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38B-242 (2) 10 OLIVE ST BP-2017-1212 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:38B-242 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-2017-1212 Project# JS-2017-002040 Est. Cost: $16300.00 Fee: $104.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sq. ft.): 8232.84 Owner: SINGH MAHAN Zoning: URB(100)/ Applicant: JAMES FLANNERY AT: 10 OLIVE ST Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAM PTO N MA01027 ISSUED ON:5/2/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE SHINGLES, INSTALL METAL ROOF OVER FRONT STAIRS 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 5/2/2017 0:00:00 $104.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck- Building Commissioner File BP-2017-1212 (Intl Ili . APPLICANT/CONTACT PERSON JAMES FLANNERY ! &A !77 P�Q� ADDRESS/PHONE I LOVEFIELD ST EASTHAMPTON (508)294-4052 � r A PROPERTY LOCATION 10 OLIVE ST ci- 15 rt � ' \ MAP 38B PARCEL 242 001 ZONE URB(100)/ Pr � baizcS THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE (�I',,.' ZONING FORM FILLED OUT �N^" l Fee Paid �qak ,1W "^L{/✓ Building Permit Filled out Fee Paid Typeof Construction: REMOVE SHINGLES, INS L METAL ROOF OVER FRONT STAIRS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 103061 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 o Dela Si lure of Building Official 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. /\ TeX v� k City of Northampton `f--41:-,ti t.ft` r ,- .A {� r�01 /,� Building Department Pro` rri • h 212 Main Street <;P w ' ,St r"t - • x2'Y, a ' `a R' Room 100 y �' .-t-';“--- < �e Northampton, MA 01080 7 7 �" �'""g. ; a ,er phone 413-587-1240 Fax 413-587-1272 s {`�" ca . ' T' i 'yr ,; M rs c:. ,e A a �: APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION B O- 1 7- 1 21 1.1 Property Address: .(-- This section to be completed by officer 0 olive S l - Map 326 Lot Unit /� /o r�-yt Cs Zone Overlay DistrictJ " Elm St District CB Mania SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Own of • Name(print) Current Maigne Addrosa X r�-/._v7 L5 Telephone Sonaure 2.2 Authorized Anent ,Ti1MF s ;T, FuitotA/6t2 2 Love74e/d s* C '4 , /Nil- oioz; Name(Print) Current Mailing Address.— r 413 2033 ` Sax-2q1- gosZ Si lure Telephone S CION 3-ES MATED CONSTRU TION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1 Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Conslrucfion frau(8) 3. Plumbing Building PermitFee / ti- 4. Mechanical(HVAC) 5. Fire Protection / 6. Total=(1 +2+3+4+5) IN ) 3 d 0 Check Minter / q This Section For Official Use Only ate Building Permit Number Issued Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING AU Information Must Be Completed.Permit Can Be Denied Die To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department r t-- Lot Size r � t . ..__..�.__�.j Frontage Setbacks Front Side _J - —I RE-1 La� Rr-1 L:�_� 'i' r_, Rear Building Height r--11 (—� Bldg.Square Footage Lai 1—.7.d % l_sl .i I Open Space Footage 11 (Lot area minus bldg&paved LI L___A Ell Ell L-1 parkins) #of Parking Spaces -- I r Fill: 1 __ Jr ---i (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES O IF YES: enter Book Page I l and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: L_ 1 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. 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW S required. SECTION 6•DESCRIPTION OF PROPOSED WORK(Check all anollcagle) New House ❑ Addition ❑ Replacement oors tWWindows Alteratkm(s) 0 Rooting OAccessory Bldg. ❑ Demolition ❑ New Signs [O] Decks (q Siding(C7] Other(eV Brief Description of Wed / / ..�- /� Work: /' .MO rt SA// c7/ LS ' SIR'/ Gk °Y/ rt-ziF Alteration of existing bedroom Yes No Adding new bedroom_Yes No Attached Narrative Renovating unfinished basement Yes No _,,,r Plans Attached Roll Sheet T sa.If New house and or addition to eltistino housing.camuiete the following bc/i 14 coop a, Use of building:One Family Two Family Other O✓P..� vICI- s'jct i e 4 e b. Number of rooms in each family unit: Number of Bathrooms 0. �� C. Is there a garage attached? a'"-c'r'V [ w1 d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each 9. Energy Conservation Compliance. Masscheck Energy Compliance farm attached? h. Type of construction I. la construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No i. 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 OWNERSr1 AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, { ' ovet Ut ( te L, ,as Owner of the subject property hereby authorize .T4/)1 ,S T. P(�t1AlEA\/ _ _ to act�on�/my behalf, In all matters relative to work authorllt(ed by this ttiiding perm) application. ' �� ' f"l4l-i<-.r9 5•-vt,1+%.1 L7-f 7-, / 7 Signaturee of Owner (i Date IIMIIIIIIIIIMIIIIIIIIMMMIIIIIIIIIIIIIIOIMIC I. TAMES 3- f Z44.0 u _ - ,as Owner/Authorized Agent hereby declare that the sta encs and-information on the foregoing application are true aifd accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. TAiwE$ 3. fl'mtrAr C Rina Name /` / S 2z`r f 1 Sig at re of Ov�ii r/Agent r _ Date .„_ SECTION 8•CONSTRUCTION SERVICES 6.1 Licensed Construction SupervisorNot Applicable Nam7I tier e S "llr7/ License Number 103 0./1 Address Expiration Data s08.29/-1052 Signature Telephone „ 1A [7 tt5,eate4t6UtT leoofrAa6 LLC /83&98 Comoanv Nome Registration Number .z. iaeJe/d & )/j4J,9. Address Expiration Telephone 413 263-5 ft SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MOS.C.162,¢25C(63) 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....... H �..�,.-�f31#2O:Q4YB81;.�EC76 The current exemption for"homeowners"was extended to include ea, e .i v Du _ ,•of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who •sea not possess a license,provided that the owner nets ereor ' • 780 d ion ,,. lin 08.33. Definition of Homeowner:Perso who own a parcel oft. ..on which hetshe resides or intends to reside,on which there is,or is intended to be,a one or two f: 't'dwelling,attach' or detached structures accessory to such use and/or farm structures.A h. on who w 7r cts more n one hem..... two- ea I pod shall n, cot'i a h r I o Such"homeowner"shall submit to the Building a form acceptable to the Building Official that he/she shall be i indble -, Isuch wo , r erformed �.ert ,„.irmit. As acting Construction Supervisor your presence on .b site will be required from time to time,during and upon completion of the work for which this permit is iss -• Also be advised that with reference to Chapter 152 ' otters'Co •-nation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of Massachusetts Ge :el Laws Annotated,you may be liable for person(s) you hire to perforin work for you under this penni The undersigned"homeowner"certifies and ass. -s 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 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Smite 100 Boston, MA 02114-2017 - - wen ntaesgov/dia Mcgdiers'Compensation Insurance Affidavit:Bni tiers/ContnemrslEleetridmtsfPlumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anoljegat Information r� n /� Mom Print Legibly Name(Bid incss/Organbstion/lndividual): POLL Pe-C7161907/lair?IR. Ce ,�/lr)/7/Tl .2-LC 1 LoVe741C/ SI- Ne 1 J City/State/Zip: L-4dt*$* WttN , M4-- o/023-phone#., 4/3'-ZO3 -58$$ Are you au employer?Cheek the appropriate box: Type of project(required): 1.01 am a employer with 2 employees troll and/or pan-tirrel' 7. ❑New construction ?.❑1amasole proprietororpartnership and have noemployees worki g tor int in 8. ❑Remodeling arty capacity-[No waken'comp.insurance required.j 3.❑Iani ahnhowndoingallworkmyselfINoworker cony dl'cerequire9. ❑Demoliton em 4.01 am a homeowner and will be hiring contractors to conduct all wink 0❑Building addi on k ensure that all contractors either have workers'compensation insurance or are sole t II.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet. i3. RooF repairs lhseemployees sub-contracton have and have workers-comp.iamce sutr .r 6.0 We arc a corporation and its off ers ave exercised their right ofcxemmvion per MGL c. Id.❑Other 152*I141,and we have no employees.[No workers'corm.insurance matured.] 'Any applicant that checks box a I oust also fill out Nesection below showing doh workers'corgnnnotim policy hilly-notion t Honnmvuers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConnactots that chock this box must attached an additional shed showing dm ohne of die stbcontmctors and slue whether or not those entities have employees. lithe sub-enntraciurshave employees,they must provide their woken'comp.policy number. tam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �{�� /�., `',off Insurance Company Name'. &€CM-2S /r7f1k/C) 7 67o'-sec. Policy#or Self-ins.Lic.#: 22 WC 7-90 g-41 / Expiration Date: 11/2 //7- Job Site Address:l0 Oh ye O/- _ City/State/Zip:. i ,� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expire ate). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 fee of up to$250.00 a day against the violator.A copy of this statement may be Forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her y certify made ',he pains penalties ofperjury that the information provided above is true and correct SI_'amrc\ IaA k,I.it. 4 a . Dat : S J i Phone#: 13-/ -51 -; Officr use os- . Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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: [0 Olive yr The debris will be transported by: J4flE_5 S• Fut1/4/4.../f./2/ The debris will be received by: VALE/ i2.ECyeL1NC Building permit number: 7 Name of Permit Applicant ' _ S. Fowl'„' Date 1 Di i Si g_ture of P .r 'It Applicant 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: l 0 Nike S 17 The debris will be transported by: Potf o n r SS Z`{ — 7 The debris will be received by: Uef LI/ey I`L0 cy Building permit number: Name of Permit Applicant e &Lk- Pe r-� g e 0C// 111111n Date S nature of �e it Applicant Peak Performance Roofing LLC Commissioner Hasbrouck May 1,2017 Subject: Request for Waiver I request that you grant a modification to waive the requirement for control construction for the (Montessori School)at (51 Bates Street) in Northampton because the work is of a minor nature,will not affect health,accessibility, life and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work.All work will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration. "Mass Amendments,sections 107.1 allows for an exclusion from control construction for this project" Respectfully, James Flannery Peak Performance Roofing LLC 1 Lovefield St. Easthampton, Ma 01027 7471 2:1t-i'sfr �z t 60 _4 ;rs 77) re-444-qt 9 61 4— 3c'c, Co (Vwt KS 1/ - I ( -1--1 s�fi or mal ws 4a cJ Char, ze_G{ loos �- ( p / V�'j J as �QwK 0 rnrJ l-fl 17 7 4r City of Northampton Building Department Plan Review 212 Main Street Northampton, MA 01060