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23C-108 (4) 497 RIVERSIDE DR BP-2022-0006 GIS#: COMMONWEALTH OF MASS8CHUSETTS Map:Block:23C- 108 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CON 1 RAC I ORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPLACEMENT DOOR BUILDING PERMIT Permit# BP-2022-0006 Project# JS-2022-000006 Est. Cost: $972.00 Fee: $80.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: EXTERIOR ASSOCIATES 113456 Lot Size(sq.ft.): 39465.36 Owner: DRISCOLL-SBAR& FREDA L Zoning: URB(100)/ Applicant: EXTERIOR ASSOCIATES AT: 497 RIVERSIDE DR Applicant Address: Phone: Insurance: 408 SOMERS RD (860) 978-5911 WC ELLI NGTONCT06029 ISSUED ON:7/2/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:DOOR REPLACEMENT 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. III� r , Certificate of Occupancy Signature: � • . • FeeType: Date Paid: Amount: Building 7/2/20210:00:00 $80.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-12721II Louis Hasbrouck—Building Commissioner I I I� II %/ \� 1 - ./ N4> / _ The Commonwealth of Massachusetts ./, �!*�- 0 � , of Building Regulations and Standards FOR ,�\''°l . . 7 saChusetts State Building Code,780 CMR MUNICIPALITY USE \,�9T Q'4 Building, App cation To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 irgM,p�^, One-or Two-Fancily Dwelling r©L 44,4<-c, This Section For Official Use Only Buildin Permit � t �� Date Applied: �v1N�ko,s �� 7-2 242 Building Official(Print Name) Signature Date �_ SECTION 1:SITE INFORMATION ~ ^� 1.1 Property Address:497 RIVERSIDE DR i 1.2 Aa3GMap& Parcel Numbers 1.1 a Is this an accepted street?yes . no Map Number Parcel u 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage Oil 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.40454) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CI Zone: _ Outside Flood'Lone" Municipal 0 on site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: DRISCOLLSBAR F L FLORENCE, MA 01062 Name(Print) City,State,7,1P i 497 RIVERSIDE DR (413)563-9406 /UctY/,SL PC(Umcc s L• /fest- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s I 0 Addition 0 1 i Demolition 0 Accessory Bldg.O Number of Units Other 0 Specify:New Exterior Door(s) •ne I' '- 'in of Proposed Work2: New Exterior . Patio Door,NO STRUCTURAL CHANGES.Number of doors( 2 1 SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated stimated Costs: y — Official Use Only (Labor and Materials) 1. Building $ 972.00 I. Building Permit Fee: S Indicate how fee is determined: 2.Electrical S 0 Standard City/Town Application Fee . ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List: 5.Mechanical (Fire S Suppression) Total All Fee.i$ ° Check No.‘Rill Check Amount: Cash Amount: 6.Total Project Cost: S 972.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 113456 07/22/2023 Kyle_Nielson License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 30 Lanz Lane No.and Street Type Description U Unrestricted(Buildings up to 35.000 cu.ft.) Ellington CT.06029 R Restricted 1&2 Family Dwelling City;Town.State,ZIP M Masonry RC Rooting Covering WS Window and Siding SF Solid Fuel Burning Appliances 860-978-5911 office(alexteriorassociates.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HiC) 103175 04/28/2023 Exterior Associates Inc. HIC Registration Number Expiration Date HiC Company Name or H1C Registrant Name 408 Somers Road offtce(alexteriotassociates.com No.and Street Email address Ellington CT 06029 860-978-5911 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 O No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize Exterior Associates Inc. to act on my behalf,in all matters relative to work authorized by this building permit application. DRISCOLLSBAR,F L 6 i 9 /2021 Print Owner's Name(Electronic Signature) [alt SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, 1 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. r Dennis Audet Z)e..ii_. 6 / 9/2021 Print Owner's or red Agent'. 'ame(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do hislher own work,or an owner who hires an unregistered contractor (not registered in the Home improvement Contractor(HiC)Program),will gg 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.) W._ _ (including garage,finished basement/attics,decks or porch) Gross living area(sq. R.) 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" 80