38A-133 (8) 90 MOSER ST BP-2021-1468
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38A- 133 CITY OF NORTHAMPTON
Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit# BP-2021-1468
Project# JS-2021-002443
Est.Cost:$18000.00
Fee: $117.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(so. ft.): 8415.00 Owner: BLUM HARRISON
Zoning: PV Applicant: BLUM HARRISON
AT: 90 MOSER ST
Applicant Address: Phone: Insurance:
90 MOSER ST (617) 308-2683 ()
NORTHAMPTONMA01060 ISSUED ON:6/9/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:DECK
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 ORT AMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. I' , i;
cs.-0 v
Certificate of Occupancy Signat e:
FeeType: Date Paid: Amount:
Building 6/9/2021 0:00:00 $117.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
•
L,p7
The Commonwealth of Massac usett: UN `9 �O FOR
Board of Building Regulations an St.i,�
2/ UNI�PALITY
Massachusetts State Building Code;.7$L0 rH lin USE
A r
Building Permit Application To Construct,Repair,Renovate M @myS, �y Revised Mar 2011
q 0ro, ONg
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 3P—a I - IN Ci 8 Date App.ed:
. oq tt
Building Official(Pint Name) I Signature • ate
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
90 Moser Street,Northampton,MA 01060 38A 133
1.1a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District 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
1.6 Water Supply: (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 0 On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Harrison Blum Northampton,MA 01060
Name(Print) City,State,ZIP
90 Moser Street 617-308-2683 harrisonablum@gmail.com
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(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':
adding deck off back door,approx 332 sqft and 2ft off ground.Privacy wall on north side,railing on south side,steps along most of west side in
aaanion to ralsea planter.ns zxi u giraer at the west ena of the deck on uxb posts every 8"
X2 2x10 attached to house on one side for support near basement accesss. 2x8 flop joists with hangers
Big feet are 30 inches,small ones are 10 inches — S I)A0 NI3 locet,oAs Aye w L, \e S ;A deck 1 t a q r ct'."
SECTION 4: ESTIMATED CONSTRUCTION COSTS J
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $18,000 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) Total All ee • $
Check N41,11 Check Amount: j 1 1 Cash Amount:
6.Total Project Cost: $18,000 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.Ii.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
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 of the building permit.
Signed Affidavit Attached? Yes 0 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
to act on my behalf,in all matters relative to work authorized by this building permit application.
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 this application is true and accurate to the best of my knowledge and understanding.
`��� Clef tzi
c
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. 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.eov/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"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
Rear yard runs approx 90 ft from back of house
to back fence and 40 ft wide. HOA, Plotkin,
approved plan for deck per included email.
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
Massachusetts
' 1 $ cr DEPARTMENT OF BUILDING INSPECTIONS'.44 %\
' A 212 Main Street • Municipal Building y0'. <1,
Northampton, MA 01060 j'41;ii` Zt
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: Glendale Road Transfer Station
The debris will be transported by:
Name of Hauler: Murray Emerson
Signature of Applicant: Date: >7 i
F1.\`'. The Cotr't.rtronrl°ealtit ofMassachusetts
Department of Industrial Accidents
i 1 Congress-.Street,Suite 100
Boston,_1L4 02114-2017
ck7.1r1,:,,,,4
nr nli ina:.ss gov/d a
!" W urckers'Compensation Insurance Affichrritt BuildersContractoraglectriciamsTlumlaen.
TO BE FILED Vi.'t LH THE P'ERXUTTING AUTHORITY.
Applicant Information Plea e Prirt Legibly
ly
'game (B r_n-aryi7 ioniTkj-;cb L): Harrison Blum
Address: 90 Moser Street
ifyiSt;lte i : Northampton, MA 01060 Ph
� 617-308-2683
Art •eemiploy-tr7 C h.rck flit appropriate boa:
Type of project(required):
I Eli ant a employer with employmes(full a=der pant-tim.4).+ 7. 111 New couutmd ion
2❑I am a aria proprietor oz pener-:tip and sates no employees weak* for me in S- ii REMOdelint,
asn,capacity.(N0worla -i'temp.insurance naq.irod_l
: Demo
3.0 I ant I hcaUs.+3rmr r doing all work myself.[Noweaken'camp.insurance yet oirsd.)' 9- Elllttron
10❑Builrlinf ad<htion
4.E I an:a homeowner and will he hiring contactors to conduct all work-on my prep cg I will
emsur that all contactors either have workers`compmswim ins- race et ors sole 11.0 Electrical repass or additions
paoprietorc with no employees. i
❑ m n.repairs or additions
t.❑I am a general co_t1 or and I have hired the soh-cent-actor. listed on the artachad t.air^. 13 I I repairs
Theca sub-ccntracturs have employees and have workers'comp.in sumacs.
d.❑We are a corpaaataon and its oEiccws have exercised their:rilx. mr ire of eau per MGL c. .❑ th
€52,1I{4),an we have no smplores.[No workers'comp.insurance required.3.
•Any applicant that checks bra el most also fill out the sectan below allowing their workers'comprmaiion policy illiOnaltialL
Homeowners who submit this of dav-st catrns they are siccing all work and then hive vatssde csnnecters most submit a new affidavit indicating sack
✓ostracears that chart.:his bra moat et:ached as adciEons!shag?showing the name of the tub-co tz cloys and tote uhatku of not tnc+se entities have
employuet. If the sub-sonnutors have employee;,.they mast provide their workers`coop.pclic .Timber.
I am an employer that is prcrtzding workers'compensation insurance for flit'employees_ Below is the policy and job sire
in formation
Insinance Company Name:
Polity*or Self'in .Lie. : Expiration Date::
Job Site a :m,,,,,_.. _.:__....._,,,,,,,,,,,,_._._..._._,,,______ ..._.._City'State?Zap:
Attach a copy of the workers'compensation policy declaration page(showing the policy number` and expiration date).
Failure to secure coverage as required under_NIGL c_152,,,25A is a crucial elation pernashable by a fine up to$1,50O.0O
air or or. -gear imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S251)..00 a
day a, airt-t the violator.A copy of this stag may be forwarded to the Office of 1nti cations of the DIA for insmaince
coverage verticatt+
I do hereby certify under the pains and penalties of`perjury°that the infotiat an provided abtwe is trite and correct.
Siattrre: t�8-r
�y� Date: 6/9/21
Phone#. 617-308-2683
Ofj'"rcio/rase only. Do not write in this area to be completed by city or town official
City or Tor: Permit:License R
:Issuing Authority(circle one):
1.Board of Health 2, Building I}ep:a rttnent J,t=itvTown Clerk 4.Electrical Inspector t.Plumbing Inspector
6.Other
Contact Per-tom Phone 4:
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ds a)1-
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I Harrison Austin Blum (insert full legal name), born 4/24/80 (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 9th day of June , 2021 .
(Signature)
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6/8/2021 Gmail-Deck Request
Gmail Harrison Blum<harrybzen@gmail.com>
Deck Request
2 messages
Mike Hogan<mhogan@splotkin.com> Mon, May 3, 2021 at 9:13 AM
To: Harrison Blum<harrisonablum@gmail.com>
Good Morning Harrison,
The board from MassDevelpment has approved your request to install the deck that you had requested. I reviewed the approval this morning as I review my messages.
Thank you,
Mike,Apologies to you and Mr. Blum for the delay. This got lost in my inbox.
Good luck to Mr. Blum. I hope he enjoys his beautiful new deck.
Claire
Claire M O'Neill
SVP, Real Estate Planning
MassDevelopment
Cell: 617.595.9430
Email: coneill@massdevelopment.com
Website: massdevelopment.com
Twitter: @MassDev
MassDevelopment
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