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22B-030 (2) 9 CORTICELLI ST BP-2019-0965 GIS a: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-030 CITY OF NORTHAMPTON Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2019-0965 Proiect# JS-2019-001597 Est cost $70000.00 Fee:$960.00 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: Use Group: IRWIN ACHMAD 100992 Lot Size(so.ft.): 7840.80 Owner: LINNELL JOSEPH zoning URB(100)/ Applicant. IRWIN ACHMAD AT: 9 CORTICELLI ST ApplicantAddress: Phone: Insurance: 7 Spring Street (413) 977-1925 0 EASTHAMPTONMA01027 ISSUED ON:311112019 0:00:00 TO PERFORM THE FOLLOWING WORK:WINDOW REPLACEMENT, FRONT PORCH REHAB, EXTERIOR DOOR REPLACEMENT, KITCHEN AND BATH RENO 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 N 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: Fee'Tvpe: Date Paid: Amount: Building 3/11/20190:00:00 $960.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2019-0965 b k I , APPLICANT/CONTACT PERSON IRWIN ACHNIAD I O,�a�,� ay' �((r'm ADDRESS/PHONE 7 Spring Street EASTHAMPTON (413)977-1925 /YY 1 I PROPERTY LOCATION 9 CORTICELLI ST ), � '0 , OV MAP 2213PARCEL 030 001 ZONE URB(100)/ Q THIS SECTION FOR OFFICIAL USE PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid if I Building Permit Filled out Fee Paid TypeofConstmcC m WINDOW REPLACEMENT FRONT PORCH REHAB EXTERIORDOOR REPLACEMENT KITCHEN AND BATH RENO New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 100992 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF MATION PRESENTED: Approved_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 Demolition Delay �gnie.f 3 -B zoiySLOffiml Date Now: 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 9rcrsgr. City of Northampton Status of Permit ^ Building Department Curb Cuf/Dril Permit 11 212 Main Street Sewer/Septic Availability 'A Room 100 WaterNdell Availability Northampton, MA 01060 Two Sets of Structural Plans yr^'° phone 413-587-1240 Fax 413-587-1272 PIoVSfte Plans cify APPLICATION TO CONSTRUCT,ALTER REP OLIS A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION MAR 6 2019 1.1 Prooedv Addmss: jThIs len to be completed by office Dror or"ill DIM,�°ecd'OLm, Q u Unit (- or�1 CG1� 1 J}lQe�- Nom ON Zone �torencf MA O106L Zone Overlay District Elm St matrlet CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ss c,V\ L*�Anell MA Name(Pit Mcommit Mailing Address: 41'x- 655 -z6o6 Telephone Signature 2.2 ATuthortuad Agent: } v W t v. A-e Xn 1.... a .Q S W C S Sy l-.. Name(P' Current Wiling— ress� :t� 4 1 -7 9 2j— �z \ 5 a /'- Sigi Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Aem Estimated Cost(Dollars)to be Official Use Only completed bv Permit applicant 1. Building S` I o(Do (a)Building Permit Fee 2. Eleclncal l (b)Estimated Total Cast of !S Dog Construction from 6 3. Plumbing Building Permit Fee X000 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 7 ® Check Number /7C/f7 This Sii For Official Use Only Building Permit Number Dated: Signature: - O ZU19 Building Commlirm nerllnspector of Bindings Date � I(lile.� � � 1 � gYno,l cowti1 EMAIL ADDRESS(REQUIRED, EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ ReDlacemenitgindows Alteration(s) E:] Roofing 1:1Or Doon AccessoryBldg. ❑ Demolition m New Signs [D) Decks [p Siding[Ell Other[31 Brief De 'on Of PmpO Window Rept emgrS DO Beplatmpep uchen+Bath Reno Work: 1'21= (-' PyY)n - Qrv'l r� 4 f�cff tlt�' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Se, If New house and or to till; na houshn CoMUlete th9 following: a. Use of building One Family Two Family Other b. Ni,mber of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Ntmbar of stones9 f. Metood of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? In Tyce of construction i. Is construction within 100 ft. Of wetlands?_Yes _No. Is construction within 100 yr. floodplain_Yes_No j. De,cih of basement or cellar floor below finished grade k, 4V!'r building conform to the Building and Zoning regulations? Yes No. Septic Tank_ City Sewer Private well_ City water Supply_ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETEDWHEN OWNERS AGENT OR CONTRACTOR APPNG PERILIES FOR BUILDIMIT �leseph L A rL �i as Owner of the subject propert. Irwin Achmad-ToolBox Handyman Services ! hereby authorize to ac:Din my behalf, in all matters rgW,vV to work authorized by this building permit applicatiyn p / 314 / 1g IIIr�I Signature of Ownerk, Date NOF 41, r W ` I-c l as Owner/Authorized Agent horeby declare that the statements and information on the foregoing application are true and accurate,to the best Of my knowledge and belief. Signed a�n(d^er the pains and penalties of perjury. p k v w ♦ A Prim Name Date Signalu'e of OwnerlAgent Date SECTION S&DESCRIPTION OF PROPOSED WORK(check New HousAddNion C] House, 1:11w dais Afterallonts)pre ❑ Rgoftng p/ Accessary Bldg. ❑ Demolition IJ New S" !f7) Decks SkUng(gl OMer[leg Brief Description of P c Wolk: r�daW lc,c i.Nen�" l'rG�^♦• or.h !'th Ex�erlor },,.c rt.. lurlkani- � / K�ickel + Nliandionofaxisangbedroom_Yes}�No Adding new,bedroom Yes No 3ath Quo Attached Nand Ro Renovating unfinished basement Yes �- No Plans Attached Roll -Sheet `""� ea. It New house and or sWRtion to ex iiia houBlrw COMI)IOte the tolloWinD a. Useofbuilding:Ona Famity Two Family—Other_ b. Number of moms in each family unit „ Number of Bathrooms c. Is there a garage attached? — d. Proposed Square footage of new construction— Oimensmns_ e. Number ofstones? f Method of ting? Fireplaces or Woodsowes Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? In Type of construction I. Is construction within 104 ft.of wetlands?`Yes _No Is constructran wdMn igg yr, floodplain_Yes_No 1. Depth of basement or began floor below flushed grade k. Will building conform to the Building and Zoning regulations? Yes_No I. Septic Tank Cay Sewer_ Pdvate wag City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIESFORBUILDING PERMIT I.— lzi o Se O L 1*/Il C 1 as Owner of the subject property hereby authw¢e t r•wi.n A, kMQd to act on my behag,In aA madam relative to vrork authorized by this building permit applicator,// 7 3f6lt SlgneNre of Ovme Date —�� t, Lt use i'yk Lit,,a it as OwnerlAuthodzed A6,i t 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 and penalties of perjury. fosc l+j'1 Li nne If Prat flame Sgnatere of ,., Dale �! -/* All i-o rcrvrn ,, vnchnnq�'i Section 4. ZONING An Information Most Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning 'Ibis cob®w be filled m by Buildingnepmaaent Lot S¢.e 7,890 s .�-+ , -7 `b40 .s Frontage Setbacks Front Side L: R:_ L:_R:_ Rear Building Height 2Shf� L �ty, Bldg. Square Footage 113<� lCo % Open Space Footage (Lot area minus bldg&paved Nof Parking Spaces L 2 F01: volume&Incman A. Has a Special Permit/Variance/Findin ver been issued for/on the site? NO O DON'T KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the 5ReS�I#if of Deeds? NO O DONT KNOW YES O IF YES: enter Book Page and/or Document N B. Does the site contain a brook, body of water or wetlands? NO (D/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 0/ IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO IF YES, describe size, type and location: E. Will the construction activity disturb(deanng, grading,ex atioo,or filling)over 1 acre or is it pan of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTIONS-CONSTRUCTION SERVICES 8.1 ucansed Cmshucum Suoarvhor- Not Applicable ❑ Name of Llmrue Nader: .w r S ) o o g y a License Number Sas 1 bb 1 3 0 � n Atkins. � Expirabon Date yl3 ~ 977 - 1425 Signature Telephone 9.Reastered Nome ImorovamaN Contractor: Not Applicable ❑ Comoamr Name Registration Number Address F�epiration Date S 4 r G J In0 v t Telephone SECTION 16 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 afidavd will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes_ . El/ No....._ ❑ The Commonwealth of Massachusetts -- Depar6nent oflndush id Accidents I Congress Street,.Suite 100 Boston, MA 02114-2017 www.massgov/dia 11 urkers'Compensation Insurance Affidavit:Budders/Contractors/Fkxtnciana/Plumbem TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organuation/Individual): -rot)1O'� f}g n� m c.H .se r v i cQ 5 - Address: --7 St" ,n c� Sir, , i- F,, 5 }-h n.Jn Pic r mA 0 ice-1 City/State/Zip: Ess�Ll an, P+v,,, Mri e�loz / Phone#: yi3 - ` 77 - 1925 Are you sa arprayW..csrmr she a wrry riaee box: Type of project(required): r.04am,�loya wnh—.. enptoy«s(tdl aarorvw-ere?' 7. ❑New construction 2.f�llam asok prapnnaopotnersnry ale have no employree wmkivg famein 8. ❑Remodeling r y cVp n.[No woken'romp.insuonm msuimd) d.❑r�.mmoowurrmirgaa wale mysev pyo wakea'comp.i�nvurcerrgoired.]I 9. LyUemoliticn 4.❑lam ahomrowno and ural behhingcatranors to coMuct all wrckamy pmpoty. lwill 10 Building addition emavry tMe all contractors eansr h.ve wakars'oorr,peveation mawaceorare axle I L❑Electrical repairs or additions Fsoff o"wpma�for 12.❑Plumbing repairs or additions s�lamagae.alwm+oradl hsve 6ir�me sub maadors heed athe an,cheds6 t. 'mese aub.convWors naso vngloyees ane Haus workencam.imumuw.l 13.❑Roof repairs s.❑we,maaaporwa mans offvers nave esemiaedenetr dgm oreauapiou per nlol.c. 14.�Otbcr pa rah / W�ndow� 152,§I(4).ad we hive uoerWbyea.pto woekers'romp.mammce'ntuhe4l �oc:r-� *Any applicW Wal checks box MI mint also fill out ens section below showing theirwodcers'conryemetia polity iuformetia. r Homeowners who submit oda$davit mdicffiiagthey are doing all oak and era five aaside convenors muse submit a new affidavit indicting such. tComnnon thea checkthls boz muse attached a additioal sheet ehawiugthe name of as subcatracbrs ad aWe whNcr or not those rntities havc empbyeea. Ilam su�ors hme anployces,they must provide thew workers'comp.policy numhm. lam w employer that is providing workers'cornpmsadon inwu m for my employees Below is the policy andjob site infor-alia", Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Nate: Job Site Address: City/State/Zili 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 51,500.00 and/or orae-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fide of up to $250.00 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 1 do hereby cerb/y under the pains and penalties ofperjury that the information provided above is true and carr" Simamuce� Date 7 1 y 1_T Phone# Phomal use only. Do not write in this area,to he completed by city or town official City or Town: Perini✓License# banning Authority(circle me): 1.Board of Health 2,Building Department 3.Cityll'osvn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Permit: Phone#: City of Northampton hyV'I\Ti?tJ ,a Massachusetts nsaaaaaae or' s=DL nasrscTrms ®� Be y • 212 Main siert aMniaipal 4 1,uW } rtham n, S 01060 Debris 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 150A. The debris from construction work being performed at 9 Cor� ildll SF(O , Mere Cc (Please print house number and street name) Is to be disposed of at: UC Iles 1Zecycl' m� — Z3y E..st�atip�n (Please print name and location of tadldy) Or will be disposed of in a dumpster onsite rented or leased from: UJF� 11oQ �in5 � -1�ecycll � y — 5 Mv�1en lla • EwF� emdr er (Company Name and Address) Signature of Permit Owner Date 3 If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Commoowealltt ut Ma=acnusetfs Division of Professional Licensure Board of Building Regulations ind Sio ndards Const C.,n Supervisor CS-100992 Expires. 02106/2020 _ EWIN H CHMAD - 7 SPRING STREET EASTRAMASTHAMPTONb1/A�`0e10�27 Commissioner rhe�.xxeonw•ea(N.�ilG.,ua�/r...relG HOME T&ONTR ICTOR on HOMEIMPROVEMENTdual CTOR before M on valid for dale. Iuaiuw Only TYPE Individual beforeMeCmryumbndair and Bu inessVelogrito: RegistrationExaltation,2019 Ofeea ad Consumer Allain and Business Regulation 1]6]64" -- 09@M2019 10 Perk Plaza-Sutte 5170 IRWIN ACHMAD - Boston,MA 02116 IRWIN H.ACHMAD �- 7SPRING STREET (� EASTHAMPTON,MA 010V Undersecretary Not wild without signature -1 GORT�C Et-L-I STREET 14 r ' 811 I �LODR C L-WN II` Q NSC To I 7 ' SCALE LAUNDRY (ZooM W STH Co ''/n�11 oQ, ,A _. ✓,�J WAsx pny '/Z aATN V/� I- REF• KIT[ NEN a- N NFw ENTRY �ceri Portc.a �Ic.L A� Hl4¢DliJlle[> �J/'10Kt/CU /��t'+=tb2S I!J wNpl� Y1W5E i 19 C ° ¢ s LeLL S rze6Y� Z LOOR YVLL BATH a �Ex,st�ue, Le�a.,su� $c ASE zNrl rucL 13RTH O a hro LVILLxz� Hr3¢Ow12Fs SYIpKe CO 'D67E IIJ VjHOY H005e C o RTICE 1.- Sr2EET M ASTER BED2ooM WITH -Z � E E H2'� 95�� m Nor ro Sc ALE N6ED5 NOeprYJ F n �L4 In w,rH a 5'oc QP a M I ' gs-roe �Uf3I5r10uei R�0 L WI -MAN &o W Q 1 J r SFIa WE2 � Q � J WALk - IN CLOSET t w 42° I 6` ZI - L ` r ,T 1 �Croea�wl ltirunow k,6&­os K), =O HWQOk)l2c srioeElco TD n� EGGS E'tCOE_ Qui 2Et1EAv_15 Pe7EC-IOP-5 4-) WHOLE Houma'