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31A-008 (3) BP-2022-0017 289 ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 A-008-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0017 PERMISSIONIS HEREBY GRANTED TO: Project# 2022 SHOWER Contractor: License: Est. Cost: 7400 RATTIGAN &SONS INC 115952 Const.Class: Exp.Date:01/01/2025 Use Group: Owner: BRIG! INC Lot Size (sq.ft.) Zoning: URB Applicant: RATTIGAN &SONS INC Applicant Address Phone: Insurance: 25 SWAMP RD (413)364-1169 6562UB-5N1D405 WHATELY, MA 01093 ISSUED ON:01/05/2022 TO PERFORM THE FOLLOWING WORK: BATH RENO 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: ler‘ . V 6 ,2 . T'i • , 4 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner . e-mg"( . . The Commonwealth of Massachusetts 14"/N) c.7 Board of Building Regulations and/Stand rds ` 4 F 5 Massachusetts State Building Cod 784E r R S 202 I S ALITY Building Permit Application To Construct,Repair,kenciVa ,- olish a Revis d Mar 2011 One-or Two-Family Dwelling ..`,- 'mis,_ This Section For Official Use Only '°j..UioN,s, i BuildingPermit Number: � �:�= / '7 Date Applied: `*```-- ,. /1-sup..) 44-, 1-5-Building Official(Print Name) /47 Signature Date SECTION 1: SITE INFORMATION 1.1 ropy y elmsy_i 1.2 Assessors Map&Parcel Numbers 1.1a Is��thhissjjan(accepted street?yes f 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: AoAtuolOtyN De1t0. M rt, t_ tgV , OI O66 Name(Print) City,State,ZIP l q 4 0L S1kezi" (U 13)-MT-Jiff; deli Nci t-n,.matt;tel.©J ;( , No.and Street Telephone Email Address tern SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building Ng Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition V Accessory Bldg. 0 Number of Units Other 0 Specify: ���� Brief Description of Proposed Work2: � ,C two il> 15 w e X%S ny and P'( f- �n P 10. 6nph..n4 ap J s ru tr G✓ lls al4 ucish wa 1 ''r' volier Oho 'AI l/I.,/kt vg A S� l�.l.i : she tc , &ia's twei j �.1 ri r ; `°S""�I„ ko a ly)� toe aR Jo►� u,i• i, yr e ce ai,i/ a,A.d 1'I A< SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ J i01), 60 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $. D 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount:ib26 Cash Amount: $6.Total Project Cost: —2 quu 0 Paid in Full 0 Outstanding Balance Due: 1 City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 1'Pt 0 - PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND MOUNTED SOLAR, ETC. I. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work. (Digital and hard copy) 3. Site plan with location of proposed structure(s) and set backs. 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. 14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS .n���o[ 1 a� �2ti�i �a License Number Expi do Date Name of CSL Holde� �wK List CSL Type(see below) R:1 O'D P30): (AS) No.and Street Type Description n t U Unrestricted(Buildings up to 35,000 Cu.ft.) W 1�Ate` ®,(5�L 3 R Restricted 1&2 Family Dwelling City/Town, gate,ZIP M Masonry RC Roofing Covering WS Window and Siding �J � SF Solid Fuel Burning Appliances 413-36 4 .t16(j 1 1TTbpn an 0 Svr S inc., 9j1 ieL cc M I _Insulation Telephone Email address D Demolition 5.2 Registered Homee Improvement Contractor(HIC) 2oa6 as a 7 /912023 "RArrtG-A(1 `b) sOr\,S , Luc , HIC Registration Number Ex atiDate HIC Company Name or C Registrant Name p� 14,11 �S �wnA.9 girri� vianosan$I4C .co,�'Z No.and Str et Email address WhQ.Jgl , Mil 01o�s.� tld3- 3601-1C« w City/TonclState,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AF'F'IDAVIT(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 SE=A ejq'ri(Fi to act on my behalf,in all matters relative to work authorized by this building permit application. 1I R R. C1Att . 0i-4 A 0i css abda--- Prin er's Name(Electronic ign.' 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. 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 SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD st-L( o14) W ci 4.• (\111-- 07ts r\d‘ SIDE YARD D°6( 31 gas SIDE YARD 6rif r FRONT SETBACK FRONTAGE 4 , — The Commonwealth of Massachusetts Department of Industrial Accidents ........ ,..,,,, I Congress Street,Suite 100 Boston, AIA 02114-2017 w;v)cntass.govidia 14 or kers'Compensation insurance Affiilas it: BitildersiContractors/ElectricianstPlumbers. Tt1 BE 111..E.0 v‘I i it I FERMITTINC AITIIORII'l. .Nonlicati i Information Please Print I.egi his Name(BusitaessiOrgamzationtituhruluall: 6 rr t f-i--nit oi) A.9 vvo teiC i , Address: City/State/Zip: W ivkAIL , , (\AA 003 A1, Cit\At PII0I11.: ::: ell()) 6 - qd L.,d_.. .,. ..,......., .tr,you an eurpkr"..( hie It the appropriate iklit: T!,pe of project (required I.211 am a emplioyer with _employees hull ond?or parigiinet,* 7 j New L-onsIrui:Itun .2.0 lam a ok penpriour Or partnership and have nu enapioyemt working for me in K. 03 Renualeling any cam-it [Nu vourters'comp.insurance required] 9. Ej Demolition 3.[J I am a hurneowrarr diving all woes.myself.[No workers comp insurance required]' 100 Building iiddiiion I am a horisomiener and voill be hirmg tanitracturs to unidoct all work int ilty property, I will tleUrr that all contracturt either have%aorkers'...-ortmensanan insuranue or art sole i I.:j Electrical repairs Or additpunr, proprietors with tio employers. 12.0 Plumbing repairs or additions 5.0 I am a Ftnui-al cunt:10,0r and I have hared the tub-curitraesors listed on the aitindord sheet. 131:Roof repairs These mbs:,..rutructurs.Luse estarduyett and have win—kers'cionp.cusuruncej. 14.0 Other 61:3 We Art a c'OrpOratirAl and its.otTmers havt elereiseci their right of exemption per MGL e. 15-2..,§I t 41,and'.'r li.e.,..ti,.enirlov.e.,.,("v.-.A clf.kCrs',:kIrtr rI,Lcance:ruytillvd.! 'Any applicant that...heck eot-..;I must.11.3,1 I'LL ILL the Acetron reluA stops lug then A otitis,'conipensatuan policy tariumu:mm. 1 lorrieuweiers who submLt this Affstizmit istsiieutme they are doing all work and then lure outside contractors muss whine a new atlidav il Mau:wing such. teuntractiats that cheat this box rniist attached an additional sheet slimvung the mime of the suls-rootracwrs ItItti date whether or nut dime entities have iployee*, tithe slilt'-iuMrscurs twoe eitiplo.....eel,they roust provide thew wisrkcss"warp poltei tuunher 1 um an employer that is providinp, workers'compensation insurance for my employees. Below is the policy and job.site information. Insurance Company Name: CliUns t" _ Policy#or Seif-xns.Lie.#: (‘S ib a U - yimirotior_- ,,,..cl') Expiration Date: of 3 a i Job Site Address: City,StateZip:___ _ Attach a copy of the workers'compensation polic,s declaration pe(showing the policl, number and expiration date). Failure to secure coverage as required under!AGE c. 152. §25A is a criminal violation punishable by a fine up to$1,500.00 atalior one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 veritic.ation. . . I do hereby certilr under r pain.% at ff penalties of perjury that the information provided above is true and correct. Siena-toe: 13,41:: Phone : r _ Official use only. Do nut write in thiN areiL to he completed by city or town official i City or Town: Permit/License At I Issuing Authority (circle one): I. Board of Health 2. Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector ..' 6.Other Contact Person: Phone#: R City of Northampton 4 s Massachusetts DEPARTMENT OF BUILDING INSPECTIONS _ ' 212 Main Street • Municipal Building 5` Northampton, MA 01060 `sr,4 ..1;,vt"''' 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: 4/4II�As Kn ti - sPI Cori,114111-er- The debris will be transported by: Name of Hauler: 4( (en Signature of Applicant: Date: Of or ,a2Oao2 NOTICE NOTICE TO 1111:a1 4� TO EMPLOYEES ' EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS LAFAYETTE CITY CENTER, 2 AVENUE DE LAFAYETTE, BOSTON, MA02111 (617) 727-4900 — www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: CHUBB NAME OF INSURANCE COMPANY P.O. BOX 4614 BUFFALO, NY 14240-4614 ADDRESS OF INSURANCE COMPANY (6562UB-5N10405-0-21) 08-22-21 TO 08-22-22 POLICY NUMBER EFFECTIVE DATES GASLAMP INS SERVICES 2244 FARADAY AVENUE, # 125 CARLSBAD CA 92008 NAME OF INSURANCE AGENT ADDRESS PHONE # RATTIGAN, SEAN DBA THE HOME 25 SWAMP ROAD ttt IMPROVEMENT SPECIALIST o.-- WHATLEY o� MA 01093 m EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services LL� provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 013388 W20P1G15 TO BE POSTED BY EMPLOYER t • DocuSign Envelope ID:532C2745-ED9D-4DE4-B61B-E943D7273C76 RATTIGAM 8 Kr1%* INC.SONS DELIA MARTINEZ The Home Improvement Specialists 289 Elm St. Rattigan&Sons Inc. Northampton, MA 01060 25 Swamp Rd.Po Box 295 United States Whately,Massachusetts 01093 United States Quote No. QTE-2021-0141 As of 8/26/21 Valid 15 days Project address: 289 Elm St. Northampton, MA 01060 United States 1ST FLOOR BATHROOM Number Designation Qty Unit price Tax Total excl.tax 1 DEMOLITION 1 $1,500.00 0% $1,500.00 Move stackable washer&dryer out of bathroom area Line doorway with heavy duty plastic Remove the shelving and half wall as discussed Remove all plaster from ceiling Remove all plaster from one wall as discussed Cut hole in floor for new shower drain Cut through ceiling joists to run exhaust vent Cut hole in exterior wall(double layered brick)for vent exit Dispose of all demolition into dumpster 2 FRAMING 1 $850.00 0% $850.00 Frame up sub-wall for shower head&mixing valve Frame another sub-wall as discussed with Dan and leave for his installation - Material-Included(1 u) 3 EXHAUST VENT/LIGHT 1 $450.00 0% $450.00 Hook up vent/light box Run duct ventilation Attach ventilation to face vent on exterior face of wall Spray foam for insulation Attach vent/light to box - Materials Not included(1 u) 4 SHEETROCK(GREENBOARD) 1 $1.550.00 0% $1,550.00 Sheetrock bathroom ceiling as discussed Sheetrock 1 wall as discussed and around chimney Sheetrock subwall Mud/tape all seams and joints x3 coats Sand and prep for paint - Material-Included(1 u) 5 PRIME&PAINT 1 $600.00 0% $600.00 Prime all areas where new greenboard was installed Paint whole room white as discussed - Materials Not included(1 u) 6 FLOORING 1 $250.00 0% $250.00 Install one sheet of linoleum flooring in entire first floor bathroom - Materials Not included(1 u) • Rattigan&Son's Inc.-The Home Improvement Specialists Page 1/2 25 Swamp Road,PO 295,Whately,Massachusetts 01093,United States—Telephone:4138247161 —email: professionals32@yahoo.com DocuSign Envelope ID:532C2745-ED9D-4DE4-B61B-E943D7273C76 Number Designation Qty Unit price Tax Total excl.tax 1 PAYMENT SCHEDULE: $1,733.33 1/3 DEPOSIT UPON BOOKING $1,733.33 1/3 HALFWAY POINT $1,733.33 1/3 UPON COMPLETION PERMIT FEES:$200.00 Total due $5,200.00 Payment cash or check. PAYMENT SCHEDULE: $1/3 DEPOSIT UPON BOOKING $1/3 HALFWAY POINT $1/3 UPON COMPLETION PLEASE MAKE CHECK PAYABLE TO: RATTIGAN & SON'S INC. This proposal may be withdrawn by contractor if not accepted within 15 days. Due to material price changing. All prices include premium materials, and guaranteed satisfaction with professionalism and work quality. Thank you for your business. Customer Signed and dated: Sean Rattigan +ly zb< I 12/14/2021 ,--DocuSigned by: ....,......__. .,__..,..._,_._......._�.._..,( ...,,' _... =F42BF8BT244C406.: Rattigan&Son's Inc.-The Home Improvement Specialists Page 2/2 25 Swamp Road,PO 295,Whately,Massachusetts 01093,United States—Telephone:4138247161 —email: professionals32@yahoo.com