The URL can be used to link to this page

31A-268 (10) BP-2022-0296 47 DRYADS GREEN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-268-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0296 PERMISSION IS HEREBY GRANTED TO: Project# REPAIR FRONT PORCH Contractor: License: Est. Cost: 8000 KUEL MCQUAID 051394 Const.Class: Exp.Date: 12/11/2022 Use Group: Owner: ABEL ZUCKER ADAM L &HEATHER K Lot Size (sq.ft.) Zoning: URA Applicant: KUEL MCQUAID Applicant Address Phone: Insurance: 131 FERRY ST 41335375063 EASTHAMPTON, MA 01027 ISSUED ON:03/25/2022 TO PERFORM THE FOLLOWING WORK: REPAIR FRONT PORCH 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: >9 . CS)1 /l Fees Paid: $65.00 212 Main Street, Phone(413)587-I240,Fax:(413)587-1272 Office of the Buildine Commissioner SisaThe Commonwealth ofMassac husc j L . P 1 P Board of Building Regulations and Stand 4 rds rum i M,, It Massachusetts State Building Code, 780 OMR MAR 2 5 20/gumCIPALITYUSE fs.111,1__ n._,_ e__l_._-_._o_ 'i'._.r i Ti._--__ rl.-_.__t t Detrioi h ! e yt�n.-0 + t ........sal:b S-Gifiiai Application To Construct,Repair,1LG17V\'�-w eh-11Gi11V11�11 i.�Y 7 �tt�1?l,�ytli�li.r� ...IE One-or i wo-E annly Dwelctr'w 4 .,,_,,. F olnl r;77 l i.'nE. f 1 NO TNAmr-10N. �,:___�_ This Section For Official Use Oni _ ----- Building. Permit Number Lj P.22,4/G ) Date Applied• �‘..),‘._, ' toss //�2 3-Z5-2024 Ruililing(ll7:ria1(Print N nt ' Si tare Tlafa• II sE4',''L'l<4R*;1:SITE,INFORMATION - I.I Property Address: tAssessors Jail }�- e-=' I �.� l�I.ij.&Parcel Numbers (%(/ l -1 Des CrP" ttv 11 1.la s this an accepted street?yes no I Map umber Parcel Number 1.3 Zoning Information: i 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(it) 11.5 Building Setbacks(ft) Front Yard j Side Yards Rear Yard Required Provided ! Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§>4) 1.7 Flood Zone Information: I I.ii ewave Disposal System: ! Public 0 Private 0 Zone: _ Outside Flood Zone? ! Municipal 0 On site disposal system 0 Check if yes❑ �' SECTION 2: PROPERTY OWNERSHIP' ,y i 2.1 Owner'of Record: A thk1A1 ZU ck.G.(L Jolt j l 41471Pr J , INA A Name(Print) City,State,ZIP I 1-(7 i)/4400)S GIN 91-7 s-10 03I -z- Oleir.4.4 .-A-1 ,t'V"4 1.c•v-I, No.and Sttect ckplioii. Email Address 1 SECTION 3:DESCRIPTION OF PROPOSED WO R K`(check all that apply) 1 I _ , New Construction 0 Existing Building 0 i Owner-Occupied 0 + Repairs(s) 0 I Alteration(s) 0 Addition 0 I Demolition 0 I Accessory Bldg. 0 I Number of Units I Other El Specify: I IBrief Description of Proposed Work2: R e,f a2,.< o E •A is-C;7 1^cory--- po cc I i 1 SECTION 4: ESTIMATED CONSTRUCTION COSTS I! Item Estimated Costs' Official Use Only I t (Labor and Materials) I I.Building $ C>O U 1 I. Building Permit Fee: $ Indicate how fee is determined: I ❑ Standard City/Town Application Fee I 2.Electrical $ 0 Total Project Cost'(Item 6)x multiplier x 13.Plumbing . $ 2. Other Fees: V 14. Mechanical (HVAC) $ List: I 5.Mechanical (Fire $ ` ISuppression) Total All Fees: `4 I ! ! t Check Na.?.I R I Check Amount. L Cash Amount I 6. Total Project Cost: I $ g D 0 0 1 El Pi in Full ❑Outstanding Balance Due: City of Northampton , h g�,........... I�, j•'' Massachusetts � . 'e Ill , :c 1 DEPARTMENT OF BUILDING INSPECTIONS 7\ {tit r: _ 212 Main Street • Municipal Building J\• :C�� Northampton, MA 01060 43 .,••• 1/4 PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 &2 FAMILY DWELLING, ADnITInNS, PnOLS, DECKS, ACCESSORY STRUCTURES, FENCES. CiRniGROUND MOUNTED SO .AR. ETC. I. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of.reposed work (nigital and hard copy) .,. .,ite plan with IU:,auvl 1 of proposed structure(s) and set backs. 4. Construction Debt is Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new/replacement windows\. 8. Home Owner's License Exemption Form filled out and signed by Homeowner(if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees pain (if applicable) 12. Trench Permii public land DP�A 1 priva4 land Building Dep ,.. <,< - �;m.::,,,., by -1: f„:. a ,u by �;;,rildt„�, t,;,.�., 13. Stretch Energy Code -all new construction will require a HERS Rater A i davit to tie suomittea witn permit application before issuance of permit. 4. Please orcvide the appropriate fee it in the form of a check made lade payable to: The City of Northampton. i pto! 0 fir \@ Cr) ic ) . `9~ X�5 2_ 4c . i X;s�ikt [ E P6.rc_t Al2 v tex_e_v,/ fV = i ( N I A ivl Q2._ v1/4.,,_,k_ ,t_,„ -C.aoV c 4-0 tot_ .-,-2_e,fL k--o Ca_7 CAi_c_< SECTION 5: CONSTRUCTION SERVICES 5.11 Construction Supervisor License(CSL) / l U e..( /' c. Q 0.ok ! License Number Expiration Date Name of CSL Holler f 3 rc.( s s� List CSL Type(see below) IIi No.and Street i Type i Description ��(� �� ff_� /�1,L� �1 i U illls Unrestricted(Buildings up to 35,000 cu.ft.) '`�- �TU� ,v'' v Z� K Kes(ncied Idt.2 F'amity Dwelling City/Town,State,7.IP M Masonry RC Roofing Covering WS j Window and Siding SF ! Solid Fuel T3urning Appliances tf j3-S37-So 3 Nt c Qi4'ck,kvei Ak i.i)• o wt I Insulation Telephone Email address I D Demolition 5.2 ni Registered Hume Impiuvcent Contractor(HIC) /'`t i / M L �l HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name /3/ !--tx-c 5-�- iwT i I 1•�•aLt+t-1 �� hmaii aciaress Fe0' etucp-FoLk /44 ©1027 4Fl3-537-SO 63 City/Town,State,ZIP 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 ❑ No 0 SECTION ?a:OWNER AUTIiU_K!�4.'t'tCrN TO BE COMPLETED WHEN OWNER'S AGENT T OR CONTRACTOR APPLIES FOR BU IA ING PERMIT I,as Ov. r of the s,b;ect property,hereby authorize /ue ( M c Q va i o� to a y b half,in all matters relative to work authorized by this building permit application. /zc/zôza SECTION 7b: OWNF'.R'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. ))�� N(''nn /Kee_( L Q✓ec..A ' Z�•ZZ Print Owner's or Authorized Agent's Name(Electronic Signature) ( ate NOTES; I. An Owner who obtains building permit to do his/her own work, .n owner whohiresan unregistered contractor :T'^LG :_ :. :.i ��a.building b - ,or 11 °�:��TL unregistered L (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 I • www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial wail is planned,provide the information 1o; :_:._?ow , Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch) Gross living area(sq.ft.) Habitable room count *i CLlliiJLr VI amok,taiveu NumberSL Vecfroo{i s Number of bathrooms Number of h !t-rbat►,s 1} { Tyne of heating system Number of decks/porches Type of cooling system Enclosed Open ? a. "Total Prot Spare Footage"may be substituted for'Total Project Cost" .1,—,•.,11., .r v.r.• "._ _ At 4.r.v.e,E..• 1,-.1.I 1 fiE 1 1 IL,171..I 1...criu.VILE. I%_i.i.'N SETBACK- :1-31_,Al\T MAP: LOT: LOT SIZE: REAR LOT DIMENSION: I I I REAR YARD I I I .1 1 , I I I , I I I I I , I SIDE YARD SIDE YARD I I 1 I 1 I Ii I i I I 1 1 1 1 , 1 I 1 , 1 I 1 1 . I 1 1 . • TrRON T SETTIA.C..1( FRONTAGE i 1 + r cif' �ii7 r rgr--1+r]n /�o ,1. 77� SAS,.. ...`.,c usetts ( - A - WW yS�, O1 x ` (k 14 z� BUILDING INSPECTIONS { :� - .. avvi Liiaaa i:via, flit ii1U6(i ` 0 CONSTRUCTION DEBRIS AH 1DAV 11' FOR ALL DEMOLITION AND RENOVATION PROJECTS) in accordance of the prov+ssons of MGL c 4U, 554, a condttton or buifcffng FernIC .1 - - -- -!! -i-hr-- Elting f -- thic _ t_ i- iF . �:� :ss3� ,_ $I�at .... ... :.:,_ �£1 iss irs1= .:.:..: `s?i�: i�:`e� x ter;.=s: sip ra3Co^tCAri n3 :. nronerly licensed waste disposal facility, as defined by MG1 r_. 111, S 15OA_ The riehric will he r'iicnncerl. of in• Location. of Facility: kit) -11-4.1L r.A..e-Lo v\._ M A- he debris will be transnorteri y: Name of i aialiZa : ktie_( AC Q/ ,o#C x:tia-t ge nf Ant:Ncani_ le/ A �" , Date! 3/Z//0©ZZ The Commonwealth of Massachusetts (i4 Department of Industrial Accidents uI 1 Congress Street,Suite 100 __ t t,. Boston,MA 02114-2017 www inass.,pgosr/dua 91 sher,'Compensation Insurance Affidavit:Bnilders/('ontractn /EkMrici ius/Plumbers. fO BE:FILED 11T1'11'iiii:mina 1"TIM: Al'11111401411.1i. Applicant Information Please Print Legible, Name Iliusincss.Or nuattmind. dual[: /�t/'E_( A(C Jttt A. Address: J 3 51- C ity State/Zip: Eck.S4vi.wit cz�M Phone (3 -S3 7-SO Are yaw as ompluure?('note the appropriate bus: f 0 Z/ .i Type of project(required): I.®1 a employer shish esmihryec.Ihnil and as part-tanmc►' 7. New construction ". 1 am a*oil,:porprictur or purlmtY.hip and haws no cnapluycv.*It urkuue kir ere in 8. ("" Remodeling Joy capacity.tNtr shtrrker camp.mtwrant-c required" 11.�77 9 I am a lr nsetiores doing all oink myself.l fiti rtrlurance required.'' 4. El Demolition 4.0 I am a lunrrcuwte-r anJ shill I c hiring oa ura.itrrs to txnnJuct all work tin my property. I tt ell to Q Building addition tenure that all eYntiraclurs either hate%other. comm.-roasting uuurance in arc sole l l.C3 Electrical repairs or additions pnrpnetuit with is.employees.. 12.0 Plumbing repairs or adtlitions tiip 1 am a general compactor and I tut hired dire suia-contrauk re listed on the attached sheet. 111:1Roofr<llJlrs those oib-eutrtraeluts bat c employees and kat voirkers comp.entrance_; 6.0 We tot a corptrralitm and its officers hat c encreised diem tight rot e`cmptitet per Mtn..c. 14.0O11er R.eA0a1.0 152.11144,and we hate no employees.I%tt'u r cY.'comp.insurance requircd.1 'Ana applicant tholdbeciii box.711 most also fill twt the sodium[neon showing:their under,.'etruyerasaatitan policy infor malwu.. ' 1 hnn.vwners wbu submit this attrtlas it indicating they arc diving all murk and then hue uutaiJc contractors emit submit a n."tr athJat ll ttrttcatrng such. t:mtrackna drat check illut but must attached an additional.Iuci shoo the name of[he sub-cornractors and state whether to not tls..e cum.-.hate ciii nlosec._ Vibe,ubn7atnrotturr hate e9ttl.11N4-ti."they must prottde their nicker.'comp.policy number- __ _. _. _. ... I am an employer that is providing workers'compensation insurance for rnr employees. Below is the policy and job site information. insurance C'otnpany Name: Policy it or Self-its.Lie.#: Expiration Mite: Juh Site Address: (itv'State'Zip: Attach a copy of the workers'compensation policy declaration page(slumping the policy number and expiration date). Failure to secure coverage as required under MCI_c. 152.§25A is a criminal t tulaion punishable by a tine up to S1.500.0(I arclaor one-year imprisonment.as well as civil penalties in the form of a Sit)P WORK ORDER and a tine of up to S250.00 a day against the violator_A copy of this statement may be bow aided to the CMike of Investigations of the DIA tier insurance coverage verification. I do hereby certify under the pains and penalties/ of perjury that the information provided above is true and correct CXa Signature: ' iie / Date J f Z, /ZO ZZ Phone4: 4/3 s37 " S.06 Official use only_ Do not write in this area.to be completed by city or town official ('11 or Town: Permit/License# ' Issuing Authority(circle one): I.Board of lleal& 2.Building Department 3.City/limn(jerk 4.Electrical Inspector S.Plumbing,Inspector b.Other IIContact Person: Phone#: