31B-111 11 BRIGHT ST BP-2021-1492
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B- 111 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2021-1492
Project# JS-2021-002477
Est.Cost: $16500.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: FREDDY CAMPOVERDE 106011
Lot Size(sq.ft.): 1263.24 Owner: VEREBAY AMY
Zoning:URC(100)/ Applicant: FREDDY CAMPOVERDE
AT: 11 BRIGHT ST
Applicant Address: Phone: Insurance:
33 VALLEYWOOD RD (508) 873-1884 WC
HOPKINTONMA01748 ISSUED ON:6/15/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:STRI P & SHINGLE ROOF
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.
Certificate of Occupancy Signature:I • r ANL,
y4 - 5
FeeType: Date Paid: Amount:
Building 6/15/2021 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
iiiiiiii:31 "C
4 , The Commonwealth of Ma/
ssac
FOR
Board of Building Regulations an :‘14CIPALITY
1 / Massachusetts State Building Code, extpnw,IN USE
Building Permit Application To Construct, Repair,Renovate oN Spf�fpltlsa 'Revised Mar 2011
One-or Two-Family Dwelling
//��//�� ,,T/his Section For Official Use Only
Building Permit Number: ✓�'`_J"/`Jt�- Date Applied:
ii
X Ig-110-1,ItZ% // -:2 C-15-ZOZI
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
11 Bright Street 3 i g t 1 i
1.1 a Is this an accepted street?yes X 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:
Amv Verebav Northampton,MA 01060
Name(Print) City, State,ZIP
11 Bright Street _ 917-859-2418 averebay@gmail.com
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (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 ® Specify: Re-roof
Brief Description of Proposed Work2: Remove existing shingles and replace roof.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 16,500 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
— 0 Total Project Cost' (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) $ Total All Fees ,
Check No. ) so Check Amount: '-'(�
� Cash Amount:
6.Total Project Cost: $ 16,500 0 Paid in Full 0 Outstanding Balance Due:
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS,ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR,ETC.
1. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specification of proposed work(digital and hard copy).
3. Site Plan with location of proposed structure(s)and setbacks.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/replacement windows).
8. Home Owner's License Exemption Form filled out and signed by homeowner(if applicable).
9. Note any Conservation and/or Special Permit requirements (if applicable).
10. Driveway Permit(if applicable).
11. Proof of Water and Sewer entry fees paid(if applicable).
12. Trench Permit-public land by DPW/Private land by Building Dept.
13. Stretch Energy Code—all new construction will require a HERS Rater Affidavit to be submitted with
permit application before issuance of permit.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CSSL-106011 6/2/23
Freddy Campoverde License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
33 Valleywood Road
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Hopkinton,MA 01748 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
508-873-1884 Greta@goldengrouproofing.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
174718 3/11/23
Golden Group Construction Corp. HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
33 Valleywood Road Greta@.goldengrouproofing.com
No.and Street Email address
Hopkinton,MA 01748 508-873-1884
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 I& 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 Golden Group Roofing
to act on my behalf,in all matters relative to work authorized by this building permit application.
Amy Verebay 6/14/21
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.
Leah Visconti 6/14/21
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 4 '�'•
qF r
DEPARTMENT OF BUILDING INSPECTIONS '.
212 Main Street • Municipal Building
Northampton, MA 01060s
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: 20 Tattan Farm Road, Worcestor, MA 01605
The debris will be transported by:
Name of Hauler: Golden Group Construction Corp.
Signature of Applicant: L_ a%L 1" fl,& Date: 6/14/21