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38B-146 BP-2022-0633 35 COLUMBUS AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-146-001 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-2022-0633 PERMISSION IS HEREBY GRANTED TO: Project# RENO 3RD FLOOR Contractor: License: HAYDENVILLE WOODWORKING & Est. Cost: 71210 DESIGN INC 116208 Const.Class: Exp.Date:04/13/2025 Use Group: Owner: NABLE JONATHAN G&ANNIE RAYMOND 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:06/06/2022 TO PERFORM THE FOLLOWING WORK: RENO 3RD FLOOR 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: , i I • V '1 • ' 1 Fees Paid: $468.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVEED The Commonwealth of Massachus s W Board of Building Regulations and S dar F R Massachusetts State Building Code, 78 C JUN - 3 2022 C ALITY U E Building Permit Application To Construct,Repair,R nov a Or Demolish a R ised ar 2011 One-or Two-Family Dwellin DEPT.OF pull DING INSPE TIOflIS NORTNAmr,r ON.MA 01060 This Section For Official Use Building Permit Number: .6P' ���,73 Date Applied: • I r . ThAT Building Official(Print Name) Signature ate SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 AA7ors Map&Parcel Number 35 Columbus Ave ffjj `Tf� 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 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Annie Raymond Northampton,MA 01060 Name(Print) City,State,ZIP 35 Columbus Ave 508-887-2286 annieraymond®gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Renovate thrid floor including replacing flooring,window,updating bathroom. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $35,495 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $12,315 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $14,900 2. Other Fees: $ 4.Mechanical (HVAC) $8,500 List: 5.Mechanical (Fire Suppression) $N/A Total All Fees: $ r (,�J Check No.;�4Check Amount!'[L 4 " Cash Amount: 6.Total Project Cost: 7 1210 ❑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.) City/Town,State,ZIP R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-665- zinnia©haydenvillewd.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 110732 11/0212022 Haydenville Woodworking&Design,Inc./Zinnia Stetson HIC Registration Number Expiration Date HIC Company Name or HIC Registrant e 35 Conz Street zinniachaydenvillewd.com No.and Street Email address Northampton,MA 01080 13 65-7402 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 0 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 Haydenville Woodworking&Design, Inc./Zinnia Stetson to act on my behalf,in all matters relative to work authorized by this building permit application. L �� _ } OS/2S/2 22. Print Owner's Name(Electronic 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. mt wn 's or Au iori¢ed 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" .\ The Commonwealth of M1tas achusens 0, a Department of Industrial Accidents t __4117-- 1 Congress Street,Suite 100 ;�51:F=r Boston,MA 021I4-201 - -ear It www mass.gov/dia 4. - 11 urkers'('ompensation Insurance Affidavit:Builders/Contractervf'Eleetricians I'lumhrrs. 'It)BE FILE')%1lilt rttt:PERMr177%G AI"1'HOItrrl Applicant Information Please Print IA-gilds Name 415usiness(trv.antrtilcln Indt.KJual : Haydenville Woodworking&Design, Inc. __ __— Address: 35 Conz Street City'State,'Zip: Northampton,MA 01060 phone r:: 413-665-7402 Are you an entplosre?it heck the appropriate.bat: Type of project(required): I I iiin a env kw,er with 6 employees dolt and or part-tune1.' 7_ 0 New construction " I am a wile proprietor.or reutnersinp And hate no entl+loy.1-..workrnc tar me on $. Rcinodclmg. Any capacity.[No woilers'emir.ensurmtce nywred.l 9. Demolition t.0 I ant a lu,nrr.w rtcr tik,tnr alb work onyselt..lNer wemkLT,'comp.onsurarre nrlun.rt.l" ion Building addition 4.0 I ant a I►onier.w net and w ell he home contractor.to etmrdaet all work on my property. I will cumin:that all contractors Tither hats worked'etmrtpc"itsJtn'gt trt-.uranee or are sole 11.0 Electrical repairs or additions proprietors with no,employees. 12.0 Plumbing repairs or additions 5a I ant a general Conti:x:1m and I toot:hued the wit•-cemtraeta+t,listed an the attached shed.. 13.0 Roof repairs obese sal,-srmtraeturs hues canplowess and tote.worker.':tanp.rtcsutance.^ 14.0 Other h.0 We are a eurpuratrun JOd its officers hat c etaracd then right..t eee.ruptiai per 41(it.c. -----------.—____ 152,§1(4),and we hair no employees.INo,Voiler.'cean .insurance impured.I °Any applicant that checks best g I must also fill exit the seetwm below showing their wu tI evs'c m p.:matiun pollee ntltmrnatl.ml. f Hoerr evi nets who sth runt this aft-Mae at nidreatoig they ate doing all work and then hue(ml,fltte contractors intasi solbtrut a new soma%it mute-Mint such. :Contractors that check this Sot must attaelcd an ad.lotinsal tuner showing the name of the sutrteeitractrss and state whether u not those entom-A here enrl,10..c., it tlu:.lnh-iotnlract x>base crripluyecs.they Mai prorlde their workers'comp policy nlnribsco I um an employer that is providing workers'compensation insurance fur rot employees. Below is the policy and job site information. Insurance.t'ompany Name: A.I.M.Mutual Insurance Pohcv or Sell-ins. Lie. it: WMZ-800-8007423-2021A Expiration Date: 12/01/2022 Job Site Address: 35 Columbus Ave CitiState'Zip: Northampton,MA 01060 Attach a copy of the workers'compensation policy declaration page)shossing the policy number and expiration date). Failure to secure coverage as required under Ni(iL c- 152,*25A is a criminal violation punishable by a line up to S1.500.00 andior one-year imprisonment.as well as cis it penalties in the limn of a STOP WORK ORDER and a tine of up to S250.(XI a day against the violator.A copy of this statement itchy.be forwarded to the Otlioe of Insestigations of the DIA fur insurance cos erage verification. I do hereby certify under the pains an pe'rrallies of perjury that the information providedabo a is true and correct Stnrlaturc: /LL l " L1 L-i�-- - Date: am Phone::: 413-665-7402 Official use only. Do not write in this area.to be completed by city or town official (-its or Tulsa: Permit/License# Issuing.%uthorit;t (circle one): I. Board of Health 2.Building Department 3.( it 1 inn Clerk 4.Eketrical Inspector 5. Plumbing Inspector 6.Other _ Contact Person: Phony#: City of Northampton apt M + o S � � �` Massachusetts ��t's + G t m w t DEPARTMENT OF BUILDING INSPECTIONS � n br t 212 Main Street • Municipal Building •S• D� Northampton, MA 01060 S111, 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: _ REPLACE ALL FLOORING WITH NEW WOOD FLOORING INCLUDING roof valley STAIRS. BATH SHOULD BE LVT OR TILE roof valley new bedroom I roof peak �, Ibedroo t. i i - • / roof peak / C\2 / . i.throom --- 45� tub/shower toilet+cabinet above iikvanity+mirror+light —roof valley storage/office _ roof valley REVISIONS 11► Haydenville Woodworking& Design,Inc. t•-+ lie MM/DD/YY REMARKS O HWD Design+Build-General Contractors-Residential Construction-Since 1984 t' py/p�/22 ZS FLOORPLAN RAYMOND 35 COLUMBUS AVE NORTHAMPTON a_ Q' // \\ new double door to new bedroom = _� EL, ', '! 1 ' 11111 1 le . 1" ,,,, , *fit. . tile 2 walls in tub/shower \—new large window r 1 'i closet doors \ P P{ir i 6 ! a 4 ,/,.. -kil ii • • • 1 1 \ ::..„ \ sii— ,_,,_ , .___ ._., iNtij ,. ,, 1 . 'Li0 i .. ., ! I . .st, .. - , r new bathroom idea roof valley 116 Haydenville Woodworking& Design,Inc. REVISIONS 11 MM/DD/YY REMARKS O )E,IWD Design+Build-General Contractors-Residential Construction-Since 1984 p2/tYJ/22 TS ELEVATIONS + ISO z -/ RAYMOND 35 COLUMBUS AVE NORTHAMPTON 4 __/__/__