Loading...
35-072 (7) 884 RYAN RD BP-2017-0276 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35 -072 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2017-0276 Project# JS-2017-000470 Est. Cost: $6700.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WALT KOWAL 100833 Lot Size(sq. ft.): 19994.04 Owner: KABAT HENRY F&JANE H Zoning: Applicant: WALT KOWAL AT: 884 RYAN RD Applicant Address: Phone: Insurance: 13 REDDEN RD (413) 575-1105 n Workers Compensation SPRINGFIELDMA01119 ISSUED ON:9/1/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REROOF GARAGE AND SHED 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: FeeTvpe: Date Paid: Amount: Building 9/1/2016 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner • , ._ ..... Dei Urmentc a iij I AIG 2 9 2616 ibj Ci Nlorharnptrn �st rJs at ermt .lLldll'() DBO Ilr(12YIi Ct.r UcdDnve+ass a rmR 212 Main Street [r ru, Ytr A.atahili' = - titEn j��µr prpN,µ bC0 Roam 100 Water/Well Aralability. Nlorthampton MA 010e0 Two SOO of Strt"rsal P ens phone 413-587-1240 F221113-587-'1272 Flans - APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Prooerte Address - Thrs @)(`iron to 6€oampietetl 4y office " . Q(,j , ��� J/� Ma Py Lo Unt t� ( Y r7T otia Overlay D strict `-I EIrn'St,District OSDeem_, SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 21 ,Or�/w—nn'e-r of Record: �,(- PFS' /e gyr�,yn VAA'e � OP 1 CG' / Yc o/7 ,,f N carie(Print) Current Mailing itiege4 Signaturei.,,,,.5„, Telephone ]�j" /r 22 Authorized Ag_nt: Name nn 59,wture > _���-����� - euera ru tca.'l��Sw./Orirn'"�/!Y/7 / rOP ®.///� SEC TION 3-ESTIMATED CONSTRUCTION COSTS }fern Estimated Cast(Dcliars)to be Ofir7a!No:Only completed. by permit aoplicant _ 1. Building itC6A (a)Building Permit Fee 1 1 r 2 ElectrictO` (b''rtimstetl i otal Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC} -. Fire Protec:e; utd =(1 +2+3+4+5) - �.Check Number dm 0 a This Section Far Official Use Only Building Permit Number Date ( auE.i}: Slgnetui e: .r: r 7:2\51-1/4( Bolding Cam„Isstoned nsP ctor or Buildings Cole S Section 4. ZONING All Information MLSt Be Campleted. Permit Can Be Domed Dae To Incomplete Information Existing I Proposed 1 Required by Zoning 4 This column to be filled in by Building Department Lot Size -. Frontage t Setbacks Front l .— Side 7,' R ___ r R ... Rear --. -_._ .. Building Height _ y _ .- Bldg. Square Footage __ Open Space Footage _ / (Lot areammus bldg&paced -- ng) fi of Parking Spaces i_ . __ " 1 Fill , (volume&Location) A. Has a Special Permit/Variance/Finding ever beer 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? NC! 0 DONT 0 YES I 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 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 0 IF YES, describe size, type and Location D. Are there any proposed changes to or additions of signs intended for the property 1 YES 0 NO 0 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 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DEW is required. SECTION 3-DESCRIPTION OF PROPOSED WORK ichac:all applicable) New House n Addition U Replacement Windows Alteration(s) I j 1 Reddng Or Doors Accessary Bldg. n Demolition U New Signs [Of Decks [ Siding(01 Other(Di Alteration Phon of Proposed Brief Desch ( Rare 4 of existing bedroom Yes No Ad‘g new bedroom Yes No Attached Narrative Renovating unfinished basement Yes Na Plans Attached Poll -Sheet ee if ittew houseand or addition to existence housiri , corn Sete the'fottawdnei: a. Use of building:One Family Two Other b- Number of rooms in each family unit: Number of Bathroomsc. Is there a garage attached? d. Proposed Square footage of new construction_ Dimensions e. Number of stories?.,, f Method of heating? Fireplaces or Wocdstaves Number of each g. Energy Consternation Compliance_ Massoheck Energy Comenance form attached? h_ Type of construction_,,,,,, i. is construction within 160 ft of wetlands? Yes No. Is construction within 100 yr- floodplain Yes No j. Depth of basement or cellar floor below finished grade k. I building conform to the Building and Zoning regulatans? 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 _,as Owner of the subject properly hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date ftlia� S r). yi'; a {`Ai'il�i'rF"Aaf "R LGA*/f I ` G!,AT / ,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. Lim4/7 t G z / _ ! Print Name 8 ?9 / t SignatureofAgent Date �� SECTIG'h 8.COPISSTRUCT/0bl SERVICES 8.1 Ligon=ed Comb uctiongoner/igen gNot Applicable Name oYLtcsnsa Folder'—..yt-die/24 am'' o/q / Ace,/ {.a License Number 40 17/ .141i Address Edpiraticn Date a S7 ii Signature Telephone 91=eoistered Home improvement Contractor. Not Applicable Company Name Regtstrat n Number /lerY ,4'd .` , ,,)feSW/� /loil 4! 7^-29--/7 gdress �—>/� xuretion Date 0%2-4.441"4j4 ',.';....:- . I Telephone d /3//ot SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G,L.C.182,325C(6j) Workers Compexsaton Insurance affidavit must be completed and submitted with this application Failure to provide this affidavit wig result in the denial of the issuance of the building permit Signed Affidavit Attached Yet £ No P 11 :-Hoarse Owner Exemption The currant exemption for"homeowners"was extended to include Owner-ocenuied 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 1093.5.1. 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 he,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 he 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 by regusca 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(Worker,' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts Genera/Laws Annotated,you may be liable for person()) you hire to perform work for you under this permit, The undersigned"homegitmer"ceriics and assumesresponsibilityfor compliance with the State Building Code,City tri Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated_ Homeowner Signature The ''aecros.t a,^ve&th of i'uiesszein, etO „ Eepardaar,ea vrj a lawn real Accide4,18 Office of"rtyet a asoDoes 600 Washington Street l y ib !Sas>sr, VA 0111 cv'vJPN.ar•rsmmyv/i3,erf Workers' Compemsadom amsar3t ee ihindasta Bod'dere/Cesus'reshot;siEleetrkc ns/Phsmbers Anaemia finforrmnmfnor Plane Prrnat 1Le®u> b y Name(illusiness/Organizationllndividual): /,w!) e Address: 1y...._ s C G( .5 one Is: 2I sin " #:__ (77 57/x' _ .... City/State/Zi I.[Are you a employer Cheek tot appropriate box: Type of project(required): an em 2an�eo- with ( 4. b 1 am a general contractor and I employees (Cull and/or part-time).* have hired the sub-conhaetors 6New construction 2. I am a sale proprietor or partner- listed on the attached sheet, 7. Remodeling ship and have no employees These sub-contractors have g, 0 Demolition worldn forme in an capacity, employees and have workers' B S P 9. 0 Building, addition [No workers' comp. insurance comp. dotmce.t a required.] 5. 0 We axe a corporation and its 10.7 Electrical repairs or additions 3.LI I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption perMGL h. Roof repairs insurance required.] t o. 152, §1(4), and we have no employees_[No workers' 13.7 Oher cornp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information i$o meowners 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 rot those entities have empioyevs. If the sub-contract is ban exap'oyees,they must provide their worker's.'comp.policy number. I am an employer that is providing workers'compensation insuranceJor my employees. Below is the policy and job site information. _ / Insurance Company Name: //?J42YF e/'}' h.. Policy#or Self-ins.Lie. #: 621/61.61 're4p7G.2y/14 ExpirationDate: ��^^� ^'�e3 i7 lob Site Address: YY�( �VA'iL City/State/Zip: /6d/t pn 4 1-- Attach Y.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 io$1,500,00 andior ane-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. Ido hereby certify under the pains and penalties ofer' ry that the information provided above is true and correct. eci �- r� - .yam �y. ry l/4 SiCmature: J/-/ Q�G"(,� a:.•-na � .�.... Date: lJ�/J'7 �' Phone if: -5.2.€/7 y3jl#j'�..... 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 5. Plumbing Inspector 6. Other Contact Person: Phone It: stir f ' le baz n s rt ") fr c3I .'r e Id. 4 212 Sun,t o H r Building . va h r MB 0106 N''R, � 1 ' INSPECTOR Lot,its Hasbrouck Chuck Miller Bci'rding Commissioner assistant Commies/cher HOME OWNER EXEMPTION ACKNOWLEDGEMENT j The State of Massachusetts allows the homeowner the right under T80CMR 108 3.4 to act as his/her 1 construction supervisor. The state defines "Homeowner" as, " Percents) 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 couch buildlna inspection Ibefore 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 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 Cita of Northampton 212 Mein Street, Northampton, MA 01.050 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 cebris resulting from tie construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MDL c 111; S 150A Address of the work: �� y "Vet," /< et The debris will be transported by: //ty 4' (91/ The debris will be received by: Building permit number: Name of Permit Applicant Lyo/t AC'4-a Date Signature of Permit Applicant Kowai General Contracting 13 Redden Road Springfield, MA. 01119-2631 We are Fully Insured &Licensed Email: WaltKowal@yahoo.com Cell: (413(-575-1105 Hic Licit 124626& CSL 100833 We hereby submits specifications for: Roof/Garage & Shed Jane Cabot Date: 6/14/2016 884 Ryan Rd. Florence, MA. 584-1565 Re:Above Address We will strip the roof of the garage and the back of the garage plus shed. All the waste will be put in the dumpster that will be supplied by Walt Kowal We will apply Ice Guard 3 feet up. We will apply synthetic felt paper on the rest of the roof. We will install new drip edge. We will apply a shingle to match the house(three tab or architect shingles). We will remove the siding and install new flashing. I will replace the missing soffit. My damage plywood will be a cost of$45.00 per sheet for removal, application and disposal. We propose hereby to furnish material and labor complete in accordance to above specifications for the sum of f e/ .- ..fi r+ $ 6,700.00 I will apply for a permit. This price includes labor,material,permit and dumpster fee . All material is guaranteed to be as specified. All work to be completed in a work man like manner according to standards practices. Any alteration or deviation from the above specification involving extra costs will be done only upon a written change order. The costs will become an extra charge over and above the estimate. This is to include, but is not to limited to, hidden damages that are uncovered during the course of the job and additional work required by local building inspectors. All elements of this agreement are contingent upon delays beyond our control. The estimate does not include material price increases, or additional labor and materials which may be required should unforeseen problems arise after the work has started. You,the buyer, may cancel this transaction at anytime prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. Acceptance of Proposal: The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made half down when material is delivered and the labor is started and final payment on completion of job. ., :Pec,.... . _ -5e .cl;sit (please do not hesitate to call me if you have any questions at the above number). // /(Y! G< <G' please sign on the above line&return l� it back so a permit can he pulled