31A-115 (8) BP-2022-0463
38 VERNON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
3IA-I 15-001 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-2022-0463 PERMISSIONIS HEREBY GRANTED TO:
Project# PORCH Contractor: License:
Est.Cost: 20000 MATTHEW KOZUCH 106644
Const.Class: Exp.Date:09/25/2022
Use Group: Owner: A COFFEY KELLY
Lot Size (sq.ft.)
Zoning: URB Applicant: MILL RIVER DESIGN BUILD
Applicant Address Phone: Insurance:
6 HIGH ST 4133418893 WC2-315-624269-010
FLORENCE, MA 01062
ISSUED ON:05/02/2022
TO PERFORM THE FOLLO WING WORK:
REPLACE FRONT PORCH
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
3-1
,, . X' - III
Fees Paid: $130.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
1 .-1F4 r.----'7"O----7`-_ __ C ,--h IE.'--2---- -. --.*
APR 2 s
The Commonwealth of Massach•usetts �022 iFOR
ilit Board of Building Regulations and Stan 4 ds ^,��C��
Massachusetts State Building Code; 780,C sup -- jITY�V�IUSE
DI �...
NIG INSPECT10N
Building Permit Application To Construct,Repair,Renovi{te-Or De t cm6c Devised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Q P-. .2-- 4•16 Date Applied:
01 aSS ii— 5-2-2022
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
ViCA.01 �� 3i A i -l0t______
1.1 a Is this an accepted street?yes V no Map Number Parcel Number
1.3 �o`m�ng Information: 1.4/roe Dimensions:Zoning District Proposed Use Lot Area(sq ft) �p
Frontage(fi)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
10 [0 I S i �0 -zr�
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public Er' Private 0 B On site disposal system 0
Check if yesl
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owne '^of Record: /� /�
C 14 P�1 Mr a.ILt 1/l / 4 A 0/0 0
Name(Print) i J City,State,ZIP
?g VexNok CA--. 1136172-5-ef3 s . �?g Q11.Colh
No.and Street Telephone mail Ad ess
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 1 Alteration(s) 0 Addition 0
Demolition ❑ Accessory Bldg. 0 Number of Units Other CirSpecify: PA['cif\
Brief Description of Proposed Work2: C-pit,e,C -(1p A k- Pore k
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 20 K 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No.i�6 Check Amount: , Cash Amount:
6.Total Project Cost: $ 20 lc ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
Cs- r66
License Number Expirati Date
Name of CSL Holder
co 1.-V. JL S L List CSL Type(see below) LA
No.and Street 'J Type Description
F 1(O r e+c e AAA a/6 6' . cJ) Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP Restricted 18r2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
I • SF Solid Fuel Burning Appliances
ill 3 I 7j IV�I l I(`l et ZS q IhhlA I .Coln 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 11 to- -q -23 _
e&b HIC Registration Number -Expiration Date
HIC • ••••y Name or HIC Registrant Name ` f
ZCIM�a t l• (OM
No.and Street Email dr
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 Er 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 I"►A 2 cX' .
to act on my behalf,in all matters relative to work authorized by this building permit application.
43 Il CO M 4/AY/Z 2_
Print Owner sviame(Electrum;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.
�G. Y OZQC.I rN
Print Owner's or Authorized Agent's Name(Electronic Signature)
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"maybe substituted for"Total Project Cost"
City of Northampton
sic
tN�Mp
Massachusetts
F.
DEPARTMENT OF BUILDING INSPECTIONS
4� ockt 212 Main Street • Municipal Building yvd., ca
tom`_ Northampton, MA 01060 f� -,-g600
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: Voi 1 �Q c. c Al 9,
The debris will be transported by:
Name of Hauler: kill kiJeC be_csItt_iw101
Signature of Applicant: /21 c,r}_ l Date:4 ZF Z-2--
/
lc
••Lm•t DECK F RAM I N G PLAN 2]
rot Oty Modal Free ...IN I.rue nod/Nol remise ee.fastener.0.40. 1 alma 'men Detail axe en.n
el a Leria m IN.,. •IN elONN•.df •
DESIGN ASSUMPTIONS
....e
Load.: ..... ......
2'
T/C Live: 40 per 8/C Live: 0 psi
T/C Dead, 10 psf 8/C Dead: 0 pelf
Load Case, Live
Deflection Criteria: 2'
L/360 Live L/240 Total
Building Code: IBC/IRC (Allowable Stress De
2:
THESE BEAMS COULD BE MADE FLUSH Design assumes continuous lateral bracing for both edges.
R
d J3e Floor Framing Material
7;fi _ 0/._ -_ Ell _. _... �� L lt2 t�i���"v
ICJ Type Qty. Product Length
11 R1 1 SYP (PT MCA) fl 2 x B 16' 0e
J1 32 v 7' 0•
. ' _ ♦ o A2 1 v v S' 06
itTotal length, 105' 0e
S
*Atom O 0 _� C __ '',� Beam L Ledger Material
. . rl a C u v D' a r O. ..I4 ' N Type Qty. Product Length F
lD (S N — 7.-1 A7 N 6 N _ l --_-
r 117 2 SYP (PT MCA) 61 2 M 8 7' 0"
B7 2 7. 0•
Cl 2v
v v7' 0•
G2 2 v v 22' 0"
v G3 2 7' 0"
IT .. Total length: 100' 06
y *. T
- 'M1� __ _ 22ply `. Post Material B 1
7' 0"
7' 0" )1 7' 0" Typo Qty.-
Product Length
P1 S Column by others 8' 1-1/8^
O,
Total length: 64' 9"
21' 0•
Miscellaneous Materials I r
/mem.
1 MK• Type Qty. Product Length T r
XXX (OIL) SYP (PT MCA) 61 2 x 8 12' 0e •L
Total length: 12' 0'
All product names are trademarks of their respective ovn.rs Hl
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y po MOTES:
This layout has been created using the information fro.the plan provided,and/or verbal infer..tien 7 ff C y IE rA Wes Inc. SIMPSON
from the general contractor. r.k Miles assumes no t epon.ibility for this layout if mm
altered during construction or any of the structural member.shown Sr.not supplied byr.k.Mlle. pG� D--D) .D K 21 Weet Bl
It is eM responsibility of the building contractor/owner to install and/or over the lnatellatlon ^ D D^D Tt� Im �$ W.etNSIfM(d 61e. S`r� -E1
. of all the esad.to wood components to amours compliance with the manufacturers.pecifldtlons.lf any _ 'U. 75 �q r741V 'j]Q
changes are made to this project after the completion of our layout contact TUC Mlles Y Scale t/r a t i4 T.
i—, -- /--\ S, vertical lead eae.aitiee n iss.SS0N.11s•ssd1ESJ° ie5..Nei.a liter ten re.f.i.t bleakios
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The Commonwealth of Massachusetts
r.., 1 l. Department of Industrial Accidents
_ 1 Congress Street,Suite 100
l ft Boston. MA 02114-2017
www mass.gov/din
11 orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMI'rrIMG At'rHUw'1'ti'.
Applicant Information 11 r ( 1 Please Print Legibly
Name l Baseness Organtzatton _ Ii Individual): AN) b
Address: Co t-t
City/State/Zip: FI O C 0/cG? Phone#: L{l) -3q I - l 3
Are yeti ao employer?(`heck the appropriate box: Type of project(required):
1. 1 am a employer with employees(full Jailor put-time)_• 7. [] New construction
20 lam a sole proprietor or praatnenship and have no employees workout. fur true in K. a Remodeling
any capacity.[Nu workers'comp.rnaurancr minuted.)
30 I am a bm ueown doing all work myself.[No worturs'cutup_insurance n wrest]'
9. ❑ Demolition
10❑ Building addition
i.Q 1 am a I un owia r and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or an sole 1 1.0 Electrical repairs or additions
proprietor N ith no employees.
12.0 Plumbing repairs or additions
50 1 am a rt-n,rah contractor and I have hind the sob-contractors listed on the attached sheet_
These sob-contractors have employees and have workers'comp.insurance. 1 Roof repairs /t
6.0 wr an a corporation and its officer have exercised their right of exemption per MCI L. 1 1_(�Gthei po{� /yiqc-eitzoit
152.i 114I.and we have no employees.[No workers'comp.insurance reyuimd.[
'Any applicant that chucks box a 1 must also till uut the secuon below stowing their workers'compensation pulley information.
t Homeowners w ho submit this affidavit indicating they an:doing all work and then hire outside contractor must submit a new affidavit indicating such.
:C'ontz yours that check this box must attached an additional sheet show ing the name of the sub-contractor and state w Iuthcr or not those entities have
employees. lithe sub-contractors have c .luycxs.they must provide their workers'crimp.policy number_
I am an employer that is prodding workers'compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name: [...:11Q e r .)C.
Policy#or Self--ins_Lic.#: NA/CZ-3 IS—t'o 7i42.& 1 "D i I Expiration Date: 5115
Job Site Address: , tC V einntA J><' City/StatelZip: d/ao
Attach a copy of the workers'compensation policy declaration page(showing the policy number and es iration 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 fur insurance
coverage verification.
i do hereby certify and r the pains and penalties of perjury that the information provided above is true and correct
Signature: i lI ' j Date: 4/2.FIZZ--
Phone#: i.(13 7j4r' 0 93
Ofcial 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):
I.Board of Health 2.Building Department 3.CitytTown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#: