32A-201-004 (2) BP-2023-0648
51 PHILLIPS PL UNIT 4 COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-201-004 CITY OF NORTHAMPTON
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0648 PERMISSION IS HEREBY GRANTED TO:
Project# EXTEND DECK 2023 Contractor: License:
Est. Cost: 14325 JARED LARAVEE 102286
Const.Class: Exp.Date: 01/06/2025
Use Group: Owner: TRUSTEE SMITH,DANIEL C.
Lot Size (sq.ft.)
Zoning: URC Applicant: JARED LARAVEE
Applicant Address Phone: Insurance:
221 CHAPIN RD (413)297-2259 2001w7195
HAMPDEN, MA 01036
ISSUED ON: 05/23/2023
TO PERFORM THE FOLLOWING WORK:
EXTEND DECK 3 FT AND BUILD SHED ROOF OVER DECK
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: .y
Fees Paid: $95.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Vt> MAIL r--- ----z,,....,,L:t •
V CtIA4ksr
14 The Commonwealth of Massachusetts 6 2074
.k..14 Board of Building Regulations and Standards:`---_. FOR'
Massachusetts State Building Code, 780 CMR^o°Ty8u n;, �� r`MUNICIPALITY
lutd
Building Permit Application To Construct,Repair,Renovate Or Demolish a '' �RevtJ�ed Mar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6a—?3 0 �N v` t Date App ied:
I i '
4li; i 1 i > 1 i i'l; 42123
Building Official(Print Name) I Signature Dat
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
.$ 1 PL-1 sG;ps PI ray '3204 ZDI - 1
1.la Is this an accepted street?yes >e no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
12 1 7 I2-3'
Zoning District Proposed Use Lot Areh(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
— — L- /o' E- 25
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public l29 Private CI _Zone: Outside Flood Zone? Municipal,Municipal XI On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: I �1
D AA,cl Sw.; / t4,i vfv I 141 LI( z
Name(Print) City,State,ZIP
-7 3'47 Ai"kA-k 51-_ <loS-9z7- 3' 6 sw►; x A cw,d erc►,'� ,
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of Proposed Work2: x4&o c-4...-etcn.(- rest v(cc,(� 3'
13,-; si,a o✓ P o(cci`
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ /t1 32_5— 1. Building Permit Fee: $ Indicate how fee is determined:
0 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 $
Suppression) Total All Fes;,$,
Check No.\N W Check Amount:L4 Cash Amount:
6. Total Project Cost: $ I q 1 3 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
ID22a� t� (o�ZS
JGt L a rave License Number Expiration Date
Name of CSL Holder
Z Z 1 Ct--,41)`� ( List CSL Type(see below) C.)
No.and Street Type Description
f' ��e l� ,_d �fa�� U Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,CR Restricted I&2 Family Dwelling
r StOat`e,ZIP /'�"
M Masonry
RC Roofing Covering
- WS Window and Siding
F Solid Fuel Burning Appliances
cif 3- 2 y?-zzSq (a ravcc t^e r-t c S e :I. coy-, I Insulation
Telephone Email address D Demolition
5.2 Registered Hom provement Contractor H
01 L a evve �5 ?2- Y/� /2y
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
Zz I c,L.4.P t,, (Lek. ( ar ay.teLIG.L-te5 -.5;1. ep44-•
No.and Street Email addres
/i44 yl?- zet -Z�y
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 �Gi�� L Arc ve L
to act on my behalf,in all matters relative to work authorized by this building permit application.
de s 5 Z 3
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.
��n ( .Svn.;2 5/57a 3
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 p_o_t 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,provXide the information below:
Total floor area(sq.ft.) "C) $. -F+, (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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FLOOR- PLAN
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�30 p
File No,
r-- ZONING PERMIT APPL.ICA HON ( 10.2) 1
Please type or print all information and return this form to the Building
Inspector's Office with the$30 filing fee (check or money order)payable to the
City of Northampton
1. Name of AppticarZ94_
Address: CI ! t3 IP G i I Telephone: PlArrg Z71^/' 6
2. Owner of Property \ el S
Address:7'947 I M'(Q(<4 4 q t; of,/�v +! 16$Z Telephone: R'iO r6- 92 7-3'
3. Status of Applicant: Owner X Contract4
Purchaser ,� _Lessee Other (explain)
4. Job Location: 6) P�., t L ?Sii ( tC j f1 -Y t 1.�.dr& g'`s /L1 t4
Parcel Id: Zoning Map#3 - P. Parcet#a0( -00 t District(s):
In Elm Street District In Central Business District__
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property: `i ( 2 i't `.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
ex—;e ,di)rreuef 3` ivrtt, Iiq his-r•E
7. Attached Plans: Sketch Plan >< Site Plan / Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW )( YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document U
9.Does the site contain a brook, body of water or wetlands? NO ›; DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:_
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO A.
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED I REQUIRED BY
Lot Size ZONING 1
irtJ0 tA4Ck
Frontage
Setbacks Front a 0
Side L: f R: L: R: .L: R:
Rear .v�s� r V_i r
I
Building Height
/Vv
Building Square Footage
%Open Space: (lot area
minus building Et paved
parking
#of Parking Spaces � I
'#of Loading Docks
Fill:
(volume ft location)
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: 4 ? 1 `Z- Applicant's Signature Q.,.-- C�_�
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards,Department of Public Works and other applicable permit granting
authorities.
CITY OF NORTHAMPTON
SETBACK PLAN
MAP:Y.,A LOT: D'L 0
LOT ST73 : -X 017 st, f;
REAR LOT DIMENSION: I X
REAR YARD tiw
o ilr 7" detirr
q 4 SIDE YARD d , SIDE YARD 7 ,
I
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ovfl-
FRONT si n ACK ''7
Ge"
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City of Northampton
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F 1 Massachusetts �� x_ '<<
; '
k DEPARTMENT OF BUILDING INSPECTIONS
. I V -o" 212 Main Street • Municipal Building Jti Oa
.„ '!• rfr*-' Northampton, MA 01060 '�Sbly N'N�
CONSTRUCTION DEBRIS AiFIDAVIT
(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:
, / 51-e
Location of Facility: L. /4 44:, 4- R,eC C,1, 1j
The debris will be transported by:
?i✓ sfe
Name of Hauler: (.15/())- —) -i" ec./`1 ')
Signature of Applicant:—�l ----- Date: › S/Z
The Commonwealth of Massachusetts
_*- i= I Department of Industrial Accidents
—;IP1= 1 Congress Street, Suite 100
'tij=1 Boston, MA 02114-2017
� .—_ www.mass.gov/dia
4 Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Anulicant Information / Please Print Lesibly
Name (Business/Organization/Individual): _J Ar� L_a i.. t e.
Address: Z Z 1 CI,otp`,,
City/State/Zip: 44.7w,PGec n A,9 oft)3to Phone#: c/3 Z q7- 12S 1
Are you an employer?Check the appropriate box: Type of project(required):
1.21 I am a employer with I employees(full and/or part-time).* 7. ❑New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in
aci 8. ®Remodeling
any cap
acity.ty.[No workers'comp.insurance required.]
3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. ❑Demolition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
10❑Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p
Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.El Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: F4( ' fee 1;1 y C-4,S c.,.,l/y 1—'1Sc- c-e
Policy#or Self-ins.Lic.#: 2 coe I (Ail ( 4 s Expiration Date: C&/ I/Z 3
Job Site Address: S( 1 L 11`P c ?( y City/State/Zip: /V0,dka 1-0 AA 01 o co 0
Attach a copy of the workers' compensation policy declaration page(showing the policy 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$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: pate:
sVS/Z3
Phone#: L[/3— a ql- z 2 5-q
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
• r
Commonwealth of Massachusetts
171) Division of Occupational Licensure
Board of Building Re ulations and Standards
Consythlivisor
CS-102286 �y ires:01/06/2025
JARED A LAHAV
4 871 WEST St LUDLOW MA;',1
ZZ k L"�P;n ��avaivY-
L
Atf4• 01034, Commissioner d n
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Individual
Registration: 165972
JARED LARAVEE Expiration: 04/11/2024
D/B/A LARAVEE HOMES
39 SWOL ST
CHICOPEE, MA 01013 -
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE: Individual Office of Consumer Affairs and Business Regulation
Registration Ea(pdratIon 1000 Washington Street -Suite 710
165972 04/11/2024 Boston,MA 02118
JARED LARAVEE
D/B/A LARAVEE HOMES
JARED LARAVEE
39 SWOL ST
CHICOPEE MA 01013 e` er,' ` ,4.
Undersecretary Not valid without signature
te4,AArvs C.L-t r^�t
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