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31B-201
BP-2023-1406 17 HENSHAW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-201-001 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-2023-1406 PERMISSION IS HEREBY GRANTED TO: Project# PORCH RENO 2023 Contractor: License: Est. Cost: 50000 GLEN WOHLERS 053982 Const.Class: Exp.Date: 04/16/2024 Use Group: Owner: COLLEGE SMITH Lot Size (sq.ft.) Zoning: EU/URC Applicant: GLEN WOHLERS Applicant Address Phone: Insurance: 388 EAST STATE ST GRANBY, MA 01033 ISSUED ON: 10/12/2023 TO PERFORM THE FOLLOWING WORK: REBUILD 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: 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: • Fees Paid: $325.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massa' us' 041/ Board of Building Regulations a • Sta-dards Cj 10 'S R Massachusetts State Building C••e, 7 - �l' c9,93 UN IPALITY , ti, USE BuildingPermit Application To Construct,Repair,Re pp �i'ta�'a�;0017 -.s olish a R- sed Mar 2011 One-or Two-Family Dwelling ti q o�s7- This Section For Official Use Only Building Permit Number: ^ X .. I(f 0 Date Applied: I e i 1043 Building Official(Print Name) Signature i e27 SECTION 1: SITE INFORMATION 1.1 PropertyAddress: 1.2 Assessors Map& Parcel Numbers I � hw , y 1.1 a 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 Owner'of Record: 1rY 9 � (la/Jii /VoitrA4P1frDN114. Name(Print) City,State,ZIP /0 5 W3-spy--. o No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building/Z. Owner-OccupiedCffi- Repairs(s) Alteration(s) 0 Addition 0 Demolition y Accessory Bldg.0 Number of Units Other 0 Specify: Brief,Description of Proposed Work':/'.rr1os't tic raTii�b 170,-tc 4 ,(/oca t'' L �vr�.-�S T STA./its 0,, Si'Si'i)• Poicc�i . !il.�Afovt iC/14,7•.✓c jocvv...j,Are/ c414 t/1 f0077�5 f // y O j 64-/ot.. Sr,4-..t s �- SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ sb 000, 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee 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: $ . QO Check No.(aa yl Check Amount: 6.Total Project Cost: $ � , KI Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) OS-34 Z y/C- z y G. All C I,o//1-S Oo k i 4 S License Number Expiration Date Name of CSL Holder List CSL Type(see below) 3�� sT ST/►rk. ST No.and Street Type Description ©)d 33 Unrestricted(Buildings up to 35,000 cu.ft.) Al p1 Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances yl3-39S-S (.4 NI04-&Wok/ S4)_9f4/►-,I. I Insulation Telephone Email address Co Pt D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 3WW L45T STAVE Sr' )t/rLJC(al.r/vii/4E4si.��>>r/.�i� ,rar� No.and Street Email adtlfess (r/L9w4'j iv/A. 0,033 y .3-3y;5—) 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 iJ— No .❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR B/UILDING PERMIT I,as Owner of the subject property,hereby authorize 5i1.1am tZ to act on my behalf, in all matters relative to work authorized by this building permifapplication. 5-4/ 70//fa, Print Owner's Name(Electronic Signature) ate 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. 1 —Ic) 23 Print Owner's or Authorized Agent's Name(Ele c 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" -\ The Commonwealth of Massachusetts Department of industrial Accidents "a 1 Congress Street,Suite 100 �- : Boston, MA02114-2017 www.mass.gov/dia 11 ui kers'( umpensation insurance Aftidas it: BuildrrE('ontractorsFtaretriciansiPluiuhrn. I O RE FILED W 1111 THE PER1lI I I I1(::At"I HORI 11. Auniicant Information Please Print Lci ibis Name(Ilusinc& niza n1ndividual):__6. A /C-4 o%s (Jo /k2S Address: 3cpg .As r City/State/Zip: 6RA)-)b- AA-, o1033 Phone#: y f3-3 y�-�; Gf_. Are on an eaapletes^.('hack the appropriate Fioz: Tr pr of project(required): I.a I am a employer with enploycts(full and of l+ait-tune t• 7. Ness construction ' ant a sole p upncWr or partnership and have no employ ixs vtt+rktnl: ta+r one In ti • Remodeling any capacity.INu wutL.m coup.insurance requared_1 9. Demolition 3.0I am a homeowner doing all work myself[No viatica*:comp. Insurance iespnrcill 4.0 I am a ntct wrnr and will he Mama contractors to conduct all oink on my morals. I will hr+ JO a Building addition �--+ensure that all contraeloxs either Irate wtMl,ers compensation insurance ur an:sole I I.(J Electrical repairs or additions proprietors w ith no i pltrtiec.a. 12.0 Plumbing repairs or addition+ 5.1 am a yrer>L-raI contractor and I hate hired the sob-contrack'rs listed on the attached sheet_ 13 Roof repairs fhcse sub-contractor.hate anplotees and hart:workers'ctsnp. wurance. 6.0 We are a corporation and iv officer.teat c exercised then nvre of exemption per htGL e. it❑Odle. I.5_'.§II4).and we hate no employees.INo workers'etnup.insurance rvyuitcvi) *Any applicant that checks bun rrl mart also fill out the section below showing their soaker&c.m ortariaw putte inhumation. I lo11111.1M nor]w Ito submit this a ttttat rt intik:imI they are doing all work and then hie maxide contractors inta.t subunit a new at rotas it indi army such. :(onti:tektrs that cheek this huh must attached an athhtiurtal shed showing the name of the sub-contractors and state ishe'thet tK ne't thtist:entities have etnplt'3ees. It the sub-contractors have ettplayees.they most pros:de their wuri.crs'comp.paltry number. I am an employer that is providing workers'compensation insurance for my emplotees. Below is the policy and job site information. insurance Company Name: Policy x or Self-ins.Etc.4: Expiration Dale: Job Site Address: City State 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 tine up to 51.500.00 and or one-year imprisonment,as well as cis i)penalties in the form of a STOP WORK ORDER and a tine of up to 5250.00 a day against the s iolator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coserage seriticalion. I do hereby certify under the pains and penalties of perjury that the information provider!above is true and correct. Signature: %'�'`' ' ' ['Lac_ id`/01.7 7 Mont:z: y/ 3 — 3 9 Official use only. Do not nrite in this area,to be completed by city or town official ( itt ur Town: Permit/License bi Issuing:Authority (circle one): I. Board of Ilealth 2. Building Department 3.City(town(jerk 4. Electrical Inspector 5. Plumbing inspector 6.Other ('naiad Person: Phone#: City of Northampton as M �0 y� �tizy SNS sir� Massachusetts <.. , ♦ G.. d °>i « DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building �� D Northampton, MA 01060 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: /A-at) Sr Ah/you r The debris will be transported by: Name of Hauler: /\4A' A /411S' Signature of Applicant: Date: /0/0/d3 Subject: Nick Wohfers Jett; nickgwohlers@ Date: October 1 9rnail.com g To: �'2023 at 6:11 AM Nick Wohlers rlickgwohlers@gmail.corn 0 IIIIPN fir. 11\ arJ,, \, __________NN________, \\.. N ,,,,, \\, ‘,:.‘f, , ________ , _ ,....,, , \;, ,,.__N\ __ \ ,_____, __,..... , ________F----1-„-. _. - 1 . ..... ,......_ , --_.-_ . ... .---- -,...... 4 -, ._ sink- / +1„ }�� .. « — ram`#ieir if ` _.. tlr� �__- � fic.. \r-5' ' / ,_Airott. , —---.--___ Itr j, 'fr tj, \ V(/ ' - . - r _ ilk Ps, ) s I-- t Nit X 12_ D---, c'T-PiNDE pc-7 1---v12 ty. V__ To uu n-\ \ , ,.. . d°\-cfr rigE4P.._ A\- 4_,E. e v__ p ,-, t n i , , ,-49,.. . .s . ITE RA\ LI i 4611`' (� � From: Nick Wohlers nickgwohlers@gmail corn B Subject: Date: October 10,2023 at 6:24 AM To: Nick Wohlers nickgwohlers@gmail.com • N \ A \ , ;.;. it Nig. " ..ram. Iii ,,r / ff t. ts' i 1 Illip J ■�UN►v p e I—... 1 ?..,J-,..,1 1 e. L'..... -- . :f-t. '' ' n ,*, 1,,:,`' • ' > L . * t "14 � ' s t FED 1: ._,1'ii Ato-4:1, . s.. ..._- ,� 0 ti 6 '''' '7A..." „ (201' °I1) t. • . \if -. ..,..'",. ,., ' .. , • ,f f \ , .. __ . . .... LAI\ . .0". q ' . ( ., ,,,,,..... :..';-...t. r. 0-v.i, ,...-..,,.. „ow: .. • ...., •,‘ _ . 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