30C-081 (5) BP-2022-0373
43 PLATINUM CIR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30C-081-001 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-2022-0373 PERMISSION IS HEREBY GRANTED TO:
Project# KITCH/BATH RENO Contractor: License:
Est. Cost: 92000 TIM SENEY 061088
Const.Class: Exp.Date:03/25/2023
Use Group: Owner: TRUSTEES ALPERN DAVID B&DIANE L
Lot Size (sq.ft.)
Zoning: WSP Applicant: TIM SENEY CONTRACTING
Applicant Address Phone: Insurance:
371 PROSPECT ST 4136261797 2001W8413
NORTHAMPTON, MA 01060
ISSUED ON:04/12/2022
TO PERFORM THE FOLLOWING WORK:
INTERIOR 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: I ,2 TO* •
I •
10
Fees Paid: $598.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts 4Pe
it Board of Building Regulations and Standards i 7 FOR
Massachusetts State Building Code, 780 CM �Q22MUNICIPALITY
n �.,. l USE
Building Permit Application To Construct,Repair,RenovateOr. can ish a ,'Revised Mar 2011
One-or Two-Family Dwelling _`' �%ioti.
This Section For Official Use Only
Building Permit Number: OP' 1'. 7 3 Date Applied:
eztj1t..1 55 /:/! - 1 k - Li
I z- zotz.
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: _43 Platinum Circle 1.2 Assessors Map&Parcel Num ers
_Northampton,MA 01060 +L 0 I/
1.1a Is this an accepted street?yesX noP N.umber 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:(MG.L c.40,§ 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
54)Public itPrivate❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
David and Diane Alpern Northampton,MA 01060
Name(Print) City,State,ZIP
43 Patinum Circle (413)427-0631 dianealpem@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORD(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) C7L Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: Remove and expand existing window over kitchen sink;update kitchen,living
room,and half bath areas. u rACToa• 28
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building $73,00 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 9,000 0 Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 7,500 2. Other Fees: $
4. Mechanical (HVAC) $ 2,500 List:
5.Mechanical (Fire $ 0
Suppression) Total All Fees: $ i '•4Check No.;2 01Theck Amount: Cash Amount:
6. Total Project Cost: $92>000 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5:`CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-061088 3/25/2023
Tim Seney Contracting,Inc. License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
371 Prospect Street
No.and Street Type Desaiption
Northampton,MA 01060 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofmg Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
(413)626-1979 timseney@gmail.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 194101 01/02/2023
Tim Seney Contracting,Inc. HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
371 Prospect Street timseney@gmail.com
No.and Street Email address
Northampton,MA 01060 (413)626-1797
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AvvirpAwr(M.GL.+ 152-125C(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 0
SECTION 7a<OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERAIIT
I,as Owner of the subject property,hereby authorize Sc✓R
to act on my behalf,in all matters relative to work authorized by this building permit application.
David and Diane AlpernlZ
Print Owner's Name(Electronic Signature) Date
SECTION.7h 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 a e to the best of my knowledge and understanding.
Timothy J. Seney 04/11/2022
Print Owner's or Authoriz Agent's ec ignature) 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"
City of Northampton
c� Hau€tb
<<r Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS $
212 Main Street • Municipal Buildingti, ;' 0~
Northampton, MA 01060
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: Valley Recylcing, 234 Easthampton Rd., Northampton, MA
The debris will be transported by:
Name of Hauler: Tim Seney Contracting, Inc.
Signature of Applicant: Date:
The Commonwealth of Massachusetts
1. ', went of lndltstrialAccidentr
F':rati
• I Congress Stress,Smite 100
_ ir
Boston,MA 02114 2017
waves mass gov/dtar
Workers'Conspensation Insurance Affidavit Builders/ContractoralEhelriccians/Plumbers.
TO BE FILED WITH THE PEitbll"ITI M A!,THORI'l`Y.
Anolieant Information Please Print I:eitiblr
Name ei $ 0; Tim Seney Cunt Inc.
371 Prospect Street Y ' `
chip: Northampton,MA 01060 phone#: (413)626-1797
Marts *11,
ra lCl+ ,pra*ntateboa: ' peofproject(retquired):
L i car a aattptitrper with 1 *(tuff seder.par tonse).* 7. [3 New construction
tam a titte proprietor or pattneaship and have no eraser calking for me in 8. gip Remodeling
fay capac tp-Rio wrirkers'comp.*stiranc r regarrd.1
3rj1 a a hioneowsher doing work myself.Piu{wicket clomp_ repteres3.i' ;: itiolf
ant
#.D a am n homeowner and will be hiring euawa so exat or, adnet all work on m property. a will 10(3 g addition
ensure that all contra tither have workers"compensation insurance or we sole I i 13 Electrical repairs or additions
pcuietvtts ve ins no employees. 1Phunhing repairs or additions
$/3i car a getieral coataraeeor sod I have hived the rub-eeotnereters listed oo the at rthad iheei.
Three hare rt ayee. and have workers'comp in 3 13 ttnOf repairs
E3 Other
6,0 We ere a asaapafna au and its old have eexerrated their right of•eseroptiott pee MGL c. ;t
132.4 1(4).sod we have ew ntoplo eel.No workers'comp.iartnrmr a required.'
*Any applic ibis shacks boat k t statit'ablo MI out the xartion below shchriang dress wrarkert'eitengensatiori radiey edforntarinet_
f liamanwsera who wbaut thin affidavit indicating they are floats all work arid thee hire outside nordeactea s must submit as tarns affidavit indicating such
Conttacltrts that cheek this box nom stitched an adctiitionad'sheet showing the stanza of the sttb-ctotmetoot and sauce*hetet or not those ascribes have
employeeti. 1fdattessenctcrs have ernployera.they oust provide their motes*comp.policy number
.
t ants malt twirls",*et#t p ovklirg workers'coatpensation iinl artartte for my employers. Btelmr Is the policy and Job site
information.
.
Insurance Company blame: Farm Family _
Policy e or mains.Lie.#: 2001 W8413 Expirttiaas Vie. 03/26/2023
Job Site Address: 43 Platinum Gum city/S r Northam;MA 01060
Attach a espy of the workers'theapensation policy deekuration page(showing the platy number and expired**date).
Failure to secure coverage as required under MUL c.152,*2SA is a criminal violation punishable by a fine tip to$1,500.00
andior one-yes irnpnnoetnent,as well as civil penalties in the faint ofa STOP WORK ORDER and a lime*tap*,$250.00 a
clay against the vioiator. A copy of this statement may he fotwa ded to the°flsce of Investigations of the t?lA lot'insurance
coverage verification.
I do hereby certify under the pains mid penalties ofofperjuly that the information provided above is true and correct.
Signa►nuc.;...,,,,......... Date:
Plioneal ` 3)626-1797
If _a..D^'MIZT,-s r V7"�a•:-s— . - .... -.
Oflietsllest► J+I' Rn—Veit lel*m'aa,to be coe*pletePd by eh"'sr lowly
City or Tama: _ Permit1Lieense B
laming Audaarits(circle oaae)
1.Board of Health I.Bantling Department 3.City/Taws Cierk 4.Metrical Inspector 5.Plumbing inspector
6.Other
Contact Person: Phase/t . .