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16C-037 BP-2023-1288 378 SPRING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16C-037-001 CITY OF NORTHAMPTON Permit: Acc Structure PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1288 PERMISSION IS HEREBY GRANTED TO: Project# GARAGE 2023 Contractor: License: Est.Cost: 126500 JOHN SACKREY 079384 Const.Class: Exp.Date: 10/14/2024 Use Group: Owner: L DECARO LOUIS J&JAIME Lot Size (sq.ft.) Zoning: URA/WSP Applicant: L DECARO LOUIS J&JAIME Applicant Address Phone: Insurance: 378 SPRING ST FLORENCE, MA 01062 ISSUED ON: 09/22/2023 TO PERFORM THE FOLLOWING WORK: 28X28 2 CAR GARAGE WITH PLAY ROOM ABOVE 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: o t Fees Paid: $549.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner \i01 File #BP-2023,1288 ) 7 APPLICANT/CONTACT PERSON:DECARO LOUIS J&JAIME L 378 SPRING ST FLORENCE, MA01062 S1v uM� � PROPERTY LOCATION 378 SPRING ST MAP:LOT 16C-037-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $549.00 Type of Construction: 28X28 2 CAR GARAGE WITH PLAY ROOM ABOVE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN_FQRMATION PRESENTED: )(Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay III I • r,' (//2 - Si ture of Building Official a Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. --1-k;, 410 The Commonwealth of Massac sett Board of Building Regulations and .tan'S rdsSEP 1 8 •R Massachusetts State Building Cod- 780 MR 2023 ' IPALITY _ SE Building Permit Application To Construct,Rep.. Reno at :- •lish a 'evis d Mar 2011 One-or Two-Family Dwelling NO'?7NAnan Zo'1^ispperi., This Section For Official Use Only •bo Building Permit Number: Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3-18 6?tk1l1tr S\' 1.1 a Is this an accepted street?yes V 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 —20 > zoa ' Li ' y2. ' y ' > ZOOt 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: Outside Flood Zone? Municipal Ilron site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of ord:/ /\`147 -‘34"/S i Lie,coi--r-sio 0#fewe.1._ r Ajbq A Name(Print)—cs C/ {���/// City,Sttkate,,ZIIP1^�r) _ / ` 3 V S p�^� Sim SP Y 1 v T�'Lr 1 D A./.014( itAt e 4)4c �•Li 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) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': ti&vJ za' x 2.8 ' 'z- c..Ftik +7aTRctt-reP (rAR-A G-r l-rik / t rzodw\ ►e) f-f A 60 V g- SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ I z.(3 1 O0 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2. Electrical $ S U 0 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: ` q Check No.6 41Check Amours :J '( Cash Amount: 6.Total Project Cost: $ i Z(D 507) 0 Paid in Full 0 Outstanding Balance Due: /1 G 8 s .' 73y5c.iir-► -A -2 = 15-7 ,c . zc /c A-t.—r) Jgy sF -- r 3, /c313,6.0 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) O -3 e.•y I e 1 2 0 A'4 Pr ' S A-C. �1,y License Number Expiration ate Name of CSL Holder I m 3 5/ List CSL Type(see below) VA.Pr►-+4 S'C• No.and Street Type Description S UrI C. T `�+� *1 ] G I S /-/-- U Unrestricted(Buildings up to 35,000 cu.ft.) i R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding �t SF Solid Fuel Burning Appliances tfi ' b .6G}‘{ 5A-GbcM t`��. .1C0 4C-weer.(/.— I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) t'11` `7 HIC Registration Number xpir ion Date HIC Company Name or HIC Registrant Name 25., ? 3 e C-ak/cS.c . , c.00-1' No.and Street mail address Spar-,A)w••cr s.81..44 . G 131 4 l 3 ' G."'; , 6 b M City/Town,State,ZIP Telephone I 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 l 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 a orize -3 6.1-�' br ' 14-I '- -fzr-t _x, to act on my be alf,in all matters relative •• • •uthorized by this building permit application. 1L.,11 .Q.a.,7) / tIz 2? Print Owner's Name(Electronic Si Iv• - Date SECTION 7..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. j v 1-H-.1 4 . Slti(lZ 5 Print Owner's or Authorized Agent's Name(Electronicignature) 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.) {56 8 z-rt,00,RS (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms 0 Number of bathrooms 14 o N iz Number of half/baths o Type of heating system NC416. Number of decks/porches C., Type of cooling system }I taw Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" - City of Northampton i 4�YHcA M � o oti( AS.........SI , : ' Massachusetts ? `. . . C t , ) �w i , I � ; DEPARTMENT OF BUILDING INSPECTIONS ;. :' - k IA :. w r' r 212 Main Street • Municipal Building 6 � -. s �� Northampton, MA 01060 47-r �1 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: VA- C. L..I� i �- � L (-5---- Location of Facility: R.1-11. 0 b-.:C :0,-- The debris will be transported by: Name of Hauler: SA-C:�2 6712JCr( (, Signature of Applicant: Date: 9'//CA3 The Commonwealth of Massachusetts n . . !/ Department of Industrial Accidents = �_. I Congress Street,Suite 100 1� _V _'I;i-_ Boston, MA 02114-2017 ,,,. www.mass.gor/dia 11 u!kern'Compensation Insurance Affidas it:Builders/('ontractors/Electricians/Plumbers. TO HE FILED W I TH THE PEkMl rlI (;AUTHORI Ti'. Anolicant information 1 _ / Please Print t ecibls Name(13usurcss;O ganrzation lndtvidualI: Address: 3 S - UU`/\-I,t3 ' t City/State/Zip: So-Nizslrue.L.k Phone #: '3 (, 3 ' L Are you an employer'('deck the appropriate box: /' Type of project(required): I.�amt a cnployer with (O employees(full and or part-tine I.' 7. 9Iew construction 20 I am a sole proprietor or partnership and have no employees working for m.in S. Remodeling any rapacity.[No workers'comp.wurancr required" 30 I am a Iu rk nnowncr doing all wo myself.[No rankers'coup.imuramz requinat.)' 9. ❑Demolition 4.0 I am a lumuvwncr and will be hiring comm.:tors toconduct all work on my property. I will 10 D BUilding addition ensure that all contractors either have workers'cerrpens:ttron insurance or arc sole 11.13 Electrical repairs or additions propmeton with no employees. l 2.0 Plumbing repairs or additions 5C1 I am a g ncral contractor and I base hired the sub-contractors listed on the attached sheet_ 10 Roof repairs These sub-contractors have employees and lave workers'comp.insurance.; LJ 6.0 we an:a corporation and its officers have exercised their night of exemption per AKA c. 14.0 Other 152.¢ltil.and we hasc no employees.[No workers'comp.insurance required.) 'Any applicant that checks bees III muse also fill out the section below showing their workers'compensation polio informative. *Homeowners who submit this affulat it indicating they arc doing all work and then hue outside contractors must submit a new affidavit indicating such. :Contractors that check this box must arta:lred an additional sheet showing the name of the sub-cumtractors and state w hether or not those entities fuse employees. lithe sub-contractors base employees.they must prosidc their works'comp 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: A Policy#or Self-ins.Lie.#: S(��5 1 L( �j Expiration Date: Z. 1 Z) Zif Job Site Address: 3 7 f 12. S - City/State/Zip: r-L,C1Vtzakirt- kOs' 6 va 62- Attach a copy of the workers'compensation policy declaration page(showing the polio number and expiration date). Failure to secure coverage as required under`1GL c. 152,§25A is a criminal violation punishable by a(me up to S1,500.00 andlor 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 thrice of Investigations of the DIA for insurance co\erage verification. I do hereby ce 'y under the i and penalties of perjury that the information provided above is true and correct. Signature: t)ate 'L j Phone#: Lt 1 3.-1 6,3 Official use only. Do not write in this urea.to be completed by city or town official ('its or Town: Permit/License# Issuing Authority (circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone#: i 1 i, ' ,� — — — C°� __ 0— — — u. — __ �--{ — -- ra 4� i! 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D Marvin Elevate ELAWN 2527 Awning 2'-0 x 2'-3 5/8" 2-2x10 (4,,...i p' 4 lite 4 �tL�' l'_�,` *lei�21- Rer,et7 /Z"j 3 E Marvin Elevate ELDH 3656 Double Hung 3'-0"x 4'-8 14" .2.2x8 7'-0" 6/1 • 4 : 4