23B-011 (14) BP-2023-1254
193 LOCUST ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23B-011-001 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-2023-1254 PERMISSION IS HEREBY GRANTED TO:
Project# windows 2023 • Contractor: License:
Est. Cost: 8500 WALTER MAREK III 055201
Const.Class: Exp.Date: 06/23/2024
Use Group: Owner: 193 LOCUST ST ASSOCIATES LLP
Lot Size (sq.ft.)
Zoning: OI Applicant: W MAREK INC
Applicant Address Phone: Insurance:
73 SOUTHAMPTON RD (413)977-9539 WCC-500-5014290
WESTHAMPTON, MA 01027
ISSUED ON: 09/12/2023
TO PERFORM THE FOLLOWING WORK:
3 NEW 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:
• V • c-A0.7
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED
1
SEP 1 2 2023 a ommonwealth of Massachusetts
T• * r Department of Public Safety
6 DFPT Massachusetts State Building Code(780 CMR)
OF OUR DING INSPECT O
NS N9R is t ppli lion for any Building other than a One-or Two-Family Dwelling
• / (This Section For Official Use Only)
Building Permit Number�3' /15 77 Date Applied: Building Official•
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is o A vailable)
_Q3 Lix._ --Sick jt b ,p jv14, okao RA- -,
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2 PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building 6K, Repaireg Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 1)
Change of Use 0 Change of Occupancy 0 Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No Cl
Brief Description of Proposed Work:
ace. 3 wir LirIN r'JeJ L illt.
c. e 5 N o S{ It w l (V.•
SECTION 3:COMPLE'it:THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
' Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA j
Existing Proposed 1
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) I
Total Area(sq.ft.)and Total Height(ft)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business E: Educational 0
F: Factory F-1 0 - F2 0 H: High Hazard H-1 0 H-2 0 H-3 ❑ H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ Ill❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R4 0
S: Storage S-1 0 S-2 0 U: Utility❑ Special Use 0 and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA El lB ❑ LEA IIB ❑ ILEA IDE 0 IV 0 VA El VBiQ
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Trench Permit Debris Removal:
Water Supply: Flood Zone Information: Sewage Disposal: Licensed D' osal Site 0
Public 0 Check if outside Flood Zone 0 Indicate municipal 0
A trench will not be rsp
required 0 or trench or specify:
Private 0 or indentify Zone: or on site system 0 permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No❑ ) Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain anSprinkler System?: Special Stipulations:
y
SECTION 9: PROPERTY OWNER AUTHORIZATION .
Name and Address of Proper Ly Owner ti
MA 1 Cl3 �C fir, 1 kl L.) 1vS- , n 7L ,n-. OW°
Name(Print) No.and Street City/Tow Zip
operty10�►�Owner Contact Information 9R -SIN0D AjoK ,c
{ . �� - -
Title Telephone No. (business) Telephone No. (cell) e-mail address
If applicable,the proi2erty owner hereby au oriz
kA)c).\"\--'k( MOAL. V 'bk. •p_k G3cs--1, A-6v.A o\oa)
Name Street Ad ess City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this building permit application_
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
(If building is less than 35,000 cu.ft of enclosed space and/or notnnder Construction Control then check here 0 and sldp Section 10.1)
10.1 Registered Professional Responsible for Construction Control
Name(Registr t) Telephone No. e-mail address Registration Number
Street dressCity/Town State ZipDiscipline Expiration Date
S p
10.2 General Contractor
W TAB c`
U-30.*1/4( 1114(4( CS g CD.°1
Name of son Responsible for ction License No. an Type if Applicable
3 — ,0�, t-.� W . , ( �
Street Address City/To State Zip '
t+i-f1 c 1 °\ - - W w e V cofr,ccsr.Aid0
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT (M.G.L.c.152.§ 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building pei wit.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ U 70-7) Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ i appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ /Ste' (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
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 ccurate to the best of my kno ledge and understanding.
laiit-"-Ir c
recipd6
P aslrint tskamew Title MT:lepohone No. Date
a. r.` R (Jecri-uv`
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval: ii `=— 9- Z-2ez3
Name Date
The Commonwealth of I1assachusetts
'_*= __!I Deportment of Industrial Accidents
ii6..,.,
=T�;� t l Congress Street,Suite 100
-:= Ti= Boston, MA 02114-2017
s H'ww.ntass.gov/dia
11umkers' ('ompensatiou Insurance Atlida%it:Builders'Contactors/EkctricianstPlumbers.
ttl In% t lLED N I III THE PERMITTING At1THOR1t1.
Applicant Information Please Print Leteihit
Name(13usrncss'Orgatnzation•individual): L A) ("A c�1� ..C" _.
So
r k.
Address: �3 .X� ��
City/State/Zip: Ler -sp .• rtvp Oa-) Phone#: Li °T1 OI c 3
Arr you No employer?Cheek the appropriate tax: Type or project(required):
i , am a cmphwa•with enspluycea Ifull and'w punt-tine'* 7. 0 New construction
20 I am a sole proprietor or pattnenhrp and have nu employees wishing for me in ft. 0 Remodeling
any rapacity_(No worker*ramp.nlsurame required.]
3,01 am a homeowner doing all wen myself.(Na ambers'coop *steamer nafe aij t 9. ❑Demolition
4.01 am a homeowner and will be hiring oulltroetoesb conduct all work on my Novelty. 1 Will 10 0 Building addition
moon:nun all cuatramont either have wuckers'compotmation ouuninee in are sole II.0 Electrical repairs or additions
proprieties with no employees_
12.0 Plumbing repairs or addition
5C3 1 am a general contractor and 1 have hod the sob,eontmacturs listed on the auac-hed sheet 13.0 Roof repairs
These sub-cuntractom have employees and lease workers'comp.imurartce.•
6.0 We arc n curperratiuo and itsffi officers have cxen.-iaed their right of a.cmptrun per WI-c. 14. Other
152,¢1(4 i.and w e have no cmpluyeea.[No workers'romp insurance reunned.]
'Any apptu$nt that checks bat 4I must also fill um the,,ctHM below show ng their van—ken'compensation policy information
t Homeowners who submit this affidacat nidrealnu they are doing all Murk and then here outside coaArackxs must submit a neu arras',it undicaang such
Contractors that cheek this lox must anacked an additiur ul sheet show ing the name of the sub-contractors and state whether or nut those entities base
employee. If the cub-cuntractors base employ des.they must pros ide their corkers-coinp policy ntanbar.
I am an employer that is prurlding►rorLers'compensation insurance for my emplojoee . Below is the polled and fob rile
information.
lnsttrance Company Name: n01- Co
Policy#or Self-ins.l-ic.#: WCC SO° SC)199°-4"1' 'ft Expiration Date:c)-110)(:)-
Job Site Address: CI LC44- dt City/StatcrZip:(U,`,111,5l, r r. A 011/4)&O
Attack a copy of the workers'compensation policy deehntlo.page(showing the policy number and exigration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a line up to S1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine 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
coverage verification
I do hereby certify under t pains and Ides of perjury that the information provided bore is true and correct.
S' �%'/��
Date: 1 2 r)3
Phone e: 113 vcs? / qr.; 31
Official use only. 1)o not write in llri.%area.to be completed by city or town official
( its or It►un: Permit/License
--
Issuing Authorit'. (circle one):
I. Board of Health 2.Building Department 3.City('um'Clerk 4.Electrical Inspector 5. Plumbing Inspector
G.Other
r tintact Person: Phone#: _
. _, .
City of Northampton
O.,,-,M ,O\ +M-
:.-- ` Massachusetts alS !c�4
` 'I f , DEPARTMENT OF BUILDING INSPECTIONS rz
r
4 i' 4, 212 Main Street • Municipal Building %J`.� Cam
\w, . . ..�� Northampton, MA 01060 f 8,j�0
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/C&Jt( 4\ IReC Cc\(-v."
)
The debris will be transported by:
Name of Hauler: i (66tr \�Tr\C
Signature of Applicant: /�— Date: 4:1
`4F5)4
•
O °L>
OMS Ver.0004.03.00(Current) MAREK
Product availability and pricing subject to change. NAP PHASE 2
Quote Number:48736RN
LINE ITEM QUOTES
The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item
Quotes. Additional charges, tax or Terms and Conditions may apply. Detail pricing is per unit.
Line#1 Mark Unit: Net Price:
Qty: 2 Ext. Net Price: USD
Stone White Exterior
MARVIN Bare Pine Interior
2W1H- Rectangle Assembly
Assembly Rough Opening
41"X 47 5/8"
Unit:Al
Elevate Casement-Left Hand
CN 2147
Rough Opening 21"X 47 5/8"
Stone White Exterior
Bare Pine Interior
IG-1 Lite
Low E2 w/Argon
Stainless Perimeter Bar
Almond Frost Folding Handle
Interior Aluminum Screen
A2 Bright View Mesh
Almond Frost Surround
As Viewed From The Exterior
Entered As:Size by Units Unit:A2
MO 40 1/2"X 47 3J8" Elevate Casement-Right Hand
FS 40"X 47 1/8" CN 2147
RO 41"X 47 5/8" Rough Opening 21"X 47 5/8"
Egress Information Al,A2 Stone White Exterior
Width:11 15/64" Height:42 23/32" Bare Pine Interior
Net Clear Opening:3.34 SgEt IG-1 Lite
Performance Information Al,A2 Low E2 w/Argon
U-Factor:0.27 Stainless Perimeter Bar
Solar Heat Gain Coefficient:0.3 Almond Frost Folding Handle
Visible Light Transmittance:0.51 Interior Aluminum Screen
Condensation Resistance:59 Bright View Mesh
CPD Number:MAR-N-250-01012-00001 Almond Frost Surround
ENERGY STAR:N,NC 6 9/16"Jambs
Performance Grade Al,A2 Jamb Extension from 4 9/16"to 6 9/16"
Licensee#898 Nailing Fin
AAMA/WDMA/CSA/101/1.5.2/A440-O8 ***Note: Unit Availability and Price is Subject to Change
LC-PG50 610X1807 mm(25X71.5 In)
LC-PG50 DP+50/-50
FL9684
Line#2 Mark Unit: ` Net Price:
Qty: 2 Ext. Net Price: USD
Stone White Exterior
MARVIN Bare Pine Interior
2W1H- Rectangle Assembly
Assembly Rough Opening
43"X 47 1/2"
Unit:Al
Elevate Casement-Left Hand
Basic Frame 21"X 47"
Rough Opening 22"X 47 1/2"
Stone White Exterior
Bare Pine Interior
IG-1 Lite
OMS Ver.0004.03.00(Current) Processed on:8/3/2023 4:10:38 PM
For product warranty information please visit,www.marvin.com/support/warranty.