24D-259 (7) 135 CRESCENT ST BP-2017-0218
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-Block: 24D-259 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: INSULATION BUILDING PERMIT
Permit# BP-2017-0218
Project# JS-2017-000375
Est. Cost: $4932.72
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: BRYAN HOBBS 83982
Lot Size(sq. ft.): 26789.40 Owner: JAMES LOWENTHAL
Zoning: URB(100)/ Applicant BRYAN HOBBS
AT: 135 CRESCENT ST
Applicant Address: Phone: Insurance:
346 CONWAY ST (413) 775-9006 WC
GREENFIELDMA01301 ISSUED ON:8/19/2016 0:00:00
TO PERFORM THE FOLLOWING WORK: AIR SEALING,ATTIC FLOOR OPEN BLOW
CELLULOSE, INSULATE ATTIC ACCESS PROPAVENT
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/4 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: FeeTvpe:
Date Paid: Amount:
Building 8/19/2016 0:00:00 $65.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
File-BP-2017-0218
APPLICANT/CONTACT PERSON BRYAN HOBBS
ADDRESS/PHONE 346 CONWAY ST GREENFIELD (413)775-9006
PROPERTY LOCATION 135 CRESCENT ST
MAP 24D PARCEL 259 001 ZONE URB(I00)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee paid (t ff o 4,3
Building Permit Filled out
Fee Paid
Typeof Construction: AIR SEALING.ATTIC FLOOR OPEN BLOW CELLULOSE, INSULATE ATTIC
ACCESS PROPAVENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 83982
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION PRESENTED:
Le<pproved 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.%• delay
/
647.1,/7
Sign. ure o Buil.ing O win 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.
,..-. Department use only
E�t-�iC-.E< t�-' City of Northampton Status of Permit
Building Department Curb Cut/Driveway Permit
P y B Zti212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
-: % N. hampton, MA 01060 Two Sets of Structure/Plans
awl `, • - 13-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1,1 pro�pryerty Address: t + This section to be completed by office
13 1 C Cr (GYt4 S+ Map_..._.,. ... Lot..... Unit
No d a4/71.f9-1-on Zone Oveday District
Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
L1 Owner of Record: ...�..�..
,Ja-.mcs Low0144I'vzJ 155 Cresco -4A tori/ edierieri
Name(Print) Current Mailing Address.r 7/13 `fn_ Lib fi p
Telephone l ( U
Signature
Z,2 Authorized Awad'
Bryan G.Hobbs Remodeling
Name(Print) Greenfield,MA 01301 Current Mailing Andress.
jrni,,eta- 140104 yr;-"275^rt as
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to he Official Use Only
completed by permit applicant
1. Building ('s r432r '72- (a) Building Permit Fee
D
2. Electrical (b)Estimated Total mast of
Construction from (6)
3. Plumbing Building Permit Fee
4, Mechanical(HVAC)
5. Fire Protection
n.
6. Total=(1 +2 +3+4+5) 'ell . 7 Check Number � . (�-
=jzThis Section For Official Use Only
Building Permit Number'. Date
Issued:
Signature:
Building Commissionerbnspector of Buildings Date
Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be tilled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: A:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage
(Lor area minus bldg&paved
parking) • _
#of Parking Spaces
Fill:
(volume&Iot:adonp
A. Has a Special Permit/Variance/Finding ever been issued forron the site?
\' NO 0 DON'T KNOW O YES O
\11'x' IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT 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 O DONT KNOW Q YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO
IF YES, describe size, type and location:
E. WO the construction activity disturb(clearing,grading,excavation,or filling)over t acre oris it part of a common plan
that will disturb over I acre? YES Q NO Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows rations) Li Roofing ❑
Or Doors 0 _ J
Accessory Bldg. ❑ Demolition ❑ New Signs (Cl] Decks [0 Skiing[o] Other[6..;
Wea-U erfZA:f 1e4
Brief Dp&cription of Proposed,
Work ftgaryle&f+n r actffiF. 4 tour er£ri kbi:o teL ts11t ecit Elm atte.3 S prOr7 vena ,
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
Ba. If New house and or addition to existing housing, complete the following.
a. Use of building t 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 stones?
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_Na
j. Depth of basement or cellar floor below finished grade
k. Win building conform to the Building and Zoning regulations? Yes No
I. Septic Tank City Sewer Private well City water Supply
SECTION la-OWNER AUTHORIZATION•TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Stu a—E a-CAec
Signature of Owner Date
I._6t-L1 6.11 (Jot , as Owner/Authorized
Agent herebytlleclare 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
r t e rt y b5 .-.-..
Print Name
ki
Signature of ewnerlAgent Date SW 1k
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder'. 06331'82_
License Number
Bryan G.Hobbs Remodeling /2 /
346 Conway SI
Address Greenfield,MA 01301 Expiration Date
_610,64164yi3- 7 '75- 10o6
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable
r3��z
Company Name Bryan G.Hobbs Remodeling Registration Number
346 Conway Si. 7(131/
Address Greerrffetchn Expiration Datbi
Telephone`" .775'c(46
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(I) 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,oris 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
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined byeMGL c 111 , S 150A.
Address of the work: IS'] (1-CS(CM-I ,5-1 /r-1110. pia/7
The debris will be transported by:�q gryr.�n Flo b
The debris will be received by: (onayl(-IC Pts7wa/ (ompa-4rref
Building permit number: �/
Name of Permit Applicant gni(2.4"7 Alt 1=7 kf
Date Signature of Permit Applicant
City of Northampton
Massachusetts
'A'
ryyy// x
Ii i� DEPARTMENT OF BUILDING INSPECTIONS S0 IT
212 Main
Street
• municipal
Building sr ..)C‘et[ ..)C‘
Property Address: L'1 (rCJCe, tel-‘ s-f. NIor41is rv1 y1cY
Contractor
Name:
Bryan G. Hobbs Remodeling
Address: 346 Conway St.
'--"EkEtenfrelatM7t301
City, State:
Phone: (113 . 775 .. r DQ 6
Property Owner
Name: Ja .' 7CJ (moo(Ai C✓iC ly2 (
Address: (3j (11-r, LC4't�„5-1
City, State: N6 r- 44,71tn y Lvn
r3Y(,o,-n 0012121 (contractor) attest and affirm that the building 7 intend to
insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have
provided the property owner with a copy of this affidavit.
Contractor signature 7=
Date e/i (e6
RISE ' .
k 60 Shawmut Road,Unit 2!Canton,MA 02021 1339502.6335
ENGINEERING www.RlsEengineertng.com
eftcen. !,r I.en.
OWNER AUTHORIZATION FORM
I. S.`tAC S •NLills,
(Owner's Name) '
owner of the property located at:
13S �4- 1, 57 --/ C1 — C\
(Property Address) '
- -;0-krIt,50
(Property Address) t�)
Bryan G.Hobbs Remodeling
346 Conway St.
hereby authorize Greenfield,MA 01301
(Subcontractor) r '
an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building
permit and to perform work on my property. This form is only valid with a signed contract.
12(Kis Sture J
Date
The Commonwealth ofMassachusetts
Department of Industrial Accidents
Office of Investigations
�g ;,� 600 Washington Street
�`���'� Boston,MA 02111
www.massgovidia
Workers' Compensation Insunnce Affidavit: Builders/Contractors/Electrlcians/Plumbers
Applicant Information Please Print LeEfbly
Name (B usinens/Orprdratiodlffividal): Bryan G.Hobbs Remodeling
346 Conway St.
Address: Greenfield,MA 01301
City/State/Zip: Phone#: ( 7"1711S-C(0C}(G'
Arerryt you an employer?Chee/kk the appropriate box: Type of project(required):
113 I a u a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New mmhnelion
employees(fab and/or pan-time), have hired the sub-contractors
2.0 I am a sole proprietor or pima- listed on the attached sheet 1 7. ❑ Remodeling
chip and have in employees Tae sub-contrauors have 8. ❑Den»lidon
working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. 0 We area corporation and its -
ued.] officers have exercised their 10.0 Electrical Impairs or addition
requ
3.❑ I am a bomecwner doing all wink right of exemption per MGL 11.0 Plumbing repairs or additions
myself.[No workers' comp. c. 152,0(4),and we have no 12.0 Roof repair.
insurance required.]1 employees. [No workers' 13.®Other ol.5. --110. I
comp. insurance required.] 4i1v SCA) .'
y
*Any.pplmr dirt climb box 01 mea also 80 m me magi®wow tromp Ca wwktrf compacCan policy mtomanoa
I Homeowners oda atm*this.®davit indicting they aredump all wink and than bine made cabman Amin submit.new affidavit Indicating such
1C®a.ebon mar chock Ai hot mat stashed so addition&.hem towing the In order sub-ia n.aa.and Moir aorta'cam.laity tfonn.eob
I am a employer that Isproriding woNres'compensation invarancefor my employees Below bay polity and Job.rhe
Minton. //yy /1
Insurance Company Name: Al'fl G,VAKP lac(_Ka 0i.:� no/1-Ien/id:f
Polity#or Self-®a.l.ic0: 17...2l.0 C /5 17 q M j iration ExpDate: I C/2.0116
Joh Site Address: 151 r'Jor(f ST X43 ciry/Statezc,rWor ].'t,priar, M$? Of OC 0
Attach a copy of the worker.' compensation policy declaration page(showing the policy number and expiration date).
Fail=to secure coverage as re mired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to 51,500.00 and/or one-year imprisonment, as well as civil pwalda 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 tis statement may be forwarded to the Office of
Investigation of the DIA for insurance coverage verification.
I do hereby cenify'under the meths and amide of perjury that the fnformt tion provided above is true and correct
sieaatme: nye Date: 8/ 9/it-
Phone V:
/ 9/it-
Phone#: 41 — 1 '1 5- ' 1 006)
Official ate only. Do me..wli',ln mit era to be completed by cay or town officiaL
City or Town: permft/{.Itease#
Main Authority(etude one):
1.Board of Bwdth 2.Building Department 3.CItytTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
S.Other
Coataet Person: Phone ft:
w BERKSHIRE HATHAWAY Worker's Compensation and Employer's Liability Policy
tat INSURANCE AmGUARD Insurance Company .. A Stock Company
1'!_+.jt GUARD COMPANIES Polley Number R2WC648612
Renewal of R2WC513915
NCCI No. [21873]
Policy information Page (AR)
i[I]Named Insured and Mailing Address Agency
Bryan G Hobbs A. H. RIST INSURANCE AGENCY INC.
346 Conway Street 159 Avenue A
Greenfield, MA 01301 P4 Box 391
Turners Falls, MA 0137E
Agency Code: MARISTII
Federal Employer's ID 01-3527850 Insured is Individual
Risk ID Number 842909
Additional Names of Insured
(N2) Bryan G Hobbs Remodeling Contractor
Locations on Policy
(L2) 171 Wells Street . Greenlleid, IAA 0 301
0.0/20/2015 - 10170120161
[21 Policy Period
From October 20, 20I5 m Ocober 20, 2016, 12:01 A . stancard time at the insured's mailing address.
[32 Coverage
•
A. Workers' Compensation Insurance - Part One of Lois gohicy applies to the Workers' Compensation
Law or the following states: Massachusetts
B. Employer's kiabilitv ltisurance - Part Two of oils policy eppiob Lu .,o,'„ II each of the slates listed
•
in item [3)A. Tho limits of our liability under Part Two are'.
Soddy injury by Accident - each accident 6500,000
Bodily Injury by Disease earn employee $500000
Bodily Injury by Disease - policy Unlit 5500,000
Refer to Residual Market Limited Other States Insurance Enoorsemert-WC2003068
0. This policy induces these endorsements and Sc heduies:
See Fxtanfitnn of information Page -Schedule of Forms
[41 Premium
The Premium Sasis and, therefore, the premium vile be determined by our Manual of Rules,
Classifications, Rates, and Rating Plans- Ail required information is subject to verification and Chance by
audit. (Continued on another cage)
Total Estimated Policy Premium 3 10,916
Total Surcharges/Assessments $ 599,00
Total Estimated Cost 5 13,515.00 •
NIERi'A.USE OR Paq,4- . - I nfnrmn,ni'i Page
IDA 0.2WCG4MI2
tits 0/28/.935
WC.0000078
ANOTE
Issuing Office: P.O. Sox A-H, 16 S. River Street, Wilkes-Sarre, PA 18703-0020 • www.oua.d rnm
•
nib/e aaraar<taear/e<rf r/<� ilQ
<r ad)
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 139564
Type: DBA
Expiration: 7/23/2017 T# 267354
BRYAN G. HOBBS REMODELING
BRYAN HOBBS
346 CONWAY ST
GREENFIELD, MA 01301
Update Address and return card_Mark reason for change.
Al °j :ron^°s'^ —T. Address J Renewal f, Employment Lost Card
% %/, F, :, ///1/�/1, ..,,,./..,,,
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
'r $GME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
440A5Vipteglatretion: 139584 Type: Office of Consumer Affairs and Business Regulation
^-".'Expiration: 7/23/2017 OSA 10 Park Plaza-Suite 5100
RYAN C,HOSES REMODELING Boston,MA 02116
RYAN HOBBS
%6 CONWAY ST
REENFIELD,MA 01301
Undersecretary Not valid without signature
•
•
•
Massachusetts Department of Public Safety
to Board of Building Regulations and Standards
License CS-083982
BRYAN G HOBBS
346 CONWAY STREET
GREENFIELD MA 01301
Expiration:
Commissioner 08/0212018