31A-047 BP-2024-0632
249 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-047-001 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-0632 PERMISSION IS HEREBY GRANTED TO:
Project# ADDITION 2024 Contractor: License:
Est.Cost: 415000 MICHAEL MACDONALD 60750
Const.Class: Exp.Date: 05/19/2025
Use Group: Owner: CHEN,HENRY&SKYLER TREAT
Lot Size (sq.ft.)
Zoning: URB Applicant: MICHAEL MACDONALD
Applicant Address Phone: Insurance:
7 SHAW LANE (413)250-8943
HADLEY, MA 01035
ISSUED ON: 05/17/2024
TO PERFORM THE FOLLOWING WORK:
EXPAND 3RD FLOOR, 2 STORY 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:
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: 1/2_
Fees Paid: S2,698.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
cep r,
, ,,...a c,c,6..4,0 , r------ ---________-1 li i ' • 1
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MAY 1 2024
sts The Commonwealth of Massachusetts 'r
Board of Building Regulations and Standards ; -:,.1. F(
Massachusetts State Building Code, 780 CMR -pd.,ar-suit f"_, rl, t,,ruqkia.ALITY
,. 0106if
Building Permit Application To Construct,Repair, Renovate Or Demolish a 7i'et'/.red Mar 20//
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6 P. �-e/� Y i )— Date Applied:
44--7, os s i /Z 5-r7 2,029
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
249 CRESCENT ST, NORTHAMPTON MA 31A-047-001
l.la Is this an accepted street?yes no Map Number Parcel Number
1.3
Zoning Information: 1.4 Pr erty Dimensions:
R 11068 69.86
Zoning District Proposed Use Lot Area(sq fi) Frontage(II)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
20 30 15 8.5 20 75
1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private❑ Zone. _ Outside Flood yesO Zone'? Municipal 0 On site disposal system 0
Check if yes
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
HENRY CHEN, SKYLER TREAT NORTHAMPTON, MA
Name(Print) City,State,ZIP
249 CRESCENT ST 571-294-7617 '"henryechen@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building® Owner-Occupied III Repairs(s) 0 Alteration(s) 21 Addition LID
Demolition 0 Accessory Bldg.bd Number of Units Other 0 Specify:
Brief Description of Proposed Work2: EXPAND EXISTING 3RD FLOORWITH NEW WALLS AND ROOF
STRUCTURE, 12'X12' 2-STORY ADDITION TO THE BACK OF THE HOME
REMOVE WOOD DECK
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building S 350,000.00 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical S 20,000.00 0 Standard City/Town Application Fee
Cl Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 15,000.00 2. Other Fees: $
4.Mechanical (11VAC) $ 30,000.00 List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ /�Check No. 13) $ heck Amot ;to ash Amount:
6.Total Project Cost: $ 415,000.00 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-060750 5/19/2025
MICHAEL MACDONALD License Number Expiration Date
Name of CSL bolder
7 SHAW LN List CSL Type(see below) U
No.and Street Type Description
HADLEY, MA 01035 U Unrestricted(Buildings up to 35,000 cu.R.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-250-8943 1MSMBUILDERS@GMAILCOM I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 121690
10/28/2024
MICHAEL MACDONALD
HIC Registration Number Expiration Date
HIC Company Name or IIIC Registrant Name
7 SHAW LN 1MSMBUILDERS@GMAILCOM
No.and Street Email address
HADLEY,MA 01035 413-250-8943
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 la 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 MICHAEL MACDONALD
to act on my behalf,in all matters relative to work authorized by this building permit application.
HENRY CHEN 4/2/2024
Print Owner'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.
MICHAEL MACDONALD 4/2/2024
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. 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. I42A.Other important information on the!ITC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at ww•w.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
r • ff Massachusetts ti . '4
HS L
DEPARTMENT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building 1 !O�
Northampton, MA 01060 L.
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: USA WASTE
The debris will be transported by:
USA WASTE
Name of Hauler:
MIKE MACDONALD
Signature of Applicant: Date: 4/2/2024
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SEE ATTACHED SURVEY PLAN
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
*
_ N 04'32'W w 87.80'—
stockade teats
_'- ASSESSORS PARCEL 10 .- 31A-047-001
HENRY CHEN a SKYLER TREAT W
2
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s LOT AREA e
Y 11,068± SQ. FT. 0
S OS'38'2Y E I
t 1 .12.39'
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a Proposed 12'.12'2- story odd'rtlon II.1
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CRESCENT STREET
"EXISTING CONDITIONS"
PLAN OF LAND IN
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
HENRY CHEN AND SKYLER TREAT
SCALE: 1-,-20. MARCH 29. 2024
LEGEND i31,t( HAROLD L. EATON AND ASSOCIATES INC.
O FOUND IRON PIN 888I � 2 )" REGISTERED PROFESSIONAL LAND SURVEYORS
• IRON PIN TO BE SET 235 RUSSELL STREET - HADLEY - MASSACHUSETTS
e UNMARKED POINT 413-584-7599 413-585-5976 (fax)
email - hleotonCool.com
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File #26
APPLICANT/CONTACT PERSON:MICHAEL MACDONALD
7 SHAW LANE HADLEY, MA 01035(413)250-8943
PROPERTY LOCATION 249 CRESCENT ST
MAP:LOT 31 A-047-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
?ERMIT-_APPLLCATLON_CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $30.00
Type of Construction: EXPAND EXISTING 3RD FLOOR AND ADD 2 STORY ADDITION ON BACK
OF HOUSE PER ATTACHED PLANS
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENTED:
Approved 1/ Additional permits required(see below) For all projects that need additional reviews Cw��.E
as checked below,please see the Office of Planning&Susta inability Permit page or scan here - 1.
PLANNING BOARD PERMIT REQUIRED UNDER:§ r
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: § 350 - % 3 (.7/(2)
Finding Special Permit Variances v(t SIGYATtx2i.
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
// & LI 8-2ozy
Signature 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 ranted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&
Development for more information.
File No. 7--Co Ck 4' y 30. 0
ZONING PERMIT APPLICATION (350.4.4)
Please type in this fillable PDF or print and hand-write all information and return to
thO3uilding Inspector at the Building Department (212 Main St.) with the $30 filing fee by
check and money order (payable to the City of Northampton) or credit card (in person only).
Name of Applicant:Michael MACDONALD Email: 1 MSMBUILDERS@GMAIL.COM
1. Address:7 SHAW LN HADLEY MA Telephone:4132508943
2. Owner of Property:HENRY CHEN, SKYLER TREAT
Address:249 CRESCENT ST,
Ll1I ST, NORTHAMPTON Telephone:571-294-7617
3. Status of Applicant: Owner u Contract Purchaser Li Lessee Other (explain)CONTRACTOR
4. Job Location:249 CRESCENT ST NORTHAMPTON MA
Parcel Id: Zoning Map#3I19-01/7-001 Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:SINGLE FAMILY HOME
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
EXPAND EXISTING 3RD FLOOR WITH NEW WALLS AND ROOF STRUCTURE
12'X12' 2-STORY ADDITION TO BACK OF HOME
remove wood deck
7. Attached Plans: Sketch Plan 111 Site Plan 111 Engineered/Surveyed Plans El
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO LJ DON'T KNOW El YES 111 IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 111 DON'T KNOW 111 YES I 1
IF YES: enter Book Page and/or Document#
9.Does the site contain a brook, body of water or wetlands? NO I6 I DON'T KNOW El YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained El Obtained , date issued:
(Form Continues On Other Side)
t 7/2023
10. Do any signs exist on the property? YES Ell NO El
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES El NO 111
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO l l
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved for use
by the Building Dept.only.
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size 6954 6954
Frontage 69 69
Setbacks Front
Side L: 8.5 R: 8.5 L: 8.5 R: 8.5 L: 8.5 R: 8.5
Rear 80+/- 75+/-
Building Height 35 38
Building Square Footage 3471 3871
%Open Space:
(lot area minus building & 7768 7768
paved parking)
#of Parking Spaces 5 5
#of Loading Docks O O
Fill:
(volume & location)
Driveway Grade% 5% 5%
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge.
4/2/20 � '
Date: Applicant's Signature
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and
obtain all required permits from the Board of Health,Conservation Commission,Historical Commission and Architectural
Boards,Department of Public Works and other applicable permit granting authorities.
6/7/2023
The Commonwealth of Massachusetts
t''===7 =.,, Department of lndustrial.Accidents
3Rt= I Congress Street,Suite 100
:,.= -" Boston. ,1f:A 0?l/4-201
www.mass.goWdia
Workers'Compensation Insurance Aflidasit: Builders/'ontractorti/Eketricians/Plumbers.
to 1#:E t1.FU 51 tTH 1 HF.PERM I I l INC AUTHORITY.
Aanlicant Information Please Print Leeibts
Name tHusittcs Organization. gTMICHAEL MACDONALD,DBA MSM BUILDERS
S.
Atoms: 7 SHAW LN
City/State/Zip: HADLEY,MA 01035 pie#: 413-250-8943
Are yea an rmpbyet?('ierk tie appropriate bow project
Typeof (required)
t.®I am a employer with 1 cmpluaaes(full ardor part-time)-• 7. CI New construction
20 I am a sole pnipm:tut or purtnerahip and have no employee,w otkmg rot roc in S. ®Remodeling
Any..rpavtta-INu%mixt,'rump.tmuranai maimed{
9. 0 Demolition
?..0 I sin a liontizawinct diwny all work myxll.{No winker.`comp imuratue regnant)"
10®Building addition
4 Q t am a hunsa>w nee and*di 6c hiruu,nntun.tor,to conduct all work on ma mopesta- I aril �"'�
ensure that all comma-ton
either have k `con ns ipcatjcvi insurance tat ate mile 11.�J Electrical repairs or additions
prupneturs wain no ampluaxn
12.0 Plumbing repairs or additions
5.173 I atn a general.umttxtur anal I has c hired the soli-cunuactun tested on the attached art 130 Roof repairs
ihasc soli-cuntractats hasa etnpluycea and has a workers"comp.ttninunce..
14.0Ot er
n D Vac We a crrrprxattun and its of kayo have oxen at.a d thou right of exemption pet kith.c.
15'2..ii41.and we halt no employees.(No workers'comp-inaurance minimal
'Ana applicant that clt.Yks box aI aunt also till out the section below alto%ing then wurkcrs"coniptmatttrun policy utfurmatatwt
$Homeowners who submit this*Minn indacating thkcy at d<nng all work and then hut outside contra torn must suhn it a new atftdas at tedi.utang such
*C.untractun that check the.box roust attached an additional.hest,bus*tnr the moat:of du:-auk-ctmtrs.iters arul mate w he-thcr or nut thew cathlac.lust
empkarr. It the wlrcunuastor,hose otjsloa no.trues taus,ptui aJc that ,,,otkcra':.,rip tads..Ilunatyt
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site
information.
Itr,ur,nrc otttpany Name: ATLANTIC CHARTER INSURANCE COMPANY
Poitc} =or Self ins.Lie.#: WC100099912 Expiration Date: 5/12/2024
Job Site Address: 249 CRESCENT ST City/State/Zip:
f SIa Zip: NORTHAMPTON,MA
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MILL c. 152.*25A is a criminal violation punishable by a fine up to SI 500.00
and'or one-year imprisonment.as well its civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a
day against the violator.A copy oftins statement nsay be forwarded to the Office of Investigations of the DIA for insurance
coverage serthcation
I do hereby certify under the pains and penalties of perjury that the information provided above ' true and correct
�o z y
Ss atom: Date:
phone#: 413-250-8943
Official use only. Do not write in this area.to be completed by city or town official
City or Town: Permit/license k
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
i Contact Person: Phone l$: