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32A-047 (3) BP-2024-0111 69 MARKET ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-047-001 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-2024-0111 PERMISSION IS HEREBY GRANTED TO: Project# RENO 2024 Contractor: License: Est. Cost: 60500 DANIEL REGISH 085356 Const.Class: Exp.Date: 04/03/2025 Use Group: Owner: BRIAN KANE, Lot Size (sq.ft.) Zoning: URC Applicant: DANIEL REGISH Applicant Address Phone: Insurance: 16 NEWTON LANE 413-374-01035 HADLEY, MA 01035-3505 ISSUED ON: 04/29/2024 TO PERFORM THE FOLLOWING WORK: INTERIOR RENO, ADD BATHROOM 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: ifrP- Fees Paid: $390.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner EC The Commonwealth of Massachusetts F E B — 2 F 24 1( _ Board of Building Regulations and Standards MUNICIPALITY Massachusetts State Building Code, 780 CMR ++ n�e ,,fi EFC NS Building Permit Application To Construct,Repair, Renovate Or Dlmoli's�i-,4-,;,i , r', -1, , rr 11 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 10-- zil/ Date Applied: )c' - n .//2 y- Zq-Zazy Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers [7q /r'(Qr+eT 2, .4 Oy?- earl 1.1 a Is this an accepted street?yes )( 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 1, Private❑ Zone: Outside Flood Zone? Municipal 16 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 cvner'of Record: 15rvk.� �lc,,r�_ 14(Livilov. tJtAtet 01060 Name(Print) City,State,ZIP Cl (r\ctrk fi 3 . 71g-30 --q-i z 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) 19 Alteration(s) Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': r✓ c l o t P I c + 4dCX (;4 rL SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3 pop _ 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2. Electrical $ 13• fib- - b- ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 15 OVO- — 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: Q. — c+ Check No,�10 Check Amount:3is z 6.Total Project Cost: $ 6Q SO O-— 0 Paid in Full 0 Outstanding Balance Due: City of Northampton SH ?° < oti S`S Q •�'' Massachusetts t �' W DEPARTMENT OF BUILDING INSPECTIONS10/ 212 Main Street • Municipal Building • . .� Northampton, MA 01060 Jfh, A.: \``` 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 Rater Affidavit 10. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I C5 OBPaSC 4-I-2S D&v,.P1 J R?�tSt License Number Expiration Date Name of CSL Holder I List CSL Type(see below) l pr 1`b ,e‘,,1-p-t 1-Cc.mot,e No.and Street Type Description ec'^" o I ,(/� ,[ 0t � (U _ lnrestricted(Buildings up to 35,000 Cu.ft.) e 1t /" lJ R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding I 0 w w 1 SF Solid Fuel Burning Appliances 4 3� IN60S6 c(Oh1vt11II 0 roopkol4ZA� •cont. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC C Go �Name or I�IC Registrant Name t_���Z Q 3 rY�A,1 1 W ro-, uiC �"- pvtKYLft901� ) .co.', No.and s ,s y t hf,4- b lO 3 S ti(3 374 GOS'6 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 P�.4,e I ey t 3 L • to act on my behalf,in all matters relative to work authorized by this building permit application. 'c3r,c.d., 14,„..e_____ 1114 tvi Print Owner's Name(Electronic Signature) ate 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 con . ed in this application is true and accurate to the best of my knowledge and understanding. IL 5 \ 14 / / Print Owner's or Authorized Agent's Name(Electronic Signature) ate 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" r The Commonwealth of Massachusetts �K Department of Industrial Accidents ��� r, I Congress Street.Suite 100 Boston,ffle Nir MA 0211 d-2017 "��'' www.mass.gor/dia S%urleers'Compensation Insurance Mikis%it:Buddersl('ontractorsfElectricianslPlumbers. 'It)BE IU J.l)W1I II THE PERtiI FlIMG Al 1•IU)Rfl't. Applicant Information Please Print l.eteiblt T. Name(Husincss.Organization Indic tibial is ' C:t4 `- .._._1 -e 9 iS / Address: l G k\sz-t,/diet I—owl.e City/State.'Zip: (44 /'44 0103 S _ Phone #: ['{ 13 27 Go S'6 Air you an cmpldo re!(..irk the appropriate tow Type of project(required): 1.0 I...,a employ cr with employees ttoll and or part-time l' 7. CI New construction I am a sole peoprpoor us punnersltip and hate no employees Working tor me in 8. Remodeling ails capacity.[No workers'comp.insurance nywred_l 9. Demolition +.D I am a lrontcov.ttet doing all work myself.(No workm'coop.itewrance requited.]" 4.0 I am a homeowner and will be hiring euntradors to conduct aft work on my property. I will 10 O Budding addition homeownerro siwure that all edntaracton either hat►woaken'compensation inuranct or are sok Li.0 Electrical repairs or additions pruptutunwith no crupiuyccs. 12.0 Plumbing repairs or additions 50 I am a general contractor and 1 hate hired the adreuniracton listed on the attached shed. These subcontractors late employees and hate workers' comp.insance_• 13 Roof repairs t..�We arc a corporation and its officers hate exercise)their right•ht of14. Odic*orpw.r exemption per.lN(iL c. 152.51(4).and we hate no employees.[No workers'comp.insurance required.) 'Any applicant that checks box trl mutt also fill out the section below showing their workers'compensation whey rut..rtnation. 'If... u:owmts soh..submit this affsFatrt indicating they are doing all work and then titre outside wonmso suhnnt a new affidavit indicting such. :t•ontracton that check this box must attae•li d an additional sheet show nng the name ot the sul►nrntraetorsand state tt hcahcr or not those entities hate employees. lithe sub-coats-tort hate erttployees.they must pro%ode their workers'comp_p s'h..y number_ l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy 4 or Self-ins.Lie.4: _.. Expiration Date: Job Site Address: City..+'State.Zip: Attach a copy of the workers'compensation policy declaration page(showing the polio number and expiration date). Failure to secure coverage as required under bkiL c. 152.*25A is a criminal violation punishable by a fine up to S I.500.00 and'or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalt'es of perjury that the information provided above is true and correct • Signature: ye,.....,..;-..t _ Pp/ Date: Phone . ti t 3 3 7'4 (©Sr, Ofcial use only. Do not write in this area.to be completed by city or town ofcial City or Town: Permit/License a Issuing Authority (circle one): I. Board of Ileahh 2.Building Department 3.CihfI-own Clerk 4.Eketrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ACC:0RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/15/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE IWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Collette Busser Encharter-MA PHONE (800)675-6695 FAX (800)754-1602 (A/C,No,Exit (AC.No): Encharter Insurance LLC E-MAIL cbusser@enchartercom ADDRESS: 25 University Drive INSIRER(S)AFFORDING COVERAGE NAIL Amherst MA 01002 INSURER A: Arbella Mutual Insurance Co 17000 INSURED INSURER B: Dan Regish INSURER C: 16 Newton Lane INSURERD: INSURER E: Hadley MA 01035-3505 ISt3RER F COVERAGES CERTIFICATE NUMBER Master Exp 3-2024 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD INVD POLICY NUrMI3ER (YIYDOJYYYY) po jDONYYVID LIMITS X COMMERCIAL GENERAL UIBUJTY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR PREMISES(EaAMAGE-TEo�ccurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 9520116378 03/25/2023 03/25/2024 PERSONAL BADVINJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG $ OTHER Cyber Coverage S 25,000 AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S $ WORKERS COMPENSATIONteRTH- AND EMPLOYERS'LIABILITY Y/N SSTTA llrE ANY PROPRIETOR/PARTNER/EXECUTIVE N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY UNIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached I more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE t--0 ©1988-2015 ACORD CORPORATION. All rights reserved. City of Northampton Massachusetts �4.? c'<<. { '4. Lu c R + DEPARTMENT OF BUILDING INSPECTIONS 1. ;4', 212 Main Street • Municipal Building vh OD Northampton, MA 01060 'rslh, 310' 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: 140 i „w ; �,41 V'(�I `� ['el d ` r ) The debris will be transported by: Name of Hauler: 0-S. A . LJA s + {' Signature of Applicant: .YC ,�C_ Date: I '01 '7' 2 'I City of Northampton ?Dat H*4,�0h ,,S •. .... S C \ I i _, 1 Massachusetts ,9 'e G I 6£ A. u. r. . 4 14... DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street • Municipal Building �,, Ca, Northampton, MA 01060 J'TNh, \,\�\ HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (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 1 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. Signed under the pains and penalties of perjury on this day of , 20_. (Signature) 0 1 20' 3 5/8" ► 4—,( S 1 t c e I tYvt) r e-r'Yl.i1 C c' i't1 11;15 • Supportniiiiiim 8' 1 5/8" C) a s\i N c� 0 9' 1" 0 ti 0 49' 3" 0. 110' 2" ► 23' 5" 111 _ 1 „ I2, _ 5„ BACK � r Q c it 0 1 L L. 0) � � M tr r 15' 8" 23' - 8„ iTCHEN 2/8/24, 7:13 AM 20240206_133229.jpg y.06 • rt • • 1 https://mail.google.com/mail/u/1/#inbox/FMfcgzGxRdtjkWzXHCQCgcBMDwZPZLkB?projector=1&messagePartld=0.1 1/2 Add e.11 AsVwgwYedbw • 22-4' GENERAL NOTES 5 2lu„._ S-75/16- 4-e 3/e- 6-374' 5,,- n 111111111111 Pad EdBebg Wa1 ro 2x6 I xwwee W/Raa.da Project consists df: 11111111111111111 _ -Demolition of existing A Interior partitions ' • + 1 •—�� —---- — -Pad east ekvaYidn to • �. 2x6 ex add new awning WlndoWs ':1 I I II and insulate w/rockwool -Sleepers to kvel crock g door I asaRoar+ BEDRoar+ - - anw new 2x41nterlor partitions 70 v7/B- 4 l', tt 75/a for 2 bedrooms,living room, bathroom and laundry room. till —'lambing and Electrical by others / , �o iP �., ►� I �� 6 No. REN CNASSUE DATO • Exrenee 2,4 Wa1 11 I ExWbg-No the gee �I li 1-1 iI , :... 41 I11 L.VING ORUNT/MON STA, il .. Qep a 24 roo om, :W/Nrei 2x10 IIII� 11 1 itI- I1 Roon Ewenor 4x4 Woe Esang-No Chmg es . e+ arnf....ra Aii . . and vur I N NACadsoft® s 1r-10- 1t-rr 5 ,:• Dan Reg o1o9sish 2T-4' MUMS'MIA Re—Model&New Bath antag 11ctni 69 Market St. No Changes Northampton MA I "a"' Brian Kane DeAMx.. =AL.E:VI'=td j14'11AV0/A24 DIM"w: S.C. Jo. OMD?E.3BY: gSq'ED l Y Ai eAPPROVeD BY Wit( City ofN ton Louis Hasbrouck<Iasbrouck@northamptonma.gov> 69 Market Street 1 message Louis Hasbrouck<lhasbrouck@northamptonma.gov> Fri, Mar 1, 2024 at 2:28 PM To: donnybrookplaza@gmail.com Cc: Kevin Ross<kross@northamptonma.gov>, Kim Carson<kcarson@northamptonma.gov> Mr. Regish' I'm going through our building permit applications.We haven't yet received updated plans for the project at 69 Market Street. Is this still an active project? Let us know.Thanks. Louis Hasbrouck Intermittent Building Inspector City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax