Loading...
24D-194 (6) 141 PROSPECT ST BP-2021-1477 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D- 194 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADD BATH BUILDING PERMIT Permit# BP-2021-1477 Project# JS-2021-002456 Est. Cost: $26000.00 Fee: $169.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEPHEN YOSHEN 88490 Lot Size(sq.ft.): 8276.40 Owner: ARSLANIAN PAUL P&SHARON R Zoning: URC(100)/ Applicant: STEPHEN YOSHEN AT: 141 PROSPECT ST Applicant Address: Phone: Insurance: P O BOX 41 (413) 695-7801 () CUMMINGTONMA01026 ISSUED ON:6/15/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT PORCH TO UTILITY ROOM,ADD FULL BATH ON 3RD FLOOR 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 NO' HA /PTON PO VIOLATION OF ANY OF ITS RULES AND REGULATIONS. , �, Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 6/15/2021 0:00:00 $169.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner ir ` �V 1 , The Commonwealth of Massachusetts D cloc/ FAR W Board of Building Regulations and Static�A;.4//)/ MUNICIPALITY Massachusetts State Building Code,780 i in,^ir,,1 4,�,so USE Building Permit Application To Construct,Repair,Renovate Orbedto� Revised Mar 2011 One-or Two-Family Dwelling \ S. n This Section For Official Use Only BuildingPermit Number: �jl'o) j "1' 77 Date Applied: evSO 1Z5 /42 t-1y-Zo21 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers /yl Plr^osIpe - -l;i N Orfttett ptDu 2y el—19 / 00l 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: / i.,2'76. Li0 ' 200 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 ..-- s ��. 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 4e Private❑ Check if yes[ Municipal On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Raiu (-+'Sl4.4.VaN &�Va k-" City, aikop x4I Alit- O/U6 d Name J y I Pvoroec s+-t yi3-3ZO/1f Z aVslam QtAfi e y4.kooicatm No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building f2/; Owner-Occupied Cet Repairs(s) ❑ Alteration(s) lei Addition IV Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': off I. CONUt✓f slJe ADvc�t f-a LJ4-i�i V'o -i OTr. S+r }i( U 1`14C?b2.Z1 2. V'ep(wGc, v SGv€-etc Lao ilia 5IA..ff -c vcro, 4114 (oc,:� poval 3‘ C rwevf bZIA ktoov wKlk—itA &lus44—j—o 1. - (I left, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 000,0D 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ El Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ S 0O0.f31) 2. Other Fees: $ 4. Mechanical (HVAC) $ / List: 5. Mechanical (Fire $ r ,,�„_ Suppression) / .''Y Total All Fees: $ ('q vej Check No. 3(3)Check Amount: • Y i Cash Amount: 6. Total Project Cost: $ 9.(0 of ,, 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License CSL) G S—D g-U © /O// J�Z C e cVCA YO&-. `e-(A License Number_/ Expi oi//Date Name of CSL older r List CSL Type(see below) U lv, 0. Q o' Ili) No.and Street Type Description C W W l \A-1 t; yjl A /D). t U Unrestricted(Buildings up to 35,000 cu.ft.) I, l/6 R Restricted 180 Family Dwelling City/Town State,ZIP M Masonry RC Roofing Covering WS Window and Siding / / SF Solid Fuel Burning Appliances I//3-(45-"7 -o� 5'r ., etiypSIG�, p`Jl [ ��at,. I Insulation Telephone E address J D Demolition 5.2 Registered Home Improve nt Contractor(HIC) she os���� i yyoy Z z Z HIC Registration Number E ira on Date HIC Copa Name or HI Registrant Name 11Sf as-33 �i�t sf ltut `ostz 04 Ai' 4z/1--- No.and Street / Email adaFiss vimvi4r0- ' ) Yl 14 0/0;G y/3-- 6ys 99-o/ City/Town,Statd;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 .......... ❑ 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 b o o e and understanding. �4l/l 340/4; Lt Z/ Print Owner's or Authorized Agent's Name(Elec 'c Signature) Date 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 tinder 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" CITY OF NORTHAMPTON SETBACK PLAN MAP:2J10 LOT:/gy -0Oj LOT SIZE: 8 Z76.YO REAR LOT DIMENSION: REAR YARD h of cktel war t hva &otr✓ref, SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton pPS H..,_�.�Mpj�•. OUP:13141; 4 ; � Massachusetts �'� - �1 `` DEPARTMENT OF BUILDING INSPECTIONS212 Main Street • Municipal 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: VGII/7 gay The debris will be transported by: Name of Hauler: ILON! C,a(W(,teL-'- Signature of Applicant: Date: 0/2i The Commonwealth of Massachusetts lr� - Department of Industrial.Accidents _;-�_ 1 Congress Street.Suite 100 k Boston.MA 02114-2017 Ki is mass.goridia 11 tacker'(iimpensatiton Ids+oroace Af idas it:Builder%?('ontractntsiElectr icians Piumhrrs. i 0 BE;FILED 11111111 I HE PERM'FI 1NG Al r1'NORhI 1_ .1trltlicant Infurrnation /� /� Please Print Leeibls Name h h3u rtk t.)'ss r itrt7autm[tuft:lamaf: PoiI VS k(/1(CL ✓1 __... ___ _ Address: l`1lvos� . .�._ state Lip:• / p / 01 ne#: y/3 32-17 6'2 Are yus an cmpkner!Cheek the appropriate hot: Type of project(requirrdl: In 1 Ara a emplir5,t with employees i lath and ut pf iNISEti i' 7, Li�;�rcxx cun�ltua:ittill is I am a scat prupnctcr or ptrmrnmtnp and has .mployant working for me tog.lafiemodcling. any rapacity.[Nu awttr-r romp.insurance rt.-gutted" �'ry 9 30 I am a humaiss act doing.all wink myself-[!so wcaricrs'comp.ira,ua,a?c d.1" I_I nttshtion ,�.�./ n 10 0 Building addition &.{{/i t aa a Irmevrwncr And tie hisiam coma tor.to conduct aft s.irk on my pmptzt%.. I winJ crenate that all mmtracicrs either lust workers compensation insurance iw are%Ae I I a Electrical repairs or additions proprietors*tilt nu canpkKv:cs. 12. lumbing repairs or additions sa I am a tcieaal contra tut and I hate banal the sob-tnatraei.rs Id-.FM OS the attached shoot_ !3 1It10�PCparrs Ihesesoli-einttratti,ra hate employeesAnilInsawcrflcri.vamp.mortar-we. 4.0 60 V.a at a earponit un sad its.flickers liaise exercised then ortn of exemption per Site&t" ! 14�514 41.And we late no anployees.[\w w driers'smnp.insurance rcyutred.j "Any apptamt that chides box=1 must ale tilt chat the section iw:tuw sbowma thew wcatkers'.e+iatpcnsatitmpdicy irfaancttun. i lisincowners who submit flit alrukasit nsehcaun tttcq aft rlwng All work and then hue outside conir cturiana st submit a new;Arced to it inditanni:such [.n tractors that check thus bat muse attaisr d an aIdatiunid Ares thaw ins the mune s,t the wti-kcvatr:cktcrs atYl stair w teeth r c+r na't those.attics lid:c emplu:ees. it tht sub cwrlracli*s aaatc errg+kryc�rs.they Forst preside Ills ir auttacts`tamp policy numhar. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance(*ontpan)Name: --._--- --_ Policy#or Self-ens.Lic.#: Expiration Date: Job Site Address: City.StZrp:.__.-..__.._.__._ Attach a copy of the weriters'compensation polies declaration page(showing the picket number and espiraliun date). Failure to secure coverage as required under 11CiL t_ i52.- is a criminal violation punishable by a tune up to St 500.(KI and+or one-year unpristrttnxnt,as shell as civil pr rakes in the form of a STOP WORK ORDER and a tine of up to S25+[I_I]0 a day against the siolats.o.A copy of this statement may be fonvarded to the Ofiice of Investigations of the DIA for insurance coverage verification. I do hereby certile un the ens u ienalti perjury dastthe inf»rmution provided oboe is true nue•orrect_ Somiturc: Il,tie Phone / — w Official use only. Do not write in this area.to be completed hr city or town official ( its or l own: Permitticense# issuing.►uthorits tcircte one,: I. Board of Health 3_Building,Department 3.('ityl1'o'Nn(lerk 4.Eketrical Inspector 5. Plumbing,Inspector (,.Other Contact Person: Phone#: a' City of Northampton at HAMl T` Massachusetts } • ( ���a DEPARTMENT OF BUILDING INSPECTIONS �` \ 212 Main Street • Municipal Building yJh cD� .err'r, Northaxapton, MA 01060 S�1y ‘'`� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I /?&.,L// ,. l Rid( ,f k4(i/4� (insert fill legal name), bor (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. 1 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 s and !allies perjury on this 941 y of J u C— ,20 24. e v" — (Signature) . \ 1 ,,04 . •i i . i . .. „.•• . , , . - ! ,,,,,,c, 1'M c-)c •,,,,,,,17 i .. . i (A1,1,1VAFT: i 0\ .01040)"I ..i.' 1,4 1\Y:4177 I ' I I -r---o-e.-.•...r.-o-. ti A?AA( 0 t • k iiI1C Aft144::::imi9 -- :1:* 1444:444:1#11::4'3 0 =,'"I'Avq•ci . i'1:71-..'----: 4'62. .14 jel 411V6 i I •,0 , f 1..i.• f, \wroof.))rtricisrseliisfzivic.t,,... 17:: :ityl 1.3,..erro Noll 4.1. '3ipt411 ,1 7*,l'Aivf.1......c III )::," 11 fj r1 re:0014441rer7P"1 CV:14::4;(2,1:....:11,...1:7:1.41isolkiris , i if II, 0.‘ • V. 4'441.1Ye9 w WI At,o?? t S fAliel 1 : ' 1 ---------;- i-- - ----- .. ./ . ........0.--401o,-00.•AM..taent. ii ..2 ,x:. ...4.2\''x'(,;., .. __A-N ! .; 1 tr- ir41/19- 4 r (1 , . ,) '' ....._ . . . • :v 11.00.4.s 4.1! ' i ! +( 1 : 4r)eva, ?•:".4e,OC,JO 5 A"rA,‘,C ,43)4T'+7,-.C„t1oXwol- _to-:i r?7.r' 1/ d- -/- :" , ; . „7-AA- 0'' I 1i11 ..4-1 4.1-.1. 4 ....". -01 I 1...v.e...i ram.A 134-9 .4..A... "*.*Urea 'Milli i 0 1 i S11 id.. CA ti,elir*.. IS 15 • ........,........ .a............M.•,*.e.......,..,,....... K. N,N}e, ):\ I ‘.....,......„, *.'`........ _.,... .........—... ! I 1 (21<\ ) Z.. I . / . i 's E ,„1.,,,,,,... Allifa. i 1, , A k'Sk 1 1 , 1 C kl ,A4,... 1 S AO" . .c.s 1 A 1 II, rri . • : . 1 ... , . , I .e• '-t"-' 1 -.; t t....t. 4t;tt i { '''''' --1*...'• ; $ ' i • ' '; I imilt., ,.. solek4 , I f • I I £, I , I ; 5 1 i - , ; t ---va . Z ; 4") .......'.. t.....Is....a.....ft...........,....Z.. '''. f 1 • ' I "C. 1 1 1 ....t- n 1 , 1 1 ........... Air, i F i t 06,, 1, , ,.....0- i I I 1 1... IS......% ..4.4..... IN Nil ir.'' ri I $t Jr.,. ft 7 1 1 ' 1 - hi .- 317t4 ell . ..f 4 i 1 '—' - i .votirrA r mete, Citert2— i.______ i k, ti.4.41_1.01,00-Aft t4,-1 — , . ,.,. fl.,,rettencAl....,151-A-2 cri1 -4( ,...1 0.4.fli3 ) rAtoi ..,4, A co 7 ur ki 1 % 1 wir".4. ,--rf-A4v- el-fyil iv,!-T/? 1 .---("ti ' w.0„AI ri, ilooy .11. 1014 IA d ...., ,getar en-7 VI iff en (Vt)4..,I _ 9 i 1 Y 0 S 1V . Nil Aie c/ ,sle 5 4.q2 5 c... 41 )16 1) O ....... 4_ i vet —A-rsid 11 A r'--f -ri/rt Vroe° ..,p4., 0011-0.0-7 14.7//05/55vj c -ft P chill poi „I ,,,i, 4:vi•fif r r killf(.1 vl., "ill S -1 i cry m 0 ‘A.A0 51p1 lly;AA ti ) ....... 1 / 1 . kr7A 0 CI ii.i) I 7/di ..- "."-.."--1- ' :---".".". Leh /il 0 ' ! -*"...-"-- 1' ii\h...9 ----- --P III I/ 1 ' 1 7 • /..1 ,/\int.,,,"Th : /), 4, 1 !MI 1 )k,,,,,., ., r , ,,,, t 0 i 1 t 1 ,,, „ , r , !) , ( , . cCwia."; t 11° 16.0 4 3 1•h ' ' ..: ' ' ‘. ... .,. 1.' . s+50.4 reict A -2,4. 4 AO Ne4.44 !X.. clirArciAii, 371)40 cigems Lit.11-7.137,2 "1111_0,4 .j..).0 vrAoct Acoi-s. rol 25 i :,:,:., et ...-- ... t f a 4 k. , i - ' { i 4 I t x ram .1SndHA, 9 � i 1-103III-taiSf/ -ft a���ry 3 • ct4 .41 ! 7,8f-' . `I Am/ , ili itiorover rzt ePer‘11.id 15 11,4;ro. 11-v ___ ilt y 0 . v)rit Ae°1-3- ?fAE# _ _ _ _ I _ _ ......! 1 1 _ 1 1 . : 1 , , 1 i if 1 ,i 1 1 *A# ` _. _ .v,.,. - Y ...,(\ t-, I .* -r i i-cis 00b J- i9 1 w ° Q.L. cia2r 4 ?J3ri - ; * , .• s ;;y i i i 45 4- v9encr1 - o .99 1 i c( 9n1z0 j 1 uaz3dWa1. , 7(nty 7 .,�t9 a t/..�." 1 t 39 QL c Qg rf r1o00(C4 * 1 1