39A-056 (3) BP-2023-1643
64 LYMAN RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
39A-056-001 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-2023-1643 PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATIONS 2023 Contractor: License:
Est. Cost: 340000 JOHN SACKREY 079384
Const.Class: Exp.Date: 10/14/2024
RICHARDS HELEN M&JEAN M HALL& S
Use Group: Owner: MCCARTHY& W E MCCARTHY JR
Lot Size (sq.ft.)
Zoning: URB Applicant: SACKREY CONSTRUCTION
Applicant Address Phone: Insurance:
83 SOUTH MAIN ST (413)563-6639 0 WMZ-800-800-5793
SUNDERLAND, MA 01375
ISSUED ON: 11/27/2023
TO PERFORM THE FOLLOWING WORK:
RENOVATION
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: $2,210.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
. a\ i 2023
The Commonwealth of Massachus
C.,$/14 Board of Building Regulations and Sta dar•. pill FO'
Massachusetts State Building Code, 781 C l'pio OF
T DING
rMA 1� '4""'-CIP. ITY
SE
Building Permit Application To Construct,Repair,Re . ,. - •r 11 emolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:4 A 3- / Date Applied:
Building Official(Print Name) Signature i i ' Da e
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
t'4 Li in' pet4. Rt)
1.l 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
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? �/
Public Private CICheck if yes❑ Municipal L7 On site disposal system CI
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
4...
itt" ett, Ft.1Nw-1L fit tMo.- Na g-Iti rr+r rap—1 114/F O/06p
Name(Print) City,State,ZIP
T3 rte-R-en- sr pf-gizv yl3—t10-I-' 1/C- �Arr16-c,. L. r=iNAN C,fr,A/Z-• <OAA
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building' Owner-Occupied 1i1/ Repairs(s) Di Alteration(s) Ile Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of Proposed Work':
k\?LNEr..t 12tEw Prw 'Roa F .BAN
UJ wIU.cau s .izot•Mfw EUICOU l+� PtA�P M IDA'-
f i1'kST f�an� .
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $` 25., 000 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
3 S 1 O o 0 ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 3 S , a 0_D 2. Other Fees: $
4.Mechanical (HVAC) $ 4 c i a 60 List:
5.Mechanical (Fire i au
Suppression) $ Total All Fees: $ ..�i i d
Check No..516 Check Amount: Cash Amount:
6.Total Project Cost: $ 3'J 1 OOCJ k Paid in Full 0 Outstanding Balance Due:
X to •50/-15106a
\\►' l0
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 011 3 8 i 10 1 21
jp# License Number Expi 'on ate
Name of CSL Holder U
83 J • va 5-c , List CSL Type(see below)
No.and Street Type Description
. - ) 1 A A- U Unrestricted(Buildings up to 35,000 Cu.ft.)
J (�i• �(� R Restricted l&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
1/4(13-5(o3-(h3 f SA a�-R.� t- Ulu. I Insulation
Telephone E ail address D Demolition
5.2 Registered Home Improvement Contractor(HIC) t Co 1 Ly 8‘‘ 11 30 I Z4
S C'V—Ittl � L� HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
'3 5 - Nn.Act -0 S-r. SA-I- -442.7 e C. Gk-Iru,L -ceb..
No.and Street Email address
S vNeentA-41-14) 1 Le-54.3-6 c 31
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 IV No .❑
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 Jfl V-4.1. v C� GCA-Ck#2.11i`a ...VCA IC 1..
to a my behalf,in all matters relative to work authorized by this building permit a plication.
A------- 1140C-1- FGyivik- rdsiek) Ilfrof2-3
Print Owner's Na le onic Signatu 1 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 applic tion is true and accurate to the best of my knowledge and understanding.
-61Ai-( 1 k 4 I 11 zo z
Print Owner's or Authorized Agent's Name(Electronic Signature) ate
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"
•
City of Northampton
R HAM
?�i ti SNS s. ..
. .°` Massachusetts �k? x_ '<<
ci
*F" " " DEPARTMENT OF BUILDING INSPECTIONS S
212 Main Street • Municipal Building Jy �
w* r:�0 Northampton, MA 01060 'r a
'jy 3,���`�
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: Vi\LL.Ft1 RI- C.-,1 C, L V
The debris will be transported by:
C� ' C ,
Name of Hauler: � � �IZc CA4S—c, U
"1
Signature of Applicant: Date: )i 1 2-3
The Commonwealth of Massachusetts
t`1/4iiiii....—_511111,..1110!1 Department of Industrial Accidents
• i
F�= I Congress Street,Suite 100
� i►=;." Boston,Mq 02114-2017
:;-.�,,s'' ww w mass.gor/dia
_ 11 a:kers'Compensation Insurance Attida%it:Builders/Cootradors/Electricians:Plumber,.
TO 1W FILED Vi 11H I III.PERMITTING AUTHAWTI.
‘oolirant information Please Print Leeibls
Na
me usin ga'O� n;,_,ti .tt Indtvtduall: ._. 1C., r cn (.44.%Cp, c
Address: a 3 S - V'V-r+-Q SC ' —
City/StaterZip: EVI.1,0 N 2-Lifkga VAN- Phone#: y II- 5-C - (0G, 1 I
Are'MI YOrmptoi re!Cheek lheapprupruttcbut: 1')pe of project(required)
i SKam a cnploam with employees(full and or part-time)-• 7. 0 New construction
:.17.3 I am:t win pruprietw or puctnershrp and have''employers working for use as 8. Remueieltng
,any capaeAy [` weri'o wk clamp.tnsummx r.quuttl[ t�i
9. ❑Demolition
1.,EjI am a hunxvwnee dung all work rmyself.[Tao waiters'comp.insurance required.] :�,�,,,•'
i.a I am a h�tmet>wn.r and wdl be hams,:ontra.9or>to eunduci all%wk on my paopeety. I enll 10❑Building addition
.^tssure that all coxuxa.-tun...Act hate workcn'conaren>atxxt mamma:tK are mile I I Electrical repairs or additions
pruptrcton'IA tth no cmploycr>
12.0 Plumbing repairs or addition,
Sin I am a}n neral auntractur and I hest hired the sub<mtraetom!tiled on the shackled sheet. 1��Roof airs
Ilene sub-contractors lave employees and have winters':am ur p.assance_
6.Q We me agxt otre n and its officer.have c cne thaw iaed mike of eaeefpan per AICI.c. 14 0Olhet
152.i 144).and we have no employees.[No workers'comp.insurance required.]
`Any'applicant that aback%bot al roust also fill out die aroma below show mg then w.taker>':t•nspcnsalnon polio? mtot'tnattwt
t Ibaxvwacrs who salami this Ytttdava mibeating they are doing all work and then hire out.nle etatiraetor>most submit 4[sew affidO a intdie atmg such.
'tontracwrs that check the hit must altxbed an addattttnal sheet showing the name 01 the>uh-,tmtraa ton and'late w healer to not atom:entities!mac
employees. lithe sUh,untractin>ha+:entpioyces.they mu%)pm..Wethew workers'e,xnp.petite,,numb:t
n __ -- _sees_.--.
lam an employer that A providing workers'compensation Insurance for my employees. Below is the peaty a job she
Irfoi madon.
Insurance Company Name: !-r 1 X. , —____-- —
Policy#or Self-ins.Lie.#: 8 Ob 5141 j - -- Expiration Date. Z / Z/ 24
Job Site Address: ID LA ,t \may •) * ,1) e Zip:City:Stat 0 LOI 6
Attach a copy of the workers' ompcnsation policy declaration pag (showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 1.500.00
a ndfor one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the vioiator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for in-oarance
coverage vcnfkation.
1 do hereby c ti under the pains and penalties of perjury that the information provided above is true and correct
Signature: Date 1l /Li /2"3
Phone#: L (. -S(d7 - (..(0 -.S
Official use only. Do not write in this area.to be completer!by city or town oJjcial
1
('its or Town: Permitil.icense k
Issuing Authority (circle one):
1. Board of Health 2.Building Department 3.('its Tossn Clerk 4.l.lectriral Inspector {. I'Iuntbint• Inspector
G.Other
contact Person: Phone#:
0 I I I
c, LYMAN ROAD
J 40'WIDE
• 9200' • N 40'43'54' W 78.27.- 100.00'
0
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CAITLYN S. &KYLE H. °' HARR
BUTLER BOOK 2251, PAGE 46
BOOK 12358, PAGE 134 in; in I, TAX ID: 39A-057-001
TAX ID: 39A-055-001 pp n
'S In it
g13.1' <
L J Z
N
RYAN &RACHEL FLYNN-KASUBA
BOOK 14969. PAGE 64
TAX ID: 39A-058-001 92'-
N 9,487± SQ. FT.
1.\� ---S 40'34'12-E 80.47' -110 O
7
THE TRUSTEES OF SMITH COLLEGE
BOOK 1007,PAGE 531
TAX ID: 38B-035-001
LEGEND
O IRON PIN FOUND
• IRON PIN SET
❑ DRILL HOLE SET
• STONE BOUND FOUND
A UNMARKED POINT
I REPORT THAT THE PROPERTY LINES SHOWN
HEREON ARE THE UNES DIVIDING EXISTINGOWNE AND PLAN OF LAND IN
WAYS RSHOWN ARE THOSE SHIPS, AND THE NOF PUBLIES OF C ORS PRIVATE NORTHAMPTON, MASSACHUSETTS
STREETS OR WAYS ALREADY ESTABLISHED, AND PREPARED FOR
THAT NO NEW UNES FOR DIVISION OF EXISTING RYAN AND RACHEL FLYNN—KASUBA
OWNERSHIP OR FOR NEW WAYS ARE SHOWN. ea
I REPORT THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY fRu1DALL f, SCALE: 1'=20' OCTOBER 12, 2023
WITH THE RULES AND REGULATIONS OF THE REGISTERS I� HAROLD L. EATON AND AS , INC.
OF DEEDS OF THE COMMONWEALTH OF MASSACHUSETTS. 135032 REGISTERED PROFESSIONAL LAAOCIATND AEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTSUR
'1",;,i.rt.'`R 413-584-7599 413-585-5976 (fax)
email - hleaton®aol.com
RANDALL E. IZER #35032 0 20 40 60