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42-125 (5) BP-2022-1504 142 GLENDALE''RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-125-001 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-2022-1504 PERMISSION IS HEREBY GRANTED TO: Project# RAMP AND DECK Contractor: License: Est. Cost: 8000 S-CEL-O LLC 076237 Const.Class: Exp.Date: 04/24/2023 Use Group: Owner: COMMUNITY CARE RESOURCES INC Lot Size (sq.ft.) Zoning: WSP Applicant: S-CEL-O LLC Applicant Address Phone: Insurance: 142 HANCOCK ST (413)273-1431 085BAIX9625 SPRINGFIELD, MA 01109 ISSUED ON: 11/21/2022 TO PERFORM THE FOLLOWING WORK: BUILD RAMP AND DECK 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: - Q 11:54L, Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Z—ok File #BP-2022-1504 APPLICANT/CONTACT PERSON:S-CEL-0 LLC 142 HANCOCK ST SPRINGFIELD, MA 01109(413)273-1431 PROPERTY LOCATION 142 GLENDALE RD MAP:LOT 42-125-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING ?ORM FILLED OUT Building Permit Filled out Fee Paid $100.00 Type of Construction: BUILD RAMP AND DECK New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: J 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 4 7�a- Siy 4ture 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. 74 come r C< h`c- r- r01, ri - iV 1 R C The Commonwealth of Massachusetts W Board of Building Regulations and Standards NOV 2�2� FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY SE Building Permit Application To Construct, Repair, Renovate Or Dernolishitr,w Rol'ed`Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6/2-.4A ' fS0 Date Applied: , I 1 2` Building Official(Print Name) Signature719 to SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1712 GL61vUALE 2041 1 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) 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: Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 11to N SMA'NG -6G(), /I J"J Name(Print) City,State,ZIP yol ti/34.2rtj Sr. 0/3) 7t/i- 0705 No.and Street Telephone Email Address 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 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work2: ac,t((ot / CI sip se-- L'ee SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building 1 $ 6 a V " 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2. Electrical $ 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ Q 2. Other Fees: $ 4. Mechanical (HVAC) $ Q List: 5. Mechanical (Fire $ Suppression) d Total All Fees: $! DO �� Check Nq 7 yl�heck Amount:l a') —Cash Amount: 6.Total Project Cost: $ 00 O. ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS U '� g'7 EIicvi i e `(241 License Number Expiration Date Name of CSL Holder . 5 / PV /On J r.{— List CSL Type(see below) isIo. nd Streit Type Description kJ11// V V /•//1 ci cur r Cr o 60 7 S U Unrestricted(Buildings up to 35,000 Cu.ft.) / Restricted 1&2 Family Dwelling City/Town, State ZIP M Masonry RC Roofing Covering WS Window and Siding _� 1 SF Solid Fuel Burning Appliances / 2 7$ `1 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address 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 DV No . ❑ 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 0 — C e-1 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's NIame(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. Print Owner'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.masLs.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 arda(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" City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In acordance of the provisions of MGL c 40, S54, I acknowledge that as a co dition 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. Ad Tress of the work: `72 6Imol#4 �°'� , /14" "/1°'' The debris will be transported by: //SA DUr1/057"E2 The debris will be received by: (/SA LUNIIo3 7 R Building permit number: Name of Permit Applicant 1IT'6 e-t& Date Signature of Permit Applicant CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD aO SIDE YARD SIDE YARD FRONT SETBACK F � / FRONTAGE r ~' The Commonwealth of Massachusetts I•— =mal Department of Industrial Accidents =ems 1 Congress Street,Suite 100 _:J;=f Boston, MA 02114-2017 K'WW.mass.gov/dfa - 1%uticers'('onmpensation Insurance Affidavit: Builders/('ontractors/ElectrieiansfPlumbers. 1'0 BE FILED%%lilt -IIIE PF:R.MLITlM;AI'"1'IIORITY. Applicant Information Please Print Legibly r I Mane I LBUstncss:,(hl;anizattutt Individual): D - C U - 0 L L Address: lLI 2. H A J CC<i� 3 T. City/State/Zip: S Pit-i' GG F;F Lb, MA , 01109 Phone#: 4/13 - 27 3 - 14/31 Are yea as am ilu er?Cheek Ire appropriate boa: Type of project(required): I.©I am a employer with employees(full find or part-titre).• 7. D New construction 2.I am a foie panptietur or partnership and have no employers.working fur me m S. 'Remodeling my opacity.[No workers'comp.insurance ealwrtal_l 9. [, Demolition 30 I am a homeowner doing all Huh myself.[Nu workers'comp. unurance eyurrtd_l' 10❑Building addition 40 I am a homeowner and will be hiring contractors to conduct all work on my property_ I will mane that all contractors either have workers"compensation insurance or are sole I i L Electrical repairs or additions proprienrs with no employees. 12.0 Plumbing repairs or additions 5 J I am a general contractor and I have hued the sub-ccontractors listed on the attached sheet. 13❑Roof rtLpairi There nab-contractors have employees and have workers'comp.insurance.: �`'� 6.0 We are a corporation and its officers have exercised thee right of exemption per Will_c. 14 L-J Other 152.if l(4).and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. 'Bonier wners A ho submit this affidavit indicating they are doing all work and then hire(outside contractors must submit a new attidav it indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and%talc whether or nut those entities have employees. If the .<<h-contractors have employixa.they mint provide their workers'comp.policy number. i am an employer that Is providing workers'compensation Insurance for my employees. Below is the Indic'}'and job site in f nrntatitnt. Insurance Company Name: IIXi A 1NSURANC& SClevi C6S INC . — Policy#or Self-ins.Lie.#: 00 5 a A i X 9 6 2-5 Expiration Date: O9/09/23 Job Site Address: 142 GI-CNbAt- #PO4b city/statelzip:Nmrt-tANwrav, M4, OL062 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal v iolation punishable by a fine up to$1,500.00 and'or one- ear imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against he violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sit_mature: Date. Phone : Official use onh. Do not write in this area,to be completed by city or town official City or Town: Pernait'License## { Issuing Authority(circle one): 1.Board of Ilealth 2.Building Department 3.(Ilya-own Clerk 4.Ekctrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: 1 liendale Road o , Ramp 10 S ceir_ o/BHN House#142 ® ® Glendale Deck 12' ; I 12' Road 200'+ *Not to scale. 142 Glendale Road Site - 2022 Construction of two ADA compliant porches. Joist hanger on all joists 16" on center ledger screws , 2 x 10 ledger board 0 ' 18" on center joists 01130 3 .„ Between balusters 2x10 Deck 2 x 10 Beam lb _ ,_4x4 48" x 10" Post Base Footings Double 2 x 10 Beam 12" From Beam to Deck Each Stair is 7" x 11" jai 2x10 ,., .. ,...,, t ‘-t a."). 2 * ktil I I -- .01 __,,------- __-----------... ____ . --1---,--1'- r 3;:;0-1 14 IV __......„„________---.--,---------- ,..-...--.. ••,'.. . .., , ,,,,,,, j 1 ! . 1 i_- - . ---- -- - ..A.k t-,,.( __.._ ,., ..,........_ „/1 --- - . ... . . . . .______--. ----- — — ---_ •,_ -.: ,.,.. — -— , . . 1. al 1 544141-,S. 4911s-I —-- -34\ ‘i$,,v, r'lli(In \ ' !..._ , .. ...._ 1 1)