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37-022 24 MOUNTAIN LAUREL PATH
600 FLORENCE RD-24 MOUNTAIN LAUREL PATH BP-2021-1080 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:37-022 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2021-1080 Project# JS-2021-001823 Est.Cost:$35000.00 Fee: $228.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CLAUDIO GARRIDO 89458 Lot Size(sq.ft.): Owner: MACLEOD PEGGY L Zoning: Applicant: CLAUDIO GARRIDO AT: 600 FLORENCE RD - 24 MOUNTAIN LAUREL PATH Applicant Address: Phone: Insurance: 140 NASH HILL RD (413) 268-9052 HAYDENVI LLEMA01039 ISSUED ON:4/2/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:BUILD 13X13 ADDITION 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. i l� , i • r • - Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 4/2/2021 0:00:00 $228.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner `I(GN MUT File#BP-2021-1080 C(,).VTLAVbR?) APPLICANT/CONTACT PERSON CLAUDIO GARRIDO ADDRESS/PHONE 140 NASH HILL RD HAYDENVILLE (413)268-9052 PROPERTY LOCATION 600 FLORENCE RD-24 MOUNTAIN LAUREL PATH MAP 37 PARCEL 022 000 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSE REQUIRE DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: BUILD 13X13 ADDITION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 89458 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 Demolition Delay i • . II' I 11/P/. I Sig q.ture 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. The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY �r :, USE ' Building Permit Application To Construct, Repair, Renovate Or Dttlts �,_ Revised Mar 2011 One-or Two-Family Dwelling ' !I/,_ This Section For Official Use Only / �A� Building Permit Number: SP- '.D l I Date Applied: (99 // T of iYj1!.l ti ♦ . ; 1 v. .. NOR 0V/ Building Official(Print Name) Signature IP nToII f�SAF� 1,. • SECTION 1: SITE INFORMATION Ao losn 7k)Ns A 4oerio-re.i(4 RI1.1 Property Address: u z4 1.2 Assessors Map& Parcel Numbers `u i 0).1 AI 4 at 0 Lct ct Pam, 0 3'7- O Z2—0 2.y 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) (MIA wet i s A 550''t d.t -n - C-lM t rn Cvl,u W4) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public Private 0 Municipal On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Pv 6Q� Mucl,e(Da nor�v\c-e, MROIO(02 NamelPtrht) City,State,ZIP a4 Moua;eur,, Lavre( Pa-fk 4-0-53( -l(l7 su,nraven`II e r' . aril No.and Street Telephone Email Addrss SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 'i( Demolition 0 Accessory Bldg. 0 Number of Units i Other 0 Specify: Brief Description of Proposed Work': I ui Id a 13.5' x 13,-6 ' Ctdd',t-il%vl on -ft,‘.c norrtil WCdfis;do 66 exI si-,rrc b,tl Id(Ay SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 0Q O 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ 0() 0 � 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ 3 Ov O List: 5. Mechanical (Fire $ I Suppression) Total All Fees: $ Check Nop Check Amount: - Cash Amount: 6. Total Project Cost: $ , 50 0 0 10 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL)1 �J © 1jJ 8 J it C I a.0 d1 cO G cL'r C I ci o License Number/ Ex i n Date Name of CSL Holder List CSL Type(see below) I L 0 kias h G-;'I RdII No.and Street Type Description ( 2 U Unrestricted(Buildings up to 35,000 cu.ft.) i`t(� 11 Q f�1 V l i 1(� PA A- �� I Restricted 18c2 Family Dwelling City/Town,Ste,ZIP M Masonry RC Roofing Covering WS Window and Siding 7S� �C6 PA Insulation Solid Fuel Burning Appliances 3Z _ 1 q-'� 9U(, C G�O CY' I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) r58gl1 6 6'44 L)i +�(-d-(cD o HIC Registration Number xpi 'on Date HIC Company Name or HIC Registr Name � � ( L - C' 10(97 Z.Cc9,/q No.and Street Email address /5 VA- a' 0(322/-5166 i /Town,State, IP Telephone SECTION 6: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. Signed Affidavit Attached? Yes J4- No . 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize (QCLus:k0 �0)-Eu d to act on my behalf,in all matters relative to work authorized by this building permit application. fe3 MacLeod 312c4421 PrintOwner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Ptiqi,i Mac.2o6 1'24e /2/ Print er's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 1 The Commonwealth of Massachusetts . 1 Department of Industrial Accidents _��wawa ° I Congress Street,Suite 100 +rr�i�i� Boston,ALA 02114-20I7 ''s www.mass.gor/dia 11inkers'('omprnsatioa Insurance:lflidasit:Builders/('ontratt ratbers. I O BE FILED N 1T11 I ID Pk:RMUITINiG AhTIIORITY. Applicant Information Please Print Leftibly � t Name(Business()rganirationtlaloridiml): (�{�/ Z�tc.c Address: /Y o Si-I L[Jz R 6 ,C' City Statc/Zip:► 1r r(b,c/V1 ii �. Phone ( k22ti#: -$7 0Art; ck uuanempluser?Chetheappropriateba. : Type of project(required): t.QIama employer with emplurer+dull and oap.ui-tame I.• 7. 0 New construction 2 fal a4 a sok proprietor or p iutnerilrrp and hair no employ cm.working tar me in 8. 0 Remodeling any eapuent1r.(su Hurler,'Lax".insurance equate( 30 I am a homeowner doing all Hod russet!. wueka..ramp. ra insurnC r-yauted.l' 9. 0 Demolition 4.0 I am a omoown-r and sill be l atiw urmp rn co einrs to conduct all work on mo peop+erty. I w ill 100 Budding addition h ensure that all aararaaiurs Other Iasc workers'aumpan ation insurance or are sale II a Electrical repairs or additions proprietor,oath no eniplotic.:%. 1__;J Plumbing repairs or additions 1,171 I am a amoral aamiraaiur and I lust hued ihi:sub'— ntsacton toted on the attached sheep l 3,� ai Rcrf repairs Ihew subtontraators lust ainptoyees and hase ouster% %can p.arsurana CO We are a crwpusm ffi un and its ocer%hasc esa:iosed thou mein o exemption f exe ♦pti n per E.K.I.-. 13-❑()the, 152.I1(4).cad we hate no employees.(No wur►en'comp.insurance reymrvl. *Any applicant that creeks hum al mug abo fill out the section below rhos mg then a tilers'compensation pulse)information. t Ihmravwaas who submit this aAriala it indicating they ate doing all work and then hue outside caaatrastsr,amine subnut a new attdas it indle-abai sirek. :Contractors that check this box must attached an additional sheet shaming the n:una of the su1+caanrastars and state v.heftier a'a not those entities haw eanplu}ces- II the sub-contractors lust cirri.).ee-..thaw most prtasrdelheir workers'romp.polioo mmmbet oaf an employer that is providing workers'compensation insurance for my employees. Below is the policy and lob site information. Insurana..Company Nance. — Policy U or Self-ins.Lie. : Expiration Date: Job Site Address: C its State Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MI c. 152.*25A is a criminal siolation punishable by a tine up to SI.500.00 andiur one-year imprisonment,as well as cis it penalties in the form of a STOP WORK.ORDER and a tine of up to S250.00 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 certlfy ander 'es of pe r/art•Mai the information provided above is true and correct. a Signature: _ Date: l�j7�/ ; Phone#: 0 I R- .59 etE 1 Official use only. Do nut write in this area.to he completed b; city or town official City or lawn: Permitllicense p Issuing.tuthurity(circle one): I. Board of health 2.Building Department 3.( its.Town(jerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone U: City of Northampton /-CtS�JCrirl^ S`S ..-Massachusetts 4" L- 7,1 .K ft DEPARTMENT OF BUILDING INSPECTIONS � � r. .� , 212 Main Street • Municipal Building 9�tiJ \� Northampton, MA 01060 rf,y. a..-\"' CONSTRUCTION DEBRIS AFI1I)AVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: (M-) / k%CC ./C</ivy — The debris will be transported by: Name of Hauler: �7—,/ <J �W Signature of Applicant: Date:e. ?��/ ti:....._ ..; , dition for MacLeod 24 Mountain Laurel - Path, Florence Existing home, Addition; North Elevation Addition for MacLeod 24 Mountain Laurel Path, Florence Existing home, Addition; West Elevationiing i 1 t v 1 I [� � r Addition for MacLeod 24 Mountain Laurel Path, Florence Existing Home a .1 T.11' I 9 Addition EAST Elevation Addition for MacLeod 24 Mountain Laurel EXISTING HOUSE Path, Florence f'f 7.Is. SZ i'f M. 13 CO v L 7 CO IOW 000 ,4A EXISTING wood deck to be discarded d Wn cI mow 111 Six 4' Pre-cast footings • za p i I 135'Wide with stairs Sono tube • footings Addition for MacLeod EXISTING HOUSE 24 Mountain Laurel Path, Florence ru v L 7 I _2X, jot 16"on center floor joists d W n 111 I � //c) 11/ 13.5'Wide With stairsa Sono tube footings Addition for MacLeod 24 Mountain Laurel Path, Florence Fixed Skylight Fixed Skylight II i .' '� ' 24"on center trusses M1