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42-055 (4) BP-2023-0219 608 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-055-001 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-2023-0219 PERMISSION IS HEREBY GRANTED TO: Project# RENO 2023 Contractor: License: Est. Cost: 61000 KENNETH M HOBBS CS-95059 Const.Class: Exp.Date: 11/14/2024 Use Group: Owner: LILLY GAEV BENNETT N & Lot Size (sq.ft.) Zoning: WSP Applicant: KENNETH M HOBBS Applicant Address Phone: Insurance: 95 SOUTH ST APT 2R (413)695-5862 MPT 3792 L NORTHAMPTON, MA 01060 ISSUED ON: 03/02/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR AND EXTERIOR REPAIRS/RENOVATIONS ADDITION OF 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: 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: ►i Fees Paid: $397.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner vO K File #BP-2023-0219 APPLICANT/CONTACT PERSON:KENNETH M HOBBS 95 SOUTH ST APT 2R NORTHAMPTON, MA 01060(413)695-5862 PROPERTY LOCATION 608 WESTHAMPTON RD MAP:LOT 42-055-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $397.00 Type of Construction: INTERIOR AND EXTERIOR REPAIRS/RENOVATIONS ADDITION OF FRONT PORCH New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan T FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON ORMATION PRESENTED: h nn Approved Additional permits required(see below) 'Apt ('�'C 'wr L 8"Y PLANNING BOARD PERMIT REQUIRED UNDER:§ ►N CoM l-' Intermediate Project: Site Plan AND/OR SpecialPermit With Site Plan OWkit,{ZS'Hip 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'' lit I # 3/) /3'3 Si L .ture of Building Official � i I 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,Depar ent 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 f Planning&Development for more information. .i -s--f--,Cri .-'. ..P--6'i. The Commonwealth of Massachusetts—7` ? ~� Board of Building Regulations and Standards -? ?(" FOR �� - ,,?MUNICIPALITY Massachusetts State Building Code, 780 CMR USE Building Permit Application To Construct, Repair, Renovate Or Demolislj . Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: t6P- .2 3- j ' Date Applied: % 6 3/1/d3 BuildingOfficial(Print Name) Signature I Date , Sn SECTION 1: SITE INFORMATION 1.1 Property Address: � 1.2 Assessors Map& Parcel Numbers "� 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 17 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: err- 6-11-FV fOrEro(5- M At- oc o(2- Name/in(Print) `/ City, State,ZIP / / 606 tti, rN / /� .R©AV 4/13-�055 ' IrLl� CT.7 �✓ �[T/f✓1A'T�f C..t: 4( 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) F( Alteration(s) 0 Addition lV Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work':f- C'fi-,/r5F( , ,ryrp.i r •t yv�r lineal ,sL( Sicti -f/ —1/ i & (6 6-."---7/ A�I- .Z. 61N L36744 / Ut°2fl PL.L4 ea) k! / 4✓POP A T ',PG. 'NJ G— SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5g 000. — 1. Building Permit Fee: $ Indicate how fee is determined: Fee 2.Electrical $ 2/500_� 0 Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 3 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire �,v Suppression) $ Total All Fees: y'-Q7.— Check No. 1 l✓check Amount , `1 Cash Amount: 6.Total Project Cost: $ 6'f- 0 Paid in Full 0 Outstanding Balance Due: 1 / SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supe visor License(CSL) ©c 5 DG 9 ' t. i I 'Zl License Number Expiration(Date Name of CSL-Holder C,� '"/ � � , List CSL Type(see below) _ V � No.an8 St efet o � 2 Type Description , ` Unrestricted(Buildings up to 35,000 Cu.ft.) /�Q� �� Restricted 1&2 Family Dwelling CCCity/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 4Q 2 �Oolh4P1 � I Insulation Telephone ail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) r\EN tk OR HIC Registration Number xpiration Date HI Company Name or r �� .� ) j �A� No.and Street `.' mail a rY \ ikkankNAVPM17 n'1A. 01 n 62 City/Town,State,LIP 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 0 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_ T� � �% �� to act on my behalf,in . 1 matters -lative to wo l'C authorized by this uilding permit application. X. / / LAM . rizo Print Owner's Name(E ectronic Vgna ure) Date SECTIO 7 i: 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. � �� ( 2 7 5 j, 3z3 Print ner's or Authorized gent's ame(Electronic Signature) Late 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" City of Northampton Massachusetts • �� • � f r i DEPARTMENT OF BUILDING INSPECTIONS 4P. ' y +' 212 Main Street • Municipal Building �, Northampton, MA 01060 "W .011 CONSTRUCTION DEBRIS AFFIDAVIT (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: /ova,— Location of Facility: 23y g- t i � " , //Ae` yt L IB /(9dp The debris will be transported by: Name of Hauler: `2 A/, Signature of Applicant: Date: The Commonwealth of Massachusetts ifINZL 14:4 ,1.1511.1a146 Department of Industrial Accidents / Congress Street,Suite 100 --- img• "Ze Boston, MA 02114-2017 • - WWW.M ass,go Wdi a Jokers' Compensation Insurance AffIdas it: Builders( ontractorxtEkctriciansfPlumbers. '11)BE FILED WITH THE PERM IT1.1NG AUTHORITV. Imilicant Information Please Print Legibly Nance kausincss,Orvinization'individuall: ,61.1,43.Qn.L) Address: Ns 444e,,060 City/StatelZip: A10Dxgp,Atorro Phone#: (`1,3) 6.75—56362. Any..an iniplio3,cr`:( hick the appropriate hot: Type olprojeet(required): 1.0 I am a employix with employee*(full and,C4 pari-timo• 7. B'Nevv construction 212r1 am a sole prupnetor or partnership and have no employees working for roe in 8. ErRemodeling any capacity.[No wiorkers'cump.Matra/We irspaird.) a;0 am a homy w doing all work myself.(No'makers'comp,.insuran:e required."' 9. Demolition arr3uilding additio 4.E]I am a homeowner and wiLl be hiring rams:actors to oanduct aft work on my property. I will MUM'that all iyouratiOrh either lose workers compensation insurance 01 are 10.1e it.Ettlectrical repairs or additions rnupnvtura with no oriployces. I 2.[34‘imbing repairs or additions 5 I am a,genetal contractor and I have hired the subwyntractors listed on the attached shc,1 1 3.E.(oof repairs 'nirsr iub-eimiractors usc mink)ma and hat e workers'comp.instionunce.: 14.0C:ft/ter 60 We are a ociworation and its officers have exercised Chien right of exemption per ACE c. 152,#1(4),and we have no employees.[No woken'coinp.nuisance mutinied.) Any applit ant that check%hot at mint also till out the...:4-tion below short mg their tsorkiss'compensation policy information Homeostnen.sotto submit this affidatit indicating!Ili!!JP:dimrig all work and then hoc outside contraetors mint subunit a new alias%it inditating :Contractor%that check tins bot mum attached an additional sheet show ins the name of the tub-contractor%and'tate a Nether or not those entities bare ,uh-orniraetors b .c cirqrlu cc .the, finial pro:,ode their worli.cn,'oimnp poit.. itiianho I am an employer that is providing workers'compensation insurance for an employees. Below is the policy one/job site infOrmation. Insurance Company Name. Policy#or Self-ins. Lic. L. Expiration Date: q Job Site Address: City/State/Zip:dazivfAttIOrri() /44—c91 DeC-0 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under NIGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 atukor 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 fury,urded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certifytar the pains and penalties of perjury that the information provided above trite trldr1 eurrect Siiinature: Date: 2 • 17,„g-G.45=52;6'2— ()Wild use only-. Do not write in this area,to be completed by city or town officiaL ( its or Town: PermitlLicense Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.CityrTown Clerk 4.Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone#: I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on Department of H.U.D. Federal Insurance Administration Maps, Community Number 250167 0001A Identification to April 3, 1978 By: 824.- v TO THE BANK OF NEW ENGLAND-WEST OWNER' • BENNETT N. & LILLY S. GAEV AHD THE COMMONWEALTH LAND TITLE INS. CO. — ONLY LOCATION' To the best of my knowledge, informa- 608 WESTHAMPTON ROAD, NORTHAMPTON, MA. 01060 tion and belief, I hereby report that I JEY have examined the premises and that this ALMER HUNTL _ R. a ASSOCIATES INC. inspection plat shows the improvement or SURVEYORS - ENGINEERS - LANDSCAPE ARCHITECTS improvements as located on the premises de- 30 INDUSTRIAL DRIVE EAST P.O. BOX 568 scribed, that the improvement or improve- NORTHAMPTON, MASSACHUSETTS 01060 ments are entirely within lot lines , and that there are no encroachments upon the SCALE' premises described by the improvement or 7.0N ti= lad improvements of any adjoining premises , except as indicated. I further report that DOUGLAS DATE' there are no easements of record affecting 'g W PSON . the tract shown hereon, cept as noted. - TNo.M2808r3 • S PT- ?� !98" �\ _ sa >v JOB NO.: _ M �_.i- 8- -7?4 . THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY �- z2c'It CToTA\) -- < 17) --- ) i / I �-I t_J JI 1 °- / I 7 1+ CO 1 it O N., r o . 0 �� + oo rOl d . ',-- 3.12. ems'+ u -1 di 7 0 1+ N T1 .A 0 i+ G f `t- -7IS'± -v &� ;t. tss F r C:-.11/_;)176"4 ) 1;7. -)() -6) • �r c,-7o-z 1O e)\ '_Lc3 sue-- 1 r,, 0 , , • ' y _ , i • fl N. s -a J R ^ ..} ,, ,_ �� i� Y` _ �_ . ...ra.04453.1.7.7 36.:4. etc .......... . ; 1 - • r