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30A-032-006 BP-2024-0022 320 RIVERSIDE DR UNIT COMMONWEALTH OF MASSACHUSETTS E Map:Block:Lot: CITY OF NORTHAMPTON 30A-032-006 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0022 PERMISSION IS HEREBY GRANTED TO: Project# HIGHLAND ELDER RENO 2024 Contractor: License: Est.Cost: 60000 STALWART BUILDERS LLC 107350 Const.Class: Exp.Date: 05/29/2025 Use Group: Owner: A. SPENCE, GEORGE Lot Size (sq.ft.) Zoning: OI Applicant: STALWART BUILDERS LLC Applicant Address P ne: Insurance: 156 BROMLEY RD (413)530-3680 CHESTER,MA 01050 ISSUED ON: 02/08/2024 TO PERFORM THE FOLLOWING WORK: OFFICE RENO TO HIGHLAND VALLEY ELDER SERVICES 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 a . r� s 1 Fees Paid: S420.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner TIC- , . / i , tur?itac 4- Geriu.et7 Z--7=7yk • ger/4 r I -f �Z h� Levi)_. 7t' ma l l hard . The Commonwealth of Massachusetts. �q� �\� ,, •. * Office of Public Safety and Inspections �r ‘ ��`. E Massachusetts State Building Code(780 CMR) ' - 0,,,, s ,. Building Permit Application for any Building other than a One-or Two-It Dwelli 1 /• (This Section For Official Use Only) >>4,,\ Building Permit Number:/7y"' 4'Z.. Date Applied: Building Official: ^R �\ `� SECTION 1:LOCATION l'',s No.and Street Ci /T wn Zip Code Name of Building(if applicable) 3Za 6)�s#.* D'7ly�r, 0*)f # O/�G y //,'4,/A„q' 44?4 OO.4✓ v;cd Assessors Map Block and/or Lot SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other A Specify: 401/06/ r'FI z 53ziere- Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineerin Peer Review required? J Yes 0 No La 6/ l..Brief Description of Proposed Work �CMol/L -i s j ' 4 Gil C `'/a. el cc . ,fi/!� Jit// /7t 4/ Ale 1t 1 -hi o G4G��i, c 1-FG•S !. `4e,ar- 4,9 , Simei,f-x?, to.,4' de•4.117 . SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 3 3 Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5❑ B: Business E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3 0 I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ IIA ❑ IIBEl IIIAO IIIB0 IV VA VB U SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Dis sal Site riti Public Check if outside Flood Zone 0 Indicate municipal'Q1 A trench will not be po Private 0 or indentify Zone: or on site system❑ required S.or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 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 Group(s): /-5 Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner CeU�'�e_ S✓ rl ce Po,6 ox /6 A ic. // 0103er Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: 4/-6/7, �/� A�6c_Or (, `S eo oy /6 /'/ UI o 3 Name f C,✓ Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 1. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control (the professional coordinating document submittals) S ' 7h oe 1 0 -S3,0 _ 3Gseo ,i ssci/546 El,y,,,s;l. /77 2°S lyNle.. (R tran) T le ho No. e-mail addr . G4 Registration Number/ Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor s ti/zi-, y ./Lc/llohl // : Company Name 6 J)� -sue 41e-°�‘ C$—/a 7 3 5 a U4fe s7z%� , /I/ Name of Person Responsible for Construction License No. and Type if Applicable Jf4 g/alyt h7 .. , i.i.�.Sii4/ Iaia S 0 Street Address City/Town State Zip 0 - S3. 3Ged �zo*-e- 1/, ,�satT/ ooek , ,/. Telephone No.(business) Telephone No.(cell) / e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes 0 No U SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)_$`U U06 1.Building $ i °°D Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 000 appropriate municipal factor)=$ • y� 3.Plumbing $ Vn(J"% 4.Mechanical (HVAC) $ 5 00 6 Note Minimum fee=$ (contact municipality / 5.Mechanical (Other) $ Enclose check payable to �© 6.Total Cost $ 1p 0 °°° (contact municipality)and write check number here I!? SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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 best of my ledge and understanding. , SS(_ At`k.oe 024., C, 03 _53. _ ii") //lir Please print and sign nam Title Telephone N9. Date iSki /3/'o e`17 , C�S!� "4' '/o So IzS1-ij.ArAcce ,/s or.I,'f Cs*IStreet Address a City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ///Z"-- L-a-202t/ Name Date City of Northampton O%_ ,5 � sI ,,r :' Massachusetts �wS r' 6 ' `44 7 DEPARTMENT OF BUILDING INSPECTIONS y +•; � '�' 212 Main Street • Municipal Building .,t, ^:o. +� ' ,• Northampton, MA 01060 rsfrn %' 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: 35 It (,n "/ e1� "Os The debris will be transported by: Name of Hauler: /95-04«i,a/ 44( lak .eett"S Signature of Applicant: - L Date: / -y I"� The C'umuluawealth of.Nusutchusetts ' Department of lntlustriul.arcidents „: z.i i 1 6 I Congress Street,Suite 100 --Srt -► Boston( .NA 02114-201 ` , 1 w tot:mass.goi i a .t 1l tit kers'('onipensation 1nsuramcc Af idas it:lluildrrv+t'untractor lElectriciam Plumbers. I()Bt.1 II.t.I)%11111 111E 11E1011 ICING At 111011111. Applicant Information Please Print Ise il►ls Name Ilivaut...., hJ.u„.f i, nt lei -,w ,.i, C'itv i Statc Zip: ✓/ //) d' „,,�/'a- '7,0t4LPhonc#: ri_ 3— S3U 3G ! 0 %re sum aft enpknet?it heal the apptupnate trots l s pc of project(required): DI aln a employer with employees(tail and or pact-link 4' 7. 71 Nest t:un.struetion I am a side proprietor or partnership and hasc no innpla»i.s:s uorknng for m:in M.A Remodeling ant eapacitt.[No etorLis'caxnp.uuurancr nyuuaal.l 9. ill_ Demolition d.7:1 I slit.1 ii...rmeiitneT doing all Nairl nn_xdt.i!so uotteis'eon;'i.nisutatnae regwriJ /�� 10 EJ Building addition •t.; t I alnl 4Ik,ii.s•n nct and V.ill is hums s nur.a�lors to conduct all....Ikon ins prupa4t%. 1%dtt t_J imsurc that all onntt:as torts either hat":corkers coin/u ns:mon ln urante of:art soli I I a Electrical repairs or additions rioriaitois%Ali no inept nix,. 12.0 Plumbing repass or additions <Ci t am a_uctncral c.nittachn and I I sso holed the soh-c.mtrattn.listed on the attached+heel The suhtcmtrmeions lust onpluytc,and bast awkers'comp.insurance. l3-❑Roof repairs 60 Weare a corporation and its Aileen has c exetctsed then nght of\xertatit tiL un pet M c. 14.El Other 1 t'_.;II 41.and etc ltat e net emplos ees.1\a*me of hers''romp.unMwancc r eyulata. •Any applicant that cited.,h....=t:rust alit.till out the section beton%h ee inst then trotters st`alpeination pults..y rntaatitsatl,,n i Hotlrcoss net.',kilo sub mat this atlid:is it indicating the.,arc(snnht all Kirk and then hue outside emir-actors must submit a nest al!Was it Itldic:alltitj such. 't mar:actors that check this h...mind attaelicd an additional sheet shoo met the nanis of the sue-conttaetors and state.ateth er or not those entities hate nnplusccs It the subcontractor,Ls,:empi,,sces.Nees must 1,,,,id,then also►cis.':.•nip.Is.:tey nunihar I um an employer that is providing worriers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company Nana:. _ _ Policy#or Self ins.Li:. =: Expiration Date:_. Job Site Address: ('etc State Lip: _ Attach a copy of the corkers'compensation policy declaration page(shosing the policy number sod expiration date). l:ailure to secure cos erage as required under NRil_c. 151 025A is a criminals tolation punishable by a line up to 51.500.00 and or one-year imprisonment,as sell as:is i1 penalties in the torn(of a STOP WORK ORDER and a tine of up to S250.(0 a day against the s tttlator. A copy of this statement niay be (liras aided to the Office of Ins estigations of the DIA tar insurance cosertetc sertlicattttn. I du hereby c' di miler the pains an en es of perjury that the information provided ahoce is ltrrue and correct Signature: [laic /��2// Phone ::- 1'/3 — 5 J0 — 3 476 (1//icau!use milt.. Do not write in this area. to be completed by city or town official ( its or Tassn: l'ern►itl.icense ri Issuing.tuttrorits (circle one): I. Board of Health 2. Building Department 3.('ity,'fosu Clerk 3. Electrical Inspector 5. Plumbing Inspector 6.Other ('unlace Person: Phone u: Initial Construction Control Document ?,1 * , . f l To be submitted with the building permit application by a Registered Design Professional 1\, It ,�,� for work per the ninth edition of the '-%►• Massachusetts State Building Code, 7S0 CMR, Section 107 Project Title: Date: 0/2_, Property Address: 32 0 ,,'t/er c5:'off ,22/ Project: Check(x)one or both as applicable: New construction )(Existing Construction Project description: I MA Registration Number: Expiration date: ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning:: Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional sen-ices and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2_ Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CUR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official Upon completion of the work,I shall submit to the building official a 'Final Construction Control Document'. Enter in the space to the right a"wet" or electronic signature and seal: Phone number: Email: Building Official Use Only Building Official Name: Permit No.: Date: Note L Indicate with an'x'project design plans.computations and specifications that you prepared or directly supervised If'other`is chosen,provide a description Version Ol 01 2013 Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. CONSTRUCTION CONTROL WAIVER From: Stalwart Builders llc 156 Bromley Rd Chester M.A 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 320 Riverside Drive Northampton M.A 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, 7.) i i11 P ° Jesse Babcock 4 (S' i 2/2V7 2-1CdJp (V9dn - S2 /7/ S2&J 0 lr ! . r , 1 2�/i/s'5 ri'� �no447/ tea/V 3;‘) 4 'CaericD/ !� S'i.a f 8/ii 1prs 1/4/% iii c�1,5/ / 6Y/7 5A Cc-r OFF /O64 Q /7C OXij ' a ZS /o iX/o•�ii ide/o'G it 0 /