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38C-056 (2) 374 SOUTH ST BP-2021-0970 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38C-056 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2021-0970 Project# JS-2021-000857 Est.Cost: $166130.00 Fee: $2208.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STEVEN MACLEAY 070231 Lot Size(sq.ft.): 6011.28 Owner: SHIELDS T J Zoning: URB(100)/ Applicant: STEVEN MACLEAY AT: 374 SOUTH ST Applicant Address: Phone: Insurance: 20 STOCKBRIDGE RD STE 6 (860) 309-7650 WC GREAT BARRINGTONMA01230 ISSUED ON:3/10/2021 0:00:00 TO PERFORM THE FOLLOWING WORK: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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. TA Certificate of Occupancy sifznarnrc: i • w • G FeeType: Date Paid: Amount: Building 3/10/20210:00:00 $2208.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts FOR Board of Building Regulations and Standards ' Massachusetts State Building Code, 780 CMR MUNICIPALITY I °' USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling i , his "ction For Official Use Only -Building Permit Number: fir i'" "r V 7(l Date Applied: -te 72 / '2 f) Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 374 South Street;Northampton,MA 38C 056-001 1 l a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: i 1.4 Property Dimensions: UU 5',/k5 e- `f 6000 60 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 07A 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❑ Private 0 Zone: Outside Flood Zone? Municipal ® On site disposal system 0 Check if yes® SECTION 2: PROPERTY OWNERSHIP' 2.1 R Owner'of ece-. - .o�r� �Rfi - ef,Tic'.,. LQ r‘;kjC MA p2)I'lO Name(Pr'its cc_ City, State,ZIP 30 R3Q5;2Z J` , 413-875-5773 tj@loompropertiesllc.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSE!)WORK2(check all that apply)New Construction 0 Existing Building IS Owner-Occupied 0 Repairs(s) Er Alteration(s) Addition Demolition Ili' Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': We are renovating a 1925 Tudor-style home,giving it a modern open floor plan and master suite. We are conditioning a 700-sq ft addition to ad to the footprint of the house,resulting in a 4-bedroom, 2.5 bath @ya�pprox 2100 sq ft. This reno will include a new HVAC system,kitchen,baths,and flooring throughout, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 109,473.30 1. Building Permit Fee: $j,aob',oxIndicate how fee is determined:"- 2.Electrical $ 6,000.00 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 3,000.00 2. Other Fees: $ 4. Mechanical (HVAC) $ 2,000 List. 5. Mechanical (Fire $ Suppression) Total All Fees: Check No19, Check Amout4:?II`� Cash Amount: 6. Total Project Cost: $ 166,130.72 0 Paid in Full 0 Outstanding Balance Due; SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-070231 12-13-2022 Steven MacLeay License Number Expiration Date Name of CSL Holder List CSL Type(see below) U _ 20 Stockbridge Rd,ste 6 No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.tt.) Great Barrington,MA 01230 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 860-309-7650 stevenAsacredoakhomes.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 18/2022 Oak Tree Inc dba Sacred Oak Homes HIC 2523 12/0tion Registration Number Expiration Date HIC Company Name or HIC Registrant Name 20 Stockbridge Rd,Ste 6 steven@sacredoakhomes.com No.and Street Email address Great Barrington,MA 01230 860-309-7650 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 .......... liif No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES� �, FOR BUILLDING PERMIT I,as Owner of the subject property,hereby authorize 5 r w�'•�I t).- 1'l . Le_eg y to act on my behalf,in all matters relative to work authorized by this building permit application. / Prigt wner'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 applicatio 's r e and ate to est of my knowledge and understanding. Print Owner's or Authorized Agent's ame(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.) 2100 (including garage,fmished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces 0 Number of bedrooms 4 Number of bathrooms 2 Number of half/baths 1 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" City of Northampton pNY w y, �S Sf C Massachusetts €' DEPARTMENT OF BUILDING INSPECTIONS a a + �' 212 Main Street • Municipal Building �'� 2 t `r` Northampton, MA 01060 lyyY"'Stir 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: Valley Recycling; 234 E Hampton Rd, Northampton The debris will be transported by: Name of Hauler: Aaron's Roll-Off Signature of Applicant: Date: '2-°16 -�� CITY OF NORTHAMPTON SETBACK PLAN MAP: 38C LOT: 056 LOT SIZE: 6000 sq ft REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD /1 FRONT SETBACK FRONTAGE _ Commonwealth of Massachusetts ��/J Division of Professional Licensure Board of Building Regulations and Standards Const xtbri SUpervisor CS-070231 Expires: 12/13/2020 STEVEN D MACLEAY 77, 20 STOCKBRIDGE RD. STE 6 r �: GREAT BARRINGTON MA 01230 Commissioner l f�` ` � \NL �'�'� L' P _ cAz y C v Yv nvoit j u� iTTs .C-uf(QAT A �RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/26/2021 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 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:CT DOMINIC SINOPOLI SINOPOLI INSURANCE AGENCY _ ,�,:413-528-1710 ,No):413-528-2519 30 STOCKBRIDGE RD IL AADDRESS;DOMINIC.SINOPOLI(8)AMERICAN-NATIONAL.COM GREAT BARRINGTON,MA 01230 IN$URER(S►AFFORDING COVERAGE NAIC0 INSURER A:FARM FAMILY CASUALTY INSURANCE 13803 INSURED — — OAK TREE INC INSURER B: DBA SACRED OAK HOMES INSURERC: 20 STOCKBRIDGE RD, STE 6 INSURER D: GREAT BARRINGTON,MA 01230 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 POLICY EPF POLICY EXP LTR TYPE OF INSURANCE INSD MO POLICY NUMBER (MM/DD/YYYY! IMMIDDIYYYY! LBIITS A X COMMERCIAL GENERAL LIABILITY 2002X0760 01/20/2020 01/20/2021 EACH OCCURRENCE S 2,000,000 CLAIMS-MADE X OCCUR PREMISES(Es occurrence) $ 100,000 X BUSINESSOWNERS MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 2,000,000 GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: S A AUTOMOBILELWBIUTY 2002X0760 01/20/2020 01/20/2021 BINEEDo INGLE UMIT $ 2,000,000 ANY AUTO I BODILY INJURY(Per person) S — ALL OWNED —SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S X HIRED AUTOS X ANON-OWNED SWNED PROPERTY DAMAGE S (Per occident) _ S A X UMBRELLA UAB X OCCUR 2001 E1465 01/20/2020 01/20/2021 EACH OCCURRENCE S 2,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED X RETENTIONS $10000 i S — A WORKERS COMPENSATION 2001W8093 10/08/2020 10/08/2021 X 1 EfTUTS I ER" AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n N/A E.L.EACH ACCIDENT S 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 d yesSCRIP�TION�OF OPERATIONS below Ober E.L.DISEASE-POLICY LIMIT S 500,000 DE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H mom space is required) JOB SITE:374 SOUTH STREET, NORTHAMPTON, MA 01060 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TJ SHIELDS-TABAKA ACCORDANCE WITH THE POLICY PROVISIONS. 30 AGASSIZ ST. CAMBRIDGE MA 02140 AUTHOR ESENTA • ©1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/011 The ACORD name and loco are reaistered marks ACORD The Contntonwealth of Massachusetts �- Department of Industrial Accidlents I Congress Street,Suite 100 w' sO Boston, Ma 02114-2017 Kars►v.mess gov/die • ilurkers'Compensation Insurance Affidavit:Builders JContrrxetars►1}ectricians/Plumbers. TO BE.Ir11.E1)Willi THIP 1►f~TlMII'1"1'T+i(:AUTIT()RIT1'. Applicant information Please Print i ettibt4 Name 03usinesssthganrratiom;lndt'iuual): Sacred.�alC,.1�0I11CS Addi s:.._2k.StQc_cbr dg ...R4l,.STE 6_._..________._.______�._._.___.__. C"ity'Statet'Zip:___Great Barrington,MA 01230 _ Phone #; 860-309-7650 .tee you an ettpitivtr7 Cheri the rtpprvpriate box: Type of project(required): 1,b t 1 tin a employer with....._� __....entpae!ietit ff'alt matter pit-titricl.• 7. 0 New construction :0 l am a tole proprietor or psttnrnhrp and hint:no employees wonting for tine to 8. (J Remodeling any capacity.(No wafters'comp.0taurao.t requital 9. Demolition t l ant a ti nntcaswner doing all work.myaeif.No woattarw°comp.inatiranct srtguiitilal ' to .t.0 I am a bormownar and will be hiring conereoutrat s*induct all%mat on my property. 1w BUiltliseg addition enaure that t_ all cOntraium sillier have wuke:a'conapeniation inaununtit or are sole l 1a Electrical repairs or additions proprietor%with no employees:. 12.0 Plumbing repairs or additions J i I am a general contractor and i haw a brted the tub.cuauactora listed on the attached advent. The atilt-ctacu on nc .have ernployee.%and have workers'comp.imcwanee.^ I Roof repairs Thew 6,0 We are a corporation and tta officers have exerciaed their right of exemption pet h tit c. 14. 0thel— — §441,and ae haw no en ley ie a.[No workers'eump.insurance requimi. 'Amy applicant that chotka boa al mtat also till out the ncctior be.le%Allowing thaw wurk,r.'compensation pal ley tricot-notion. t iti nneoa nntx a;hu su4atait tins affidavit indicating they are doing all work and then hire oat-tide watt-actors must auhtnit a oc+u affidavit indicating leas. tCYtntrocton that cheek data boa mu,t atta heed an additional sheet showing the name of the sulrtexara t:lri and at e.heiber or nut throee amtiliea have employee* lithe sub- orwira:iryr,hnte employers%they natal pr %iJe their uutl:era`tonic).lnr:util nurnbrr. • I ant an employer that is providing workers'compensation Insurance for my employees. Below is the policy and job site infitrmativn. r� /' t Insurance Company Name FQ,[�i_ `' Qn CC17 CAS U u 117 .L Ai ----Policy#or Self ins.Lic.II: Or 0 O I So Expiration Daie P (°/0 0 Job Site Address: 3 7 Souk 5 l City/StateiZip: (\Jo f�1 i�T�n f I(11 vl 06 0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secwe coverage as required under VIOL c. 1$2,3)25A.is a criminal violation punishab)by a fine up to Si,500.OG andlor one-year imprisonment,as well as civil penalties in the form ors STOP WORK.ORDER and n tine of up to$250.00 a day against the violator.A copy of this staternent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u Ws an nalties of perjury that the Information provided above L true and correct Official use only. Do not write in this area.to be completed by city or town official City or Town: __._..__.Per-mitlLicecae#: Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citvr1own(lark d.Ekeetritat Impeder S.Plumbing Inspector 6.Other ('ontact Person: Phone#: fro Gmaii Steven MacLeay <sacredoakhomes@gmail.com> Fwd: Real Estate Q3 - Your payment has been confirmed! Tj Shields <tj@loompropertiesllc.com> Wed, Mar 3, 2021 at 1:49 PM To: Steven MacLeay <steven@sacredoakhomes.com> x -------- Forwarded message ------ From: <kbissell@northamptonma.gov> 37'' ,S�µT� ST- Date: Wed, Mar 3, 2021 at 1:48 PM Subject: Real Estate Q3 - Your payment has been confirmed! To: <tj@loompropertiesllc.com> Your Confirmation number is 20210303468253 Date of Confirmation: 3/3/2021 NOTE: When paying by ACH (Checking) it will take two business days for the payment to be debited from your bank account.Your account number is not verified until this payment is presented to your bank. They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s) of$2299.53 has been received and is subject to approval by your financial institution. Account Information Name: Loom Properties LLC Address: 132 Main st City: haydenville State: MA Zip: 01039 Email: tj@Ioompropertiesllc.com Payment Information Payment Type: Credit Card Payer Name: Loom Properties LLC Card Number: ************9568 Transaction Informatiol 1 City of Northampton Real Estate Q3 Parcel ID: 38C-056-001 Tax Year: 2021 Taxpayer Name: LOOM PROPERTIES, LLC Street Number: 374 Street Name: SOUTH ST Bill Number: 00000860 Quantity: 1 Amount: $2,295.58 Fee: $3.95 Payment Type: Credit Card Total: $2299.53 Tj Shields Residential Redeveloper www.loompropertieslIc.com (413) 875-5773 6141 .6, CPI Q ---- r . --fir\ —7rY2\d ) 7vco C‘vt,..15,,, o 41.vv` \I '1°1 D g,s}f —aksys II 4./c T zi--) "w°Z __Jo 1-`QS "gf D ' T * -• pi • a 4 0 A- 0p b • v . 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