Loading...
31C-002 (15) BP-2022-0690 48 WARD AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 C-002-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0690 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est. Cost: 25000 THAYER STREET ASSOCIATES, INC 045159 Const.Class: Exp.Date:09/03/2023 Use Group: Owner: BULL COHEN PERRY L &BROOK A Lot Size (sq.ft.) Zoning: RR/URA/WP Applicant: THAYER STREET ASSOCIATES, INC Applicant Address Phone: Insurance: 8 COATES AVE (413)665-4018 WMZ8008008007 SOUTH DEERFIELD, MA 01373 ISSUED ON:06/10/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I. • 'OF y2 Tit • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner iRE-----------:---------------_r _ 1, The Commonwealth of Massachusetts `= W Board of Building Regulations and Standar s JUN FO Massachusetts State Building Code, 7$0 C i R 9 210e IC IPALITY UtE Building Permit Application To Construct, Repair, Renova 0 Or ish a R vised/I far 2011 — Or?rHa; nrn,r�A1SP One-or Two-Family Dwelling , F , -ti 41�u7pb0 N3 / This Section For Official Use Only Building Permit Number: Q P- k — Ufa_ Date Applied: 4. (Z.7-3 1/2 6-Id-Zbzz Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Addres : 1.2 Assessors Map&Parcel Numbers y! tact re/ vc 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public di Private❑ Zone: — Outside Flood Zone? Check if yes❑ Municipal lair On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: I3 r o o ks Bo 1) Nor--{1ahP+vh ,,-ll4. d /06 0 Name(Print) City,State,ZIP hik GUarci Ave_ sos-yyo-8/a a. brooks. Lu II.10,Fto,04 /,tool No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied Si Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other a Specify:N e co R 0 0 F Brief Description of Proposed Work'-: R 0 o f r e ra I a Cc P, i.1 f'� S f r ;P and replace SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F s $ �C Check No. P(A Check Amount:4 Cash Amount: 6. Total Project Cost: $ a,'U v ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) (4arr 9 C.soy.�lS ateq a v3 * Ve t rloIn n d,1 License NumberName of CSL Hoder rr List CSL Type(see below) (J CC a t S AC TypeDescription No.and Streetp I U Unrestricted(Buildings up to 35,000 cu.ft.)Dee(f i C I G , 0/313 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofmg Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 0, /;4.,/a3 V e r lw n ii a c r i Y,q 1`O d l HIC Registration Number Expiration Date HIC Company Name or I$C Registrant Name X CnufCS /11 JetnOl/.arr�s�Iec'as�or_►ur��s,C�M No.and Street Email address S, beef ic1i j,M,1. 0/373 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 Ve rh b t1 !j Q IT l►1 f'O 17 to act on my behalf,in all matters relative to work authorized by this building permit application. P oink,s 13UI) s - y A� Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below. I hereby attest under e pains penalties of perjury that all of the information contained in this application is d ac the my knowledge and understanding. Vernon /7arlii1TO Print Owner's or Autlibfized Agent s Name(E ectronic ignature) 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" The Commonwealth of Massachusetts i- !1 Department of Industrial Accidents tMr. 1 Congress Street,Suite 100 VIPS' Boston, MA 02114-2017 w.v..mass.go/y/dia IIorkeri('onipensation Insurance.lfftdasit:Buildersi('ontracturt Electricians'Pluinherit. I()HI. l• 1.t:u IA 1111'ally_PERMS 1'1 .,tt 1110R111. Annlicant Information /� I Please Print LeLibls NameIhostile sOrganizatio ethic(*.hailN 7Aayr(r } �c - ��C.!..ufe 5 �`1 C, Address: 2 e'oa f.es —_-_- City/State/Zip:5. /114 /3 73 Phone#: it/3 -6 !a te JIOl 7 __... Are you ali recptuy:er'(Ira rho appropriate hone Type of project(required): 1.0 t am a e.t ployei N tth f..5 conpl tec.tridt and or rear timer.* 7. J Ness construction 21:3 I ant a sole ptupti.tw of puttncr+.hir and have.two enrl.t..t.1+nutint! tuner•m B. Remudchng sari eapa.tty..1!!4u not-Las'...rap. rn utan.t requited I 9. Q Demolition .40 I inn a tm,1.11•01.14 ncr J1rrn1+aft N.nL sek% Ili.N in..xi. comp insurance required - p I ant a Irtmta.Niu-r and will Ike helots..+wuBta.e.,r. c niutt.rll Murk on rot%proper(} I it ill t''� 10 El Budding addition .rNui.that all contractors critter lime%%oilers c.wtp eresatt.nr rniuranici.. at.MAC I I�..J Electrical repairs or additions pneprIct4.n Nrth tea.titt.lutti..- 12.0 Plumbing repairs or additions sa I arm general contract..r and I haw hued the soli-ti.+ntta l:WI%ut.IcJ.NI Qlr.amit-h.J.Iicci [lac r 13.2 Roof repairsso �ca li- ntra.i...t..Iuv c s ripitl;..+sn.1 tuii n..nLt+'comp.ttesurance. 14.El Odic" 6.0 Wean:a\A.ttNM71MMHt andIb 4.tti..rs has c.tcruiJ torn ns.ttt ot.acmption per Yttt a.C. ----------------___w_ 152. 10 4i.and 4tti hate[r..enopl.lt.e's.[Io nuricts comp.insurance repined. 'Am appheant that cheeks tea al must at...ir tell out the section b.t..0..I .0 r[W tlitirl N..iLcr..'.1unepearsati.on more(usteetnalson. II..Itle'1ANIKuA t.Ia..A.d.ttiti thug utir.la.it ratitscaIIxu&tuts(ate avow all M UII.and ttWirr hut:iMlt?i1X et.ntra.turs inuil st4httUt a IIen atlit..ii Indreitern:'.swig. .('Unttaciors that.:heel Ihmm hot thou(atta,.lwvl:ln alt.titt..nal,ewer A nn%inc ter.name or the sulk-conita.tui.and 71ak'ttlr..11r.t ut rx•I Ltq.Ati L7lftitl.A hate. .itlpl.l l,.ex. It ill'Ant,-...titia.t.Mr 1,rt41J.then NurL.i,'orntrp.p..Ire%ritttnh.r. I am an employer that is providing warLers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Nance: _ Policy#or Self-ins Lie_At: WM /Z -g CO -Roo 7t 07`d o o af_ Expiration Date: 0 I- of y- . 3 Job Site Address: 4/ 2' G��r�(,#//c. City State lip:A/ariit w icn f/4D%66 0 Attach a copy'of the workers'compensation policy declaration page tshusing the policy number and cspiration date). Failure to secure coycrage as required under MG!.c. 152.§25A is a criminal s'ciliation punishable by a line up to SI.5(KLOt1 and or one-year imprisonment.as well as civil penalties in the limn of a STOP WORK ORDER and a line of up to S250.00 a day against die s iolatar copy of this statement may •forwarded to the Office of Investigations of the DIA for insurance coseragc serillcatto . I do hereby under� the Ir rd pen erjur l•that the intiumation provided above is trill'and correct. Si�,nalure: / i�G(/r Date: S- / — c� Platne : 47/3 -/6S-I/o/Sr Official use onli: Do not write in this area,to he completed by city or town official. ( its or Town:n: Permit/License tN Issuing.authority (circle one): I. Board of health 2. Building!Ihpartrnent 3.('its fawn(jerk 1. Electrical Inspector 5. Plumbing Inspector (,.Other Contact Person: Phone+;t: City of Northampton Massachusetts .` JL )ti DEPARTMENT OF BUILDING INSPECTIONS ti 212 Main Street toMunicipal Building j CDC Northampton, MA 01060 !'W 30\^1 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: CC?Se tic! !o Y C bla;vl St ce c f, 116 /y`<e (MA , ©/a 416 The debris will be transported by: Name of Hauler: //,>/ l(44: i "� �;3 pO S a l Signature of Applicant: /Vf1 ��/ 7/ Date: S-g -a A