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25C-107 (6) BP-2022-0062 12 GRANT AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-107-001 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-2022-0062 PERMISSION IS HEREBY GRANTED TO: Project# RENOVATION Contractor: License: Est. Cost: 65000 KEITH RONAN 102583 Const.Class: Exp.Date:06/28/20'23 DEL SIGNORE, ANTHONY JR& KRISTEN M Use Group: Owner: WEEKLEY Lot Size (sq.ft.) Zoning: URB Applicant: KEITH RONAN Applicant Address Phone: Insurance: 53 TAMARACK RD (617)981-3223 READING, MA 01867 ISSUED ON:01/27/2022 TO PERFORM THE FOLLOWING WORK: INTERIOR RENOVATION 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $422.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • r -- The Commonwealth of Massachusetts i'T ! Board of Building Regulations and Standards FOR 1 F b • H MUNICIPALIT 1 c.., 0 {+ s" Massachusetts State Building Code, 780 CMR USE b. o n_ r iBuilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 201 rn 0 i One-or Two-Family Dwelling E this Section For Official Use Only Q r Building Permitf ._ Date Apli' Number: 3�"..._�=� p --... .L` J7 .A.• ‘ iv Building Official(Print Name) Signature f2. SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2c Assessors Map&Parcel Numbers 025107 12.14 Grant Ave acce I.1 a Is this an Icd street?yes x no Map Number Parcel Number p 1.3 Zoning Information: 1.4 Property Dimensions: ' URB 2 Family Residence 4700 63 Zoning District Purposed Use ( Lot Area(sq It) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Rec uired Provided Required Provided Required Provided l 1 . 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: .1.8 Sewage Disposal System: ! Zone: x Outside Flood Zone? Public 0 Private 0 Check if yes0 Municipal 0 On site disposal system CI SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Anthony Del Signore Jr. Wakefield MA 01880 Name(Print) City,State,ZIP 54 Spring St. 6178166343 tony©kristinweekley.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply) Ne.,‘ Construction❑ ( Existing Building PI Owner-Occupied 0 I Repairs(s) 2 Alteration(s) 0 Addition 0 Demolition 0 I Accessory Bldg.0 I Number of Units I Other 0 Specify: Brief Description of Proposed Work2:Update existing apartment with new walls,cabinets,fixtures etc. i I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: �.__........___............... (Labor and Materials) Official Use Only 1.Building 1 $45,000 1. Building Permit Fee:$ Indicate how fee is determined: i 2. - 0 Standard City/Town Application Fee I $$ ,.. Electrical;_.__.___.--...—_._ +000 _._ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing 1 $12 000 2. Other Fees: $ 4.Mechanical (HVAC") .._. Lis$I _. ..List:_. { Mechanical (Fire ........ Suppression _ I $ bomb All Fees:$ ��1 6.'Total Project1 C"heck No.16(_Check Amount/t/ ' Cash Amount Cost: 65,000 ❑Paid to 1 ull I___.__- I l . ❑Outstanding Balance Due: _______ SECTION 5. CONSTRUCTION SERVICES 5.1 Construction Supenisor License(CSL)— _ 6/28/23 Keith Ronan CS-102583 I iccnsc Number Expiration Date j IName of('SI.Holder List CSI e free Type helnwi U .�,., i 53 Tamarack Rd. No.and Street ___._.__._.._.. -_ t Description t Unrestricted t fiuildin u t n i 5 t cu. I Readlnt, MA 01867 t R Restricted 1&2 f emit elh C ttvTo«n.State.ZIP �i Masonry __ R(' r Roofing Comm. __ .. t1 S : Window and S .tog P I Sl 1 Solid Fuel •.ruing Appliances 1 617-981-3223 keith@wrapsolutions.net 1--~---1 1 1 Insuiario i { Telephone __Email address I D r Demol' on ` 5.2 Registered Home Im rmwement Contractor(HIC) _ R P i 185617 8/8/2023 Nolascos Painting LLC __ ___,�. i UK 'egistration Number Expiration Date HIC Company Name or HIC Registrant NameI . u flex Rd • ...�_. nyoolasca@twtmaii.com No.and Street _ 617-407-2096 Email address Lynn.MA 01904 City Town.State.ZIP _. Telephone SECTION 6:WORKERS'COMPENSATION INSURAN'E AI'FIDAYIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed . i submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the buil g permit. Signed Affidavit Attached? Yes . 0 No .0 SECTION 7a:OWNER AUTHO' •TION TO BE COMPLETED WHEN' OWNER'S AGENT OR CONTRA► OR APPLIES FOR BUILDING PERMIT 1.as Owner of the subject property,hereby authotia Nolascos Painting LLC to act on my behalf.in all matters relative to wor ,uthorized by this building permit application. Anthony Del Signore 12/31/2021 Print Owner's'came(Electronic Signature) Date SECTION 7b:OW''ER'OR AUTHORIZED AGENT DECLARATION By entering my name below. I hereby•ttest under the pains and penalties of perjury that all of the information contained in this application is true• d accurate to the best of my knowledge and understanding. Anthony Del Signore 12/31/2021 Print Owner's or Authorized Agen s Name(Electronic Signature) Date NOTES: 1. An Owner who obtain a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the tome Improvement Contractor(HI(.')Program),will not have access to the arbitration program or guarani fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at .. . Information on the Construct ion Supervisor License can be found at www.mass.gov 2. Whim sutitant,ai work is planned,provide the information below: 1 loud floor area(s(4:li.) _.._._.(including garage, finished basement'uttics,decks or parch) (Miss living area/sq. lt.) _ habitable room count Number of lireplacc'a _ Number of bcxlrootns Number of bathrooms Number ofltalf-baths •I ypc of Treat pg system _ Number of decks!porches I '1 ypc of cooling system Enclosed °'I >til Prt,jeui Squire(outage"may be substituted lirr"Total Project C chi" _ : �•t Construction Superlisor Lhence(eSi.) SF:rru). t nV, Rt'('r1aN.titatvtc'i:5 CS-1025$3 6/28/23 Keith Ronan acme Nitr urn I ttrrnr.rn Nab: 53 Tamarack Rd. 1 to t\l. I,pc r:4ti hon,, _ 4 rrn!1P:'; tyre fktirtptrt>n 1 1)nrrsrrtctcnf!Ikukttn np to 41400,h tt r Readins. M • A 01367R Rr•rrr.:tcr1 lift,?f rend)Jrkcrtrn: ♦'ti .at'ci),slat;,fth `{ . Rf Roomy f nscrtng 44.5 44 tort and Sul, : 321 keith a wrapsolutions.net tin solid I ur1 Naming A Irancr I Imutatr+m I nul.akhr>• f) FAmu+lrlurn 5-d Re htee d Horne lmprosr men t Contractor(111C) te56i r 4117023 LLC III(Regtoratson Number Eiprration Doc A.rrnc ra!JJ(".Rcir.1tem Aa:nc :- •d^cg 2, rOnnYnolaSCO@hotmaii.COrn t r,. „ 6II-40r•2096 fmatl actttrt:c C: T r t'.State.ZIP i cict+Irouc SECTIO'6:% ORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C'16)) `,i on crc(wrii,c}.atim Irtc nix atli4JaVit must be completed and submitted with this application. Future to provide wilt rea li in the denial olthc Issuance of the building permit. Si r'tdat[t.%7tW.hCd.' Vcs Ca No __._._.�_. SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OU ER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ..z (i r of the,,ubtect property.hereby authoriztallIMIL Keith Ronan ac'x.-, rehati in all matters relative to work authorized by this building permit application. kl,t4/>04-- P.; .,•P. s\am;'tl..-•rc3uc.S:gnature) tC SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION ;.% water:rag r name belc,K. I hereby attest under the pains and penalties of perjury that all of the information appi•cauun is true and accurate to the best army knowledge and understanding ammil eeghRow JJ3x1t2 2022 r -r ._ : a,r ra.cd 4 nr t'\snot(Electronic Signature) Date NOTES: • Owner A1',o r,btatn,a building permit to do ht.f"her u\4n work.or an owner who hires an unregistered contractor rod•tglo'cr+:;cl rn the(tome Irnprovenunt Contractor hilt'(Program),%ill tiff have actress to the arbitration r.r,<grarn„t,a:,,,t r funrt undo, till,.(. c. 142A. Other irnpurtaut inhumation on the HIC Program can be titund at Intrnrrr;lttott tin the Construct ion Sup►'rvi o. I.tccurt'can be round at n i, a:►,aautra;hall.r,pi.rnncd,pun:de the tniurmattor►helow. ..�; 'l+ (4,4 it/ (rnrltiihttl;garage,liaistteti be emirit attics,decks or porch) tit n. .rt: fl I l.r } '� 1 hi17111�rtNNit l'tNitll ;nab,`r,al t1r'-p'ar Nuiilbcr ul hedrik1t1t .urrrtr$ ')f"slhi'inrr, Nlultlnc•i of hall bitlh$ 1:{rr„-10,-.0i1;;•` tern ----»--- Niiwlkl ut cirrk.k'petCheN I} ;r rrj;rrrltrr (ur101%N1 (�xtt l't"rrJrz9.':terra 1;I r,kig, ..loot)I,r stilr',IUultti tin -loaf 1'lt4l't`I( t,�t CitY of Northampton -, f'ell''' ( Malloarattuoot.t.04 , , , . , -,': 4,)4304' hxpAfrtgoor or rtfahonri imaktenfogi -.. ' Yl% MAJv Of*** 41 Whaiop*; Oirovvi;h1 MA 6;444 ' 4,• CONSTRUCTION DEBRIS AFFIDAVIT (I't)P AI,I, 014vIni,ITION AND 111,,OWAI jo;; pp tpx-c%) In act ordante of the provisions of tv161. 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, 5 150A, The debris will be disposed of in: Valley Recycling [oation of Facility: Northampton The debris will be transported by: Name of Hauler: Allen's Roll Off Container Signature of Applicant: Arl-i-eitti„ Z74-1:-"' 4-4- - -----r-7-' _ _ Date: 1/3/2022 • The Ctimmoa:wealth (if,i1ossachusetts i, Deportment of industrial Accidents •*-" I: '• 1 C'ongres,s Street.Suite 100 Boston, .11A 02114-2017 wwwv.tnass.griv,tlia lit 1,11 ken*t oniprotoolion lostaratter Affidat it: Ruiltitt r%1ContruetiorAJFIcctricions Ploint)rr). It)BC 1'ILI)%11 III 1 HI-.hi k‘l I i I INC,At 111(11(11 N.. eltivw Print t ibt) A t tlicant I itiortna Om Nolascos Painting LLC Name thuut,-,...4 tr,.:314t.miLitri I nd tvidu..1 t. . - - Ait.,...ts.s, 54 ardwridge Rd . . , ; LAN' State Zip Lynn.MA 01904 Phone o 617-407-2096. .....„.. . - „ I 1 , 1 tri.s..k1 Mt 41111.149,er!t 130.1..it.,A pplopriair hat: I 1,pt.of prtiirrt 4requireilt, : , -Alit, 6 Lir ri.,y,"1,4 i t oil atul mt part-lint:I* 1 7 "".1 N•cu. Lonstrattattnt t .,m vuoa4:4,Itsr MI 14a*t;no cr,44..,tz,(tvi ii,,tkla, tt,t,/,,,,r, 1 S. la Roalladt till i: , — . ``,.,,Akvtiker.'.„.',."411r.ittnuellettv RAN titrixt i t."-='' ti 1 tit,kn tilt:J/1 _ 1 .3....12.,V*,31:M.1.,4..IT1V,4II.,!,..fi,iiiitkini`caittli, trytiongtie ritz-tittixt 1 1 , I It/—I Butldtr,,,t:addition <old it !I ht.'htt ytt;ixt4111 4,,:lors;,..,ixidu.cty,,,,is,,,,,,:,. ....--'.4.7n,Lar 1.110;,..1,,,,an4cusn,1:1'SA:I 114a,V.0111.1) 1,.. 1p1:11mtli,kit ttritstalleit or atc.itlit: I 1. 3 Liectneat teinteat-,.0: titiklattt,rts flort.),..st..,..r,t.la:tli•Laziricr.“3,..3. ' 12,7:1 Plumbing=pain or addrions 1 1-'''‘'tntA3..ititi:iiihn.ittzttutut hsle.A1 irn the toLutticil%that t I.3....i Ravi'repiars 1 i --- it.%..r,,,...vitt. ..;titti Lit.itittlittlitytti:_n;Intl Lot t.:lies „idup.tustatittt_c., : 14 (kiwi i .a.,...,....k-7.-..44.r....,,,,...,-:.,..,.. ,......Th4..h4:......4:/..:Itxt.lthco right,' it:ix,.714,-,1%ref mt.i.L., : rt,tanr>1..tt..t.tt:-..[No tt ttt i.ers'4:1.3:11, 1:13!nc to:1 viiititciii ! ..,,,t,,,I,t.,,, - tnttit.2im,fa.00,1111:M3A1.01111.1041 14El14144:1:7,StICII Antrtit....'cictpetritititttl 7.1.::...'...Viti,"VISIAtiaa, tt:tai,t Ittti titattral titt.:-Ant Jin4•?tin work;Ind ttti:t. trust 1.ttittsitte zotar...ictirrn r'mitt'itit'mnat 4.Okra(Ittfutio.ti 'box rasit al,,s...hod tr t ntidttli 7:61;itutiti sbtrt,tutp tit._tt.tztte i'f tit,i.tihtn_itntraCtitn attii‹tatc ibhelhext et 11,4 rivr,‹•=titsr...-,it...a•. 1:.:i....2,..1,-,vw..1-1.:zsa,1;3‘,2t.rr..rit.:rroe...alloy now ply,la,i:3•L'ir Wtri.t.tr;.,,,,:p.r,,r,„,.... uwlaNzt, 1 am air ea:plover that is providing workers*compensation insurance far my employees. Below i8 the policy and i4$1)s;le infaPination. lr,!.....Tant:C',...nripal.Nunic: Norguard Insurance Company 11.0.1.,:, ,or sdf,iro.. L . ;., NOWC213088 Expaation D . 8/22/2022 It.,t41 C,..-c:Adtilt:s;,.- 12-14 Grant Ave City:Slawzip: Northampton MA 01060 Attach A cup) of the*s orkers.compensation pt)iiry derlki ration page(Nhowing the pulley number and expinttion date). 14.1&,...,...ip.: 0.),i.1-2..i..........- i:_..._. :-.,::f untiLlr N1(...,1..c... 152. ;;;25A)s a crtatinal‘solation punifiabli.,tt% it fine up to SIS)0.00 ahf ttt 1.17.A.- •::_r tn-rv:;..s.er: :) ;I. ...:- - . I .1.:- ,..tt,ri penai:ret- in lilt:form of a STOP WORK ORDER:Jul a lino of up lt.,S250.AX.1 a Id: ...g.:zi11,1..t).... ',!4,;Jto.r, A,--oF),, <.4 :ius Ntatortcnt ma% tic forwarded to Ilic Office of InvL•silgatiom of tilt:DIA Its itatirdilet c":: ,.....1:1,11. ...., , I th.,herebi certtfy under the pains and penalties of perjury that the information provided Share is trite Unit correct riefrm, tow 12/31/2021 •-..e.:1;,.4tuff.:. -' ' , ' ' Date: 617-407-2096 . 1 Officiai iese only. Du not write in this amt.to be corn/dart/by di):or won official , (its or it.41)i : l'ertetit L ic raw 4 _ _..... : bkmeinv Autliuri4( irk Health 2. Itiaildm4 1)vjuiritlittit 3.i it\ I tiV*Il(lerk 4. EIrttsitill li,opector 5, PI Vs' I * 6.tither um tug Irspettur '..-. t'foutoti Peroft. ) Patbilt#1 . _ .., . t. .