0 I am a homeowner and will be hiring uuntracturs to conduct all work on my property. I will I 0 O Building addition homeowner ensue that all contractors either have workers'commis:mutt insurance is are sole 11.0 Electrical repairs or additions pruprictors w Rh no 4.-mplovees. 12.0 Plumbing repairs or.additions SO I am a general contractor and I have hired the tub-contracture listed un the attached sheet_ 130 Roof repairs •Therm:sub-cuntractun have employees and have wmien'comp.msutance.. 6.0W'e are a corporation and its officers have exercised their right of exemption per MUa. 14. Other _ 152,y11(41,and we have no empluy ces.[No workers'coop.insurance required.] *Any applicant that Lack%box u 1 mint also till out the atetion below show mg their workers'compensation policy information. t Knoawwners who sublet'this affidavit indicating they are doing all work and then hire outside contra turn must submit a new aflidav it iadieating such. :Contractors that check this box muut attached an additional sheet showinsz the name of the suub'eontracturs and state whether or nut those entities have employees. If the sub-contractors have eirgrlurLes.they must pro%ide their workers'camp.policy'number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh site information. insurance Company Name: — Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: CityiStateiZip: 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the.Offce of Investigations of the DIA for insurance coverage verification. I do hereby certify n the pains and pen tes f perjury that the information provided a me.i true*and correct. Signature: 1)::1.:- _4 ( 1 9 Phone 4: LI13 - c‘3 - ti 8 Official use only. Do not write in this area, to he ramplcte'd hf city or tenon uf(it ill 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#: CITY OF NORTHAMPTON SETBACK PLAN MAP: IA A LOT: 1)1 I LOT SIZE: REAR LOT DIMENSION: t- -1 NI. 0 REAR YARO \lt" SIDE YARD t SIDE YARD !".'" \M FRONT SETBACK FRONTAGE ° k i t- 6( 'ems ''L -1. v9 7 , I dials 1' ' u. 11)0 ' SSu,r 43- ;! Q h 1 v°5?0„$ - I-. ,, ) , 3 ti y• 1i I • • i 9 3/12/2021 City of Northampton Mail-56 Ridgewood Terrace } ��€ City °f Kim Carson <kcarson northam tonma. ov> Northampton@ p g 56 Ridgewood Terrace 3 messages NicholasBJones Fri, Mar 12, 2021 at 2:21 <nbjones©comcast.net> PM To: Kim Carson <kcarson@northamptonma.gov> Hi Kim—Here is additional information for my permit application. Also, I checked my mailbox this afternoon and there was no permit. Can you confirm that a permit was issued for this job. Thanks Addendum to building permit application: I will be bolting a 2" x 8" ledger board to the house to support one end of the deck. Thus, only two footings are needed. I am using 12" sonotube footings, 4 ft. deep. The ledger board will be supported by 5" ledger lock screw/bolts installed in a zig zag pattern every 10 inches. Nicholas Nicholas Jones www.nicholasbjones.com https://mai I.google.com/mail/u/0?ik=28605c8627&view=pt&search=all&permthid=thread-f%3A1694055135001901466&simpl=msg-f%3A 16940551350... 1/2 3/12/2021 City of Northampton Mail-56 Ridgewood Terrace Kim Carson Fri, Mar 12, 2021 at 2:23 <kcarson©northamptonma.gov> PM To: NicholasBJones <nbjones©comcast.net> The permit was approved on 3/12 which is why you haven't received the card yet. You should receive it next week. It is ok to begin work without the card. Kim Carson Northampton Building Department [Quoted text hidden] Kim Carson Fri, Mar 12, 2021 at 2:24 <kcarson©northamptonma.gov> PM To: Kevin Ross <kross@northamptonma.gov> I printed this info out and attached it to the application. Kim Carson Northampton Building Department [Quoted text hidden] https://mail.google.com/mail/u/0?ik=28605c8627&view=pt&search=all&permthid=thread-f%3A 1694055135001901466&simpl=msg-f%3A16940551350... 2/2