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23D-033 (4) 55 MILTON ST BP-2000-0827 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-033 CITY OF NORTHAMPTON Lot:-001 Permit: BuildingOP _ Category:renovation BUILDING PER MIT Permit# BP-2000-0827 Project# JS-2000-1552 Est. Cost: $7780.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Thomas C. McCarthy 053221 Lot Size(sq. ft,1 8145.72 Owner: MERKIN ROBERT B Zoning: URB Applicant: Thomas C. McCarthy AT: 55 MILTON ST Applicant Address: Phone: Insurance: 157 Ferry St (413) 527-5141 Workers Compensation EASTHAMPTONMA01 027 ISSUED ON:3/29/00 0:00:00 TO PERFORM THE FOLLOWING WORK:R EM O D EL BATHROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rou Rough: House# Foundation: Final < AT Final: k .01 a . //eI/orb 4 y' 6 �� f Rough Frame: B k 1-/-3'p0 ,-4 , Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: ,111 Final: Smoke: Final: 6 r 9- I T. 00 la,,,, THIS PERMIT MAY BE REVOKED BY THE CI OF NORTHAMPTON UPON VIOLAT N OF ANY OF ITS RULES AND REGULATIONS. _ „-- ,,,,,_„05- ,..e.., Certificate of Occupancy signature: Fee Type: Receipt No: ` Date Paid: Check No: Amount: Building 3/29/00 0:00:00 9319 $50.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2000-0827 APPLICANT/CONTACT PERSON Thomas C. McCarthy ADDRESS/PHONE 157 Ferry St (413)527-5141 PROPERTY LOCATION 55 MILTON ST MAP 23D PARCEL 033 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /3f 16 L97) Typeof Construction: REMODEL BATHROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053221 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Commissio Permit from CB Architecture Committee Signature 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. I. .r Department use only 00. 320 C,,t Northampton Status of Permit: B lldof i g Department Curb Cut/Driveway Permit iti issPEClt� 1 Main Street Sewer/Septic Availability tiE1Of /,/,'--•": '�"�n,1G6 0'0m 100 Water/Well Availability '°"F Northampton, MA 01062 Two Sets of Structural Plans phone 413.587.1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING j SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office S S /-f , 7Le9-,7 sr, Map c 3 P Lot 3 Unit 04-g/4e-i Att-o ‘i-J , (9/ 6 f%/"Zone, LN - Overlay District /9 Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: i '6,4er't8 /1(e/' k$ S-S- 8/`/7`07-1 $,� "P �i9 "' re Pri t) Current Mailing Address: _ �NVQ_ .— S c�� llc/lo Telephone Signature 2.2 Authorized Agent: lb-714AS- e. /I-6 6,4 y /5 7 1--=e,,/ �Z, ,�e Name Print) Current Mailing Address: ,t42 Ct p, W_7 SP >- S- /V/ Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building q% VC 00 (a) Building Permit Fee 2. Electrical $ 9O , 00 (b) Estimated Total Cost of Construction from (6) 3. Plumbing FD O 60��Leier Building Permit Fee ,4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) - f 7 `7po < <' `' ? Check Number ,,Vy This Section For Official Use Only Riiilding Permit Number: BPI 9 '7 , Date Issued: Signature: , 3 .2 orc2co Building Commissioner/Inspector of Buildings Date oV Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW ✓ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW YES 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 No IF YES, describe size, type and location: ;TION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition 0 Replacement Windows Alteration(s) . Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description off Pro osed Work: ,e'e 9,d 'l > " '' Y/6'I 44tZ 1°"•" ' Alteration of existing bedroom Yes X No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes "- No Plans Attached Roll - Sheet❑ 6a. 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 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. Mascheck Energy Compliance form attached? 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 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 BUILDING PERMIT I, Po Je1? NQe%/c , as Owner of the subject property hereby auth rize ✓ K 4-7vr>a S' ( . /Q 1'a-14/ to act on q half, i1�nl,all mat ens relative to work authorized by this building permit application. Signature of 0\kner Date 07144- S `'' y , 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. ;ned under the pains and penalties of perjury. T/ / S A(C6, 7 Print Name Signature of Owner/Agent Date • • SECTION 8 -CONSTRUCTION SERVICES Licensed Construction Supervisor: ,, Not Applicable 0 Name of License Holder :� t�r'l� �` ireio:o/ / O.-3a7.2/ License Number 1 S-? /e//)' s t /6'/ a/e),,r b //( /60 Address Expiration Date Aotot "W&-- .5- 5 S f Signature Telephone Not Applicable 0 f (• ,Ve'(1,1d y Vie,e,'a-1 er-ti4.,07 s,17 e, /O 0 36 K Company Name Registration Number /S-9 Ce/,')/ rt, &Wks' c IA494 doto , s-- -o Add re f`/ Expiration Date Telephone 2 `J/ 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. c—ned Affidavit Attached Yes ¢it No ❑ 11. - tome Owner Exemption 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-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 =° ( of NorfLa pfon _=s "t . �= � `W B flasssctnsctts '=ce �' DEPARTMENT OF BUILDING INSPECTIONS _':_`f 212 Main Street ' Municipal Building _ Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AIt'r'mAVTT I, %,h is t9 f L'/ (licensee/permittee) with a principal place of business/residence at: _ eV." /S > /Pr/f/17/14 1 fa51 D,u, mg (phone#) S .S l/7 (htitxt/ .ty/statr/zip) do hereby certify, under the pains and penalties of perjury, that: Y\' I am an employer providing the following worker's compensation coverage for my employees working on this job: J,Pa-lri e 4fif jwS, Capatys ID-U$-8s 3,?a)> too © , -lD -O/ (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) ( Expiration Date) (Name of Contractor) (Insurance Comparzy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional short ifnexxnary to include information pining to all contractors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowner who employ persons to do rni 'ns",comuuctioo or repair work on a dwelling of not more than throe units in which the homeowner resides or oa the grounds appurtenant thereto arc not generally considered to be employers under the worker's compensaticn Act(GL152.ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Worker's Compensation Ace- !understand that a copy of this statement may be forwarded to the Department of industrial Accidents'OtSoe of Iasursnco for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fire of 5100.00 a clay against me. For depart use only i Gj �3 Q a PeMapt Number J Lot II ignature c.f Licensee/Permittce e fruposat Page No. of Pages THOMAS C. McCARTHY GENERAL CONTRACTORS, INC. 157 Ferry Street, Rear Easthampton, MA 01027 (413) 527-5141 PROPOSAL SUBMITTED TO PHONE DATE Richards Plumbing& Heating 527-0291 03-13-00 STREET JOB NAME 79 Union Street,rear Cynthia Merkin CITY, STATE AND ZIP CODE JOB LOCATION Easthampton.Ma.01027 55 Milton Street,Bay State ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Estimate for the following renovations to the lrst floor bathroom. The estimate includes gutting the ceiling,the walls with ceremic tile in the bath/shower area and the exterior wall,gutting all rotted flooring including the entrire top layer of plywood underlayment. We will than remove the rotted sill plate on the exterior side of the bath floor,jack up the damaged floor joist, install 2 sister floor joist 12' long, install new pressure treated sill plate, and replace the rotted ribbon joist in 3 bays. All work will try to be done from the interior of the basement so as not to disturb the exterior. We will frame for the new tub/shower, and replace any other damaged framing. Electrically, we will supply and install 1'-Nu-tone, 110 cfm fan/light combo, ducted to the exterior, 1-updated gfi duplex outlet, and wire for 2 lights, (lights supplied by the customer), all necessary wiring and switches included. We will than insulate the exterior wall. The estimate includes sheetrocking and taping the ceiling and gutted walls, taped 3 coats and ready for paint. We will patch flooring, install all new underlayment and pre-pare for new linolium. We will install a linolium with an allowance of$22.00 per square yard. We will install a new vinyl, double hung replacement window, re-hang the existing med.cab. at a lower height, install new baseboard and install molding where needed. All rubbish removal is included. Others to prime, paint, stain& poly. Add for the Northampton building permit. Mass. Home Improvement Contractor Registration#100364 ex.05/23/01 Mass. Construction Supervisor License #053221 ex.06/16/00 Blip Frame hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Four Thousand Nine Hundred Eighty and xx/100 dollars($ $4,980.00 Payment to be made as follows: 60% Upon Completion of rough electrical: $2,988.00 40% Upon Completion: $1,992.00 All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within 45 days. vlrputp of Proposal-The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified.Payment will be made as outlined above. Signature Date of Acceptance: / 1 .S ,1 �°, c