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36-144 (8) BP-2022-0581 316 BROOKSIDE CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-144-001 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-2022-0581 PERMISSION IS HEREBY GRANTED TO: Project# deck Contractor: License: Est. Cost: 10000 BRIAN MITCHELL 115753 Const.Class: Exp.Date: 12/20/2024 Use Group: Owner: BARNES JANICE AKA JANICE FRANCIS Lot Size (sq.ft.) Zoning: URA Applicant: BRIAN MITCHELL Applicant Address Phone: Insurance: 316BROOKSIDE CIRCLE (413)949-2300 WCC50050247022022 FLORENCE, MA 01062 ISSUED ON:06/30/2022 TO PERFORM THE FOLLOWING WORK: DEMO EXISTING DECK AND REPLACE WITH NEW IN SAME FOOTPRINT 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 VIOL.�TION OF ANY OF ITS RULES AND REGULATIONS. Signature: c `CTh _52 • 5.3-° e Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • • • ' The Commonwealth of Massachusetts - Board of Building Regulations and Standards ' FOR MUNICIPAL= : . Massachusetts State Building Code, 780 OAR_ . USE V,..-. Building Permit Application To Constrict,Repair, Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling. . •__ - - • • This Section For Official Use Only I C.] . . Buil . Permit Number. 8e-,-.9,0).-6 I Date Applied: - cp u • , -:_-.- . • _ . . .,_.„ Building Official(Print Name) Signature Date v. . >-- 1.)--i- . • -; .• -..-iis .,.,-,•_ . ' SECTION 1: SITE INFORMATION , -- - El Property Addi-ess:‘ ii c,i,j . ,,— C.. . • Lii..) 1.2 Assessors Map &Parcel Numbers' 3 IQ 5'00 1"—>/ A,(._-/' '- 1.1a 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.al c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public 2''' Private 0 Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSECEE1 2.1 Owner'of Record: , 'a-. F--zw,ic,S . . f-icir-e.,-,ce_, kiii4 . c'''1 a 6 2 Name(Print) City,State,Lie Z7,i b grzok 5', 'at ci,---clo hi/3-5-81-21Y7 NA51,/941,/ae/r 7 Ig ey4ficCh No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Eldsting Building R"--"Owner-Occu?ied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units . . Other 0 Specify: . . . Brief Description of Proposed Wor1c2: Cc A-7 5414'e h C441 rel.. •Ve v‘i At,cie /A," /247 C I e--• , t/ 4? -44 4 ----- esid -ex,5(-7 A,}#76,.. it_t_ 541/kr ..-,....)77/7,4,1-: SECTION 4: ESTIMATED CONS 12RUCTION COSTS ' ,)r Estimated Costs: C Item . Official Use Only_ -- _ (Labor,and Ma.itei—Tars-1 NI • J. (1.Building $ /0; WO 1. Building Permit Fee: $ Indicate how fee is determined: ii R i 2:Electrical . $ . 0 Standard City/Town Application Fee - 0 Total Project Cost'(Item 6)x multiplier '`x t it .3.Plumbing $ 2. Other Fees:.$ • 4.Mechanical (HVAC) $ List . . . . 5. Mechanical (Lite • / k- N Suppression) $ Total All Fees: $ • --- — . ,' • Check No.Ail Check AmouilsWICash Amount 6. Total Proj ect Cost: $ i e ' et'ci El Paid in Full 0 Outstanding Balance Due: • 'MA Historic Commission Review Process: LJ I-- . • '. . . . . l Is their review completed? '.-,J A • . , Yes No 4 . . . SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �} 5'7)3 /2/2Cj2 U 2 y 17,7 ,4 Y /( License Number Expiration Date Name of CSL Holder List CSL Type(see below) 31 /?er L f- C-L . No. and Street - Type - Description • aU - Unrestricted(Buildings up to 35,000 cu. it) F— 1 rt-,1 C- / A.s Cl/O�' R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siritng SF Solid Fuel Burning Appliances Y q g- 6 c /7#9 j.i.7)is,/•eam., I Insulation Telephone • Email aoltri ss D Demolition 5.2 Registered Home Improvement Contractor(HIC) �,��� » a713y yl9/20 23 BIC Registration Number Expiration Date HIC Company Name or BIC Registrant Name • No, and Street lcs-�i-i C e� /n'1 i, Ul t G "Z Y/3` /`'S/�'` 23OU Rrna arlrlress City/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AF'F71)AVIT(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 .......... No ❑ - SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPT,TF.S FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize %5r7 Lt// ,G42. // to act on my behalf in all matters relative to work authorized by this building permit application. c4���e :�.., 3 - . saV/za 2 Z Print Owner's Name(Electronic Signature) Date ' SECTION 7b:,OWNER1.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.rov/oca Information on the Construction Supervisor License can be found at www.mass.rov/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 halflbaths 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 Accidents (1. 1 Congress Street, Suite 100 Boston, MA 0 2114-2017 www.ntass.govidia V ill ker‘' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers. BE FILED WITH THU PERMITTING AUTHORITY. Applicant Information Please Print t-rgiblv Name 4Business.Organization;Individual i: /C-nye/0 Address: 3/t anVA•£;th 1-- 4 City/StatelZip: , kv/4 oj o‘Z Phone 9-Anou an enipitrar:t hod..the Appropriate In : Ty,pr of project(required): 1.011am a employes With -- exiqrloyees IiiilandMir pnivrame 7. 3 New constructiori 20 am a sok proprietor in partnership anti have no tnkno workIng for aft ut 8, j Remodeling any capatt:ity.[No workers'comp.maurantx required.] Demolition lam a kinneowiter doing all work myself.[No workers'comp.uwurancc required.] luJ Building,additio 4.0 I ant hanneowner and*ill be hiring contractors to iminduct all work WI my property. I will emote that all contractors either has.e Nwrkers'convemation iminarice am sole 11.0 Electrical repairs or additions proprietors with no employees. I 2. Plumbing repairs or additions am a general L•untractor and I have hired the auli-contraeims bated on the anaitheel sheet 110 Roof repairs These wb-contractorN have employees and law.e worken'comp.emorance.: ! 14.0 Other 6.Ej Vie an a corporation and its officers have otert.i,cd then right of exemption per MG! 152., 1141.,and Atz has<a,,esrsplo!,:e.,... :01111, m,utano.: 'Any applicant that cheeks box al must aiso rill out the section beltym shou tag their*filial.ClJimpensaluti pulley informatro*i. lioaneowisers who subnut this affidavit matscalsny they are doAng all work and then hue oubide Ira'tort minisialut a new atintatiii Illtill4111111 taimetors that cheer dos box must attazhi.-d an additional sheet showing the name of the sub-coutractors and stair whether bar nut thaw entititr. criploN cc, I f the,uh-ciagraeti a%haw.emplosets.they MUM pro..b.le their winkers" polic:.number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ki4Z. -C7 cG ;hi t. Policy or Self-ins.Lic.4: 2.417°-2Z°2- Z A Expiration Date: -3/25/ lob Site Address: 316 Brok-s;(At C, City/StateZip: arrt ce, 4 0106 Z Attach a copy of the workers'COMpellsatittil policy declaration page(showing the policy number sad expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and or 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 violator.A copy of this statement may be forY...inkd to the°trice of Investigations of the DIA tbr insurance craue cr.fication. I do hereby certify water the pain.s and penalties of periari-that the inlOrmation provided abate is owe and correct. Z Phone#: if/3 9'119'-z.3o o Oflicial as only. Do nor write in this area,to be completed by city or town officiaL City or Town: Permit/License Issuing Authority(circle 011et: I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 4: City of Northampton ter: 15 si, Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 511 212 Main Street • Municipal Building Northampton, MA 01060 sSt•w At:),�" 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: ,C-t-(a/ ; CT The debris will be transported by: Name of Hauler: U514 [(qv �h q Signature of Applicant: ier_,/ Date: 5` 9/2 Z. .:,.. Pro Deck DesignTM b. Joist Layout View • 2 48 1 Z., o.c. 0 0 0 g 0 0 o C C si-gee 1 � � I nAid �, � 1 1 1 I 0 61) t 7. a NN b I. EE P : € i fiq 5 o 5 i F I' '� Y , ti 5 3 ry e i x n R' 5- 5 5 5' 5 5 5 n 5 it 5- 5 5 5 5' 5 5 R f S i 1 i 3 e 1 i A t 1ROC 1 i i 1 i 1 ! )ROC 1 1 1 1JI 1 1 1 1 1 1 1 1 1 1 1 7 7 7 7 5 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 5 5 5 5 t0i 5 0 5 0 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n n 0 0 0 0 0 0 0 0 n n 0 0 0 0 n 0 n n 0 0 )(elm: MI ititl and etlates twcitt&musk,.an meewR4 la OC_ Warning and Important Instructions: This is not a final design plan or estimate. Edgenet, LLC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Copyright©1989-2022 Syndigo, LLC. Page 6 of 22 Doc ID 97551113-c5f3-4921-b8e6-28c8b20dc546 Pro Deck DesignTM Post View I. !I L 1 xxnli xx■li xxnli r 9 . ■ • sr i unli lxnti Ilnti • x■nxi ■nfi • fnli l nai ■ SeiI Warning and Important Instructions: This is not a final design plan or estimate. Edgenet, LLC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Copyright©1989-2022 Syndigo, LLC. Page 5 of 22 Doc ID 97551113-c5f3-4921-b8e6-28c8b20dc546 Pro Deck DesignTMMI Dimension View '-0 37 ft '�? h k r I, 1 ` i W 5 t • ?; e i V.7-1. 1 i 1 1. t i fl,4 ,,k i 6"*-14-4.:;--1 -it ' i i p i 1 I ti i T Y 1 ill i I 1 11 II: 11 i 1 1 : I Deck I 1 ►y 5R 27ft .11 37 Warning and Important Instructions: This is not a final design plan or estimate. Edgenet, LLC. assumes no responsibility for the correct use or output of this program. All information contained on this page is subject to the terms in the disclaimer located at the end of this document. Copyright©1989-2022 Syndigo, LLC. Page 4 of 22 Doc ID 97551113-c5f3-4921-b8e6-28c8b20dc546