38B-283 (4) BP-2022-0088
264 SOUTH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-283-001 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-2022-0088 PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 89348 CARL WOODRUFF 109983
Const.Class: • Exp.Date:03/04/2022
Use Group: Owner: ROBERTS, JONATHAN M& ELIZABETH J HUGHES
Lot Size (sq.ft.)
Zoning: URB Applicant: OXBOW DESIGN BUILD COOPERATIVE INC
Applicant Address Phone: Insurance:
122 PLEASANT ST SUITE 109 XWS2257412882
EASTHAMPTON, MA 01027
ISSUED ON:01/31/2022
TO PERFORM THE FOLLOWING WORK:
HOUSE RENOVATIONS INCLUDING KITCHEN AND BATH
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 ! � Qr�
i • I' yU
•
II
Fees Paid: $579.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts \
Board of Building Regulations and Stan rds OR ITY
Massachusetts State Building Code, 78 C qN 26, SE
Building Permit Application To Construct,Repair,Rehstya?' emolish a�Q Revis d Ma 2011
One-or Two-Family Dwelling �°?ry vie
This Section For Official Use Only •°'l, s'OF
Building Permit Number: I-- , .,,/,- ? y Date Applied: °708074/044s /
,r
Pi, ' I I2 31
Building Official(Print Name) Signature D e
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 4. ors Map&Parcel Numbers
264 South Street ((�� 6
1.1 a Is this an accepted street?yes x 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 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 12( Private 0 Zone: _ Outside Flood Zone? Municipal'On site disposal system 0
Check if yes
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Jonathan and Elizabeth Roberts Northampton,MA,01060
Name(Print) City,State,ZIP
264 South Street (512)635-5629 roberts.jon.michael@gmail.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) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units 1 Other 0 Specify:
Brief Description of Proposed Work2:Kitchen and bathroom remodel.Refinishing of walls and ceiling in upstairs hallway and office.Removing
load bearing wall in office and installing support beam.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $74,170 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $4,840 ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 10,338 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire p
$
Suppression) Total All Fees: $ . r
Check No.I( 0 i Check Amount 7 Cash Amount:
6.Total Project Cost: $89,348 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-109983 03/04/2020
Carl Woodruff License Number Expiration Date
Name of CSL Holder
122 Pleasant Street,Suite 109 List CSL Type(see below) lJ
No.and Street Type Description
Easthampton,MA,01027 U Unrestricted(Buildings up to 35,000 Cu.ft.)
R Restricted 1&_ Family Dwelling
City/Town,State,ZIP
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
315-854-4024 carl@oxbowdesignbuild.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 197929 02/06/2022
Oxbow Design Build Cooperative,INC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
122 Pleasant Street,Suite 109 Carl@oxbowdesignbuild.com
No.and Street Email address
Easthampton,MA,01027 413-527-9000
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 .❑
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 Carl Woodruff,Oxbow Design Build Cooperative,Inc.
to act on my behalf,in all matters relative to work authorized by this building permit application.
?714-'14^ January 20,2022
Print Owner's Name(Ele onic 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.
Carl Woodruff January 19,2022
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"