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28-018 (8) 203 SYLVESTER RD BP-2019-0538 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block:28-018 CITY OF NORTHAMPTON Lot:-00 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:KITCHEN RENO BUILDING PERMIT Permit# BP-2019-0538 Project# JS-2019-000869 Eft.Cost: $78800.00 Fee:$512.00 PERMISSION IS HEREBY GRANTED TO.- Const. O:Const.Class: Contractor: License: Use Group: RICHARD PARADIS 1. 00245 Lot Size(sq_ft.): Owner: SCHIFF THOMAS Zoning: Applicant: RIQH6R,Q PARADIS AT., 2Q SYS VESTER RD Applicant Address: Phone: Insurance: 322 FORMER RD 413 535-7006 WC SOUTHAMPTONMA01073 ISSUED ON.-11/14/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-KITCHEN REMODEL 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil; Insulation: Final: S o e: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS, Certificate of Occupancy Signature: FeeTyg: Date Paid: Amount: Building 11/14/2018 0:00:00 $512.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0538 _ L APPLICANT/CONTACT PERSON RICHARD PARADIS ) ADDRESS/PHONE 322 FORMER RD SOUTHAMPTON (413)535-7006 PROPERTY LOCATION 203 SYLVESTER RD MAP 28 PARCEL 018 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST SED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building,Permit Filled out - I 7M 162 Fee Paid Typeof Construction: KITCHEN REMODEL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 100245 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ftMATION PRESENTED: { Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay -Z,- �.1 4--� 11 Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. -17 City of Northampton S Building Department Ggrt ' iii 212 Main Streeti � # � - s x Room 100 Northampton, MA 01060 4-7 phone 413-587-1240 Fax 413-587-1272 Y k APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVA OR PEMOLISH A ONE OR T111 O FAI AILY DWELLING SECTION 1 -SITE INFORMATION OCT 3 2013 -6/� 1.1 Property Address:�05 S' l S{� �G(, Thissection to be c mple d byoffice Y v DEPT.OF BUILDING INSPECTIONS Flovew-i-Z ✓"A d104,d M6 NORTHAMPTON,LUtOt060, Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2., /11 Owner of Record: > � aqy l`f`�t�Q/G� �i6'/�'ICt,S SC i �� �c�IV-06 Name( rint) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building S a®O (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of .�� Construction from 6 3. Plumbing a o Building Permit Fee 4. Mechanical(HVAC) h 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number p2 7 3 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date e oq @ < VY70 C p ✓YI EMAIL ADDRESS (REQUIRED; EITHER HO OWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing EJ Or Doors (] Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[p] Other[o] Brief Description ofPfo osp ed � ��� Work: 1CC I'lYi� Alteration of existing bedroom Yes Q No Adding new bedroom Yes 1(✓ No Attached Narrative Renovating unfinished basement YesNo Plans Attached Roll -Sheet sa.]f'New house and or addition to existlng housing, complete the'folldwing: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, U 1 Tf/V a V_ l!'� o mei=f t-7> as Owner of the subject property 7� hereby authorize ea 5 -2 d l17lti It / to ac o my behal,in all matters relative to work authorized by this b ' mit application. l o L Signature of Owner Date I, i�i'C 4 iti'a 1-0 as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed un ��paii �apen�alties of perjury. Print Kame Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: i Gl,tr 0 t License Number J4 zi C Addres r Expiration Date Sig atureNkl Telephone 9.Registered'Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-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...... ❑ City of Northampton Massachusetts �xt3 :L^yy" DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must a registered Type of Work: k--14C4 en Est. Cost: S` Address of Work: t�;?O s S u i'y� er rzV Fr / 0 I Date of Permit Application: C) [� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied _Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply foor�a building permit as the agent of the owner:-R,k"'A "'d P,, -r Dat Contractor Name HIC Registration No. OR: Notwithstanding the above n 'ce, I hereby apply for a building permit as the owner of the above NA A 4Q 4Dte Owner Name and Signature City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS { 212 Main Street •Municipal Building Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: S lv�Skr �^'lyre M47- Olv� oZ (Please print hous6 number and street na ) Is to be disposed of at: ala �l i�-� C,1l )* )qc Ea sTh avnpl-w) (Plea a print name and location Vkili ) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signa ure of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):Paradis Remodeling and Building LLC Address: 164 Valley Road City/State/Zip:Southampton, MA 01073 Phone#:413-535-7006 Are you an employer?Check the appropriate box: Type of project(required): 1.(D I am an employer with 8 4.®I am a general contractor and I 6.❑New construction employees(full and/or part time).* have hired the sub-contractors 7.❑Remodeling 2.0 I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8.❑Demolition working for me in any capacity. employees and have workers' 9.❑Building addition [No workers'comp. insurance comp.insurance.$ required] 5.0We are a corporation and its 10.❑Electrical repairs or additions 3.01 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption perm MGL insurance required]t c. 152,§ 1(4),and we have no 12.❑Roof repairs employees. [no workers' 13.[]Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Selective Insurance Company Name: Policy#or Self-ins.Lic.#:WC9058992 Expiration Date:06/20/2019 Job Site Address: 005 City/State/Zip: F_, t&kw C-C /nAi0/ �q- 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 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 $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify der the ains and penalties of perjury that the information provided above is true and correct. Si nature: Date: Print Name: Richard Paradis Phone#: 413-535-7006 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 Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: -'� PARAREM-01 MPR LX .aCORO" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY)�' 6/29/2018 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. 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 CONTACT Insurance Center of New England,Inc PHONE FAX 1070 Suffield Street AIC,No,Ext):(800)243-8134 A/c,No:(413)731-9539 Agawam,MA 01001 -obi s: INSURERS AFFORDING COVERAGE NAIC# INSURER A:S0IGCtIVG INSURED INSURER B: Paradis Remodeling&Building LLC INSURERC: 164 Valley Road INSURER D: Southampton,MA 01073 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 SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000'000 CLAIMS-MADE ❑X OCCUR X S2335644 06/20/2018 06/20/2019 DAMAGE TO RENTED noel $ 500,000 MED EXP(Any oneperson) 15,000 PERSONAL&ADV INJURY 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3,000'000 POLICY❑PEcoT E]LOC PRODUCTS-COMP/OP AGG 3,000'000 OTHER: .,. A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 (Ea accident) $ ANY AUTO X A9106670 06/20/2018 06/20/2019 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY iINJURY Per a ccident $ OOpONLp PROPcERTtDAMAGEX HROS ONLY AUTS PeradYX A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE X S2335644 06/20/2018 06/20/2019 AGGREGATE 1,000,000 DED I X I RETENTION$ 0 A WORKERS COMPENSATIONX PER OTH- ANDEMPLOYERS'LIABILITY WC9058992 06/20/2018 06/20/2019 500,000 ANY PROPRIIETO�RR/PARTNER/EXECUTIVE TUTE I Y❑ E.L.EACH ACCIDENT $ Mandatory In NH)EXCLUDED? N/A 500,000 E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) To show evidence of coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Rick Paradis THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 164 Valley Rd Southampton,MA 01073 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r.«n<trr/J F(rz irrcfr�.f�fd _. _ ( Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. if found return to: '¢ aftgiMion ExRitation Office of Consumer Affairs and Business Regulation :F 1766404 08/1912019 10 Park Plaza-Suite 5170 RADIS REMODELING&BUILDING LLC, Boston,MA 02116 RICHARD PARADIS S CG -- 164 VALLEY RD. SOUTHAMPTON,MA 01073 Undersecretary Not valid without Signature Currxnonweatih of Massachusetts Division of Professional Licensure �41 Board of Building Regulations and Standards C0"str st`&dPgrvisor CS-100245 Aires: 09/24/2019 RICHARD D sx 164 VAi LEY .._ S+Dt>iHAMPTdµ A 0' Sz " Cornrnissiotler � Note:This drawing is an artistic Designed: 8/31/2018 interpretation of the general Printed:9/18/2018 appearance of the design.It is 20not meant to be an exact rendition. �adisFlorence 8-31 All wing#: 1 1MY of Louis Hasbrouck<Iasbrouck@northamptonma.gov> rr AN 0 W.19 ......... ......... .... ......... ......... ......... ................ .. Re: 203 Sylvester Road 1 message Louis Hasbrouck<Iasbrouck@northamptonma.gov> Tue, Nov 6,2018 at 11:01 AM To:jpatenaude09@gmaii.com, info@paradisremodelingandbuilding.com Cc: Kim Carson <kcarson@northamptonma.gov> meant"plans"instead of"loans" Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Tue, Nov 6,2018 at 11:00 AM, Louis Hasbrouck<Ihasbrouck@northamptonma.gov>wrote: Hi, I've gone over the permit application for the kitchen remodel.There isn't an extensive set of loans . It might not matter in some kitchen renovations, but it looks like there are windows at the corner of the house in front of the sink.That window placement requires complicated framing. Unless the house was constructed with those windows,we need to see detailed drawings before we issue the permit. Let me know if you have questions. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax