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24C-181
BP-2024-1492 218 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-181-001 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-2024-1492 PERMISSION IS HEREBY GRANTED TO: Project# BASEMENT RENO 2024 Contractor: License: Est. Cost: 50750 Chagnon Building&Remodeling LLC 060175 Const.Class: Exp.Date: 09/30/2026 Use Group: Owner: MARA SIMON,PETER B & Lot Size(sq.ft.) Zoning: URB Applicant: Chagnon Building&Remodeling LLC Applicant Address phone: Insurance: 91 Stockbridge Rd (413)259-6785 WCC-500-5026126 HADLEY, MA 01035 ISSUED ON:11/08/2024 TO PERFORM THE FOLLOWING WORK: BASEMENT RENOVATION 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. Signature: 1**Z. Fees Paid: S380.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner .. ' en Loht 44,14. t°&flS The Commonwealth of Massachusett Board of Buildingd FOR .'- Regulations and Stan ards ty�n MUNICIPALITY R Massachusetts State Building Code, 780 CM �1.. USE Building Permit Application To Construct, Repair,Renovate apor Demo1is. . 'sed Mar 2011 N au One-or Two-Family Dwelling / 0`/ 4 Th's Section For Offici Use' i "6 zs Building Permit Number: -.Z1A. iV q•Z Date Appli • ''vo, 1. <94, 4 Building Official(Print Name) Signature 700Ns Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 218 Crescent Street 24C 181 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Same Zonis 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 it Private❑ Zone: _ Outside Flood Zone? Municipal EX On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Peter&Mara Simon Northampton,MA 01060 Name(Print) City,State,ZIP 218 Crescent Street 518-929-5041 mara.simon10@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Ir9 Owner-Occupied Q1 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other t Specify: Finished Basement Brief Description of Proposed Work2: Finish one half of the basement with laundry area and kids play and dance room. This will include replgace the existing basement windows in the finished area with new vinyl sliding.partition off basement with a wall separating the two halfs as well as perimeter walls around foundation in the new finished area. the ceiling will be open,painted painted black. Flooring to be engineered SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 38,550.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 4,800.00 ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 5,200.00 2. Other Fees: $ 4. Mechanical (HVAC) $ 2,200.00 List: 5. Mechanical (Fire Suppression) Total All Fees(!_ Check No. I 0144teck Amount: Ov Cash Amount: 6.Total Project Cost: $ 50,750.00 0 Paid in Full 0 Outstanding Balance Due: . a. i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-060175 09/30/2026 Gary Chagnon License Number Expiration Date Name of CSL Holder 91 Stockbridge Street List CSL Type(sec below) U No.and Street Type Description Hadley,MA 01035 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-478-4142 gchagnon@chagnon-hr.com I Insulation Telephone Email address D Demolition 5.2 Registered Home improvement Contractor(HIC) 1127 04/21/2025 HIC Registration Chagnon Building&Remodeling LLC 1tion Number Expiration Date HIC Company Name or HIC Registrant Name 91 Stockbridge Street 'gchagnon@chagnon-br.com No.and Street Email address Hadley,MA A 01035 413-259-6785 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 .❑ 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 Gary J Chagnon to act on my behalf,in all matters relative to work authorized by this building permit application. Peter&Mara Simon 11/1/2024 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 ace ate toG�%b •,eft�y knowledge and understanding. Gary J Chagnon '�"''J / 11/1/2024 Print Owner's or Authorized Agent's Name(Electro is 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.) (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" is HA �. City of Northampton ?° '°�, Sys S/ Massachusetts �4, i.. 'ce iii 4' tt t�.` .f { DEPARTMENT OF BUILDING INSPECTIONS S ;ja° 4.' 212 Main Street • Municipal Building yvs;, a: �.r°�-'y'� Northampton, MA 01060 4Y'., ,;00 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: Valley Recycling,234 Easthampton Road,Northampton,Ma Location of Facility: The debris will be transported by: Chagnon Building&Remodeling LLC Name of Hauler: Signature of Applicant: Date: 11/1/2024 . . % The Commonwealth of Massachusetts a1. 1 Department of Industrial Accidents _� 1 Congress Street,Suite 100 zff ;' is�� Boston,MA 02114-2017 ,, www mass.go>I/dia 11ofkers' ("ompensation Insurance:U1'tdasit:Builders/Contractors/Electriciaii.Plutubers. TO HE FILED WI'i ll Till.PERMITrING AUTHORITY. Applicant Information i'lease Print Legibls Name(lHusincs Ur .in,ratwn.Individual): Chagnon Building&Remodeling LLC Address: 91 Stockbridge Street City/State/Zip: Hadley,MA 01035 Phone#: 413-259-6785 Are yea at.employer?Cheek the appropriate boa: Ti pe of project(required). 1.®I am a employer with I enrptoyees!full aad'oe pate-tinsl.• 7_ 0 New construction 2L11 am a sole prtpnMor or partnership and hate no employees woiking for m..in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 3O I Aar a homeowner doing all work myself_No workers'comp insurance.requited]' 9. 0 Demolition I0 Q Building addition 4.Q I am a homeowner and will be huing sow:a:tortto conduct all week on my property. I will ensure that all comes►lots caber hate workers-civivernatsein ignorance Of are.Kole I I.0 Electrical repairs or additions ptupncrurs w ith no employees. 12.0 Plumbing repairs or additions 50 I am a general contractor and 1 have hired the sub-cuntractcae listed on the attached sheet. 130 Roof repairs These sub-contractors hate emphoytc's and have w'urktra'i ouip.insurance.' 6.0 Vic an a corporation and its officers have exercised then nglai of exeniptson par Wit.c. 14.®Othe l Finished Basement 152,.b,It 4l.and we hate no cn tloyees.[No woften'cavnp-msuaarrcc rcrliawcd[ •Any applicant that checks hex n I must also till out the Mellon below showing their workers'compensation pot ey information. t Ilomeowncrs 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 iv not those entities have employee, if the sub-euatrartors hate cn,rknaes.they must provide their workers s mp pidrey nurnlet I am an employer that is providing worAers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M.Mutual Policy#or Self-ins.Lic.#: WCC-500-5026126-2023A Expiration Date: 11/14/2024 Job Site Address: All Locations City/State jZip: 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 tine up to S 1,500.00 and'or one-year imprisonment.as well as cis it penalties in the form of a STOP WORK ORDER and a fine 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 nder the pains and penalties of perjure'that the information provided above is true and correct. ti� cul Signature: . I)ate: 11/1/2024 Phone>:: 11/3 a —607K Official use only. Do not write in this area.to be completed by city or town official City-or Town: Perniit'License 4 Issuing Authority(circle one): I.Board of health 2.Building Department 3.City/tow n Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone 4: �..„N CHAGBUI-01 ABli ACORO CERTIFICATE OF LIABILITY INSURANCE DA'�"MIVO YVV' 404.—i 3/25/2024 1 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(les)must have ADDITIONAL INSURED provisions or be endorsed. 1 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 WIWCT Abljanled Fontanel Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (ac,No,elm:(413)594-5984 I(Arc,NO: Chicopee,MA 01013 Etlikas,abl@phillipslnsurance.com INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Arbella Mutual Insurance Co 17000 INSURED INSURER B:Arbella Protection Insurance Company Chagnon Building&Remodeling,LLC INSURER c:Associated Employers Insurance Company 91 Stockbridge Rd INSURER 0: Hadley,MA 01035 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 ADDL SUER` - r POLICY EFF POLICY EXP LTR TYPE OF INSURANCE _INSD WVD POLICY NUMBER ,(MMJDO/YYYY) (MNIDD/YYYY1+ LIMITS A X COMMERCIAL GENERAL LIABILITY I I-EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 8500072378 11/14/2023 11/14/2024 DAEMISETOREeNTED encel $ 300,000 MED EXP(A one Gerson) S 15,000 (kw PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE 3 2,000,000 POLICY X LOC PRODUCTS- QMP/OP AGG $ 2,000,000 OTHER: S B COMBINED SINGLE S DSINGLE LIMIT AUTOMOBILE LIABILITY 1E& E ANY AUTO 1020112482 11'1412023 11 14/2024 BODILY INJURY(Per person) $ — At.rri S ONLY `X AAUUTNO O VOSyUyL�EDp BODILY INJURY(Per eoddent) $ 1, �s� X ALIT ONLY X AUT i er a li)AMAGE S S B X UMBRELLA LIAB X I OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB I CLAIMS-MADE 4620113145 11/14/2023 11/14/2024 AGGREGATE _ DED X RETENTIONS 10,000 Personal&Adv s 1,000,000 C WORKERS COMPENSATION I STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N WCC-500-5026126-2023A 11/14/2023 11/14/2024 _S____ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OQPE�FICER/MEMRgEEqq EXCLUDED? N/A (sssndetory n NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 II yes.descr be under 1 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS,LOCATIONS,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. AUTHORIZED REPRESENTATIVE f - y/' `N-1 ACORD 25(2016,'03) ©198B-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure Unrestricted-Buildings of any use group which contain less than Board of Building Regulations and Standards 35,000 cubic feet(991 cubic meters)of enclosed space. Consstt tiontttrprvisor s CS-060175 Y' tpires: 09/30/2026 GARY J CHg4NON n 91 STOCKBRIDGE STREET : i ..". ; HADLEY MA 61935 Z` l0, blf7f'1L\'1 l Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner ZW .r..._ Contact OPSI:(617)727-3200 or visit www.mass.govldpllopsi THE COMMONWFAI.TH OF MASSACHUSETTS Office of Consumer Attars&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC 1I:751 uz+mac CHAGNO4 BUILDIVG►REMOCIr.:LNG IIC GARY J CHAGNOII 91 STOCKBRIDGE STREET RAJ. - HADIEY MA 01035 Undersecretary �� Construction Agreement 1252-7 3k Issue Date October 10,2024 . APPROVED PREPARED BY PREPARED FOR Patrick Chagnon Mara Simon Chagnon Building&Remodeling LLC Peter&Mara Simon (413)478-8581 (518)929-5041 Patrick@chagnon-brcom mara.simonl0@gmail.com PO Box 2745,Amherst,MA 01004 218 Crescent St,Northampton,MA 01060, USA CONSTRUCTION AGREEMENT DETAILS 218 Crescent St,Northampton, MA 01060,USA Plea'- Please review each section of this agreement thoroughly.You will be required to check off each section,acknowledging that you have read and understood the contents in full,before you are able to sign at the bottom.This step is mandatory to ensure that all terms are clear and agreed upon prior to proceeding. DESCRIPTION Construction Agreement SPECIFICATIONS Li This Construction Agreement is made in addition to and incorporates by reference the scope of work and specifications outlined in Approved Proposal 1252-5 1.PARTIES Li This agreement is made on the date referenced in the above proposal between the"Prepared For"party(called"Owner"in the rest of this Contract) and the"Prepared By"party(called"Contractor"in the rest of this Contract). 2.NOTICES All notices required by this Contract are to be sent via email or United States mail to the addresses for Contractor and Owner listed above.All Contractors must be registered with the director of the licensing board. The Home Improvement Contractor(HIC)law was created in 1992 to protect consumers and regulate the business practices of contractors.It established a registration requirement,a complaint and enforcement program,an arbitration program for resolving disputes,and a Guaranty Fund program to compensate consumers up to$10,000 for unpaid judgments against contractors.For any questions about the HIC programs,contact our Consumer Hotline at(617)973.8787. Contractor's MA CSL No.060175;Contractor's MA HIC Registration No.112751. 3. PROJECT r� Owner is hiring Contractor to provide the labor,services,and materials necessary to complete the Project as per the Contract Documents(called "Work"in the rest of this Contract)at the address listed above(called"Project'for the rest of this Contract).The specifics of the Project are those listed in the Proposal which is incorporated herein. 4. PERMITS Owner shall be responsible for abiding by all HOA rules and regulations relating to the Project and for obtaining any HOA required approvals prior to CI the Commencement Date.The cost of permits shall be included in the cost of the Work to be performed.If a permit is not issued by the appropriate government entity the Contractor may suspend Work on the Project without penalty.Owner and Contractor shall cooperate in obtaining the necessary permits.If the necessary permits cannot be obtained after a reasonable time either party may terminate the Contract and Contractor shall be paid for all Work performed and costs incurred up to such point. The above specifications,costs,and terms are hereby accepted. ziA October 15, 2024 at 1:47 PM EDT MARA SIMON C ATt fix October 16, 2024 at 6:05 PM EDT PETER SIMON