The URL can be used to link to this page

18C-132 (4) BP-2022-0179 92 BLACKBERRY LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-132-001 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-2022-0179 PERMISSIONISHEREBYGRANTED TO: Project# RENOVATION Contractor: License: Est.Cost: 42000 Chagnon Building &Remodeling LLC 060175 Const.Class: Exp.Date:09/30/2022 Use Group: Owner: MASON DANIEL K& SHARON WRETZEL Lot Size (sq.ft.) Zoning: URB Applicant: Chagnon Building &Remodeling LLC Applicant Address Phone: Insurance: 91 Stockbridge Rd (413)259-6785 WCC-500-5026126 HADLEY, MA 01035 ISSUED ON:02/24/2022 TO PERFORM THE FOLLO WING WORK: RENOVATIONS,DOORS AND WINDOWS 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: I csjeoiTi li • ` • Fees Paid: $273.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner 4 'aLLc PLN,IS / iQi .; -. �/ � �;�� duns o ' Th`eT�ommonwealth of Massachusetts -I• w ? FEB 2 3 I oard of Building Regulations and Standards FOR \ al .. sac usett State Building Code, 780 CMR USE DE p13 .t Appli MUNICIPALITY do To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 ----____NoRrI{q 1P7o It PEcrioN6One�or Two-Family Dwelling 0U n This Section For Official Use Only Building Permit Number: (3P' -/7 9 Date A plied: • 7' g X,. Building Official(Print Name) i Signature to SECTION 1:SITE INFORMATION 1.1 Proper Addr ss: 1.2 Assessors Map&Parcel Numbers 9a / /4d y 4-t 166. 13 2- 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information:C 1.4 Property Dimensions: gb 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 ,r---- 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public(iV Private❑ Check ifyes❑ Municipal B�On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: P r'4( ."USow A'Ord/AyiL rti4 0tr0'66 Name(Print) City,State,ZIP v. (3/4441,r 'cn"C y/3 Vg? T*11/45dti 49,101-f`.aiii No.and Street Te ephone Email Addfess SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': R,evttotif 6)Ct57 i sie)/ PO 1K gewl'C e,,7F f, f '201,• ,4'( t 5 446 6''.' Dfl rnlrtiteug OW,A6Sc0&'e fe/t4;icec0, Nets ftt* p'q.y,ALA:veil .u.�ceeemt fi ilvtuk, FFift/0. S SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ '3' 900 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 3.dap 0 Total Project Cost;(Item 6)x multiplier x 3.Plumbing $ 570 0 2. Other Fees: $ 4.Mechanical (HVAC) $ -- List: 5.Mechanical (Fire $ __ Suppression) Total All Fees: Check No.grir Check Amount v),1 Cash Amount: 6.Total Project Cost: $ dO 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) G' -c O(75 0/10 GA Hdld el-/4 t jt„ License Number Expiration Date Name of CSL der qCI v r 14 List CSL Type(see below) No.and Street Te Description 40/ 14 O(09 ( U) Unrestricted(Buildings up to 35,000 Cu.ft.) !7 tJ! , 1 "� Restricted I&2 Family Dwelling City/Town,State',ZIP M Masonry RC Roofing Covering WS Window and Siding u/3 7 'n'r� /� �� /� SF Solid Fuel Burning Appliances 7 / 4CT/"w"O C646444 -"a/2• I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) �1�7y./ Oy///a3 «�� /'�r�e� �L HIC Registration Number Expiration Date IC ompan Name or HIC REgistrant amen No.and Street - r �� i address /440ley AO- Oct,a5 a/3-aSq GZBj City/ own,St te,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 fcr A.%.( � (?41y)4C/ to act on my behalf,in all matters relative to work authorized by this building permit application.J" 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. C�a s' cam( a/ 0)N Print Owner's dr 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" The Commonwealth of Massachusetts u , _ /. Department of Industrial Accidents I•i it s 1 Congress Street, Suite 100 'IVO Boston,MA 02114-2017 , � www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Chagnon Building & Remodeling LLC Address:91 Stockbridge Street City/State/Zip:Hadley Phone#:413-259-6785 Are you an employer?Check the appropriate box: Type of project(required): l.p✓ I am a employer with 2 employees(full and/or part-time).* 7. 0 New construction 20 I am a sole proprietor or partnership and have no employees working for me in 8. �✓ Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.�Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a co oration and its officers have exercised their ri ht of ex 14.Q Other rp g emption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:AIM Mutual Policy#or Self-ins.Lic.#:WCC-500-5026126-2021A Expiration Date: 11/14/22 Job Site Address:All Locations City/State/Zip:Northampton, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 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 hereby certify un I.the pai s at e, esmtrt s of"perjury that the information provided above is true and correct. Signature: U/ Date: `mil Vg `� Phone#: yf,"-P-57-6‘� Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton x1°psJ ^v:4 SI4 Massachusetts ti g/" „ f c l . ' DEPARTMENT OF BUILDING INSPECTIONS : 1. 212 Main Street a Municipal Building 4:. c11` Northampton, MA 01060 �P ' -,1:0' 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: A er)51-44 JJ4 //toe '4-, The debris will be transported by: Name of Hauler: [ 9-44c, 6v<<-D;Ay t Redt•VdP,1114; -1 Signature of Applicant: �� Date: ,G2/o7/ ao2 If to Owners,to them at: Daniel Mason&Sharon Wretzel 92 Blackberry Lane Northampton, MA 01060 Email(s):swretzel@gmail.com ARTICLE 23 TERMINATION 23.0 If the Contractor shall: (a)be adjudged bankrupt, (b)persistently or repeatedly refuse or fail,except in cases where extension of time is provided,to supply enough properly skilled workmen or proper materials to perform the work, (c)persistently disregard laws,ordinances,rules,regulations,conditions of any public authorities having jurisdiction over the WORK,or (d)be guilty of material violation of this Agreement, then the Owner shall be entitled,upon seven(7)days prior notice,unless the Contractor shall cure such • violation during said seven(7)day period,to terminate this Agreement and take possession of the Site and all materials and equipment thereon and finish the WORK by whatever method Owner may deem expedient. ARTICLE 24 GOVERNING LAW;EFFECT This Contract shall be construed and enforced in accordance with the substantive law of the Commonwealth of Massachusetts without giving effect to the conflicts or choice of law provisions thereof,and shall have the effect of a sealed instrument. This Agreement executed on the day and year first written above. Contractor CHAGNON BUILDING&REMODELING LLC Bys 7J nor> 1,202215:19 ESTI Its President Owner(s) .7 m&Akron Daniel Mason(Jan 31,2022 21:34 EST; Siutrtm,Wrefzet Sharon Wretzel(ia.31,202220:33 EST` Contractor Initials:GJ� rnn Owners Initials: Page 7of20 Copyright©2022 Chagnon Building&Remodeling LLC af� Created on 1/31/2022 12:52:00 PM SW Wretzel Bathroom Remodel Agreement 013122 t 'r .5,,41 "' .em r "', , f-d - r 3. s ue.,,„ `+"e +n4 * 4 7 t.3"' 4 rr-i �, ,x" rat a* fd a- w. .i-, a^ _ t: s s w s...os ... Mom- 3 >� { ,'9 ;'-fit: a• ,, ::-� . ` •"':. _ ;`K � max. �.`F - i Rya ^,. ':,..., .4:,^7 it ., ��r,,,.. eft r .,, R ,� a �' -,� '- _ , 404 ir,..,,,,,..,;',-:.'. .:,:..7i,j:;'4'N,..V.41.-414.g,. ,,,, rt-ri Fes,. - ; p Jai �, • ax 5 M � -