32C-168 (28) BP-2023-0699
1 SHORT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-168-001 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-2023-0699 PERMISSION IS HEREBY GRANTED TO:
Project# ADD APARTMENT 2023 Contractor: License:
Est. Cost: 48900 MASTER CARPENTER CSL113884
Const.Class: Exp.Date: 04/26/2025
Use Group: Owner: HERRICK MILL LLC
Lot Size (sq.ft.)
Zoning: CB Applicant: MASTER CARPENTER
Applicant Address Phone: Insurance:
3 LOZIER AVE (413)657-8560
WESTFIELD, MA 01085
ISSUED ON: 05/30/2023
TO PERFORM THE FOLLOWING WORK:
CONVERT OFFICE SPACE TO APARTMENT
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:
'Ifilfer
Fees Paid: $317.85
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
/ / 'N.C .,,..-
i'` Q The Commonwealth of Massachusetts
'•''t,' c9p� board of Building Regulations and Standards FOR
j ;; 'N�, `� Massachusetts State Building Code, 780 CMR MIJNICIPALITY
USE
USE
Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
'o-o°tis One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: (3 3'- 9 9 Date Applied:
I I'' : i 7101? 4/34‘23,0
Building Official(Print Name) I Signature DatSECTION 1:SITE INFORMATION
1.1 Property Address:. 1.2 Assessors Map&Parcel Numbers
1.1a Is this an accepted street?yes V no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:7glo 60
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
30 ACP 25 25
1.6 Water Supply: (M.G.L a 40,554) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?Public lf/- Private❑ Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSIIIP1
2.1 Owner'of Record:
jordt . ereIJ / )rih a melon NA
Name(Print) City,State,ZIP
1 Stik-Or•'r .S-- (4/3 43 JiIlaDiwC hch . C-IDm
No.and Street elephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ET Alteration(s) 11 Addition ❑
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Co n ye r 4i u offl P Sp Q ei j r i 4-o
appar4Mer1 / Qckl.�in k4hp,n an4 ha+rr®orn
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee:$ I Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 1 br 5-0 00 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ / b 000 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) $ Total All Fees:$
Check NOP ti Check f*ount:3l7 Cash Amount:
6.Total Project Cost: $ f 6 t t o C) ❑Paid in Full 0 Outstanding Balance Due:
;t /p•-ri ',f. .A) rn11s ✓ er
g., r, v,Jrnzv
« .tT.-1
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS_� I 57$(-1 Epittitp?6 .:oa 6
DO01 TQ.I VW V S k y License Number n bate
Name of CSL Holder /
Lc) List CSL Type(see below) L(r)r e s�r/6 fed
No.and Street Type Description
W S T�;Oct Pi 1\ O t oES U 1�Inrestricted(Buildings up to 35,000 cu.ft.)
J R Restricted 1&2 Family Dwelling
City/Town,State,ZIP ,, �'"� i /) M Masonry
P,a34er CD-rpen-ier pro , con) RC Roofing Covering
WS Window and Siding
f SF Solid Fuel Burning Appliances
(r,,13)e'&7- JW I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Q -LPG Car�en��r 9or2� goz�y
S HIC Registration Number iration Date
HIg Company Name or HIC Registrant Name ,,I_
L ay
e VQ /1QS4eccQfDen+ef pro pl�il.c�n-,
No.and i Email dress U
kik)e ;42)d (413) bE.-8560
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 1S( No...........O
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 D d ,/ 1-6? uT O V.S K
to act on my behalf,in all matters relative to work authorized by this building permit application.
ke CO la O6//3 gt7 3
Print Owner's Name(Electronic Signature) e
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.
UJ6'i)1 7Q r;4,0VSk; OS/ g3A0073
Print Owner's or Authorized Agent's Namelectronic 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 ofhalflbaths
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 Congress Street,Suite 100
Boston, MA 02114-2017
, ,' www.mass.gov/dia
1$In kers'Compensation Insurance Aftidas it: Builders iContractorsElectricians;Plumbers.
10 BE FILED 11 FIB ii I IIF. ri.H.MIT ING At IlIOKI ll.
Applicant Information Please Print Legibly
Name f Business Organization;Individual) 04 Ct..S4 C' ( C.wrpe.11
Address: 3 L.-07 e r CZ V-e
City/State/Zip: L/Je.0 t if2/1cl M ;11 ()loss Phone =:(it! 3) 6. 7 85-6o
Are sass a errtpiavrrT Check the alinrprWe bra: E Type of project(required):
LEI,am a employer with...._._.-._._.__.eriiployee%(full and-'or part-claret.' 7. D New construction
201 am a sole proprietor ur partnership and have no ernptoyets working for me in $. Remodeling
Any capacity_(No wvaters'comp.insurance acquired.)
301 ant a&miassarucr doing all work myaelf.(No workers'comp.insurance required.)' 9. Demolttioa
s.01 am a hunteowner and will be hiring euntraetun to conduct all woirk on my piuperty t wil< too_t Building addition
-- ensure that all co4alna.trm either have workers'eaautiansation insurance ur are yule 1 i.0 Electrical repairs or additions
proprietors with no employees. 12.0 Plumbing repairs or additions
50 I am a general contractor and I have hired the aub-contractors hated on the attached sheet I 13 Roof repairs
These sub-contractor.have employee*and have workers'comp.insurance.:
bigWe are a corporation and its officers have exu rased their right of exemption per AMGL c_ 14.e Other
152. 1441.and we have no eraplopees.[No workers'comp.insurance required.'
*Any applicant that cheeks boa al matt also fill out the section below sbua mg their wurkets'compensation policy mformatian.
tl nm.'owners who submit this affidavit indicating they are doing all work and then hire outside contractors mint subaut a new aftidav it indicating such.
:Contractors that check this hue must attached an additional sheet showing the name of the sub-contractors and state whether er or not those entities have
employees. It the sub-contractors have empl r;cc..they inust prov idc their workers'comp.1 t i,_.c,cinh er
I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and fah site
in f ormal:on.
Insurance Company Nana:
Policy#or Self-inns.Lic. K: I Expiration Date:
Job Site Address: I .c .X?(4 s4- CityiStateezip: 11(o(4 ha/V[p o ,
Attach a copy of the workers'compensation policy declaration page(showing the policy number sad eipiAtion date).
Failure to secure coverage as required under MGL c. 152. *v25A is a criminal violation punishable by a tine up to$1.500.00
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the violator.A copy of thi statement may be forwarded to the Office of Investigations of the DNA for insurance
co',crat.tc erttication.
I do hereby certify under the pains and penalties of perjury that the information provided)above is true and�correct.
Siiin tore: /": Date: V. 7 3/0"t/g 3
13) 7 B61 ()
Official use only. Do not write in this area,to be completed by city or town nf/ic i a1
City or Town: Permit/License i
Issuing Authority (circle one):
1. Board of Health 2.Building Department 3.('its Town Clerk 4. Electrical Inspector S. Plumbing Inspector
e. Other
( outacl Per•suit: Phone to:
City of Northampton
itf Massachusetts A. *�.- �G
-
r . DEPARTMENT OF BUILDING INSPECTIONS S b z
:6'. 1-, 212 Main Street • Municipal Building Z0 `D�
+• Northampton, MA 01060 sfry .r11
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: l i2, l('y' 2Q C y C l; ''
The debris will be transported by:
Name of Hauler: bCQM f 7-190(Kovsk7
Signature of Applicant: Date: 0.;/Q3/7u?3
, _ _/_Zi
.//j/_/J Refinish
edit wood floor Prep existing floor far
�,Q,r Demo,modify,or /r ' , installation of new the
relocate existing e flooring
A/e;,.
plumbing this area—
TBD I *v
Demo existing cad 1—
nehy b Ma I \
i. Office � associated materialsI VVV
Demo/modify exist wall J I
a req'd.for nevi f 1
Ictchenette layout y' / UP y
— ex.door %
� /
AREA OF WORK zii_ oo /
�_ Rellrish extet wood Boor ��� o4JJ ��frame.Irifll and
try/J openh9
Demo ex. /
J ez.doorill ,E r door
/pamo walla eq d
.., for new entry door
Existing steam radiator ..r 6`'0 A, Demo sidelight Infrl
piping to remeh,typical.
. ij �,frame/
/ opening.
Remove existing door. s ^ O /
Frame to remain / N - J 'c./
�,.t /
/
Refinish exist wood floor /
Office // EXINot In
ING 2ndContract APARTMENT
/
I,/
DN \
ex.door _ op /'per' 1 , E__.1
1_, F.
./.
.....
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27 April 2023
2nd Floor Demolition Plan -- Herrick Mill
Proposed Renovetlonsto p
Scale:1/4"=1.-0" JODY BARKER,A.I.A. Architecture+Design,LLC
HERRICK MILL—2nd FLOOR APARTMENT 0 5 10 15 FT Mt.':r Met sit
.mreia.
illensILeem
1 Short Streeter I
Northampton Massachusetts zr' ",����, r
I
ro •,,,.m... m.«
r--- 11 mod. ttr !
•
Kitchen/Mtn
Ci
a O O - New UN limbo over318'T60
•--� :::77147
FMwod srbtb«Pmrkb
„wee ! ! OamRbn6vMMN®Door to
qtr_ol°
-,,: ... ��JJ� awun r ooinq 600c Yomry
p�,J..,,,.., �•�♦�*l �*���* s�dsmgdoora Nputood
Badman m 6 7�IIr �•�•�•�•�•�• __...__ now floor Rrish 6f'
/
32•d.r �•�•�.(,%%.: i
- (30'rat) 0
b:ii'b--�•�����'
AREA OF WORK j jç2-
IT)
NI�IB. :!:�� :i�.
•.•-.1�1:'•' In52 door opsnh0,14B
Y ' � n- nthD
.16
fi� I 2r u tr •�
J
1 � +p
d+ above
closet �_ _ .yam«, � , `
TV'NO al �� 4��1, /
�.- 113
C ( a+ /tip
/ INV door
opening,1-4
�I I
I nem
Llylna Room I I /
!V 1 / EXISTING 2nd FLOOR APARTMENTii i / Rd 1.,CorOnd
me 70.ad
J ' c Oo
( l
27 April 2023 11, f 1 1 I
Proposed RDnorBUorm Proposed 2nd Floor Apartment Plan—Herrick Mill
HERRICK MILL—2nd FLOOR APARTMENT scale:1/4"=1'-0' JODY BARKER.A.I.A. I Arohlt..tu,.+Design,LLD
21111161
0 6 10 16 FT n.....r�.e.reom wow
1 Short street —L�--i I -,.a..�...m.a-
Northampton,Massachusetts i y...,.,..._........—.•