Loading...
29-034 (7) BP-2023-1192 40 PIONEER KNOLLS COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-034-001 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-2023-1192 PERMISSION IS HEREBY GRANTED TO: Project# STRUCTURAL 2023 Contractor: License: Est. Cost: 33000 MARK SARAFIN 053434 Const.Class: Exp.Date: 04/28/2025 Use Group: Owner: RYAN JAMES M &CHRISTINE H TRUSTEES Lot Size (sq.ft.) Zoning: WSP Applicant: SARAFIN BUILDERS Applicant Address Phone: Insurance: 85 RUSSELLVILLE RD (413)563-9256 0 WCC-500-5019027 SOUTHAMPTON, MA 01073 ISSUED ON: 08/31/2023 TO.PERFORM THE FOLLOWING WORK: INTERIOR RENOVATIONS 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: I Fees Paid: $215.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED Lf. AUG 3 0 202� T e C onwealth of Massachusetts FOR y, I Boar of uilding Regulations and Standards Ii"': Mass chus tts State Building Code, 780 CMR MUNICIPALITY °FPT OF BUIr-DING;INSPeCTION USE ----�Rermitodbppiicat n To Construct,Repair, Renovate Or Demolish a Revised Mar 2011 ne- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ‘I'3- /6?..2-- Date Applied: 4-) �1s5 ////2 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Properlff Address: L 1.2 Assessors Map&Parcel Numbers 410 r' U4•e,PZ g v7U (I S 1.1 a 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 Provide Required ovided RequiriVd Provided 1.6 Water Su .G.L c.40,§54) 1.7 Flood 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' Record: .1--N nA NeN 1- <34.e,r-e , vv\ ./5.- Name(Print) City,State,ZIP llo Pub-,e-e--1 Vv)ok15 4413- s$6-417 0--- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) J5( Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed ork2: C.e..v.dv-, Q �' \-e•r. ,.. e:.\k t'1'le" -.n 'fit 11 CiA t vitelc 1/ L VL 842e K`tv�.sOv`C C\n,.nn✓‘Y .1,,-)irU �tI Avu cct�N�Q 4A 3 r1vv,0:,n .ei<cari\c c.. \ 2e Q\"ce cydig.,i2. .c e in e w.."CS)'suJ n n c.4 c 0\ne.,, .P S SECOON 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ (90 ,Dpv , — 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ rJ- C,dd 0 Standard City/Town Application Fee ` 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ , 0 60 ^' 2. Other Fees: $ 1 4.Mechanical (HVAC) $ Lo \06b — List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No00 Z Check Amount:41)46 6.Total Project Cost: $ 33 0 od , — 0 Paid in Full 0 Outstanding Balance Due: City of Northampton JaTHAMyp.�.: 5 - Massachusetts AV s►- '<< tp E DEPARTMENT OF BUILDING INSPECTIONS �'• j,° 212 Main Street • Municipal Building %)% pD "0�"y'-" Northampton, MA 01060 ' PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS, RENOVATIONS, ROOF MOUNTED SOLAR, ETC. 1. 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 Supervisor License(CSL) CS— O'S 2j'{ 3y �y.L -5142.0r2 License Number Expiration Date Name of CSL Holder /� 1 f� List CSL Type(see below) ki Sc. `(2 ,S c- ,\Ut```e tr, No.and Street Type Description G wt �� \��� b�0-4U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP ` 3 R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding p SF Solid Fuel Burning Appliances c 3- -(173-Cj a S!P �W✓1 -}...�d� I Insulation Telephone Email addres rt Vey vt1 ID Demolition 5.2 Registered Home Improvement Contractor(HIC) a ')." `I�,� V�--'i��1 61—I0— a1/44 dS'Q`�w Ft . ��'"c HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and 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 GriC No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIESFOR BUILDING PERMIT V V\I,as Owner of the subject property,hereby authorize `/ •%--"N to ct n my b. all matters relative to work authorized by this building permit application. Prin er's Name(El: ronic Signature) Date SECTION 7b:OWNER1 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 a lie n is tru and ac urate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Na e(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 1 Congress Street, Suite 100 sail 6 � l `• —;.1:� Boston, MA 02114-2017 www.mass.govidia me 1%urkers'Compensation Insurance Affidavit:BuilderslContractorslEkctricians/Plumbers. TO Bfr FILED THE PERM1TI I! C AIJTNORIT!'. Applicant Information ` (� Please Print Legibly ess�Name(13usin 'organtzationflndividual): 5pn v4 c�✓\ � 1 rat)�'c Address: Sc (to,`l e ICx, ' City/State/Zip: ,S®,, owl PL ✓� 01 o" 'hone#: y(3-Se3-9(95 41 Are you an employer?Check the appropriate box: Type of project(required): 1.a1 am a employes with .employees(Pill and/or part-time)... 7. 0 New construction 2 Q 1 am a sole proprietor or pattnership and have no employees working forme in Remodeling any capacity.[No workers'comp.insularity nrgv red.] 9. Demolition 30 I am a homeowner doing all vas&myself.[No workers.comp_itutuanix required] 4.01 am a homeowner and will be hiring oorttracturs to conduct all work on my property. I will 10 CI Building addition ensure that all contractors either have workers'compensation insurance or an soli i I.Q Electrical repairs or additions proprietor w ith nu employees_ 12.❑Plumbing repairs or additions 301 am a general contractor and 1 have hired the subcontractors listed on the attached sheet. 13 Roof repairs 'Chose sub-contractors have eanphsyees and have workers'comp.insurance.; En Oth &El We are a corporation and its officers have exercised their night of exemption per MGL r. I er 151,§t141.and we have no ertrployvres.[No workers'comp.insurance required.] 'Any applicant that checks but al mat also fill out the section below showing their workers'compensation policy information_ t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new ailidav it indicating suck tContractors that check this box must attached an additional sheet showing the name of the sutb-.cuturacrurs and state whether or not those entities have employees. lithe sub-contractors have employees.they must provide their workers'comp.pokey number. I am an employer that is providing workers'compensation insurance for my employees. Below is the polio{'and Job site information. Insurance Company Name: 41 % /\ — Policy#or Self-ins.Lic.#: c er.,_1- b1 a 0(91 A- Expiration Date: .1 — I ' a`f Job Site Address: 140 i ovIve f2 K v►a\(S City/StatetZip: 'oose v ic-e IAA ,/ - Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MC,L c. 152,§25A is a criminal violation punishable by a fine 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 cart p' r pain d pen its o wrjurr that the informarion provided above is true and correct. Sivnature: / Date: Phone : '-I I - SLo'3 - SG Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: PermitiLicense# Issuing Authority (circle onet: I 1. Board of Health 2. Building Department 3.('ii's rTown Clerk 4. Electrical Inspector 5. Plumbing Inspector ! 6.Other N Contact Person: Phone I#: City of Northampton 0017t, Massachusetts Q ► e Ot DEPARTMENT OF BUILDING INSPECTIONS y. 212 Main Street • Municipal Building J� ...!� Northampton, MA 01060 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: {'1 b2 p VV\ ✓� The debris will be transported by: Name of Hauler: avzv4 % \ 180: C—Qf-2 fi Signature of Applicant: Date: 8 `e?f3 3 -D,\,,,,q1\ 7_,l9..ts. ,.11,„47 -?..(57qM he %� ij I ,...„.007JYy.mok'7 ' tt 1 ii t Li 1 1 Asa c'd i n-1 \1"rt`'`^. _ LI - .e..' i/ . /7- 1 , , ...._._ ... : _ -. _ r { 4 t- i It Cam.... 1 ! -- __Y I ') . __ _ _ _ _-- _. _ _ . _ __. II-7, �f 1 Y:"t Qti 1 "k",« hc, r ; I 1 V i it-- 1 1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 I79889 09/16/2024 Boston,MA 02118 MARK SARAFIN D/B/A SARAFIN BUILDERS MARK R.SARAFIN 2 85 RUSSELLVILLE RRD SOUTHAMPTON,MA 01073 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regl rations and Standards Cons $visor CS-053434 Opires:04/28/2025 H Z MARK R SAIIFIN 85 RUSSELLVILLE '! „ 1 SOUTHAMPIYN MA :I FORTE W EB MEMBER REPORT PASSED Level, Floor: Drop Beam 17'6" Light Attic Storage 2 piece(s) 1 3/4"x 11 7/8"2.0E Microllam®LVL Overall Length:18'3" 0 0 • r r r 1 r 11 17'6' 4, El H All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual O Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 3396 @ 3" 6694(4.50") Passed(51%) -- 1.0 D+ 1.0 L(All Spans) Member Type:Drop Beam Shear(Ibs) 2888 @ 1'4 3/8" 7897 Passed(37%) 1.00 1.0 D+ 1.0 L(All Spans) Building Use:Resident al Building Code:IBC 2015 Moment(Ft-Ibs) 14655 @ 9'1 1/2" 17848 Passed(82%) 1.00 1.0 D+ 1.0 L(All Spans) Design Methodology:ASD Live Load Defl.(in) 0.517 @ 9'1 1/2" 0.592 Passed(L/412) -- 1.0 D+ 1.0 L(All Spans) Total Load Defl.(in) 0.891 @ 9'1 1/2" 0.887 Passed(L/239) -- 1.0 D+ 1.0 L(All Spans) • Deflection criteria:LL(L/360)and TL(L/240). •Allowed moment does not reflect the adjustment for the beam stability factor. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Floor Live Factored Accessories 1-Stud wall-SPF 4.50" 4.50" 2.28" 1425 1971 3396 Blocking 2-Stud wall-SPF 4.50" 4.50" 2.28" 1425 1971 3396 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Lateral Bracing Bracing Intervals Comments Top Edge(Lu) 7'11"o/c • Bottom Edge(Lu) 18'3"o/c "Maximum allowable bracing intervals based on applied load. Dead Floor Live Vertical Loads Location(Side) Tributary Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 to 18'3" N/A 12.1 -- 1-Uniform(PSF) 0 to 18'3"(Front) 12' 12.0 18.0 Attic Light Storage Weyerhaeuser Notes Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values.Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC-ES under evaluation reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by Mark/sarafm ForteWEB Software Operator lob Notes 8/29/2023 6:38:03 PM UTC David Fagnand Ryan Fleury Lumber Co.,Inc. Florence,MA ForteWEB v3.6, Engine:V8.3.1.5, Data: V8.1.4.1 (413)527-2693 fleurylumbercompany@charter.net Weyerhaeuser File Name: Old People Ranch DATE(MM/DD/YYYY)AC� CERTIFICATE OF LIABILITY INSURANCE 8/31/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Dowd Agencies, LLC PHONE Diane LaFleche FAX 14 Bobala Road IA/c.No.Extl:413-437-1062 (A/C,No):413-437-1462 Holyoke MA 01040 ADDARESS: dlefleche@dowd.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Mutual Insurance Company 17000 INSURED MARKSAR-01 INSURER B Associated Employers Insurance Company Mark Sarafin dba Sarafin Builders 85 Russellville Road INSURER C: Southampton MA 01073 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1262594560 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 9520114476 6/17/2023 6/17/2024 EACH OCCURRENCE $1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ g WORKERS COMPENSATION WCC5005019027 7/1/2023 7/1/2024 X ERR- PE AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 212 Main Street A THORIZEDREPRESENTATIVE Northampton MA 01060i ( 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD