35-187 (8) BP-2023-0293
61 CAHILLANE TERR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-187-001 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-2023-0293 PERMISSION IS HEREBY GRANTED TO:
Project# GARAGE RENO 2023 Contractor: License:
Est. Cost: 1000
Const.Class: Exp.Date:
Use Group: Owner: APRILE TONY E
Lot Size (sq.ft.)
Zoning: WSP Applicant: APRILE TONY E
Applicant Address Phone: Insurance:
61 CAHILLANE TERR
FLORENCE, MA 01062
ISSUED ON: 03/09/2023
TO PERFORM THE FOLLOWING WORK:
REMOVE GARAGE DOOR AND FRAME IN WALL
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:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
��a _ 6
The Commonwealth of Massachusetts 9 2023 j FOB
Board of Building Regulations and StandardsMUNICIPALITY
Massachusetts State Building Code, 780 CMRT-OF e " USE
gun of,"� '------.
Building Permit Application To Construct, Repair,Renovate�8?_ `') Ecr .sed kfar 2011
One- or Two-Family Dwelling or �0--
This Section For Official Use Only
Building Permit Number: Qp.- ,2.3 -.79 , Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
111111111111,
CI CA
-- II 1.2 Assessors Map& Parcel Numbers
1.la 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 rA� nOrc1( C4 MA-17S 6OG>
Name(Print) City,State,ZIP
toc Cam.;I114-w.e. 01) 3 N-6)96 cetf.at O edJhoo,com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) le Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief ir tion of Proposed Work Q3-. t(1( At'R Q 4La0( ) Vr'-or►1ing new (.�a/1 ► nol
5jdrng. io-4;ns ,;1r,49e .th) (111 Mr;{� Corttfralied „Si-Dm-9Q Re-04, i o Cecfi /
►wb lamed,
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Costa (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ J
Suppression) Total All Fees: $
Affray. C eck Nor 0e0 Check Amount:
Votal Project Cost; ,000, Paid in Full 0 Outstanding Balance Due:_
City of Northampton
•
Massachusetts = _ scleC
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS,
DOORS, ROOFS,RENOVATIONS, ROOF MOUNTED SOLAR, ETC.
I. 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).
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.
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.)
City/Town,State,ZIP R Restricted 1&2 Family Dwellin'
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 #'r
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: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.
wner'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"
„„as.... The Commonwealth of Massachusetts
•..,
,-,-
• - i$s Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, AlA 02114-201
.. A
....... .-0, WWW-mass.gav/dia
‘1 01 kers' (Ompensation Insurance.kilidav It:BuildersiContractorsElectriciansTlumbers.
It)HE FILED%ITN THE PERMITTING AUTH()RI lN.
Applicant Information Please Print 1.,ellibls
Name llittstni.!:,,01":!..111_1.111,1t1 I niht Ithialr,
Address: . .
City/State/Zip: Phone #: ..... .
Are us an emphrier?Check the appropriate Imp,: Type of project(required):
1.0 1 am a enipte,..,,Ax with err-spitq-ces 4:tall tanker part-time i..• 7. 0 New construction
1.01.sa a wile proprietor or partnership and have no employees working for Me in S. 0 Rernodelin.g
an:.,.-.1pacily(NO WOrktri.comp.utsuranor it'vtanni]
am a hortwowiter doinN all wort myself.[NO workers'comp.irnuranet required ]'V 9. 0 Demolition
101 Building addition
40 I am a ILLAMOV.14.7 and Will be hirisi gractors to evridoti all work on my prep:7[:v I C,'.I.
ertmlre that all contractors either has:workers'corripensutton insonmer or are sole 1 l.7 Electrical repairs or additivn:,
propnetors with no 1 employees, 2.j Plumbing repairs or additions
.10 I am a general contras:10r and I have hired the suls,contractors lisped on the Attached wheel.
130 Root repaus
Those sob-euntrackirs ItiaNt employestk and have workers'comp.miur.inc.e...)
141. 0ther
6.0 We are a evaporation and iLi officers have exercised their right of exemption per NAGL,....-. 0
152.§1141,and we haw nu employees.[No workers'comp.insurance required.)
'Any applicant that chocks but 4 1 most ako till out the sealant below showing their*otters compensation policy sulriaticri
`Homosstners who submit rho atlithimt inditatinis they am&lung an work and then hire oistei,to contractors mint‘ubrrut a new afflak,ti indicating suck
;ContrActors that check this but mu sa a -bed an additional sheet ahuwing the name at the stats-euntracturs and suie whether to not those aititn.w hare
crrarklyees„ If the sub-contractors lave en-10w el:h.LIWY most pnwide their *otters'comp.policy number
1 um an employer that is providing worAers'compensation insurance far my employees. Below is the policy and job site
information_
Insurance Company Name:
—
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City State.Zip:
Attach a cups of the workers' compensation polic, declaration page(show ing the polic, number and expiration date).
Failure to secure coverage as required under MGL c. 152. §25A is a criminal violation punishable by a fine up to S1,500.00
andior one-year imprisonment_as well as civil penalties in the fonn of a STOP WORK ORDER and a tine of up to S250.00 a'
day against the %,iolator.A copy of this statement may be rem arded to the Office of Investigations of the DIA for insurance
Co%craw.e 1,en 1 :tt ion.
I du hereby certify under tire pal , red pe it (Trperjury that the information provided above is true and correct.
I aw,: 3/ Jo J3
Phone it: D
r -Official use only. Do not write in this area.to be completed to city or town official.
11
(It, or Town: PermitiLicense#
Issuing Authority(circle one):
I. Board of Health 2. Building Department 3.City/Ton Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
, , .
t
City of Northampton
', Massachusetts ' %
cItDEPARTMENT OF BUILDING INSPECTIONS
;11*, 212 Main Street • Municipal Building -) -
Northampton, MA 01060 sS'i lt`‘
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: V 411 a ��A C l ( )3�( SV\Y4tAic46 0 24
The debris will be transported by:
Name of Hauler: 1 Ork v i-, X-
I
I
Signature of Applicant: �, yc
0 Date:
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building r°ate
Northampton, MA 01060
4 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, a n/ y D wig A 126,L (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 penal es o •.rjury on this• day of , 20 aJ
- 1
( ig atu�
Sectional Building Plan
Roof Assembly:
Fitch- Railer �IceDatrier
Covering or _ Roof Angling
g- Truss
l;nderinyment.-
1ce Barrier- CC;ling Foist ``".\
Sheathing-
Truss-Cut Sheet Required -
etcice
rs "�f t
Or ,to the o pposite sugpoct .� , ��+---_
Rafter Size- ,� t
Railer Spacing- 12" 16" 19.1" /4" _ . ._.... Tim
Rafter Clear Span- ,r __ ». __ r _
Rafter Specks-
Ridge- Sieiiag
Ceiling Joist Sims- . Sltoathitig
Ceiling Joist Spacing-12"16"19.2"24"
Ceiling Joist Specks- • Insulation --- ..--, _ i
Insulation R ' Wall Framing -, {
Interior Finish.-
Attic Ventilation- Interior Finish t
Walls: i ,
\ Siding- C-Vial ' it in ll l i
Sheathing- ` kfq.K
.insulation- (t-•15
'►'all Framing- c x t4 •
headers-
Interior Finish- GIG/i- •
Floor:
Finished.k loer- Sub-i ityor
Sub-Floor- '" . _ -
Floor Joist Size- lrioorJoist
Floor Joist Spacing-12"16"19.2"24" Dtsr>
Floor Joist Clear Span M cam Grades
Joist Species- • - Ow Span,to the oppo -
'Beam Type&Size- "
Distance From Grade- a; � 3Sill Plait µ;tri
Foundation: . Foundation Anchor- . :.,; i., ..,4,1 $�4
Anchorage- j -- — - _.. r� ~' °' �C{,
Sill Plate- Foundation l�'all ";", ;�
Wail Type&Sirs- _ "'. : -*?;Y.;itI
Reinforcement- lteint'on.eniectt - y� •a. :'Dµ
Concrete Floor Thickness- » : • • ?fk.4' ;•'
•Vapor Barrier- Cohere eFioot • >� • .'.4? : 5
• C`, Wit,
Column Pad Size- X X _ : a�s
Column.Spacing- . - __ . . . ►le-;.; it - .... __—
Footing Width- -- Vapor - • -�,�ri M,'
Barrier r,
Footing Height- Footing ._._.� a
Footing Depth Below Grade.- • "