31B-189 1 v.4" c1,5* It \ \
HARRY L BARSTOW
t...--. D.B.A. HANDYMAN HANK
75 Gc+1 le ....:# + ' 136 MIDDLE ST HADLEY, MA
01035 (413-584-5346)
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Hank Barstow
DBA
HandyMan Hank Co.
136 Middle St.
Hadley, MA. 01035
413 -584 -5346
413 -537 -0135
HandyManHank136@aol.com
Hank Barstow Ma. Lic. # HIC119936
Kurt Betchick Ma. Lic. # CS053684
Roger Barstow Ma. Lic. # CS86648
Liability Insurance; Western World Ins. Co. #NPP882477 $1,000,000.00
Workmans Comp. Renaisance Ins. Co. # WC002417
Employer ID# 04- 3570853
Fred Korenewsky Master Plumber - #8508
Willy Danylieko Masters Electrician - #6241A
The HandyMan Hank co. has been in business since 1993. We are set up to do
anything in or around your home. Renovations, additions, Dormers, Deck, Siding
and windows. We also have a landscape division that can meet any of your outside
yard needs. Painting, interior and exterior. References for all on request.
All our work is done in compliance to the Mass State Codes.
Please feel free to check with your local building department about us.
If you have any other questions about our company or work we have submitted to
do, please call me at 413 -584 -5346 or 413 -537 315 I
ank stow wner
2009 - 2010
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DEPARTMENT OF BUILDING INSPECTIONS , ° = 1 -r i; ■
I NSPECTOR 212 Main Street • Municipal Buildin >o s.
Northampton, MA 01060 ,~ s
ei
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as Lis /her construction supc: The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
414
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DEPARTMENT OF BUILDI) INSPECI IONS
212 Main Street • Municipal Building , % s
Northampton, Mass. 01060
1 INSURANCE AFFID A \ill'
HAKK
D.B.A. HANDYMAN HANK
136 MIDDLE ST HADLEY, MA
I ' - (4184=5345) - - ----
(II c.cns..:(../perrnIttc,.:.)
with a prin cipal place of business/residence nt:
(.2
(phone c'.?: ) IP g :r3 7 0_37.5"
_
(strc ici ty/s-,2L. p)
do hereby certify, under t_lic pains and pcnaitic; of pN _ ry, hat.
---
(1 arn an employer providing the follov;inti worker's compensation coveca..i.c for nay
employees working on this job:
fit1L_>LaN__.are_ WC- co (r),.)-/ 1 7
- (In curan c... Co rapacy) (Pci_icy Number) (Expirati.on Date)
( ) 1 am a sole proprietor general C.-OLIn or homeowner (cncle one) and have hired
the con listed below - ,ho ha the folic7,in2 WOiker compensation pckts:
0 of Contractor) (Insurance. CorcoanylPohc. Nambcr) (T_ Date.)
Mame of Cocncior) (li,nsu rancc Con27.,anwPe!icy Nwilber) (D:c Date)
_________ • _ ..__ ________
(Name of Contractor) (Insuranc:: Co Ln T..az yiP e I i c-.! 1•1111)1-i. (Exr,:maca Date)
(Name of Contractor) gasliranc-,-.. Comt=yiPoticy turn-) (E Date)
(ntlacii .16 tl,-.-t ;',,,-.---,-.. to :<---l.., <--"Te.a-o-..•: ---= :a i:ir.. '.. ni;
. ..,
( ) 1 z.ura a sole propric.;tL) r and have tic one wai. for me.
( ) 1 am a home owner 'perf:ormini ail tlys -,-.;ot'.-: myscilf.
NCYFEI please be aw-alc ',flat w'...1c brarosc , V1:10 C:7721:7■,' ;),.---•'-:- 1 0 ■'.) :7 0,,.Intr,..70 . t C. C:
not fle-e th_tn throe units ir, ‘ rezij.s.-..1 o.r cx.; ',1,.._- E zo thco'..0 art n( C c''''''''"' 13
cz unzl.c.r tht: tvcrkter. cro--r- r..c.: (G1.152,.:11(5)), ,- -r.T..1 . -2 . ?-•.3o - . - . by & homoo‘vmor for e Loa ct
legal ct.tus of .n eciployer under the Weticeet C....occT.co /xi-
1 understo the a copy of this ct.s.tc: may bo forwrrdo to cr. l) of Inaustrlal Accie.... Oilic.o of ',.-.1. for lire
coverage vcrifi=lion and that Ellurt to r,:c. cov ur sc..... on 25A of MM. 152 can lu-d to th e impositioel
coca of a fm of up to S1,500.00 wl-: i.7 of up to or:: )rzr r.: civil penalties In the fox-in of L., Stc Wori: 0 tr...d a
fire or SID0.00 a by 1.7.Arr.1 rn.!,.
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SECTION C
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : 5 .66Gitt
License Number
13c I°V\(I)D 5'7v 1 1/40t.eY 4- ac(035 W I �
Ad r s Expira ion a te
1 -113- Ss`i- 53(1‘,
Signa e Telephone
. Re: (ere® :`ornex m rGire,1e rt ntracto
�";,��,* :, ,��,��� � "=F..�� - Not Applicable ❑
HARRY L BARSTOW AEF //q9.3()
Company Name D.B.A. HANDYMANLHANK Registration Number
136 MIDDLE ST HADLEY, MA
01035 (413 - 584 -5346) —011 • — �2p��
Address ° Q f Expiration Date
.,0 Telephone J� 7 - 03 /S
SECTION 10 WORKERS' COMP 1NSURANCE-AFFIDAVIT (M�G:L. s. 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 ❑
The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acccptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
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SECT 0 1.A* ,,inti OF PRO WORK (check,a115 "
I
New House ❑ Addition ■ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition0 New Signs [ 1 Decks [ ] Siding [ ] Other [i
Brief Description of Proposed Work: _'vcx f i3,.1.1 - . Je?elim s ,i- g ► (/ A/ , �, tax e . w i th /Veo w -
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 - Sheet 0
ral eWlifet e" nd r diliti riWo exist l hOUS"in> , complet t =rtfie AllffiW :
a. Use of building : One Family _ Two Family ✓ Other
b. Number of rooms in each family unit: 11 Number of Bathrooms / s' 72- ,01Na id 1
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 Number of each
g. Energy Conservation Compliance. Mascheck 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 Nc
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
'S!GT OPC „ OYIINERIAUTHORIZATION TO E C BOMPLETED WHEN
OVKIEf,S,../� RACTOR A FOR B UILDING PERIVIIfi
I, Ve' tit . .D)rJ c4// , as Owner of the subject property
hereby authorize H A R. \ i L. T.A Q.iio Le t62 A h4 iJ /MN HAN to act or
my b-, - , in all matte s relative to work authorized by this building permit application.
SiIrture of Owner Date
;:
I, , as Owner /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.
H AN/L daA l2- S
Print Name /
it. - ilk AJ4�.�� L. 1-.... 0
Signature of Owner/. gent Date
-
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE Di+TIED
DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume '& Location)
A. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
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City of Northampton : . o ` �` " : 01 f
Building Department 6 r ; r r -g -^ ,ter : 5, ` t s
212 Main Street
g 1 Room 100 .. r � , ,,
' Nothampton, MA 01060 , ,
„.� . ,.�:
�
phone13 - - 87 -1240 Fax 413 - 587 -1272 q A. M
k a ir 6� i.�
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APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE INFORMATION
phis sechoh to be com t by office
1.1 Property Address: +��«
1 7J` - G t J u. S f.. ' Ma* E _ - N j , z ▪ 1 t . ; 2 , tin
5
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,, zone, r , ov rlay Dlstrlct
lE i11 \ . M15triSt ' " cif�ISCr/Ct
SECTION 2- PROPERTYOWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: II / �
/� ` / f
W■ilimM 1h �QaVrN it Zi +'dS0.1/ 75 CC' �C S4-. /vpa�lta ��
Na • t) (( (( JJJJ Current Mailing Address:
o
'44- Telephone
el
5,,� re i ll 3 .5S' 0 i/ 2 �"
.Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a)° Building Permit Fee
Z. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
Jo
4. Mechanical (HVAC)
5. Fire Protection
6. Total= (1 +2 +3 +4 +5) Check Number J'pZ( '; • �
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Date
Building Commissioner /Inspector of Buildings
File # BP- 2010 -0880
APPLICANT /CONTACT PERSON HANDYMAN HANK
ADDRESS/PHONE 136 MIDDLE ST HADLEY (413) 537 -0315 0
PROPERTY LOCATION 75 GOTHIC ST
MAP 31B PARCEL 189 001 ZONE URC000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out !/ r�� a�
Fee Paid / O�
Typeof Construction: REPAIR FRONT PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 086648
3 sets of Plans / Plot Plan SA ra Pool-pp-on
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I F ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
64---%--- 1 (z 10
Signature of Building Official 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.
75 GOTHIC ST F - BP- 2010 -0880
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B - 189 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0880
Project # JS- 2010- 001302
Est. Cost: $4500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: HANDYMAN HANK 086648
Lot Size(sq. ft.): 6229.08 Owner: DIEHL WILLIAM A & J BIRDSALL
Zoning: URC(10�/ A elicunt HANDYMAN HANK
AT: 75 GOTHIC ST
Applicant Address: Phone: Insurance:
136 MIDDLE ST (413) 537 -0315 0 WC
HADLEYMA01035 ISSUED ON:4/12/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: REPAIR FRONT PORCH (SAME FOOTPRINT)
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:. ej< 4 )"."1-0 !s
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. f//
u
/� 4, /3`* a.•
Certificate of Occupancy `/ .V. Signature:
FeeType: Date Paid: Amount:
Building 4/12/2010 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo