25C-058 (7) BP-2022-0070
25 LINCOLN AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-058-001 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-2022-0070 PERMISSIONISHEREBYGRANTED TO:
Project# GARAGE RENO Contractor: License:
Est.Cost: 20000 NATHAN SMILEY 114958
Const.Class: Exp.Date:05/24/2024
Use Group: Owner: LAWLOR, ANDREA &MELLIS BERNARDINE A
Lot Size (sq.ft.)
Zoning: URB Applicant: SMILEY HOMES LLC
Applicant Address Phone: Insurance:
58 MAPLE ST (207)653-4310
EASTHAMPTON, MA 01027
ISSUED ON:01/31/2022
TO PERFORM THE FOLLOWING WORK:
TURN GARAGE INTO FINISHED OFFICE SPACE
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: ,Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I i .54c) 3-,
' I
Fees Paid: $130.00
•
212 Main Street, Phone(413)587-1240,Fax:(41 3)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts JQ N 2 0 0Board of Building Regulations and Standards 20�2 IIPALITY
Massachusetts State Building Code, 780 C FUSE
r (?.t (( j
Building Permit Application To Construct, Repair, Renovatie C r, ttrq evised Mar 2011
One-or Two-Family Dwelling ", ,0T'o_s F
This Section For Official Use Only
Building Permit Number:g"- --1"-7 O Date Aj
lied:
I . . . �0 :� 4/21122\
Building Official(Print Name) Signature i to
SECTION 1: SITE INFORMATION
1.1 Pro erty Address: 1.2 Assessors Map& Parcel Numbers
r^' � �e— No'(+l/aMItov, 'A5C— E6c-05S
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
VP,6 RecAlthf;al, .Z0 09 C1
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
io 10,0510 �o
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Fl Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: •
khdre . Lawlor 4-gervica..ite l ois Nor a p Mk Q 1066
Name(Print) City,State,ZIP
oZ5 LI VI CP 1/1 AreAve `t(3-7(43-?IS'a tlI�s®ifoitok jo1e.€Att
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 1117.Owner-Occupied 0 Repairs(s) 0 Alteration(s) Er Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brie Description of Proposed Work': T c AiJ �J
e- i 7ti v) Dv e- CRC jc c. Ql° I►/1 o -‘11 i5
ittEk
OV-Fic.e_, SC
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ I L/ ODD1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2. Electrical $ 3 r Don 0 Total Project Costa (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ , , 000 List:
5. Mechanical (Fire $
Suppression) Total All Fees: $
Check No.QCheck Amount: 130 Cash Amount:
6.Total Project Cost: $ �� OO� 0 Paid in ull 0 Outstanding Balance Due:
f
City of Northampton
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Massachusettsco--„
DEPARTMENT OF BUILDING INSPECTIONS212 Main Street • Municipal Building
Northampton, MA 01060 sspPy �‘....
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR, ETC.
I. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specifications of proposed work. (Digital and hard copy)
3. Site plan with location of proposed structure(s) and set backs.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new / replacement windows).
8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable).
9. Note any Conservation and/or special permit requirements (if applicable). 10.
Driveway Permit (if applicable).
11. Proof of Water and Sewer entry fees paid (if applicable).
12. Trench Permit - public land by DPW/ private land by Building Dept.
13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit
application before issuance of permit.
14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) r ) GG _ qs$
51m1`e #t e5 Ll 1. CI ate, AA,C e License Number E irati n Date
Name of CSL polder
CS
Maple—
a— List CSL Type(see below) lJ�
No.and Street I Type Description
4I aECA �D �/�A it``3 e`7 U Unrestricted(Buildings up to 35,000 cu. t.)
l I R Restricted 1&2 Family Dwelling
City/Town,State,Z M Masonry
RC Rooting Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 R ist red Home Impro ement Contractor(HIC)
A e 194gs7 D I �a
a`l U W V .i \�it; HIC Registration Number E irati n Date
HIC Company Name or HIC Registrant Name E I
CS Mn�te. Si- 1 Ackte-51M f,2 gwpj, co m
No.an Street p maiLaddress
asAVavHon IN DID, 7 .R07-G53-010
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 Ie 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 authorize N"61N 4,N S1 1
to act onT- 'behalf;in all matters relative to work authorized by this building permitlication.
Print Ov/i am on / Date
SECTION 7b:OWNERI 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.
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: /V/k
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: ?5 Ci LOT: A5C OSg
LOT SIZE: 909
REAR LOT DIMENSION: 33
REAR YARD
f ro J L+- i`1 c(vd'es Q�r y wok 014 >c s. 4-)' 54-ro of
Pi° 19 aired anarnir cayfrokil
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE 71
!,...,_
The Commonwealth of Massachusetts
,„,:,
,_..,,z,k Department of Industrial Accidents
{.=._ _,-.,...
k _ 1 Congress Street,Suite 100
' j Boston, MA 02114-2017
;.:, ; . ' www mass.gov/dia
11 i,t kern' ( urnlaensation Insurance Aflidat it: Builders.'('ontractors/EkctriciansfPlumbers.
It) Bk. FILED S%ITU THE PERMITTING IN(.Al l HOlt1-11.
%milic:int Inforrn:t(oal i /^ Please Print Leeibly
Name Itiosan:>,Orr;antcan..xt Individual): 5M j A l o Me-5 L.LC- . _
Address: S Mckri e, St _____
City/State/Zip: kW\ t0-A A 01 0a7 Phone#:
Are ysu as employer?("beek the Appropriate hut: Type of project(required):
i1 I am a employer with ___, , employees mull and or part-time l-a 7. New construction
2 am a suk proprietor or partnership and have no employees working fur me in $_ remodeling
any capacity.[Nu workers'comp.insurance required.)
30 1 am a m n oows doing all work myself.[No%otitis'comp-insurance min n d.].
9. 0 Demolition
4.0 lam a homeowner and will be hiring contractors to conduct all work on my property. I will
10 Q Building addition
homeowner
ensue that all contractors either hate workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors e.ith no empluyees.
12.0 Plumbing repairs or addition,
50 I am a general contractor and 1 hose hired the cob-cuntractun hsted un the attached sheet. I D ROOFreP airs
Thesc sub-cuntracturs hale employees and hale worker,'comp.insurance.:
6.2 N'e arc a corporation and its officers have exenised their right of exemption per MCiL c. 14.0Ottlt!
15:..)1I41.and we have no employees.[No workers'ewnp.insurance required.]
'Any applicant that checks box a1 must a[su fill uut the section below showing their worker,'eompensativa policy information.
*Homeowners who submit this atfidat it indicating they are doing all work and then hire outside contractors must submit a new aftulao it indicating such.
:Contractors that check this but must attached an additional sheet show ins;the name of the sulrctmtractors and state w hether or not those enntiec ha.e
crnrlo e., lids,.sub-c.mtr-: .,r,.I .•.crmlu..ces.they must pp,id,their worken.cuanp.pohc,rurnbcr
I am an employer that is providint workers'compensation insurance for my emplosees. Below is the milky and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.4: Expiration Date:
Job Site Address: City,'StatelZip:
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 violation punishable by a tine up to S1,500.00
and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coscrage veil f;ca ion.
I do hereby certi:•a, e'r tire a ris r 'ertuliie.%of perjury that the information provider)above is true and correct.
Signature: /IVl Date: l/�Ci oZ P\
Phones:(207 653—( 310
Official use onlc. Do not write in this area. to he completed by city or town official
city or Too n: Permit/License#
Issuing Authority (circle one):
I. Board of Health 2.Building Department 3.('ky/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone 4:
City of Northampton
oa .mot-4t:
Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS r'
212 Main Street • Municipal Building
Northampton, MA 01060 JsE-,y ,-t�
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: Jctk/ I c c i
The debris will be transported by:
Name of Hauler: IMI�
Signature of Applicant: ( Date: ( 1( a2
1/31/22, 12:45 PM City of Northampton Mail-Drawings for 25 Lincoln Ave Permit Application
Cityof
NNorthamNorthampton� Jonathan Flagg <jflagg@northamptonma.gov>f
Drawings for 25 Lincoln Ave Permit Application '
1 message
Nate Smiley <natesmiley@gmail.com> Mon, Jan 31, 2022 at 12:43 PM
To: "jflagg@northamptonma.gov" <jflagg@northamptonma.gov>
Hi Jon,
Thanks for getting back to me on Friday. Here are some sketches of the proposed work. Please let me know if this all
looks ok or if you need anything else from me. Sorry about the phone message confusion but you can call me at 207 653
4310 if that's easier than email. Thanks again.
Best,
Nate
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