32A-227 (16) BP-2024-1384
58 POMEROY TERR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-227-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING \VITII UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-1384 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 PORCH RAILING Contractor: License:
Est. Cost: 7000 RICK LIGHT CONSTRUCTION CS-056457
Const.Class: Exp.Date: 01/08/2025
Use Group: Owner: COLLEGE CHURCH INC THE
Lot Size (sq.ft.)
COLLEGE CHURCH INC THE
Zoning: URC Applicant: RICK LIGHT CONSTRUCTION
Applicant Address Ph ne: Insurance:
58 POMEROY TERR
NORTHAMPTON, MA 01060
25 BOYDEN RD (413)253-9492
PELHAM, MA 01002
ISSUED ON: 10/22/2024
TO PERFORM THE FOLLOWING WORK:
REPLACE FRONT PORCH POSTS &RAILINGS, INCREASE HEIGHT OF RAILINGS TO 36"ABOVE 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:
(:as: Fire Department Uric Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.Signature: 172-
Fees Paid: $125.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts
Office of Public Safety and Inspections
..: Massachusetts State Building Code(780 CMR)
Building Permit One-g e t Application for any Building other than a or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number:$9-7A2LH 34cDate Applied: Building Official:
SECTION 1:LOCATION
? ►� T.9- et4c tto,6
No.and Street City/Town Zip Code Name of Building(if applicable)
3 2 A- -co/
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building I Repair Rl Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes No ❑
Is an Independent Structural Engin ' g Peer Review required?. Yes 0 No 0
Brief Description of Proposed `Work
rk
fps' c...ytd "'G,.,>1 4 (P t�It �ti►+il� `5 ' !
e_, -{�� Er' 3� .ZR . �
�,l tl SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
L' CHANGE IN USE OR OCCUPANCY
A17 Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): (3 '- 055 j Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft)
Total Area(sq.ft.)and Total Height(ft)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business R( E: Educational 0
F: Factory F-1 0 F2 0 _ H: High Hazard H-1 0 11-2❑ H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION&CONSTRUCTION TYPE(Check as applicable) tAJocelf
IA 0 IB D HA 0 IIBD IIIAD IIIB0 IV D VA VBD
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal
Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site ll/-
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
-$ P°y IJ2"ae-c �,.Q 1o16e yUry / wit Oko6o
Name(Print) No.acid Street City/TownZip
Property Owner Contact Information
aAtt 0 li'illA14 iir - - oo51 - -
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the operty owner hereby authorizes:
(d1 LCei 2.4- RoydJLn (I Pe f li .w, ,"U Dr002'V -(
Nam€ Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 1.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
gi ck L.t`� Gr.A.5 �
Company Name
Name of Person R r...nsible for Construction License No. and Type if Applicable
d-S B - t Ret � 0l002-5724
Street Address City/Town State Zip '
__ 113 Afz7- 3 z76 pd`f 4tiovligis® f l - GaM
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yesla No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ 7 D7JD. 00 Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ 1 appropriate municipal factor)_$ .
3.Plumbing $ o
4.Mechanical (HVAC) $ i Note:Minimum fee=$17_3—(contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 7, Ct . 01) (contact municipality)and write check number here-0 jl/?j
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
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.
_K414 t& L t tvt c. / 4, ►'.1'' (,arc lire Y27 - _ LIf) (
Please print and sign na Title Telephone No. Dafe
-c 8or Reti otdo2 72( 102/_Li Ii - -tIcecei5/4,4
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: /C / .Z /D 22-202y
Name Date
The Commonwealth of Massachusetts
P. ---- Department of Industrial Accidents
i _74 1 Congress Street,Suite 100
-; 1744 ttitr, Boston,MA 0211.E-2017
wwwntass.gov/dia
11„r kcrs' ("ompeasatian Insurance Afftdas it: BuilderslContracton/EkttricianafPlumhcrs.
t )Bk:iiii:u N till I ilk. hk:Rsurrl\G AITk1ORITY.
Antillean' Information ���/ Please- Print L.c•_ihh
Name(lusinessIOrganti.ttortliterstduaII: �� `' �` -+r
,51,444
� (�'_•'
Address: 2 r - -_
City/State/Zip: -(�e/�v.., rvie f I2GCV2--q72(Phone#: £1/3 yL7- 31 A. ,
Are'ea u empiasrr?Cheep the ap tiiprWe bits:
Type of project(required):
Irk a employer with_-- entptoyees(full and or putt-tintcl-• 7. D New construction
2 I am a sole proprietor or partnership and have no ernpkr.xs working fur me in 8. 0 Remodeling
any capaeary-[No worker,'comp.WLLrane moaned]
9. 0 Demolition
11:3 t am a lsomwwm-t doing all wort myself.[No%otters'coop insurance Requite-J'
40 I am a Ic,n n mouset and w 111 Ix hiring. n s,ntracto to conduct all work on my property I urn 10 D Building addition
ensure that all contactors etcher has %uekcm'eiunircnaation ensurane Of arc sole 11 CI Electrical repairs or additions
proprietors w nth no errloyee,.
12.0 Plumbing repairs or additions
5r3 I am a general contractor and I hair hued the sub-contractor ruled on the aims/seal short 13.0Roof repairs
These sub-evnttxtors have employees and hose workers'comp.insurance)
6.0 We are a corporatism and as officers have exercised then tight of exeipuon per%Kik e. 14. 111Cr ikeS
152,f lilt.and we have no employees.(No workers'crm rnsuratsc required.)
'Any applisunt that checks boa a+l must also fill out the section below show ing their minions'compensation policy infurmation-
t IIotueowaera who submit this atredasit indurating they are doing all work and then hoe oututde eon tractors must submit a new affidavit ndicatltag such.
:Contractors that dank this box must attached an additional short shiw mg the nacre of the sub-contractor,and state whether or not those entities love
ctnploycc, If the sulrconraetOrs hsasv nnpl.».r..the. must pn,.id,-Mcir wcrkir.'w.unp p.+?c..number
I um an employer that is proridin,='wnrAe•rs•compensation insurance for tint.employees. Below A the polity and job site
information.
Insurance Company Name,
Policy#or Self-ins.Loc.tt: Expiration Date:
Job Site Address: City,-State Lip:
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 tine 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 S250.00 a
day against the s iolator.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 perjury that the information provided above is true and correct.
tirnaturc: A....),A,34/ [)ate /v (7 V 4(
Phone-:
�����
Official use onh•. Do not write in this area.to be completed by city or town official
('its or Fossil: Permit-l.ieense
Issuing Authurits Icircle unel:
I. Board of Health 2. Building Department 3.tits Joss Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
(-ontact Person: Phone tl:
Initial Construction Control Document
c To be submitted with the building permit application by a
Registered Design Professional
• for work per the ninth edition of the
Massachusetts State Building Code, 780 CMR,Section 107
Project Title: Misc Maintenance&Repairs for 48 Pomeroy Terrace Date: October 15,2024
Property Address: 48 Pomeroy Terrace,Northampton,MA 01060
Project: Check(x) one or both as applicable: New Construction X Existing Construction
Project Description: Misc.maintenance&repairs for 48 Pomeroy Terrace Northampton MA
I,Curtis A.Edgin, MA Registration Number:7352 Expiration date: 08/31/2025,am a registered
design professional,and I have prepared or directly supervised the preparation of all design plans,
computations and specifications concerning':
X Architectural Structural Mechanical
Fire Protection Electrical Other.
for the above named project and that to the best of my knowledge, information, and belief such plans,
computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780
CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work is being performed in a manner consistent
with the approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Fi s .. Con. ' ' ocument'.
Enter in the space to the right a"wet"or I filled"
{ )
electronic signature and seal: ,
Phone number: (413)594-2800 Email:cedgin@cbaarchitects.net /•
Building Official Use Only
Building Official Name: Permit No.: Date:
Note 1.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is
chosen,provide a description.Version 01_01_2018
City of Northampton
r�✓ 1, cS�S rU S�Cl
Massachusetts 44 4" ?<
I- 4 *
d `, 1 t i 4 DEPARTMENT OF BUILDING INSPECTIONS ,',
�`r 212 Main Street • Municipal Building yvti ^a!
Northampton, MA 01060 I:51 jy )‘'N
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: vki - C' G
Lt
Location of Facility: 7-3(1 51-1, / iM NrifilietAt, 0411
The debris will be transported by:
Name of Hauler:
Signature of Applicant: � � j Date: to( (7 2 y
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