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11A-043 BP-2021-2110 68 FRONT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 1 1 A-043-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2110 PERMISSION'S HEREBY GRANTED TO: Project# REPAIR Contractor: License: WILLIAM J TUROMSHA DESIGN & Est. Cost: 7225 CONSTRUCTION 000515 Const.Class: Exp.Date:02/15/2022 Use Group: Owner: DUGGAN EDWARD J JR& ELIZABETH Lot Size (sq.ft.) WILLIAM J TUROMSHA DESIGN & Zoning: URA Applicant: CONSTRUCTION Applicant Address Phone: Insurance: 11 WILLIAMS ST (413)575-7846 7PJUB-0653N47 NORTHAMPTON, MA 01060 ISSUED ON:10/28/2021 TO PERFORM THE FOLLOWING WORK: FOUNDATION REPAIR 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. Signature: , '0 , ' A . 11 • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ooKkGIAI.a L. . 11M---.8-------. 1 1-7---- Q4—E.----f-.2,Li t`.:prfinentusecnPI yt w ,� City of Northampton Status of Peer! �a CT r- Building Department/ 26 eurb CL�Dn�eway Permit _ ___� ___ r _ __ :- 212 Main Street `s werlse�t�c Ava+lab�f• ity_�____ ♦ -:-.4:.: Room 100 rc'3- o-©, Water:Well Availability Northampton, MA 01060 ?7 1, i D1NN i�Nsp,, y10 Sets of Structural Plans =� phone 413-587-1240 Fax 413-587-1272�"'p1ot/ ite Hans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office CS FRGt4T S'TIR>r'ET Map Lot Unit L Eeos, MA O 1 D53 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 13E7T Y D LLG ro 004 C L=/i z-4-b e-5L 4 ) (A FRONT STREET LEEnS, M ik Name(Print) Current Mailing Address: F r-4D yl3 sad yeas Telephone Signature 2.2 Authorized Agent: I IN 1111Ai'f Z—. L U.R. 11-A I i Wi1)/Ayr13 S1RVST MOKT-WAP1 pro 4 Name(Print) Current Mailing Address: v),.. 9. _IL,,z_cfr..„1.14., .1-113. 57 . 72.4714 Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 7 zap, oa (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee di 4 4. Mechanical (HVAC) 5. Fire Protection _ 6. Total =(1 +2 +3+4+5) 7z2S oa Check Number !70ll' n This Section For Official Use Only ba...-a(�' IW9 Date Building Permit Number: Issued: Signature: A0' Z 8- ZO Z( 9 Building Commissionerllnspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) • 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 I r- i Frontage ._._.__ S 3-• Ti _ I r--._,_. _---.-._ _ . Setbacks Front 23-I}' 1 Tai r Side L:23T R:1'i/ L: R: I Rear [W41 Building Height L i I __ Bldg.Square Footage % L__ T 1 Open Space Footage % (Lot area minus bldg&paved I _ _______ ____J parking) #of Parking Spaces ---- Fill: __ _ ..._ ._. (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 044 DON'T KNOW 0 YES 0 , ^IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page ! and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES ® NO i e IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 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 n Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Ej Siding [CI] Other[C ] Brief Description of Proposed Fouocmttoi.. IPQP•iR S•thOt Eua t 'J StbM E+ asta;-1 IB$Y/sto►45 will Nos ra Work:SL c ,* OERG`Tic;o3 go.Ak frog n %tomes to Sill Pbort.CONoi4Io� SEE AlT►se.leD Alteration of existing bedroom Yes . • No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Aa: 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 r 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 ?ETry ( z a,6 e P-) .7 Li G 6 a n , as Owner of the subject property �t hereby authorize WtuhMR T lLc2-omsHA to act on my behalf, in all matters relative to work authorized by this building permit application. -tJA A2-o,d 23 oc7 ]3 EK Zo z Signature("Owner Date Willi lli Am_ I. ]td.a.c rnsw 4. , as L^ rcar/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. W]lliAM T 1 we mS4L Print Name Q. to arn-a 1 d Signature of-iirst+er/Agen Date SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: J,tl,)1,Am p. T1LR.o,i./11a 000 $I S License Number 11 f J1,1A.,;t: z7, r r, 1 ,Ll,JfA al o in0 15 rE eiz Zo ZZ- Addresss Expiration Date v. / / / Signature Telephone 9;Registered Home lmproverrient Contract{oF Not Applicable 0 WMT jt<. ISu 1�ESl (pmfrieracToP) 1017-Z2 Cornpanv Name Registration Number II Witi,a.ii STiefrn. NortT n r-tov Ai 8 I 12ozZ. Address Expitatior�Date ►br Telephone y/3.s 4.5 7-8116 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 0 • 1.._1 -..4 J . 'i leilt ii U 1 i i:Ii. cir) c,i Ii ----rl, I---..rEEREECIM...-1 m 1-4 t t • . i'( t r•D :-Fr-7.1. ir'1:1 r IL1 ZS 1 7`e. 15./) --,- liEemem,a. mir-A t / ••. .,. atj 4-.0 ., 0 ›•• Iii H 1711 ,r4 '-",t1.. - I 2 I II LILL.' • .., , -:..:.,. 'U 1 4 x J• 0, .fi- 1 8 . 0 -7 ,, A Ei'4 fet ..., z . ..-4 SU • V .9 1•Na ki) g Si eV. a '4 11 - :::ri 11 ( - t3 '--.---- i I I-.r.-.1-.. ( - i tr3:, i=4 , 2 6 u'i-T3 i ........- t 1 4., •.r.\-Lrl ° .-. ( , • '-0.. . 0.1 1 j•-. 1 .1.0 (.1 bit) _.i1.--4 .,..,..... - 1 ... V...1 1 ' r` iic 1 P AOL X X' , f� 4 i----.--/ / I. [ Yil: ' ( .t I I tiff li mg . A', 1-,..'-:itYfCli I It elqir kat .11 11. k • 2 - 1 �I i ,�. ,`(, I. t„. N -V c : % i 7i , It : , ..g . ,‘I Ni City of Northampton oar a MYrb� t5 <s, � •y Massachusetts .I►t�'�'f{ 3 1 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Buildingb Northampton, MA 01060 1°ct, 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: C�8 FRO STie,E (Please print house number and street name) Is to be disposed of at: • VA1)E� sr�.c� l�ry (Pease pri t name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature of ermit 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 1 — 1, Department of Industrial Accidents sal_ 1 Congress Street,Suite 100 •_tl= -� Boston,MA U2114-2U17 *�,��UP www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name: IA'M T Ta i o nsHA DE's)6h1 2i COJS7iZw Trb 1.1 Address: II W!/Jl+r&rn S S-Tim FT City/State/Zip:nOZTHAfrifrito3 1141, Olobb Phone#: y(Z . S 8(p • 1/00S Are you an employer?Check the appropriate box: Business Type(required): 1.❑ I am a employer with employees(full and/ 5. ❑Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2'I am a sole proprietor or partnership and have no 7, ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] 8. El Non-profit 3.0 We are a corporation and its officers have exercised 9. 0 Entertainment their right of exemption per c. 152,§1(4),and we have 10.0 Manufacturing no employees. [No workers'comp.insurance required]** 11.0Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: 'MA 1DEI.EE1e5 Insurer's Address: P. O . g o x Sfo O 0 City/State/Zip: 'I-IARTTOQa, CT oC)D Z. Policy#or Self-ins.Lic.# 7•P 3u13 —01053 N y 4 Expiration Date:o ,{o z. 2 02 2-- Attach a copy of the workers'compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi , under the pains and penalties of perjury that the information provided above is true and correct Signature: 41 p, itywy Date: 23 OcTo BM. Zd ZI Phone#: 1113• 5 86,• t/OO Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia _ The Commonwealth of Massachusetts '* Department of Industrial Accidents =411== 1 Congress Street,Suite 100 _itil gt..- Boston,MA 02114-2017 • www mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name: lAbl T Tu ROInSHA -1)Esi 6N 21 (00$ i21Leritb,J Address: II W(ILcm s SIZE ET City/State/Zip: jH f lb O)obb Phone#: 'YQ . S 41(o • /OOS Are you an employer?Check the appropriate box: Business Type(required): 1.❑ I am a employer with employees(full and/ 5. 0 Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2 I am a sole proprietor or partnership and have no 7. 0 Office and/or Sales(incl.real estate, auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] 8. El Non-profit 3.❑ We are a corporation and its officers have exercised 9. 0 Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance required]** 11.0 Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: MKAVASAS Insurer's Address: 1P. O . $o X. Si 'Po O o City/State/Zip: AKfl Rb, CT 0C)O 2. Policy#or Self-ins.Lic.# -7P Zu1 —O(053 ?.f j 4 Expiration Date:Q(p I 0 2. 2 02 Z_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi ,under the pains and penalties of perjury that the information provided above is true and correct. Signature: to , i brl Date: Z3 OcTo 5 r...• 2.e Z! Phone#: LI13' 5 S(n• 4/Oo — 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.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia ' City of Northampton Y A yam, r 1 Massachusetts � ..p.,, av °' ' Ei F G� * 0 , ,.4a DEPARTMENT OF BUILDING INSPECTIONS ?A k i t� 212 Main Street •Municipal Building , d C, ✓ Northampton, MA 01060 ^. °ti�' 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: (0-3 FRO PT STie..2 5T L,E E AS (Please print house number and street name) Is to be disposed of at: Vale �, duiiG (P ease pn t name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) - Signature of ermit 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. DESIGN & CONSTRUCTION 23 October 2021 Commissioner Jonathan Flagg Northampton Building Department 212 Main Street Northampton, MA 01060 Foundation repair south elevation 68 Front Street, Leeds, MA. Foundation is comprised of stacked stones on a rubble stone base, with bricks from stones to the bottom of the wood sill. Many of the stones are loose causing a deflection in the wall, which is allowing the bricks to move. The repair, see attached drawing: Clean lime mortar and dirt from between all foundation stones, replace missing stones, install new mortar between stones. Erect two buttresses to stabilize stone wall. Install temporary supports to floor joist and wood sill. Remove approximately 26' x 2.5' of brick wall. Pour a 4" thick steel reinforced concrete pad on top of stone wall, as a base for steel reinforced 8" concrete block wall. Respectfully submitted, William J. Turomsha Wm. J. TUROMSHA • 11 Williams Street • Northampton • Massachusetts 01060 DESIGN & CONSTRUCTION 23 October 2021 Commissioner Jonathan Flagg Northampton Building Department 212 Main Street Northampton, MA 01060 Foundation repair south elevation 68 Front Street, Leeds, MA. Foundation is comprised of stacked stones on a rubble stone base, with bricks from stones to the bottom of the wood sill. Many of the stones are loose causing a deflection in the wall, which is allowing the bricks to move. The repair, see attached drawing: Clean lime mortar and dirt from between all foundation stones, replace missing stones, install new mortar between stones. Erect two buttresses to stabilize stone wall. Install temporary supports to floor joist and wood sill. Remove approximately 26' x 2.5' of brick wall. Pour a 4" thick steel reinforced concrete pad on top of stone wall, as a base for steel reinforced 8" concrete block wall. Respectfully submitted, William J. Turomsha Wm. J. TUROMSHA • 11 Williams Street • Northampton • Massachusetts 01060