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23A-271 (18) BP-2023-0299 39 MIDDLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-271-001 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-2023-0299 PERMISSION IS HEREBY GRANTED TO: Project# SIDING 2023 Contractor: License: Est. Cost: 28238 KPM OPERATIONS INC CS-115346 Const.Class: Exp.Date: 07/03/2024 Use Group: Owner: ENMAN, TIMOTHY M.&SMITH, SAMANTHA L. Lot Size (sq.ft.) Zoning: URB Applicant: KPM OPERATIONS INC Applicant Address Phone: Insurance: 250 HENDRICK ST (413)658-8215 20039886 EASTHAMPTON, MA 01027 ISSUED ON: 04/03/2023 TO PERFORM THE FOLLOWING WORK: GARAGE TO 2 OFFICES AND SITTING AREA 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: • if• >2 . TAIT Fees Paid: $184.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner IJEL00 1-log !Ni-U r_ e ilQt-f//•)q P6196 5c�r a r-t rai. 3-13 '�:� T J E r MAR - 9 2023 The Commonwealth of Massachusetts r f l Board of Building Regulations and Standards _ FOR \� i Massachusetts State Building Code, 780 CMR M�IUSE LITY Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building PP rmit Number:um� 8a- 2 -- '! f Date Applied: K;L/,k,<1Z Ll 3-zez S 3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 3`( A'LIt4:._ k 1.1a 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: Ern VI ►‘ti'l &1004 0.09Von% MIA ©AOtDa Name(Print) City,State,ZIP 3 9 IAA;1A.1.� 61- 611 — 4577--3't 413 06k m%ftt\--{"c_c 111Ctil-CIA 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) !Er- Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': j Lvrti 6Lc-,.rc, i r,, #c7 2. 1�f�;c_. aN.1 Sd- .ti5 5tr--C-C1- /Ue� PP4 t oc-K.- .1 LhslAkI-ivtt SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ a..3 a 5( I. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ f�q-e` e4 Q4 Check No./O 2, Check Amount:/73tf,—Cash Amount: 6.Total Project Cost: $ 29230 ..— 0 Paid in Full 0 Outstanding Balance Due: , . iLk The Commonwealth of Massachusetts i ..„. Department of industrial Accidents t l Congress Street.Suite 100 Boston,MA 0114-1017 wwwmass.gov/dia Workerst Compensation Insurance Affidavit:Bu'ilders/Contractors/Eirctricians/Plumbers. It)IIE FILED WITH'1111F.PEItM.11TING A0'1101,1141, Anolicant I nformatitm Please Print Leoiblt Name f'Business IkpanuitiervIndividual): 6 CC) (YeS'at\ors Address: G ._-.)0 1/4--\eipe\Qc 1._ Sk---. - - - 0 (-- ., c \ City/State/Zip: E.6,5-\\f\QARk(YA i 01,0 -4) Phone It: -Ut 3-(oc-3 c -)(Art yam as employee Cheek the appropriate tout: Type of project(required): • in ton n crrt,love,with crriphs:ozes(WI andOe part-timer' 7. ci New construction am a wk proprietor or portneinbro and have nu employe walking for me et 8_ c4 Remodeling any capsetty.(No marten.'comp ineturatax rroirmil 9. IN Demolition ILI lam a serricoorier doing all amok nail:[No workers room insurance required". IO 0 Building addition 4.0 1 ant a homeowner and will ii hiring vxmoletory to conduct all work on my property, 1,411 CIINUrt that ifli callitikil/rS C WW1 heat MISkerg'noropena.atron insurance of are sole 1 i a Electiical repairs or additions pniptierots with no L'ITIU'SCCh 1.2.13 Plumbing repairs or additions 5 I ara a generui cuntractot and 1 bast butil the suit-euntractors listed on the and...fall sheet I30 Roof repain; These 311i,1:urgractors base onploy-ces and Mere workers'ccorp.insurance; 14.00ther tLi We are a corporation and its officers hate exercised their right of 1:ACITIpiliM1 per l'eltal e. ._ 52,.110).and vet have no employees.[No nixie&croup.Iowa-Luxe required.l "Any applicant that chocks boa al naval aisti till out the section below showing their vsotim'vaniipeznattoin policy Lilf4xtnalbun- s 1.hr/rico...Tyr%who submit dos affidavit indicating they are citing all winit and then he outside contractura moo suncrtit a new affidavit;rationing suck :Contractors that cheek this box 1E1114 attached an JtittiliglatIl sheet shiroiing the name of ilir”ab-eontinctors and state whether or not those...mink:,hasv mriolievecs If the sub-contractors Fuse employees,.they must pri.o,'We their A i.,1 k,:c.,.'comp,pohc.,ownIser -2 .,_.,. lam an employer that is providing workers'compensation inlirrance for my employees. Below A the policy and fob site information. Insurance Company Name: C_orcord. Gt.-00.p I nsweanc..e__ — Policy#or Self-ins.Lie,#: , I3C-).. C3V38(40 Expiration Date: 1 1 gia4 Job Site Address: 364 (NI iMk(,<S\-- City/StateiZip: OC(ktle.ri\j`0 . n nA0 0(00 Attach a copy of the worken'compensation polky declaration page(*hotting the policy number and expiration date). Failure to secure coverage as required tinder MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500_00 and/or one-year imprisoninent,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to 5250.00 a day against the violator. A copy of this statenkut may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. _ I do hereby certify under he alas a d nobles ofpraJwy that the htfirthititiOt IProvided above is true and correct Signaturc ,z .pe'__....--Z------- Date: 3 13 la3 Phone 4: Lk k - (--f,--)S—t--1(40,93 Official arse only. Do not write in this area,to be completed by city or tows official City or Town: Penni1JLicense rt Issuing Authority (circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector i. Plumbing Inspector (.Other t'ontact Person: Phone*: City of Northampton s� 'c ° Massachusetts �?;,- ,, • . 4 DEPARTMENT OF BUILDING INSPECTIONS `' 212 Main Street • Municipal Building t- O Northampton, MA 01060 '{tyy j\14 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: Location of Facility: ��� Eck,4vCacn d . �0' h, O\Ob0 The debris will be transported by: Name of Hauler: K Ch Signature of Applicant: Date: 3 " 3- 2 3 • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) _ �s- IIj346 ar- d3 -a`f License Number Expiration Date Name of CSL Holder -5O ekietri List CSL Type(see below) No.and Street C� Type Description 5�Imp TOIL M A b'b27 ( Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP , / Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances y� _��� ��OZ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) �j 1g V615 as- HIC Registration Number Expiration Date HIC Company Naa or IC Re istrant Name .5 ) I (-i( s+- rnaUl.co o o. m N nd*vet J Ema ddress - a1•417 ivy 1y14- oitg-7 i/136scis, IS 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 0 No . 171 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 \.. j iGiS to act on my behalf,in all matters relative to work authorized by this building permit application. I rn h 1)1 u� ronic 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 col_2_Wned in this application is true and accurate to the best of my knowledge and understanding. ll L., h &t aprogurr 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" City of Northampton Massachusetts �'' ,''e 2 A.,' DEPARTMENT OF BUILDING INSPECTIONS t,, vt ' i �', b 212 Main Street • Municipal Building � Northampton, MA 01060 s40 \ HOM OWNERS'EXEMPTION ELIGIBIL AFFIDAVIT l /l�7?ic I, I , M G f h A, C�A frto vl insert full legal name), born (insert month, day, year),hereby defose and state he following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Buildin: Code, codified at 780 C 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold egal title. 2. I am not engaged in, and the .'oject or work for hich I am seeking the aforementioned homeowners'exemption, does not involve the field erecti, of manufactur'd buildings constructed in accordance with 780 CMR 110.R3. 3. 1 qualify under the State Building Code's de'nition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns a parcel of and o which he/she resides or intends to reside, on which there is,or is intended to be, a one-or two-f. i dwelling, attached or detached structures accessory to such use and/or farm structures. A person , o constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachuse s cons , ction supervision license and, except to the extent that I qualify for and will abide by the Massachus, is State : ilding Code's requirements for the supervision of the project or work on my parcel, I am not engage, in construc ion supervision in connection with any project or work involving construction, reconstruction, /iteration, repai removal or demolition involving any activity regulated by any provision of the Massachuset s State Building Co'e. 5. If I engage any other per on or persons for hire i connection with the aforementioned project or work on my parcel,I acknowledge tha I am required to and will a. as the supervisor for said project or work. Signed under the pains and pe alties of perjury on this 3 da of /A ur c v l ,20d_ ignature) - | - - r-- � -- [- ---' | | | } --�- ' -�--! �'--T--7 � ------ | � | ' � | ' | ' -- '- WOR lktv NJ Old IF - 17 | / ' ' � ' � POImail Jodi Koomen-Bias <jodimichant@gmail.com> 39 Middle st 3 messages Jodi Koomen-Bias <jodimichant@gmail.com> Thu, Mar 9, 2023 at 5:32 PM To: kross@northamptonma.gov Attached is the drawing that we forgot to drop off with the permit paperwork. Let me know if you need anything else. • 20230309_172859.jpg 1483K Kevin Ross <kross@northamptonma.gov> Mon, Mar 13, 2023 at 10:49 AM To: Jodi Koomen-Bias <jodimichant@gmail.com> Hi Jodi, Thank you for the drawing. I will also need the following information: - U-Factor for the windows ----12'C.•- -sectional drawing of the wall showing what size the wall will be, insulation R-Value Rig -the distance from the door to window on the front wall -what is the use of the new space going to be used for? I see in the description it reads 2 offices and a sitting area. Thanks, Kevin agvv, `k CoMk- [Quoted text hidden] Kevin Ross Local Building Inspector 212 Main Street 587-1240 Northampton,MA 01060 Fax 587-1272 kross@northamptonma.gov Jodi Koomen-Bias <jodimichant@gmail.com> Mon, Mar 13, 2023 at 10:54 AM To: Kevin Ross<kross@northamptonma.gov> Thanks for the update. We will be back the 22nd of March from vacation and will get that for you. [Quoted text hidden] „,,„- ,„ ,„,,,,„„:„‘„T, „4„,..„77-7,7,77.777: . ' -_,,,ot,,,,,,,, „pH,.,ii,A4Nakiploritirstrf , ...,..e.,,,,, .,,,,,,: i . a �i. ° a ` y.a ' Ill!f ! ff\ lkii4 .ems \ .. •n , § me, .. s s .. y soaw _„aw.., -2,,sy,:;,,:,,,..imiu., :,,,k.,,‘, ,-:. ,..,,•;,1110\I .1110. ,;;;,;„„,„;h:,: y,:;:...4::,1,„:::.. 1::,;,x.;roliti,,,,. .,..v„ . 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