25C-143 (10) 41 ORCHARD ST BP-2021-1160
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:25C- 143 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Porch Repair BUILDING PERMIT
Permit# BP-2021-1160
Project# JS-2021-001950
Est.Cost: $29000.00
Fee:$189.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WYNTER HOWLAND 109919
Lot Size(sq.ft.): 7666.56 Owner: MIGALORE WILLIAM
Zoning: URB(100)/ Applicant: WYNTER HOWLAND
AT: 41 ORCHARD ST
Applicant Address: Phone: Insurance:
45 PLEASANT ST (4131522-1012 WC
SOUTHAMPTONMA01073 ISSUED ON:4/13/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIRS TO FRONT PORCH
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 sit;nan,r , • ,A . .)QO (Pi
FeeType: Date Paid: Amount:
Building 4/13/2021 0:00:00 $189.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
KtUtivtt
APR 1 2 2021 1
g t ,a+ealth of Massachusetts
i l- - .1.-d of t tng egulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building ermit Number: 4 a-...I 1- ii £d 0 Date Applied:
Ev iN 7-5' ,L% 11"13"20Z1
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
41 Orchard St, Northampton MA ,23'C -/'15 NHAMM:025CB:0143L:0001
1.la Is this an accepted street?yes 1 no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
RR Deck Addition `40 soft 1)2t
Zoning District Proposed Use Lot Area i sq ft) Frontage(ft)
1.5 Building Setbacks(ft) Building Footings NOT changing
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public CZ Private❑ Zone: Outside Flood Zone? Municipal Ql[ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ownert of Record:
William Migalore Northampton, MA 01060
Name(Print) City, State,ZIP
41 Orchard St _413-388-0011
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction Cl Existing Building 0 Owner-Occupied 0 Repairs(s) ® Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:
Brief Description of Proposed Work': replace footing under front porch and install new posts and flooring
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 29,000.00 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $ . 0 Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees: $ dig q
Check No.�(b Check Amount: t D Cash Amount:
6. Total Project Cost: $ 29,000.00 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-109199 08 21 2021
Wynter Howland License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)_- L'
45 Pleasant St
No.and Street Type Description
Southampton MA,01073 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-522-1012 Villagecarpentr}maagmail.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Village Carpentry 8 Landscaping 191955 08 06 2022
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
45 Pleasant St Villagecarpentr}ma a gmail.com
No.and Street Email address
Southampton MA,01073 413-522-1012
City Town,State,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 .❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Village Carpentry & Landscaping
to act on my behalf;in all matters relative to work authorized by this building permit application.
William Miglore 9 April 2021
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'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.
Wynter Howland 4/9/21
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.govioca Information on the Construction Supervisor License can be found at www.mass.govidps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) 300 sq (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"
City of Northampton
oPNgMp,o` '
`5 S'r
/�•' �� Massachusetts • e�
;. �'�� DEPARTMENT OF BUILDING INSPECTIONS ti
•^ Y'+ / 212 Main Street • Municipal Building
Northampton, MA 01060 ss h, s"DD'$
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: Valley Recycling
Location of Facility: 234 Easthampton Rd, Northampton MA 01060
The debris will be transported by:
Name of HaulerVillage Carpentry & Landscaping
Signature of Applicant: Wynter Howland Date: 4/9/21
The Commonwealth of Massachusetts
Department of Industrial Accidents
r Vt o h 1 Congress Street,Suite 100
-tali,
=r=�� Boston, MA 02114-2017
`r- tows mass.gov/dia
1%utkers'('ompensation Insurance Affidavit:Buiider/J(bntractors/Eketrkianx/Piumbers.
IO Hf.FILED WITH I IIE PERNITTIV(:AI I WRITS.
.‘nplicant Information Please Print Lei:ibis
Name(Business i)rt,tnt,atton lndt.snal, Village Carpentry & Landscaping
Address: 45 Pleasant St
City/State/Zip:__Southampton, MA 01073 phone ::. 413-522-1012
Are yea as employer?Cheek the appropriate hos:
type of project(required):
1.®(am a employer wtth9.....__..__. employees(full and in pan-time t• 7. 0 New construction
2173 1 am a sok proprietor in pannenhip and have no employees working for me in B. ®Remodeling
any rapac•rty.[Nu workers'romp.Insuranar required.]
30 I am a hm oarnw on doing all work myself.[No workers'comp.noun:nor required.)'
9. El Demolition
4.0 I am a homeowner and will be hiring esntraciun w to conduct all ink on my propt.rty I will I O D Building addition
ensure that all contractors either have workers:eonrpenaaalo,Insurance or are mule I I L Electrical repairs or additions
prupnetexm with no employees.
12.D Plumbing repairs or additions
501 am a general contractor and I Woe hired the aub-contractors listed on the attached sheet, 13 rt Roof repairs
These sub-euntraeton have employees and have workers'coop.insurance.
6.0 We area corporation and its officers have exercised then right of exemption per MUc. 14.0 other
152..it It4t.and we have no employees.[No workers'comp.insurance requizesl.]
*Any applicant that checks box el must also fill out the ectson below sh..w mg their workcrs'compensation policy information
•Huintrwnen who submit this affidavit indicating they are doing all soil and then hue outside contractors must submit a new atlndas it indicating such.
:Coraractots that check this bus must attached an'Minimal sheet shins inc.the name of the sub-cuur-actus and state whether or not those cabin-.base
clnploscei It the st.l*:ontracWh have employ res.they Inuit po,.rile dr.$,. worker,'ev mp.policy number
I am an employer that is providing,worAers'compensation insurance for my employees. Below is the polies.and job site
information.
Insurance Company Name Norguard
Policy tt or Self its. Ltc.a: shwc1992 Expiration Date 09/06/202
Job Site Address: 41 Orchard St , City/State Lip Southampton, MA
Attach a copy of the workers'compensation policy declaration page(showing the polio% number and expiration date).
Failure to secure coverage as required under MGL c. 152. ;25A is a criminal violation punishable by a tine up to S1.50(1.00
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 ma% he ti,rwarded to the Office of lmestigations of the DIA for insurance
coverage seritication.
l do hereby certify under the pains and penalties of perjure'that the Information provided above is true tine/turret t
�tendtutr Wynter howland Date 4/9/21
1'1,,,nc:: 413-522-1012
r
(Wit-ea/use omit-. 1)o not write in this area,to he completed hr city or town official
( its or I oven: Permit'license a
Issuing.kuthorits Icircle one):
I. Board of Health 2. Building Department 3.( its l ussn(perk 4. t k•etrical Inspector 5. Plumbing Inspector
h.Other
t intact Person: Phone a:
Village Carpentry and Landscaping , Date:04/09/2021
45 Pleasant Street Customer:William Miglore
Southampton,MA 01073
salesavillaaecarpentrvma.com �. Job/Address:41 Orchard st.
413-824-0204 Winter Howland Village Carpentry Northampton MA
1
HIC:C:185501 and Landscaping
5501
Covid plan for work at 41 orchard st.
• Employees of Village carpentry will be expected to wear face masks while working indoors or in close proximity to
other people
• Work site will be closed to general traffic while there are employees working
• We will follow the Northampton Zero Tolerance policy for sick workers.
• Hand Sanitizers will be provided to crew with standard medical kit for use as needed
• Our crews are kept separate from each other to prevent potential spread through the company
• Most of this work shall be in open air so risk of transmission is minimalized
• Crew have been and are expected to take a Covid test and return a Negative result anytime they feel sick,this is
covered by the company.
• Jobsite Bathroom is located in home within a few feet from exterior which minimizes time spent by crew in clients
home. Masks will be worn at all times while in the home.
C rs Sig atur Date
- 'NOTE LOWER DECK
4 new concrete footings to be installed&
i Z
new Iloorjoists running parallel to house
g:. /8I6 r - r lt,C
A Lower Deck
1 1/4-= 1.0•
r I n fe
Mahogany IPE Decking
5/4 x 6 SO EDGE
Replacing all(8)4x4 posts on both levels \
Upper Deck A
1/4"= 1.0' 1
CLIENT .PROJECT PROJECT NO. DRAWN BY ISSUE
Emily Deck Renovation 101 AA 1/19/2021 Deck Renovation
r�Pary
r�s
2x12 Header
f
I 1
F-0' 7'-3 12' 7'-3 12"
m o
m
CI_ 1 RIIIIIIIIIIIIIIIIIIIIIUI
1 I -—2x6 Header
I /
24'-6' 4x4 Post
iN
Eo 0
3"
IIIIIIIIIIIIIIIII:lIl N
24'-2" 6-0"
WENT PR()LCI PkOA CI NO. DRAWN BY ISSUE
Emily Deck Renovation 101 AA 1/19/2021 Deck Renovation
t V116ge Grpmtry A
.d l.nascaple
Village Carpentry and Landscaping W abb. Dater/76/2021
45 Pleasant Street
Southampton,MA 01073 village customer:Emiiy
salesnavillaaecarpentrvma.com 11Carpentry Job/Address:41 Orchard St
413-824-0204 Winter Howland And Landscaping Northampton.Ma 01060
CS-109919
HIC:185501
In the package you will find an application for deck repair work at 41 orchard st. documents
included are permit application, Construction debris affidavit,workers comp insurance affidavit,
description of company Covid-19 polacy, building plans, and a check for building application fee.
If any further documents are required please contact:
Wynter howalnd
413-522-1012
wynterweather(c gmail.com
Thank you