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32A-064 BP-2022-1670 71 UNION ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-064-001 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-2022-1670 PERMISSION IS HEREBY GRANTED TO: Project# CONVERT TO 2 FAMILY 2022 Contractor: License: Est. Cost: 126000 JOEL ZIMMERMAN 074318 Const.Class: Exp.Date: 02/01/2023 Use Group: Owner: FAIK ALI,MOHAMMED Lot Size (sq.ft.) FAIK ALI, MOHAMMEDJOEL ZIMMERMAN Zoning: URC Applicant: CARPENTRY Applicant Address Phone: Insurance: 96 NORTH ST NORTHAMPTON, MA 01060 340 WEST STREET SOLE PROPRIETOR NORTH HATFIELD, MA 01066 ISSUED ON: 01/03/2023 TO PERFORM THE FOLLOWING WORK: CONVERT 3 FAMILY TO 2 FAMILY 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: Utry Fees Paid: $819.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED DEC 3 0 2022 4. &, The Commonwealth of Massachusetts pEP n pti�a trrSPECT�oNs . 1(fti Board of Building Regulations and Standards �1AMPtON.MA 01060 Massachusetts State Building Code,780 CMR —19ftINtelfALITY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6#' /0 7d Date Applied: 6; : �� : g ."7..- ii_p Building Official(Print Name) I Signature i ate SECTION 1:SITE INFORMATION 1.1 Property Address: ! 1.2 Assessors Map&Parcel Numbers 7l—6 R U►1 i o el S7 Pori llli.vipr,i 1.1a 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: Zone: Outside Flood Zone? Public 9 Private 0 — Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: No 114Mn►e cL F41 K A¢l,' tvo.,►k..„✓I. x. eta. 0 40 6'O Name(Print) City,State,zilP 1� I 30 ney AVC,1C 4f92oc "971 iMOhaollr►L°d-ath QC, QY1CV, .(0,✓I No.and Street Telephone Email Address ---- .---- --SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building g Owner-Occupied 0 Repairs(s) W Alteration(s) 0 Addition Cl Demolition 0 Accessory Bldg.0 Number of Units 2, Other ❑ Specify: 1 Brief Description of proposed Work2: Q"1. 5 cpr'G'r.e 5 h -7 a� /04� �� roA ,..,, l2,� 3- F4.011-1 -70 'v FG res►Iy SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs. Official Use Only (Labor and Materials) 1.Building $ CIO, c o a 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ - /6i C'©0 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 30( O a° 2. Other Fees: $ 4.Mechanical (HVAC) $ ef0 r 0 0 0 List: 5.Mechanical (Fire $ Total All Fees: $ Suppression) q Check No.1 3 Wheel(Amount: I / Cash Amount: 6.Total Project Cost: $ 1 6'' 00 Q 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) rj-p 7,?3 f$ O 2 (y ( N f'/Y) .e//4 01,1 License Number Exp. 'on Name of CSL Holder �* List CSL Type(see below) 14 3 qU (-e7 No.and Street Type Description A orrI 1141 A � / '14 o /0 Unrestricted(Buildings up to 35,000 cu.ft.) 4v 'l f��G Cv 1 ` Restricted 180 Family Dwelling City/Town,State,ZIP M Masonry Po flax 2-2-'" illa i Jtu a�rd�� RC Roofing Covering / 9 Sy WS Window and Siding I_ SF Solid Fuel Burning Appliances /' `7/3 -(q - 77e/z iJYl��oi l Yv PI6146157.0(7 I Insulation Telephone Email address D Demolition 5.2 -Registered Home Improvement Contractor(HIC) a 9 UGloc 30 3 L U'cr Z/`n? err It /11 die HIC Registration Number ltxpira(Ion Date HIC Company Name or HIC Registrant Name No.and Ient a �j 7, t�r12."M "tic) .mail address5', - �► {ir �1otri f—rct L ,d Mq ®1D16 q,3- GgS' 77yZ 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 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 To I %M •n -P//rj urr to act on my behalf,in all matters relative to work authorized by this building permit application. MO hq vn m-er( FQ; k Al - Print Owner's Name(Electronic 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. cT,c Z 4'7 .n 0.4 2- 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. 142k 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.11assachusetts Antra- Deportment of Industrial Accidents MOP• : 1'= 1 Congress Street,Suite 100 _111 , Boston,MA 02114-2017 www.mass.govidia limiters`Compensation!lawsuit Affidavit:BuildersiContraetorstElectrieianslPlumbers. TO BE FILED WITH I IlL PERM FIIM;Al I HONI L . knnticant Information Please Print l.eeibh Name IBusiness-Organization Individual): V 0 I Z 1 m rn-ei.�.tt2.e Address: 3`l'O W-e 57 t9?; � City/State/Zip: tlor7tj ftty 4 re ajc�i�_ fcl ftc Phone# elf! f v/' ' --? 7 cf 2. Art yea einpkrcrr". it heck the appropriate hot: Type of project(required): 1.0 1 am a empIUV4^r with employees tftatt snore part-rimet.• j. 0 New construction 2.113 I am a.oak pn praetor or partnership and Rave no empk..ax s w rwritng for me cn 8. 00 Remodeiing an capacity [No watrkeri comp.sastinusca requirwxij 101 am a homeowner thong ail work myself_{No workers"comp.insurance regtnrerl_j, 9. 0 Demolition 4 m.0 I a a humtsww arr and will h e hiring witha l:tors to c'wrxdiret all work on ran pnrpcsty. 1 ve 10 Building addition tk a+emrYrc that Al clmlrar Yeses either hate workers'compensation insurance or are sale l l 'f Electrical repairs or additions proprietors with no employees. 12.2 Plumbing repairs or:additions Srj I am a general ontrat:lor and I have hired the snb.c onlractoes hated on the auadn d sheet. 1 Roof repairs these sub-cwttracton toast employee.and has r winker.'comp.unuraac.: 4 rePa 6.0 W'e area corporation ant as of(weis have txrrciaeal their right of exemption per sltiL c. l Other §It4t.and we hate no employees[No worker,'come.insutar ce requnvd.j *Any applicant that clocks bur al most also till out the section below abow trig their workers'emitters-sawn policy rnturnratien *Homotrwners who submit the+attidaw it indicating they air doing all wart and tin here outside contractors aunt s+ah ma a new jf1 i1aa8 axlic lag such. :tuatrartars that check this hot must attached an additional sheet showintt the name el the suirronuactors and date whether or not those erttitie,hate mployee,. It the sut,.urr]rw:rcve Fse tuirlo:, they rrru t pre Iltt:If wtsrkcr^+ wuenp lvhcr number 1 ant an employer that is providing workers'compensation insurance for my employees. Below is the police'and lab site information. Insurance Company Name:___.___ Policy#or Self-ins.Lie. Expiration Date: Job Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirati a date). Failure to secure coverage as required under MGL c. 152,*25A is a criminal violation punishable by a fine up to S I,• 1.00 anitor one-year imprisonment,as well as civil penalties in the fonts of a STOP WORK ORDER and a fine of up to Sr 0.00 a day against the violator.A copy()filth statement may be forwarded to the Office of investigations of the DIA for in< . ice coverage verification. I do hereby certi •under the pains and penalties of perjure.that the information pros ided ahare is true and c Signatwe: ��- ,���_ � f):t / 2 - 7 q ;0 2_2. Phone 113 6 Y�- 7 74/2 O[Jir iul use only. Du not write in this urea,to be completed hr city or town oleic ial ('its or Town: Permit license o Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.('ity;Totsn( led, 3. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phoned: City of Northampton oaN¢M r " Massachusetts .. is DEPARTMENT OF BUILDING INSPECTIONS r, 4,i f? 212 Main Street • Municipal Building �� a �„�s Northampton, MA 01060 rsr;y -i\�'' 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: Va (1 t y i C>C (l'7 ; Y /_ --(41'�T,4 i d 1 0/o le The debris will be transported by: MO A [Name of Hauler: Vl a v✓1 /�'1-e , Signature of Applicant: /..,—, ���'i/�'!2 -�� Date: C 2 o 9-2 Brief Desch, 90 % of interior was gutted down to the framing by previous owner The structure is post and beam construction Floor plan is set up for a duplex Reframe up interior walls with conventional sized lumber 16 inches on center Add door and or opening header where needed Rockwool insulation is to be used on all exterior wall and exterior ceilings areas Rockwool insulation used for sound deadening and fire proofing and in between the two units dividing wall New electrical wiring and fixtures New plumbing and fixtures New Forced hot water furnaces Sheetrocked walls and ceiling Tile floors and hardwood floors New trim and baseboard www Socrates corn Page 2 of 2 SS4301-250•Rev.O5/04 4 , .,\Nf...,72 , i _ _ 1'1 J ell 4 et" A . . E f I ' s i4 ..l — .4?"'ZI \it: ?)C10 t 7 � s 0 ."/' b(;, R A °Q i ) . • ____I 1 r ,,,,...-,:„..a , _ s 3x xi/N... -\‘. r7 4==e ! is,. 6 3 A. urlioh sue- F1 47 Ff000 Gn:i "7 I A1. r. ... ; ,'4. ihf tk %, ° -17 kz. 4 117-1"\- t .-7-� n - \._ o � 6 arc cce, qc --N\°L)i ",, \ 4')(.-.' , 21 9' 0 ( .0 ° .\.... CPC- . 511� p ,s„. : -'` el il �1I • NI. -: :T 17 t d V �--- U p �p c . 4. +,, S' n rt, 1 -� ► . ' ----a ) s is ✓1 i r j unit 7t -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED. LOCATION OF FENCES ON OR NEAR BOUNDARY LINES IS NOT VERIFIED BY THIS INSPECTION. NOTE: PROPERTY LINES SHOWN ARE APPROXIMATE, A FULL FIELD SURVEY IS REQUIRED TO 65'± ACCURATELY DETERMINE THEIR LOCATION. BOOK 14290, PAGE 82 EE PLAN REF BK. R 59 NCE PG. 17 0 ----� co NOTE: i I+ SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. `--7 CD o v 1+ 1011 0 a) #699--71 _ v_ 0 - 11101 C' I I L__J 65'+ UNION STREET TO: STEWART TITLE GUARANTY COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 -NOTE- SURVEYOR QU rQS I THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY ~,N OF 0, NO " MA Oti -MORTGAGE LOAN INSPECTION PLAT- RTHAMPTON, MASSACHUSETTS a RANDALL PREPARED FOR E. o IZER MOHAMMED FAIK ALI #35032 SCALE: 1"=30' OCTOBER 5, 2022 SURE HAROLD HAROLD L. EATON AND ASSOCIATES, INC.REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS JOELZIM-01 LZAPKA CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 111 �+—� 12/27/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( ),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisio or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Whalen Insurance Agency PHONE FAX 71 King Street LAIC,No,Ed):(413)586-1000 IA(C,No4413)585-0401 Northampton,MA 01060 info@Whaleninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Utica First Insurance Company 15326 INSURED INSURER B: ---_.�-- Joel Zimmerman DBA Joel Zimmerman Carpentry INSURER C: PO Box 225 INSURER D North Hatfield,MA 01066 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EACN OCCURRENCE ---. INSR ADDL SUER . POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DU_LYY�Y (MMroD/YY`/'n LIMIT A X COMMERCIAL GENERAL LIABLRY $ 1,000,000 CLAIMS-MADE I X I OCCUR ART-3000449320 8/13/2022 8/13/2023 DAMAGE ISES(TO Ea oc RENTED nerroe) $ 50,000 PREMw --- MED EXP(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY P0. LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT/Ea accident) I$ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED (PerOacdden DAMAGE $ -_ AUTOS ONLY AUTOS ONLY 1$ UMBRELLA UAB ----- OCCUR EACH OCCURRENCE $ EXCESS UAB CLAMS-MADE AGGREGATE $ DED RETENTIONS a$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate issued as evidence of insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof NorthamptonTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I _ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Reaulations and Standards Co,srttct DD`£t oer\ sor CS-074318 Expires_02/01/2023 JOEL D ZIMMERMAN' f; PO BOX 225 NORTH HATtiti.0 MA 01066 C ; Commissioner 4 f'. :cam /V. //,av:<r-4,,),V4 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 128929 06108/2023 1000 Washington Street -Suite 710 JOEL ZIMMERMAN Boston,MA 02118 D/B/A JOEL ZIMMERMAN CARPENTRY � NotaUd�f JOEL D.ZIMMERMAN j2 -/1!77/r�� 340 WEST ST `r/./-0soit tthout signature NORH HATFIELD,MA 01066 Undersecretary g