12C-107 (3) BP-2024-0199
54 RICK DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
12C-107-001 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-2024-0199 PERMISSION IS HEREBY GRANTED TO:
Project# ADD MUDROOM 2024 Contractor: License:
Est. Cost: 8000
Const.Class: Exp.Date:
Use Group: Owner: ELIEZER HUTTON,
Lot Size (sq.ft.)
Zoning: RI/WSP 1pplicnnt: ELIEZER HUTTON,
Applicant Address Phone: Insurance:
54 RICK DR
FLORENCE, MA 01062
ISSUED ON: 02/26/2024
TO PERFORM THE FOLLOWING WORK:
ADD MUDROOM IN EXISTING GARAGE, ADD EXTERIOR DOOR
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
I
• a
Fees Paid: S65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massach etts
/�
Board of Building Regulations and and ds FEB F R
W
Massachusetts State Building Code, 80 MR 2 6 2424 UNI PALITY
Pc
Building Permit Application To Construct,Repai -Retib coolish a evil d Mar 2011
Nnc yrNa 1l(Drn/!
One- or Two-Family Dwelling ,,,,�,,mist,Fe
This Section For Official Use Only �q°joso°N8
Buildingum Permit Number: i )-y» /49 Date Applied:
‘ui 1..)
5 //,2 7&ION
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Pro arty Address: 1.2 Assessors Map& Parcel Numbers
S1-\ vALtA pc Vko et c.c e MR o&o 0-
1.1 a Is this an accepted street?yes 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 OWNERSHIP'
2.1 Owner'of Record: �1 a
P\,cz<< �.,.k-'C)r \ re_ccce MA O1,.O L'�
ame(Print) City,State,ZIP
Sy r',CIA 9c 951-511`k`tt.6a e_tw. cN°v..5-Cs,-.a‘.t.r
No.and Street Telephone Email Addres.
SECTION 3: DESCRIPTION OF PROPOSE WORK2(check all that apply)
New Construction 0 Existing Building ISI Owner-Occupied Id Repairs(s) 0 Alteration(s) m Addition ❑
Demolition 0 Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work2: A & N-e,sa -.. , n ty:$)i r• 1,k^ s.4— f or ti ft
aril q-K-kCs,c ti( a�,c AZ...r of e.1' �W Coo, ' �C e.�.Vc s-
5 ° D 3., ,C ter,• 4.t �A•cAA.)-TiJk o �L 10,cL -P C �eir°kc3L
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 5 S'00 1. Building Permit Fee: $ Indicate how fee is determined:
'
2. Electrical $ 0 Standard City/Town Application Fee
c-
l� 0`) 0 Total Project Costa (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees: $
Check No. 4�i Check Amount: Cash Amount:
6. Total Project Cost: $aI 0 Paid in Full 0 Outstanding Balance Due:
lc. C` c r-,�N. Crx. f`^�o, k` 7 Lc-r—;6
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.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP 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 . 0 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:OWNER1 OR AUTHORIZED AGENT DECLARATION
By entering my name below, [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.
Etczc \`1v..{lt.oc+ a f'a-3
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. 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"
...
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The Commonwealth of Massachusetts
r R-(57:+ Department of Industrial Accidents
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. , , I Congress Street,Suite 100
-,
Boston, M.A 02114-2017
WWW.mass.gor/dia
Tr-,1,7fi''
11 in kers Compensation Insurance Affidavit: Boiklers/Contractors/Eleetriebtriv Ilumbery
RI BE TILED WITH THE PERNII ITING A I I 110RET1
.‘nnlicant Information Plcasi. Print I e..ibls
Name i tiu,,ac.,5.cr h gantrotton.!mita idual I' ‘.)_tet( C ViAkiS
Address: 5L‘ i-1 Lk.. Dr ---12\E=.re_c L-t---.----tv-var
City,StateiZip: 1"e_ (e Ai\/1 0.10 C.1.. Phone#: 105.4- 51-ktk-1*(c,‘,J .
Are'ea lalli elleigIntte( wl'the a f)prupriAtv boa: Type of project frequired)
i c3 I am a rriiployii with cenpidycyti clidt and or part-time t' 7. New construction
a XII.:pniprirtue ur partovexhip and him(no rniptii!.tx..winking fur OW in K. Remodeling
ani,apac;i.i (No wutkers',:iienp tlegttailbX re4unal i
9. El Demolition
AO I am a hormvw tier duinv all anti ..niyaielf.Itin itiiiki/%'rump inewiranix nctluirrd j"
100 Building addition
4 d I ant a htietVet.Ai no and wilt tit'hiring ciggiartori to etandtaLi all Wiirk on my pakfvert} I will
rusurt that all roitiraaiot&eithrt Is wuckra%*asomptnonson towtstanor tar au:oak 11t]Electrical repairs or additions
pi-unix-tors with nu rtnpli.rftam
i 2.0 Plumbing repairs or viehtions
5C:3 tsin a fe-aceiit e ontrartut and I lust hard the stab-oviractora hiked on dolt atterhed attent
I 31:3 Roof repairs
Thrw&oh*Januar tam lust cmploys-cs and los t workers.'son* nottranct'
i4.00thtl
ii ci Y.r aft a 4311pillrahtlfl and it,officer*hair exixviNcii dant night of c a.:mown prt NAGI I:,
152,*if 44.and sac bast no viriployro. I N....%Littera°romp,onawancr trouirail
'An:.appl least that rlux:,k&but 4 I moo,also till 4.M.41 the attain below sham in thin WUrkeri'wimp.- motion policy infornsabon
' Hasincow laill.`01,/50 111.11111 this Atruia 1 it istattrating thra art doing all work and Mara him auto&contrarbsr&moat submit&two arfoias it andicatuag such
:contractor+that ehri.&this box must at La.hid an allithonsa them%how ina the mum of the ntractors and stale whether ut nil thowe cnI41te,)hatNY
,rtplo.i.. `t It(FiC:SLII,,o)tr*:to,r>Kai,:cliertioi.etN.thus ears ri,,".14it.':ht.tE ...1,A,¢:7.,',v,rfir poli,l,otariber
I am an employer that is providing worbers'compensation insurance for my esnployees. Beloss is the policy and job site
information.
Insurance Company Name: —
Pokey ti or Self-ins.Lic..#: Expiration Date:
Job Site Address: City State,Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under?AGE c. 152. §25A is a criminal violation punishable by a fine up to$1,500,(()
anitor one-year imprisonment.as well as en it penalties in the form of a STOP WORK ORDER and a tine 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
cew es age seri tication
I do hereby certify under the pains and penalties of perjury that the information firovitleil above is true and twrrect.
Signalote, Ult17-<- )3(kt,1ta--"4. t>ate: (?•1' ..1)/ ' . Lk
Phone r:
Official use only Do not write in this area,if?he completed by city or town official
City or Town: Permit/License is
—
Issuing Authority (circle one):
1 I. Board of Health 2. Building Department 3.t'ity/Toon Clerk 4. Electrical inspector 5. Plumbing Inspector
6.Other
( oniact l'erson: Phone#:
II
City of Northampton
Massachusetts 4"1
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
ay Northampton, MA 01060 r�Njjt4`
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: Ua�\-k- c a1)"\ Cc- \-,4r-(fin ¶1 Moc\L".171- (• A.r
The debris will be transported by:
Name of Hauler: EX\ 3o 6-^bric-\ \_z' eZ 6c\-coAkZ
Signature of Applicant: J�.� i"�` �Gv"`i Date: �-?'31-?0 -`-1
City of Northampton
Massachusetts �' �- `0?�
, >,
r � DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building tib
Northampton, MA 01060
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, E�Nt-Zt c \--Vw\ (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 day of W,c , 201A.
(Signatu e)
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Sectional Building Plan i
..-Shingles
Roof Assembly: / nit
j
Pitch- Rafter „..-- 1ctBxtrier
Pitt
Covering- hiss or
> RoofSlitatlting
Uncierinyiiient.•
Yre 13nrrirr- • ecn ~
Sheathing- 4
'Trues-Cut Sheet Required - t`.teur5pan,to In 'to ...fi4'1
Or alp g i A
Rafter Size- , • 1
Rafter Spacing- 12" 16" 19.2" 24" _ it • •
Rafter Clear Span- • ._ _ .-: __•..-•- _. . : _ ,_, �.
Rafter Species- _ .
Ridge- Sid'ii t .
Ceiling Joist Sine- • Sitoag -....-- .... I •
Ceiling Joist Spacing-12"16"19.2"24"
Ceiling Joist Species- rnsulation ---•-------.-.
Insulation-R ti'a1lFratulhg
Interior Finish.- - - } 5
Attic Ventilation- Itttetitorl~inisfi —
--\,—,
Walls: t
Siding-
Sheathing- f
inxulotion- C^\S
•
Wall Framing- )-, t-\ J
treaders- -
Interior Finish,- c•,,-D,U •
Floor: •
Finished Floor- Sub-Floor .
Sub-Floor- _�_ _ t!...
Floor Joist Size- 1`liiorJoist. •
Floor Joist Spacing-12"16"19 2"24" A. blamed
Floor Joist Cleat Span- "''40 From
Hoar Joist Species- • MO Span,to the apposite sappott I-• ° `, ti
•11Catn Type&Size- , r fr
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,4,0c•No.'"?,::..
listnneeFront GraIe- S1c " i �4 J
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Foundation: • Fonndatioa Audror. 2 ;,. , .
•
Sill Plate- Fbvndatlon a ---- ---4,:. . ,ir ;n .e ;
Wall Type Size- --r a ere-, .
Reinforcement- + Weifl `, z `r..
Concrete Floor I hiekness- • „f tir
Vapor Barrier'- - Conetete Floor `. r . � Y% -•,• .
•Column Pad Size- X X 4 • ;i`•s �` f r
....Column Fp/King- .. y-. ...__ q 'r
Footing Width- Vapor Barrie %� r;gyp,
Footing Height- Tooting - • iz .
Fooling Depth Belau Gradeit
-