24B-027 BP-2023-1755
17 BARRETT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24B-027-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONIRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1755 PERMISSION IS HEREBY GRANTED TO:
Project# PORCH RENO 2023 Contractor: License:
Est. Cost: 8500 BURI BELISARIO 100030
Const.Class: Exp.Date: 10/23/2025
Use Group: Owner: MANUEL LEYTON
Lot Size (sq.ft.)
Zoning: HB Applicant: BURIS GENERATION HI&GC
Applicant Address Phone: Insurance:
31 EXETER ST (413)222-2914
EASTHAMPTON, MA 01027
ISSUED ON: 12/27/2023
TO PERFORM THE FOLLOWING WORK:
ALTERATIONS TO FRONT ENTRANCE
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:
l�
I 0
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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The Commonwealth of Massach setts DEC 1 4 2020
Board of Building Regulations and S anda ds FIR
Massachusetts State Building Code, 80 C C ALITY
1):,
USE
p OF bUIIDING INSP�C T
- N T A"�IP?nN.4�.A 01n60
Building Permit Application To Construct,Repair, enovate-�r-bemottsh a -Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number:b,,13 - 1735 Date pplied:
Ic?/,
.32
Building Official(Print Nam ) Signature D• e
SECTION 1:SITE INFORMATION
1.1 Property Address: !!! f} r „I 1.2 Ass4sssoorsrh ap&Parcely rs
l.l a Is this an accepte street?yes 1 4r
no Off,/�` 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 'rS Private ID — Outside Flood Zone?
�] Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 C y l'oniee�i L
Name(Print) t City,State,ZIP
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 ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':
-I'On t A it ah Ge
6 ,x I ? . loter Z r� b u l l t4 h
SECTION 4:ESTIMATED CONSTRION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
Q
I 1.Building $ 50 0 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ .2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
441
Suppression) Total All ke :
5;
Check No. heck Amount:
6.Total Project Cost: $ 0 , �� 0 Paid in Full 0 Outstanding Balance Due:
4.
City of Northampton
Massachusetts
° DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 SS,F; tr,71�1Q'
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).
M r.
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.
I
SECTION 5: CONSTRUCTION SERVICES
I
5.1 Construction Supervisor icense(CSL) 100 , D 2 V,1 / /2 j/z s
C1 ( License Number Expiration Date
ame of CSL TIolder
er
' �)C.el-er C' List CSL Type(see below) v
.and t Type Description
4 D/v Z U Unrestricted(Buildings up to 35,000 cu. tt.)
i R Restricted 1&2 Family Dwelling
ity own,State,Z M Masonry
RC Roofing Covering
WS Window and Siding
n Q • SF Solid Fuel Burning Appliances
L(3 2ll.(� I lu Lis3arwkYar� `� (p,w I Insulation
Telephone Email address D Demolition
5.2 Registered/Home Improvement Con tr for(HIC 16 S6/y 74L./
ulo Duo s ‘C. HIC Registration Number Expiration Date
IC Co pang N e or HIC egistrant Name
� ' G2�-Z�iu Email ad ess
�l 3
tt Staa IP' � Of)2 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 ❑
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 g3eil gep —((2 6( ( i
to act on my behalf,in all afters relati e to work authorized by this building permit application.
120 o(2
rint wne 's Name lectronic Sign ure) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering a below,I hereby attest under the pains and penalties of perjury that all of the information
contai s applic i n is true and accurate to the best of my knowledge and understanding.
7/P/Z3_
int s uthorized Agent's Name(Electronic Signature) FII
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"
A
The Commonwealth of Alassachusetts
Department of industrial Accidents
i =11, . I........
1 Congress Street,Suite 100
t.,,,L. •,-„,.1-,„„Ali
Boston, M4 02114-2017
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...
‘l'orkers t'onipensation Insurance Affidavit:Buildersit:ontractor-si;Eketricians/Plumbers.
It)Bt.}11.1,1)%11111 rit:rtioli 11 LNG.st 111011rir".""
Annlicant information Please Print Legibly
Name i 13ortusessjOrgansznt ton I miry idual 0:
Address:
Cit., 'State/Zip: , Phone P:
— —
Art 54..0 an 1.5nr plo)eft Cheek die appropriate hos: Type of project(required):
1.0 I am a employer with .,..,._employees Oa imam part-tiirwt,' 7. 0 New construction
ii 4ok proprietor or partnership and base nu employees working for me tn. g. 0 Remodeling
any uipocity.[Nu workers'comp.insurance required"
9. E:1 Demolition
ID1 AT 13 hULIKVW1Iii during all wort myself.INo Wolters"comp,ItlitlEallOi IINIIIIrtlir
to El Building addition
t E]I am a tuarrwaO*11,1 and will be tunny c•untractota to conduct all wink on my property twill
=sore that all contractors either hare%A crrkem'cocripi.-tmation insurance CI arc auk: 1 1 rj Electrical repairs or additions
proprietors with no employLV5-
I 2_Ej Plumbing repairs or additions
s.0 1 am a evneral contractor and 1 hose hired the sub-ciantracturs listed un she antaehed sheet
13.0 Root repairs
'flies,:sub-curanciois hive elopiuyees anti bast workers'comp.miurance.:
14_0 Other
tit]We are a oorporation and its officers bail:exercised their rigid of exemption per M(tL c, „
152,t I(4),and we hate no employees.t N.o workers'comp.insurance:required.]
°Any applicant that theck.s box Al mum al,o till out the section below stew.ine their winker,'compensation policy intermatiori„
flommiwners who submit this allidasit min:aims they air doing all work arid then hut t,utside contractors must submit a new affichas it inalicatins such,
!Contractor's that check this Isaa must attached an adihnurial sheet show ins the name of the sish-cormactors and attic wivellier or not those minim kiss:
cinploces if the sub-L..111k a..turs base eurloyues,th...,y must provide their' workers"comp.pi hey nurrilm
I am an employer that is providing worAers*compensation insurance for my employees. Below is the polity and job site
Informittion.
Insurunee Company Name. _
Policy#or Self-ins. Lie. t--.
Job Site Address: Expiration Date.
City?state:zip:
Attach a copy of the storkers'compensation polity declaration page(showing the policy number and expiration date).
Failure to secureCoverage as required under MGL c. 152,§25A is u criminal violation punishable by a fine up to SI.50(.00
• andior one-year inipris ,merit.as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a
Vay against the sio3.1 ••••copy of this statement may be forwarded to the Office of Investigations of the[MA for insurance
coverage verific,*i "fr
I do hereb.y ' ,,; ,i. . .s and 1.0enulties ofperjary that the information provided above l.s trap and correct
(
Signature: NNW 11:1i /9, //D 7' 3
Phone#: i 22_ 21/)4
Official use only. Do not write in this area,to be completed by city or town official
' City or Town: Permit/License#
Issuing Authority(circle one): ,
1. Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5. Plumbing Inspector
6,Other
Contact Pei Nil II: Phone#: .
1
City of Northampton
` Massachusetts
°, .�i 4 DEPARTMENT OF BUILDING INSPECTIONS _ r
."4i; ' 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: y (e
The debris will be transported by:
Name of Hauler: Han U e/ 1 0 4 (& netj 0
Signature of Applicant. Date: / 2/P723
g
City of Northampton
r(//' .
Massachusetts , r>,,r.
ix
1' DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building ! IFit
�i �"
—'--irm,., Northampton, MA 01060 `PS, 4 ��1"
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, (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. . 1 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 day of ,20_.
(Signature)
,„.
7 -
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CITY OF NORTHAMPTON
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12/27/23, 12:32 PM City of Northampton Mail- 17BarrettSt
\� City Of
ton
. `'N Jonathan Flagg <jflagg@northamptonma.gov>
17BarrettSt
belisario burs <belisarioburi@yahoo.com> Wed, Dec 27, 2023 at 12:01 PM
To: Jonathan Flagg <jflagg@northamptonma.gov>
Building materials
4'x8" sunotube footing CIiaw4b`t0 y x' LA
posts
2"x10"floor joists
5/8 floor sheeting
2"x6" studs
2"x10" roof rafter
15/16 wall and roof sheeting
house matching vinyl siding
rubber roof
roof insulation R51
wall insulation R21
interior wall and ceiling finish 3/4" cedar boards
This is the plan
Thank you very much
[Quoted text hidden]
https://mail.google.com/mail/u/1/?ik=e5d 1685713&view=pt&search=all&permmsgid=msg-f:1786455269394103600&simpl=msg-f:1786455269394103... 1/1
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