23D-182 (12) BP-2024-0229
14 NONOTUCK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23D-182-001 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-2024-0229 PERMISSION IS HEREBY GRANTED TO:
Project# 2024 KITCHEN RENO Contractor: License:
Est. Cost: 300
Const.Class: Exp.Date:
JARRETT MATTHEW CURTIS&AMANDA K
Use Group: Owner: HECHT
Lot Size (sq.ft.)
JARRETT MATTHEW CURTIS&AMANDA K
Zoning: URB Applicant: HECHT
Applicant Address Phone: Insurance:
14 NONOTUCK ST
FLORENCE, MA 01062
ISSUED ON: 03/01/2024
TO PERFORM THE FOLLOWING WORK:
DRYWALL REPAIRS
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: leOwitzet444
•
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
r-I—A—E—C—EIVED
I, \-- $AAR — 1 2024 RE ��
, i The Commonwealth of Massach setts F R
Eci
• ,, 'r ".-, tNspec�-, Board of Building Regulations and any. ds F EB 9 2024 OPACITY
• �;-; �� f_?ON.Mom assachusetts State Building Code, 0 CI R U5E
Building Permit Application ir, no . - • L , sed Pfar 2011
One-or ATHOUel,LpTnr MA oWi
This Section For Official Us Qn137
Building Permit Number: Q),• Lf� .2-9 Date Applied:
L.ouls 14as bcouc ..._ /I ._-' -.1 z , I,
Building Official(Print Name) Signature to
SECTION 1:SITE INFORMATION
41111.111/1t)0016 k / UL 1.2 Assessors Map&Parcel Numbers
1.1a Is this an accepted street?yes X no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
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
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
1.11114-- FkAt-eA� ANC 14:24 C.
Name(Print) City,State,ZIP'
l'( IJovilJck Fform t_ LIl 3 q<cli Tz3 A-or)4414.0k I@.cam,l—.(oM
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition 0 Access or Bld Number of Units Other ❑ Specify:
p • \ .. .,►.' • walkl' 6- AQ.up Arc LAN SL tovi -
1!♦ts1.0. e 5 al C v. 1 re30le& t el 1,Asra, 1_ 141 % v%4\&Cr(AN
Lin"M R' F *a 4 tihep,)tJ �i a.d y U'�'^ C s I r- _,?A1 s 1441-5,
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Cost' (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees $ Ur)
Check Not-l1 Check Amoun .
;-t) 0 Paid in full 0 Outstanding Balance Due:
City of Northampton
ti
Massachusetts .,
tA1, l'ilti7 st c0j',l,1V:. f',ll
t.
-, DEPARTMENT OF BUILDING INSPECTIONS y z
212 Main Street • Municipal Building �,
--', Northampton, MA 01060 -,''
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS,
DOORS,ROOFS,RENOVATIONS,ROOF MOUNTED SOLAR,ETC.
1. 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. Construction Debris Affidavit filled out and signed by applicant.
4. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance.
6. Energy Conservation Compliance Certificate (new /replacement windows).
7. Home owner's License Exemption Form (if applicable).
8. Note any Special Permit requirements(if applicable).
9. Energy Code—all new construction (Gut/Rehab)requires a HERS RAr Affidavit .�
10. Please provide the appropriate fee in the form of a check made payable to: The City of
Northampton.
v
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
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 .0
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
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNERI OR AUTHORIZED AGENT DECLARATION
By e• ertng • name below, I hereby attest under the pains and penalties of perjury that all of the information
cont fined in thi •placation is true and accurate to the best of my knowledge and understanding.
A A
: '-etronic Signature)11111111111111111111111111.1.11111
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: r
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"
tg'N
The Commonwealth of Massachusetts
Department of Industrial Accidents
. 1,=, ,
I Congress Street,Suite 100
Boston. MA 02114-2017
wwte.inass.govidia
otters"Compensation Insurance Ailid as it:Buildersil'ontractomitleetriciansiPlo tti hers.
It)lit.FILED WITII I tit,1,ERNII 111\i; At I 110Rite'
.Annlic it fit Information Please Print Legibls
Name(ausubessiorganizawnithdradulm: _
Address:
City."StatelZip: Phone#:
Are you isis cot platy re Check the appropriate twit Type of project(required},
lip I 2111-a tillphlyer With , env:halves(fall antimpartthseek* 7 0 New construction
1.'.0 I 2111 a sok propnetor or notherstop arid have no employots working for roe ro 8. rj Remodeling
any cattaisty.[No workers'CDtrip,insuranee retitaired.]
9. fl Dettiohtttni
4040' ...7.251.I Allt it horneewricr Smog all work myself No woiliss"comp_resurairee wean-oil'
1 0 0 Building addition
I no a hataveawacr.tad vveLl he hoing contractors to owlet:et all work err my property, I will
inoure that eh eineractora either have milkers'ostivensatiort ifttleatter Or Wil.7:14.11C 1 1 1:1 Electrical repairs or additions
promiekis with no employers.
I la Plattihing Mptif'S Of additions
SO I ern a goterat contractor and I hM,'C hired the sub-eontracion,fisted on the artakthed ahem.
I 3
and 1:1Roof repairs
These subssinuactora haw employees have workers'stomp.invirrateee„.:
I 4.0 Othei
6.0 We are a einpurstroo and itA officers have exercised twit right of eseraption per Nita,c.
151.t,§1(4)..,mai we hove to attiploy .No workers'comp.Maisano:topsoil
'Any apptiems that dtkviCi bOX Al Mika to fill ott tilt'icction bckroN iboV,Mg then wortairs'itoraperissnon piens"nifitanation
'lkornmworys who submit tin affidavit tut eating they err thong A work and rhos In mini&contactors most slims a ions;affidavit rodicatrig such.
;Contractors that cheek din box moat attlefsed an ethirtiorsit sheet dune Mg the name of the subwrontractets mut an,:Whether or mot those atliEje.A,have
employee... If du:9u&i:oodrattLy,6,..ive onpi..!,,.. ,rho,mum provide their workers'Ci.YITtr,IV IP:',.marriber
1 inn on employer that is providing ovorkers'compensation insurance for MS eittployees. Below is the polity and job site
information
Insurance Company Narne.. _
Policy#or Self-ins.Lie.#: Expiration Date:
CitytStateIZip:
a y of ciw workers compensation policy declaration page(showing the policy number and expiration date),
Failure to uretirverage as required under MGL e. /52, §25A is a criminal violation punishable by a tine up tuSi,500.00 i
anti or one-year impnsoninent,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 tbr insurance
coN era rificat"
I do hereby tern 4.k Alder i ix, pains and penalties of perptry that the infOrmation provided above is trite Ifni correct.
011111 A ili NM DI IsAN2-7,C1—i
Phone#:
.. .
Official use only. Do not write in this area,to be compietea by city or town official
City or .ToAtt: PermitiLicerise#
. .
Issuing Authority(circle one): ..
I.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5,Plumbing Inspector
6.Other
Contact Person: . Phone if:
City of Northampton
Massachusetts -AM
t I,
,140
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
( 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: k2l \J \ ecyci, cs Itc,we,,,9 c ok:0
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date: GI.titi7uz_q
City of Northampton
,t f
:' Massachusetts f
zs DEPARTMENT OF BUILDING INSPECTIONS ri•
®' 212 Main Street •• Municipal Building �,� .-,'
Northampton, MA 01060 �Sd y -1,-y�\
Z IGIBILL
ikfidaja
Cgirl56
I, 4 (insert 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.R5.1.3.1, 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 seeking the aforementioned homeowners'
exemption, does not involve the field erection of manufactured buildings constructed 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 resides or intends to reside, on which
there is, or is intended to be, a one-or two-family dwelling, attached or detached structures
accessory to such use and/or farm structures. A person who constructs more than one home in
a two-year period shall not be considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I
qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of
the project or work on my parcel, I am not engaged in construction supervision in connection with any
project or work involving construction, reconstruction, alteration, repair, removal or demolition
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 with the aforementioned project or work on
my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work.
Sign' nder t', pains and penalties of perjury on this d I day of .'U k 2024.
i
,I
11
(Signa glir