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17C-010 (11) 13 OAK ST BP-2022-0132 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: I7C-010 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Bath reno BUILDING PERMIT Permit# BP-2022-0132 Project# JS-2022-000237 Est. Cost: $12900.00 Fee:$84.50 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JOSEPH DENETTE 113824 Lot Size(sq. ft.): 16378.56 Owner: HEYMAN JON B&KAREN S ROWE Zoning: URB(100)/ Applicant: JOSEPH DENETTE AT: 13 OAK ST Applicant Address: Phone: Insurance: 102 ALDRICH ST (413) 563-5759 SOLE PROPRIETOR GRANBYMA01033 ISSUED ON:8/3/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:RENO BATHROOM 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 Signat 4' , g FeeType: Date Paid: Amount: Building 8/3/2021 0:00:00 $84.50 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner RECEIVED �AUG — 3 2021 -he Commonwealth of Massachusetts ,,, Boa•d of Building Regulations and Standards FOR 4 F BUILDING INSPECTIONS-Massachusetts State Building Code, 780 CMR MUNICIPALITY �� USE ""'•RTHAM T lication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Buildin Permit Number: 6,- ..2 2-"/ 3 L- Date Applied: ) 651)10 • -•!0-7') /. / 8-3-zozi Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers /3 Oak /-e � - rutC.e /7c-evo-Gtio/ 1.1 a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: , o 1.4 Property Dimensions: Zoning District Proosed Use Y 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: Zone: _ Outside Flood Zone? Publics Private 0 Check if yeaMunicipal 61 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: T1') g d- 4:ere %.) S "/yenc,e , /77,,t, d/406 Nattie(Print) City,State,ZIP /3 , ah S,ie-e` Ni3-33`—wit/ Koercvl.ctj ,e - iCSw(t)/InWrI.CD� . No.and Street Telephone Email Address V SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) El Alteration(s) ❑` Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other .g Specify:krnek?ef/ Brief Description of Proposed Work:: en-ma/e d�� gall/Pe-h.,- rvt cc) r r, dlLn t , A,‘ ita, AAoa.✓ S/�P � fibsA,tek,491.paalL. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /), f W 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee j ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ /Vj , 2. Other Fees: $ 4.Mechanical (HVAC) $ r4/4 List: 5.Mechanical (Fire $ Suppression) id Total All Fees: $Q U Check No. it � D Check Amount 6.Total Project Cost: $ 1), 9/4) 0 Paid in Full 0 Outstanding Balance Due: Y" --- The Commonwealth of Massachusetts 1 ! c Department of Industrial Accidents _,k 1 Congress Street, Suite 100 - , -�'' Boston, 0114-2017 www.mass.goy/dia tom- ' 11(Pi kers' Cuntpen.atinn Insurance Affidasit:Buildersif'ontractorsi ketrician' Plumbers. I U KI. I-It.II.I)55 I 1!! 111E PER%thl'iIM:AI'iHORI iI. Applicant Information Please Print I.t- ibis Name(Business organization individual): NIC25-ep/ t e _ _..�. Address:JO4 /J/ City/State/Zip: 62/72 may,/lls 0/033 Phone#: -Y-13-5Z 3-S75 5 Are'ea an empk tr?Chant the appreprWe : Type of project(required): LEI I am a employer with ___. employees Ifull and ur part-times• 7. 0 Nev. construction 2CSI I am a ok proprietor or partnership and hale no empkyees working for me in S. I Remodeling ass capacity [No ssothers'camp.insurance required 9. 0 Demolition .c_j I am a homoossne'r doing all work nrisell.[No workers come. irouruseK mewed..* 4.0 I am a homeowner and w ill he hurng euntraetor,to conduct all a oft.on my property_ I wall 10 Cl Building addition ensure that all coauracton either base corkers'ecxrgtentsation insurance Of an sole I I.Q Electrical repairs or additions ptupnteton With no employees. 12.0 Plumbing repairs or additions S0 I am a general contractor and I has a hired the wb-eunu:ctun listed on the attached shot 1343 Roof repaiis These sub-contractors fuse employees and has c workers'comp.insurance.. b.❑ rc We a a corporation and us officers hase exercised their nght of esempixm per WA.c. 14.00ther 152.¢1141.and we tease no employees.[No workers'comp.msu nice required.) •Any applicant that chocks box a I must also till out the section tielow%boss ing their workers'compensation policy mfurnmton. r Homeowners who submit ilus affulasit aid:catina dies are doing all work and then hue outside contractors must submit a new affidas it indicating such. :Cuatnietars that cheek this box must attached an additional sheet show mg the name of the sub-cointrartun and state*briber or not those ait,tws hate empluyces. If the sub-contractors hase employ ces.day Must pros ide their workers'comp.policy number I am an employer that is providing w orbers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company' Name: Policy#or Self-ins. Lie. ;: Expiration Date: Job Site Address: (ity StatelZip: Attach a copy of the workers' compensation policy declaration page(showing the policy comber sod expiration date). Failure to secure coverage as required under!MGL c. 152, *2SA is a criminal violation punishable by a fine up to S 1.500.00 andror one-year imprisonment,as well as civil 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 . coterai;e verification. I do hereby certi y under the pains and penalties of perjury that the information provided above is true and correct. Signatwe: di001dZ I)d;, 0'7/c2/73, V Phone =: 71 + ..5- 3_ 6-7S Official use only. Do not write in this area,to be completed by city or town official ( its or Iossn: Permit.License s Issuing:Authority (circle one): I. Board of Health 2. Building Department 3.city r oaan Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other ( ontact Person: Phone#: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) -7/3 yAv /-1-/3g&4-2A License Number Expiration Date Name of CSL Holder lO %/dr`C/ �L� List CSL Type(see below) No.and Street r/E'�/ Type Description r�� ���3 U Unrestricted(Buildings up to 35,000 Cu.ft.) '� , R Restricted 1&2 Family Dwelling City/Town,gale,ZIP M Masonry RC Roofing Covering WS Window and Siding / SF Solid Fuel Burning Appliances 5113:t 3—3751 leXCcPtS7lii j 4f7 7%ia4 /CS7'i I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) tease t he /96/17 04an Dat 1 HI Registration Number Date HIC Company Name oir HIC##r�egistrant Name ig � /6" No.and Strset Email address a, , MI. .0/033 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 .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 \,/QSee to act on my behalf,in all matters relative to work authorized by this building permit application. �`ZQrY�r R ut. 7/324/o1 I 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. � d c�e�>ct D7/a i/a1 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 tN�Mp ?% ��h' SAS ' s/C •� ` Massachusetts �k A,..._ 'e ,� c w. V S 1I ' I; DEPARTMENT OF BUILDING INSPECTIONS n 212 Main Street • Municipal Building vti, 4b '"°'°v '` R Northampton, MA 01060 ss-J VON 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: v1c€ ReC cL 23V �/0�tQ h7-1 /&. v airh The debris will be transported by: Name of Hauler: las-eloil 7.ei,e?7A Signature of Applicant: �� c Date: d��e / 7/22/2021 Northampton,MA:Assessor Database: Northampton, MA : Assessor Database Property Search: Parcel ID: Owner Name: Street Number: Street Name: 13 OAK ST v Search Reset Property Detail: Parcel ID: Card: Street Name: Street Number: Zoning: State Class: Acres: Plot: 17C-010-001 1 OAK ST 13 Single Family Residence 0.38 Owner Information: Property Images: Owner Name: HEYMAN JON B&KAREN S ROWE Picture: .as. +'`," , i it s Owner 2 Name: ' Owner 3 Name: Street 1: 13 OAK ST wl�°' I.*' A City: FLORENCE {'MIr��„ r. ,.� --.... - �K,, 3 ill State: MA - . :. - Zip: 01062 - - - Dwelling Information: Style: COLONIAL/GAMBREL Year Built: 1900 1-1-"^-^-1*------16-4 iv��: 0-01 Exterior Walls: ALUM/VINYL Story Height: 2.0 W Y... Attic: UNFIN Basement: FULL Bsmt Gar Spaces: 0 Total Living Area: 1860 Total Living Area Minus FBLA: 1860 Sketch: Finished Basement Area: 0 t Gar OM 44 II n 0.0 a Rec Room: 0 in. [ i:as a use wa.a avr• a Rt 1euN0 Ia. Heating System: OIL/STEAM . Central Air: No Fireplaces: 1 ` x I = I Rooms: 8 x Bedrooms: 5 Full Baths: 2 Half Baths: 1 a 0 a► Valuation: Appraised Land: $122,200.00 i Appraised Bldg: $211,200.00 a • r Appraised Total: $333,400.00 Out-Buildings: northampton.ias-clt.com/parcel.detail.php?id=17C-010-00101 1/2 7/22/2021 Northampton,MA:Assessor Database: Code: Description: Units: Year Built: Sizel: Size2: Area: Grade: Condition: RG1 1 2019 11 20 220 C AVERAGE(Res) RL1 1 2019 11 20 220 C EXCELLENT The information delivered through this on-line database is provided in the spirit of open access to government information and is intended as an enhanced service and convenience for citizens of Northampton, MA. The providers of this database:Tyler CLT, Big Room Studios,and Northampton,MA assume no liability for any error or omission in the information provided here. Comments regarding this service should be directed to:jsarafin@northamptonassessor.us Thu.July 22, 2021 : 07:56 PM : 0.12s: 10mb -- � northampton.ias-clt.com/parcel.detail.php?id=17C-010-00101 2/2 Client#:22843 DENJO2 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYW)4/21/2021 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(les)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 CONTACT Samantha DeSantis Baerman-Jubinville Ins.Agency PHONE 413 538-8293 FAXNot 413 538-5970 39 Lamb Street ADDRESS: samanthad@jubinville.com P.O. Box 789 INSURER(S)AFFORDING COVERAGE NAIL i South Hadley,MA 01075 INSURER A:Preferred MuWal Insurance Company INSURED INSURER B: Joseph E. Denette INSURER C: 102 Aldrich Street INSURER D: Granby, MA 01033 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 EFF POLICY EXP LIMrT3 LTR INSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) A GENERAL LIABILITY BOP0100728322 02/01/2021 02/01/2022 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(ERe nDence) $50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JPRO- ECT LOC _ $ AUTOMOBILE LIABILITY (EOMB eD SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED ,RETENTION$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER OFFICERPMEMBER EXCLUDED?ECUTIVE NIA E.L.EACH ACCIDENT $ (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/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) These are the limits at policy inception CERTIFICATE HOLDER CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main St#100 Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S32509/M32508 SBD Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 196187 07/15/2021 JOSEPH DENNETTE JOSEPH DENETTE �`"�� r 102 ALDRICH STREt.f s Gam ""'a• ""4 GRANBY,MA 01033 `— Undersecretary. • Commonwealth of Massachusetts Division of Professional Licensure • Board of Building Regulations and Standards • Cons i ttlri%ti isor. CS-113824 ` spires: 12/30/2022 JOSEPH E DENETTE _, 102 ALDRICH STREET .GRANBY MA 01033 - •tiff• ' Commissioner .�-