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23D-112 (10) BP-2023-1250 584 ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-112-001 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-2023-1250 PERMISSION IS HEREBY GRANTED TO: Project# KITCH RENO 2023 Contractor: License: Est. Cost: 85000 TRISTAN EVANS 1 141 12 Const.Class: Exp.Date: 08/29/2025 Use Group: Owner: MANNING COHEN JOSHUA & LAURA Lot Size (sq.ft.) Zoning: URB Applicant: TRISTAN EVANS CONSTRUCTION INC Applicant Address Phone: Insurance: 61 PLEASANT ST 413-824-0069 WCC-500-5022784 GREENFIELD, MA 01301 ISSUED ON: 09/12/2023 TO PERFORM THE FOLLOWING WORK: KITCHEN RENO 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 .5.2 • (NT Fees Paid: $553.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner evriaj The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ti 3-- LASO Date Applied: Building Official(Print Name) / Signature s° SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 584 Elm Street,Northampton,MA 10637, 118 23D-112-001 1.1a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 17860 Zoning District Proposed Use Lot Area(sq ft) Frontage(It) 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 CM Private 0 Zone: _ Outside Flood Zone? Municipal® On site disposal system 0 Check if yes® SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: JOSHUA COHEN NORTHAMPTON,MA Name(Print) City,State,ZIP 584 ELM STREET 413-824-0069 tevans@tristanevansconstruction.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building EN Owner-Occupied Repairs(s) 0 Alteration(s) ® Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Kitchen renovation SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) .Buildin $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $��� 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier x k 3. umbin $ 3-'60 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fe -060 Check o. 4rr Check Amount: Cash Amount: 6.Total Project Cost: $ 85,000 0 Paid in 1 0 Outstanding Balance Due: Sr('t lON 5: ( ()\\I RI ( I ION\I In It I 's 5.1 (onstrurtion 4:uper%isor I,is-ruse It S1 ) oil II1.., 11$-29?2O25 I rt.tan I .+I: 1 icense Number I spit Date \strut of t ,I I L,t.tt t 1 t,t(11 I spc t sec helms I tt nl Pleasant •I \o and\treeI Tspe Description t itrcnticid ma III 3,01 I; I nrestric ed(Huildme t j to 15.1190 eu ft. R Restricted IFc2Iamil)Duellists ( Its 1ostn.Mate JII' SL Mastnr• RC' Roofing('usenng � �` 3--62g-606-9 � s Window and shill.'•, ��� %� � 1 Solid fuel Binning Apphantrs Insulation telephone I nt.nl.t.khc„ U C)ernnlititn 5.2 Registered Home Improsement Contractor(111( ) o?OS ZOZd I restart sans(on,truction Inc I4K4t' ,.... .,_ I lit ltrrnuautHr\umlrr IWIratron hate III. ( \ame or I11[ I(:111,ir.uu\am; It 1 Plt:a ant tc..m,u It n6tnct:N„tnn.tnli tun:om \n .tnd titrrct n•.u1.tilde.• tier nliekl,\t. (I I (I II;-K'1-tttN,'r ( th 1 town.State.ill' I rlrphone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.(..1..e. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this appht.aI ,nt failure to provide this affidas it wilt result in the denial of the Issuance of the building permit. Signed Atiidasit Attached:' Yes m No ... 0 SECTION 7a:OWNER ALTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERM!! I.as Owner of the subject property,hereby authorize Tristan Evans Construction Inc. to act on my behalf.in all ma rs relative to r• thnri,ed by this building permit appli.-,ttit•n Joshua Cohenci/ie .t Prim ONrx'(,\attic t I It Iron Srgnaturr) . SECTION 7b:O%%NER'OR At ITIORIZED AGENT DELL AIM 1ON By entering my name below.I hereby attest under the pains and penalties of perjury that all of the infi,rmatirnt contained in this application is true and accurate to the best of my knowledge and understanding. I ristan\1 I.sans 09072023 Print I I'sncr',or \uthort,cd \ecn, Name tI Ieantnic'sIIttJWri I Dale NOTES: I. An Owner who obtains a building permit to do his her own work.or an ossner who hires an unregistered contractor (not registered in the!tome tmpravement Contractor(I II( Program'.will not base access to the arbitration program sir guaranty fund under M.G.L.c- 142,1.Other important informality on the HIC Program can he found at ,,,,tv ma„....v .•..t Intirmati n on the Construction Supervisor License can be found at ww w.ma.— .+ ills. '_. 11 hat substantial work is planned.provide the information below: Total floor area(sq.ft.l (including garage.finished basement attics.decks or porch I Gross living area(sq. II ) _. I lahitahlc room count Number of fireplaces Number ofbedrtto ms Number of bathrooms Number of half paths Type of heating system Number of decks porches Type of cooling ing sy scent Enclosed sed Open 3. 'Tonal Project Square footage'may be substituted for"Total Project root" Licensee Details Demographic Information Full Name: TRISTAN M EVANS Owner Name: License Address Information City: Greenfield State: MA Zipcode: 01301 Country: United States License Information License No: CS-114112 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 9/8/2023 Issue Date: 10/24/2019 Expiration Date: 8/29/2025 License Status: Active Today's Date: 9/10/2023 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents sus.._.__..., The Cunrnrrrntc>errlth rrf'.1lus.ti,rre°husrtts Department of Industrial.leei tents -';�. t 1 Congress Street.Suite 1110 f'h� q, Boston. _1I.-i (12114-201" NrIVn:mass.gr wilia Ill taken'compensation Insurance AIWA'.it:Builderse(`ontractar s Electricians Plumbers. TO RE FILED Till:PER%II ITING Al I IBOONI Ili Anulicoat Information Please Print t_reihls Name.IBasrtmst_tt'ptanraattern Imatistehral): Tristan Evans Construction Inc. 61 Pleasant st. Greenfield Ma.01301 413-824-0069 CitviStateiZip: Phone : lire you;in cmpruuical Clint tin appropriate arum: -r\pe of project[required): 1.®1 ama employer with 6 tngployets chill and in pail-m ud ' 7. D Neu, construction 2D 1 am a auk prtrlrrettr or partnership and hale ra+r124.11o1.eV%aorkuug tact Inc in X. Remodeling any caraway.I\rr wcsitt>'corr.uuuranee nyrutrJ.l 9. ] Demolition i.0 lama a Irmwi a ter Musser all aura russell 110 uurkas'cunt, uawraatc.rculustat I t.i J Budding addition 4.0 t am a hatmuruau t and avid be Wig.Ynur.aaues eti eventing alit weals on no property. I vial mane Illlttallcoaiau:k'us caber kite iiueu&.en,-cxetarearunttota naNutance or axe ink I I.fJ Electrical repairs or addttuars proprietor,with no employees_ L�J 12.0 Plumbing repairs or additions '1 I aria a g+:naal contras-tot and 1 Itoe hoed the uub.einstmetett'.listed nn dn:attached sheet. Ihtw tusk c ettplosces and fuss:workers'comp.a uraukc. I 4_❑tither ?.�Root-repairs 6.0 sat an..a ccapsrauon arid its.offive s lute exercised[tarn night of exemptexemptionpaXXIL 1 Ids, y Irfil-and we mars:soar cotprhoynea.IV;aunittr. eosin+ nouraau.required.I "Any apphcaot that chcxk>hcos GI nail also fill out die section Ischia shinty ant then aorkas'cc.ni.ensatann pokey uttirtnatiuia.. lionors m rs also sultana this atlicaectt utuItcauna they arc.kani all work and teen hire outside contractors.must submit a urea autidjatt iradicatmg verb,. C"ontt:actnrs that Check this Fos must attached an additional shed stunt the name o1 the sal*.contractors and state anther or not diva:entries hire eauplsnec^s It 11a soh+-etatracisoss lu ne iii iluycts.thu.y urwst p+rarrr k ducat %orl.ers +:sops.whs.r nuerthct. I am an employer that is providing worte rs'compensation insurance,prr my emplace". Below is the polity and job site in/nrmation. Insurance Company Namie: AIM mutual Policy a or Self-ins.be.#: wcC-5005022784-22a Expiration Date: 8/4/24 Joh Site Address: 584 Elm st ow stale Zip:Northampton,Ma.01060 Attach a copy of the workers'compensation pale, declaration page(shooing the policy number and expiration dolt). Failure to secure coverage as required under N161.c. 152.§25A is a criminal %'Walton punishable by a line up to SI.$(I(1.OD and or one-sear imprisonment.as%sell as cia it penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a dap against the a tolator_A cops of this statement may be l mnsarded to the Office of Investigations of the DIA fur insurance co%crage%erilicatiort. do hereby certify under the pains and penalties of perjury that the information provided ided above is true and correct Signature: 1)ate: Phone a: Official use only. Do not write in this area,to be completed lit'cite'or town nlliciaL ('its or Tossn: PermitiLicense b Issuing.tuthoritw Icirelc one): I.Board of Ilealth 2.Building Department 3.Cityli'olan(jerk 4.Electrical Inspector S.Numbing Inspector 6.Other Contact Person: Phony tA: A Lc CERTIFICATE OF LIABILITY INSURANCE DATE(IA M/DDIYYYY) 08/14/23 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 CONTNAME: Carol CarolShippee Mirick Insurance Agency PHONE �): 413-625-9437 FAX Noy: 413-625-9473 POB 375 Ar 28 Bridge Street ADDRESS: cshippee@mirickins.com Shelbume Falls,MA 01370 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Concord Group INSURED INSURER B: Associated Employers Ins Co Tristan Evans INSURER C: Tristan Evans Construction Inc INSURER D: 61 Pleasant Street Greenfield,MA 01301 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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 ADDLBUBR, POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES Ea occurrence) $ MED EXP(Any one person) $ 5,000 A 20029103 04/08/23 04/08/24 PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 H 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$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE ERH B OFFICER/MEMBER EXCLUDANY D?PROPRIETOR/PARTNER/EXECUTIVE YYN N/A WCC-500-5022784-2023A 08/04/23 08/04/24 E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I 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 Northampton Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Attn;Kim Carson 212 Main Street#100 AUTHORIZED REPRESENTA Northampton,MA 01060 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD City of Northampton ®. .pp74,,, Massachusetts�0. �- tp DEPARTMENT OF BUILDING INSPECTIONS* i r i ;' 212 Main Street • Municipal Building 1n*—• 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: The debris will be transported by: Name of Hauler: Allen's Affordable Dumpsters Signature of Applicant: '' ate: Gq s 23 • • DEMOLITION PLAN NEW CONSTRUCTION CONCEPTUAL PLAN ] .l la, ks__W., ogkoA, 7— lillij.4. ‘74-0111,,, S riusio".• • 4t7'''fe 4111 IV 1 ::1/////,/ . • ' C ' - . ,, . , I /7/ • • ' ' a)pri, j i //,//f%. !; 61 PLEASANT STREET • / 7/ / I, (413)824-0069 tevans@tr I stanevansconstructbn. • •DEMO EXISTING WINDOW I t w • FRAME FOR NEW DOOR• r . • I • i • _ a I= a ■ i _y J ,.-• 1 , I W • f 1 ! , t : 1 i=ti �r j z • Iw � k 2 s r_ ' O • DEMO EXISTING WINDOW p~ ilr. DELETE WINDOW FRAMING �,,,e. m 11.1 A U W Document Date: I MARCH 11,2023 • ' + "' Document Phase: • 1 I ;-sz . ' - J ` -1 1 Schematic Documents my. date remark • • DEMOLITION TASK(TEAMS: -MAKE SAFE FOR ELECTRICAL GAS AND WATER NEW CONSTRUCTION(TEAMS: ••:: -DUST AND FLOOR PROTECTION -NEW WINDOW AND DOOR -REMOVE EXISTING WINDOW AT DINING ROOM AND REFRAME FOR NEWW SLIDING GLASS DOOR -NEW STRUCTURAL BEAM AT CEILING • • -REMOVE EXISTING DOOR IN KITCHEN AND EITHER A.DELETE OPENING AND INFILL.OR B.FRAME FOR NEW WINDOW -NEW FRAMING AND BLOCKING -REMOVE ALL APPLIANCES.GAS RANGE TO BE REUSED.NOT CLEAR ON FATE OF OTHERS -NEW PLUMBING AND ELECTRICAL -REMOVE ALL MILLWORK.BASEBOARDS AND DOOR CASINGS,CABINETS AND SHELVING. -INSULATION -REMOVE ELECTRICAL FIXTURES -WALL AND CEILING BOARD AND PAINT • iiiiimir -REMOVE WALL BOARD AND CEILINGS -FLOORING -REMOVE FLOOR AS REQUIRED.FOLLOW UP WITH CLIENT TBD -MILLWORK AND CABINETS -SUBFLOOR AND LEVELING AS REQUIRED.TBD -COUNTER TOPS -APPLIANCES AND INSTALLATION -FINAL CLEAN UP 49 First Floor Plan A2. 1 12=1,0' • t sAlt irk AttopflAq tmlu.'=: tria- • 61 PLEASANT STREET GREENFIELD,MA.01301 / 69 tevauis4tr1 stanevansconetructlon/ • 1 Raft Al emillomftimmmi A rimefliplilll ilii"te; ‘ 111Mil# 1. /" \/ Z\/ . .o-„r:,zi,.,.„„. 11it O ,'• t� ,fir. w f ,* 't - Z o W 0 . 0 W ' 0 ^-. �' Document Date: MARCH 11,2023 Document Phase: • Schematic Documerna rev. date rerra�k • : MEM A2.2 . . • • 40/t6?- 14, • 80" glktO .44'14 i....,\P ‘h.-Q-01.1i.; Oio. N I I f. cr 108 62 6"I fh • I 61 PLEASANT STREET • i . GREENFIELD,MA.01301 N (413)824-0069 Q) • tevans©histanevanscanstruction. "i COm to s N d . T.- ....• N.)e O wig T. it, w s ..a •• IIW O CO 7. • • • — - ''- 257 rn • • 24" 44;" �� l 30" —-. 30" 30" 99" j C , N �I W3030B W3030B W3030B W 0 f I 2 ,.., 0 1 i • A Q 3DB30 30830 30830 O N Zs:, • 00 O (g Ce = Z • • • N i § I Document Date: — V J MARCH 11,2023 V o Document Phase: M .N Schematic Documents • N M p c+7 rev date remark 3!C__ . • • • M SSCB33-L DISH-FIGE '1W I —tic • BFH36B DFH36B 0 • j 02 J .:.iP---- s mmint 33" f 30" 24" �, . 96;" 36" r 36" { ,--9"f 24"-__.F_- - _ 57" -- 35'-" '12ih"f- 352" r 83; " - 257i" -00 A2..3 = _ -av' te in tr) pCC 7fl 1 fll/WIC