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23A-206 (7) BP-2021-1972 90 BEACON ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-206-001 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-2021-1972 PERMISSIONIS HEREBY GRANTED TO: Project# ADD BATH Contractor: License: Est. Cost: 4000 STEPHEN YOSHEN 88490 Const.Class: Exp.Date: 10/01/2023 Use Group: Owner: SLADE, ELIZABETH GRACE Lot Size (sq.ft.) Zoning: URB Applicant: STEPHEN YOSHEN Applicant Address Phone: Insurance: P O BOX 41 (413)695-7801 0 CUMMINGTON, MA 01026 ISSUED ON:09/30/2021 TO PERFORM THE FOLLOG y� CJ� WORK�•I. ' ADD BATH 4 ft aR.� -* ri OU a 1 t 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: 1 final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: et .52 3-1,8 * i I , Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED The Commonwealth of Massachusettsvg 2 9 2021 Board of Building Regulations and Standards FORMUNICIPALITY Massachusetts State Building Code, 780 CMR USE DFPT.OF BUILDIFisillawfWnit /lpplication To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 r:ortTHaMr nor MA mow One-or Two-Family Dwelling This Section For Official Use Only Buildin Permit Number: ia 104,.2/... q7 ._ Date Applied: E-UoJ ` P05.5 el)f Cr%-ZOZI Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Addr 1.2 Assessors Map& Parcel Numbers iiJ 0 a ccv► r Peones- At f4- 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) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Waterer Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public la" Private❑ Zone: Outside Flood Zone? Municipal L9"On site disposal system 0 Check ifyes❑ / SECTION 2: PROPERTY OWNERSHIP' I^ //., 2.1 Owner' r StG[Alt, 1 e nee , �- 6W 6 Z- Name(Pnnt) City,State,ZIP CI '.6ea.tOil- S-4''4- evict— `0-531 -3016 ,✓(iz_gialeagvutU .cl No.and Street Telephone Email Addres SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) OierAddition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Li a wat l.vt ' 6 h t et{e a fr.pfitt✓' kti( SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ` l 000 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 14 pc 0 Standard City/Town Application Fee 0 Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 31000 2. Other Fees: $ 4. Mechanical (HVAC) $ NIA List: 5. Mechanical (Fire $ Ni /L Total All Fees: $ Suppression) 4' �`l /' Check No.l'7O Check Amoun lj/ 6.Total Project Cost: $ 9 16 6 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Su rvisor License(CSL) CS —6g$"+ n td(L( 0L3 °p4e n -e� License Number Expiration Date Name of CSL Holder 10x LI ( List CSL Type(see below) No.and Street Type Description �^ 1�11/YI yYCLL I ✓( N �� CO Unrestricted(Buildings up to 35,000 cu.ft.) A � 6` L R Restricted 1&2 Family Dwelling City/Town,State,ZW M Masonry RC Roofing Covering WS Window and Siding G / I p �/ SF Solid Fuel Burning Appliances at 13 — 6 l S— ` O(�l S'-leG/�h�/ Q it oQNIRIIt I Insulation Telephone (Email address �/ D Demolition 5.2 Registered Home Improvement Contractor(HIC) (44104 212-12-2- c Ltv 1 Y SI4vv1 HIC Registration Number Expiration Date HIC • $: •ame ot WC Registrant Name 0 G X it ;-kpt, ey0.SL yn'ti 1,«„1 No.ai4Street Email address CAA4/h1411 kdil, MA- G I 07-6 City/Town,State,ZIN 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 II( 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 sir \S Lie Kto act on my behalf,in all matters relative to work authorized etikevt y this building permit application. C1c i-ab kk S l 4 d I vi 1 Print Owner's Name(Electronic Signature) e 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 accurat to the best of my knowledge and understanding. aIZq.�ZI Print Owner's or Authorized Agent's Name(Electronic Signature) ate 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.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" The Commonwealth of Massachusetts lT . .----1 Department of Industrial Accidents 1 I Congress Street,Suite 100 ... ',t ' Boston, MA 02114-2017 > www.mass.gov/dia 11 urkers' Compensation Insurance Affidavit: Builders/Contractors/Eketricians/Plumbers. to BE FILED WI ill THE PER%11TrINC At I HOR1T1'. Annlicant Information Please Print L.esibly Name(BusincsaOrgatitzationindividual►: �,(2c l(,R.cL Address: 10 T3 K. City`State1Zip: -((f/e i_ M-P-0tCG2 Phone#:_ It(3 3L —301,6 Are vuu 411 cuuphncr.'t tuck the appropriate tern: I Type of project(required): 1.01a t a employes with employees(lull a dot part-timel-� 7. New construction 2 a sole proprietor or partnership and have n u employees working fur me in 8. D Remodeling iv any capacity.[Nu workers'cutup.insurance required.] 30 I am a hm uuuwner doing all work myself.[No workers'cusp.ntswramx nmiure�d.]' 9. ❑ Demolition 100 Building addition 4.❑I am a homeowner and will be hiring cunlrieiurs to conduct all work un my property. I will ensure that all contractors either lute workers'co npe7uaIrun insurance in are sole I 1 a Electrical repairs or additions proprietors w ith no employees. 12.0 Plumbing repairs or additions 50 I am a general contractor and I have hired the sub-cuntractrrs listed un the attached street. 1 3(_'t Roof repairs 'These sub-euntra-tors have employees and have workers'cutup.insurance.- j,,J b.©we are a corporation and tb officers have exen iced their ngbi of exemplum per MCiL c. !4. Othrl 152.;j 1141.and we have no employees.[No workers'comp.Insurance required.] 'Any applicant that chocks box 41 meat aLsu till uut the section below ahoy.ins their workers'compensation pulicy information. t Homeowners who submit this affidas it Indicatns they are doing all work and then hire outside contractors must submit a new affulav it indicating such. :Cuntracton that cheek this box must attached an additional sheet show ins the name of the sub-centraeturs and state whether in not those entities have employees tt the sub-contractors have employees.they must provide their workers'comp.policy number. /am an employer that is providing worAers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: __.._. — Policy#or Self ins. Lic. #: Expiration Date: Job Site Address: City/State Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,*25A is a criminal ,tolation punishable by a fine up to S1,500.00 and;or one-year imprisonment,as well as civil penalties in the fornt of a STOP WORK ORDER and a line of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Offux of investigations of the DIA for insurance coverage veritictti I do hereby certi n r th• :ins and WI al ' s of pe rjun that the information provided above is tree and correct. Signature: I)''' q! set "vD- Phone#: r(, / 5— ©l Official use only. Do not write in this area,to be completed by city or town official ('its or Town: Permit/License 4 Issuing.kuthoritf (circle one): I. Board of Health 2.Building Department 3.CkylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: _ City of Northampton ti `5 S,C f ••'" Massachusetts �? << DEPARTMENT OF BUILDING INSPECTIONS s 212 Main Street • Municipal Building 0_ `b Northampton, MA 01060 5Nr 3,.)\'\' 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: �./4 The debris will be transported by: Name of Hauler: CALIM \.Q,VL Signature of Applicant: Date: f/D.25 •�� via(?) b449k ,),),}a2,...1 \- \g-v-71. 91O - ) �� �c� �► 79 o \,1 1)1/ Jo) 1 U15 r - - • }oaf, ; }Opp iv i F!, II M Ov ;U!Ud6 c City of Northampton a<N tir T. Massachusetts a4 , ' ' 0 11C 5 7 DEPARTMENT OF BUILDING INSPECTIONS ' r 212 Main Street • Municipal Building jS Jca "` Northampton, MA 01060 F'jy � • HOMEOWNERS'EXEMPTION_� ELIGIBILITY AFFIDAVIT rL� l�,2 I, �� '?.qh��n 17C32 S� - (insert full legal name), born _ (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 ii gage 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 un pains and penalties of perjury on this 2° day of , 20111. (Signature) Basement Renovation Plan (90 Beacon St, Florence MA) • Frame non-structural 2x4 wall • Insulate segment of the basement with rigid foam • Install drywall over all insulation • Insulate ceiling with reflectix • Repair small chips, scratches, and holes in concrete floor INE )0 Beacon St -Iorence MA aeils itfia z � 5 r t 111 I Existing Floor Plan (Before Renovation) I , ! __ _ )0 Beacon St 19.6 ft =lorence MA o Within this segment of the cO basement, we will be insulating the foundation and I the new interior wall with rigid 7 ft I foam. We will cover all of this ch with drywall. We will also insulate the ceiling with a thin 1111 00 Y, radiant barrier (reflectix) 1 co , 26.6 ft we will be framing a non-structural 2x4 wall, splitting the basement into two rooms Plan For Upcoming Basement Renovation (dimensions are approximate) I. .M..�