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17C-245 (6) CDC' Construction 15 8 North Maple Street Florence, MA 01062 (413)585-8677 February 28, 2006 Louise Jeffway 225 Elm Street Northampton, MA 01060 584-5436 Re; Roofing services (driveway side only) at North Main Street, Florence. Propose to remove all existing layers of roofmg and dispose of properly. Then to cover entire area with plywood. Weather shield will be installed at all eaves and valleys, new drip edge throughout, 15 lb felt paper over entire area and finally to cover with 30 year Architectural asphalt shingles (Harvard Slate). Price includes all necessary flashings. The sum of this proposal is Five Thousand Eight Hundred Sixty dollars ($5,860.00). $3,000.00 to start balance upon completion. Thank you very much, CDT Construction CJ 022820061930eat Acceptance Date 23 / D � i �'CtiAAfPl. � � �lassa�ltusetts � �� DEPARTMENT OF BUILDWIG INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Nordiampton, MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as lids/her construction sup(:zisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends to be, a one or two amp _ 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 r',egulations. 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 L understand the above. (Home owner/resident's signature requesting exemption) i will call to schedule all required buiiding inspections necessary iur the uuiiuiiig PUI 11iit issued-to me Date Address of work location r O¢Y1Wdp�O J,. R E UZ��7 II{ �\Tc ril}U1117Jtoil W DEPARTMENT OP DUILt)r)\,G INSPPCTlOt'S 212 Alain Street t��unici al Duildin I P G Northampton, Mass. 010GO I NNY01UUIt'S CONIPEI SA'1ZO.N MSURANCE 1:FFM V-1-1- (li can permi ttm) " itb a pM-Icipa! place of businessfresidence at: - i i �- �- - (phone') (s x/ci rr/statrlb p) jdo hereby certify, under the puns and penalties of perjury:, `.hai I ( ) I am an employer providing die following I%vorkcr's coinocnsa:Jon cove-lgc for im etuployces working on tills job: (In nl r� Corr�) (Polic aixr) — (r:pirrior.Dzr�} I a s - fir, genera] conrraezor or homeov��er (c c:e one) arc have hired the conSaCOrs listed below wbo have the followinp, worker's compen_s2non policies: i 1 (-1-";Z! ,- Of CO:'.MCiOr) (IRn ranc:. Cornpart)-/PoU(.7, }\turnr{;) (ExpinjucCn D'Itc) 1 (Name.of C000-2clor) (IJ17arancc C0IDDan1'/PO'jM, `unc_r) (Li-piriion Dale) (Name of Con.iraelor) Rnsurancz- CompanyfPoucy Nuurb-.r) (E-Cpiraoo Dalc) 1 - (Name of Contractor) (Iosuran Compacry/Policy Numb`r) t�xpiruon Daly). - (nax'a `OQI t,cG.ilnctz�ti-to ircuc�iar«miioa pcuaisia6 w.11 ooa�-to s) (y�I am a sole-proprietor and baye no one wcrldDg for me- ( ) I aQ1,2 home owner performing zll the work myself. NOTE:pl=-c be zMrc o—v�}c hem o.�vcra who cr_ploy pcwca co do -• - • c=--,=joc cr rq>r--ork an or oat more i�a Ll---- rich the bomoawvc rtada or co the gvvm6 zpputen-*•+tb�--,�-r ox C=�=Ily ccsd.--cd to be employes unZ=the--ai-�c-Y--.L=Au(GUl1 Z=1(5)):ppti--L.ioa by a bomraova rc c or pa-mil r=y evid_^ooc the IcSA ct=u or ea c=:Ploy, under drn Wo k.oe,Coofi om,aSioa Act I l I undcss�.na tha>ooyy of thi.mss may bo for�na,ded w rbo Dcpumcoi orintl�c:sicl/ucdmt�'Offioo orlrs�•aoo ror th. oo°ex;�c reiGetioa aad th-t f_iltae to isz+rt IcovertZe u13e lc z on 25 A of 1.141-152 c=lctd to the impcai6ca or eiMi=l pea*LW= ¢om-i:.sxg of.five or up to S S00-00 Iwor or up to ooe y-.=-ea3 ctiil pm.lie io'ue roan or.Stop Wort;Orcte a"ad fie oC 5100.00 s d:.y ePI=me t For 6cp.na.:.�1 u+c only \ Pcrmil Numbc-r Lot Signauu-c of LiaTSC^lPc e SECTION 8-CONSTRUCTION SERVICES J 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone . ntwcl 9 Reatsfer f- rnelii�grc�vementora+ctar r Not Applicable ❑ Company N me Registration Num er 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...... ❑ 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-vear 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 Anmotated,you mr,,be hzble f r norcnn/cl 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 r r r- 'a SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑, Replacement Windows Alteration(s) Roofing Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding[p] Other[❑] Brief Description of Proposed`- Work: Alteration of existing bedroom Yes Y No Adding new bedroom Yes V;"No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet V,7 :.ox L„„ a: �w '"o se 1 i ex�sf rt+c sind.,' orrr a �Rtt a oflQUUr rr: 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 L 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 BUICDfNGNPERMtt I, as Owner of the subject property hereby authorize to ar_,t on my behalf.in all matters relative to work authorized by this building permit application. Signature of Owner Date as-i=r/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. ' Prig �.�-r� 1 — o Signature of Owner/Agent Date � Section 4. ZONING Al I Informatibh 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 Rear Building Height Bldg.Square Footage Open Space Footage % (Lot area minus bldg&paved #of Parking Spaces (volume,&Location) A. Ha's | Permit/Vahmnna/Finding ever been �suedfor/on thes�e? NO dr DONT KNOW 0 YES 0 � IF YES, date issuo& IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT0N0W 0 YES IF YES: enter Book Page, and/or Document# B. Does the site contain a brook, body of water orwetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has permit been or need to be obtained from the Conservation Commission? ~ Needs tobaobtained Obtaimed �-� 0mte [ssoed' ' C. Do any signs exist on the property? YES 0 NO K�3 |F YES, describe size, type and location: 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, .nr filling)over 1 acre urish part ofo common plan that will disturb over 1acre? YES � NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. R r �- � � Department<useorJly . City of Nortf ampton Building Department 212 Main Street e t� Room 100e v Northampton; MA 01060 s phone 413-587-1240 Fax 413-587-1272 `u '.s d. c'sM'• y� �`�ie �` �7 3 `i^a r5 ek F APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITEINFORMAT(ON 1.1 Property Address: a�,� , �^ Th�ssechon�obecor�apietedb�n�ffice K s _ C�,� �_Y,,� `(��— 'Z'onex Overlay Distract a Elm°St District z r `, EL stcZ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mai in Address: Telephone Signature 2.2 Authorized Agent: Na rint) T Current Mailing Address: Sign Telephone SECTION 3-"EST IMATED'CONSTRUCTION COSTS- Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ,{a)'Building Permit Fee 2. Electrical ,(b)Estimated Total Cost of Construction from 6 3. Plumbing Building,Permit Fee 4. mecnanicai(i-ivHG) 5. Fire Protection 6. Total=(1 +2+3+4+5) tjb Check Number This Section For Official Use Only Building Permit Number .,',Issued: Signature: c Building Commissioner/inspectorof Buildings- Date O C RW MAIN ST w BP-2006-0921 GIs#; COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0921 Project# JS-2006-1405 Est. Cost: $0.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CDT CONSTRUCTION 148610 Lot Size(sa.ft.): 15681.60 Owner: JEFFWAY LOUISE E Zoning.URB Applicant: CDT CONSTRUCTION AT. 85 NORTH MAIN ST Applicant Address: Phone: Insurance: 158 NORTH MAPLE ST (413) 585-8677 FLORENCEMA01062 ISSUED ON:311612006 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF 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 3/16/2006 0:00:00 $25.006991 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo