Loading...
32C-316 (6) 22/30/2006 11:14 6174451950 JEFF GOODMAN PAGE 02 SECTION 9-ODNSTRUCTION SERVICES 6.i 1_icantt�ci Cottatru+r#On SuasrvlFaor: .,,_. j Not Name 9t D C Ate+ � Nat g/t_ICMiII Mettler: b_L - txanse Number Exostion Date Telephone fox c el, C 9-1ts faterred Hal jmRMyNrWACoymcctor.. Not Applicable: O ,T-6((- 1>!-6�1 ( ao4n�P+� ki 123009 L&J F1yNC) Z�atrioany I OM# Registration Number Address Expiration Date Telephone 3ECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.1162,%2SC($)) Workers Cw%*r"tion Insurance affidavit must be completed aired 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...... D 11_ Home Owner Ext - i+on The current exemption for"homeowners"was extended to include Owner-accupk-d.Dwellings of one(l) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,Swovided that the awsker acts to agRgraM C MR 7ft Sixib EdM29 Section 1001-S-1. Defeitiee of Romeawner:Person(s)who own a parcel of land on which he/sloe resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,aftachai or detached structures accessory to such use and/or farm structures.A ne rson who coustrucils goore than a in*bko zygir period shalt not be comid-agd s Immeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official.that Iteisbe sball be mnonsibk for dp such work perfumed under tilt buildhar bueraslL As acting Construction Ste[your presence on the job site will be required from time to time,dewing and upon completion oftht work for which this permit is issued. Also be advised that with referartce to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting In Death)of the Massachusetts General Laws Amnotated,von May be Bahia for person(s) you hire to perform work for you under this permit The undersigned"homeownee'certilie5 and assumes responsibility for compliance with the Stott Building Code,Chy of Northampton Ordinances,State and I,ocai Zoning haws and Stott of Massachuseas Omersl Taws AnraU tcd. Homeowner Signature NIaN.itchuw-tt• - ik pat-IllWetr lot PtIbliC Solilrti of Builtlirt< Rep-trlHliretr* :tint %sanJardN Ganstruction Supervisor Ltcen5- e Ocense: C5 82NO Restricted to: oD JEFFREY F GOODMAN 726 LAMAiRTWE STET BOSTON, MA 42190 12/30/2006 11:14 6174451950 JEFF GOODMAN PAGE 01 1705 Columbus Avenue Boston,MA 02119 Telephone. 617-445-1900 Fax: 617-445-1950 FAx MEMO O: cffP4AMPI'ON BuiLDINC D*PT. FRom: EFF GOODMAN 413-587-1272 FAX AOM THtS CC?VER PAGE+ I3gGE$ Pte, 413-587-12401 DATE 12/30/2008 HFT wy SiRErr l PROOF of Irm C_ With respect to a permit application to sill repairs at 40 Henry Street, the following documents are enclosed: 1. Certificate of in force WorkWs Compensation Txwwance policy 2_ Signature page 4 of Building Permit application with Licensed Builder's signature and license information —Jeff Goodman cell phone: 617-719--9458 phone Fax 12/.30/2008 11:14 6174451950 JEFF GOODMAN PAGE 03 Dates 12/30/2008 Time; 10:02 AM TO., Ruth 0 1-617-445--1950 Page: 2 AC 4th. CERTIFICATE OF LIABILITY INSURANCE 1211011008 -M MAW. (7110273-1610 F 1)270-4041 THIS CERTIFICATE 13 ISSUED AS MATTER OFIkFMM^,noN IftcDonal d & Vaccaro Ins Agwicy, Inc ONLY AND COWSM NO RIGHTS UPON 1142 CERTIFICATE HOLDW TM C9R1WKAT1t&1*S NOT AMEND,EXTEND OR Me 9 Bedford Ttreat AUER THE MMME Aff INIE eLxMKkft P.O. Box Burlington, R4 01603-5799 WISUREM AFFORDING COVERAGE i NAIC 0 p 0 Co 5024 %,R�px"R re a 170? Columbus Avenue Plutual ftstoa. 4A 02119 THE OF;WUKAKW U31"ED GALOW LAVE MEN tSW40 TC THE INSURED NAKED AW)Vt FOR THE POLICY PERIOD INDICAT51).N0TVWWT*.MD;wv AW RWDLW"!W,TERM OR OWCMON Or ANY tONTUCT OR OTHER 0OCUM1W--VWM RESPECT TO V"C"TAS Mir,1PICATE MAYBE IS&RD at VAy PERTAIN,714E NOW ANog AFRWOeo&V THE pCUU!vj VFWMJNL%HEREIN IS SMWT To ALL 144 TERMS,PXCLLIS!Opz AND CO"C"low of skr-h �9WAKA POLZIE AGMKWM LIM"WOM MAY 401E BEEN PtUWW 9-PAO MAMS.OF walkowl" CIPIRD18055M5: 07124/20M 07/14/2009 1,000�0" X I tLA W M,-L6 5. A r4N.0p, VISOW"k1r, ;7A. ,.Mo.004 X L1 T Rr P W. pc vcxrl Zi—a UADVIN ft-7';X.F4- S UC01605514051 07/14/ZODS 07/14/2000 71 a,ow 000 A F— "C2315363534018; I B LFF1 Mtn IEr7L.r4W.^ 500" r., sr.A-sa -7,-.rv,L un. WC0100""OF OPOWMW LWYOW ADM BVINDORWINEWi WS:K M14410 taftitimil KUM UPM-0&WE YNOW0 W*WNG~241 A64 RNWAVCP 0"L -M To TW MM-CAlt"-wit 14AWD 715 T1.4 LII?R, Of 1W K0V6V;PW1q)rg T4 Mpt"fLOW Leticia Rjg2/TISH ACORD26(2001011) WACORD CORPORATION 190 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Suaervisor: Not Applicable ❑ Name of License Holder: c �P C��J ��a�l L5 61 �l License Number Address t3 (j Expir tion DA G 0- 419 St t453 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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...... ❑ 11. - Home Owner Exemption 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 acceptable 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding[0] Other[o] Brief cripti n of Proposed Work' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. 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 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 l OX('k r1 as Owner of the subject property hereby ze (-� �- to a n m b matters relative to work authorized by this building permit application. 12-LA'71-0 g Signature of Date VAcr',✓N' �� 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. Print Na 2 D Si atur Owner/Age Dat 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 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 ® DON'T KNOW 0 YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW Q YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW ® YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO O 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 Q NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A!ONE Ott,°TWO-'FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: UT-WS sect ion to be completed by office f / Map Lot LSi Unit ' `' ® ��✓1� `7T Zone--_-- Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Nam rint) Current Mailing Address: 9140 +.D 14 d� Telephone Signature 2.2 Authorized Aqent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Buildings t oo (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0618 APPLICANT/CONTACT PERSON Watermark Construction ADDRESS/PHONE 225 LaMartine St. JAMACIA PLAIN (617)445-1900 PROPERTY LOCATION 40 HENRY ST MAP 32C PARCEL 316 001 ZONE URC(100) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLS OUT G ai Buildin Permit ed out Tvpeof Construction: Replace Sill New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Pernut 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 2,L-3 I a� 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. BP-2009-0618 GIs#: COMMONWEALTH OF MASSACHUSETTS 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-2009-0618 Project# JS-2009-000902 Est.Cost: $0.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Watermark Construction Lot Size(sq. ft.): 6882.48 Owner: DARRIN BEEK Zoning:URC(100) Applicant: Watermark Construction AT. 40 HENRY ST Applicant Address: Phone: Insurance: 225 LaMartine St. (617) 445-1900 JAMACIA PLAINMA02130 ISSUED ON:1213112008 0:00:00 TO PERFORM THE FOLLOWING WORK.-Replace Sill 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. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 12/31/2008 0:00:00 $55.0094 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo 3 ,u �, -� K# �y dry y rar.; n y",_'g,I'll ri.-n Y'�"x # y:t i `' t {„ x" t S �,Y1 - ,kyy. 1, �'�. '� �� , `. `, x b t: t '� x, 44 ,�{ t,.r r�i' ,t. __y -:;, ry aP ,,p r ,� ,� r t �. y", �, i'�-:fr"�t-.sx �„-, ry. * ... t § .c=>'; k;, ax *`',� _:- 'mss �`' #fit �k-.zNkx � '” ll� 9 9 3'4,� 3j' ri'. s ���� � F ��� y. a 0.T �x ��a�, sue}-��'��,a� s�}i 'x A '4p: v x # Y x »" 7-t S f t gL t { > }�T, k ,, k a �.,.'�. 'rx `' 7+', 'r� x 5` r �+'z L '�'�s x ° Y +a r s kF € d fi v.III 3 w `� W == Y�� r 4x - FFF P,e x"l#517z�ai s �,#. x 's a�# 11. .r.'"h r"w g ` fr y «x r 1 X i~ rtl d $ t r �. t x a a A; s r�s ry » i s S i r "!i , k , i s , *3 s � -, } t r r Ss. �r a ,- `u.r P'= b k' i b q k i r t #, a �y6 t."'' q rte >t�'"r7 Yx y s r{'z t }'' z i' �a ! 2 'M s t ?,; e ,, r,Y'-s. 3 "tr.. ,�abt� X' '�f y .:. r rx ,x> �, ay - `§ t v - rs �"�� k a _7th $ w ? r r y "1 xA t , e x {t z< c +� # € k `` r r � ""."t-1-11-1-1,1 k£ t t '�,.G"'�s'te > r r, "st i ,43��}~<. ? ,^S$ 4w -Y r i r a f t # y zw J,s'�„s:.� g ,� ,?r bx s A,' s x ✓ z r, . ' ,, v b t Si x t 4�'.v "t, .;t 4u 'r `«a :`t t o 4 e{ '�9'`"�. r c r xd r x a a K t e Y zy r t t'z,Y°+t 3-s's'�* h" +'`o -, j,"§ t.. r t era " 11� w S {a �t �- ' �� a $ � ' �" '`'' t MW � .r K t x s �g = v * �-,tu { is 3 1m i'sr., `: ,, s- ,a� #- ^sr�-r = z�L ` ,Sr+' .r- � 4 3,t I-11 ast -. - �rx,Y.$ u, z - Yr rss "� - >*#teas '` k x' t,�°z P t 7 " ° �.r * s 1­1111 11� , y s a fi 9 ?` e r +, �Y � aFr ?fit t,Y .a"+f T„:y 7 t ' , a er x y a k e r � a f74 to v t " � !4 _ t r r tCax t ; z c Y 4"� 1 �.`. } y , _.. F .. k¢„ t# ,-. r z's f a k :.if f ""':+Y"' a 'e p l� ; G. , + X", `' �` X x t y, e fr i,. �. y, r: ,� v`�r 3x' '' ,r ` 1, t � a^a,s r`& Y" r t ,, y1 P-: "r y r� x-1 - s t� s ;ti z hir- a z r"� a< 1 f� s v�, "r r P y v s e ,P s y s '+ �", ,I,€,'14 R'a L'1 'p e x y*4t iaiy f.".,3 fit, ` x ,t r�, ` pk=y r s'S ^�," a x d r ", E s F f 17 fz°7< > z I'll ti a t � 3 *'" C, T�$ r s '' fr `- i xY �. p,�'r 411 11 f t m z 2 at 'n} t j S c s s t'" �t a 8 s$ ! w k`t`w �1, , _ a �� �� '°,# t�� nm r t 3 � + yz=' s�" r t f 4,Y1r r . s z a i 1 � ' �' `�b ry �.1 ^t �, r i r 1 n '� °` 'b"`. - t'�.w `�.t;Y vex '.� i r�4«a�3 e �� t `*` 'x4 e _' u x, ,xe, ,,� ss: t< ya� fit, ,.. 9 r # T5' S r ,+ kWK' .t fi in��.x' a �5s JJ j �r Nc1 � N t�M1 {s� of i r . r d 4 s i'vti •`§s,'.s,F r� z `W Tr r er S ci r, 'r'" 4- t .yt a t P f .� .I' x� ',pI#� a .x',#?+e9r e d,' t e tt �i -�. � �r'�'^'_`s.zk�, - y, ss r �, r st a'°r g .; ��, RY' , r, "" s t ar"`y,2k ' "� f °sus r Y ' e'x` ) r '�f a�+ ,y.` ' 11,i �r ztYas` G : 'S 4 e :_t 5_ F r'r Y w.Y`k`rnfiay.t o l, `+ y.Ill,Y ik rt 'YL s u m 4"e ,x' r. y�r fir, {; * /,. .�s u.` a >�+.`. 4 u� I'll 2 * s S� , r a a r d �, r a. t7 3 b fr,k a rc t 5 s ''`z "' tai } a ar s �. �,, v t xc ,rte - 1 xR "1& ' � �"PFo�, ux z a r 4- " 1-111--1 s "q it " r., k * s "' is r #s;s�'A t`° °7 f x f �,, r� a ' t ,r-,;e t a a ` ¢ s'. a w. a' x �r Q t 't, rr. "�a $ > x fie. v .� } ' fit.i s c xr�" � : k p ` } 2 �, n 6 . ''. ' `' �`$ y �`ar r a x ¢ _ 9, s ki t,r r roT �. d ,s r ;, w s ro z r��', .iu-"��,'s "35 *z r'. $ t a 11.11 le 8' b ru + '� t x e n ��. r ,,z a 4 F :,c7 s: r i s, fi a n x t 3 - ,y r '�`�k'�:; "€sti �'v k f tt` z ,.11 1 IV t �} sl` .1 ''�' t d��.,, t»,+,` r x,"',3'x € €=2 �4Y x :%, `' t`' ` S a �r£.r to '¢� Y{1� ^r a + fir" "') u5.r l � ,cn .� n^' r�E`*' _ v,7" 5 �R art r' k fix' }'�' r J �kr'ss tx'� afi rg '� ��=, r (. , '�s };. s x a t w- ve x .� s,a sir t o S x �; � £ r ,, .. ..,, 1- �. $ r 4! 5 s=x. -' za a ' :" - 1 '� A 7„ G 'N# 4 1. 11 I j