05-017 (8) 141 AUDUBON RD BP-2021-1345
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:05 -017 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-2021-1345
Project# JS-2021-002220
Est.Cost:$49000.00
Fee: $319.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MICHAEL DESORGHER 106004
Lot Size(sq. ft.): 27834.84 Owner: STODDARD SAMUEL
Zoning: RR(100)/ Applicant: MICHAEL DESORGHER
AT: 141 AUDUBON RD
Applicant Address: Phone: Insurance:
43 SILVERCREST LANE (413) 834-1499 SOLE
PROPRIETOR
GREENFIELDMA01301 ISSUED ON:5/17/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT GARAGE TO LIVING SPACE
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. ( Q
sue - '
Certificate of Occupancy Signature: I
FeeType: Date Paid: Amount:
Building 5/17/2021 0:00:00 $319.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
f�E C 8 hol g..
,nu, Q n
C`` 3 '1
MAY 1
2021
The Commonwealth of Massachusetts
. .� r o�^�-----,-.._ Board of Building Regulations and Standards FOR
MUNICIPALITY
"'Ql^_/.NORTHAM/3in'INSPEthilawchusetts State Building Code,780 CMR
.. i ______ ,N.MA(11(),,o USE
- Building PTetiiiit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Buildin Permit Number: 1D-a I-.I3�1$ Date plied:
Cul,.) )} /& 5-17-202.1
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
1'il I tJ ."&ae4 R✓j ob 17
Li a Is this an accepted street?yes k/ no Map Number Parcel Number
13 Zonis Information: 1.4 Property Dimensions:
Zoning 'strict Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
�D so —2-c, 2 5 l
1.6 Water Su ply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone
Public Private 0 Check if yes Municipal mite disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 9wner'of Record:
c�w �t� ,i V. �Z�� L22,j M �} Ol0 c2
Name(Print) `` City,State,ZIP
Hi A-Jc' host 'do 0195-1-0-1-to-3 .5J5 ( L 3 ,_ e-a.-._No.and Street Telephone Email?,11 -,,,i,o
ess
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 6r IO Owner-Occupied 0 Repairs(s) 0 Alteration(s) leriddition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: Co V e&r G'-fra-ft 6-t i'v TO
``a,c,:.,.;.1 D._60 An LA w.,,A/c- SPitCE-
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ y_5,uric) 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ VI D v-O 0 Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$ ,a I
Check No. I I i Check Amount:
6.Total Project Cost: $ ";_, _ - ! 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
/060DY ____ ,Z�6/2
�
1 C G e \ )C S o,rq k er r- License Number Expiration bate
Name of CSL Holder J I
[.� List CSL Type(see below)
S/kvt t CA-E/T S l 1—IL)No.and Street Type Description
��i '� U Unrestricted(Buildings up to 35,000 Cu.ft.)
M 4- Q t 3 a ( (I) Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
1 WS Window and Siding
c SS�5 h 6vi(O SF Solid Fuel Burning Appliances
r3 13 / f Y r 1 info eb yl oN14+�A , (ow, I Insulation
elephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
/�1��hac I /�eSo� LL 78 73 8 -z/`l/22
'lE' HIC Registration Number Expiration Date
HIC Compan Name or HIC Regitfrant Name
/13 ,/ve,^cre C/A t— !r1 149,0 Mono,est5h.ki �G/ !on')
No.and Street Email address
EL_vO A4 olsal tf13 -63y-(Y?7
City/Town,State,ZIP 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 o e building permit.
Signed Affidavit Attached? Yes 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 "CH/1-E L)e, '2
to act on my behalf;in all matters relative to work authorized by this building permit application.
.Sa vn ve 1 V. S d d �. � .s1111 )
Print Owner's Name(Electronic Signature) Date
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 thi appli tion is true and accurate to the best of my knowledge and understanding.
Print ' or 'zed Agent's Name(Electronic Signature) s�2 �
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(HIC)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 Enclosed Open
3. `Total Project Square Footage"may be substituted for"Total Project Cost"
•
The Commonwealth of: 1assachusetts
Department of Industrial Accidents •
;, 1 Congress Street,Suite 100
•r— Boston, MA 02114-2017
www.mass.gor/dia
us kers'(•o m prnsation insurance:11Ttda s it:Builders/ContractorsfEkctriciani/Plu mbers.
It)HE HEED M 1 111 1111: PERMITTING At1 THORI-1't.
%nilicant Intuit Please Print I:ecibl%
Name tHusincys Orgamzauun lndi idual): ,q/Cri*CL. � cr WoL
Address: 90 o
0/062
City/StateiZip: Js'itrifCC A-11 Phone#: V/3-83 V 77 9
Are y.rt as employer?fink the whet bn
Type of project(required):
1.Q I am a • lo»er with employees(full;And or part-utn I• 7. New construction
2 am a wle proprietor or partnership and base nu employees wurkui_ for me in 8 aftedeling
anY capacity.[No workers'comp.ueoutancti required.]
9. ❑Demolition
3E:1 I am a humeinsncr doing all wink.myself.[Nu workus'comp. insurance required.]'
4.0 I am a honmowncr and will be hiring contractors to conduct all work on my property. I will
10 Q Building addition
enure that all contractors either base workers'compensation insurance ur an sole 1 1 a Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
50 I am a kteneral contractor and I has c hired the sub-contractors hated on the attached sheet. 130 Roof repairs
These sib-contractors base ernploycra and base workers'comp.insurance.:
60 We area corporation and its officers have exercised their ngbt of exemption per MeiL c.
14.0 Other
152..¢1141.and sac hase no crriplu eel.[No*otters'comp.insuranrc required]
*Any applicant that chocks Lox a1 must also fill out the section below shuN ins their workers'compensation pulicy information.
Homeowners who submit this•at1iidaeit indicating they arc doing all wurl.and then hue outside contractors must submit a new affrdax it tndicstang such-
:Cuntracturs that check this hex mug attached an additional sheet showing the name of the sub-contractors and state v.hither or not those entities base
employees- If the sub-contractors base employees.they must pros ide their .sorkcrs•comp.policy number.
- --�
I um air emplr+yer that is pro►vding worlers'compensation insurance for my employees. Below is the polka and job site
information.
Insurance Company Name: _
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City.State.Zip:
Attach a copy of the workers'compensation polk} 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 S 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 S250.00 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.
I do hereby certify an er t s and penalties of perjury that the information provided above is true and correct.
Signature: Date: ,1/1Y/2
Phone 4: i'/3 --93y-//9
Official use only. Do oat write in this area.to be completed by city or town official
( or Town: PermitlLicense k
Issuing Authority (circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
h. Other
Contact Person: Phone#:
Commonwealth of Massachusetts
® Division of Professional Licensure
Board of Building Regulations.and Standards
ConstructionShtiewi§ery 1 &2 Family
CSFA-106004 spires: 02/08/2022
MICHAEL DESORGHER 1.
43 SILVERCREAST IN
GREENFIELD MA 01301
(-)/SG I;10``
Commissioner ( ( t /. 8tmC# •
•
//i r1naiciin i..Ill I 74,;;a.k..,
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:Individual
Registration Expiration
178738 02/04/2022
MICHAEL DESORGHER
DB/A YEOMAN DESIGN BUILD
MICHAEL DESORGHER
43 SILVERCREAST LN
GREENFIELD,MA 01301 Undersecretary
City of Northampton
xertis
Massachusetts j
i. o
+� ;it DEPARTMENT OF BUILDING INSPECTIONS ._
�� r ;s� / : , --
212 Main Street esMunicipal Building
Northampton, MA 01060
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:
Location of Facility: /4(c ,`- r c 7 L b,ti.{,._ 33 7/ c i Tfirry , 9-19
A c1t Mame nvvJ 4
The debris will be transported by:
Name of Hauler: fic '-''�� gl- ' L
Signature of Applicant: Date: 57/(1_2_ 4
Stoddard Residence 141 Audubon Rd. Northampton, MA
Existing Space Proposed Space
2x6 Floor frame over basement stairs
maintain 6'10"head clearance on stairs
o U,,
Basement Stairs
00
Existing 00 •
�J Kitchen existing 111 _
_____ _ ("`- halfwall
CCC New finish 2x4 wall to ceiling height
- flooring platform at
�^/�\
_.� t -- itchen floor height
2x8"Joist 16" IIJ
3/4"subflo II
Existing __iii -,-. .13
Garage
14'x27' Demo closet
and 5'of ext.wall
Fireplace - Firepla New floor over existing slab
Existing II
LivingRoom 2"EPS 2x4PT Joists 16'o.c
lul
3/4"subfloor
11 5"step
Reinsulate existing 2x4 cavity with
Garage Door r 1"EPS over slab dense pack celulose
1/2"cementboard
and tile
New 2x4 Exterior wall with 2 new windows
pour extension to foundation wall
Driveway
New entry door 32"x80"