Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
23A-018 (4)
BP-2024-0344 4 PARK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-018-001 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-2024-0344 PERMISSION IS HEREBY GRANTED TO: Project# BATH RENO 2024 Contractor: License: Est. Cost: 35000 TIM SENEY 061088 Const.Class: Exp.Date: 03/25/2025 Use Group: Owner: DIGGINS MAHAR PATRICIA PATRICK J Lot Size (sq.ft.) Zoning: URB Applicant: TIM SENEY CONTRACTING INC Applicant Address Phone: Insurance: 371 PROSPECT ST 413-6261797 2001X1846 NORTHAMPTON, MA 01060 ISSUED ON: 03/27/2024 TO PERFORM THE FOLLOWING WORK: 2ND FLOOR BATH 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�s .'..2 Fees Paid: $228.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner /it rm % � CLl%rl/ t The Commonwealth of Massa usetts/ ok `ir W Board of Building Regulations and,Sta ds �9 a FOR Massachusetts State Building Code, /SO c"j \ IPALITY Building Permit Application To Construct, Repair,Renova`e. , emohs�¢t "evised Mar 2011 One-or Two-Family Dwelling ��'-3ti'4y ^� This Section For Official Use Only 1070,, ?s r Building Permit Number: A/ - 1 y- '3 4/y Date Applied: b'I(p / K�v,t...) tiZz5 /%.� ✓/ 3 7-7 ZOZ1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Prop�7erty Address: 1.2 Assessors Map&Parcel Numbers ei 14421C ST. I--L 0,2FV4JCiC.. 1.1a 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? l Munici a Check if yes❑ p On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ?A t-1Zkc✓-./i2/aTCZICIA -(1i)1(4,-tnl5 I-1,0fe/CJc/''- /4A. 0/0(L Name(Print) City,State,ZIP 4 PvST . 4/43 ' / 3737 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) ❑ Alteration(s) Ert Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: 12,R,r..t0oi 2 N., Ft-oc ._. 3+k�-' SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ Z U,Z G U 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ v u v 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 7u V 2. Other Fees: $ 4.Mechanical (HVAC) $ z 3 c, List: 5.Mechanical (Fire $ Suppression) Total All Fees: 9/7 Check No.)0 Check Amount: a 6.Total Project Cost: $ .557 C'U(. 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) rg - 3/252� SE4,-/p( License Number Expiration Date Name of CSL Holder List CSL Type(see below) 0 3-7 Vzo3Pr eT S i No.and Street Type Description . U Unrestricted(Buildings up to 35,000 cu.ft.) \rOfe 7a.i r'1PTv�t) MQ . 01 Ol U R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances ( (� /791 l o13eJ1 eiJ RR ma I . Caki I_ Insulation Telephone Emil!3fidtess .D Demolition 5.2_Registered Home I rovement Contractor(HIC) dZ ir1 SRury v`stzAC',L)c� ML Rgy/oo A5- \ HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name SA mg. 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 ❑ 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 //M c/, J,c K �u•cJ-»vt Lr� v(. 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 in this application is true and accurate to the best of my knowledge and understanding. OTJaI St`N1c1 3 /0 6 /C,i 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 Commonwealth of Massachusetts =gm.. Department of Industrial Accidents NOW,API= 1=71111='A) Congress Street.Suite 100 = Boston. MA 02114-2017 74,1 WWW.mass.goildia - m kers'f'llinperisation Insurance Affidas it:BuildersiContractorstElectriciansiPlumbers. to BE FILED WITH THE PERNIIIIIING AUTHORITY, Applicant Information Please Print Legibls Name oluxiness.-'Orgariszationilndoviduati: 7TIA r og,,i itA cri 4J4,- Address: .371 City/State/Zip: .do)27-1-00-/P7Zw Phone ::: /// (>_o? -77?7 %re you an rasployer?Check the pprripriair hot: Type of project(required): in I am a ernpkryer with ernpinycvs(fa cruet part-Inner' 7. 0 NCV‘construction 2.0 I am a sole propnetor or partnenhip and have 14.1 employees working for MC in 8, OpfernOdeiing an capacity.(%J workers'comp,insurance required j 9. El D ..,huon 31:1 I AM a iltIMCIJW/11./dung An butt Ill ywIt.ftio (Alva's'vomp,insurance osautreal.r in El iiuldirig addition 4.C3 I am a horneossina and will be hiring contras-tors to conduct all work on my rivwrry. I*II: ensure that all contractors either have workers'compensation insurance or are stile i Electrical repairs or additions proprietors with no employees, ID Plumbing repairs or iultlit ions am a general contractor and I have hoed the aub-euntmeturs,listed un the Lotaeheet I 3.E1 Roof repairs These itib-contracton,hake employcis and hake workers'eomp.insonact.'," I 14.00thei 6.0 svc ere;1 corporation and its officen 6sec:tin-I:tied then eight of exemption per Mt.L I.42,§1(4),and we have no erriployVgl.11`44.3 workers'comp.inamance required.' *Any apiatieant that cheeks box PI mom also till out the seetron below show ma their workeri.svorperisation policy inlocination. 4 litsmeUisibers.whti submit this affillailt Indicating they are doing all work and then hue tiotside.contractors IMO submit a new affidas it Indic-aline :Contractors that cheek this box Erma;MA:6A an additional sheet abm ing the name of the sul•--:ontractors 391ii state whether or ucE those,muties haie emplo).esPs. 11th1.sub-coriiractors have employes:a,they must pm vide their work.::s'WtrIp.N11,-; number I um an employer that is providing worker 'compensation insurance for My employees. Below i% the policy and Joh site information. Insurance Company Nam. i—z4 2 el FA I Policy#or Self-ins. Lic. (A15P1 Expiration Date: 3/?5/2‘ Job Site Address: tZK 5r C ity State,2 ip: t r_A-Jefc (.1 e Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under NIGL c. 152,§25A is a criminal violation punishable by a tine up to SI.500.00 andlor one-year imprisonment.as well as civil penalties in the form°fa STOP WORK ORDER and a tine of up to S250.00 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 certif),under t and penalties of perjury that the inlOrmalion provided above is tru and correct, Signature: Date: 3/?5- 2 Phone#: 3 - — I Ct —7 Official use only. Do not write in this area.to he completed by city or town official City or Town: PermitiLicense Issuing Authority(circle one): I.Board of Health 2.Building Department 3.C ityfrown Clerk 4.Electrical inspector 5. Plumbing Inspector 6,Other Contact Person: Phone#: _ _ „ �a �AL)UMt5 f ,NBrnll�; 1/J 411,E NYr Tr..3 s CO L4JC K ' ?0 6 "7 IZxQ - � Z?A s' ST}'i-F.L Fi,46 CLc.CTR I C i S41 C� Ass_ G. IA)CC- 3 0 o _o 2S769 zdaa 4 1 A. 71 i c-N ( TROUT ,f' UNLIMITED TUI-NPD2 1' City of Northampton i ,4,» 0 iMassachusetts "�DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal BuildinglNorthampton, MA 01060 ry �,-�[ 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: �-,thy 12.2 AJ�- The debris will be transported by: Name of Hauler: ,mot S ef„n.`l-2ncrt,,✓(i— Signature of Applicant: I -c= '" �--, Date: 34 c. !2 q City of Northampton Massachusetts te s _ ?' ;:i f'''' DEPARTMENT OF BUILDING INSPECTIONS ,,. :` 212 Main Street • Municipal Building -' ;x•` -- Northampton, MA 01060 �� ti 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. 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 ,20_. (Signature). I GAS iiZNIr...aT I C-----'---"-----) %Al) // vILI 1•1OTy +4-IS'TI KJli- , ) / 4idgL1/4. !`i x I,y 0 AI i ,_ 7! L . --.r.4.%%%"--------..... (/) /, it J a. _ i I, (IL MEM 1 1111.1111111111111111Q49110111111111MPRIiMEM11111 ■■M■ ; ■ EM/■■■♦■■f■■♦♦♦♦M♦♦■M ♦11■♦ ' RI ! MM%■♦♦♦♦N/■♦■■■■■■♦■■■ 11■♦ ■ZEM A■■■■■■■■NME♦�♦♦♦♦♦♦ ■►_ ■■♦■■■♦■M`■.E■■■♦I'W/■■■'E♦■■■■■■♦♦ 11111111111111111111111111111111011111111111111111111111111 i�. ♦♦♦♦♦♦■ 11♦ffi♦ ■■♦■ I ♦♦■♦■■■♦ ■♦♦♦♦■ INIP lIMMIII I ♦♦♦♦M■♦♦ ••" ■■■■♦■■ IME111111•■♦■21♦♦1 ♦1M■■■■■1 ♦■♦♦♦♦♦■ _■♦■■♦ ■♦♦su•�u 1■♦■♦■♦:I ■■■■■■■ ri■♦■■E♦■■♦Mir■ ■�!■■■■■ ■■■♦♦■■■ ° ♦♦♦♦ ■■■■■♦■■■EMEIM■ .1 ■♦♦♦♦♦♦♦ 8:113 MI ♦ ♦♦♦■■♦■■■■■♦♦♦ ■■■■■■■ ■♦■■■ ♦♦■■■♦♦■■■E♦1♦♦■■ ■♦♦♦♦■■♦ E♦■■ ■■♦♦♦♦■♦■■♦■■■♦♦ E♦■■■■■■■♦ 11111111111.11111111111111111.1111111111111111.1 ■■♦♦■■■■♦♦ ■■■■■!M■♦♦♦■I r♦■0■■MI ■■■■■■■■♦■ ♦♦M♦1111111111MINIXWMATOMINIMIMIIIIIIIIIMIEN 11111M11111111111•111111mitiiiii iiiiiTirnd11111111111111=111111 ■■■■♦ ■♦■■■1♦i♦♦■■■♦> 1■♦♦■■■■■■■■♦♦ MM♦♦♦E♦♦♦♦♦I♦E■♦■■♦ `IEEE■♦♦♦♦♦■■♦♦ IMl11♦ ■■■■■I♦■♦♦♦♦■t1 1♦♦■♦■♦♦■♦■♦■■ MIMENIMIIIIIIIIIIIIIIIIMIIIIWIEM1111111111111111111111 !S■■■MIME♦■■■■■E©o'■A■ 1■■■■■■■■■■■■ ■■♦M ♦■M■■�■E■■51■� '1■■♦■■♦♦♦♦♦♦■■ ♦♦♦♦♦ ♦♦♦EE : ■♦♦■iu 11■■■♦♦■♦♦♦■♦♦♦ ♦■■■♦ ■!6♦■♦d■♦♦■■■ IEEE■■♦♦■■♦■■■ ■■■MI ♦!A♦♦♦■■♦♦///J■ III ■■■♦■■■■■■ ♦♦♦♦E ♦ ilmmu ♦♦�r :_ ♦M ■♦♦♦♦♦♦♦♦♦ ♦■♦♦♦1 ♦♦♦♦♦E♦♦u� . _I ■♦■♦♦♦■■■■■♦ ♦■■♦♦ ■■■■♦♦♦♦r/♦ :', ■■,■■�■■■■■♦♦■ ■♦♦♦♦ ♦♦♦■♦♦■♦♦■ fi ■♦♦♦♦♦♦♦♦ ■♦♦♦<I ♦♦■♦♦II■♦■♦ ■♦♦♦♦♦♦♦♦ MIIIIIIMEMIIIIIMINNE1111111111E1111111111111111111111111111111111 ♦♦N♦♦♦♦♦♦♦♦■♦♦♦♦♦♦■♦♦M♦■♦♦♦♦♦♦♦ ♦♦■♦ ■■♦♦♦♦♦♦■■MEIN♦♦■■■■♦♦■■■■ ■■♦■♦ ♦♦♦♦♦♦■■♦■■■■■♦♦♦■♦■♦♦♦♦♦♦ ♦♦♦■♦♦M■■■■■■■■■■♦♦♦■■■■■■♦■■■♦♦ ♦■N♦♦ ♦♦♦♦♦♦♦♦♦■♦■♦♦■♦■♦E♦♦♦♦♦♦♦ 11111•11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ■♦♦♦♦♦♦■■■■■■■I■■■■■■■■■■■■■■■■■ M■■♦♦ NNE■■■♦♦♦♦♦♦■■■■■■■■■■■♦■■