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16A-020-076 BP-2024-1338 601 FAIRWAY VILLAGE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16A-020-076 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-2024-1338 PERMISSION IS HEREBY GRANTED TO: Project# 2024 BASEMENT RENO Contractor: License: Est. Cost: 84156 WRIGHT BUILDERS 065521 Const.Class: Exp.Date: 01/25/2026 Use Group: Owner: ISACOFF TEICH,AUDRY K& MINDY Lot Size(sq.ft.) Zoning: URA Applicant: WRIGHT BUILDERS Applicant Address Phone: Insurance: 48 Bates St 413586-8287 MCC20020005342024A NORTHAMPTON, MA 01060 ISSUED ON: 10/15/2024 TO PERFORM THE FOLLOWING WORK: FINISH BASEMENT INTO BEDROOM, BATH AND SITTING ROOM 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS.Si nature: 14/2- Fees Paid: $632.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 0$ c)(1.00 1/ The Commonwealth of Massachusetts W Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE +-- Building Permit 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: I-2.0 .4 f 332 Date Applied: , -4— /6/s- 2 y Building Official(Print Nine) gnature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 6e I fairway V-1441 L.eel5, C oc 3 16A 020-076 1.1a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: URA Single Family Zoning District Proposed Use Lot Area(sq ft) Frontage(R) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided No Change No Change No Change No Change No Change No Change 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public IR Private 0 Zone: Outside Flood Zone? — Municipal RI On site disposal system 0 Check if yesCit SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Audrey Teich and Mindy Isacoff Leeds, MA 01053 Name(Print) City,State,ZIP 601 Fairway Village 413-586-8287 _ aktcsw@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building l Owner-Occupied 0 Repairs(s) 0 Alteration(s) DI Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Existing unfinished basement,will be turned into a bedroom, bath and sitting room. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 63,756 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 6,150 0 Total Project Costa(Item 6)x multiplier x S� 3. Plumbing $ 14,250 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5.Mechanical (Fire $ 0 Suppression) Total All Fees: $ �, 84,156 Check Nd40103'7?Check Amount:1i Cash Amount: 6.Total Project Cost: $ ❑Paid in Full 0 Outstanding Balance Due: $84,156/ 1000 = 84.156 x $7.50= 631.17 (Check for$632.00) SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-065521 1/25/2026 Steven Barrett License Number Expiration Date Name of CSL Holder 97 Federal Ave List CSL Type(see below) U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Beichertown, MA 01007 R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-586-8287 sbarrett@wright-builders.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101536 6/25/2026 Wright Builders Inc HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 48 Bates Street nwright@wright-builders.com No.and Street Email address Northampton, MA 01060 413-993-n870 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 . ao 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 Wright Builders Inc to act on my behalf,in all matters relative to work authorized by this building permit application. 10/10/2024 Print Name(E���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 i ' ip i :tion is true and accurate to the best of my knowledge and understanding. 10/10/2024 Print I.*fir � v zed Agent's Name(Electronic Signature) Date NOTES: I. 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.) 1,481 SF Habitable room count 4 Number of fireplaces 1 Number of bedrooms 2 Number of bathrooms 2 Number of half/baths 1 Type of heating system Heat Pump-Electric Number of decks/porches 1 Type of cooling system Heat pump and wall units Enclosed Open 1 3. "Total Project Square Footage"may be substituted for"Total Project Cost" CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD_ No Change All interior work FRONT SETBACK FRONTAGE City of Northampton o`"�M"'� /,� ti. 5 1/•�' c Massachusetts ��? >• d"'• `� e' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building c� r'. Northampton, MA 01060 rrF - `,No 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: 234 Easthampton Road Northampton MA The debris will be transported by: Name of Hauler: J&J Sons Trucking r Signature of Applicant: Date: 10/10/2024 The Commonwealth of Massachusetts king- - Department of Industrial Accidents _» i 1 Congress Street,Suite 100 s '—` Boston,.'NA 02114-2017 .,_,_ v.: www.mass.gov/dia Workers'Compensation Insurance ARidas it:Builders/ContractorsfElectricians/Plumbers. 10 RE EH.I:D 1/I fH 1!IL PERMIT1't\G AI'TIIOW'iY. Annlieant Information Please Print Leaibls Name(Bus nc lJrgamzatioaflndividual►: Wright Builders Inc Address: 48 Bates Street City/State/Zip: Northampton, MA 01060 Phone#: 413-586-8287 Are'en as employer?Cheek the appropriate hot: "Type of project(required): LEI am a emerloycs with 25 employees Hull.md or part•lina►• 7. CI New construction 20 I ant a sole proprietor or partnership and have no employees working for toe m K. Q Remodeling any capacity.[No wut4.er comp.insurance min:rs i.] 9. 0 Demolition 30 0 I am a humevwncr doing all wort.mysell:(No%ot►cn'curer.rourance matured.] I 0 Q Building addition 4.0 I am a humrcuw errs and urn be hiring contractors to conduct all work on my property. I will casure dot all ouatrshtom either hate workers'compensation insurancx or are sole 110 Electrical repairs or additions proprietors with no employees. I2.®Plumbing.repairs or additions 50 I am a general contractor and 1 hive hired the sub-contractors listed on the attached sheet 134:1 Root repairs These sob-contractors hive employees and have workers'comp.insurance.. 14.DOther Egress 6.0 We are a corporation and its officers have exeacired they nght of exemption per Att,L c. 152.f 1(4).and we have no employees.(No workers'comp.insurance required.' 'Any applicant that chocks boa aI trust also fill out the section below showing then workers'compensation policy mli r:nation_ t Homeowners who submit this affidavit indicating they are doing all work and then hire outside eontnieturs aura*admit a new affidavit indiu-icing such t untr etots that check this boa must attached an adtbtional sheet showing the name of the sub•cuntr.seuws and state whether or not those entities luny cmplo).cr, It the sub-contractors have c-ntplocecs,the mum pro,idc their workers'comp.policy uumher I am an employer that is providing.vorl ers'compensation insurance for my employees. Below is the policy and job site information. InnuranceCompanyNaaie: Massachusetts Employers Insurance Co. Policy#or Self-ins.Lic.#: MCC- Expiration Expiration Date: 3/1/2025 Job Site Address: 601 Fairway Village CityiStatclZip: Leeds, MA 01053 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 S 1,500.00 and/or one-year imprisonment.as well as civil penalties in the form ofa 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 un I and penalties of perjure'that the information provided above is true and correct Signature: i air: 10/10/24 Phone d: 413-5 6- 287 Official use only. Do not write in this area.to be completed by cite or town official ('its or Iown: Permitll.icense# Issuing Authority (circle one): I. Board of Health 2. Building Department 3.(•it) I uv,n Clerk 4.Electrical Inspector 5. Plumbing Inspector (i.Other Contact Person: Phone#: _...„....41w WRIGBUI-01 JOCELYN '`,COR/f) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) kr..----- 4/22/2024 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 BETWEEN 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 NAMEACT Jocelyn M Douglas Phillips Insurance Agency,Inc. PHCNNo,Ext): (a,No): 97 Center Street (A/C. Chicopee,MA 01013 E-MIL ADDREss:jocelyn@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:Massachusetts Employers Insurance Company Wright Builders,Inc. INSURER C: 48 Bates Street INSURER 0: Northampton,MA 01060 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR Wjt) IMNIDONYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6D18616 3/1/2024 3/1/2025 DAMMISES(AGE TO Ea RENTED rrreoa) $ 500,000 PRE om _MED EXP(Any one poison) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GUM AGGREGATE LIMpB. S PER: GENERAL AGGREGATE $ 2,000,000GUMX POLICY X JELR LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: EMPLOYEE BENEFI $ 1,000,000 A AUTOMOBILE LIABILITY (EOa COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO 6Z18616 3/1/2024 3/1/2025 BODILY INJURY(Per person) 3 _ AUTOS ONLY AUTOS yUyLNE�DD BODILY INJURY(Per aocIdent) _ AUTOS ONLY ___ AAUTO$ PR08EERAdTZDAMAGE $ (tPreerr 11 $ A I X UMBRELLA'JAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS UM CLAIMS-MADE 6J18616 3/112024 3/1/2025 AGGREGATE $ 5,000,000 DED X RETENTIONS 10,000 S B WORKERS COMPENSATION X SSTATUTE ERH• AND EMPLOYERS'LIABILITY Y/N MCC-200-2000534-2024A 3/1/2024 3/1/2025 500,000 ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N N/A 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDO REPRESENTATIVE /TH..✓/yyt LA.,„.., ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10/15/24, 11:01 AM City of Northampton Mail-601 Fairway Village City of 1 :, � ?1N� n Stephen Fifield <sfifield@northamptonma.gov> �yJl' , 601 Fairway Village 3 messages Stephen Fifield <sfifield@northamptonma.gov> Tue, Oct 15, 2024 at 8:33 AM To: nwright@wright-builders.com Good morning, I am reviewing the plans for the basement renovation. I would just need to know the R-value of the insulation before I can approve the permit. Thank you, Steve Fifield Local Building Inspector 212 Main St. Northampton, Ma. 01060 587-1240 sfifield@northamptonma.gov Nicholas Wright<NWright@wright-builders.com> Tue, Oct 15, 2024 at 10:04 AM To: Stephen Fifield <sfifield@northamptonma.gov> Hi Steve, Going to do a polyiso foil faced for first layer on basement walls followed by Rockwool comfort batts. Gives me about R-6 for polyiso and R-23 for comfortbatts = R-29 might be closer to R-28 somewhere in the range. Thank you, r WRIGHT NICHOLAS WRIGHT BUILDERS INc. Project Development Engineer Office: 413.586.8287 x118 EARTHWND HOMES awright@wright-builders.com [Quoted text hidden] Stephen Fifield <sfifield@northamptonma.gov> Tue, Oct 15, 2024 at 11:01 AM To: Nicholas Wright<NWright@wright-builders.com> Sounds good, thank you. [Quoted text hidden] https://mail.google.com/mail/u/0/?ik=cccbce3eef&view=pt&search=all&permthid=thread-a:r-49565559761914368958,simpl=msg-as852942956893703... 1/1