29-200 (7) BP-2022-1652
47 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-200-001 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-2022-1652 PERMISSION IS HEREBY GRANTED TO:
Project# ADD WINDOW 2022 Contractor: License:
Est. Cost: 1700 ALLEN GUIEL CS-054248
Const.Class: Exp.Date: 04/12/2024
Use Group: Owner: M. MCNEIL, RICHARD
Lot Size (sq.ft.)
Zoning: WSP Applicant: GUIEL CONSTRUCTION
Applicant Address Phone: Insurance:
63 CHESTERFIELD RD 412-268-9200 6S6OUB-9F66069
WILLIAMSBURG, MA 01096
ISSUED ON: 12/29/2022
TO PERFORM THE FOLLOWING WORK:
ADD WINDOW
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: (P
•
YU
Fees Paid: $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
x
(
_._ e0,-19 The Commonwealth of MassachusettsIt FOR
Board of Building Regulations and Standards
�,`1 i, -. MUNICIPALITY
,; , Massachusetts State Building Code, 780 CMR USE
Building Peiit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 19 .3 ` ICi 6-)- Date Applied:
leN,� / _____ /Z-Z9.zoz-z
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address:/ 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Cot 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:
Zone: _ Outside Flood Zone?
Publicrivate❑ Check if yes❑ Municipal Isite disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ovyn yer'of Record, ,� �
0VICk flic f24i / f/olel/-7(_ -P` g7
l_ Nam `
e Prmt) City,State,ZIP
/1 7 0 v-eA)0 4 01'i/e -/(3 33S-75 y y ./ i G% 62-/0 GO r, c d'rN
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) 0 Addition 0
Demolition Uil Accessory Bldg.0 Number of Units Other 0 Specify: WINDOW
Brief Description of Proposed Work2: ADD ONE NEW WINDOW AT NEW LOCATION,GABLE END OF HOUSE.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $$1,700 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire
Suppression) $ Total All Fees: $ /70
Check No.(a 13 Check Amount:
6.Total Project Cost: $$1,700 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 054245 04/12/2024
ALLEN GUIEL License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
63 CHESTERFIELD ROAD
No.and Street Type Description
WILLIAMSBURG,MA 01096 U Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,State,ZIP R Restricted I&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413 348 9154 allen@guiel.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 104444 07/13/2024
ALLEN gUIEL HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
63 CHESTERFIELD ROAD allen@guiel.com
No.and Street Email address
WILLIAMSBURG,MA 01096 413 348 9154
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 121 No ❑
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 ALLEN GUIEL
to act on behalf,in all ma ative to work authorized by this building permit application.
P nt Owner's Name( lectronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pain and penalties of perjury that all of the information
contained in this application is e d accur.A o the be o y knowledge and understanding.
ALLEN GUIEL ` NOVEMBER 2,2022
Print Owner's or Authorized Agent's a(Electronic gnature 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,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"
City of Northampton
irM \� t!.
"' ; Massachusetts �? Y
DEPARTMENT OF BUILDING INSPECTIONS 7,
212 Main Street • Municipal Building ,`
�... Northampton, MA 01060 '3'!-;, v
I%\
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:
‘C)Location of Facility: A L\�'� i ) 0-(4w,kkiA»A
y � �
The debris will be transported by:
Name of Hauler: CO-Q.-
Signature of Applicant: Date: 12 v�
The Commonwealth of Massachusetts
c*rima 1. Department of Industrial Accidents
• _=z►= 1 Congress Street, Suite 100
-ir=.4,{_ Boston,MA 02114-2017
, www mass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Business/Organization Name:Guiel Construction
Address:63 Chesterfield Road
City/State/Zip:Williamsburg, MA 01096 Phone#:413 268 9200
Are you an employer?Check the appropriate box: Business Type(required):
1.El I am a employer with 2 employees(full and/ 5. 0 Retail
or part-time).* 6. ORestaurant/Bar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.)
employees working for me in any capacity.
[No workers'comp.insurance required] 8. El Non-profit
3.❑ We are a corporation and its officers have exercised 9. 0 Entertainment
their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing
no employees. [No workers' comp.insurance required]** 11.0 Health Care
4.0 We are a non-profit organization,staffed by volunteers, 12.0 Other Building and Remodeling
with no employees. [No workers' comp.insurance req.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name: Hartford Underwriters Insurance Co
Insurer's Address: PO Box 4614
City/State/Zip: Buffalo, NY 14240-4614
Policy#or Self-ins. Lic.# 6S60UB-9F66069-2-22 Expiration Date:04/27/23
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby c. `� under th ins an p nalties of perjury that the information provided above is true and correct
Signature: 11�` \ _.}•..KA, Date: `)". 7b r d
Phone#:413 289 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.Licensing Board 5.Selectmen's Office
6.Other
Contact Person: Phone#:
www.mass.gov/dia
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Mail NNW Hi Allen.I will need a simple drawing showing the location of the window and what room it will ble in.I will also need the U-fac
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Thanks and Happy New Year,
Labels Allen Guiel
Guiel Construction
413 348 9154 cell
413 268 9200 office
csl 054248
reg 104444
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