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17A-099 (6) 27 GRANDVIEW ST BP-2017-1060 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-099 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING ILDING PERMIT Permit# BP-2017-1060 Project# JS-2017-001818 Est.Cost: $448700 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BRYAN HOBBS 139564 Lot size(sq. ft.): 9365.40 Owner: ALPER NEIL Zonine: RR1 ooVURAl1001/ Applicant: BRYAN HOBBS AT: 27 GRANDVIEW ST Applicant Address: Phone: Insurance: 346 CONWAY ST (413)775-9006 WC GREENFIELDMA01301 ISSUED ON:3/24/20170:00:00 TO PERFORM THE FOLLOWING WORK:AIR SEALING WEATHER STRIPPING, INSULATION 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 ft 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 3/24/2017 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File P BP-2017-1060 APPLICANT/CONTACT PERSON BRYAN HOBBS ADDRESS/PHONE 346 CONWAY ST GREENFIELD (413)775-9006 PROPERTY LOCATION 27 GRANDVIEW NI MAP 17A PARCEL P99 001 ZONE RIO 00)/URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT / Fee Paid j' �f,LJ-, Building Permit Filled out Fee Paid Tvneof Construction: AIR SEALING WEATHER STRIPPING, INSULATION New Construction Non Stmctur I interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 139564 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:ys Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan ANDIOR 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 �. � 3-2 /7 Signature of Buil ing fftcial Date Now: 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 City of Northampton Statue of Permit Building Department Curb Cut/Driveway Permit 01 212 Main Street Sewer/Septic Availability Room 100 Water/WWI Avatab'Glty \#, Northampton, MA 01060 Two Sets of Structural Plans l'�` hone 413-587-1240 Fax 413-587.1272 Plot/Site Plano � Other Specify •PLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 11 property Address: This section to be completed by office VIel))St. Map Lot Unit F or s?rice_ M A Zone Overlay District Elm St District CB Dla t SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 3,,1 Owner of Record: N e.'+k. Aper _ 2 Grandview ct . F-\cr nce,, Name(Print) {� 11I_ J Current Mailing Address: y I�J aq 3Jn r1 ^13 Jae 1A.�} ZO't F1' wil td Teiepnone Signature 2.2 Authorized Aaent 1 h3wn Dobbs r�em6dd nc} 3M �Gnunx st. Cse„Clad MA ofI Name(Panty Current Mailing Address: Clam. c;' 4\3 - ni5 - 900Y Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1, Building ( t t t q.-1 (a)Building Permit Fee 2. Electrical `1 1 (J (b)Estimated Total Cost of Construction from J6) 3. Plumbing Building Permit Fee ({`�' 4. Mechanical(HVAC) 1 //�U/ 5. Fire Protection 6. Total=(1 +2+3+4+5) yCI Check Number (6,.5-2) This Section For Official Use Only Building Permit Number_ IIssued'. Signature: Building Cummissionsrllnspectar of Buildings Date Section 4. ZONING Aft Information must Be Completed. Permit Can Be Denied DUe To Incomplete Information Existing Proposed Required by Zoning This column to be filled&by Building Department Lot Size Frontage Setbacks Front Side R: Rear Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved parking) , ir of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/variance/Finding ever been issued for/on the site? NO fl DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO o DONT KNOW Sigi YES IP YES: enter Book Page and/or Document K B, Does the site contain a brook, body of water or wetlands? NO O DONT KNOWN YES 0 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 ® NO $) 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. W9 the construction activity disturb(clearing, grading, avation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES, then a Northampton Storm Water Management Permit from the DPW la required. SECTION 6-DESCRIPTION OF PROPOSED WORK(check ail apDllcable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signe (o] Decks (❑ Siding[C7) Other Gnat Despiption of P(aposed 'y Wort PAC7,eckh `fj U,I()C3,.+1`2CSk'T•ipc\nG, 1nS[Ao n3 Alteration of existing bedroom Yes X No Adding new bedroom Yeti XNq Attached Narrative Renovating unfinished basement Yes in No Plans Attached Roll -Sheet ea. 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 iq C. Is there a garage attached? �f}j//, 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. Masscheok 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 budding conform to the Building and Zoning regulations? Yes No I. Septic Tank_ City Sewer Private well City water Supply SECTION Ta-OWNER AUTHORIZATION•TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT e'I{ A4{ per _ as Owner of the subject property j�, hereby authorize ls/Ty� kkC'��S � o�� ih� to act on my behalf,in all matters relative to work authorized by this building permit application. tKt Senature of Owner Oate 3 ZQ 4)C VGlI f`cYJll3 as Owner1AuthOrized Agent hereby declare thatihe 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. —73ryr>,n Ea&ts Prim Name tt ___ Signature of ownerAge Date • SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name M License Holdt ydi.f3.f tib\E,.,107el.rig - License Number 501/4i 348 y St. 1 C z3' Greenfield.eld,MA 01301 Addr¢sa Expiration Date ( j.J�/�J�-tom. �'+a�a 41R – 7-t s' 900 Signature () Telephone P,Recistered Home Improvement Contractor: Not Applicable ❑ Company Nam. _ Registration Number r7 izilS- Address 13.1151e* Z ''}''7 ('�.��� Expiration Date Telephone I 1 . 1 1S' Jp 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. I , Signed Affidavit Attached Yes,/e' No ❑ 11. – Home Owner Exemption The current exemption for"homeowners"was extended to include Owtter•oecupied Dweilines of one 0) 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 pefinition of Homeowner:Person(s)who own a parcel of and 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 sit: s'.1. f,ri l : n f.01'. u de r 'L' t 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,von 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 by MGL c 111 , S 150A Address of the work: al- anMieu) St, Fkofe,vic r 11e II The debris will be transported by: 1' r' \1c,,) knet The debris will be received by: v, Building permit number: 1 \ \ Name of Permit Applicant 1-, 'ryas 1' 3 ( 2_0111 �nr�o �4dd Date Signature of Permit Applicant City of Northampton 4 1 Massachusetts 4 y Cr +�-1.4- it r1 «f DEPARTMENT OP BUILDING INSPECTIONS I I at. 212 Main Btreat • Mmiolpal Building i1; 4 C? /' Northampton, r8. 01060 Property Address: 31- Gralflf\v i QW St,/ ` .lot ate_ Contractor Name: I 'f'yCk(l Cobbs Cemock'n Address: 3C o CS.tflU3Y D / City. State: G-+ /r P 8 eNc 1 eic1 AAP �r Phone: 13 " 775 c/O NOwner Name:ame: NI -6/ AIpQF Address: Z7— GY ecild Weal cf, City, state: C1&-e_ro.e, f,A • I, ‘tiryan f nbb (contractor) attest and affirm that the building I intend to insulate ddes 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 lets Date s/vie 7 a ..... RISE60 Shawmut Road, Unit 2 I Canton, MA 02021 1339-502-6335 ENGINEERING' www.RlSEengineering.com ti uL OWNER AUTHORIZATION F I, Ne:,v, Rlpe( (Owners Name) owner of the property located at: vt (Property Address) 1 J o o 'ry i6tenCe �1� 0100, � �1 (Property Address) ":ii✓ hereby authorize bN9 11: J,\ Re 12/e.1 situ/s.) q , (Subcontractor) J/ 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. The Permit will be secured by the insulation contractor, at no additional cost. It is the homeowners responsibility to close out this permit�by contacting their municipality at the completion of this work. Owner's Signature 7- 17-/7 Date 62016