32A-258 (3) 44 MARKET ST-An 1 BP-2019-1242
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Blmk: 32A-258 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category, renovation BUILDING PERMIT
Permit BP-2019-1242
Protect# JS-2019-001267
Est.Cost:SI1000.00
Fee: $72.00 PERMISSION IS HEREBY GRANTED TO:
Ccust.Class: Contractor: License:
Use Group: ERIC DRIVER 97208
Lot size(sa.ft.): 5314.32 Owner.- LAPOINTE JONAS
Zoning:URC(100)/ Applicant: ERIC DRIVER
AT. 44 MARKET ST-APT 1
ApplicantAddress: Phone: Insurance:
556 STAGE RD (413) 695-1947
CUMMINGTONMA01026 ISSUED ON.512412019 0:00:00
TO PERFORM THE FOLLOWING WORK.KITCHEN AND BATH RENO
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:
Dfivewaf Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimnev:
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 5/2420190:00:00 $72.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
gc-
File N BP-2019-1242
APPLICANT/CONTACT PERSON ERIC DRIVER /
ADDRESS/PHONE 556 STAGE RD CUMMINGTON (413)695.1947
PROPERTY LOCATION 44 MARKET ST
MAP 32A PARCEL 258 001 ZONE URC(1001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED UIRED DATE
ZONING FORM FILLEDOUT
Fee P '
Buildine Permit Filled out
F Paid
Tvveof Constructiow KITCHEN AND BATH RENO
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Stetement or License 97208
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: Sim 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 Perini from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storrs Water Management
Demolition Delay
Signa 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 MGC 40A.Contact Office of
Planning&Development for more information.
€CEIVE Department use only
City of No ham tus f Permit
Building Dgpartent i C t/Driveway Permit
212 Mai S1 t 6 2019 rt eptio Availability
Roonrl ' MAY star ell Availability
Northampton{ MA 01060 T Se of Swctural Plans
phone 413-587-1240! Fax T .. sSit Plans
.. n v..... , ecity
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMI1TW
1.1 Property A�fd'dress. A This section to be complated by oSlc•
�y /•�p,��+l 5� 4f MapL Lot SSS Unit
/6/V Lh Nl Jii OO2o • Overlay District
EYn SL Dheltt C8 DisMtl
SECTION 2-PROPERTY OWNERSHIPIAUTHORMED AGENT
2.1 Owner of Record:
714) A. LAwk 961a1d 6,4_ 4< d, 44A,,i
Name IF Cumern Mailing Address: L113 S12 -a 7 f �
Telephone
Sipreai
2.2 AWhodzad Aeent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTMATED CONSTRUCTION COSB
Item Estimated Cost(Dollars)to be Official Use Only
combats voermitapplicant
1. Building l Lw— (a)Building Permit Fee
2. Electrical ?J�rs%a�n� (b)Estimated Total Cost of
7w•+V Construction from 8
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
S. Total=(1 +2+3+4+5) 4/ew, Check Number
This Section For Official Use Only
Building PermitDate
Nu oar:
ssued: L
Signature:
Building Commissioner/Inspector of Buildings pale
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Informatlon Must Be Cmnpleted.Peonit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column m be filled in by
Building Dcpar mwn
Lot Sia
Frontage C—
Setbacks From
Side L:O B:O LC R:
gado
Building Height
Bldg.Square Footage _� X ��
Open Space Footage %
(la,area mae � l
inbldg&paved 0 u o
#ol'Parking Spaces J
Fill:
wbme&luuriw
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO a DONT KNOW Q YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NODONT 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:
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and location: I
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO e-
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,goading,excii tion,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO01
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION S DESCRIPTION OF PROPOSED WORK(check all applicable)
Now House ❑ Addition ❑ RaPlacement Windows Alteretlonis) Roofing ❑
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [3) Decks ) IO Siding I01 Other Im
Brief Description of Proposed BCH { L�`fk�Ckv .. t lC L-�Cc
Work: ✓�' rON ) O
Alteration of existing bedroom_Yes 11-No Adding new bedroom Yes Z--No
Attached Narrative Renovating unfinished basement _Yes V No
Plans Attached Roll -Sheet
tta N New house and or addition to existing holadil 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 stones?
I. Method of healing? 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 No
j. Depth of basement or collar Poor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank CitySewar Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR7L CONTRACTOR APPLIES FOR BUILDING PERMIT
I, _/614> 4 Pa,4c as Owner of the subject
Property
hereby authorize ✓' iL y�t��/
to act on my behalf,in all ettem relative to work authcannSEed by this building permit application.
G t' t l2�1i4
Signature of Owner Date
I, ✓t L as OwnerlAuthorized
Agent hereby declare mat the statements and informs lon on the foregoing application are true and accurate.to the best of my knowledge
and belief.
Signed under the pains and penalties of perjuryij� .
J , C VC
Print Name /�
1- � 6 ��
Siprewre M Deas
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Su/mmisor: _ / Not Applicable O
Nems o/Licanse Holtler: Er/G ��/u/ c-5—f7��
License Number
1-46
Adtlres� Emire�Wb
'.
Sigretu Towl" e
/ _ // Not Applicable [I
�'✓[ L /f GL JUlTGi M � l�.�isl/<- I f I_I
Comunv Name G // RegiNumNum at
,20
Address EtplS'on Date
47
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,f 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...... ❑
City of Northampton
Massachusetts i� r
c � ,F . �
DS£xnTNENT O£ BUILDING INSPBCTIONS
212 Main Straat a Mualel0aullaieq
Mort6aoptov, Mx 01010 60
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes.Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair,modernization,conversion,
improvement,removal,demolition, or construction of an adddion to any pro-existing owneroccupied building containing
at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner has contracted
zzwith a corporation or LLC,that entity must be registered.
Type of Work: t !'cg T i fW 't fro,c.74A Est.Cost: 111 CC20
Address of Work: ¢✓ G 7 71—
Date of Permit Application: �/ l
I
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
_Job under$1,000.00
_Owner obtaining own permit(explain):
_Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter I42A.SUCH OWNERS ALSO ASSUME THE RESPONSIBI.ITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of petjury:
I hereby apply for a building permit as the agent of the owner:
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts
c
DBPAR12aSNT OF BUZI.DING ZNBPBCTIONB >i F
212 Win Ntr t • Nunlcipal Building(a n�r�
Norths g , W 01060
Massachusetts Residential Building Code
Section I10.R5.1.2
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.
Section 110.R5.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.R5,provided that if a homeowner engages a person(s)
for hire to do such work,then such homeowner shall act as supervisor.
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 Commonwealth of Massachusetts
Department of/industrial Accidents
I Congress Street,Suite 100
Boston,MA 01114-2017
www.mass.gov/dia
W%Norkers'Compensation Insurance Affidavit:Builders/Contractora/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
AnnOcant Information Please Print Legibly
Name (Business/Orgarur fionMdividml): 1 (sfc4 ?a, / r�L
Address: JrL 1'
City/State/Zip: Jt6at,rar Phone#: A lit1Y —6,7r 1yN
Are you ao employer?Cherk she appeapriste box: Type of project(required):
l.[:]l em a employer with cmployees(fun mNor pan-time).• 7. []New construction
2.nlm.awleproprimormpanversbipa havenoemployeeaworking formcm S. Rlemodeling
airy capacity.Mo workers'comp,insmence requft d l 9. ❑Demolition
III on a homeowner doing all work myself.Mo workerscomp.ivsmmcc mlui d.]'
4.Fl1vinehomeownerandwillbe Wringcov toowwndudellworkmmyproperty. twinl0❑Building addition
gimme not all cavaanma either have workers'compenserion insurance or are sok 11.❑Electrical repairs or additions
pmpnotaa with no crnployas' 12.❑Plumbing repairs or additions
S.�IamegeneN conractor and l have Lied the rvb-co..listed..the emchcd Accl. 13.E]RooF repairs
Three sub-w.bactore have emwoyees and have workers'compumnc
.inse.l
6.�a corporation and in officers have exercised their right of exempti.a per MGL c. 14. Other
152,§l(4),and we haven.employees.[No workers'comp.insumna required]
•Aoy applicant Nat checks box#1 moat also fill out the section below showing their workers'compevs tion policy infomution.
t Hormo.who submit thu eflichoa ivdicanog[hey are doing all work and Wen hhe outside cov.ecto.must submit a uew emdavit indican.,such.
;G adore that check this hox must anached air.&in.[sheet showing the fumeo£the sub-conbecwre and state whether ornot Wose entities have
employees. If the sub-contractors have employeeq Wey mast pmvde Weh workers comp.policy.umber.
I om an employer that is providing workers'compens edon insurance for my employees. Below is the policy and job site
information. T
Insurance Company Name: �CJ7��t �/L �Ul�� •/��
Policy#or Self-ins.Lia#: 7 t7 V Z & a& Expiration Date:
`7
Job Site Address: !// ��/ /� !�I City/State/Zip: Z/04 401W,
Attach a copy of the workers'compensation policy declaration page(showing the policy number and aspiration date).
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 fine 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 hereby certify under the pains and ides ofperjury that the information provided ab a is true/o/�d rreca
iLa.� /p�/ Date. ��
Ph # 4117 7/ —/ 1
Official use only. Do not write in this area,to be completed by city or town offrciaC
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityrfown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
i Massachusetts
1' DEPARTMENT OF BUILDING INSPECTIONS
233 aero Stneet •Municipal Building
xortnemptoq MA OlOfiO
Debris 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.
The debris from construction work being performed at:
f z
(Please print house number and street name)
Is to be disposed of at:
(Pt/4Z A T C-W c 1,� AA164T �
(Please print Vine and location M facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
r ~_V' Di2 s�/) q
Signature of Permit Applicant or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
� CAW pfp Louis Hasbrouck<Iasbmuck@nonhamplonma.gov>
Re: 44 Market Street let Floor.pdf
1 message
Louis Hasbrouck<11hasbrouck@norlhamplonma.gov> Fd May 17,2019 at 2:02 PM
Ti enc driver<ericdnver®hotmaf.com>
Cc:Kevin Ross<kmss@norMamplonma.gov>,Kim Carson<kcamon@rom ampWnma.gov>
Enc,
We've been sending ennels to a different address and we've called a couple times We.
The plans aren't as decided as they might be.We'd like to know what walk you're opening up.One other Ming;we'll likely require a hard wired smoke detector d the
work you're doing makes it possible and if code requires one in that boated.
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 office
(4131587-1272 tax
On Fri,May 17,2019 at 7:08 AM enc driver<encdriverithemail.ismi wrote:
Gel Outlook for Android
From:enc driver<enodriver@hotmailoorl
Sent:Thursday,May 9,2019 6:52:10 AM
To:Ihasbrouck@nonhamptonma.gov
Subject:44 Market Street 1st Floocpdf
Mr Hasbrouck
I am sending in some floor plans for 44 market St.We are updateing a old small house in the back of first floor.kitchen bathroom and back
porch leading to up stairs second apartment.It's complete demo down to existing framing New electric and new plumbing.New up to code
happens above windows and doors that where not there some sill work.Sealing all our gaps on exterior sheathing spray foam insulation after
your inspection and required fire separation wall on stair side of kltchen.Noted in the plans. I submitted an application early this weak just
sending I.The prints to go with it and update.
Thanks please let me know d there is anything else you may need.
Eric Driver
4136951947
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5/2312019 44 market revised 8 5-20-lgjpg
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