17C-072 (7) BP-2023-0013
25 GARFIELD AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-072-001 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-2023-0013 PERMISSION IS HEREBY GRAN ' D TO:
Project# KITCH/BATHS RENO 2022 Contractor: License:
Est. Cost: 45000 LOUIS MONTGOMERY 013471
Const.Class: Exp.Date: 11/19/2023
Use Group: Owner: PERMAN AMITY
Lot Size (sq.ft.)
Zoning: URB Applicant: LOUIS MONTGOMERY
Applicant Address Phone: Insurance:
PO BOX 951 413-268-2028
WILLIAMSBURG, MA 01096
ISSUED ON: 01/06/2023
TO PERFORM THE FOLLOWING WORK:
REMODEL FULL AND 1/2 BATH,KITCHEN AND NEW REPLACEMENT WINDOWS
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:
14 • if , 9 . '1 .
'
Fees Paid: $293.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts
* Ir, Board of Building Regulations and Standards FOR
/ Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:as
g � �. 3- (3 Date Applied:
'EUik) ,i%!� I-6? ZOZ3
Building Official(Print Name) , Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers��
/ .1a - z7 G/pte site/,Ar/ �7
l.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Publiar Private 0 Zone: Outside Flood Zone? Municipal X On site disposal system ❑
Check if yes❑
/ SECTION 2: PROPERTY OWNERSHIP'
2.1 ne ' fRe d:
X Name( �//n
Nit 1 ,J "Vl�irrr,,,//J ��ffo n viN o1Q�fPnnt Ci ,Stay(:,ZIP
q/ ikta,h J . gz2/ so /b
No.and Street '�—Telephone Emai Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building J ' Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units_ J Other 0 Specify:
Brief Description of Proposed Work': ,!',.cost'/ . r A.'.//,,,s t.'/ //,/n/A" &.Q PA), Rg1rof/c.
�G-J",14 AI', T.../$?'4 // Nd w /244/,4cc, V 7T ti,n,*CuS, S 7,,,t4 CB2 f,1 s
2"es 7 .,•..f#1e.ar/Laes.rc-C•Ar c,;,, r, 2.,,4-77,i/ %S'/,'..: floc-.kod2,i- Plgr,*,e..
r,re'ill l/X
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 30,D 0a 1. Building Permit Fee:$ Indicate how fee is determined:
- 0 Standard City/Town Application Fee
2.Electrical $
71 000 Total Project Costa(Item 6)x multiplier x
. 3.Plumbing $ sr, 000 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees: $
Suppression) G
Check No. Check Amoun .
6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due:
City of Northampton
r 9 da 0"r Sic`_'_
Massachusetts; 4 'e�
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!xolift
DEPARTMENT OF BUILDING INSPE IONS `�_�,__
212 Main Street • Municiptil Su* ding )
"°r Northampton, MA 0 060 / 4N
44,
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0! n qH Ur(nl.N
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WI DOWS,
DOORS,ROOFS,RENOVATIONS, ROOF MOUNTED SOLAR,ETC.
I. 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.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction SupervisorLicense(CSL)
CS-o13y7/_ ,��i�' �
pu i s / /'lo,.,Tod,.ei,,.N License Number Expirati n Date
Name of CSL Holder
List CSL Type(see below)
3`1 /_/7,L..,-�' c E,L! oe—o
No.and Street Type Description
Gt/�!/it.K s/�v�y /�� U Unrestricted(Buildings up to 35,00C cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
5//3 Z G s -Le Zg' I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
73
Ld is HIC Registration Number xpiraA7 n Date
HIC Company Name or HIC Re strap ame
3f "417• ..�/I'/f/2.'
No.and Street Email address
!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 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 In/L cT S( /7-..-? "'-/,'L'z Za-vi S m-CNdae...›,
to act on my behalf,in atters relative to work authorized by this building permit application.
atO4& LcSignn e Signature) / Orate
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.
,#1/zv.t/ /j,.?g4.741-,�.t�,ous Lov,s /1?trite r-„+140"7 //y/z3
Print Owner's or Authorized Agent' 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 Massachusetts
Department of Industrial Accidents
4 4)
I Congress Street,Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/ContracturstEleetrieiansiPlumbers.
TO HE FILED WITH THE PERMITTING At THORITA.
.timlicant Information Please Print I.etibls
Na!ilk... (tiu:,116:s,Orgamzation,Inklix idual):
Address:
City/State/Zip: Phone#:
Att pm;ha employer?Cheek the appropriate lull:
Type of project(required):
LC]I am a employer with emptiry i full ocular mo-turvei• 7. 0 New construction
10 I am a sole proprietor or partnership and have nu employees working for nre in 8. In Remodeling
any k.--apacity.(Nu workers'comp.insurance regional]
9. 0 Demolition
30 I am a homeowner doing all work myself.[No workers'comp..insurance tx.quimd.1°
i 0 0 Building addition
4.0 I am a horra.owner and will be harm uommetum to conduct all wink on my property. I will
IWUM that 311 contracturs either hake-workers'compensation insurance or are sole I I.0 Electrical repairs or additions
pruprieumrs with no employs.
12.0 Plurnbin,repairs or additions
5C1 I ant a genixal contractor and I ha..e hired tbe uth.contractors listed un the attached sheet
13,0 ROW'repairs
These sub-curstractors h ose employees and have workers'cutup.insurance$
ks.Nw e are a....-onxwation and its officers have exacised their right of exemption per Skil c. 14.0 Other
152,§1(4),and we loose no employees,(No workers'comp.insurance required]
'Any apptkxii that ch.,eirs box at MUM 16-6 fill..[the section helm,.shouting their workers'conintmat ion Nilo)in tormaramr.
f Ihnneowriers who submit this affida‘it indicating they are doing all work and then hire outside eteitr.seturs must oilanot a new officiov it indicating such.
:Contractors that check this box most aucbell an althuunal Iteet showing the name of the s.ub-conrractor"and,tatc.4 IldhLT Or not those srititio.Kaye
,-rtiplo:..cc-. It the'Lb-contractors he einployelni,IILCle MUST 'rn idc their workers"QPITIV.FVI1CY ItUttlbet
I am an employer that is pro riding workers compensation insuranee for my employers. Below is the polio.and job she
information.
Insurance Company Name:
Policy 4 or Self-ins.Lic. 4: Expiration Date:
Job Site Address: CityiStatc'Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and espiradon date).
Failure to secure coverage as required under MCI_c. 152. §25A is a criminal violation punishable by a tine up to 51.500.00
andior one-year imprisorunent,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a
J.1) against the violator.A copy of this statement may be funs aided to the°Bice of Investigations of the OW for insurance
col erage‘erifition.
I do hereby certify under the pains and penalties of perjury that the information prvvided above,is true and correct.
Siv.nature: Date.
Phoned: ey, oc.. g - z-oz-s
•
Official use only. Do not write in this area,to be completed by city or town official
c it y or Town: Permit/License 4 ,
Issuing Authority(circle (tiler
I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electtical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone 4: ,
' —
__ City of Northampton
C
Massachusetts 1
DEPARTMENT OF BUILDING INSPECTIONS = It ti
212 Main Street • Municipal Building ,a'
Northampton, MA 01060 iFIA 7:,
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: / K �J �s �
—
Location of Facility: So c/T tJ -' / ,V, T d A/
The debris will be transported by:
Name of Hauler: Z V 7 1-41 `A/ I '‘.%
Signature of Applicant: 7—:- .
Date: / /i-tA
City of Northampton
J }� AuIO
Massachusetts �_ <3,
w
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
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)
8321 Premium Double Hung Air,Water,Structural Performance
(per AAMANVDMA/CSA 101/I.S.2/A440-05&08)
Max. Water Air Size
Structural Rating(DP), Pressure Infiltration 2 Infiltration 3 Tested
R-PG30 45.12 4.59 0.04 44 X 60
H-R30 45.11 6.06 0.12 54 X 70
H-R35(mull) 52.63 7.52 0.01 80 X 80 twin
H-050 75.19 4 7.52 0.11 52 X 72
Impact Model Rating-DP50,Large Missile Impact, Wind Zone 4, 52"x 72"TTT
,Structural Test Pressure(psi)tested to at least 150%of DP rating
2 Water Infiltration(psf)tested to at least 15%of DP rating
3Air infiltration units=scfm/ft` ,Requires"EP"upgrade 5Requires reinforced rails upgrade
Fliagiaa
8321 Premium Double Hung Thermal Performance �■
per NFRC 100&200
Glass Type Unit u-value u-value FF7 Unit SHGC5 Unit VLT6_
w/o Grids l w/Grids w/o Grids l w/Grids w/o Grids I w/Grids w/o Grids i w/Grids
Clear insulating glass(clear/clear)
Clear 0.45 0.45 0.43 0.43 0.60 0.53 0.62 0.55 mom
Clear/Impact 11 0.48 , 0.49 N/A , N/A 0.50 0.45 0.59 0.53 EEEE
Standard Low E insulating glass(RLE 270 or Impact 71/3812 low e/clear, surface#2)
LoE2270 0.32 0.32 0.30 0.30 0.28 0.25 0.53 0.47 F G
LoE2270/Argon 0.28 , 0.28 0.26 , 0.26 0.28 0.25 0.53 0.47 E® G
RLE 7138/Argon/Impact„ 0.34 l 0.36 0.31 l 0.33 0.28 i 0.25 0.51 l 0.46 Elmo
RLE 7138/Krypton/Impact 11 0.27 10.29 N/A I N/A 0.34 0.30 0.51 0.46 EEE
Additional Performance Glass Options
Low E insulating glass(RLE 63/31 72 low e/clear, surface#2)
RLE 6331 0.31 0.31 0.29 ! 0.29 0.24 0.22 0.47 0.42 FEE
RLE 6331/Argon 0.28 10.28 0.26 10.26 0.24 10.21 0.47 10.42 00
RLE 6331/Argon/Impact 11 0.31 j 0.32 N/A j N/A 0.31 j 0.28 0.46 j 0.41 mom
Reversed Low E insulating glass(clear/RLE 270 low e, surface#3)
LoE2270 0.32 10.32 0.30 10.30 0.35 10.31 0.53 10.47 F EEo
LoE2270/Argon 0.28 j 0.28 0.26 j 0.26 0.35 j 0.32 0.53 j 0.47 ooE
Triple insulating glass(270 low e/clear/270 low e, surface#2,#5)
LoE2 270/CLR/LoE2 270/Argon 8 0.25 10.25 0.23 10.24 0.24 0.22 0.41 10.37 No
LoE2 270/CLR/LoE2 270/Blend8,16 0.22 j 0.22 0.20 j 0.20 0.24 j 0.21 0.41 j 0.37 Eo
LoE2 270/CLR/LoE2 270/Krypton8 0.20 i 0.20 0.18 i 0.18 0.24 i 0.22 0.41 i 0.37 EE
5 Solar Heat Gain Coefficient 6 Visible Light Transmission
7Optional Foam Insulation. F indicates EnergyStar qualification with foam insulation option.
8 Subject to glass size limitations G indicates EnergyStar qualification only with grids.
3 Low E coating on surface#3 to increase SHGC NG indicates EnergyStar qualification only without grids.
1081end for triple IG is Krypton in one airspace,Argon in the other.
11 Laminated glass used in Paradigm Impact windows meets the requirements of ASTM C 1172
12 63/31 Low E glass has a lower SHGC than 270.
8321 Premium Double Hung Acoustic Performance
(per ASTM E 90-99)
Glass Configuration STC Value
Clear SS-Clear SS 29
Clear SS-1/4"Lami 33
Note:Some listed options may require special pricing and have extended lead times
All data subject to change without prior notice Last Published:4/29/2014