36-381 238 EMERSON WAY BP-2021-1528
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-381 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:New Single Family House BUILDING PERMIT
Permit# BP-2021-1528
Project# JS-2021-002542
Est.Cost: $470432.00
Fee: $1691.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WRIGHT BUILDERS 115196
Lot Size(so.ft.): 10933.56 Owner: STARCK ANN-MARIE
Zoning: Applicant: WRIGHT BUILDERS
AT: 238 EMERSON WAY
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:6/29/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW SINGLE FAMILY HOUSE
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
y� II Certificate of Occupancy signatnr � ' r • . i
FeeType: Date Paid: Amount:
Building 6/29/2021 0:00:00 $1691.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
i9 lG1hS r / �
,Y) pia s 1 L
The Commonwealth of Massachusettso,.. ��/ FOR
It
Board of Building Regulations and Standard oqr ��� ICIP I.I I Y
� i Massachusetts State Building Code, 780 CMR- ti4 °j4/c;r USE
Building Permit Application To Construct,Repair,Renovate Or Dem�N Nsa7o r , ised,Mcrr 2011
sa
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: _60/7' t'i'/Cci ir Date Applied:
NW 6
Building Official(Print Name) v Signature t Dat
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
,3%5 £wt x c i 630,4 3G 3s i-ate
1.1 a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Proper Dimensions:
5
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard j
Required Provided Required Provided Required Provided
2 5 5' Jam ' 44,1 a;" ,7,?'
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,ll Private❑ Check if yesJ Municipal tt On site disposal system ID
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Ann—Marie Starck, Craig Smith Ashford, CT 06278
Name(Print) City,State,ZIP
167 Armitage Rd 860-810-6609 bogertie@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction' ] Existing Building 0 Owner-Occupied D Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description pf Proposed Work2: NitatAS Ntl- 2-c "c 5 t AG(e. t-t.w t y Ito wl e a MA n t Spit 4-
-4- f uw+ti c v<5 4'-ict coo(;n5
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 31-9 t '8'o a 1. Building Permit Fee: $/6` '/ Indicate how fee is determined: t.5 c c '"
0 Standard City/Town Application Fee CAl.,.5 1'e ie,
2.Electrical $ 10 t 0 VI ❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ :22/ 135- 2. Other Fees: $ 1
4.Mechanical (HVAC) $ 21e, t-1 l;3 List:
5.Mechanical (Fire $
Suppression) Total All Fps:$rr,, i
Check No.U)t tUCheck Amount: 11 I' "(Cash Amount:
6.Total Project Cost: $ 7Ol / 3 0 Paid in Full 0 Outstanding Balance Due:
O ,e..opi tei cteorS: ,, , .53= x ?LSD d-t (r3i3if
&Jc.Y%4 rI tsa4.Y'k a j?cGIts: ill a SF x ,2. .M 3 ? 8 /'
f s � �' 8
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
vtuvv\cA License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) L�
No.and Street Type Description
{ U Unrestricted(Buildings up to 35,000 Cu.ft.)
Be-C v *`z 0A R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
L(13 Sifx. ?'9-4' ),RC....ray ci.l\€s r;ct --tv,k4t , t e I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) (S
("Of 11 Li' t d 5 .w C I I IC Registration Number Expiration Date
HIC Corn any Name or HIC Registrant Name
$ -tcs 54A....r.trrct—Sktoea.s 't rc\ 't-6 ,t s.Co"~t
Ng.and Street Email address
Pt w kit .Y,A,p n la c. 0 C443 (11.3 , ?-
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFHDAVIT(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 Wright Builders Inc.
to act on my behalf,in all matters relative to work authorized by this building permit application.
Ann-Marie Stuck, Craig Smith 44-1-12-c c � � May 24, 2021
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.
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
ww.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.) 3 S 3 (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) fr Habitable room count �`
Number of fireplaces Number of bedrooms ,3
Number of bathrooms 2, Number of half/baths C)
Type of heating system Y1tit n t, it i f (4u Cfi Number of decks/porches 7-
-Type of cooling system IA%vti i SQt it 6 v ch- Enclosed k Open 1
3. "Total Project Square Footage"may be substituted for"Total Project Cost"