25C-225 (9) BP-2023-1168
24 PARSONS ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-225-001 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-2023-1168 PERMISSION IS HEREBY GRANTED TO:
Project# LANDING 2023 Contractor: License:
Est. Cost: 5850 STEPHEN CAMP 082531
Const.Class: Exp.Date: 11/23/2023
Use Group: Owner: GILLETTE DANA L
Lot Size (sq.ft.)
Zoning: URC Applicant: STEPHEN CAMP
Applicant Address Phone: Insurance:
46 EAST ST (413)527-7124 0 65621JB-5B90972
EASTHAMPTON, MA 01027
ISSUED ON: 08/29/2023
TO PERFORM THE FOLLOWING WORK:
BUILD NEW LANDING AND STAIRS, RAILINGS
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:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
REc�
l QED
The Commonwealth of Massachu efts 4400 2 8
, Board of Building Regulations and S anda 2�- F
I y. Massachusetts State Building Code, s� IC PALITY
�
O OpTH (D,NG 1 SE
Building Permit Application To Construct,Repair,Renovate > Rct evise Mar 2011
One-or Two-Family Dwelling �0s
This Se on For Official Use Only
Building Permit Number: Ie-A 3" /1 0. Date Applied:
n
f �' e_,. i • �•
BuildingOfficial(Print Name) Signature
SECTION 1:SITE INFORMATION
1.1 Property Add ess: 2- 1944 e"S -5-r- 1.2 Assessors Map&Parcel Numbers
1.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:
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 Recor
/ea,ni 1//et7% /j/ IP
er 1 4,1- O/oG 6
Name( City,State,Z
• 192)1
No.and Street cf 04-4 f 1--r-- Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Owner-Occupied ❑ Repairs(s) 0 Alteration(s)II Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': X Cokiewe £)z 11*1 `4..4 &7 1- f s-�J
AA Li fre...14J /01-'44 2'141)i--‘ht,i°,, $.1-- ea 1/`47.5
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $ 651
5.--(}�� C}teck No.372 I Check Amount: Cash Amount:
6. Total Project Cost: $ Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor } // r�l
License(CSL) 0V Z C 7/ - 7 27
J "1'LP&.Zl 6,1 Licensee Number Expiration Date
Name of CSL Holder U
—/ f� 5r�) �� List CSL Type(see below)
No.and Street Type Description
S / � [O U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State, IP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
f 2 7- ?/Zy eAryiettii, /A tom I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) /j r 2 e9
LfJ N-r -"eC 'i. HIC Registration umber Expiration Date
HIC Company Na a or HIC Registrant Name
Li 6 4s i- Ste—Gf 4/V.�.c-t-g P9 4 vii,, e,,vv.,z
No.and Street Email address
>. y4 , , i.f Di02? $-2 i— /
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? YesAl° 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 act on my behalf,in all matters relative to work authorized by this building permit application.
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 o the best of my knowledge and understanding.
5): y ZA-L.,, f 2/ i
Print Owners Authorized Agename( ectroni ignature) 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
1‘1" : -=� Department of Industrial Accidents 44
"' I Congress Street.Suite 100
"4")
Boston. MA 02114-2017
11urkers'(•ompensation Insurance.%fliidas it: Builders/Contractors/Electricians/Plumbers.
ID BE I li i i1 V,1111 I BE Pk.R1II F1IM:At TNORI"11.
Applicant Information Please Print I.et ihh
Name I Business'Organization Indr%idual): -14{t.t ) e
Address: 44 i'4's4' c� _ lI
CirylStaterzip: eq,l) ink eie27 Phone 4'/3 X2 7 21
Art s.0 as employer?Check the appropriate tun:
1
y pr of project(required):101amaemploy1 wllh J employees(lull maim p:ut-t one s• 7. Ej Nen% construction
_s L 1I am a'role proprietor or putnenhip and liege no empkryees working !or me in H. ( Remertic in
any capacity. !No workers'ctxnp.insurance required I Jr=+
n 9. ❑ DemolitionCi I an,a homeov.nee doing all wont.myself_l:ro wueiso s'cutup insurance requirsd,)"
4.0 I am a honxvw net and w ill Inc hums:en r:ators to conduct all a at on my poverty. I will
10 D Building addition
ensure drat all contractors either has.workers'ccapc-n.atnm insurance tx We ruts Ha a I.iectrtcal repairs or additions
propneton V.ith no employee
12.D Plumbin g repairs or additions
30 I am a gerumil contractor and I has a hired the wh-4:emuaetun listed un the anacbed sheet-
These sub-awns-actors base employees and hate workers'comp.insurance.:
13.D Roof repairs
sip W e are a corparat on and its officers hate exercised their nght ut exemplum per M(iL c.
14.0Other
IS-'. it$i.and we hate no employees.(No workers'comp.insurance required.)
•Ant applicant that ch.tks hex ni must altar till out the,.croon halals showing their worker, eoitipensallon policy intorrnation-
'Itomeow nen who submit this atrsdas it uldicatrn}they are doing all work and than hue outside esu tractors moot sublrut a nett atrr.lat it indicating such
:t ontractors that cheal.olio hex must attached an additional sheet shrove ing the name of the subcontractors and stale whether an not those entities base
employees It the sub-contractors his.c»rplusins.they Must proside their striker,:,.otrip ps.lr:t nuinht
I am an employer that is providinR workers•compensation insurance for my employees. Below is the policy and job site
information.
ln.uiatt:e Company Name: / �, ep, /�
p.A.:> ::or Sell-ins. Lie. �: c YJ 2 — ! 6' l of 2 2- E tptration Date: V //0 7
# O✓lS s
•r ^ it_
Job Site Address: �.%/ Cits State Zip: !�_ yAIr✓�- � �"a
Attach a copy of the mutters'compensation police declaration page(showing the policy numberrr espliaation date).
Failure to secure coverage as required under'.1(1L c. 152. ;25A is a cnnunal s iolation punishable by a tine up to S1.500.00
and or one-gear imprisonment,as well as cis ii penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the►iolator. A copy of this statement may be forwarded to the ODic.c of Investigations of the DIA for insurance
coscrage serilicatiun.
l do hereby certify under the pains and renahies of perjury that they information provided above is true and correct.
Signature. Date: 2�
l
Phone :. % .12 ?-
Official use only. Do not mite feltthis area.to he completed by city or town official
('its or T000n: Permit/License A
Issuing.Authority Icirck one):
I. Board of health 2. Building Department 3.('it 'Town Clerk 4. Electrical Inspector S. I'lunihing Inspector
6.Other
Contact Person: Phone#:
i .
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD S i YARD
11111
IjI //
� I
3/ /ti fc3r-
FRONT SETBACK
FRONTAGE
City of Northampton
�{� � Sys........:.,
`r Massachusetts �?' L •c.
w:
ilk DEPARTMENT OF BUILDING INSPECTIONS
•„ . 212 Main Street • Municipal Building `
Northampton, MA 01060 .Z'-V5,10C
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: i4 ,,,f il/ /2'— /t .r
The debris will be transported by:
Name of Hauler: SW44 "/✓
Signature of Applicant: Date: V2r1/2.--3
Stephen Cz3rnp Construction
46 East St.
Easthampton, Ma 01027
(413)527-7124
We hereby submit this estimate for— New Stairway
--.
IC This Price is for- Removing existing woodtm landing and steps. -..„
" i I will build a new landing and steps and install grey Trex decking.
4 I There will be white vinyl railings on both sides.
i Price= $ CS50_00
----- - --
'this pnceIs for- Removing existing wooden landing anu steps. t.)
I will build a new landing and steps and install pressure treated decking.
There will be pressure treated railings built on both sides.
Price = S 4250.00
The porch post will be cut out and replaced with new trim boards as needed.
Any work needed to railings will fixed as well.
$ 1650.00
Trash removal and Building Permit is included in my Price.
Contractor Supervisors License number 082531
Home Improvement contractor Registration number 135204
I propose to supply materials and labor-in accordance with above specifications.
This proposal may be withdrawn
By us if not accepted within 30 days
7
Authorized Signature fki:...,
Acceptance or proposal Signature
,
Submitted To : Dana Gillete
Phone- 563-9978
Address : 24 Parson's Street Northampton . Ma
!)ate 5-6-2023
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• _ DEPARTMENT OF BUILDING INSPECTIONS y.
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\ Northampton, MA 01060 sfrjarP
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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 110rR5.1.3.1, 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 Oupervisor for said project or work.
Signed under the pains and penalties of perjury on this day of , 20_.
(Signature)