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24C-157 (13)
36 ARLINGTON ST BP-2021-1030 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24C- 157 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2021-1030 Project# JS-2021-000718 Est.Cost: $223000.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALLEN GUIEL 054248 Lot Size(sq.ft.): 11804.76 Owner: CHRABASCZ MARK Zoning: URB(100)/ Applicant: ALLEN GUIEL AT: 36 ARLINGTON ST Applicant Address: Phone: Iusuranee: 63 CHESTERFIELD RD' (413) 268-9200 () WC WILLIAMSBURGMA01096 ISSUED ON:3/22/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:COMPLETE HOUSE RENO 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. / 2 r Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 3/22/2021 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards MUNICIPALITY Massachusetts State Building Code, 780 CMR FOR USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling �f This Section For Official Use Only Building Permit Number: b/"`a -. too Date Appl. d: I. ; r ► , ►. • sa a Building Official(Print Name) I Signature I Da SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1.1a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: URB Smite wltly /WV' nOLI I IC Zoning District Propos d Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided /01 (0.5' 15' 33`i LIB' la` 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public IA Private 0 Zone: _ Outside Flood Zone? Municipal 91 On site disposal system 0 Check if yes$t SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: /1/lark Chkkba5cz /&xvrtL 6re`oU A)t( i ii 1v'tI AA ctOt b Name(Print) City,State,ZIP /6 /la l dill �oael il13-L(55--73gb f114400 cheesemkiklg,efoksi No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 0 Repairs(s) 0 Alteration(s) Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work2: (cii pteilt9v1 ef- D✓lle.e.4f house rev(6V�l.f1ct1te t f1(l 1'14itd' tk, ! A-C, (n041111, elerµ'I Ca(, miolakdh, C1 ryivall, kifett.ert, ba i , 4t tvl91 by htvtc.{ wo k/ winco S J SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ,)Di 000 1. Building Permit Fee: $ Indicate how fee is determined: i 0 Standard City/Town Application Fee 2.Electrical $ 33 me 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 0191 000 2. Other Fees: $ 4. Mechanical (HVAC) $ 35 pop List: 5. Mechanical (Fire u Suppression) $ -//000 Total All FAheck i\i6° Check No. Amount: Cash Amount: 6.Total Project Cost: $ �� 000 ❑Paid in Ful Full 0 Outstanding Balance Due: I Con frit Cle-2-Y C� /7 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Su rvisor License(CSL) osy a(I s oy • 2- • a a. A 6 l 41)1.42, License Number Expiration Date Name of CSL ol OClams X )-e1� p d List CSL Type(see below) No.and Street Type Description W 1 ` ,``\1,�`, /� of ,w U Unrestricted(Buildings up to 35,000 cu.ft.) ` W7 /d ((� R Restricted 1&2 Family Dwelling City/Town,State.ZIP M Masonry RC Roofing Covering WS Window and Siding //�� SF Solid Fuel Burning Appliances 47, 39 Q 1 icI) C J\"Zvi eu\.e(• `-wv I Insulation Telephone Enthil address D Demolition 5.2 ilegistered Home Im rovement Contractor(HIC) I V�U y "7 , I ? as 11,k'll U ) HICRegistration Number Expiration Date te HIC Com y N me HICe ragt Name 6 Gst-Qr ‘�R 11 'i tIo.sarnil Street mail address WI 1‘1Z14/19 1-)Q't ii6i. oio96 t)r; &0q/c-Li City/Town,State,A41P 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 4/tell 4U/—Q I to act on my behalf,in all matters relative to work authorized by this building permit application. /r Am L 604462 ' I a` Print Owner's Name(Electronic Signa e) 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 ap lication i. e and ac•)111ate to the .-- of my knowledge and understanding. 0\ .All-e� 64-e3 , JV • a I 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 p anned,provide the information below: Total floor area(sq. ft.) G 3 (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) )o at.� Habitable room count 7 Number of fireplaces --$— Number of bedrooms 3 Number of bathrooms Number of half/baths 1 Type of heating system 201 'Z i vt i SQ) Number of decks/porches 1 Type of cooling system M Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton �yYN M_ Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yJIkr b ♦CD` Northampton, MA 01060 SN an‘'N` 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: Ct5-el p4 The debris will be transported by: Name of Hauler: 1/ c')..)-� 4.4.)C,L1\A 7 Signature of Applicant: Date: j� ��' 21 The Commonwealth of Massachusetts "'— Department of Industrial Accidents MINIM 511111MM. ?,�►_ I Congress Street, Suite 100 _ a Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Allen Guiel Address:63 Chesterfield Road City/State/Zip:Williamsburg, MA 01096 Phone #:413 268 9200 Are you an employer?Check the appropriate box: Type of project(required): 1.12 I am a employer with 2 employees(full and/or part-time).' 7. ❑ New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑✓ Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doingall work myself. 9. El Demolition y [No workers'comp.insurance required.] 10❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.❑ROOf repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'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: Hartford Underwriters Insurance Co Policy#or Self-ins.Lic.#:6S6OUB-9F66069-2-20 Expiration Date:04-27-21 Job Site Address:36 Arlington Street City/State/Zip: Northampton, MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verif ation. I do hereby c nder t ains and !ties of perjury that the information provided above is true and correct. Signature: Date: / " a \ Phone#:413 268 9200 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: s 56. AA ° w v 1 >>S.5°, O v In h E. Z N P (T r CO ERIC H. AND LISA A. SANDERS w MARK R. CHRABASCZ CO BOOK 10855, PAGE 82 AND SARAH A. CARROLL o ;n BOOK 13499, PAGE 239 q 'i N_ _ 34.3' *II rn V —-L-7 in v) I I 41.6' dwelling #36 43.0' BARRY D. AND DEENA E. SARVET BOOK PAGE 133 zzZ rt PLAN BOOK 67, PAGE 68 I CURVE NOT TANGENT LOT #2 33.8' 7 J AT THIS POINT ix ix _ n 0 0 99.73' N 36'02'03" E 98ao. .21' =• 17.26 — — R=80.00 PLAN OF LAND IN ARLINGTON STREET NORTHAMPTON, MASSACHUSETTS PREPARED FOR MARK R. CHRABASCZ & SARAH A. CARROLL .oN Cf"As SCALE: 1"=20' APRIL 10, 2020 �"� LEGEND RANDAU. HAROLD L. EATON AND ASSOCIATES, INC. E. REGISTERED PROFESSIONAL LAND SURVEYORS u IZER u, 235 RUSSELL STREET - HADLEY - MASSACHUSETTS i35032 0 FOUND IRON PIN �� 413-584-7599 413-585-5976 (fax) "°sum/E.+`� • REBAR SET email - hleaton®aol.com A UNMARKED POINT 0' 20' 40' 60' � 1 Second Floor 896 sg ft Bedroom l'' In16'-6 1/2" r , ____,, , , .� _ 1 b'-2., i' .fl in in 10' Laundry/closet _WILL Master I I -__ — �� _Bath ± i 8'-10 3/8" — - - - Bedroom 7'-?5/8" - - a- oe,® (1) © U IV-- W F DN oii in - — Full Ba do r it v hLa ION, 9'-11 1/2" i 13'-0 1/2" 1 m D , 1 o - Bedroom0 l 1r.� 1 I -<------ 6'-6 13/16" I �I 0 0 , - Main Floor 896 sq ft Kitchen/dining 1 I T �r, s l b'-6 1/2" d 1 IF- - 'L _ ___ _I I 1 Zo- II 1 u Zr I °I- E I ill6 1 Jiiil ICI ICI 1 1 I. h:: I I u i I lir - - - -1 I — I IIL _ _ _ J I Living room - iii to °n _ 1 — „ Y 17'-61/16" _cy vI, Half Bath t II II Zo II ZZ`V SCINee.vkeok zo Mudroom L ; ii- —UP Po r'CV 1 L 6'-101/2" T co:3 T-1 1/2" 9 i Entry in 1 _ r. C' 111 Basement 840Sgft UP 1 A 4111W. Home Office � I r Q 9 , in V 1 0---Al 15'- 1 1/16" 40 6'-1 1/2" , - 2'-&1",. 11 ' rn m 1--- Ic 1-4" , -' — -- ZO Propose Full Bazoath _ -� ji 1< 1 T-2 1/2" zo . ,) = StorageIT r 6-4 1/2" 4 c) ..‹--- 3' Storage I I' - in 2 d' ZO Utility 7'-8 9/16" EP n " " , Ni