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24B-072 (13)
BP-2022-0679 80 BARRETT ST BUILD COMMONWEALTH OF MASSACHUSETTS #1, unit i Map:Block:Lot: CITY OF NORTHAMPTON 24B-072-00I Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0679 PERMISSIONIS HEREBY GRANTED TO: Project# DECK Contractor: License: Est.Cost: 4000 CHESTER MITCHELL 67026 Const.Class: Exp.Date:03/23/2024 Use Group: Owner: ASTER ASSOCIATES LLC Lot Size (sq.ft.) Zoning: URC Applicant: CHET MITCHELL RENOVATIONS Applicant Address Phone: Insurance: 2 PATTEN HILL RD 4135357457 COLRAIN, MA 01340 ISSUED ON:06/10/2022 TO PERFORM THE FOLLO WING WORK: REPLACE DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Miring 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: Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massach tts c �� Board of Building Regulations and St ndar s R ® Massachusetts State Building Code, 7 0 C i R JUN '1ICSPE LITY Building Permit Application To Construct, Repair, eno ate Or Demo`lis 2 • ise Mar 2011 One-or Two-Family Dwelli g aFp This Section For Official oaTH,;,y�gNN mi AAccTrQNS I Building Permit Number: 6l- ,a-' G 71 Date Applied: o,o� t Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property ttAddress: _T 0,1 l I 1.2 4essors Map Parcel Numbers 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(3 Private 0 Zone: _ Outside Flood Zone? Municipal?,On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' caner'of Record: ir► t grim". I-obvS 61,7 E f /h,& O/0.3 )INne(hint) City,State,ZIP 70 At,�,eccte /7C7e /ll� o � No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied ❑ Repairs(s) ® Alteration(s) 0 Addition ❑ Demolition r Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work': R �k cQ y.t Dker,ik pH (5r �Q W zt .� rj9lwL yin team — Q+reti4 2 `tie Covt5-riveb SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 61DDO 00 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ 0 C Suppression) Total All Fees: $ i —A, Check No. I /Q Check Amount: 6.Total Project Cost: $ Li 00 Gd y Paid in Full ❑Outstanding Balance Due: p City of Northampton �yY N A^'1L'ro 'st` Massachusetts •'. f so F DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 �'s•.�, 4,, ��`�� w• PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS,RENOVATIONS, ROOF MOUNTED SOLAR, ETC. 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work (Digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate (new /replacement windows). 7. Home owner's License Exemption Form (if applicable). 8. Note any Special Permit requirements (if applicable). 9. Energy Code —all new construction(Gut/Rehab) requires a HERS Rater Affidavit 10. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. ef) SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 3)zz� UA.fe0-41 I)• -Ze( ( CS�D�`�o / z� ( License Number Expiration Date Name of CSL Holder ' 1 2 P©.-t(-- ( I{� y l ( List CSL Type(see below) No.an Street Type Description ��t.t(l 04`-I U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry 013[j) RC Roofing Covering It WS Window and Siding / SF Solid Fuel Burning Appliances � �� `�77jxt�t�hLl(y �llD.00"‘ I Insulation Telephone Email add—Tess` D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1 n G� 24 j 2� C\ t I-kt( 0 5 ( P S ) HICI Registration Number Expiration Date HICKCompanycto Name HIC Rggislrant Name G\tomL�((14 � l 1 )(Jot:Co•"• No.and,Street Email address( COtralt/1 lfrlig— DriKd City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.g 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 X No . ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as it r o •e subject property,hereby authorize _'•:�:T tvto workbuilding permitapplication.1 , 0 all matters relative authorized by this :::1141A�•> � ram a -9-a---D,Aae (El lj Si�`ltr ex 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. Print Owner's or Authorized 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" ... •, :. ,...41`..,...,„ The Commonwealth of Alassachusetts i Department of Industrial Accidents kr, Ili / Congress Street,Suite 100 -••. Boston,MA 0114-2017 WWW.m ass.gov/dia se 1%us kers' ('onipensation Insurance Affidas it:BuildersiContractors/Eleetricians(Plumbers. TO BE FILED WITH THE PE RAII rrEsG ArflIORITY. Anolicant Information Ple se Print Legibls Name 4,flusincOrwinization/Individual): --1 AkCA-CITAL Vejiketiebk-vv-t 5 D op ) Address: R Pai-6A 4,LU 4 ,..-- City/StateiZip: (0(rCe t. t/t 1)11P- 0(311b Phone Are yea an emapIkryert Cheek the A prrupriste box: Type of project(required): 14:3 lam a employer with cmplol.ces i fall andevir part-time 1..* 7_ a New c.onstruction 2 I am a sok propnetor or pirthership and base no entployees workuig for rrie in ' g- 0 Remodeling any capacity.[Nu workers'comp.insurant required] I lam 11 IW ITAXYWne in r dog all work myself.[No workers:*eLlrfir.irourance segoired_]'' 9. 0 Demolition ! 10 a Building addition 4.0 I am a homeowner arid will he hums ountractors ZA)CtlildLit.1 Iii Kuck on my pioperty. 1 will ensure that all contractors either he workers'corripensainat insurance,ot are sale 11.0 Electrical repairs or additions proprietora with no employees.. 12.0 Plumbing repairs or additions 5C31 am a gemerai contractor and I have hired the suls-ssainmeiors hated on the attached sheet 13.0 Roof repairs its.-se iiib-cottirsciors ii.v.c cinpio!....vs and have workers'crimp.ununnee, 6.0 I4.pother Zi7Lreoe, peck We are a corporatiun and as officers have exercised tberr right of exemption per!elIGL c. 132,*1141,and we harm no employees.[No workers'comp.insurance rerpstred] \r:. applicant that Lheck%bon#1 must AO flit knit Lit*:al:C.Wn Et:linv A110 Y.ing their warier,',:ompematiun rolicy information. :toimavvcnerv.'who submit this affidavit Indicating they arc.doing lilt work and then hire outrade contras:torl must Aubiliat a new affidavit Indicating sUrdL ow:I-actors that cheLl this brsx must au.schsed an additional sluxt ahisseing the name of the suls-contractota and state whethey or riot those:,..iillutr,have eziployees. lithe sub-contract or.11:1%.i.!Cl1117 Ill ...Vh.they mesa pms ide their workers'•,:tnrip.ru liA::v number. I um on employer that is providing woriers compensation insurance for mj.employees. Belo Ft'is the policy and job site information. Insurance Company Nome, Policy or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State:Zip: Attach a copy of the workers' compensation policy declaration page(show tug the policy number and expirafion date). Failure to secure coverage as required ander NMI-c. 152. §25A is a oirninal violation punishabk by a fine up to S1.500,00 andeor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the siolator„A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage'‘erifictition. / ii f I du hereby certifor et thdr boins tad penalties of perjury that the information provided bo 'e is true and correct i i Signature: v lip Dat,:. (") b 20z 2 , .. 4--i(-3 9-3 7)- -- 79 5-'7 Official use only. Do not write in this urea,to be completed by city or town official. City or Town: PerniirLicense issuing Authority(circle one : I.Board of Health 2. Building 1)epartment 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other I. ooLict Person: Phone#: i . ... , City of Northampton ' 'k Massachusetts ‘�S' — DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 y ,ti^,`�` Pf 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: Nd;*40^ "\ The debris will be transported by: 1 Name of Hauler: � �60A 5 R011 0 r --16bovk Signature of Applicant: Date: C, )Bf 2 .4. City of Northampton s.s s' Massachusetts 40e --. Il * c DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building lt3y Northampton, MA 01060 Sj. ,'‘0 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (insert full legal name), born_ (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this day of , 20 . (Signature) • _a .c,, ,,, 1.. _ 1/ 4ti,tit, .rot'l(:)"\A' I / 5e. e461,-Iiit- t--00(0,19 Pro 6,5t.e., i .- la et .el(tyk- 1 jec A.,OA eitraorit f, re' . ' ( "") i i\,r, Aickiv: 1 0 i& 2_ 8 ‘ PAe*Ite- II\eN / r I a/t- i 1/11 tt.oditts- / ctsteat,6-5/ . . ,,,,, .,,,,,)„, rk A 0 . .,€--------------------- 1 2,. ____________, i, . t,,,,1 i_,,,„ I 1,,, , ! I 4_, , _ , _ 4,- - 1 , ---K--- 1 ....„ 1 1 1 i . i ' ! ' D - , 1 i ; \''')/ I , _., , , i ' - -4- , ; ; ......., . .t.tcr&ra4 e0-, 1-1(oe, (tc ,..eI0-.4.4 4 ) -, , . •.i ._.i et 6 curtIT 51- .4'Pl Yorlifttamilv v\ iill IA ' PiatA kf Ce/vJ