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23A-134 (30) BP-2024-1595 77 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-134-001 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-2024-1595 PERMISSION IS HEREBY GRANTED TO: Project# CABINETS 2024 Contractor: License: Est.Cost: 44500 VALLEY HOME 077279 Const.Class: Exp.Date:06/21/2026 Use Group: Owner: HILL INSTITUTE Lot Size (sq.ft.) Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: insurance: P O BOX 60627 (413)584-7522 6H62301-1 FLORENCE, MA 01062 ISSUED ON: 12/12/2024 TO PERFORM THE FOLLOWING WORK: INSTALL STORAGE CABINETS, ADD GLASS DOOR AND PARTITION WALL -EXIT SIGN POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Scrs ice: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway 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: !�/ J F_ Fees Paid: $333.75 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / ; 7-7 The Commonwealth of Massa husetts 3 2O24 Vii4.1J, Office of Public Safety and inspec ors Massachusetts State Building Code(780 CM z+a Building Permit Application for any Building other than a One-or Two- eljAling (This Section For Official Use Only) Building Pennit Number? /595 I Date Applied: I Building Official: _ SECTION 1:LOCATION AS Purr $k. �tca�rc_t- c.e QPr- �lQlsz2. ��t�—T��f,�}at.z s No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here Cl or check all that apply in the two rows below Existing Building Repair 0 Alteration RI Addition 0 Demolition 0 (Please till out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes jB No 0 Is an independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Description of Proposed Work: 22' LF L til)0 A — CAB N L � �U✓1 L O1 g IA) Ns lrn L t, - L K - _s 16A) RA l/r _ Ake:A ,Mrs - 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 C.Wt 34) 0 Existing UseGroup(s): ____....,...,._-_ Proposed UseGroup(s): _.._._._....__ SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2 0 Nightclub 0 A-3 0 A-4 0 A-3❑ I B: Business 0 I E: Educational 0 F: Factory F-1 0 F2 0 1 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional i-I❑ 1-2 0 1-3 0 1-4❑ M: Mercantile O R: Residential R-ID R-2❑ R-3 0 R-4 0 S: Storage S-1 ❑ S?0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 HA 0 iIB0 I iilAC IiIB0 IV I VA VB 0 SECTION 7:SITE INFORMATION(refer to'780 CMR R 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Removal: A trench will not be Licensed Disposal Site 0 Public 0 Check if outside Flood Zone 0 Indicate municipal 0 j f ii�ate❑ or indentify Zone: nr on site system❑ l required CI or trench or specify permit is enclosed 0 Railroad right-of-way: Hazards to Mr Navigation: )vlA Historic Commission Review rro rt...: Not Applicable 0 Is Structure within airport approach area? is their review completed? or Consent to Build enclosed 0 Yes❑ or No 0 Yms 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY I d i t j m i of Code:_, Use Group(s): __. Type of Construction: I the building contain an sprinkler System?: __Special Stipulations: t\curtail, Load per Hour and Assembly space: Fdrtt t SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Ml 3,r,ckt S 3 Picvt, 6- 'Flovet-x_42... O I Ofp 2 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: (645 lea yt3.5B1_ naT - - Title Telephone No. (business) Telephone No. (cell) e-mail address If a usable,the pro erty owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act un theproperty 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.tt.of enclosed space and/or not under Construction Control then check here O. Otliertv iNe provide cun.tructio t control torten(sett section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control (the professional cuurdinating document submittals) ' Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Company_ me Name of Person Re.petn.ible fur Construction license No. and Type if Applicable i2.()( 02(-1 (00[O2"7 f tckcs— 011_ 0 1002-- Street Address City/Town !st,,tt• lily Telephone No.(business) Telephone No.tell) e-mail 1 i Tress SECTION 11:WORKERS'COMPENSATION INSt.R.1\. IU.)AVt I (M.G.L c.152.§25C(6) A Worker~'t.'untpensalion Insurance Affidavit from the MA Department of Industrial Accidents must be con,l,letrtl 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 IX No D SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=S 1. Building 9 CVO Building Permit Fee=Total Construe n t {Inrre 2.Electrical S 21 506 appropriate municipal f tor) 33 3•-/ 3. Plumbing S 3 1 4-lj(I { , 4. Mechanical (HVAC) $ Note:Minimum fee=$ coot a ity) 3. Mechanical (Other) $ Enclose check payable to 6. Total Cost $ leYI 54 b (contact municipality)and write check number here //a`lf(! 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 ac.curate to the best of m wlcdge nt. crstanding. Sr fr M Sib Ua 'n) b eci '- l. -- _..__ -__— . . aI Please print and sign name "Title 'I elephone xlo. Date Street Address City/'linen State Zip Email Address Municipal Imtprctur to fill nut this section upon application approval: /�/j< /2-/2 2oZy Name Date City of Northampton Massachusetts w } r1 • DEPARTMENT OF BUILDING INSPECTIONS SI 212 Main Street • Municipal Building Northampton, MA 01060 :,y 3. .i%s 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: Vk CA-C8CIa.,A The debris will be transported by: Name of Hauler: \ �J- .P "' Signature of Applicant: /4/ Date: 1k 12S\2-y .X •• The.•Commonwealth of:llassachusetts Departnlc'nt of Industrial.-1 ec•idents 1 Congress Street,Suite 100 • Boston, .tit.-# 02114-201 ►ss► ir.mass,gas•rrtlia 11 inter.•t .112spr trvai inn Ensur.►act-.LSlid it: 13tfiltlCrl t untractors k.lt:ttritian.l'11►mite h. IO BE FHA...1)11II11 IIf£ Pk.RN1111-INC.*.t IHIO111t1. \pltlirant Iufurrtt:lti,tn 1 � .-�- Please Print 1.i^i7bl. \jffie;Li t+s:.r>(l' J,i:�J!r.•n 1.12. V,1�.1` TDU �mp/(��e.. L.l- C Address: -(J. tQUcD a7 �..1 o‘U to2_ City State.Zip: '-lQrexY...,C. 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I ant an employer that pruriding N'errAer►'rl.nipestaaIis n inanrance for net erl,lot era. Belo,,i. the policy and juh site information. I:1.er./n:a(trtr t 7•t-ins L ( lQa3v�. - I:,rtralto D,i:c: 2.1 .14.41 Site Pt�'.ti� •• - $3 vL Vs. -• __-_--_CIt, Lip,.t.lcxerICIL_ m o o(02- attach a cup) of the workers'compensation pulie, declaration pit'(shim ing the policy number and expiration date). F:ntl:ls: to ac:art:ila\er.rp.:J> 1-cs sied unJe .1t;L L. t... :25A :'.S►r?:::1:i.! :is.. .t:Va r alil> :1i+�C sr. d :f::L• up Ii's i.5f).Lr 11 ili1J lai.4.*-1►3r lit:p rz.t'c.ssiit.,J., :ai.11 Fa1 'Jlttc, at,ls. I1r71if lr:J STOP tt•(.sRK ORDER,r::.l J :Is,:ut .a'u%S2 314)2 131� :1•_,11:1M I7C l;l`!Jtor..t ct'p this s1Jtcfllict lii.l♦ C,ti a,f•s src..J:. '.l:i I)tt:c:Oi Uf the h1A !"or inNur'J:s.t co%t rai:\Cltlsatlaln. I do hereby certify render th p s land penalties perjtt • nfarmatian provided abate is true and correct. : it las 12,E Plicath ::: L'`4?4- O ficial ta.only. Du not write in this area.ldt be itntpletel by city or them etfliciat ( its or Tits is: I'tnssit Limn,: n Issuing authurit (circle une): I. liaard of Ileahh 2. 13niIdint;llclrlrtml•nt 3.('its•l"nmsn Clerk •t. t•iritrirai Impectur 5, Pttntibing In,hrcIur h.Other • tuNtaCl F't'tr►ttt: ltt+tt+t+. t; ...... _ ._ ._ ....._ _ ...._...__.... .-.... I CONSTRUCTION CONTROL WAIVER From: V k1 1��(-ly r pfz0va t/C, l / � To: 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 43 P N E S1p - - F L 0it'EYv C 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, I - 11-- ID' S rtvgyv S i L iErz yj vii0 V TA/6