18C-015 (2) 307 HATFIELD ST BP-2017-1252
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18C-015 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: KITCHEN RENO BUILDING PERMIT
Permit# BP-2017-1252
Project# JS-2017-002094
Est.Cost: $30000.00
Fee: $195.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JESSE BABCOCK 107350
Lot Size(so. ft.): 5793.48 Owner: PETROSEK ELIZABETH&ROBERT V
Zoning: SR(I00)/ Applicant: JESSE BABCOCK
AT: 307 HATFIELD ST
Applicant Address: Phone: Insurance:
77 OVERLOOK DR (413) 530-3680
F L O R E N C E M A 01062 ISSUED ON:5/3/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE EXISTING KITCHEN AND PUT IN NEW
FLOOR CABINETS/COUNTERTOPS
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 5/3/2017 0:00:00 $195.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File# BP-2017-1252
APPLICANT/CONTACT PERSON JESSE BABCOCK
ADDRESS/PHONE 77 OVERLOOK DR FLORENCE (413)530-3680
PROPERTY LOCATION 307 HATFIELD ST
MAP 18C PARCEL 015 001 ZONE SR(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid �\P
Building Permit Filled out '1)
Fee Paid
Tvoeof Construction: REMOVE . I t KITCHEN AND PUT IN NEW FLOOR
CABINETS/COUNTERTOPS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License 107350
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
proved Additional permits required(see below)
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 Permit 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 Storm Water Management
Dent Mo.
Sign. tuildings r 'al ' 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.
} Department use only
' --- , - ..... - fl City of Northampton Status of Permit:
,/ Building Department Cult Cut/Driveway Permit
I NAY — 2��i_� 212 Main Street Sewer/Septic Availability
Room 100 WaterNVell Availability
---_ Northampton, MA 01060 Two Setsofrtructural Plans
__----- -the 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Properly Atltlress: 1 ‘I.
( (IIs section to be completed by office
307 0447i—i:'‘tC{ St. Map / `� Lot o6 Unit
A '/, r Zone Overlay District
T A0•45,71)4 A .
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
G?Lab< gi�ase/ "cU? &// ci
Name(Prnt) Curr/pfin/I Mailing Address:
J/p�1
!/ 53J_.JN/V
F l�—ate Telephone
Sign re
2.2 Authorized Agent:
� ���� 77 ads-y%ai zjir F/9rettfr°.
Name(P� Current ailing Address: /
S etre Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
/2-S.
XX completed by permit applicant
1. Building ,y.-. (")&
,� (a)Building Permit Fee
YY L P �j/
2 Electrical /7 S o l7 (b)Estimated Total Cost of
/ Construction from(6)
3. Plumbing 4 SO J Building Permit Fee
4. Mechanical(HVAC) /
5. Fire Protection
6. Total=(1 +2+3+4+5) prJ,2 Check Number 6fl2 lr5
This Section For Official Use Only
Issued:
Building Permit Number. Date
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING AR Information Must Be Completed Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be tilled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
N of Parking Spaces
Fiab.
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and Location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YEE O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition ❑ Replacement Windows AlteratIon(s) Rooting n
Or Doors ❑
Accessory Bldg. n Demolition ❑ New Signs [] Decks [—1 Siding fl] Other[Ey
Brief Descriptippi�of Proposed ��
Work. /Wilde ettiSr- ��t'IW4 I Liar ,&' is n2- -t-/o„t In�ri�;r�`1� -7./4V riff
Alteration of existing bedroom es � No Adding new bedroom Yes X No /
Attached Narrative Renovating unfinished basement Yes X No
Plans Attached Roll -Sheet
6a. If New house and or addition ty existing housing,complete the following.
a. Use of building: One Family ✓ Two Family Other
b. Number of rooms in each family unit: 3
Number of Bathrooms
/v
c. Is there a garage attached? 0
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
j. 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 Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Et zR AC//j nyrocc/ , as Owner of the subject
property
hereby authorize .-1K-S12 AO' JCot t,
to act on my behalf,�hay��in all mailers relative to work authorized by this building permit application.
2 %.e FL�.c;ut
Sig ture of Owner Date
11111.1
.as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains
l%s A? a&Yand penalties/of perjury.
joi4
Print Na -
AOC< , Y '
ature of Owner/Agent ate
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder ✓rI X- //� Gdli ('S - /B Z -35a
7g ��/ License mber
Addres j Expi tion ate
riff a36yD
ature Telephone
9.Registered Home Improvement Contractor: Not Applicable 0
540. -", .&&'ifderJ L t C 705
Company NamerrenRegistratio�n N�u Number
J
72 oz -4A a« ,4M - cl` O'
Address / Expi ation ate
Telephone j/3—SI kes
SECTION 10-WORKERS'COMPENSATION IN AFFIDAVIT(M.G.L.C. 152,§25C(6))
Workers Compensation Insurance affidavit st be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the buildin ermit.
Signed Affidavit Attached Yes No ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 10835.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,oris 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 home 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 buildingperrnit.
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 Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
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, asm�defined by MGL c 111, S 150A.
Address of the work: 30 7 //54.44" S
The debris will be transported by: /7 SS'kbo. Q Ie/r/ff,%p" /nypGo b-/'S'
The debris will be received by: ���0 t �� Qv.l -/r/o"re,.4t„,-/-�'
Building permit number: /�pp
Name of Permit Applicant -14552 964-c7'1
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
t Department of Industrial Accidents
- = Office of Investigations
. 1 Congress Street,Suite 100
Boston,MA 02114-2017
• �s www.mass.govldia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): „‘;‘"4:424•42.
res.•42'
Address: 77 a9/-t/7o( . .€42 txe
City/State/Zip: ��uet /%q ayo'6e Phone#: /rJ —j,3, 3 6 •0 _
Are you an employer?Check t e appropria ee bo Type of p ject(required):
1.0 I am ployer with 4. 0 I am a general contractor and I
e oyecs(full and/or part-time).' have hired the sub-contractors 6. ® w construction
2. am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have 8. ® Demolition
working for me in any capacity. employees and have workers'
[No workers'comp. insurance comp. insurance.:
9. ® Building addition
required.] 5. ® We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL
12.0 Roof repairs
insurance required.]' c. 152. (4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy Information_
'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
emplo ces. If the sub-contractors have emplotmes,they must provide their workers'comppolicy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lie. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ofa
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of DIA for insurance coverage verification.
I do hereby cercir the pains and era es o rjuty that the information provided above is true and correct.
Signature: Date: ley"
Phone#: V/2`Sea-367a
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 0.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Jesse Babcock
ST ���--��V WA KT 77 Overlook Drive
IL �/ N Florence, MA 01062
413.530.3680
BUILDERS LLC JesseJBabcock@gmail.com
ESTIMATE
Elizabeth Petrosek
307 Hatfield St.
Northampton M.A.
epetrosek@comcast.net
• Demo existing kitchen
• Remove existing flooring and replace with new tile ($3 a sgft allowance)
• Patch and paint all walls, ceiling and trim in the kitchen.
• Build a new bench seat under the window as discussed
• Install a new tile backsplash ($5 a sgft allowance)
• Dumpster
• Vent the microwave to the outside
• Plumbing allowance $2,500.00
• Electrical allowance $2500.00
• Cabinets picked with group A granite, stainless sink and hardware $11,763.12
• Cabinets picked with onyx Carrara Quartz, stainless sink and hardware $12,836.26
Total with group A granite= $29,069.95
Total with onyx Carrara quartz = $30,143.08
From: Jesse babcock jessejbabcock 3 gmail corn B
Subject:
Date: May 1,2017 at 7.24 AM
To: Jesse babcock jessejoabcockCg,gmailcom
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City Northampton
Building Department
Plan Review
212 Main Street
Northampton, MA 01060