24D-283 (3) BP-2022-0599
190 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-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-2022-0599 PERMISSIONIS HEREBY GRANTED TO:
Project# RENO BATH Contractor: License:
HAYDENVILLE WOODWORKING &
Est. Cost: 29755 DESIGN INC 116208
Const.Class: 1„ Exp.Date:04/13/2025
Use Group: ',; Owner: WYNEKEN STYLES, LIZA M &MAX L
Lot Size (sq.ft.)
Zoning: URB Applicant: HAYDENVILLE WOODWORKING & DESIGN INC
Applicant Address Phone: Insurance:
35 CONZ ST (413)665-7402 WMZ-800-8007423-2021A
NORTHAMPTON, MA 01060
ISSUED ON:05/26/2022
TO PERFORM THE FOLLOWING WORK:
RENO 2ND FLOOR 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:
Final: Final: Final: Rough Frame:
Gas: Fire Department i„ 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:
6 .,2 Ts, .
Fees Paid: $195.00
212 Main Street, Pone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
ECEIVY_ ,
The Commonwealth of Massachusetts 62 6 2C22
Board of Building Regulations and Standards MUNICIPALITY
4). Massachusetts State Building Code,780 CMR
DEPT OF I DI
Building Permit Application To Construct,Repair,Renovate Or Demolis a 4 PECTIONS
, iaolo60
One-or Two-Family Dwelling —
This Section For Official Use Only
Buildin Permit Number: 0-- A.).-SI 9 Date Applied:
1C�VI0 'JC 55 ll//L 5-21'2022
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
190 Crescent Street
1.1 a Is this an accepted street?yes 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 la Private 0 Zone: _ Outside Flood Zone? Municipal 2 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Max Wyneken+Liza Styles Northampton,MA 01060
Name(Print) City,State,ZIP
190 Crescent Street 413-262-0858 lizamstyles@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 2 Addition ❑
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:
Renovate second floor bathroom including replacing the window.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ / 2t 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
4 2-St7 0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ /3,D$O 2. Other Fees: $
4.Mechanical (HVAC) $N/A List:
5.Mechanical (Fire
Suppression) $N/A Total All Fees: /j
Check No,i* ?f Check Amount: I"/5 Cash Amount:
6.Total Project Cost: $ 2. 1. S5 ❑Paid in Full 0 Outstanding Balance Due:
/
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 116208 04/13/2025
Zinnia Stetson License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
35 Conz Street
No.and Street Type Description
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 Roofing Covering
1'I 7 WS Window and Siding
SF Solid Fuel Burning Appliances
413- 02 zinnia@haydenvillewd.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 110732 11/02/2022
Haydenville Woodworking&Design,Inc./Zinnia Stetson HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
35 Conz Street zinnia@haydenvillewd.com
No.and Street Email address
Northampton,MA 01060 413-665-7402
City/Town,State,ZIP _ _ Telephone
SECTION 6: '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 0 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 Haydenville Woodworking&Design,Ina/Zinnia Stetson
to act on my behalf,in all matters relative to work authorized by this building permit application.
L2_4L 5-1, (a) 0'. 5/z3/ZoZz
Print Owner's Nance(Electronic.S' tyre 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 appli n is true and accurate to the best of my knowledge and understanding.
...A.m.—
'tint I er's or sized Agent's Name lectronic 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. I42A.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"
"''"` The Commonwealth of Massachusetts
� , ? Department of Industrial.-ccidents
''J' 1 Congress Street,Suite 100
�+ Boston. MA 0 2114-2017
lg1',j` '�,: ? H'14'H nl iss.Ralrilllfl
llpikers't'ompensatiou Insurance:lf idasit:Buildersl('oulractorsdE1ectricians Plumber..
I'I)Bk FIELD%1 l I'll I Ilk Pf_RMI l T lM:Al IUUORl Il.
Ann liCaIII I III Fo rill ation Please Print Leeibls
Name iBusiness.Orgaaizatton.Individual): Haydenville Woodworking&Design,Inc./Zinnia Stetson
Address: 35 Conz Street
City/Slate/Zip: Northampton,MA 01060 Phone#:413-665-7402
Arc y ua tin CM piny t r'.'t bet it the a plc n.p U uNt ILn t: Type of project(required).
; I Jitt a employi 14 Lin 6 cntpluy ccs c,iad and in putt-urn t.• 7. Q New construction
I am a sulc prupnetoi in partnership and have nu eniployees wotluaa our rise in K. Remodeling
an).capacity.[Nu waders'comp.uisuraucv cry l ued.)
3 Q I ant a hunt err luting all work myself.(No wink gn comp.insurance nyuirud.)'
9. Dcnnolition
4.01 am a bona:owner and will he hirms matadors to conduct all a ark on my property, I will
10 0 Building addition
ensure that all contractors either have workers'compensation insurance on are sole 11.0 Electrical repairs or additions
prupnctors w nth no employees.
12.0 Plumbing repairs or addition.
s.01 MU a ucneral contractor and I have hind the sob-cunuacturs listed on the attached sheet.
These sob-euntracturs hoc employees and Inn e uuricrs comp.mnat aee. I3'E]Roof repairs
h.a We are a c aucm and its t.t:i.crs hate exercised thee n hl of exe 14.0 Other
�*Ae g mptrun per A)Gt c.
1.52,f 1(41.and we have no anpiuyces.[No workers'corny insurance required.]
'Any applicant that duals box.1 must also till out the section below showing then workers'compensation policy utliamanon.
lhamouwnena who submit tlus affidavit indicating they arc doing all a ark and then hue outside contractors must submit a new atlsdav it indicating such.
Cuntracton that check this but.must att.r tied an additional sheet show ing the name of the sub.ctnaracturs and state w tether or not those entities have
employee's. It the sub-contractors have employees.they must provide their workers'aimix policy number.
1 um an employer that is pruviding worders'campen%arion insurance far my employees. Beloit ii the policy and job.site
in formation.
Insurance CompanyName: A.I.M.Mutual Insurance
a WMZ-800-8007423-2021A
Policy�or self ins.Lie. �- Expiration Dare: 12ro1/2022
Job Site Address: 190 Crescent Street
C►ty.S1atc,ZipNorthampton,MA 01060
Attach a copy of the workers'compensation police declaration page(showing the policy number and expiration date).
Failure to secure co►erage as required under\.161_ c. 152. §25A is a criminal violation punishable by a tine up to S1.500_ 0
an iiur one-year imprisonment.as well as civil penalties in the font[of a STOP WORK ORDER and a tine of up to S250.00 a
day against the+iolator.A copy of this slatonent may be forwarded to the°Bice of Investigations of the DIA for insurance
coverage verification.
I do hereby certifY under the pains a Penalties of perjure'that the Information provided aboveis true rretrl rrirrerr.
'
Sixnature: G e,t-- — Date'_
Phone :413 -7402
Official use on y. Do nor write in this Weil.to be completed by ciy or town official
('its or low n: Permit/License p
Issuing authority (circle tine):
I. Board of Health 2.Building Department 3.('itrrfown Clerk 4.Electrical Inspector 5. Plumbing Inspector
O. Other
('uutact Person: Phone 4:
(r-'�� City of Northampton
'' rirl 4�5 ; ' sir.
Massachusetts �=' ':.
F.
DEPARTMENT OF BUILDING INSPECTIONS y, ;�:1 212 Main Street • Municipal Building ,t- csl.
y...a" Northampton, MA 01060 s:i',. x)‘'
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:
The debris will be transported by:
Name of Hauler: Amherst Trucking
Signature of Applicant: Date:
3x6 WHITE SUBWAY TILES AROUND TUB,GROUT TBD. 18"WIDE LAV SINK,TBD.
NEW TUB WITH TILE FLANGE
3x6 WHITE SUBWAY TILES WAINSCOT AT 3'-6"HEIGHT AROUND
REMAINDER OF BATHROOM,GROUT TBD. NEW TOILET,TBD.
BULLNOSE EDGE. NEW TUB/SHOWER VALVE,TRIM,HANDLE,FAUCET,TBD.
WRAP WINDOW WITH TILE+ADD MARBLE FOR SILL NEW LAN FAUCET,TBD.
REPLACE BASEBOARD,TILED. NEW MIRROR,TBD.
TWO MARBLE CORNER SHELVES IN SHOWER
2"WHITE HEXAGON TILES ON BATH FLOOR,GROUT TBD. L SHAPE SHOWER CURTAIN ROD
PAINT OR WALLPAPER ABOVE WAINSCOTING,TBD. POTTERY BARN SWIVEL MIRROR SHELF
NEW CUSTOMER SUPPLIED VANITY LIGHT,TBD. REPLACE WINDOW WITH TWO HALF ROUND OPERABLE WINDOW-3o"x3o"TOTAL.
REPLACE BATH FAN(NOT PICTURED)
1'-7 1/2" 2'-6"
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REVISIONS
II' Haydenville Woodworking& Design,Inc. t-i
MM/DD/YY REMARKS
/431 Design+Build-General Contractors-Residential Construction-Since 1984 1 04/04/22 7s O
FLOOR PLAN+ ELEVATION 2 04/08/22 TSupdate
3 --/--I-- ...
Styles Wyneken-i90 Crescent St Northampton 4 __/__/__ ••• 'et
5 --/--/-- ...
two 3oxi5
half round
operable windows
OLEO i0 gL n=NR en
1G, bolt OQ LA wig Coo
s
/ir 1 7/ \\\\
(1.
A
r
I1, 0 1
the half round windows will have hinges in
the middle flat side and the curved sides will
open.
REVISIONS
III Haydenville Woodworking&Design,Inc. MM/DD/YY REMARKS
Design+Build—General Contractors—Residential Construction—Since 1984 /o 22 Z O
ELEVATIONS i 2 �/ 4/
2 04/04/22 7Supdate
Styles Wyneken-190 Crescent St Northampton
5 --/--/-- ...