25C-242 (8) BP-2023-1459
239 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-242-001 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-2023-1459 PERMISSION IS HEREBY GRANTED TO:
Project# DEMO PORCH 2023 Contractor: License:
Est. Cost: 1500
Const.Class: Exp.Date:
Use Group: Owner: MEADOWS GORDON M
Lot Size (sq.ft.)
Zoning: SC/URB Applicant: MEADOWS GORDON M
Applicant Address Phone: Insurance:
239 BRIDGE ST
NORTHAMPTON, MA 01060
ISSUED ON: 11/30/2023
TO PERFORM THE FOLLOWING WORK:
DEMO FRONT PORCH,BUILD NEW LANDING
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:
le
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
IU c f10 WC() or-)
File #BP-2023-1459
FIZoi-3r -5(s--reAci LA±125
APPLICANT/CONTACT PERSON:MEADOWS GORDON M
Cak c.O ,Z'
239 BRIDGE ST NORTHAMPTON, MA 01060 `"i
PROPERTY LOCATION 239 BRIDGE ST
MAP:LOT 25C-242-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $65.00
Type,of Construction: DEMO FRONT PORCH, BUILD NEW LANDING
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
INFORMATION PRESENTED:
Approved Additional permits required(see below) d R FF„2 36O -q:3 s,
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
qt � tor l3oa'3
Signatje of Building Official 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
o V%
The Commonwealth of Massac • ett9FA
/ft
W Board of Building Regulations and StaAl.�l9 �oR
Massachusetts State Building Code, 780 C tiq ai^v CIP ITY
Building Permit Application To Construct,Repair, Renovate Or e i;, . 'evised ar 2011
One-or Two-Family Dwelling '7-1o, �i19 oy
This Section For Official Use Only s
Building Permit Number: 6(i, - 3 -p-is Date Applied:
NI*
•+ WO' t ,2-. 11; '6. ,- 1
Building Official(Print Name) Signature i 1 Da e
SECTION 1:SITE INFORMATION
idgEroperty Addresni 3 1 8r,`N�, 4 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes,X 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:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP1
l wne51 of Record:4,, ,/f �j /I l •
re6"--- ir),e--0"-?..3 ,),3-rAi*to
ame(Print) City,State,ZIP / /�d23 5 isrf�� yi 0.0)0,- 1` rAN-•n��--{6✓s�y4l oa.cv w—
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: ,J
Description of Proposed Work': �h—o f,.1 1._ (,r61.4 �6,7L 1 ov. ,j,,v J'1i „,•'v ,
,,,,, SYe r)
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees. 4(9°
Check No. Check Am unt:
jolotal Project Cost: $ / 500.v v 0 Paid in F 1 ❑Out ance Due:
i
City of Northampton
Massachusetts
�� C DEPARTMENT OF BUILDING INSPECTIONS (-
t
212 Main Street • Municipal Building
e' Northampton, MA 010604,
0
•
•
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.
f
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.) _
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address • D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street 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 ❑ 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 authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) 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' is application is true and accurate to the best of my knowledge and understanding.
. . /I `-3
Print Owner's or Authorized Agent's Name(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 Comntonwealth of Massachusetts
-,7- -----
Department of Industrial Accidents
I Congress Street,Suite 100
Boston, ALA 02114,2017
www.mass.govidia
‘1.takers Compensation Insurance Affidavit:Builders1(74:intrattorsiElectricianalPlu lathers.
DJ BE ITLED WITH THE PERMITTING AUTHORITY.
Auntie ant Inform a tio it Please Print Leg-ibis
Name tillniness,-onsanszatunvinnionctuaw
•
Addres: ' ...
C'ityStateiZip: Phone .*••=•-..
,.. .....
Are you on r rapists tr?Cheek the appropriate bum Type of project(required):
I 0 I int a sitipksyer witit ,..„,,,,,.....eastday (fell and:orparchinets l T, D N,y,,,construction
,0 I am a sok pruprietor tir ponnership and have no cackle orking for we in 1
, b. 0 Remodelin
um capacity_[No workers*-coact inalinirive molted."
( 34 I 2111.U lit*r doing all work impair INo*Mien"comp,intioninoe respired"*
-40 loin a litinioitiassi=dad]be hiring contrisiort to ctkidttet all nark rthi my property, 1 wit
ensure that all coatrooms either have an-T.13x'tortipettniiion insuronce or a ok re s 9. fl DemolitIon
, io 0 Budding addition
1 I.C]Electrical repairs or additions
ptuptieteix with ti13 cinployecs,
i ID Plumbing repairs or additions
'3C3 I am a vrierid contractor and I hose hired the sub-contratiors Listed on the intuited sheet
130 Roof repairs
cliesc sub-Lourusuois lose onoloyees aria liavt IkurkerV 4artp.inatirenec.:
pt I 4.0 Othex
6.E3 We are a oorporation and us offireera how exixosed then right of coetivion e Mtn_c,
I.31, *1),and Vsl.,haPot no tetVdttyces.[No i4orker.4-'camp.inamance requirciLl
'Ar„i applicant that chsxics box X1 Ittilal to fili out the ietti.slat bekiw showing their workers.*compensation polio-)ntfornietion.
*Iforictoners who submit this offidosit tadicatmst they are doing all work wad then hue ottbide contractors moo submit a two;autos it Int D.atirts such
',i oratrActvis that check aria boa mast attached on aAdditiknusi Nhed shoo ing the name of the subematactora and-gat'e%-hettros ov-rug thou 1,;J,1,...-,
pioyt‘->. lithe sub-cutgraLtor 64v,..:clnpluyeeti,tht!,rtru,1 piovide their woiken'i-Vtip.pulh.::.manila —
I am an empioyer that Ls prmiding workers*compensation insurance for illy employees. Below is the policy and/oh site
information.
irisurance Company Name:
Policy#or Sel(-ins.Lic.#: Expiration Date:
Job Sae Addresisi...- 3?6'42--C )1 City"StateZip:P /////(101)6 0
AbitaCh ilbiiiiy-iirthe workers'compensation policy declaration page(showing the policy number a expi turn date).
Failure to secure coverage as required under MOE c. 152, :425A is a criminal iolation punishable by a tine up to S1,500.00
and/or one-year irriprisoriment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 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 thepain: d penalties ofperjuty that the information prinitled above is true and correct,
alt. ld i g7 2.-
.
Phone 17...
. .
1 Official use only-Do not write in this area,to be completed by city or town oflkial
City or Town: Permit/License
Issuing Authority (circle one):
I 1. Board of Health I Building Department 3.Cif:sr-I-own Clerk 4.Electrical Inspector 5. Plumbing Inspector
! 6,Other
Contact Person: Phone#:_
, ,,
City of Northampton
r
Massachusetts
z, f DEPARTMENT OF BUILDING INSPECTIONS
»-:; ` 212 Main Street • Municipal Building �
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: L /I// A6,47z_1)),"..e3
_
The debris will be transported by:
Name of Hauler: C�/-� j/H ,./aN, _.
Signature of Applicant: _ Date: /JA 1, 3
City of Northampton
Massachusetts ' ,
�.:
.gyp
ffi 'I DEPARTMENT OF BUILDING INSPECTIONS ;fir
212 Main Street • Municipal Building
Northampton, MA 01060
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, (SI►cza,... 114---rY-11/ 111C-e'va''•") (insert full legal name), born_(insert
month, day,year), hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or
work on a parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'
exemption, does not involve the field erection of manufactured buildings constructed in accordance with
780 CMR 110.R3.
3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2:
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one-or two-family dwelling, attached or detached structures
accessory to such use and/or farm structures. A person who constructs more than one home in
a two-year period shall not be considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I
qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of
the project or work on my parcel, I am not engaged in construction supervision in connection with any
project or work involving construction, reconstruction, alteration, repair, removal or demolition
involving any activity regulated by any provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned project or work on
my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this / �ay of O�7o�i.P �- , 20013
YSigna re)
° City of Northampton ` 4'1Y,;�
Massachusetts . ;
DEPARTMENT OF BUILDING INSPECTIONS
•, ."r' 212 Main Street,Room loo ss d 1'
Northampton MA oio6o
(413)587-124o
Plot Plan Drawing
To be submitted with permit applications for 1- or 2-family additions, decks, porches, pools, and
detached accessory structures.
Property address:
Proposed work:
Information/detail requirements: • Septic system tank and drain field (if applicable).
• Street(s) by name • All existingstructures including decks, pools,
• Front of house detached garages, carports, sheds,etc.
• Driveway • All proposed additions, decks, porches, pools,
• Easement(s) detached garages, carports, sheds, etc.
• All property line dimensions • Distances of existing and proposed structures to
lot lines and other structures.
�� �6✓S-e I'�G�{_
(Example on back)
Plot Plan Example
Centerville Street
110' -----
A
1 .
in
1 %to c$
Existing Porch i '4' N
Front of Existing Rouse •
504_
Existing House!Garage
—15* Existing
8 Shed
0, i 5
7 i '
r 1 New Deck New
Sep&Tank I I 1 Addition 0
.,. ,
. .
. .
IS-'.-Eriiai rig 6raiTFeld — Replacement Drain Fieid *".
: I
-6 -6
110' -
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11/22/2023 12:23:59 PM t` -4
Scale:1"=20' ` r
Scale is approximate
The information depicted on this map is for planning purposes only.
It is not adequate for legal boundary definition,regulatory
interpretation,or parcel-level analyses.