30B-002 (4) BP 022-1534
60 NORWOOD AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30B-002-001 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-2022-1534 PERMISSION IS HEREBY GRANTED TO:
Project# PORCH RENO Contractor: License:
Est. Cost: 12000 BEAUDRY HOME IMPROVEMENT CSL10860'
Const.Class: Exp.Date: 03/20/2023
Use Group: Owner: HINTON,CLARENCE W. III TRUSTE
Lot Size (sq.ft.)
Zoning: URB Applicant: BEAUDRY HOME IMPROVEMENT
Applicant Address Phone: Insurance:
117 FERRY ST (413)320-1348 6S6OUB2E863000
EASTAMPTON, MA 01027
ISSUED ON: 12/05/2022
TO PERFORM THE FOLLOWING WORK:
FRONT PORCH 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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: ( (� ��
wX
• r �
S/
Fees Paid: $78.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVE ,
The Commonwealth of Massachusetts NOV 2 C 2022
klt)ti Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR M o1 A D NG INSPECTIONS
i4HA TON,MAO1 ^,0
Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised ban 2H
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: J1p Z.a.• I6341 Date Ap lied:
4: 0 r6-) 7 f_ 11 30 2�z2
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1L gp/J0I U e�ss:� ^ vC 1.2 Assessors Map&Parcel Numbers
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"p�f)R�ordf1OY1 r)U�JVU4 (�`0(Q0
Name(Print) i
City,State,ZIP
(00 Norwr Ave 9554 -s1.S-91/ oo'y.14-uh@ Goni;l.Cb
No.and Street Telephone Email Address J
--
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s)°( Alteration(s)) Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work'-:
Fmrfi oYc reka�j , LS- flout press r� fir& \ fioitk -fluor utj C44,
(A PP)" 9'UWIruj)s . �e,ploft - y1 - 0tor
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials) _ ,
1.Building $ J WO O 1. Building Permit Fee: $ /0 Indicate how fee is determi ed:
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 $ Total All Fees: $,,_ 4 -6
Suppression) 1�
Check No. heck Amount: Cash Amount:
6.Total Project Cost: $ I , 0UQ 0 Paid in Full 0 Outstanding Balance Due: _
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Su ervisor License(CSL) 1 Op'hoc— '13
VY\ %A) tau License Number Ex iratio Date
Name of CSL Holder
List CSL Type(see below) Ut
No.and Street J Type Description
_t! \ume_ �A o` 0 li U Unrestricted(Buildings up to 35,000 cu.ft.)
1 /� 1 A 1 R Restricted 1&2 Family Dwelling
City/Town,State.Z M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
qi3 -13 v+�b /s�)@ yu h oa a cur, SF
Insulation
Telephone Email address D Demolition
5.2 Ve
gistered Home Improvement Contractor(HIC)
uucl� } I-OmQ T r� rne I 13�7 31.��jA
1 `�' [' nHIC Registration Number ExpiratioDate
HIC ��air or HIS i2egistrant Name 1Th(b /A oleo w�
N ndll"—Si$t et S�— Emai address
u44n,ir p .144 6) 6a7 ki►i3_32u-)3y�
City/Town,State,ZIP I 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 ..........kf No........... ❑ Q y, Ric
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 MAW
to act on my behalf,in all matters relative to work authorized by this building permit appliiatio .
t )Oo� h- * h ��
Print Owner's Nam (Electronic Signature) Date 1
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 a plication is true and accurate to the best of my knowledge and understanding.
U%Jotr� )1-01)in1 Z 2-�Print Owner's or Auth4rized Agent's Name(Electronic Signature) ate
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"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD ,
FRONT SETBACK
FRONTAGE
The Commonwealth of Massachusetts
•
i == Department of Industrial Accidents
e
I Con nets Street.Suite 100
Boston,MA 02 114-?017
www.mass.gov/dia
1l urkers'( mpensation Insurance Affidavit:Builders✓'ContractorsfElectrici1tnsd lurnbers.
TO HE FILED W ti ll"HIE PF:RMI"1TIM:At'1110ltfi1.
Applicant Information Please Print Lreihlw
tattle IHusmosstlrranuattunintinidualt: (5eC,i(,(J e j _
Address: . .117 Ferry SI- E s±h D r O 9-7
City/State/Zip: Phone#: j 3' 3X-/3(i D _
Are yam ar mrployer'('Yank i e apprupriatr
Type of project(regWtrc;l):
I in I am a empiric LT ttdh I employees thill undue part-tirnet-' 7. D New construction
I am a wale pniprrctta ter purtncTship and hair era cmpluy cam'%wutkmg fur me in. S. itetttudeGnp
any capacity.[No winters'comp.£nurwlx napan l l
9.-Du Demolition
a.D I am a la+necourtei doing all wart myself;INU workers'comp_anuraice nerptitmLI
100 Building addition
I. I am a l onico ter and will he hiring contractor.to conduct all µark on any pigmy_twit
eiwun that all contractors either lure workers'compensation ncsurancc cw arc sole 110 Electrical repairs of additions
pruptxtws w ith no cinploycZ!..
12.0 Plumbing repairs or additions
30 t ant a pcTr-ral contractor and I have hand tlx:mb-ointtactors listed to the attached Moot
ll1t soda-contractor. -cs,anti hateµinter.s'cttttp.uttiuraner..= 1�❑Rtt(tttr'pairs
h.Un We a a corporation and ita ufln we h o c f Mea
t cer nghl of n 'Iitvl per 1iNtiL c. 14.❑other—
lt?.r It-l1.and we have no e71'lloyem. Ni[ workers'isnnp.insurance requtnd-I
'And applicant that eht,ike Imex u Y rtrtta also fill oat tide-seetitmt ttilow showing,theft watches:t+utrqumsation policy iniar anon..
*l to rxvwners slut submit tins atlrtiattit indiatira they arc d m e all work aid hits Mina arb.dc ctatlr ,cams ream saimit a ate►anxLas rt Intlicattng such.
(ontracltm that check this lox must attached aa oedltiiiionaI sheet showing roaataa oldie nit►cuaurr tors and sL(owrhelbm as not those minim hue
trnployccs. If the auh-etmrtractms Iracc employees.data utu i pros idle their Ndutte ostr tslicy conker.
I am an employer that is providing w'orhers'compensation insurance for my employees. Below is the policy and jab site
in,farnl shone
Insurattct:Company fS sate:__ -1-K1 t L /
Policy :of Sell=ins.Lie.#: W ) O U (d,E%(93 oV o a`p� Expiration Date:
Job Sae Address: 6 0DYW� AveIl V[ Cit��'State�'Zip: j/l. �'ll� 11 V V(00
Attach a copy of the workers'compensation policy.declaration page(showing,the policy number a • es ra date).
Failure to secure coverage as required under 1411GL c. 152.§25A is a criminal violation punishable by a tine up to S i01.00
atttt'or one-year ar imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a line of up to 4:150.00 a
day against the violator.A copy of this stateltlent may be foci at L :d to the Office of Ins e,ttgatluns of the DiA tar insurance
coverage verification.
!do herein'certify under the ins and penalties of -that the information provided nbo a is trete and fowled
Sienature. Date_ a-6/2-O'
Phone:: 4i3 - 32-o- /3 VS"
Official use only. Do not write in this area,to be completed by city or town official
("it:‘ or-Caren: I'ermitiLikense It
issuing.authority Kircie one):
I.Board of Ilenith 2.Building Department 3.('ityiTonn Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
„NAM per. -
Q�'" , Massachusetts Aft x- 'ee
i- c
W
0 -AlDEPARTMENT OF BUILDING INSPECTIONS Z
4'' ` 212 Main Street • Municipal Building Jb QD
.� Northampton, MA 01060 .fs'fr, stOk•
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: Vu)Ve,ky Recyd 11 r—,_as+-hcitylthe, al 1 Ai oi"-Aiweln /V
The debris will be transported by: 1
Name of Hauler: ( (kc1r\11 ilv J GLo +VullitiL 'FA',Q‘r
Signature of Applicant: Date: ii o