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24C-176
BP-2024-0582 177 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-176-001 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-2024-0582 PERMISSION IS HEREBY GRANTED TO: Project# RENO/ADD BATH 2024 Contractor: License: Est.Cost: 67000 RICHARD RIVET 080106 Const.Class: Exp.Date:06/24/2025 Use Group: Owner: CHENEVERT PROPERTIES Lot Size(sq.ft.) Zoning: URB Applicant: RICHARD RIVET Applicant Address Phone: Insurance: 209 PROSPECT ST (413)885-2852 CHICOPEE,MA 01013 ISSUED ON: 05/14/2024 TO PERFORM THE FOLLOWING WORK: KITCHEN AND BATH RENO, REPAIR PORCHES,ADD BATH 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: /77"2. Fees Paid: $436.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner . . fibur pail %7 t A- / 'r` 41AY - 02 +. & ' The Commonwealth of Massachusetts • Vp • _ _Boa 4d of Building Regulations and Standards FOR ' �� U �.,- "' chusetts State BuildingCode,780 CMR MUNICIPALITY ,• 7 ;;;;; USE Building P r nitApplic:ation To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 4O- -c/-S 83— Date Applied: , evil-0n 42' 5- 1y-zz4/ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers / 77 C,re d)ce — S q— 2-cii I7 I.1 a Is this an accepted street?yes to, 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: Zone: Outside Flood Zone? Public' Private El _ Check ifye ' Municipal El On site disposal system f SECTION 2: PROPERTY OWNERSHIP' 2.1 ` nner o eCe u C r 1 pc �1 5 �\'1 f\e:V 2 r 1 iti�`P rfll`)P j Name(Print) City,State,ZIP C(rh�l 6Pin ep \ ii4x1 (4 (3 aq-&F)5- N .an Street nirz (21c?G Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building Owner-Occupied 0 Repairs(s) 0 Alteration(s Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Descriptin of Proposed Work2: rtLm exYervi< o F ‘40 vAlc e1rc-,_i << t rCher'1 N e W ' di-. S, V?1 ) R.eel tv Pb ,�c�,4'5 1 T7 IA -�� N t RoO SdTI 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3 O tod 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ j ii I �V� 0 Standard City/Town Application Fee 5-2)1 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 1 S I IOU 0 2. Other Fees: S 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ 1L� i Suppression) Total All Fe�sl X J le Che k No.6 Check Amount: Cash Amount: 6.Total Project Cost: $6 7 , O 0 0 0 Paid in Full 0 Outstanding Balance Due: emttd - 41(f rc. 207 e cfek H _, . SECTION 5: CONSTRUCTION SERVICES 5.1 '4 c1-64 nstruction Supervisor License(CSL) 6 V� ti -G> License NA r Expiration Date Nate of CSL 1 ��+1 ^ 01 �/n�U 47 � �C ' List CSL Type(see below) Li No.and Street Type Description > • ? Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwelling ity/To ,Sta ,Z M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Q/f 7 --fCr%< �j;a t 1I F'_I(.>err erejrut� I Insulation Telephone Email address D Demolition 5.2 Registered po rovement ontractor(HIC) (� ( /) ,s//)5 .(.�V`�` L e V* ? L HIC Registration Nu ber El iration Date Hompany Name or egi ame 90 cT -1"--- AL(ri r e.20 1 4-141ta,.Corv\ No. d Street Email ad Na •\ t.O P plk o ity`3.� 5-5-.1_ 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 1,as Owner of the subject property,hereby authorize R\C CV-C1 \\/T to act on my behalf,in all matters relative to work authorized by this building permit application. Co tr k`1 C AeN E" V E (ZT 5- ci - a / 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. 1". ‘c a.� 7-,k- veF 4--- `�' - -9y Print Owners or Authorized Agents 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.) i 3 d v (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count ' a Number of fireplaces Q Number of bedrooms --4 Number of bathrooms V t. 5 Number of half/baths I Type of heating system Number of decks/porches '1. Type of cooling system r 0 Enclosed Open ......•""*" 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ' 0 0 (!;) Mass.gov Office of Consumer Affairs and Business Regulation (OCABR HIC Registration Complaints Registration # 156493 Registrant Richard Rivet Name RICHARD RIVET Address 209 Prospect Street City, State Zip Chicopee, MA 01013 Expiration Date 07/11/2025 ` , Complaints Details No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search Site Policies Contact Us © 2018 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. Licensee Details Demographic Information Full Name: RICHARD A RIVET Owner Name: License Address Information 'City: CHICOPEE State: MA Zipcode: 01021 Country: United States License Information License No: CS-080106 License Type: Construction Super vlsor Profession: Building Licenses Date of Last Renewal: 6/14/2023 Issue Date: 6/24/2011 Expiration Date: 6/24/2025 License Status: Active Today's Date: 5/9/2024 Secondary License Type: Doing Business As: Status Change Reason: License Renewal (Prerequisite Information No Prerequisite Information No Available Documents City of Northampton "°`,.#._ y' Massachusetts rd`--`- sf,c' 1!, ..t f �Y It DEPARTMENT OF BUILDING INSPECTIONS 3' '. 1'jd° 212 Main Street • Municipal Building �,+., r�,1� ,o�. - `r._� 0 Northampton, MA 01060 4 � CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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: U5 A \--ke—le ()Li The debris will be transported by: Name of Hauler: V� A \ \pr G.Ltrvc), i ofApplicant: / Date: c 2 y _____ Signature .,��/ ►_ The Commonwealth of Massachusetts .. -` : d Department of Industrial Accidents t: _e= 1 Congress Street,Suite 100 :f ci_s. Boston, MA 02114-2017 � ,�1 --. s w,, ww mass.gov/dia ll u»-leers' Compensation Insurance Affidavit: BuilderslCodtr etonr,/Electrklaas/Plutnbers. TO BE PILED Wfl'N THE PERMITTING AUTHORITY. Applicant Information Please Print Lceibh /j Name i t3tuus:ss'Orgnninition.7ndividosl): ,(lLQY 6 ,,,,T-/76-7 ,,,_ m / r Address: nC 5 �l t C'ity/StateiZip: 610..I — ? Phone#: CI 1 7 _' S6' c� ' 3-� Arc yam an etu�tlrete?Cheek ibr appropriate bow: I Type of project(required): It]i am a employer with enagaloyets(full and kor part-time)_• 7. 0 New construction antn a sok proprietor or partnership and have no employees M octing for me an }t ( Pm e any capacity.[No workers'cusp.irmuuarnx required.] /�GI A 9. ❑Demolition 3[J I am a homeowner doing all work myself tNo workers'map.ieanranax re yvirecl.'t" 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 D)3tltlding addition ensure that all,:wxracton either have workers'oanpeasation insurance or are rule 1 1.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 40 I am a general contractor and I have hired the sub-contractors listed on the atwthed shcr:- 130 Roof repairs There sub,amtracwrs have employees and have workers'swap.imurance.• 6.0 We art a corporation and its officers have exercised their right of exemption per kit&c 14. Other 132,11(41),and we have no ernployees.(hlo workers'comp,insurance required.] *Any appheant that checks box Cl mart also fall out the section below showing then workers'compensation policy internetice. "Homeowners who sit nail this affidavit indicating they ate doing all work and then hire outside oomtractors pant cik out a new affidavit indicating sack :t cnuactors that chests this box must attached an additional when showing the name of the sutrcuau;scton and.state whether or not t or emetics haw employees.. If the sub-coatraa:am have.rnployoes,they must provide their vorken'sump.p<lic}nutrbe.r elemitrismos I am an employer that is providing waiters'compensation insurance for my employees, Below is the policy and Job site information. Insurance Company Name: Policy#or Self ins.Lic.#: Expiration Date: lob Site Address: City/StaleiZip: 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 imprisonmimt,as well as civil penalties in r�'e e of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A as . this sta.- - t rtta T:roamed to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify a f e , , , r ;0di-perjury That the information provided above s tra and correct. Signature: / 4" / attar s,jI / (, Phone#: ,/ Official usetank Da not write in this area,to be completed by city or town official. City or Town: Permit/License a 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#: