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32C-120 (15) The new exit stair shall have compliant handrails. Guards The new exit stair shall have compliant guards. Section 605 Accessibility The dimensions of the new exit stair shall comply to requirements of 780 CMR 8t" Edition and current Architectural Access Barriers Code regarding tread depth and riser height, as well as handrail requirements. Section 606 Structural n/a. This section refers to alteration work which includes replacement of equipment that is supported by the building or where a reroofing permit is required. Section 607 Energy Conservation n/a END OF EXISTING CONDITIONS REVIEW REPORT MW w ALTERATIONS LEVEL 1 Section 601 General This project work area will comply with all requirements for Alteration Level 1 as specified in Chapter 6. No portion of the proposed project work area alters the existing conditions such that the building will become less safe than its existing condition. Requirements regarding flood hazard areas are not applicable to this project Section 602 Building Elements and Materials 602.1 Interior finishes n/a 602.2 Interior floor finish n/a 602.3 Interior trim n/a 602.4 Materials and methods All new work shall comply with materials and methods requirements in the International Building Code regarding material standards, detail of installation and connection, joints, penetrations, and continuity of any element, component, or system in the building. Section 603 Fire Protection n/a Section 604 Means of Egress The existing and new egress requirements within the project work area are compliant with Massachusetts Building Code 780 CMR 8" Edition. Handrails CLASSIFICATION OF WORK The proposed project work area is classified as Alteration - Level 1 per IEBC Section 404 and therefore complies with the provisions of Chapter 6 and Chapter 7 for the following reasons: - While the porch demolition and repair portion of the project is a repair, the overall project is not a repair, therefore IEBC Section 402 does not apply - The project meets the limitations defined under Level 1 Alterations as specified in IEBC Section 403: Level 1 alterations include the removal and replacement or the covering of existing materials, elements, equipment, or fixtures using new materials, elements, equipment, or fixtures that serve the same purpose. The project is below the limitations defined under Level 2 Alterations as specified in IEBC Section 404: Level 2 alterations include the reconfiguration of space, the addition or elimination of any door or window, the reconfiguration or extension of any system, or the installation of any additional equipment. The project is below the threshold triggering Level 3 Alterations as specified in IEBC Section 404: Level 3 alterations apply where the work area exceeds 50 percent of the aggregate area of the building. - The project does not involve a change of occupancy, therefore IEBC Section 406 does not apply. The project does not involve an addition, therefore IEBC Section 407 does not apply. The project does not involve a historic building, therefore IEBC Section 408 does not apply. The project does not involve a relocated building, therefore IEBC Section 409 does not apply. GENERAL EXISTING PROPERTY INFORMATION A. PROPERTY NAME: B. ADDRESS: 11 Conz Street, Northampton, MA 01060 C. BUILDING USE: The building was originally constructed as a single family home but has been converted to a multi-tenant occupancy, and is currently categorized as R2 (Residential) occupancy. D. BUILDING USE GROUP: R2- Residential) as defined by the Massachusetts Building Code, 780 CMR 8th Edition. E. CONSTRUCTION CLASSIFICATION: Type 5B Foundation: concrete slab; brick foundation walls Exterior Walls: wood frame/wood sheathing/ vinyl siding Int. Load Bearing: wood framed partitions Roof: wood framed with asphalt shingles F. HAZARD INDEX: Existing and proposed Hazard Index is 3 as defined by the Massachusetts Building Code, 780 CMR, 8th Edition (IEBC Table 912.4) Massachusetts Building Code 780 CMR 8th Edition International Existing Building Code 2009 Exterior Stair Replacement and Porch Modifications 11 Conz Street Northampton, Massachusetts 01060 Purpose This Report is in conformance with Massachusetts Building Code 780 CMR 8th Edition and the International Existing Building Code 2009 regarding alterations to an existing building located at 11 Conz Street, Northampton, Massachusetts. Visual Observation Only The extent of this review is limited to visual inspection of existing facilities and/or as-built documentation only. No destructive testing was performed as part of this analysis. Project Description The project consists of the removal of portions of a deteriorated porch, patching and repairing of the existing building where the removal of the porch exposes unfinished surfaces, repair and stabilization of portions of the porch to remain, and replacement of an exterior stair leading from the second floor to grade (existing stair is a previous non-compliant repair) The repaired portion of the porch shall use materials in keeping with the existing construction. The replacement stair will be constructed of code compliant pressure treated lumber in a configuration meeting applicable commercial building code &80 CMR 8th Edition. Existing Conditions Evaluation Report Massachusetts Building Code 780 CMR 8t" Edition International Existing Building Code 2009 Exterior Stair Replacement and Porch Modification 11 Conz Street Northampton, Massachusetts 01060 October 31, 2013 As prepared by Richard E. Katsanos, AIA, Principal t I AI Architecture Initial Construction Control Document UT* To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Porch modifications and new exterior egress stair Date: 31 October,2013 Property Address: 11 Conz Street,Northampton,MA 01060 Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Removal opf portions of existing porch and replacement of exterior egress stair I Richard E. Katsanos MA Registration Number: 8355 Expiration date: 08/31/2014 , am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet"or ����1tfCT electronic signature and seal: �k� A%SANOS s � w d � Phone number: 413-585-1512 Email: Richard.Katsanos @HAIArchitecture.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.if`other' is chosen, provide a description. i Version 06 11 2013 H I Al Architecture TRANSMITTAL DATE: August 19, 2014 PROJECT: New exterior egress stair and porch modifications 11 Conz Street Northampton, MA 01060 TO: Scott Gudell General Carpentry, LLC 82 South Main Street Sunderland, MA FROM: HAI Architecture 64 Gothic Street, Suite 1 Northampton, Massachusetts 01060 Richard Katsanos ITEMS: Copies Date Description 3 08/19/2014 Stamped permit drawings 1 08/1912014 Construction Control Affidavit 1 08/1912014 Existing Conditions Evaluation Report 1 08/19/2014 CD with all documents REMARKS: CC: 64 Gothic Strect,Suite 1, Northampton,MA 01060 1 413.565.1512 1 fax 413.586.7945 1 xwtaw.haiarcliitecture.com Algairax 1:.3-1 0/GO/4V12 �:Y1 .GJ ACl rr�u.. c i vvw + w•+ +++++ +... CERTIFICATE OF LIABILITY INSURANCE oATEfAQW20/YYYYI IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS UPON THE CERTIFICATE OLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HIS CERTIFICATE OF INSURANCE ACES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE C R IMPORTANT:If the eertficate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed- It SUBROGATION 13 WAIVED,subject to the erms and conditlom at the policy,certain policies may require and endorsement A statement on this eenilicate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER CONTACT NAME: A H RIST INS AGENCY INC PHONE FAX PO BOX 391 (A/C,No,Ext): (A/C,No): E-MAIL TURNER FALLS,NIA, 01376 ADDRESS: 26LTL INSURER(S)AFFORDING COVERAGE NAIL it INSURED INSURER A: ACH AMERICAN INSDHANCH COMPANY SCOTT GUDEU GENERAL CARPENTRY LLC INSURER B: INSURER C: INSURER D: 82 SOUTH MAIN STREET INSURER E: SUNDERLAND,MA 01375 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 71FYTHATTHE POL LISTED EtI.DV/HAVE THE INSURED ED ABOVE FOR THE PRUCY PER INDICATED.NOTVVRHGTANDMO ANY REQUIREMENT,TERM OR CONWMN OF ANY CONTRACTOR OTHER oOWMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 6E ERT a3SUED 09 MAY PAN.THE IN 9 CE AFFORDED}BY THE VOLMPS DESCRIBED HEREIN 19 aUBJECT ro ALL THE TERMS,EXCLUHIDNB AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMB- INaR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMSEr: (1MMMYYYY) (MM13owYYY) LMT GENERAL LIABILITY ACH OCCURRENCE COMMERCIAL GENERALLIABiLITY AMAGETORENTED 8 CLAIMS MADE OCCUR. 2REMSES(Ea occurrence) ED EXP IAny one person) $ ERSONAL&AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER; ENERAL AWREGATE $ POLICY ©PROJECT❑LOG RODUCTS-COMPIOPAGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMB Ea eccidelk ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS Per person) HIRED AUTOS BODILY INJURY $ Per accident NON-OWNEDAUTOS PROPERTY DAMAGE $ (Peer accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION$ OTHER A WORKER'S COMPENSATION AND we gTATUTORY EMPLOYER'S LIABILITY YIN us-$8833885-14 021220014 92/2212015 ANY PROP6RITORRARTNER/EXEPUTIVE WA E.L,EACH ACCIDENT $ 100,00o OFFICERIMEMBER EX01-UDED4 E.L.DISEASE-EA EMPLOYEE $ 100,000 (Mandatory in NW ry yea,desalbe under E.4,DISEASE-POLICY LIMIT ti 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONBtLOCATtONSNEHICLESIRESTRICTIONE/SPECIAL ITEMS THM RH7LACE5 ANY PRRIOR CERTIFICATE TSSUED TO TUB a RTIFICATSHOLDER AFFHCTING WORKERS COMP COVHRAGI?, CERTIFICATE HOLDER CANCELLATION CITY OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED 13EFORETHE EXPIRATION DATE THEREOF,NOTICE WILL.0 DELI V D 212 MAIN STREET ROOM 100 IN ACCORDANCE WITH THEPOLICYPRO AUTHORIZED REPRESENTATIVE NORTHAMPTON,MA 01060 1$6$•2 ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 079 ACORD CO RP R r q tsre �` CERTIFICATE OF LIABILITY INSURANCE O/27/l0ff14 Y) 8/27/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy{les) must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the Certificate holder in lieu of such endorsoment(s)- PRODUCER COMEE IT Tracey Kukleroiaz A.H. Ri&t Insurance Agency, Inc. PHONE - (413)863-4373 FAx Na:(413)863^9658 159 AVenua A E-MAIL A DRESS, P.O. Box 391 INSURERS AFFORDING COVERAGE NAIC$ Turners Falls MA 01376 INSURERA:Preferr*d Mutual Ins. Co. 15024 INSURF,G INSURER B Scott Gudell INSURER C 82 South Main Street INSURERD: INSURER E Sunderland. MA 01375 INSURERF: COVERAGES CERTIFICATE NUMBER:2014 CERT REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE. MAY BE ISSUED OR MAY Pr:RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L POLICY EFF P0LI Y EXP LIMITS TYPE OF INSURANCE CV NUMBER MM221YYYY Jt9MP=1L GE N ERAI,UABILITY EACH OCCURRENCE $ 1 r 000,000 X COMMERCIAL GENERAL LIABILITY DAMA occurrencel $ 1001900 A CLAIMS-MADE ®OCCUR OOPOIO0718096 6/22/20141 5/22/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000 r 000 GENT,AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 X POLICY PRD LOC E SINGLE LIMIT AUTOMOBILE LIABILITY (Fe sceldent ANY AUTO 6OCKY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PRO ERTY DAMAGE $ HIRED AUTOS AUTOS e"accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ :4EXCESS LIAB CLAIMS-MADE AGGREGATE 3 DED RETENTION$ $ UtH- WORKFRS COMPENSATION WC STATT ANP EMPLOYERS'LIABILITY ANY PR0FRIETORlPARTNER/GXECUTIVE� E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? MIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If 1yreg9,describe Wndar E .DISEASE,POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (Attach ACORD 101,ACCldonal Remarks Schedule,if more apace to required) CERTIFICATE HOLDER CANCELLATION (413)587-1272 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION$ City of Northampton 212 Main Street, Room 100 AUTHORiZE0 REPRESENTATIVE Northampton, MA 01060 G Tracey Y{Uklemicz/DNP ACORD 25(2010105) ®1986-2010 ACORD CORPORATION. All rights reserved. INS025(2o1CIJ5).o1 The ACORD name and logo are registered marks of ACORD Scott Gudell General Carpentry L.L.C. 82 South Main Street Sunderland MA 01375 (203)219-1969 C 7/19/14 Eagie Crest management 55 N.Pleasant St. Amherst MA.01003 (413)256-3442 Off. Page 4_ Agreement continued: The Homeowner is responsible to supply any materials and services that are designated as his responsibility.The Contactor is responsible to supply all materials,subcontractors,and services that are listed as his responsibility. Once the agreement is signed,and the deposit is paid,the Contractor takes on the responsibility for his men on the site. For safety reasons,the homeowner cannot work in the house once the Contractors crew has begun to work.If there are any subcontractors on the site,working for the homeowner directly,their presence on the site will need to be agreed to by the Contractor.The Contractor assumes no responsibility for their safety,nor will he extend his warranty to any of their work.The Homeowner can come in to inspect the progress of the job from time to time. The Contractor and his subcontractors agree to a one year warranty of their workmanship,excluding material failure that is beyond their control. No work will be started until a deposit has been made.A date to start will be determined by a payment date,and the availability of the Contractor,and or,his ractors. rk will be done in a timely fashion, Contractor assumes no responsibility f ays from mat deliveries,problems with payment,weather,or anything else that may be yond his contro If everything is agreeable please sign and to below. Abraham Shemesh(Homeowner): } Date: Scott A.Gudeil(Contractor): Date: `� Scott Gudell General Carpentry L.L.C. 82 South Main Street Sunderland MA 01375 (203)219-1969 C 7/19/14 Eagle Crest management 55 N.Pleasant St. Amherst MA.01003 (413)256-3442 Off. Page 3. Agreement If the previous five pages are acceptable for the scope of work,and pricing for the job At 11 Conz St.Northampton MA.we can then enter into an agreement to proceed with the job. Abraham Shemesh of 42 West Brook Rd.Hartford CT will be referred to as the Homeowner.Scott Gudell General Carpentry L.L.C.will be referred to as the Contractor. The homeowner will have the right to cancel this contract with in the following three days from the date that he signs the contract. The homeowner agrees to pay the total amount of$31,225.00 in three payments to have been paid in full by the end of the project as described above.The schedule for payment is as follows. Deposit to begin project:$12,400.00 Second Payment at the Third to half way point:$10,000.00 Once demo of is complete,and siding has begun. Third payment at the 3/.point of completion:$4,500.00 Siding and front porch repairs are complete fire escape removed, and footings in place Final payment roe day of completion:$4,325.00 If payment is not nbade within a week of request,work will stop until payment is made to the Contractor.The Contractor is responsible for the completion of all work described in the scope of work. Any additions to,or subtractions from,the scope of work,will be done in writing,with a Change Order.This will have a description of the work to be done,and a value for that work,this will be signed by both parties.If it is an addition,Payment will be made in two payments,50%to start the change order.The balance of the change order is to be paid on completion of the change.If it is a subtraction from the contract,the cost will be removed from the last payment. Scott Gudell General Carpentry L.L.C. 82 South Main Street Sunderland MA 01375 (203)219-1969 C 7/19/14 Eagle Crest management 55 N.Pleasant St. Amherst MA.01003 (413)256-3442 Off. Page 2. Fire Escape: Labor:$8,600.00 Materials:$3,300.00 Metal hand rail:$4,200.00 Total:$16,100.00 Repair front porch: Labor:$2,000.00 Materials:$3,325.00 Total:$5,325.00 Patching Vinyl siding: Labor:$2,000.00 Materials:$1,100.00 Total:$3,200.00 Dumpsters:$2,000.00 Total estimated cost:$31,225.00 Not included in the contract price: This estimate does not cover any unforeseen repairs such as rot to the sill of the building, foundation repairs,painting,plumbing,and electric. Permit fees are also not covered in this estimate.An hourly charge of$50.00,plus the cost of the permit will be charged over and above this estimate to procure the permit. G Scott Gudell General Carpentry L.L.C. 82 South Main Street Sunderland MA 01375 (203)219-1969 C 7/19/14 Eagle Crest management 55 N.Pleasant St. Amherst MA.01003 (413)256-3442 Off. Page 1. Agreement to remove and replace wooden fire escape,remove most of the existing front porch,and repair the remaining first floor deck of the remaining porch.The work is to be done for Abraham Shemesh of 42 West Brook Rd.Hartford CT 06107,At his property at 11 Conz St Northampton MA. Scope of work:The existing fire escape stairs and footings will be removed.New footings and wooden stairs will be built in their place,to architects specs.and plans dated 10/31/2013,and current codes.All materials to build the fire escape will be pressure treated wood and metal hand rails as spec'd,on the plans The two story section of the front porch will remain.The front brick steps will be removed and wooden front stairs will be installed in their place.The first floor deck which is rotted will be repaired as will the supports for the second floor portion of the porch.This will entail removing the deck,railings, and columns.Then replacing them. The remaining first floor porch will be removed as will the footings. This porch will not be replaced.The vinyl siding on the house will be patched where the porch was removed as will any areas where the fire escape stairs were attached to the building.There is no guarantee of a color match with the siding because of the age,and fading of the existing siding. Demo Stairs:$1,000.00 Demo Porch:$3,600.00 The Commonwealth o(Massachusetts Department of Industrial Accidents Office of Investigations , _ wr^ � 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C1vSA&� Address: Off- SV 11tl`/ _ till ►�9t i� S y c� �(�� ��f) �ll� Cpl City/State/Zip: Phone#: F.Are you an employer?Check the appropriate bo Type of project(required): .❑ I am a employer with 4. I am a general contractor and I employees (full.and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [Remodeling ship and have no employees These sub-contractors have g. demolition working or me in an capacity. employees and have workers' g Y P h'• 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doin officers have exercised their 11. Plumbing repairs or additions g all work ❑ myself. [No workers'comp. right of exemption per MGL 12.7 Roof repairs insurance required.] t c. 152, §I(4), and we have no employees. [No workers' l3.©'Otherr(& A5C•6i :!5qM comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am are employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: )4CC7 N _ 6 Policy#or Self-ins.Lic. #: 5y'g S 33 f36 Expiration Date: /S Job Site Address: A ` ©I-_> Z City/State/Zip: Na 1?- 1 ogry„�ki.3 H yt� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' and penalties of perjury that the information provided above is true and correct. Siznature: Date: Phone#: Official use only Do not write in this area, to be completed by city or town official - _--.- —City-or Town: -_ -___ __ _- Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-,STRUCTURAL.PEER REVIEW 1(780,CMR 110.11) 7771 Independent Structural Engineering Structural Peer Review Required Yes w No 0 SECTION 11 -OWNER AUTHORIZATION TO BE COMPLETED.WHEN':' OWNERS AGE NT"OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ . .: ..._ .. ._ _._,... ._...._.._..___ _ _ __w_. _.__..._ m.. ., ___._ as Owner of the subject property herebyauthorize' __..-__. , . .__.._.r._._ _.._., wM ..d.__.. _ _,.__._._._.__.___._ . ..__._.. .._ _, .._. act on my behalf, in all matters relative to work authorized by this building permit application. _ Signature of Owner Date I- �av�C.S .n��� (i �- Y'✓� _....._.._. _..r_..._M ,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 en ties of penury. Q Print Nam P Sig of Owner/Age Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:' CS-�� / J `JV 46 _ `... License Number Add r Expiration Date Signature Telephone SECTION 13-WORKERS'GOMPENSATIOH 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 0 No 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION''SERVICES-FOR BUILDINGSAND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR,116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): AP 6 H� Z' - 0:36r {t _ n_ TW 3y w _6q Registration Number Address , _ u 5 1-17 ` Expiration Date 1� Sig ur Telephone 91 Registered Professional Engineer(s): Name Area of Responsibility .. ___ Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number 3 :,._.__,_.,, ..._.�........_........_.....__. .__.,_. ,..w_._.:_.:..........._......_.._,_...___._......_........................_..__................__._......._..... ...._. Signature Telephone Expiration Date _...._. ......... .....__. . ..._...._.._ _ ...... .... _.... _--- _.._......_....._._ ._.. ............. _......._,.... Name Area of Responsibility i Address Registration Number i Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone / s Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING °. Existing Proposed Required by honing . This column to. filled in by Building Department Lot Size Frontage Setbacks Front _ I Side L. R. _.__. L ; R Rear Building Height -" Bldg. Square Footage Open Space Footage w % . _ -- _ (Lot area minus bldg&paved #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? - NO 0 DONT KNOW 0 YES 0 :IF.YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book ` Page. and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 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 0 NO 0 IF YES, describe size, type and location: .............I._..........._..... ..... ._......_................_.................._._._....... _.. _ __. _... D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 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 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE- Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building " Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description :Enter a brief description here. o+ f�0`r- IZ4 $t'� ,. Of Proposed Work b+vi C-D I,( I2 F-Q r-,FA9���°R 5t7�K-5- )� SECTION 5-USE GROUP AND`CONS:TRUCTI.ON TYPE:' USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ - -- _ _- 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B f U Utility ❑ Specify: M Mixed Use ❑ Specify S Special Use El S pecify: ` .,.. - ....._.._....._._..-._._.- _..._�_�....-....w..-_..,,__..._ee.._„_� COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING..RENOVATIONS,ADDITIONS AND/OR.CHANGE IN USE Existing Use Group. _ .., ` � ! Proposed Use Group: Existing Hazard Index 780 CMR 34) __. Proposed Hazard Index 780 CMR 34): _ SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) . . ...... _. . ._-,.. 151 151 _ _._..._. 2nd _...:. _... _.., 2nd _ rd 3rd 3 m 4 _ 4 n Total Area (so Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L. c.40,§54) 7.1 Flood Zone•Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal 0 On site disposal system E] Versionl.7 Commercial Building.Permit May 15,2000 Departmentuse only D [ ��7 of Northampton I ing Department C status ur ofPermEf i l°/ Cut/Dnveway Permit: " 2 Main Street SewerlSeptrcAvaifabrlrtjt SEP "3 2014 Room 100 WaterM I Ayailabrrty mpton, MA 01060 Twa•Sets of Str"ucturaEPlans Electric, Plumbing -5 7-1240 Fax 413-587-1272 PlotlStte Plans Northa,rnn'c,n, r A ions Ur. Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section.to be completed by office 1.1 Property Address: __.-....__.. ._ ...-- L 5 Map Lot Unit Zone. Overlay District --- 'Elm St.District'. CB District SECTION 2 PROPERTY OWN ERSHIP/AUTH'0RIZED AGENT 2.1 Owner of Record: Sr'!t ? _ ._. ..____ _ _ 'fZ�N J .._ter+lam /� �f►�1 f?5 �t !�'. Name(Print) Current Mailing Address: Signature Telephone �3._.. :��.5Z-3Lf �_.�, ..�.._._.__....__._.....�. 2.2 Authorized Agent QA e�5 Name(Pant) Current Mailm Address . . Ad o - 47'0 1-00 0100 Signature Telephone SECTION 3=E IMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Buildin g (a)Building Permit Fee 3 zz67� 2. Electrical _..._. ....___.__._ -- M (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 2 This Section:For Official Use Only Building Permit Number Date issued Signature:._ - Building Commissioner/Inspectar.of Buildings Date File#BP-2015-0248 APPLICANT/CONTACT PERSON SCOTT GUDELL ADDRESS/PHONE 82 SOUTH MAIN ST SUNDERLAND (203)219-1969 PROPERTY LOCATION 11 CONZ ST MAP 32C PARCEL 120 001 ZONE URC(95)/NB(5) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ ,N;f, Fee Paid Tvneof Construction: REMOVE 3/4 OF PORCH,REPLACE FIRE ESCAPE STAIRS&SIDING New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included: Owner/Statement or License 093955 3 sets of Plans/Plot Plan THE FOL ING 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 y Sig ngIThcial 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. 11 CONZ ST BP-2015-0248 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 120 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-0248 Project# JS-2015-000469 Est. Cost: $31225.00 Fee: $187.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT GUDELL 093955 Lot Size(sq. ft.): 8929.80 Owner: SHEMESH AVRAHAM&MICHAL LOMASK Zoning URC(95)/NB(51/ Applicant: SCOTT GUDELL AT. 11 CONZ ST Applicant Address: Phone: Insurance: 82 SOUTH MAIN ST (203) 219-1969 WC SUNDERLANDMA01375 ISSUED ON.91512014 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE 3/4 OF PORCH, REPLACE FIRE ESCAPE STAIRS & SIDING 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 9/5/2014 0:00:00 $187.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner