38A-104 (18) 75 MUSANTE DR BP-2017-0973
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3M- 104 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categary:BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2017-0973
Project# JS-2017-001677
Est. Cost: $13775.00
Fee:$91.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: WRIGHT BUILDERS 106505
Lot Size(sq. a.): 24175.80 Owner: WOLFSON KIM
zonim: PV 100 /SG . 1 t Applicant: WRIGHT BUILDERS
AT: 75 MUSANTE DR
Applicant Address: Phone: Insurance:
48 Bates St (413)586-8287(116) Workers Compensation
NORTHAM PTON MA01060 ISSUED ON:2/2812017 0:00:00
TO PERFORM THE FOLLOWING WORK:RENOVATING UNFINISHED BASEMENT
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department 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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 2428/2017 0:00:00 $91.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File 0 BP-2017-0473
APPLICANT/CONTACT PERSON WRIGHT BUILDERS
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116)
PROPERTY LOCATION 75 MUSANTE DR
MAP 3M PARCEL104 001 ZONE PV(10O)/SG b(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED I OT '/
Fee din Yt' 71
Building Permit Filled ou Yt"
Fee Paid
TvpeofConstruction. RE OVAT K. NFINISHED BASEMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 106505
3 sets of Plans/Plot Plan 17e oltesr/c Pi
THE FOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
I ATION PRESENTED:
Approved_ Additional permits required(see below)
F )
PLANNING BOARD PERMIT REQUIRED UNDER:§
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: §
Finding Special Pemiit 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 Stomt Water Management
ol,
ale 1 — .2 /7- f7
Signature of Buil.- g 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 granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information,
32A - 109
Gity of Northampton y ( itetp�tr,.;
Building
,Ny Department t S ; r is
212 Main Street '411:16‘41K018,7;*.Se: r " a
Room 100
Northampton, MA 01060 Afft�
• phone 413-587-1240 Fax 413-587-1272 a 0 ;1 r iv,1' AVA ,,L
APPLICATION TO CONSTRUCT,ALTER,REPAIR RENOVATE OR DEMOIJSH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION I
1.1 ProperttAddress: This section to he completed by office
'75 M1),SAI4TET OR_ Map -, Lot unit
NoR1\+AMpTON MA OlO(.00 Zone Overlay District _
_ Elm St District Ca District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
11 Owner of Record:
u.14. / a Sotti3S t�lUs&NTE D„. N Q1? A APlDt�1 fl\ i1
Na
e(Pint) Current Mathng Address:
Sa 4t3� 2�5 --2225
2.2 Authorized Anent: ..._...
Ar4N LEDWaL _. , ui BArres PIMPNI MA coo
Nine i n' Current Madam Address:
t ,J)QL 00111/ fv15) S8s1P -eze�
Signature � Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS g j ‘(}, Doo s S65-/.3 ( , OG0 = SC't \ ➢MnII. FC-E.
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit appgcant
I. Building 10, 29} (a)Building Permit Fee
2. Electrical a L -t - (o)Es&gated Total Cost of
Consbuction from(6)
3, Plumbing Building Permit Fee
4. Mechanical(HVAC) 4 ' o O
5,Fire Protection �f /
S. Total=(1 +2+3+4+5) 13 :1-2- S- Check Number 6369 3 Yl J
This Section For Official Use Only
Building Permit Number. Dade
issued:
Signature:
Bolding Commissioner#nspeetoret Bulldogs Date
AU Wogk 11-2, 'gt Ut W iTNiN 'cXiSv1NCa R, Ch ie t-eotPgiNT- !j
Section 4. ZONING Aa Int orma im Must Be Completer. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This columnto be flied in by
Building Deportment
..._
Loi Silt �. ,— ,_1 !�. __ _� _ ...__
Frontage ,--..--- --.
Setbacks Front �� .,.«._ i
Side L., R% L-—1 R. I —_._
Rear f --_4 ''"''
Building Height e i LJ
rBldg.Square Footage J L...._1 % ,— 1 r.--
Open Space Footage _ %
(Lot anaminatWga:paved ___1 _.�� ^-} i E
parithig
1 1
N of Parking Spaces i
Fill: 1 — w II
i1 }
(volume attrstion) ,J --^ -- _
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW O YES 0 -
IF YES,date issued:I 1
IF YES: Was the permit recorded at the Registry of Deeds?
NO a DONT KNOW 4 YES Q
IF YES: enter Book i I Paged I and/or Document xj j
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW p YES O
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained 0 , Date Issued: ---_-_7
I
C. Do any signs exist on the property? YES O NO
IF YES, describe size, type and Location: I
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO
IF YES, describe size, type and location; ' 'I
E. Wit the construction activity disturb(clearing.grading,excavation,or Ming)over I acre or is it pan of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150k
Address of the work: -45 UMA-Kit 1JR•
The debris will be transported by: UuRtlDkt P�LUL D k5
The debris will be received by: vfttl-f CZEU`1 r,l fl0
Building permit number
Name of Permit Applicant AAA.) l,ED W Et-t -
I -
- I _1t �►4 vl
Date Signature of Permit Applicant
SECTION B-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder: ANN LE%waL 10& 505
License Number
TVS ST, NoRTNAMPTON, MA O\ok o \\ / 1 / \�
• .ress �� Expiration Date
I allk,P�I mlt> ( 1.3 e��-4
Telephone
9.Renistoted Home Improvement Cdntractor. Not Applicable 0
WCZ\[BHT ip,kvA \O\ 53(0
Company Name Registration Number
-\% SR1ES ST NoR_11-1PMPIL , MR , C\Olob Co / 2(e / 2bI
Address r Expiration Date
Telephone (q('.7)Sao-82f 3
SECTION 10-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 0 ON
11.— Home himer Ea iStiOn
The current exemption for"homeowners"was extended to include Owner-occupied Dwellines of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor. CMR 780. Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)who own 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 structures accessory to such use and/or farm
structures.A person who constructs more than one hoax in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and 1 Mal Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
i
SEOTION 5-DESCRIPTION OF PROPOSED WORK(cheek all applicable)
New House n Addition 0 Replacement Windows Alteration(s) Y>I Roofing n
Or Doors 0
v
Accessory Bldg. El Demolition Q New Signs [DI Decks [q Siding [DIOther[01
_
—..
Brief Description of Proposed ...
Work: U--l Mb 1)NFL N kc k-i l Nin-s'E kkC.. T
Alteration of edsting bedroom Yes X No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished basement )( -Yes No
Plans Attached Roll -Sheet
sa.If New house and or addition to existing banning, complete the;follSwinn:
a. Use of building :One Family Two Family Other —
b. Number of rooms in each family unit Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. _Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance- Masscheck Energy Compliance form attached? --
h. Type of construction
i. Is construction within 100 ft of wetlands? Yes No. Is construction within 100 yr. floodplain _Yes No
i- Depth of basement or cellar floor below finished grade
K Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Suppy
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I. CW‘ t&\DLFSCY}1 as Owner of the subject
Property
hereby authorize ANN LE'im LL I tNR1bBrt Gull-U)ES
to act on behalf, in all m pets -relive to work authorized by this building permit application.
S,nature o OvnlerX Date's f
I, ASSN LEDWELL / fA)iRi &NT ELAILDUZS ,asOwner/Authorized
eta hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowAedge
anieliief.
Signed under the pains and penalties of perjury.
Amm LENA L
RI Name
11111 al . ...1 ..., . 11 .r.
Sfgnat n cl• .. .- /Agent `P Date
Massachusetts Department of Public Safety
®r Board of Building Regulations and Standards
License: CS-106505 `
Construction Supervisor l
ANN SURMACEVI27 r.
106 EAST BUCKLAND ROAD
SHELBURNE FALLS MA 01370 '
I
N.1..A-n n Expiration:
Commissioner 1t10112017
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massae I.. setts 02116
Home Improvement ! -: or Registration
Registration. 101538
,�a rn Type: Private Corporation
t--..-7--- 1(wtt'"/, Expiration: 6/26/2018 7rfl 419291
WRIGHT BUILDERS, INC. _. •
Jonathan Wright =,E��= >
46 BATES STREETMi.
. t t
Northampton, MA 01060 p P= f t
\.1 W -s yew Update Address and return card.Mark reason for change.
scar o 20M•06/110 Address n Renewal CJ Employment (] Lost Card
92.¢aarrsmom lL4 of%Qamao44 eatd
O10ttat Consumer Anoka&Badness Reguintiao License or regWrati nvalid for individual un only
HOME IMPRO MENT CONTRACTOR before the expiration date. If found retina to:
Re0latsatIon:4., Ismtype: Office of Consumer Affairs mod Business Regulation
Expiratlo E..c B Minn Corporation 10 Fsrk Pi '1.Sets 5170
Boston,
WRIGHT BUItAER € + 4
Jonathan Wrightt — ' /
48 BATES STREET ` ".„-;$'rc a,s,,.cs1.a=-- ��liteh
Northampton.MA01060IIdn
ewerretary et yati%P't. tare
I