36-414 BP-2024-1413
git BUR BS PIITI RD LOT 1 COMMONWEALTH OF MASSACHUSETTS
36-14-001 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-2024-1413 PERMISSION IS HEREBY GRANTED TO:
Project# FOUNDATION 2024 Contractor: License:
Est. Cost: 14000 SUNWOOD BUILDERS 065400
Const.Class: Exp.Date: 06/25/2026
Use Group: Owner: SUNWOD BUILDERS
Lot Size (sq.ft.)
Zoning: Applicant: SUNWOOD BUILDERS
Applicant Address Pie: Insurance:
84 POTWINE LN (413)259-1000 WMZ80080056582023
AMHERST,MA 01002
ISSUED ON: 11/04/2024
TO PERFORM THE FOLLOWING WORK:
FOUNDATION ONLY
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 Drivcnay Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: itft
Fees Paid: $150.00
•
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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►5► iota OCT 2 4 2024
IL, The Commonwealth of Massachusetts
Board of Building Regulations and Sta dar FOR
W
PT OF BUILD/NC INSa rz Massachusetts State Building Code, 78 C NORTHAMPTON,MA0106p USFCIPALITY
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised liar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Buildin Permit Number: 6%2 -Y. I ci( 3 Datete Applied:
/`�v 5
' ) /f //%2 ll-Li-ZOZy
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.22ssessors Map& Parcel Numbers
Lot 1 Burts Pit Road 414
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
SR Residential 12,013 100
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
100 150 100
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 13 Private 0 Zone.• — Outside Flood Zone? Municipal Q On site disposal system 0
Check if yesll
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sunwood Development Corp Amherst MA. 01002
Name(Print) City,State,ZIP
84 Potwine In. 413-259-1000 sunwood@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction R Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Foundation Only
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 12,000 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2,000 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total Al14G
Check N 150.00
Check Amount: I Cash Amount:
6.Total Project Cost: $ 14,000 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 065400 6/25/26
Shaul Perry License Number Expiration Date
Name of CSL Holder
84 Potwine In. List CSL Type(see below) U
No.and Street Type Description
Amherst MA. 01002 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted I&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 . I 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:OWNER'OR AUTHORIZED AGENT DECLARATION
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 the best of my knowledge and understanding.
Shaul Perry 10/22/24
Print 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,fmished 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"