25C-142 43 ORCHARD ST COMMONWEALTH OF MASSACHUSETTS BP-2022-0161
Map:Block:Lot:25C-142-
001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0161 PER 3IISSIONIS HEREBY GRANTED TO:
Project# JS-2022-000283 Contractor: License:
Est. Cost: 11300
Const.Class: Exp.Date:
Use Group: Owner: SHARNOFF ELENA H&LANCE R WILLIAMS
Lot Size(sq.ft.)
Zoning: URB Applicant: SHARNOFF ELENA H&LANCE R WILLIAMS
Applicant Address Phone: Insurance:
45 ORCHARD ST
NORTHAMPTON, MA 01060
ISSUED ON:08/17/2021
TO PERFORM THE FOLLOWING WORK:
REPAIR 2 STORY PORCH
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.
Signature:
>2 . 7-)DiT
Fees Paid: $74.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
3-S -- ao27_- oavzg3
c ' The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
I Massachusetts State Building Code, 780 CMR MUNIUSE ALITY
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
t_� One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: I3P 7O22-b/(e i Date Applied: -Fit Z/2o Z I
eLFL/1/3 &0'53 8- 1p-zoz►
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
43-45 Orchard Street 2-CC— I j
1.1 a Is this an accepted street?yes no Map Number Parcel Number
r
1.3 Zoning Information: 1.4 Property Dimensions:
UK/3(101 )
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:
Public O Private❑ Zone.: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Elena Sharnoff Northampton,MA 01060
Name(Print) City,State,ZIP 4•
411o45 Orchard Street 301-830-2326 esharnoff@ yahoo.com
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) O Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':Repair two-story front porch.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item porch (Labor
and Coals) Official Use Only
1.Building $11,300 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee ha
0 Total Project Costa(Item 6)x multiplier (o x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ o
Suppression) Total All Fees: $7t- u�
Check No.253 Check Amount:/N'Cash Amount:
6.Total Project Cost: $ 1 1 ,300 ❑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.ft.)
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 . 0
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 au, 1 ' e Mike Perrier and Jeff Wyland
to act on my behalf, ' a rs lati'e)to t, irk au prized by this building permit application.
Print Owner ame(El c S nature `}1 Da
SECTION 7b:0‘/NE"OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
con ' ed in this app ca i'i' and accurate to the best of my knowledge and understanding.
/ '3(7/a- 7D- i
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
Information on the Construction Supervisor License can be found at
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"
•
Tln' .Ilrr.rit hrt.etr.
1.1Cf+iI7rrrer►t i,j/rrrlrr.rriul 1c t idtiit%
I ( rilttre.%+ Street. lit' trill
Btlai111. 1I.•1 Il'1l 4-2rr f _
trL.utrt•N.;,,Prn• rliu
11 atl,cr% ( (sutllt'i.ati:m Iii ulaucl' \t1id:r it: l31111dcr. 1. mat;it turs lJct ll is ian. PIun111cr..
I$$ RI I-1111)\\IIII !Ili riR\l1III\<. \1 11111t(111.
\tlllli;:utl Iut•I r t:111,.1ii I'Ica.c flint l.l-•±ihl+
Elena Sharnoff
43-45 Orchard Street
` 11� Northampton, MA 01060 301-830-2326
;It'al pt11.i .1 Irrytlucclt
_ t _
•
•
•
r
t
_ 'orch repair
i!!lI rill a'!lltl,irit /hint is 111-1'1 ill ilt4!a err, t•r+ +16,11e'a'l1+t!flr+!t !!1+1i!YNlt a'!..!'U71't'lltJaltl:'rt+. t)<ir!11 is lit'J,e,iia l ifil t!j•:;: �..i
\Il.lrh .1 CI11i+ +11 till- 'IA 11CLl'1 s iiiiiltll'li..ttiasri p014. dt'ilar.il1U11 I%li' 'Il1;;,tilt' 111111i+ i11/11114•I .slit! t\ltil'.tt1.f11 Lille 1.
•
filet!lt ie'irl +t'... !l rtt!t! ! 1a in*/ i ! i!Ia'1 e•t t!a'!7tli-; tht i�tt inlell"!j ufi'Vl ,. ��: . i..,n . ff-.
� 18/12/2021 I_�
f�„tl.te:J !!+e'iNi11. t�ir iletf h rile !!7!11t+ rl!"a'!7. !11 hi'a',illlllt t , "1 r+r jilt!! - Ilea!t!i•
i I 11% or -1 u++u: 1'crluit
l%%t1111•2 \1llhttt'lll ltIrtlt• ion,.I.
I. 1311.tid of(lt'.tltli2. liuiltlin IIt pal tnit'ut 3.( it. It1++rl( Ica 4. I.Irttric.11 Iii pctinr I'Iunthin. ln.(trttur
1.. t)tht'r
( antact l'cr.un: I'hllnc =.
City of Northampton
Massachusetts
�r
�, DEPARTMENT OF BUILDING INSPECTIONS •
;74. ' .' 212 Main Street • Municipal Building
<<fi— Northampton, MA 01060
CONSTRUCTION DEBRIS AFF I )AVIT
(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: Northampton Recycling Center
The debris will be transported by:
Mike Perrier
Name of Hauler:
Signature of Applicant: Date: g ��
City of Northampton
„im;�-1 fir-
'"° Massachusetts
i s:
; i +, DEPARTMENT OF BUILDING INSPECTIONS
e` .' -*, 212 Main Street • Municipal Building
' 1
--� Northampton, MA 01060
l
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I Elena Sharnoff i9/1964
(insert full legal name), born
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 ains and enalties of perjury on this 12da
y of August 20 21
"1
( tgnature)
daaa.£' aid � a
N
4 :: ,Th--
"3 \ 1 + ti
•�
A
r . `
\.! ! '-)
,, p \ , ) ‘t ‘1\Q)
T
. 4
'' ill:
\ , 1 . a
; ‘' \ &) ) I \'' i
LI i l' #
p ‘ ,
•. ,.. ‘N , 4/
. i 1 �� 1
R j
•