31B-084 (5) 77 HENSHAW AVE BP-2021-1560
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B-084 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2021-1560
Project# JS-2021-002589
Est. Cost: $74000.00
Fee: $481.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROBERT WALKER 034783
Lot Size(sq.ft.): 15071.76 Owner: MOSTAFA ASHIQUIE
Zoning:URC(100)/ Applicant: ROBERT WALKER
AT: 77 HENSHAW AVE
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:7/1/20210:00:00
TO PERFORM THE FOLLOWING WORK:BASEMENT RENO FOR NEW APMT
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.
( ,
Certificate of Occupancy Signature: ' w e �,d (+'I •
1 I
FeeType: Date Paid: Amount:
Building 7/1/2021 0:00:00 $481.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
✓l/ ` �`
The Commonwealth of Massachusett/ \•-c\ ,
s Kam). \!`
Board of Building Regulations and Standa ,e -9 c 1)
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Massachusetts State Building Code, 780 C ti9 �o,^/n N'7 IUI$IPP. ITY
Building Permit Application To Construct,Repair,Renovate Or 457 a evisec'Mar 2011
One-or Two-Family Dwelling • -,.< o
u' 1 ,
6�'al r �is ection For Official Use Only
Buildin Permit Number: Date Applied:
7-1-Zoz
UhV OSS ����� I
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 um Assessors Map&Parcel N s
_7-7 1-�f� � A tic �3( a o ff
1.1 a Is this an accepted street?yes 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) 1--err A-0 e t_t cpvii (� / fir,-t-r� mr 0 I-,‘...1Front Yard Side Yards { Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Sppply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public[_3'/ Private Zone: _ Outside Flood Zone?
Check if yes❑ Municipal 0 On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
A- 1-1 t ( J q 1"\0 S-1-As- r"a ►r�cA4- 12-tib AA A
Name(Print) City,State,ZIP f
'7 1 --- .-ut-ok,--- P.-A.Yi
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) /
New Construction ❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) i Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Co AA Pt. NE r)ASI=.v\..(��-/C ---U R
A-P�)-rt-
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 6,3 GOB 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ Z 00 0 Standard City/Town Application Fee
❑Total Project Costa (Item 6)x multiplier x
3. Plumbing $ 6 4-OD, 2. Other Fees: $
4. Mechanical (HVAC) $ I A-c,p List:
5.Mechanical (Fire ,
Suppression) $ Total All Fees: $
Check NoeRO6 O heck Amount 416/ Cash Amount:
6. Total Project Cost: $ "1 4- ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License (CSL)
Cs —o3A-7k3 *viz(
^r Lu A-1/4_ 47 License Number Expiration Date
Name of CSL Holder
2 List CSL Type(see below) 0
No.and Street Type Description
V-4.7 r—eN, A o c+�U U Unrestricted(Buildings up to 35,000 Cu.ft.)
� R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
L,H„ SF Solid Fuel Burning Appliances
4,3 Ste- 1 iv � ec�,�114'44.31. it. •.S, I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
1720110 S'ltSIZL
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street J 0.Nv-e S 1 dal dress
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 . ❑ No . ia ALA-- ve -, y S v g Lc, c Tfr/h
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&i -
to act on my behalf,in all matters relative to work audietized by this building permit application.
Asu 1 Gxe 6( 2 et ( 2(
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.
kA--4-— 42/ U�- — l��L�`-- ((2Ci
Print Owner's or Authorized Agent's Name(Electronic 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 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"
City of Northampton
SI
Massachusetts ��5 ;� c'<<
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I ! ( DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street to Municipal Building xvy Oa
Y x, Northampton, MA 01060 SSk 30%'�`�
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: V /� �� (,� Ck-(
The debris will be transported by:
Name of Hauler: c STv'i-v GT
Signature of Applicant: ,, Date: G/ ci (71,
CONSTRUCT
ASSOCIATES INC.
To: Jonathan Flagg
From: Bob Walker JUN 29 2027
i�
App /
Date: June 29, 2021 '-' "oaEno, /
`nJSo
n• t4.1
Re; Basement permit / 77 Henshawo"S
Jonathan;
The included permit is an amendment to the existing permit for basement at 77
Henshaw which was issued in September 2020. The original permit was to finish back
half of basement with a bathroom and laundry room. The owners want to move ahead
and plan for a future apartment in basement. I will be installing a kitchen and bedroom
with an egress window to grade. I have discussed with Kevin Ross the separation
requirements and we will be installing a one hour rated separation as required. Some of
the ceiling will be 5/8 fire x rated drywall, and partially a suspended ceiling with a rated
grid and tile.
Please call me if you need any additional information.
Thank you,
36 SERVICE CENTER,NORTHAMPTON,MASSACHUSETTS 01060 413/584-1224 QUALITY DESIGN&CONSTRUCTION