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25C-240 (13) BP-2023-1466 227 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-240-001 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-2023-1466 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: Est. Cost: 14000 MSM BUILDERS 60750 Const.Class: Exp.Date: 05/19/2025 Use Group: Owner: LLC KILERINE PROPERTIES Lot Size (sq.ft.) Zoning: SC/URB Applicant: MSM BUILDERS Applicant Address Phone: Insurance: 7 SHAW LANE (413)250-8943 WC100099907 HADLEY, MA 01035 ISSUED ON: 10/20/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR ALTERATIONS TO RECONFIGURE UNITS FROM 4 BEDROOM TO 2 BEDROOM 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: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner if?'Gb 00 The Commonwealth of M sa etts ?p `�a Office of Public Safety and Inspe PQ \lasso,husetts State Build*, t,tlti(;'tii)( \l tigMn /e/G qT V/<� At Building Permit Application for any Building other than a One-or. l . io ing (This gerlion For 006.ial t.se Only) Building Permit\umber;23.-f Date..Applitid Building Ottk ial: SEC I ION 'I: LOCATION \o.and Street City;Fawn 1p Coda \ante u! Building(if aipplic able) 24r9 - o t Assessors Slap ti Blot k n and/or 1 ot SECTION 2: PROPOSED WORK Edition ut MA State Code used It New Construction check here 0 or check all that apply in the two rows below Existing Buildings Repair 0 Alteration Addition ❑ Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 (.)ther 0 Specify: Are building plans and/or construction documents being supplied as part ot this permit application' Yes /tg No 0 Is an Independent StrutInral I':ngineering Peer Revit,%l required? 1 cs 0 No IR Brief Description ot Pre!ests i ;;,,rk: s -_4*-es . ; �c+:t s- re .� ". � x�S 4.' .4,e(d,h�-YC' ,As 1~f ,ti A dearer.. and S 4V t3 -f-a 2 '3fi. ex.-, 1 2 13tZ 0/4Y-.1'f fy�dn� 17ro,r:d SECTION 3:COMPLETE THIS SECTION IF EXISTING BUI1.17ING UNDERGOING RENOVATION,ADDITION,OR CI IANGE IN USE OR OCCUPANCY Check here it an Existing Building Investigation and E•.valuation is enclosed(See 730 C\I R:kl) 0 T.s Existing t st t,lo ipls) '►/ry Proposed ed I tit cn1tiupts, SF( IION=I: BUILDING HI_R AIT AND ARIA Existing Proposed —. No.ot Floors/stories(include basement levels)&Area Per Floor(sq.IL) (V e +C{t ji3rJ [7E C 'rota!Area(sq.ft.)and Total Height(IL) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 .A-2 0 Nightclub ❑ A-3 0 A--1 ❑ A-5 0 B.: Business 0 E: Educational 0 i. Factory 1= i 0 1:2❑ f II High hazard Ii 1 ❑ 11-2❑ I1-1 0 Hsi-i 0 I F•5❑ I: Institutional 1-i 0 I-2❑ I-a❑ 14❑ FM: Mercantile 0 R: Residential R-10 It 2,r R-.❑ R.1 0 S: Storage 1 0 5-2❑ • I t. tility❑ Special Lse❑and please describe below: 5peG ial t:so i k sc ription. SECTION ti:CONSTRUCTION TYPE(Check as applicable) IA 0 III © IIA 0 JIB 0 WA '0 I11B 0 IV 0 VA ❑ YB Cie SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood /one Information: Sewage Disposal: Trench Permit: Debris Removal: Public C.'hoc k ii outside Hood/one❑ inch,ate nitwit male A trout h t�i11 not be t.it°cYnsect Disposal Site C! Private❑ or inctentiiv/one: or on site system required/Li Li or trench or spec ifr: +�lk'i Permit is rnt!used 0 gits"s�d .'Etc) {'�o40 t Railroad right-of-way: I laiards to Air Navigation: AIA i ti�t��ia C t�rnmuseat.er �� Not Applicable El Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 , Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code Use(roup(s): a 1's'po;if Construction: d Q_ Dots the building;contain an Sprinkler Srxi tic it/0"poi ial Stipulations: Design Oct upon( I-oad per Flour and :Assembly side . SFC'T'ION 9: PROPERTY O\VNER AUTIIORIZATION Name and Address of Wft,l.ertyOwner Kt.Idr 'pro e4 '4f L L . �0 )(Agar /�9 - D +E X 6t/9 Name(Prit i) No.and Street City/Town il,2t$f- m4 efeweiriP Property Owner Contact Information: . qiy 2.2c /105 'hole telephone No (business) I elephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: jam 5 le. /1:f a tr--.2 VA litt Prop "1 f, - .,,L et-,e de 5 4 Co re 1 :.,(toot' `'trcot Addivss ( itv/I own `;tent lip . I to,ta pi:' :or, nag a,I on th,prttp+'rt% 3e(i-t ,11:,,,.iris-, .":•t.it:L..^it' .eoria,t e;tl+t,ril.',i I,, t11(-boil tin? pi,rnut ap)`lit"cation. SECTION It):CONSTRUCTION CONTROL(Please fill out Appendix 1) . It a building is less than V3,t)0(1 cm it.of enclosed spar and/or not under Construction Control then check here O. • Otherwise provide construction control torrns(see'.ecticn 107 in the c,SIC)as required. 10.1 Registered Professional Responsible for Construction Control Itheprofessional coordinating document submittals) Name(Registrant) Tirlephorte No_ e-mail address Registration Number `itreel. Address City/ lown State Lip Discipline Iapiration Date • 10.2 General Contractor /"541 e u: (Jeri — . -1.'Ke. lilac b0,a(a Conapan\ Nano / 60150 e . 11..i ,„., Name of Person Responsible for Construction it ense No. and I s lee it Applicable ? S 4440 Lit AA elk,' 1414 #/o 75 Street Address ( its I own ''tale Lip 1745 _zco_ ktfe1 t ms'" b 4, (a.-, e j,.„a.`l.,,, Telephone No.(business) 'Telephone No.((ell) ' e-mail address SECTION 11:tV KKKIrhs'i'OM€'F.NSA 1.1('N INSt.ICANC a Al.I'II).y t t(M.C,.L.c. 152.. .25C(6)) A\V't k.ors'Componsdbott Insurance AttidaviI irottt the Al/V I)(parttnent of Inrttish•1aI ;Acc idernts must be completed and submitted with this application. Failure to provide this alIitlavit will result in the denial of the issuance of the building permit. Is'a signed Attidavit submitted with this apliheation? Yes21 No 0 SEC l IO.N 12:CONS'RUCTION COSTS AND PERMI F TEE item EstimatedCosts:il.aber and Materials) Total Construction Cost (Irani Item O I. Building; $ 1100.0 / Building Permit Dore Total Construction Cost t (Insert here 2. hleitrical $ appropriate municipal lactor) $ 1, Plumbing $ ' e el 4, Alechanical (I1vAc...) $ Note .ylininium fee $ (contact municipality) 5.Aletbanical (Other) $ �- Enclose check payable to _ a, I olal Cost $ f ii if 0 (contact music ipalitt)and w rite o heck number here _ SECTION 13:SIGNATURE BUIL DING PERMIT APPLICANT Its entering my name below, I hereby attest under the pains and penalties at perjury that all at the intormaIion contairte'd in this application is true and accurate to the best et rn i )tvledge and tinderstandiiag_ 14,1 5 . 4,-i41- . Please print and sign name l'itie �/Qd+'� l tlepl�rc)nc No. Date 75 ' fnar,'� 5f, �twrs4- !n4 of- 4/gnt?✓afkt�r .., r..o..• Sort=et ,ldtin.,,s Cis,` l uty n Stttte /,,, I mail Address /cOiegfiZ dozy '\Tunicipal Inspector to fill out this section upon application approval: / 17 , .zO. OZ3 — Name I)a le The Contmonweafth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, itiA 02114-2017 wis'w mass.govidia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO HE PILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leffiblv Name Busin iOrtraninktion Indi% MICHAEL MACDONALD,DBA MSM BUILDERS ( ess Address:7 Shaw Ln City/State/Zip:Hadley MA 01035 Phone #:413-250-8943 Are you an employer?Check the appropriate box: T)pc of project(required): in I am a employer with 1 employee:,(full and.:or part-iime),* 7. 0 New construction 20 1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.) El 3,0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]• 9. Demolition I o Ei Building addition 4.E3 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I In Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5E1 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.00ther 6.0 We are a corporation and its officers have exercised their right of exemption per MCI c. 152,§1(4).and we have no employees.[No workers'comp.insurance required.) *Any applicant that checks box 01 must also till out the section below showing their workers'compensation policy information. *Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such :Contractors that check this box usual attached an additional sheet showing the name of the sub-contractors and state whether or nut those entities have employees., lithe sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sire infOrmation. Insurance Company Name:ATLANTIC CHARTER Policy#or Self-ins.Lie.#:WC100099907 Expiration Date:5/12/2024 Job Site Address: City/State/Zip: 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 tine up to S1,500.00 and or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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 certift under the pains and pen (ties of perjury that the information provided above is true and correct. Signature: Date: Phone it:413-250-8943 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/Lleense# 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 City of Northampton str,r its s, Massachusetts +. -.. :. m -A f it 1.7/ s,.. C. -A DEPARTMENT OF BUILDING INSPECTIONS D 212 Main Street • Municipal Building Ja,, Northampton, MA 01060 .1s 4.... �14;, 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: Valley Recycling 234 Easthampton Rd Northampton MA The debris will be transported by: MSM Builders dump trailer Name of Hauler: di.7- __ 10/10/2023 Signature of Applicant: Date: t4li' rr I f' D - ( Ejd 0LwJ^W . /r C-1�-0D1 r' 238 !ram # f.. 0.241 �� - - 236 jj i w 14 ' 25C-242-001 0:165 239 AV 0 ,,,....,../--------------'-- ENt ;r. -C.?Cr250263.001 3.27 45G2d1-001 3 T at 23:5 f i 1C1 71 CO 3fi01 f 25G-227 440.001 0.388 1Jr. LU 25C 251 001 al 25C 251-001 111 CD Q IT 45G-250.O01 w 0.903 IL) CO LLI 0 23G 239-001 0 0 3?2 [r 207 1fm CITY OF NORTHAMPTON SETBACK PLAN MAP: 25C LOT: 240-01 LOT SIZE: 0.388 acres REAR LOT DIMENSION: REAR YARD 66 ft No changes to building exterior that would impact setbacks 28 54' SIDE YARD SIDE YARD FRONT SETBACK 10' FRONTAGE CONSTRUCTION CONTROL WAIVER From: Kilerine Properties, LLC c/o Valey Property Management - Alan St. Hilaire PO Box 3649 Amherst, MA 01004 413-225-1105 To: Jonathan Flagg Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at 227 Bridge St Northampton, MA because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully, / 10/10/2023 ,.._ : .... ... _ .. _ t._.. _ y - 1. j I. I 1 I i t.,,, I S i 3 3 yH- 4- - - . 1 r".rt: , - r ..,_ ! 1 i 1 f A T1 ii J 1 € 1, 1 1 i ..1,_ t-HSELb_... i .._ , ... . „ I ., ..,:. i 1 $ .` .1. -4 1 jI.. ' n . 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