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31B-125
BP-2021-2021 15 BARRETT PL COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-125-001 CITY OF NORTHAMPTON Permit: Addition PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2021 PERMISSIONIS HEREBY GRANTED TO: Project# ADDITION Contractor: License: Est. Cost: 26218 JAILYN GONZALEZ 97254151682 Const.Class: Exp.Date:04/29/202206/20/2022 Use Group: Owner: VUKOVICH STEPHEN M &JULIE Lot Size (sq.ft.) Zoning: URC Applicant: JAILYN GONZALEZ Applicant Address Phone: Insurance: 44 BEEBE RD (413)455-9944 WCVOI 17601 MONSON, MA 01057 ISSUED ON:10/14/2021 TO PERFORM THE FOLLOWING WORK: 9X6 ADDITION ON BACK OF HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of\\iring 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. Signature: • 0 Fees Paid: $170.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File #BP-2021-2021 APPLICANT/CONTACT PERSON:JAILYN GONZALEZ 44 BEEBE RD MONSON, MA 01057(413)455-9944 PROPERTY LOCATION 15 BARRETT PL MAP:LOT 31B-125-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $170.00 Type of Construction: 9X6 ADDITION ON BACK OF HO New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON MATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Perm it With Site Plan Major Project: Site Plan AND/OR SpecialPermit 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 111 g ►, i� • , ( ► '• / 10 J a1 Si! Buildingature of Official I 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. The Commonwealth of Massachuse is OCT ' FO Ur Board of Building Regulations and St dare. 2 Massachusetts State Building Code, 7 0 C�Fa 202� M ICI ALITY T Building Permit Application To Construct, Repair, e t61. rrF 'tcup.i R: ised ar 2011 One- or Two-Family Dwelling nN ,4 o c ioNs This Section For Official Use Only Building Permit Number: itSP`igl/' 4)-1P—i Date Applied: PitAkk-, 'i1 '• 10 DPI Building Official(Print Name) Signature I --� e SECTION 1: SITE INFORMATION 1.1 Pr erty Address: 1.2 Assessors Map&Parcel Numbers IS r re. L 0 1.1 a Is this an accepted street?yes 1C 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: Skephe►, Vu V.-CA iC--1 t)f O.m(3fivn. VIA Name(Print) City, State,ZIP I S V2A rr eta ire y l3-a Su- ILt`1 i 4,1 k c1)?xl c,0 Corr+cwl•.rvz V No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied` Repairs(s) ❑ Alteration(s) 0 AdditiorN Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': gttl ail ctdd.i ;a. G.' x(`' jn boa,- O f "4- V. . CS.,e -,lei-ch fek <1-ccc,f iCctit-i,x�) SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 2 (0,2, it (.)a 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fee :fili �` Check No.ID check Amount:"1 11 "mash Amount: 6. Total Project Cost: $ 2,(0, 2.)i 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) O 97c)- y q �9 a Name�t I A G U(lalt()2 License Number Expiration Date of C Holder , r 'VA �e�t n� List CSL Type(see below) lJ No.and Street IU1 Type Description Sn Ma-al�� Unrestricted(Buildings up to 35,000 cu.ft.) �19R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 412-4S5-0/9/44 1 tiros grsO Fli 1/4/CthOu v*, I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 151(ot2- Cdri$}C*i Y') PGny HIC Registration Number Expiration Date H C CompCompiny Name or_HIC Registrant Name No.and Streete-e jailynrosanU tq�z(� M t,gh�,c� M(} Ott5S1 �{!3-+{S S-a.9' 4 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFHDAVIT(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 .❑ 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 3.Q+ n GUY)i ztf to act on my behalf,in all matters relative to work authorized by lthis building permit application. Srtp M Vul ov (+12k .1]h r0 ,-2v21 Print Owner's Name(Electronic Signature) 1/YV 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. C ra;1 n (DonA;,koZ) la • Print Owner 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 SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD I 037 SIDE YARD I S SIDE YARD I S FRONT SETBACK �5 FRONTAGE City of Northampton o�sHM s /y Massachusetts �? L iC L''._,� of * v DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building v` Cal Northampton, MA 01060 ssN-,... % 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: 1 5 ,kAe() it' ) Y\ h'0 . C 1 The debris will be transported by: Name of Hauler: ' G-uhC) Gentatk•PL Signature of Applicant: Date: 101 ),) �� The Commonwealth of Massachusetts Department of Industrial:Accidents ► ! 1 Congress Street,Suite 100 _••' -. Boston.:11A 02114-2017 www:ntass.gov/die 11 urkers'Compensation Insurance Af1idav it:Buildersl('ontractorsiElectricianslPiumbers. TO B1 FILED% li i1 111E PERMUTING At'THORI1'1'. Applicant Information —[ Please Print Lc ibis Name(Business()r anization J lndividual►: g, (.(i(+,cjr Jr. Cs..1iNTOny CitylState/Zip: n ,- jVt Y -6 OS—) Phone#: k((3 --LISS'q9`1 Are)ur as employer:'('heck the appropriate bus: Type of project(required): 1.CD l art a employ or old: f enpluyees(full sad or}wet-rime)' 7. 0 Next. construction _.D I am a aok proprietor or twrtneraltip and have no employes working for me m X. ri Reinode ling arts Capacity_[Nu oorkera'coup.In uranar it:win-Al 9. ❑Demolition ;.�I am a honw�owner doing all wink myself.[No workers'comp.insurance required-1e i? .1.0 I ant a humoownei and w ill be hunts avrltraclun iti conduct all wank on my property'. I will la El Building addition mom that all contractors either bide workers'compensation Insutano:CV:Ire WIC I I.0 Electrical repairs or additions pratprieton with no employee, 12.0 Plumbing repairs or additions SO I am a gs-nerat contractor and I have hired die sub-contractors listed on the attached sheet. 130 Roof repairs Thew The sub-caxatracta+rs have employee,.and have workers'comp.insurance.; 6.0 W ace a corporation and its officer'have c erciacd dices right of ar entptwn per M(iiL C. 1.3.❑odic[ e 152.§I(4).and we have no asnployo s.[Nu workra'camp.insurance required" 'Any applicant that clto.1.h,v=1 midst also fill out die section below showing that waxkcrs'compensation policy information. r It.ntas'dd rWr.N ho..Iil*tu11 this aftlJravit indicating they are doing all work and then hire outside contractors nowt ao'nut a now affidavit indicatng such. :coral aato t,that ebe k this box afloat attar hcd an additional shoo allowing the name of the aul,-ccaitractears and state whether or not those anttbea have onpl'ee^d.. It the auh-ctesiraclura tsavc enrpluyee'..ilk,flaunt pruvrdc then norkcaa'evnnp.policy ntnnbet_ I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: P#kQn..-ic __.Cyr ►kr arts � Policy#or Self-ins.Lie.#: C_vQ(I ii WC) Expiration Date: i'G1 •aJ a-3 Job Site Address: I S f Ye 0 el-- Crty State Zip:h:Jc- Q ,._MIL4 Attach a copy of the workers'compensation policy declaration page(slims the policy number and expiration date). Failure to secure coverage as required under L1GL c. 152.*25A is a criminal siolation punishable by a tine up to SI.500.00 and or 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 coverage verification. I do ketch• ti y under the pains and penalties of perjury•thatt 1 the information provided above is true and correct. Siin c� y^ � alu •: (IQ I l 'Y1lt Z') Date: l t)' 1' -( Phone»: 4.1 -.a..I SS-99 c('') Official use only: Do not write in this area,to be completed by city or town officiaL ('its or Tosn: Permit/License# Issuing Authority(circle one): I.Board of Health 2. Building Department 3.City/l'osn Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards CO t1StfeeithicitlipVrvisor CS-097254 Expires:04/29/2022 JAILYN GONZALEZ i 44 BEEBE RD. 11, MONSON MA 01057 1 Commissioner cv f. Y »clt.ta • Office of Consumer Affaifs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE: Individual Registration Expiration 151682 06(20/2022 JAILYN ROSARIO D/B/A JR CONSTRUCTION COMPANY JAILYN ROSARIO �. 44 BEEBE RD PC"(-' MONSON,MA 01057 Undersecretary ACc RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 10/08/2021 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 CONTACT NAME: Andrea Keedy R G NEYLON INSURANCE AGENCY INC ac NE.Extl' (413)467-9133 FAX (A/C, E-MAIL ADDRESS: rea. eedy@ AndK Ibhinsurance.com 2 AMHERST ST INSURER(S)AFFORDING COVERAGE NAIC N _ GRANBY MA 01033 INSURER A: ATLANTIC CHARTER INS CO 44326 INSURED INSURER B: JAILYN GONZALEZ INSURER C: _ JR CONSTRUCTION INSURER D: 44 BEEBE ROAD INSURER E: MONSON MA 01057 INSURER F: COVERAGES CERTIFICATE NUMBER: 704073 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 LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JEC LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Nd• PER XH STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERJMEMBEREXCLUDED? N/A N/A N/A WCV01181607 08/01/2021 08/01/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensationfinvestigations/. Sole proprietor has not elected coverage. Continuation of above Named Insured:DBA JR CONSTRUCTION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Stephen Vukovich ACCORDANCE WITH THE POLICY PROVISIONS. 15 Barrett Place AUTHORIZED REPRESENTATIVE Northampton MA 01060 _ Danniell M..CrC y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 0 H H 0 CA t- r V co r0 w ✓_ C > fD TiN -A V Property Information: JR Construction Company 15 Barrett Place 44 Beebe Rd Monson, MA 01057 Northampton, MA 413-455-9944 / 896-6627 o H 0 r r up x - Q) 0 r 0 m D x Q 0- CO O 2 01 0 rD rm. r) (D Property Information: JR Construction Company 15 Barrett Place 44 Beebe Rd Monson, MA 01057 Northampton, MA 413-455-9944 / 896-6627 z - 0 H H 0 S • = n °' o m -' x rt ro 5rD ota to CD N n CD Property Information: 15 Barrett Place JR Construction Company Northampton, MA 44 Beebe Rd Monson, MA 01057 413-455-9944 / 896-6627 g, z H A Walk-in tub kiD N W .. rn x N. / / o 34" frame door �* Property Information: JR Construction Company 15 Barrett Place 44 Beebe Rd Monson, MA 01057 Northampton, MA 413-455-9944 / 896-6627 z Existing House O H O n \ \ \ \ n n ko 4' 0 - 0 " -a 00 L n' E °o n) ka V Property Information: JR Construction Company 15 Barrett Place 44 Beebe Rd Monson, MA 01057 Northampton, MA 413-455-9944 / 896-6627 Existing House 0 O ;jN Q1 00 n 0 0 T 1 N v X` Q1 01 C"1 NJ 0 X` m _ inf m - a) a E 3 0- = m 0- Property Information: JR Construction Company 15 Barrett Place 44 Beebe Rd Monson, MA 01057 Northampton, MA 413-455-9944 / 896-6627 NOT TO SCALE N u7 0 Bathroom r-i Addition SPECIFICATIONS: 0 9Ft x 6ft Build new addition on back of House. c 2 Lo Q LO Dig out and install concrete footing 48" below grade and U o00 12" sona-tube/concrete piers with 4" concrete slab. o o Install 2" X 6" PT lumber bearing on concrete slab +� 17t' 01 connected with bolts. L- vcn N -0 C v un Install 2" X 6" columns and joists 16" O.C. connected to U m m carrying beam and house band joist with metal joist cc r+ .7t hangers. Build roof with 2"x8" rafters. Install /2 in CDX plywood, cover with tarp paper, flashing where it meets with the wall, drip-edge and finish with slow slope roofing. E. 0 z Q co E v U 0 co --- Q O 4 C -4..,.i — 4-1 Q L L_ c113 EO coL LIl 0 r1 z 10/14/21, 11:26 AM City of Northampton Mail-15 Barrett PI Insulation CitY Northampton Jonathan Flagg <fla99@northam tonma. ov> 15 Barrett PI Insulation 1 message Jailyn Rosario <jailynrosario1982@yahoo.com> Thu, Oct 14, 2021 at 11:22 AM To: 'jflagg@northamptonma.gov" <jflagg@northamptonma.gov> Hi: Here are the specifications for the insulation at 15 Barrett Place Northampton, MA addition. Insulation: - Slab over 6-mill thickness plyethylene plastic vapor barrierWrap - Exterior walls: 6-mill thickness plyethylene plastic vapor barrierWrap - Outside walls: kraft-backed fiberglass insulation. R-19 in walls and R-38 in ceiling. Cover walls with 6-mil thickness polyethylene vapor barrier. Vapor barrier to be located on the exterior face of the gypsum sheetrock. - Piping insulation will be provided. Let me know if you need anything else. Thank you, Jailyn Gonzalez JR Construction Company 413-455-9944 https://mail.google.com/ma i I/u/1?ik=e5d 1685713&view=pt&search=all&permthid=thread-f%3A1713609034209749135&simpl=msg-f%3A 17136090342... 1/1