08-070 BP-2023-1462
367 COLES MEADOW RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
08-070-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1462 PERMISSION IS HEREBY GRANTED TO:
2023 NEW SINGLE FAMILY
Project# HOME Contractor: License:
Est. Cost: 750000 MARK SARAFIN 053434
Const.Class: Exp.Date: 04/28/2025
Use Group: Owner: M CAMPOSEO JEROME P& SUSAN
Lot Size (sq.ft.)
Zoning: RI/RR Applicant: SARAFIN BUILDERS
Applicant Address Phone:, Insurance:
85 RUSSELLVILLE RD (413)563-9256 0 WCC-500-5019027
SOUTHAMPTON, MA 01073
ISSUED ON: 10/26/2023
TO PERFORM THE FOLLOWING WORK:
NEW SINGLE FAMILY HOUSE
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:
1
Fees Paid: $1,320.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Z-0,V f
File #BP-2023-1462
APPLICANT/CONTACT PERSON:SARAFIN BUILDERS
85 RUSSELLVILLE RD SOUTHAMPTON, MA 01073 (413)563-9256 0
PROPERTY LOCATION 367 COLES MEADOW RD
MAP:LOT 08-070-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $1,320.00
Type of Construction: NEW SINGLE FAMILY HOUSE
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
///j/ i9 ZOZ.
Signature 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.
/ ' ,<c
007
The Commonwealth of Massacett T0� ?�� F R
W
Board of Building Regulations and Stanir o` ��<1 N IPALITY
Massachusetts State Building Code, 780 C 'nro%;,,�c USE
�h'p� o
Building Permit Application To Construct, Repair,Renovate Or 4404, R ised Mar 2011
One- or Two-Family Dwelling 60 s
s Section For Official Use Only
Building Permit Number: $ '•ol 3 _/ .2 Date Applied:
1/v,L., (n JO-24,-7o23
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
13 PropertyAddress: P 1.2 Assessors Map&Parcel Numbers
1.1a Is this an accepted street?yes x no Map Number Parce umber
1.3�ZAning Information: c c 1.4 Proper Dimensions:
((�� Ji35,(.0 (909.9d '
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
0 3°n4- 0o1 ad6blaoo f" 5-6' 50 '
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Informs ion: 1.8 Sewage Disposal System:
Public '!"'� Private❑ Zone: Outside Flood Zone?Check if yes!: Municipal 0 On site disposal system
SECTION 2: PROPERTY OWNERSHIP'
2 j, Owner'of I cord: n
Name(Print) City,State,ZIP
I (p-S --1;1 r90.—\ maser,,, r ' ►3 L1 a-4- 05 . '�_�� -eo @ MVI,Co
No.and Street Telephone Emai Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:
Brief Description of Proposed Work': �i,N\6 VVfw QeS'L..4C1r
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ (g.- 000 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $
b,ow , 0 Total Project Cost3 (Item 6)x multiplier x
1 3. Plumbing $ 33 ,00o , — 2. Other Fees: $
4. Mechanical (HVAC) $ s a '' noo — List:
5.Mechanical (Fire
Suppression) $ b -- Total All Fees: $ /3,9C.BQ
eck No. Check Amount: Cash Amount:
6.Total Project Cost: $ 66 ,Q ddt Mahn Full 0 Outstanding Balance Due:
City of Northampton
�z. , Massachusetts 4�,
*it 1
DEPARTMENT OF BUILDING INSPECTIONS S' ' 4
y�„ ,---s 212 Main Street • Municipal Building yk.)' 1,.
` derr*^ Northampton, MA 01060 s'1'frj lox^
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.
4 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.
V4. Construction Debris Affidavit filled out and signed by applicant.
15. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
'1 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
17. Energy Conservation Compliance Certificate (new/ replacement windows).
8. Horne-Clw44e0 License Exemption Form filled out and signed by Homeowner (if applicable).
V9. 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).
'2. Trench Permit - public land by DPW / private land by Building Dept.
V13. 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.
1-)1 &elk 1-1/4-3-.2 q vvius.A.,, --\---t 11,2,_,\,...
\v`Q Uv�• 4 wn \ 1-
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) C-ID-0 S3 A 34 tilaa/a
..-
Al V 4 k 2 SM2 la f l✓1 License Number Expiration Date
Name of CSL Holder (f
�"� Qui>s,e 1Lv.11`Q Cock(9 List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
SO') %L'A 1 tAA 0 iO 3 R Restricted 1&2 Family Dwelling
City/Town,State,Z M Masonry
RC Roofing Covering
WS Window and Siding
I_ A // //gy� SF Solid Fuel Burning Appliances
LI 13—5le3'qa<(1 bIt4i:%4 g 1 i etv.2'IYQ.,vie 1- Insulation
Telephone Email address D Demolition
5.2 Registered Homi
rove nt Contractor(HIC) ( �A Sd1 `l i lO i a Lt
WW1 W Ft to )� ' '"c HIC Registration Number Expiration Date
HIC Cody Name oregist t Naiq n
r ►CVSS•el (o. l14 rrx,Lv . Avt.c► w�'a k l' A eAse,2, A t i-
d Stre�e�t \ ►t`4 61d 3 y+2— , 3 a51 Email address
C v1(il tM li► I J 1G
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 qk No 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR� APPLIES FOR BUILDING PERMIT
V 'n
I,as Owner of the subject property,hereby authorize ` &L\ 3100(2-V4-i--":
to act on y behalf,in all matters relative to work authorized by this building permit application.
V -‘"7--r./me. s///
Print er's Name(Electronic Si re) ate
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my na e below, I h by attest under the pains and penalties of perjury that all of the information
contai d i is plic 'on is e a accurate to the best of my knowledge and understanding.
mil b 13
'nt 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 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: C5 a LOT: CD (3
LOT SIZE: I'S-- 2 ,CD
REAR LOT DIMENSION: -2)41l P
REAR YARD 78 5-8
1i--60
, het COt
lobs
SIDE YARD ,6�0 SIDE YARD R-i
FRONT SETBACK 3 I V )
FRONTAGE 901 1� I
The Commonwealth of Massachusetts
!* j Department of Industrial Accidents=LI- fit
1 Congress Street,Suite 100
'• — Boston, MA 02114-2017
., , www mass.gov/dial
11-orikers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO RE FILED WITH THE PERMITTING ING AIITHORITY.
Applicant information Please Print I.eeibh
Name(llusincsa Or+gsnuzationliodividual): le2642,41, +.)L\i */C
Address: o.6- 2o...i...sz.\\.,.lie (200,0
City/StatefZip .A tc...n p ko✓\ AIM Citb1lhone#_ q 13`-SIL3 -9 a5 t
Are, n an employer!Cheek the appropriate tw>,. T1 pe of project(required):
t.l'JLl am a employer with OC employees(full andiur part-time/.' 7. New construction
2.1 am a.sole prupnctur or partnership and have nu employers working fur me in 8. Q Remodeling
any eapaen (Nu workers'clamp.insurance required.]
301 ant a homeowner doing all work myr lf.[No workers'comp.inSWanet required]`
9. [�Demolition
I 0❑Building addition
4.0 1 am a homeowner and will be hiring euntraclurs to conduct all work on my property. I will
ensure that all contractors either have woaitrrs'cwtrrrpcnsatum insurance to Art sale I I.❑Electrical repairs or additions
proprietors w hilt no employees.
12.0 Plumbing repairs or additions
50 lam a general contractor and have hired the sub-contractors Listed on the attached Sheet_ 13❑Roof repairs
These rub-ceata'scturs have employees and have worker.'comp.insurance.:
60 We are a corporation and its officers have exercised their nght ut c.tcmptrun per MGL e. 14.❑Other
132.41(41.and we have so employees.[No 11ffitters'comp.insurance respired.]
'Any applicant that checks box a I must also fill out tla:section below showing their workers'comperuatiun policy information.
'Homeowners who submit[his atltda%tt uuhcalane they an doing all work and then hire outside cconr.actors MUSS submit a new afftda4 it indicating such.
:Contractors that cheek this box must attached an additional sheet shun in the name of the sob-contractors and state whither or not those crnrlies htatc
employees. If the sub-cuntractues has.errti►luyces.they must pro.ide their u orkers-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: �-�►M
Policy#or Self-ins.Lic.#: I)J CC"Sub —155\'0 0 - o� oa3 hxpiration Date: -1(1.I o7`
Job Site Address 7 Cb��rj V eet 6�� 2]C3CO City/State/Zip: I 1Lw l�G--)` VIA\ {Qr
Attach a copy of the workers'compensation policy declaration page(showing the policy number and e:rration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 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 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 certify he " •of d maid of pe rt.that the information provided abut. is true and correct.
Signature: Date: I 0 ' d J
` � z r
Phone#: `�1) "> — Chi' -
Official use only. Du not write in this area.to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
!,t•'',, Massachusetts ���5 G,
w
x . �a� DEPARTMENT OF BUILDING INSPECTIONS % x
.. 44. :r ' 212 Main Street • Municipal Building tiJ� �D�
Northampton, MA 01060 ' fr, )'~'
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: 11 0e. A.A.Ae �'
The debris will be transported by:
Name of Hauler: 2v4'CL-/\ vAc9I-e.-Z S
Signature of Applicant: Date: /642 23
City of Northampton
?' SAS...:.....:..S!
it f 1 Massachusetts t•
DEPARTMENT OF BUILDING INSPECTIONS a,
212 Main Street ID Municipal Building 3, a`
Northampton, MA 01060 ' , -1'��
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: OQ •Mn ' .A_
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date: AO/bitc23
PHIS IS AN ENGINEERED WOOD PRODUCT IEWPt MEMBER PLACEMENT CAGRAM ONLY,NOT AN ENGINEERED DOCUMENT.E'NP mantras are assgred as ma:.duai huiktirg cacconera to be inc0tporaed me me bmaig dasgn at the epeafi.e:an of the 0a000q designer The
Contractor a amen**.fen the lemma*btab g al the flow 6ys9T.and the butting desire 0 retaanS'be to Me permanent bracing and bVR%M9 of W3 Boar System and To reach REr OUte.TN des fn of the S'J'v0Utt anclu a,,kfMMp Nat not lia,lad t headers.Eeam0 wait.and O tunas
e Moo no msoc.o0'iRy N 7e building desgner.I):s Re resaonob01y Al de General CCM***to ye*Met the Fro.eed Open matches Pa Nato intended constructor,para.kad:rg wodY00>.and use.!?they de rot,"is the resCorsibi'.ey of use Genera:Contractor to notify UFO and[^aide
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WAY WRNGIIT PRIOR WRITTEN AUTHORIZATION BY A'srENSED PROFESSiCNAL DESIGNATED BY UFP."he Earner a respmrste to verify an dmensions Includeg adjusting memher sperm eat*t.4ere es to 0)0w kr the drop and nse dt piurnA.n:NUC.cross rested Memos.NI
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'.1 4' Ci Kevin Ross <kross@northamptonma.gov>
t, Northampton
367 Coles Meadow
Mark <sarafin81 @charter.net> Wed, Oct 25, 2023 at 6:28 AM
To: Kevin Ross <kross@northamptonma.gov>
Cc: Natalie Stollmeyer<nstollmeyer@northamptonma.gov>, Matthew Lemberg <mlemberg@northamptonma.gov>
Kevin,
Attached are the preliminary truss and floor designs.
Porch will be on 2 5' precast piers. Deck beam span 5' 3-2x8
Deck joist 2x8 16"o.c.
Columns will be rated to carry porch.
Porch beam 2-2x10.
Rafters 2x8 16"o.c
Ceiling joist 2x6 16"o.c.
Rafters 2x8 16"o.c.
5/8" roof sheathing.
I will adjust smokes/co for Hackworth prior to installation.
Which energy code is Northampton using currently?
Thank you,
Mark Sarafin
[Quoted text hidden]
2 attachments
44.1 23011866BE-EWP CAMPOSEO 2ND FLR LAYOUT.pdf
461K
23011866BR-Camposeo-Fleury-020123-ContPack.pdf
1345K