30B-080 BP-2023-0884
15 LADD AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30B-080-001 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-2023-0884 PERMISSION IS HEREBY GRANTED TO:
Project# NEW STAIRS 2023 Contractor: License:
Est. Cost: 6000 ROY OMASTA 006763
Const.Class: Exp.Date: 10/10/2023
Use Group: Owner: W STRATTON MATTHEW
Lot Size (sq.ft.)
Zoning: OI Applicant: ROY OMASTA
Applicant Address Phone: Insurance:
21 North St (413)247-5666 6ZZUB4N73070821
HATFIELD, MA 01038
ISSUED ON: 07/06/2023
TO PERFORM THE FOLLOWING WORK:
REMOVE AND REPLACE STAIRS AND DECKING TO 2ND FLOOR EXTERIOR EGRESS
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:
/1,Pea
,46 1(w _ y
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED
JUL - 6 2023
The Commonwealth of Mass hus s
Board of Building Regulations Sta rds FOR
ML ICIPALITY
Massachusetts State Building Co e, 7 2:'T U LDING INSPECTIONS USE
RTHAMPTON.MA 01060
Building Permit Application To Construct,Repair,Renovate Or Demot1Sh a'--Re4isedMar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: el;)' - Date Applied:
e
I it .2 . �: 11lf C9
Building Official(Print Name) Signature teSECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
is- LPDD ACE c..oR64 LE, MA 08( ,a _
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimens ons:
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 0 Private 0 Zone: Outside Flood Zone?
_ Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
M14r'r uJ STA IV ivo- •-1_ "--641 C.)/aG4
Name(Print) City,State,ZIP
i s 442c%✓ ,9, - Zo7- 24/4- 4g`tl Ma*ke t.1. 'SfraHon 1 e®"-4;1•cdwn
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied 0 Repairs(s) ❑ Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: iC«taK g-tiotiec --t- ,Oc.ki 7
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ ��� — 1. Building Permit Fee: S Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
0 Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire �0
Suppression) Total All Fees: $ r
f Check No. j 1,5' Check Amount: Cash Amount:
C�
6.Total Project Cost: $ UQo ®Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVIC S
5.1 Construction Supervisor License(CSL)
K- y �t j5 j� License Numbe Expiration Date
Name of CSL Holder v
d l N��r� ,sr' List CSL Type see below)
No.and Street Type Description
Unrestricted(Buildings up to 35,000 cu.ft.)
vJ� Restricted 1&2 Family Dwelling
tty/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
c SF Solid Fuel Burning Appliances
6 a 7 -3-4, 6 I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvementi Contractor(HIC) Jp/S 33 �y�C3l `t
�c)f ✓41.4« c HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
r /?J..t ft s/-
No d S eet 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 OK- 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 40'"`01 S><c (' '14!s:
to act on my behalf,in all matters relative to work authorized by this building permit application.
RTrt614 STRA,T?ON 07- 06 -.z3
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT ECLARATION
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:
I. 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"
City of Northampton
001Y--- .f��ti �5 . 's�C
Massachusetts "?
kr
!4* DEPARTMENT OF BUILDING INSPECTIONS ,
212 Main Street • Municipal Building O
Northampton, MA 01060 y 20
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: _
The debris will be transported by:
Name of Hauler: AP4NEKsr. TRL1ck/A/C (Rich P/TTSJ
Signature of Applicant: /74- 5G'' � Date: e '-OG -7-3
City of Northampton
Massachusetts g-• 3�..•,"....,
• A ' < as r4
f r"' n 4,q. DEPARTMENT OF BUILDING INSPECTIONS ,,.
lif 1!
212 Main Street • Municipal Building ��+� r..`1
Northampton, MA 01060 ��" ®
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I Z/,7/g,
I, fl A TT 11 E w S T R'i T1-e Al (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' emption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.13.1, 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 seekin: the aforementioned homeowners'exemption,
does not involve the field erection of manufactured buildings cons cted 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 resid-• or intends to reside, on which there is, or
is intended to be, a one-or two-family dwelling, attached or •etached structures accessory to such use
and/or farm structures.A person who constructs more than ne 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 demol Hon 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 w,th the aforementioned project or work on my
parcel, I acknowledge that I am required to and will act as the sup• isor for said project or work.
Signed under the pains and penalties of perjury on this 6��day of T✓ 20•?5.
(Signature)
The Commonwealth of Massachusetts
t1 [ Department of Industrial Accidents
. , ) 1 Congress Street,Suite 100
,.11 NM Boston, MA 02114-2017
Mir
,,�j4, ' www.mass.gor/dia
11 urkers'Compensation Insurance Affidat,it:Builders/Contractors/Electricians/Plumbers.
-fO BE FILED Vs 1111 THE PERMITTING Al'IMORI ht-.
Applicant Information Please Print I.reibls
Name(13usincss lhgamiauon inch\ 46-7-5 41- f3 d/, f(� ..
Address: . / �)c //i S7L.
City/State/Zip: �75'!���. � v�n�g Phone#: C S E C
Are you a employer?('heck the appropriate hole:
pe of project(required):
1. I am a enipkryer with employees(full arid a,pin-bins(-* 7. J New construction
I am a sok prrrpnetor or partnership and have no employ ces aorkini tut rile in 8. 0 Remodeling
any capacity.(No aorkers'cuinp.uesuranti required.(
10 I am a honxrra ran doing all Work myself.(No aatateen.'comp.insurance required-1'
9. ❑Demolition
I 0 Building addition
.1.0 I am a Immix-am net and will be hiring eunhraeto s to conduct all work on my property. I a ill
cnsun that all cuntraturs either have%t tkits•can sirnsaiion insurance or are sulk 11a Electrical repairs or additions
prupnetors a ith rxr ertlployc0A.
12.0 Plumbing repairs or additions
.30 I am a gkrcral contractor and I have hired the sun-cvnitractun listed on the attached sheet.
Thksi:sub-contractors have kmployees and have avnken'comp.insurance-: 130 Roof repairs
6.0 We a a evaporation and its otlteers have cxcrrissd their nglrt of exemptions per%H iL 14.Q Other
n
132¢I(4).and a have no e'mployeks.[No aorker;comp.insurance requsr d.
'Any applicant that cheeks lxrx??l must also till out the section bdua shooing then a u:icrs'eunlpensatlun policy 'atom:thou.
u.
♦Flonxvanen who submit this atuida%n naheaming they air doing all work and then hire outside ci n1ract.rrs mint submit a nt'a attiJat it Indle:11111L such.
:Contractors that check this box must attached an additional sheet shuainp;the name at the sub-coral actors and state alicilcr of not those entities have
employees- If the sub-contractors lave eiilliluyix..they must provide their worker. camp.policy 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: 7 a /c rS , / —
Policy#or Self-ins.Lie.#: ly 2?L18�/v 7 367z)gsv�/ Expiration Date: /o?/7/k 3
Job Site Address: /-� cA /9v( Cit Starr--Lip: Arye t e e)/
Attach a copy of the workers'compensation policy declaration page(showing the police number and expiration date).
Failure to secure co%erage as required under:%,1G1.c. 152, §25A is a criminal ciolanon punishable by a tine up to SI,500.(KI
and'or 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 this statement may be forwarded to the Office of Investigations of the DiA for insurance
co%erage eri tication.
I do hereby cerdfj•sander the ins and penalties of perjury.that the information provided above is true and correct.
Signature: /' Date: 74"3
Phone»:
Official use only. Do not write in this area.to be completed by city or town official
('ith or Town: Permit/License#
Issuing Authority(circle one):
1. Board of health 2. Building Department 3.('ityfl'own Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
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Please provide all information/specifications that apply to your proposed deck/porch project.
❑Total Square Feet of Deck/Porch: 54/SF n Height of Deck/Porch Surface from Adjacent Grade: f 0 ft. 0 in.
❑ Footings: Footings? �v g Concrete: Depth: � ft. in. Width: �; in. ❑ Helical Metal Pile 0How Many
❑ Post Dimensions: �� _in. (x) in. ❑ Beam Dimensions: ,/.4 in. (x) in. Max.Span: %e ft. 6 in. -•
❑ Ledger Board: Dimensions: NZ in. (x) L{ in. Attachment Method: 'Bolts o. Other -�.�
❑Joists: Dimensions: DK in. (x) 0- in. Span: fj>ft. in. On-center Spacing:�in.
❑ Decking Boards: Mood ❑Composite o Other Dimensions: / in. (x) �� in.
❑ Railings and Balusters: ,Wood u PVC ❑Other Height: ft. in. Space Between Balusters: 4/ in.
Does the project include continued use of a pre-existing roof or construction of a new roof? 0 Yes eNo
If Yes, please provide the following information:
•Total Square Feet of Pre-existing or New Deck/Porch Roof: SF
• Rafter Dimensions: in. (x) in. Rafter Span: ft. in.
• Post/Column Dimensions: in. (x) in.
• Beam Dimensions: in. (x) in. Beam Span: ft. in.
Does the project include continued use of pre-existing stairs or construction of new stairs? 0 Yes 0 No
If Yes, please provide the following information:
• Width of Pre-existing or New Stairs: 1 f ft. (' in.
• Riser Height: j in.
•Tread Depth: /'`/i in.
III t;
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Y I.
«uaR "'1w..Fe..aev%w..r`r✓u�snc.-a�N j.
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."._...�.-�-� t; ° ?, ' ls Cap rail
ata ,T ...-�---- T idol op rail ..
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' iir U Fs f**4CfY y E z} . {�.'4i llru4r t a,- I;iit
Tread l. , B �j`' 1 , _€;ii& -1 iif'II
Riser 'd + r QI ' r
11,
..• '` Rim joist ;
` Rim R �- Rail post
joinst I Post kt Post
roger T anchor
Beam Concrete footing
Note: • Ledger board installations must include use of approved flashing at the ledger board/building connection. • Ledger
boards must be attached with approved fasteners installed according to prescriptive code requirements or manufacturer's
instructions. •Approved post anchors,joist hangers, post/beam ties, hurricane ties, and all similar connection hardware shall be
installed at all appropriate structural connection/attachment locations. •All structural wood elements, including decking, must
be pressure treated or naturally durable wood,or made of an approved decay and weather-resistant material • Rim joists
perpendicular to beams must be doubled •