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24A-224 (6) BP-2021-2349 47 HATFIELD STREET COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-224-004 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-2349 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est.Cost: 14550 KEVIN NETTO CONSTRUCTION INC 001317 Const.Class: Exp.Date: 10/02/2023 Use Group: Owner: HATFIELD STREET CONDOMINIUM #47 Lot Size (sq.ft.) Zoning: URB Applicant: KEVIN NETTO CONSTRUCTION INC Applicant Address Phone: Insurance: 90 Southampton Rd. (413)527-3168 WCC-500-5008057 WESTHAMPTON, MA 01027 ISSUED ON:12/30/2021 TO PERFORM THE FOLLOWING WORK: NEW 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. Signature: 1 i . itstl„, i ll Fees Paid: $102.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 • Office of the Building Commissioner E 21 , The Commonwealth of Massachusetts 1 ;11 I. * et il Office of Public Safety and Inspections 2 9 2021 Massachusetts State Building Code(780 CMR) 1 , Building Permit Application for any Building other than a One-or 1y_Dwelling (1.1P — (This Section For Official Use Only) Building Permit Number. a I— .2 3'i q Date Applied: Building Official: SECTION 1:LOCATION y 7 c-i-ft. 1- 4..../a. No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building® Repair 0 Alteration ❑ Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other El Specify: rZ:a4S Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No CEI Is an Independent Structural Engineering Peer Review required? Yes 0 No IR Brief Description of Proposed Work: 'C1eNs. 'COpC' 1 NA\14\\CICN SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft) Total Area(sq.ft)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ❑ E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA IIB 0 MA CI IIIB0 IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: A trench will not be Licensed Disposal Site 0 Public 0 Check if outside Flood Zone 0 Indicate municipal❑ required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner \-\fa►rc we..\\e.Fe.\ woxN \'1 V ,e.\S, c - �1or � b\o‘oo Name(Print) No.and Street City/Town Zip Property Owner Contact Information MocNtg - - -52C> \o`1,O Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: %exrc.e..N \p qo�4 c�,• \ *..4 , .c1 N o\V 1 Name Street A dress City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here IS. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor \'ZR.NWN C••11e GI ANI:5. .\\Qr Company Name ` vxs,e .New C%- o0\•1"6\7 gip. 1O/Z/2-3 Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Towft State Zip .%1b42) \� -�- \c Vt C`cN1��.vc cc 0.4\•arc, Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes B No CI SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$\y% %t 1.Building $ \y.°0 Building Permit Fee=Total Construction Cost x Z. (Insert here 2.Electrical $ appropriate municipal factor)=$\6\.'�5 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to e.. OSt%su �k gC v c c. 6.Total Cost $ v.bO, (contact municipality)and write ch number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Yle.sw-N Q.. 1e\�a tit\� Please rint and sign name Title Telephone No. Date aO c t to�.r�t►cN N4, V Cr`c1 m� Q\C7�►`1 c —‘%4Z US\.cam Street Address City/Town State Zip mail Address nn Municipal Inspector to fill out this section upon application approval: r �� r "" i° ; a l30 0� Name /Da The Commotl i 't'alth of:Massachusetts Department of Industrial Accidents �4_ s 1 Congress Street,Suite 100 1t ma Boston, AM 02114-2017 ?;t, wls)v ntass got.'/dia J. 11t i kers'('ompensal Insurance Aflidan it: Builders/'ontractors/Electr'iciansFPlumhen. I O life f II.ED WITH I IIE I'ERMITI'INC AI TIIORII . .11eplie:tnt Information l lea+nr. Print i c+bilk Name 1 Business.Organvat►on yI Individual t l `es.t\` % C.„ N ,1��1C Address: City/State/Zip: ,N\p,oYzw1 Phone t-': k-\'4v-�a1-. 0\b4RS Are.w as eimpleyer,check uie appeupriale list: Type of project(required): .®I am a cnploy.T with employees(full and air part-tinge(.' 7. El Ness construction 20 I am a suk proprietor or partnership and ha%c nu employees working for me m 8_ 0 Remodeling any capacity.[No notion'.Drop.uaurance required.] 9. ❑Demolition I am a honeonno doing all work myself.(No nutters'comp_rtsuraree aspired_]i 4.0 I ant a humans not and will be hiring.wdnietors to conduct all Hl uric on my peoporty. I will 10 0 Building addition ensure that all eordraclun either lase nurser,"comp.:ats;rlrun insurance or arc sole 110 Electrical repairs or additions proprietors w ith no employ co. 12.0 Plumbing repairs or additions 50 I am a giteral contractor and I has.hired the sub-contractors listed on the attached sleet. These sub-contractors has.: r.employ cc,and basenuric cusp.unurance. 13.[A Roof repairs 6.0 We are a corporation and its otfe c crs have ea.Tucd thwu ngh t of exemption per.K.L e. 14.0 Other 152. IfII.and n.hose no employees.(No nut►.Ts .trap.insurance required.l •Any applicant that chats boa a l must also fill out the avian below shun ing their nor►.Ta'compensation policy information.. Homey%nos who submit this atlidasit indicating they an:doing all n ork and then hue uutsuk contractors must submit a nen:itftdasit indicating such. :Contractors that check this his must aft ehcd an additional shot shun in.the n;une of the suh.-contractors and slate hclibcf or not those eTttittes has. employees, I1 the subcontractors lose employec,.they must pros ide their s uike's'wing.poL.y nianhct. I am an employer that is providing workers'compensation insurance for my employees.ees. Below is the policy and job site information. A Insurance Company Name:n\M MV. \ t"Vitat'S M•fs.SL Q.SZ'C S' _ — Policy#or Self-ins.Lic.3i: Wc,C„-P�yZA- JQiQ�Q�� Expiration Date: Job Site Address: \r‘SCN"P`sNe..%. .City State Zip: ‘‘\NK p\ roo Attach a copy of the workers'compensation policy declaration page(showing the policy number and esp tion date). Failure to secure coverage as required under MGL c. 152.*25A is a criminal violation pumshablc by a fine up to S1.500.00 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 venficatton. I do hereby certify under the pains and nobles of perjury that the information provided above i.s true and correct. Sienature: Vii IC) Date ` Phone#: \\ -�Ja1' \\,011b, Offcial use only. Do not write in this area,to be completed by ciry•or town officiaL ( it. or Town: Permit/License b Issuing.Authority (circle one): I. Board of llealth 2. Building Department 3.( its"I own Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other ( untact Person: Phone 0: City of Northampton n-4r ;; Massachusetts s 1 DEPARTMENT OF BUILDING INSPECTIONS (IV ' r . �+ 212 Main Street • Municipal Building vti Northampton, MA 01060 sf'.A 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: W c \\, c1 The debris will be transported by: Name of Hauler: �sm- Q-N'e.,„ tep\-N- sc�on ‘"N< . Signature of Applicant:%), Q_ \ Date: \a--aq_ ,\ Licensee Details Demographic Information (Full Name: KEVIN C NETTO wner Name: License Address Information City: Westhampton State: MA Zipcode: 01027 Country: United States License Information License No: CS-001317 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 12/15/2021 Issue Date: 10/2/2011 Expiration Date: 10/2/2023 License Status: Active Today's Date: 12/28/2021 Secondary License Type: Doing Business As: Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents ---,AN ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) ‘,.....----- 12/29/2021 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 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 Gail Croake NAME: Borawski Insurance PHONE (413)586-5011 FAX (413)586-7973 (A/C,No,Ext): (A/C,No): 88 King Street,Suite B EMAIL gcroake@borawskiinsurance.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060-3257 INSURERA: Safety Indemnity Insurance Co. 33618 INSURED INSURER B: Safety Property&Casualty 12808 Kevin C.Netto Construction Inc. INSURER C: Associated Employers Ins.Co. 90 Southampton Road INSURER D: INSURER E: Westhampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Construction 21/22 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 A POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,DAAGE000 RENTED CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 10,000 A BMA0029810 03/02/2021 03/02/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY JECT PRO LOC PRODUCTS-COMP/OP AGG $ 2A00,000 OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED 6234247 07/06/2021 07/06/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Auto Enhancer Plus Coy $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY Y/N 500,000 C OFFICER/MEMBER EXCLUDED? ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A WCC5005008057 03/02/2021 03/02/2022 E.L.EACH ACCIDENT $ (Mandatory in NH) EtDISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 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) RE: 47 Hatfield Street,Northampton,MA. 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. 210 Main Street AUTHORIZED REPRESENTATIVE'Lava Northampton MA 01060 ce lle-- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD KEVIN C. NETTO CONSTRUCTION, INC. 90 Southampton Road Westhampton, MA. 01027 413-527-3168 [H] 413-203-3025 [F] chiquinet@aol.com CS License: # 001317 HIC License: #103945 Harriette Feldman December 29, 2021 47 Hatfield St. Condo Association 47 Hatfield Street Northampton, MA. 01060 Re: roof replacement Permits and Fees This estimate includes Building Permit. Roof Installation Strip existing roof shingles. Ice &snow barrie, 6' up on eaves. Synthetic roof paper. Roll vent to be installed on ridge. 8" wide aluminum drip edge. Re-shingle with IKO charcoal roof shingles. Cap shingles. Construction Debris All construction debris to be removed from site. All debris will be trucked to Valley Recycling. Total Cost of Above Detailed Work $ 14,550.00 evin C. Netto Date Harriette Feldman Date We are fully licensed and insured. Will provide documents upon request