38B-085 BP-2024-0882
1 EAST ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-085-001 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-2024-0882 PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATION 2024 Contractor: License:
Est. Cost: 100000
Const.Class: Exp.Date:
Use Group: Owner: CADETTE JOSEPH A&GARY A CADETTE
Lot Size (sq.ft.)
Zoning: URB Applicant: CADETTE JOSEPH A& GARY A CADETTE
Applicant Address Phone: Insurance:
I EAST ST
NORTHAMPTON, MA 01060
ISSUED ON: 07/16/2024
TO PERFORM THE FOLLOWING WORK:
RENOVATION
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. 7Z-
FeesSignature:Paid: $1,600.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED ..\
JUL 1 1 2024
The Commowea th of Massachusetts
r,,,,s Regulations and Standards FOR
DFPT.OF O�11�+�thYl�Fitltlb'Sfhte B Aiding Code, 780 CMR MUNICIPALITY
1 NORTH USE
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 Permit Number:6 '-a y~ 9!X Date Applied:
/eAso...) (Z 1/ "7-1G-20zy
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
i Cart S i- N45 tJ/
1.1 a Is this an accepted street?yes ! no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: I��
1000 60
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
25' 21 /Sr
1.6 Waterer Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage D'sposal System:
Public El Private❑ Z�heck if yes❑
Zone: _ Outside Flood Zone? Municipal EOn site disposal system El
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
6Za. 40-% CoAkke vocic .p 9C ecd�d
Name(Prin) City,State,ZIP
( > .S& sh 04(3 5$5 14.L51 Ni1464eeectize/C0i6n144.
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED�ORK2(check all that apply)
New Construction❑�sExisting Building 0 Owner-Occupied Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition f f Accessory Bldg. ❑ Number of Units 2 Other 0 Specify:
Brief Description of Proposed Work2:_i.-d2-4 120C44• M-tvS. -i EU- piumi
h ectG� ATTIC- -I- AFT Z, 21.� 1CGon7/ _ 110 "�
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ O'V 6 DA 1. Building Permit Fee:$ ' Indicate how fee is determined:
2.Electrical $ �Opo 0 Standard City/Town Application Fee
O ❑Total Project Costa(Item 6)x multiplier x 7 1 b
3. Plumbing $ 9% 0 e, 2. Other Fees: $ i DO 41;70 t � -75D
4.Mechanical (HVAC) $ .C�ei ate List: _ I r 0 v
5. Mechanical (Fire .t- �X `
Suppression) $ Total All Fees ,,.�'�j
�,t) Check No. ?1 r/ heck Amount: . 4 /6 Da
6.Total Project Cost: $ /d a`d , CI Paid in Full 0 Outstanding Balance Due: 1
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
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 ❑ 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
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER1 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.
Z --, H a
Print Owner's or tho zed 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.) {4/6 C' (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) zf 6 C l Habitable room count b
Number of fireplaces O Number of bedrooms i1
Number of bathrooms Number of half/baths b
Type of heating system sow Number of decks/porches 1
Type of cooling system 6cAs 54r—o.IYL / Mips S plI S Enclosed KO Open •-i4c.9
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
t
The Commonwealth of Massachusetts
.t _ Department of Industrial Accidents
e��1= 1 / Congress Street,Suite 100
_'_= ices
Boston, MA 02114-2017
:-�iv, www.ntass.got/ilia
11`uticers'Compensation Insurance Arndasit: Builders"('ontraetors/ElectrkiansIPlumbers.
TO BE FILED N 1-1'11 711E PERMI IIIN(:AUTH01111A.
Annlicant Information Please Print l.etibls
Name(Bus tncss'Orranszatton Individual I: 14 (7 a 4 9
6,
Address:_ 6 Z /11 ►4V-(61--f-
City/State/Zip: ta12-htr-iy‘ptc r 111A-SS Phone#: U 13_5K-5 $ L2q
Are you t►a employer?Check the apptupriatc lair:
`I"y pe of project(required 1:
1 Q I a a employer with ._ __employees(full:tailorpart-tittri.• 7. 0 New construction
. am a WIC prupnetur or partnership and have no employees working for me in S. 0 Remodeling
any capacity.[No worker,comp.insurance required.]
301 am a homeowner doing all wink myself.[No workers comp_insurance required.]`
9. 0 Demolition
eone
4.0 1 am a huafeowne conduct and will be hiring inetracturs to condu all wink on tety property_ I will 10 El Building addition
ensure that all contractors either have workers'consprnaatian insurance or are sole 1 I.❑ Electrical repairs or additions
microdots with no employees_
12.0 Plumbing repairs or additions
$O I am a bti-n►ra1 contractor and I has a hired the sub-contractor.listed on the attached skeet_ 13❑Roof repairs
Tbesc sub-cuntneturs h.311:employees and Isis workers'comp.insurance.:
6.0 we are a evrputaon and its of$eins her a c�ercised their right of citer:T for per NW.a 14.0 Other
ra
152,§113 L and we haw no employees.[No workers'camp.insurance requital
'Any applicant that checks boa?+I must also fill our the section below showing their workers compensation policy information
Homeowners who suhrnit this aft-stir.it indicating they are doing all work arid thin hue oKutsideewrrraeIaesmcat suhnut a new affidavit Indueatmg such.
:Contr.c:rors that cheek the box must attached an additiuna]sheet show ing the name of the subconuaCtors and state whether tx rot Mule enlltle',Ital.,'
einpl,_.... If the.ub-contractors base employees,they must pros ids their workers'comp.puke).number
/am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
it{formation.
Insurance Company Name:
Policy#or Self-ins.Lie. :: Expiration Date:
Job Site Address: City'StateiZip:
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 violation punishable by a fine up to S1.500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S2250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify under the pains and penalties of peril,rr that the information provided above is true and correct.
Signature: Dale_ 1—'11 — ztt
Phone#: £( 5 '5 r L12c
Official use only. Do not write in this area.to he completed by city or town official
('its or Tow n: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone 3€:
f
City of Northampton
r i�r i
Massachusetts
ADEPARTMENT OF BUILDING INSPECTIONSj�,°,� 212 Main Street • Municipal Building ,1�'
-^'� Northampton, MA 01060 ,\'‘4'
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, Op.sz ` p % C v - - 6-12`t15'1)(insert full legal name), born_(insert
nwntli, day, rear), hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or
work on a parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' `l, r
exemption, does not involve the field erection of manufactured buildings constructed in accordance with
780 CMR 110.R3.
3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one-or two-family dwelling, attached or detached structure-
accessory to such use and/or farm structures. A person who constructs more than one home in
a two-year period shall not be considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I
qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of
the project or work on my parcel, I am not engaged in construction supervision in connection with any
project or work involving construction, reconstruction, alteration, repair, removal or demolition
involving any activity regulated by any provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned project or work on
my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this -7 day of 1 -'II 7 ,20 2.4
__..94
(Signature)
(
.
City of Northampton
- ��, t,
4.., y , Massachusetts ',.
DEPARTMENT OF BUILDING INSPECTIONS 1
�,. yr /% 212 Main Street • Municipal Building '�.t.1. �a
,... _,._.� Northampton, MA 01060 'srh �
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: fV a ry dJ v A.-\hj S Sz
The debris will be transported by:
Name of Hauler: S Q c C
Signature of Applicant: % Date: 7 ~ t t --2`7
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