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15B-036 (9)
BP-2023-1063 9 DIMOCK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 15B-036-001 CITY OF NORTHAMPTON Permit: Addition PERSONS CONTRACTING WITH UNREGIS ERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA FUND (MGL c.142A) BUILDING P RMIT Permit# BP-2023-1063 PERMISSION S HEREBY GRANTED TO: Project# ADD 4 SEASON PORCH Contractor: License: Est. Cost: 66140 AARON PUNSKA 105542 Const.Class: Exp.Date: 10/22/202 Use Group: Owner: CARRI GOLDSTEIN SETH B & Lot Size (sq.ft.) Zoning: URA Applicant: AARON PUNSKA Applicant Address Phone: Insurance: 220 NORTH WEST RD (413)626-6033 WESTHAMPTON, MA 01027 ISSUED ON: 08/10/2023 TO PERFORM THE FOLLOWING WORK: ADD FOUR SEASON PORCH 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 # 1 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: 14 if . ,2 (P-',, 6 i , , Fees Paid: S430.00 212 Main Street,Phone(413)587-1240,Fa :(413)587-1272 Office of the Building Commiss oner Z-Gk File #BP-2023-1063 APPLICANT/CONTACT PERSON:GOLDSTEIN SETH B&CARRIE 9 DIMOCK ST LEEDS, MA 01053 PROPERTY LOCATION 9 DIMOCK ST MAP:LOT 15B-036-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out • Fee Paid $430.00 Type of Construction: ADD FOUR SEASON PORCH New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: • Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: )( Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee. Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay tNiehttANd (37g 3 Sign :ure of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 19 41, cFi The Commonwealth of Massa usett 4e/61 i . ' V ''' Board of Building Regulations a : Star i� i s 9 b' ICIP'1 ITY Massachusetts State BuildingCode, :I '4 f .9ry G2 U. Building Permit Application To Construct,Repair, Renova -'9 - 8lish a 'evise• Mar 2011 One-or Two-Family Dwelling T°�' sAF This Section For Official Use Only A%Z°4,,, Building Permit Number: Date Applied: l IU Building Official(Print Name) Signature / Datb SECTION 1:SITE INFORMATION 1.1 Property dress: 1 - ''/I. 1.2 Assessors Map&Parcel Numbers - �)Mo�� `�' K, rat o(A63 --------" ?se,- 6342 601 1.1 a Is this an accepted street?yes i no Map Number Parcel Number 13• oni formation: r 1.4 Pro erty Dimensions: 4 liC tCliA iVXI n AOra Zoning District Proposed Use Lot Area sq ft) Frontage(ft) Ac 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Wate Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owned;of Recb f�51(1A irt2/ AlA ()to C3 Name(PrinkCity,State,ZIP 1�Ma'k S� • t �� 1 � Calk b&9'w4 1444 No.an Street Telephone Email Addrels SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) / New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) El Addition lY Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Propped W rrk2: J X d(, w SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 6611441 04 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 $ Suppression) Total All FeecA o.Check N Check Amoun . 430 Cash Amount: 6. Total Project Cost: $ 66I(14.Us 0 Paid in Full CI Outstanding Balance Due: fr City of Northampton , >? `r r Massachusetts ti Y- DEPARTMENT OF BUILDING INSPECTIONS ' ,. 212 Main Street • Municipal Building ti. - Northampton, MA 01060 �5 PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND 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. Site plan with location of proposed structure(s) and set backs. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new/ replacement windows). 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees paid (if applicable). 12. Trench Permit - public land by DPW/ private land by Building Dept. 13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit application before issuance of permit. 14. 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) W 116- 5 t4f tliy,Iar\tkidia License Number E p ati ate Name of CSL Holder ��\ ` List CSL Type(see below) No.and Street W Type Description W e`,s, My ' 7:1 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State, R Restricted 1&2 Family Dwelling t3 M Masonry RC Roofing Covering -- - WS Window and Siding • SF Sol Fuel Burning Appliances ',1 �v(7 r" Q��KS 1�.•14.11 (, I Insulation Telephone Email ad ss D Demolition 5. Regis red Home ImprovementtC tractor(HIC) rill I Z 0 Z 0Vaii V 4l r i� HIC Registration Number pir ti Date 0066 C o pan r HIC Registrant Nime N . n et pc ,kkil address V tilA ID() 1 City/Town,Sta ,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 Issu,e of the building permit. Signed Affidavit Attached? Yes H No . 0 SECTION 7a:OWNER AUTHORIZATION TO BE COM.FLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING B ILDING PERMIT I,as Owner of the subject property,hereby authorize ` q wisik' 1 to act on my behalf,in all matters relative to work authorized by this building permit application. t Owner's ame(Electronic Signature) D40-19— SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By enterin name below,I hereby attest under the pains and penalties of perjury that all of the information contai in this a plication is true and accurate to the best of my knowledge and understanding. is Prin Owner's or uthorized 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" • ti CITY OF NORTHAMPTON SETBACK PLAN lc(i- ci'3- d�1 MAP: LOT: LOT SIZE: 7 REAR LOT DIMENSION: R AR YARD )‘'\ o ' f 41, 4(tlY41 /L u r SIDE YARD ` C)4,{4 1�^ SIDE YARD U Ifbi‘411- l� FRONT SETBACK NI j FRONTAGE City of Northampton t1 rfr ,, ,,r f °"'" Massachusetts �Ir r. S # a , DEPARTMENT OF BUILDING INSPECTIONS - a '_212 Main Street • Municipal Building �- ', Northampton, MA 01060 �1 ° STY `3+:�, 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: The debris will be transported by: A Name of Hauler: ‘ \1,( ,,IV\ Signature of Applicant: Date: 1/ _ Z N. t. . The Commonwealth of Massachusetts mall rim--Nossza, Department of industrial Accidents Mr—. of 1 Congress Street,Suite 100 Boston, AIA 02114-2017 11.,atior ...C.,' WW it..mass.go vidia -- 'Workers Compensation Insurance Affidas it:BuildersiContractorafElectricians1Plumbers. TO BE FILED Vill11 I DE PER1411111.7S6 AUTII0R11'1. AnDlliCiallt Information Please Print 1..egibls Name alusatess.:Organization Individual): Adif.,q VuiAlknk Address: ///.4) 4 vi )‘1) CityiStateiZip:_VdeA\ku,+-414,A Ol4 I Phone#: AA 1- titi L63. An yea an etnpki?tr,Cheek the apprapetitv tiaia: Ty pe of project(required): I Am a crupkiya 1 A ith _cuiployeci i full aildiur part-timer' 7. 0 New,constnietion a sole proprietts in paatnerslup and ha;c no employee:workin. tor me in 8_ 0 Remodeling ,1.?,,,capacity_fNo workera'comp.insurance reapored.1 9. 0 Demolition 30 I ant a homeowner diamg all work myself.r'ato Or OA al:tour mitirafte:required)' l 0 04 Building addition 4.0 I am a lunneowna;Ind will be htting tValtraenirs to conduct all work on my property. I will ensure that all contractors either hare warier,-eorimpeflial2o11 liburince or arc sole I 1.0 Electrical repairs or additions pwpriehir,*WI no employee:. !ID Plumbing repairs or additions 30 I am a mera contractor and I bar e hmd the aub-contractors listed on the attaithod sheet_ mese sub-contractors hare employee:and ha+,e weithera'comp.insuran I 30 Roof repairsce; . 6.0 we are a‘-iarporation and its offleera have extacised then tigh xe t of erription per Mt&t. l 4 0()the* 152,§I i 41,and ice kir 4:no ersaplorecs.[NI!A uricrs'eV=p..IZIAOTIMCV itrqUiritt.I Any applicant that checks hint a I mint also till out the section bekiw allowing their workess'compensation policy information. lionicownen who submit dos afficlarit initicattnu they are doing ad work and then hire outside a:ovum:Dues must submit a new affidar it medicating sock lContractors that cheek this bui.most attached an additional slot showing the name of the sub-contractors and state whiner or not those.mime hare employee, lithe Alt\-contracttyr,Lire enailor 1.3:,they ino:t priwide their workers"oonip,is,he:,mankx I am an employer that is providing ovoriers'compensation insurance far Illy employees. Below is the policy and job site information. Insurance Company Name: Policy a or Self-ins.Lic.4: Expiration Date: Job Site.Address: City'StateiZip Attach a copy of the workers'compensation policy declaration page Ishossing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152. t,',25A is a criminal violation punishable by a tine up to SI,500.00 anitor one-year imprisonment,as well as civil penalties in the foam of a STOP WORK ORDER and a fine°flip to 5250.00 a day against the violator. A copy of this statement TSUI,'be forwarded to the Office of Inve.gtigations of the DIA for insurance co,,...i..1!„/.....'\..n liCatian. I do hereby certify under pains and penahies of perjury that the information provided aim IT is true and correct. Sisnaturc: .1).t1L.• 5 1,. .1..73 Phone;;.: 0 Ci Official use only. Do nut write in this area,to be completed by city or town officiat I ('its or Town: Permit/License ksui tig Authority(circle one): 1. Board of Health 2.Building Department 3.C'ityriown Clerk 4.Electrical Inspector 5.Plumbing Inspector G.Other ('millet Person: Phone#: 4. City of Northampton Massachusetts a . DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Sui ding Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (in ert 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.R5.13.1, 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 seekin; the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings cons cted 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 reside or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or .etached structures accessory to such use and/or farm structures. A person who constructs more than .0 e home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision licen.e and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's require ents for the supervision of the project or work on my parcel, I am not engaged in construction supervision in c. nection with any project or work involving construction, reconstruction, alteration, repair, removal or demoli 'on 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 wi, the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supe isor for said project or work. Signed under the pains and penalties of perjury on this day of 20_. (Signature) Northampton, MA : Assessor Database (i6 c S, Property Search: Parcel ID: Owner Name: Street Number: Street Name: DIMOCK ST Search Reset Property Detail: Parcel ID: Card: Street Name: Street Number: Zoning: State Class: Acres: Plot: 15B-036-001 1 DIMOCK ST 9 Single Family Residence 2.07 Owner Information: Property Images: Owner Name: GOLDS1 LIN SETH B&CARRIE Picture: Owner 2 Name: 114 Owner 3 Name: R ,. ' , : fix V. t-•..' .. • It Street 1: 9 DIMOCK STtf , City: LEEDS �_ � ""-, 1 � " State: MA M� .''' �. 4 ,.4.. t it " • ... Zip: 01053 Dwelling Information: -.. '` "` Style: RANCH fr." ', �... s _s...e. Year Built: 1987 .__ c. Exterior Walls: FRAME • Story Height: 1.0 Attic: NONE • - - Basement: FULL Bsmt Gar Spaces: 0 ,,, " • Total Living Area: 1392 Total Living Area Minus FBLA: 1392 Sketch: Finished Basement Area: 1000 Rec Room: 0 Heating System: GAS/HOT WATER Central Air: No Fireplaces: 0 Rooms: 7 Bedrooms: 4 Full Baths: 3 Half Baths: 0 Valuation: Appraised Land: $107,100.00 Appraised Bldg: $217,600.00 Appraised Total: $324,700.00 Descriat«/Area 48 A1F� sqft B:FG 576 sgff 24 FOB 1392 28 11 11 4 24 624 ~ 24 FG 24 0 Out-Buildings: Code: Description: Units: Year Built: Sizes: Size2: Area: Grade: Condition: RS1 1 2002 8 10 80 C AVERAGE(Res) The information delivered through this on-line database is provided in the spirit of open access to government information and is intended as an enhanced service and convenience for citizens of Northampton, MA. The providers of this database: Tyler CLT, Big Room Studios,and Northampton, MA assume no liability for any error or omission in the information provided here. 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