Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
32C-204 (7)
7 KARY ST BP-2021-1210 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:32C-204 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-2021-1210 Project# JS-2021-002022 Est.Cost: $35500.00 Fee: $231.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CHRISTOPHER O'CONNELL108508 Lot Size(so. ft.): 3005.64 Owner: ROSEN KIMBERLY F&CARA M TAYLOR Zoning: URC(100)/ Applicant: CHRISTOPHER O'CONNELL AT: 7 KARY ST Applicant Address: Phone: Insurance: 63 WORTHINGTON RD (413) 539-1521 W(" HUNTINGTONMA01050 ISSUED ON:4/23/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:RENO KITCHEN 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: (.as: 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. cspr,44, Certificate of Occupancy Signatur : 1 FeeType: Date Paid: Amount: Building 4/23/20210:00:00 $231.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 4pR 222 1 IL, The Commonwealth of Massath 0etts 21 �� Board of Building Regulations.and t., : FOR 1 / . IUNICIPAL1TY r Massachusetts State Building Code,7 i , ' Nc iN s USE ok cr Building Permit Application To Construct, Repair, Renovate is fa Revised Mar 2011 One-or Two-Family Dwelling ``'_`. This Section For Official Use Only Building Permit Number: it Zi —I 21 0 Date Applied: AL, A , irti,, r Building Official(Print Name) Signature I I Y23/jii o SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 7 Kary St,Northampton,MA 01060 C. Z 1.1 a Is this an accepted street?yes 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: Public 0 Private 0 Zone: Outside Flood Zone? _ Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Kimberly Rosen and Cara Taylor 7 Kary St,Northampton,MA 01060 Name(Print) City,State,ZIP (845)591-0682 info@faycetextiles.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work':Remodel kitchen SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $30,000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $3'500 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $2,000 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: � Check No. jCheck Amount: • Q✓1 Cash Amount: 6.Total Project Cost: $35,500 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cs-108508 6/24/2022 Christopher O'Connell License Number Expiration Date Name of CSL Holder List CSL Type(see below) 63 Worthington Rd No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Huntington,MA 01050 City/Town,State,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-539-1521 ocs413@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 184844 5/22/2022 O'Connell Construction,LLC ' HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 89 Dana Hill ocs413@gmail.com No.and Street Email address Belchertown,MA 01007 413-539-1521 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 B 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 O'Connell Construction,LLC to act on my behalf,in all matters relative to work authorized by this building permit application. it/#1611 y of Apr 16,2021 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. ./UtG4- C/ledW-s✓ X 4/16/21 Print Owner's or Authorized Agent's 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.) (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" City of Northampton Massachusetts A DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building �C" Northampton, MA 01060yv `�� 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,Northampton,MA The debris will be transported by: Name of Hauler: O'Connell Construction,LLC r� /eefrntt Signature of Applicant: Date: 4/16/21 The Commonwealth of Massachusetts t mrp:.:., lierac_ Department of Industrial Aceidents I Congress Street,Suite 100 via:omr Boston. MA 02114-2017 $4,w-w.mass.gm,/dia 1-1 .irkers'Compensation Insurance Affidas it:Builders/Contractors/Electricians/Pluinhers. TO HI:t'll.t:1)%nil 111E,PERMITIrst;All'Ilt/RITY, Applicant Information Please Print Leeihh O'Connell Construction,LLC NailIC 4 13tts tness*Orga nizat ion'I nd i VI dua 1 h". . —. . Address: 89 Dana Hill,Belchertown,MA 01007 City/State/Zip: Phone #:413-539-1521 Art yen an employer?Cheek dir appespeluitt bac Type el project(required): I am a emphryer with 2 employee%(fail and'or pan-tiniti." 7. 0 Nes& construction 20 I am a molt proprietor to purtnershrp and have no employed svotting tor me an 8. c]Remodeling any L-mammy,iNii.)'14arkers'camp.unurantz nniiiinatj Iffj I am a hortio)wner{doing all aurit myself,11.40*miters'WM..insurance tripiris 9. 0 Demolitiontil' I 0 c]Building addition I am a horriamsner and*ill he hiring contraours to curatu,r all work on nr.s..plovvrty. I will croon:that all contractors either ha%e ssirrienc'ournpimsation nisunuice or ASV SLAY I I.0 Electrical repairs or additions proprichna*kb no employees 12.0 Plumbing repairs or additions $ lam a general contractor and I has e hired the subsanttracturs hied on the attached sheet 13.C]Root-repairs These sub-contractors ha's:employees and hart:woe-hem'comp,otsurance. 6.0 We are a corporation and its officers nave etetrised then tight of exemption per M(&c. 14.0 Other .. 152,)5,1{41.and we has*:no arsployer%.[No workers comp.insurance require41.1 An applicant that cheeks hos,.,1 must also till out the tectini below slims in g their*takers'compensation policy;111,r mutton_ 4'.I lotneossnen‘*to submit dos affidatn andscannia they are doing all soon.and then him outside,..mitractia.,mint.s abeam a stew aflidac it tad'Labile stab ..rt'ontractors that check this box must attached an addrtional sheet shotreinv die name of the sub-coutractorN and state whether or not those canoes Itise employees. ft the Nub-c oriir a ctui%base employees.rho, mutt pros ide their Am-ker., comp polley number I am an emplosyr that is providing workers'compensation insurance for my employees. Below is the policy end job site Information. Associated Employers Insurance Company Insurance Company Name: Policy#or Self-ins.Lic.#: WCC-500-5022695-2020A Expiration Date: 7/28/21 Job site Address: 7 Kary St,Northampton,MA 01060 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under NIGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cos crape verification. I do hereby certify under the pains and penalties of perjury that the information provided above,is true and correct. Si-gnature: effii:d. 0/C...9)1. Datc„ 4/16/21 Phone#: 413-539-1521 4 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 Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: i ��"�C DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE o,ns/z, 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 CONTACT NAME: Michael R.Banas Banas and Fickert tA/CNN.Ext): 413-527-2700 FAX No): 413-527-0849 Insurance Agency EMAIL 63 Main Street ADDRESS: mb@banasinsurance.com Easthampton,MA 01027 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Union Mutual Fire Insurance Co. INSURED INSURER B• O'Connell Construction,LLC INSURER C: 89 Dana Hill Road Belchertown,MA 01007 INSURER D 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 ADDLSUBW POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 5,000 A BOP0005285-08 09/01/20 09/01/21 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - 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) CONSTRUCTION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton,MA 01060 AUTHORIZED REPF S IVE 15 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Ac CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01/20/2021 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 04971 -001 NAMNEAECT Banas & Fickert Insurance Agency 4971/1/176 Banas&Fickert Insurance Agency met.Ex). 4135272700 (AIC.No.: (413)527-0849 63 Main Street ipc ss: service@thefairtrayageney.com Easthampton, MA 01027 INSURERIS)AFFORDING COVERAGE NAIC INSURERA: Associated Employers Insurance Company 11104 INSURED INSURER B__ O'Connell Construction I,LC -- --- - ----INSURER C: 89 Dana Hill Road Belchertown, MA 01007 INSURER D: 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. TIN TYPE OF INSURANCE INSR POLICY NUMBER (MM![iDIYYF N) (UAW) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PuEO �LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ —-- (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS _ AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION $ _ $ WORKERS COMPENSATION X Tyy�gTAT - OTH- AND EMPLOYERS'LIABILITY ORY LIMITS EF2 ANY PROPR ETOR/PARTNER/ ECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER!MEMBEREXCLUDED? y NIA WCC-500-5022695-2020A 7/28/2020 7/28/2021 - -- ----- - ----- - 1,000,000.00 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000.0D_ If es escribe under DESC IPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS/LOCA11ONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) Christopher R OConnell is covered by the workers compensation policy AND Dominic J OConnell is not covered by the workers compensation policy. CERTIFICATE HOLDER CANCELLATION CITY OF NORTHAMPTON 210 MAIN ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NORTHAMPTON,MA 01060 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 76,a3" 3 54" 22,„" 1� ., '' 408" 22 " +13a". 324" " 27" 18" 3,�„ v .F ': DISI-CLM-BASE J Z °` V '4. N m N D N N CO s v - r -11 °� N 0 0 / 0 —' _ (0 r. r N CO n u . A 10 CO Cl) Co CO 1 d `- CON r co r. W coN tri co C) N N C) 1D CO 0 -0 Nv N Z 0 - co CO ,. M p - N 0 t� CU ti 2 PLY-1/4(4X8') Cl) N N 03 O r. All dimensions size designations This is an original design and must Designed:8/5/2020', given are subject to verification on not be released or copied unless Printed:4/16/2021 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. I I KimCara7KaryNorthampton All I Drawing#: 1 No Seale.:'