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32C-245 (5) B P-2022-0758 2 ISABELLA ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-245-001 CITY OF NORTHAMPTON Permit: Demo. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0758 PERMISSIONISHEREBYGRANTED TO: Project# DEMO Contractor: License: Est. Cost: 6000 DANIEL ROSENTHAL 052165 Const.Class: Exp.Date:04/09/2023 ROUSSEAU, JOSEPH AUSTIN AMANDA LYNN Use Group: Owner: PACHOMSKI Lot Size (sq.ft.) Zoning: URC Applicant: ROSENTHAL BUILDING&REMODELING LLC Applicant Address Phone: Insurance: PO BOX 76 (413)777-8540 N9WC483651 EAST LONGMEADOW, MA 01028 ISSUED ON:07/07/2022 TO PERFORM THE FOLLOWING WORK: DEMO GARAGE 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: + � >2 . 3-) +v Fees Paid: $30.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Z—OK File #BP-2022-0758 APPLICANT/CONTACT PERSON:ROSENTHAL BUILDING &REMODELING LLC PO BOX 76 EAST LONGMEADOW, MA 01028(413)777-8540 • PROPERTY LOCATION 2 ISABELLA ST MAP:LOT 32C-245-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit • = out Fee Paid I.30.00 Type o' o: tion: DEMO GARAGE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building l'la Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON Clive IP INF RMATION PRESENTED: [p Approved Additional permits required (see below) De PLANNING BOARD PERMIT REQUIRED UNDER:* 3aradi Intermediate Project: Site Plan AND/OR Special Permit With Site Plan �� MajorProject: Site Plan AND/OR Special Permit With Site Plan `1 ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Perm its Required: Curb Cut from DPW Wa ter Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Perm it from Conservation Commission Permit from CB Architecture Committee WA Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Ali $ � . 30 d2 Silk ature of Building Official i 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. /( email c >I/l L ft r{ iwt-y /1 The Commonwealth of Massachusetts vt Board of Building Regulations 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 Sect* For Official Use Only Building Permit Number: 6 P )-" 7`J_y Date Applied: 2I',.... 7 7 ',9 . Building Official(Print Name) Signature I ito SECTION 1: SITE INFORMATION 1.1 e/% 1.2 se$sors Map&Parcel Number/ 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 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 se o P.0 v 5'rCccJ /14A-V--)ei ckt, .err,. o/Cs"o Name(Print) City,State,ZIP V I504..6'e //a .T-J 1//3 306 91 -14 No. and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Constructiolkp Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Oc j, 4 OF 6E-Te j 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: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total Al 'ees: ', C,: ..C . Check Amo t Cash Amount: t: $ 6 0 0(, 0 Paid' 0 Outstanding Balance Due:_ ASBESTOS REMOVAL All residential, commercial and institutional buildings are subject to Massachusetts Department of Environmental Protection (MassDEP) asbestos regulations at 310 CMR 7.15. Therefore, owners and/or operators (e.g. building owners, renovation and demolition contractors, plumbing and heating contractors, flooring contractors, etc.) need to determine al asbestos containing materials (ACMs), both friable and non-friable, that are present at the site, and whether or not those materials will be impacted by the proposed work, prior to conducting any renovation onk demolition activity. Examples of commonly found ACMs include, but are not limited to, heating system insulation, floor tile and vinyl sheet flooring, mastics, wallboard, joint compound, decorative plasters, window glazing, asbestos containing siding and roofing materials and fireproofing materials. Failure to identify and remove all ACMs prior to its being impacted by renovation or demolition activities, can result in significant penalty exposure, and higher clean-up, decontamination, disposal and monitoring costs. A DOS certified asbestos consultant must be contracted to determine if asbestos is present and whether removal/repair is necessary. If the building is a state owned facility, contact DCAM and DOS. DOS provides a list of licensed asbestos abatement contractors and consultants. You may wish to inquire if a contractor has any history of violations. Only DoS licensed and DOS certified asbestos abatement contractors and consultants may be hired to perform asbestos related work in Massachusetts. Received by: I V I Print Name Title Signature ate j)4,"1„,,'f,: City of Northampton Massachusetts ;il*('11'O/.:-3'P o-7:44,r p 1; 4 DEPARTMENT OF BUILDING INSPECTIONS c212 MainStreet • MunicipalBuilding - _:tf:,:i Northampton, MA01060 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: /V0 ,r/ G1 UJ � Aiar1'h1, �'`) / The debris will be transported by: Name of Hauler: JaA.,A-4 Na-d Pr 61.- S ` 177- (9166 i _ ' 23 Signature of Applicant: Date: � A SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C5rtt— O 52 I f a s' y/O kQAti S P.1�? !l�'�� License Number Expirafi`n Date' �3 Name of L Holder Bch �� List CSL Type(see below) R No.and Street Type Description Z.Oah&(,() /�. 6'157Q U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP ClJ � OO dr Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding ��/, SF Solid Fuel Burning Appliances 11(.5- 77 7- S .�3(NQs--A-viat.A r^w% I Insulation Telephone Email acldre D Demolition 5.2 Registered Home Improvement Contractor(HIC) /e �1,l Q'J 7� I<eo-G aii ,e,,,M ' I t i -Q/JBI/ �� HIC/RegistfationONumber Exppir`attiion Date HIC C9m)ny Name�or HIJ Registrant N.ice; 93,4J *. ill / of , - ,6941 No. and Street ,, Q ;Email addres C own �Nte ZIP ' ' I�� D Telephone /3 drdt c.)L7,*V,y Cl i City/Town(:Y" P 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 Iss ance of the building permit. Signed Affidavit Attached? Yes No . 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIESS FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize TONAL to act on my behalf,in all matters relative to work authorized by this building permiiCar lication. f/zpPrint Owner's Name(Electronic Signature) 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 i this application ' d accurate to the best of my knowledge and understanding. /1/1-f ; 12 3 2Z Print er's or Aut orized A is 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 he information below: Total floor area(sq.ft.) /t d g .T' (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 Op 3. "Total Project Square Footage"may be substituted for"Total Project Cost" BUILDING DEPARTMENT DEMOLITION PERMIT SIGN-OFF SHEET Date: O( 12 3/,-2 Address: .T5aheAt N- Building Use: (.,a rn e Owner: i?ous5 C.a y Phone: 9 13 -3N,-g Owner's Address: y --LSabe 11 a UTILITY CUT OFF (Signature of Authorized Representative of Utility Department required), As required by the Massachusetts State Building Code (780 CMR), a permit to demolish shall not be issued until a release from the utilities is obtained, stating that their respective service connections and appurtenant equipment have been removed or sealed and plugged in a safe manner. Eversource (Gas) Signature Title National Grid (Electric) Signature Title DPW Water Signature Title DPW (Sewer) Signatur- Title DPW (Storm water) ignature Title DPW (Tree Warde. Signature Title DPW Dire, or Signature Title Historic Comm. Review Signature Title City of Northampton Massachusetts --- DEPARTMENT OF BUILDING INSPECTIONS V « 212 Main Street • Municipal Building ., Northampton, MA 01060 APPLICATION FOR DEMOLITION PERMIT Attached are the forms required for a Demolition permit. Please fill out all of the attached forms and submit them to the Building Department with the appropriate fee. Please make checks out to the City of Northampton. (Cash not accepted) Please be advised that disconnect signatures from the following departments must be submitted with the application: 1 . Eversource (Gas division) 2. National Grid (Electric division) 3. Northampton Department of Public Works - Water 4. Northampton Department of Public Works — Sewer 5. Northampton Department of Public Works — Storm water Management 6. Northampton Department of Public Works — Tree Warden 7. Northampton Historical Commission Review (if built prior to 1945) *Proof of extermination is required to be submitted to the Health Department for all Commercial demolitions and all abandoned residential properties. (Extermination may be required at the Health Inspector's discretion if evidence of rodents exists). Other required documents: • Massachusetts Construction Supervisors License • Copy of Workers Comp Affidavit • Asbestos abatement report A Demolition Permit will not be issued, and no demolition is to commence until ALL required documents are submitted to the Building Department. For further questions or information, please contact this department @ (413) 587-1240 The Commonwealth of Massachusetts — , 4110111.1 . ,..„. . ,41 Department© Industrial Accidents 1 Congress Street, Suite 100 "..0 Boston,MA 02114-2017 WSW.mass.gorltha ---t-co.' — Waiters'Compensation Insurance Affidavit:BuikiertiContractorslElectricians/Plum rs. 10 BE FILED WITH THE PERMITTING AUTHORITY. Annlicant Information Please Print Ixgiblv Name(BusinessjOnpnizatiortindoidual): 1P7ok.,N [41 J garCArAh4.2./ Address: Pc 60,x. iis ... .. ..., City/StateiZip: 570-31 -1_ /s., Phone#4: __W 1 Are yens an eniiikt,rer Cheek the appropriate : Type of project(required): 1.0 I AM U Crarlo:,a Anti _employees dull and,or part-tone).* 7. 0 New constrtction 20 i Alit a sok propridui or partnership and have no empkryees working for me an . C3 Remodeling aii:k capacity,[No A takers'comp,MUMMY required] 9. Demolition .1.0 I al1211111t3FIVEVNTIC/dome all*nit mysell.1No workers'coop.insiininee requarect.r 10 0 Building addition .4E3 I ant a hotramswner and will he hiring dors to oinidnet all wink ors itny property, I Mall lnlYtire thitt all contractors either have*workers cumpensaison insUrtiZILT CC airt Wit 114:1 Electrical repairs or additions proprietors n ith no Linployees 12.0 Plumbing repairs or additions .........m.la toe a gencntl contractor and I base hired the gib-contractora listed on the attlidied sheet 130 Roof repairs These sub-coot:actors have employees and have workers'comp.insurance.: 14.00ther ii.E]Wc arc a colt:Kier:awn and sts offieers have exercised then right of crierription per trKii e. 1.2.t-Ital.and us c have nc,anploytes.[No workers'comp.insurance retinued.] •Aral.applicant that Lh,x-ks b. ,i., ilitra also fill out the section hclov. h4..0.4 inE Cher v.uritx.'compensation polic., information. Honsooscriers who submit tins al tistak a intik:ming they are doing all work and then hire outside contracttas roust submit a seta affidavit naiiii.-Ming mach. :-Contractora dial check this box moat attached an additional slieet showing the name of the aith-contractoca and irate whether or not those ermines have employees If the aut-s-euntraetora have employein..the}must pownic then vvorkers"0.1.inp. olie number I am an employer that A providing woraters'compensation insurance for my employee%. Below is the policy and job site information. hisorance Company Name: '...)/ pec-k- _ Policy#or Self-ins.Lie.*: Ai ?W C ' 83‘,4--1 Expiration Date: t I 1Y t 0 a Job Site Address: City'StatelZip: __ Oia 3.5.- Attarh a copy of the worker;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 tine up to$1,500.00 andni one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine o"up to S250.00 a day against the violator.A copy of this stateme may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby re t ir-i tier the pains tool penalties/ rer ry that the information provided above i true and Signature: I).;:.: el Z3- 020_, Phonc::: I Official .e only. Do nor write in this area,to be completed by city or town official (-it) or Tow n: Permit/License# Issuing Authorivi (circle one): ' 1. Board of health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbicg Inspector 6.Other Contact Person: Phone*: ,. • . . Your Confirmation number is 202206231507524 Date of Confirmation: 6/23/2022 NOTE: When paying by ACH (Checking) it will take two business days for the payment to be debited from yo!r bank account. Your account number is not verified until this payment is presented to your bank. They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s)of$32.50 has been received and is subject to approval by your financial instituti¢n. No email was entered so a confirmation was not sent. Account Information Payment Information Name: JONATHAN PUYA Payment Type: Credit Card Note: QUICK PAY TRANSACTION Payer Name: JONATHAN PUYA Card Number: **************0487 Transaction Information Transaction Quantity Amount Fee Payment Type City of Northampton - Building 1 $30.00 $2.50 Credit Card Department Misc. QP Permit Option: Building-Zoning-Sheet Metal Permits Full Name: JONATHAN PUYA Phone: 413-777-8540 Property Address: 4 ISABELLA ST Notes: Total: $32.50 • Privacy-Terms