39A-054 (4) 74 LYMAN RD BP-2021-1059
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 39A-054 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Stairs and porches BUILDING PERMIT
Permit# BP-2021-1059
Project# JS-2021-001795
Est.Cost: $7228.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MATTHEW BEAUDRY 108605
Lot Size(sq.ft.): 10802.88 Owner: WAGLER WILLIAM
Zoning: URB(100)/ Applicant: MATTHEW BEAUDRY
AT: 74 LYMAN RD
Applicant Address: Phone: Insurance:
117 FERRY ST (413) 320-1348 WC
EASTAM PTO N MA01027 ISSUED ON:5/5/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:AD D I N G STAIRS AS 2 N D EGRESS
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. I
n
Certificate of Occupancy si4natnr;.
FeeType: Date Paid: Amount:
Building 5/5/2021 0:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
r/ Cii/ r The Commonwealth of Massachusetts
{� rd of Building Regulations and Standards FOR
/ �F!L{''� q9 'T.ssa :usetts State Building Code, 780 CMR MUNICIPALITY
USE
--.,..ti;o,�o Builc Per , Ap i ication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
-rtig41�,,,� One-or Two-Family Dwelling
'o,.oi.NSAF This S: tion For Official Use Only
Q C7. f
Building Penn 10,,`.. 6p"al-' I - Date Applied:
16 • / i �V 4 il- ► • __ l
Building Official(Print Name) 1 Signature l Date
SECTION 1:SITE INFORMATION
1.1 P perry Address NOr kainp• ,MA1.2 Assessors Map& Pavel Numbers
.111 Lir..al, A.a o l o b b 0 3°) A — 7 NN iMEA-D0003M-Oodosy_
1.1 a Is this an accepted street?yes X no Map Number Parcel Number O000dl
1.3 Zoning Information: 1.4 Property Dimensions: Ai
Zoning District Proposed Use LotlAret.(sq ft) Fro tat )
1.5 Building Setbacks(ft) N/A •
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private 0 Zone: Outside Flood Zone? Municipal On site disposal system 0
�' 4% '}gM Check ifyes .
SECTION 2: PROPERTY OWNERSHIP'
2.1 4r'of Record:
VJI k%.an, W 1tv 1 £.aror Gd116,14.5 Mdr- Y+-� i 1 /iA 0 1 o
(00
Name(Print) City,State,ZIP
119 L�rnak RA2Ob-30v-vci3 Cap+a i r.wa (er vlaikth
No.and Street Telephone Email AddIess
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': 4 41 s'.E-v{,Q 4, of se c J el i,GGs! 4b G1r
A oi- 6(6) ^ara • S.�►iootel-ta, •(V SecJrwl Srbrl k- Oti Nor. &
c ` J
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1 2_24 ,co 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ /�
Check No.160) Check Amour . l6 J Cash Amount:
6.Total Project Cost: $ ling,0) 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 1 b plod S I ZZ Z/20`p�,l
,(09—)
4% &Vail License Number E rat n Date ro.r
Name of CSL Holder
111 Feni St- List CSL Type(see below) 110101,
No.and Street Type Description
k541u in n 1 �pl v A of v�1- U Unrestricted(Buildings up to 35,000 cu.ft.)
1 R Restricted 1&2 Family Dwelling
City/Town,State,KIP M Masonry
RC Roofing Covering
WS Window and Siding
/� (/ I SF Solid Fuel Burning Appliances
it �713—320— 13y b irGi Isq@yA h ,on I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) I i- M ) 2-2.
rtiOGIViv, Nam Qrdv 114 0- HIC Registration Number Ex iration Date
HImpanye for HIC Registrant Name I
No.and Street G a s.0eN4 n. �h An A- o 1OZ} 61(3_3� -t3 y(a' Email address
City/Town,State�ZIP ' [r 1 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 )k No...........❑
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 l ►6 13e(W cil t../
to act on my behalf,in all matters relative to work authorized by this building permit application.
V1 Wa `�4 ZZ�?mot
Prirnner's Name leomc Si ature) Date
(E gn
SECTION 7b:OWNER'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.
\NM Wq#4,- 71 7/7DL i
Print Owner's or Auth ri d Agent's Name(Electronic e) e
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(H1C)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.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system I closed Open
3. "Total Project Square Footage"may be substituted fir"Total Project Cost" `4. 2. o)
City of Northampton
,As
r
' Massachusetts ��� ',, _± *v t s DEPARTMENT OF BUILDING INSPECTIONS r T"
212 Main Street • Municipal Building �� ��
Alt" Northampton, MA 01060 sst'iy 3,-)0'
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: L1 ,s— (k r
Location of Facility: lir 1-.0 40' 5 ;k)d,- qmp h ,414 46n
The debris will be transported by:
Name of Hauler: 46t, "441
l
Signature of Applicant: •2 lAiV Date: 3/�z/Z i
The Commonwealth of Massachusetts
Department of Industrial Accidents
/ Congress Street,Suite 100
Boston,MA 02114-2017
V " _ tltww mast;got Zia
flutters'Compensation insurance Affidavit: Builders/('ontractorslElectrici*ns/Plumbers.
fU BE FILED WITH 1 lIE PERAMI.rrING AlLTIIOKI'i'1'.
Aanlicaat information Please Print l.ei:ibis
Name(atesinrss< anvati 'irtdmaduat t: Y V if\I CI 5
Address: 1 Li
r 4 Qfp10 Phone 700 3q3._ D1L'3
Art yell an c1rtpht►rr'!Check the appropriate tel:
Type of project(required):
LEI 1 am a:rrgslaelcr w►ih employees Yule and or part-tittle l' 7_ Nett construction
2r-- I am :wide.6e peorprictea pert puinn.ashlap and Lase no Ceit0eM,ems"i.*Mit'fy• tin ease'inn f K.. t Rcitnixiciin�g
r and capacity.[Non inlets•comp.araurance requited.]
9. D tnolition
AO 1 am a tnntvwrwa doing all uurk myself-(No sutlers'rcwrp_ue,.urancc rcyuti est_l'
lt) Building addition
4.G4 I am a 1rnvucsssnu i and µill the hiring tardradcusto conduct all w.,il on my property_ I wall
.ensure that all contraeiurs either kit."workers*co rensata ua until ante"en are sole I I.C)Electncal repairs or additions
proiprueboa s*Oh no eirtcdol ees_
12.0 Plumbing repairs or additions
{ i am a general contractor and I hate hired the sub-contractors hstc.9 ixr ih attached sheet
These soh-contractors hate.�ii>pioyees and hate waal cr..comp.soutane 13 Roof repairs
14.0Other
6.0 we an:a corporation and as officers hate exercised their rrulrt.*t tern oa'n per MriL c.
15. 114I.and:se tote eau ctii}sloyees.[No sootier. cramp.rmut:ln.e icy need.
'Any apphearrt Thai cheeks box I rnrnt also till out the section below slaw...mg their µ i.ikc s compensation policy inhumation_
+Ikn L'o a trees who submit this attidat R urdisairng they are doing all work and then hue outside contractors must submit a new alTidas it indicating such.
:Contractors that check this but must attached an additional sheet showing the mane of the sub-coauracturs and state whether or nut those entities hate
einple,yec-*. It the sub-ecndraOot.base cum luaccs.thcy mast pn sidedieit workers"uitnp.iaahes member.
l aiw an&widow that is providing worriers'compensation insarance far n{r employees. Below is the policy and lob site
information.
Insurance Company Naltie
Pommy it or Self-ins.Lire Expiration Date:
Job Site Address: City/StateZip:
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 I,r a tine up to 51.500.0(1
and or one-year imprisonment.as well as civlil penalties in the bins of a STOP WORK ORDER and:t tine of up to S2.50.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
euicrave tcnfication.
I do herein certify under the pains and penalties of perjary that the information provided above is true and correct.
Date 3I Z T- I Z
�'13i,(ti 206
— > ! 7 —779543,
Ojjieial use only: De not write in this area.to be c ornpletert h►-city or town of/icial
City or Town: Permit/License
Issuing.Authority (circle one):
1. Board of Health 2. Building Department 3.('ltyff tin n Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
Massachusetts <
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building yJti Qs
Northampton, MA 01060 St-w ‘'‘,
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, I"!' ` I i '[hit LI1'i \js/4 ieic (insert full legal name), born _ (insert month,
day, year),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'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 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 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 ZZ day of Mwtc'k , 20 z I.
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View Q&A
•
$38/Month With 84 month financing loam flow
r Myten Stairs Reroute 60-in z 13.34.11 1 Platform Rails
Galvanized Spiral Staircase Kit.Fits Height:102-in to 114-in
(11 Treads)
'' •60m diameter spiral slag case with 26in of clear walking path per
1 bead
.94 •Fun floor to floor heights 102in-114in with 11 treads and 8.5rn to
9 sin between treads
III • Includes 1 42in tall platform rail for corner-mount installations
.[ilium
- 1.• 1 >
102-In To 114-In(11 Treads) >
42-In >
.- ' - 1 -1-