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32A-168 (21) BP-2022-0130 50 HAWLEY ST UNIT 1 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-I68-001 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-2022-0130 PERMISSION IS HEREBY GRANTED TO: Project# BATH RENO Contractor: License: Est.Cost: 11100 WILLIAM TUROMSHA 000515 Const.Class: Exp.Date:02/15/2022 Use Group: Owner: BURKE JUDITH A Lot Size (sq.ft.) ' BURKE JUDITH A WILLIAM Zoning: URC Applicant: J TUROMSHA DESIGN &CONSTRUCTION Applicant Address Phone: Insurance: 50 HAWLEY ST UNIT 1 NORTHAMPTON, MA 01060 11 WILLIAMS ST (413)575-7846 7PJUB-0653N47 NORTHAMPTON, MA 01060 ISSUED ON:02/10/2022 TO PERFORM THE FOLLO WING WORK: BATH RENO 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: .).9 Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 7/•°° Versionl.7 Commercial Building Permit\lay 15,2000 ' ACI De art n `ego a a : -- t 11- -- City of Northamptonf Status of Permit: �' } Building Department Curb Cut/Driveway ei _'' - FEB 212 Main Street 9 2022 .Sewer/Seotic Avail y Room 100 WaterMJell Avajlabi l„--- i Northampton, MA 01060 Two Sets of Str etur P a n1 eUILbING INc r ,.n Nclo 4mAr-ror; ,p; 0413-587-1240 Fax 413-587-1272 Plot/Site Pia Other Specify.. -.1� APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMATION , This sectionto be'comPlet dby ' `. • 1.1 Property Address: - S O i-i MAE i STR a ET Map Lot It Zone Overlay Disttiet� NIDRTHla.ri. Tot-1r MA Elm St.District CB District't �= .. .w.tom.. SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: L Su cl•11 14 _1314 RKE. SO NAwisy otE }6Ci .kenfs ).:01 Name(Print) Current Mailing Address: Signature i���� — a ,g-e-,-----4z---- Telephone 2.2 Author' ed Agent: )ilta_''i —1_..iLtaorns•ltA if W►Ili A IV‘S SME.ET NA.> T44Aa. ._I Name(Print) Current Mailing Address: , _—. � � :..`�� _.Sr34.yoS.._r._._ Signature K/m l/41ar,,s ji¢1 Telephone G . SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (33.15. o° . (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of I9 a-G.Oa Construction from (6) ;-..- -----,-•. 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection ------ -_...._.._-.. 6. Total=(1 +2+3+4+5) % II, l O b • ue Check Number 1 g‘3I This Section For Official Use Only Building Permit Number Date ol /3p Issued Signature: 1 .- l0 2 � a Building.Com issior er/Inspector of Buildings l e Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET.OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs CZ Demolition I4 Repairs❑ Additions 0 Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing El Change of Use❑ Other 0 Brief Description 'Enter a brief description here. R EN o-a"T>E I ST FL"o it in 115 R B ATH Pitt"..*.,t •}e Of Proposed Work: REr""- '"rub S44co.,g4 Ivr•✓o RIEPLpte kit:" ►NBLJ S N u'- & $45 L ANp wAlls. i _SEA Arn-pcKU:. tkR_#,hr, __.__. __ SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 0 A-2 0 A-3 0 1A 1 0 A-4 ❑ A-5 0 1 B 0 B Business 0 2A ❑ E Educational ❑ I F Factory 0 F-1 0 F-2 0 2C i 0 2C 0 H High Hazard 0 - 3A 0 I Institutional 0 1-1 0 1-2 0 1-3 0 36 0 M Mercantile 0 4 0 R Residential ❑ R-1 ❑ R-2 ® R-3 0 5A 0 S Storage 0 S-1 0 S-2 0 5B 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: s S Special Use ❑ Specify: _______ "` - COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: t..__.___________..__...._ - Proposed Use Group: 1_. _ _E Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):I ___.. __ SECTION 5 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICEUS "O'lY s Floor Area per Floor(sf) w3, s . 1st __._._ .._ __ 1st aA•r7sa :,- . ; 2nd _._..__. __ w.�....._.. 2nd 3rd _.._.. ..M. _.�_..-- 3rd _.. __._... , "- 4th Total Area(sf) Total Proposed New Construction (sf) Total Height(ft) s. Total Height ft T 7.Water Sunnly IRA r_t n AA s CA% ^• _ 4 8 February 2022 Commissioner Jonathan Flagg Northampton Building Department 212 Main Street Northampton, MA 01060 Bathroom renovation 50 Hawley Street, Unit 1, Northampton, MA. Remove tub and shower combination, remove walls from around tub shower. Construct new walls to accept 5'-0" x 2'-6" shower base. Remove tub shower valve and water lines. Install Moen shower valve with hand- held shower. Insulate new framing and wall behind pedestal sink. Sheetrock open stud walls. Install "Samuel Mueller" Monterey solid surface shower wall kit. Change existing bath fan to Panasonic vent fan/light combination. Respectfully submitted, , r\TAA Cfr".4 William J. Turomsha Version1.7 Commercial Building Permit May 15,2000 y8 N,ORTHA1lIRTON ZON NG, Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size :. . ........._ " _._..._.:i Frontage i.: t a ci.S$.. • /29.5 g ... . ..._-uu Setbacks Front '.� ._; 33�5: 33� _. Side L:423,' R qr.'_. L:.42 3 R `i'c1... Rear }ZS'a 2.S'o Building Height _.._ ' Bldg.Square Footage Open Space Footage % (Lot area minus bldg&paved I ..; c, ._ parking) #of Parking Spaces + . Fill: i - (volume&Location) :,..._ ......___,..___._._... A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW 0 YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book Page and/or Document#( B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW Q YES Q • IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: _. C. Do any signs exist on the property? YES © NO O 4 IF YES, describe size, type and location: J D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q IF YES, describe size, type and location: w �� € E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. � � ^ � VersionlJCumueroial Building Permit May l5,200O ' SECTION- CONSTRUCTION «» � CONSTRUCTION CONTROL PURSUANT TO 780 CMjj lie(C- ONTA' INING-MORE THAN 35006 C.F.OF 9.1 Registered Architect: ! - --�-----'-----------'------- -'----''- -' Not Name --' -------' ' ~-----~--'--~---^-' - ' - -~ - �Reglsftdon Number ? Address �--� - Expiration Date ^— 'Signature Telephone � -9.3 Registered Professional En0Vneer(s): - �-- ~' � - --- ' --' ' -'-`- --� - '-� r-----'-------- ------- ` Name Responsibility Area of 7 ----� r---- Address Registration Number ------� Signature Telephone Tdnphnne Expiration Date — Name�_ Area of r ---^-------~'-------'----'- -----------' - ' ' Responsibility Address F�eqistratlon Number . Signature Telephone Expiration Date - ----------- -~-~--- r---- � � � Name Area of ' Address . ... � _-_-/ Signature Telephone � Expiration Date mame_ Area of Responsibility � -1 �------ - '-~~---�-~--' Address Registration Number -~_--___ -- Signature Telephone Expiration Date 9.3 General Contractor T- �^jtom^SqA 1)15 S I H myws~r«z^mc-r7oo Not Applicable Company Name: Responsible In Charge truction . Address /L�u�°,"~�.--� Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11 -OWNERAUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR.CONTRACTOR APPLIES FOR BUILDING PERMIT :Tu p Cr_IA_ 13 Luz KE ,as Owner of the subject property hereby authorize:.......__. II/AM S 1 u R o w)5 N ts to act on my ehalf,in all matters relative to work authorized by this building permit application. c>r'G_.SKu P=Lia A Zo 2 Z..._...� Signs e of Owner Date I, — .. .,. jiJi. rr .1 l u ke,m ,as-9wnQr/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed tinder the pains and_penaities of perjury. .WLL _AMR*P.nsKA Print Name Up," 1 Lc t(J�,zs/L- ci f 12u.o.er ZO 2 Z Signature of Owner/gent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder:k_ ►llIAh __.._ re.oms!-ta 0 O 0.5.15_.__.______... _. License Number .ET NO1 TH AlYtp- nor HA 010(0o 62 is 70 Address Expiration ate [/n, J_t .6 403 57-5 yi. Signature / Telephone SECTION 13-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 res in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: So 1-10.1UL y sreeeT NoaTn4amptou lin The debris will be transported by: tilklz iTiet„h ii The debris will be received by: VAIIF >iicL1Lj41 Building permit number: Name of Permit Applicant 14111),A� 7 -1-620 ►3+.-a The Commonwealth of Massachusetts Department of Industrial Accidents • 1 Congress Street,Suite 100 Boston,MA 02114-2017 I www.mass,gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name: Wm T."EA rcotnsl.tA ToEc16N 604S7kut,ciou Address: Il146 11)A 11,s SIP:SIP:E.it City/State/Zip:Woos-i4 76/3 PTA Dlo 1.2 Phone#: y/3 �q� y 005 Are you an employer?Check the appropriate box: Business Type(required): 1.[] I am a employer with employees(full and/ 5. ❑Retail or part-time).* 6. []RestaurantBar/EatingEstablishment 2.23 I am a sole proprietor or partnership and have no 7. Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] 8. Non-profit 3.❑ We are a corporation and its officers have exercised 9. 0 Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees.[No workers'comp.insurance required]*" 11.0Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ***If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: ) R AU ELF R S Insurer's Address: QC)X 1LL)O City/State/Zip: AT Ei)e r Cr Q 6,U 2 Policy#or Self-ins.Lic.# 3'? ;SU 8 - Olo 5 311 Li 4- Expiration Date:0(o/2 o/20. 2. Attach a copy of the workers'compensation policy declaration page(showing the policy numbe,E and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certcf), under the pains and penalties of perjury that the information provided above is true and correct. Signature: g(�i�, Date: Phone#: '//3 5 R L `/OO 5J Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia 3liacks IN 3 fuDWAI% 1. -- __ /I/ �. _ ........ _ ._ �- ........ _� _ _ - ,_To I,Cr Pla:PWC 1.1 o L D 'Rsz.'Por�t. 1 tJ t.olt Leac...'41rwi iS xt4so A G4Ab bike,. IJALL 're $i 1Lt Rao•4•a 04s►4 taxACa,ith4RUA 4.13 r A ' i- T- 2" 1___--0UST/NG Ex\S'r\H6 FobRG Gc_ixe.,3 Stots I TaL,ET`1b Tv�b p►.c a Su-RKoviA 4=, S��C1 1WK 44 b,o Rm94.tacets IA,,t4 $ Si•o, x 2-6" SNocserk O , . (I V 1/44 11 Mc_,,,, Q 61" eat) E iC-1i _____ . C , 1 1+Pg rc of SMi-G r V(I1SA8R 1:1t.::::,ois-rp.L. stmt. I F 7L \ O 'i'o RE,w .l 9' 3,.± / F ucE. -TOn¢: 3r_0" r l7P u,RAaEa 1 --} �l>J►P 3r-0u ELECT-RIG 13�F$04enivA,40.1 1 t it bk.t.AL !!! �YY r0 BP 'TA! F. fgk�S 1 m _. y'-r ou \ 2_`" i ,( 3 2,, Su b I T 5o a-1AWELY STREET 3 .147 G of MASTER. 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