23B-042 (8) BP-2022-0418
184 NORTH ELM ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23B-042-001 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-2022-0418 PERMISSIONIS HEREBY GRANTED TO:
Project# KITCH RENO Contractor: License:
Est. Cost: 152350 THOMAS BACIS 070061
Const.Class: Exp.Date:03/06/2023
Use Group: Owner: HAGAN BRIAN A& MIME M BROUSSARD
Lot Size (sq.ft.)
Zoning: URB Applicant: NEW ENGLAND REMODELING GC INC
Applicant Address Phone: Insurance:
75 VALLEY RD (413)478-5272 5006015012021
SOUTHAMPTON, MA 01073
ISSUED ON:04/26/2022
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO, INSULATE PORCH
POST THIS CARD SO IT 1S VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: >2 ��,, •
Fees Paid: $990.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Rr
z APR 2 0 2022 f The bommonwealth of Massachusetts
i Board of Building Regulations and Standards FOR
{e ---^---..-•--Massachusetts State Building Code, 780 CMR MUNICIPALITY
N. ;'-T.OF SUILDINr:INSPECTIONS USE T�i>��
-. -_ - ._' ilditikPliarApplication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building PermittNNumber:8 P -i.7.2-' D Date Applied:
i `tii� <<'oss W Li-26-7422
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: i pi i i n I El rn cf. 1..2�Asse sors Map&Parcel Nu meLs,Z
•
1.1 a Is this an accepted street?yes y 1 no 1 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'
2.1.4xn er'of Recoil!)
Vam1t, 13c-oOSSeel-J NocRam n ay , NIA ° loLo'
Name(Print) ll p Ci ,State,ZIP 1
I g Ll N . E In, ST. - 7 7?-'S57-23 q 5(Srooss'4,4Al 6rvl41 l
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) X Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units I Other ❑ Specify:
Brief Description of Proposed Work': K i 7i hen (Lew)t( • R.a/4(A m L n- mi r_
fiu14 deor, -In Adl E ie (3 a-Gt �pa,&el , LI Filcroa_ 2-7
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 134,3 So 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ , , 5—CV 0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ i De d 2. Other Fees: $
4.Mechanical (HVAC) $ I ca., List:
5.Mechanical (Fire
Suppression) $ Total All Fees: ii ago
Check Check No. Check Amount: 4 1
6.Total Project Cost: $ 15 2J 3 50, 1 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Superviso License(CSL) CS - U'i GO 6 I 3 . t .?6 a 3
M Q OS I , 3 Q C,I s License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
7 5 ki a 1 11
No.and Street Type Description
/�� U Unrestricted(Buildings up to 35,000 cu.ft.)
SU()} a,,, J _ Q Q�3 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
(''il 41 S-5 ro, 1'I) a&c 73 () rnC1. 1 .Cori I Insulation
Tele one Email a ess D Demolition U 5.2 Registered Home Improvement Contractor(HIC) I (.) I' I I b 2.22. a oa -1
T h orfl as M g a CA-S HIC Registration Number Expiration Date
HIC Company Name or 1-11f Re i$$trant Name
-) 5 \I all aad +bac '73 @ grnctil. Ccni
Not
DOOt$trhain Pirra MA' 01013 413)478 '5a-)2 Emalf address
City/Town,State,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 Issu ce of the building permit.
Signed Affidavit Attached? Yes No ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR AAPPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize U h' (-
to act on my behalf,in all matters relative to work authorized by this building permit application.
'r'5-41,14 ( e reu 5 Sop) t-1—/1 —2:2
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 a lication is true and accurate to the best of my knowledge and understanding.
11 24•0 —/q-Z Z._
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"
The Commonwealth of Massachusetts
Department of Industrial Accidents
.
if-1=- , 1 Congress Street,Suite 100
Wli,''""li = ;N I• 0
i nee
-• Boston, MA 114-2017
.
':\-- - - WWW.mass.govidia
- Workers'Compensation Insurance Affidavit:Builders/ContractorafElectricians/Plumbers.
TO BE FILED WITH'I HE PERMIITENG AlliTHORITY.
Applicant Information Please Print Legibly
Name(BusinessAirganizationlIndividuall: N44.- t-i44/4ej 00,,ddiel4ki a„.... ...____...zeic,_,
Address: -7 5-- V 414,fite'
4
City/State/Zip: 0(r 1/14'iSt 0' el friii, Phone#: Lte3— y 7 v-- cal z
I _.....
Are yam an employer?Cheek lappropriate boa:, Type of project(required):
sit I am u ernployis-with_____ employees(full and,vr part-time I." 7- 0 New ConStrUetion
2C3 I am a sole proprietcs or partnership and have it employees oking for me ir, lc: Er Remodeling
any capacity.[No stutters*comp.insurance required,'
olition 9. El Dent
30 I alit a lanssouorner doing all work tnyself.Pilo workers"com nsu p.Irance moand.]e .
i 0E)Building addition
4.0 I am a homeowner and will be hiring eintuantors to i.sindiset all wail on my property_ I Velil
ensure that all contractors either&vie.*cacti*outivemaill371 LTISUralet:or are solc i i.0 Electrical repairs or additions
propriewas with no employees.
I la Plumbing repairs or additions
3 I arn a general contractor and I hair c hued the sub-etaitnictoni listed on the n:idled sheet
1 ID Roof repairs
These sub-contractors have employees and have workers'comp.insonince.;
14.0 Other
60 We are a CO17011"21111.10 and its officers have cserthed darts Nit of:exemption per lik.il„c.
1$1,§lat.and we have no swallows.[No WeIrliera'comp.insurance required.]
Any applicant that cheeks boa a I must also fill out the reetrOrt below showing their winters compensation policy information.
*l-krtneowners who submit nut affidavit indicating they are during all work and then hire outside walrus-tors must s utmut a new affidar it indimiting albeit.
Contractors that check this box snort attached an additional sheet showing the name of the sub-curir.ractors and state whether to nut those entities have
employees.. If the sl36-contractors have employees.they nuist Prot ide their wolii.L'IrS'oinnp.policy number_
., , . ... ,.....
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and ob site
information. A-T--19 111 i I h/CI
Insurance Company Name: 45-.5-06 It rel 1 Pi P 4Y-eri- yr 1 1 c_ef .. —
Policy#or Self-ins.Lit.#: W CC.. -500 - 5-006(AS- gOQ 1 4 Expiration Date:_____ocefZ 1-1 • 2 0 9 Job Site Address: ill '( 4/4 Cliiq 5 4
....-
64-1 citystatezip, -Are,v-74-4/1,17.
Attach a copy of the workers'compensation policx 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 S1,500.(X)
andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line 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 hereby certify on e pains and penalties of perjury that the information provided above is true and correct
- ,'A /3&i-e,e, Date: ct_/q ....._Z.... '.4._
Signature:
Ph„ne#: ' I 3-- q ? E - 5)- -1-2--
r -- „.. ....„ . .... . _ .
(ifficial use only. Do not write In this area,to be completed by city or town official
('its or Town: PermitiLicense#
'.. Issuing Authority(circle one):
I. Board of Ilealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
Q F>�
f�` � v Massachusetts ass, s e
g F k t
"
i
# �a w. � r �i` DEPARTMENT OF BUILDING INSPECTIONS
h4 212 Main Street • Municipal Building
Northampton, MA 01060 yip Tot��
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: 1 411 e y tr'c, ci,`vq Akrrik lig r7,1
The debris will be transported by:
Name of Hauler: AareP1 S g-C/l/ OF'S
Signature of Applicant: Date: 7 C
THE COMMONWEALTH OF MASSACHUSETTS 1
Office of Consumer A , 8 Business Regulation
Registration valid for individual use only before the „ON. TRACTOR
expiration date. If found return to:
t •
HOME IMP
Office of Consumer Affairs and Business Regulation ! Rea'
1000 Washington Street -Suite 710
Boston,MA 02118 "
NEW ENGLAND RE ` CONTRACTORS,
INC. , w
- z
THOMAS M.BACIS a/r�s��
i 75 VALLEY ROAD k Iq{ G,/"'e°f 4 t
F ��C � SOUTtiAMPTON,MA 01 _ r
�s Undersecretary
i
Not valid without signature
4
Gommonweatth of Massachusetts ..
Construction Supervisor Division of Professional Licensure
Unrestricted -Buildings of any use group which contain Board of Building Regulations�( and Standards
less than 35,000 cubic feet(991 cubic meters) of enclosed Consr{Ttr�tttvisor
space• /j.
CS-070061 a, spires:03/06/2023
THOMAS M Ej4CIS '`,Ai; 1 _ ;x'"-
75 VALLEY ROAD ti ^
SOUTHAMPTO;@I NFA` ` .�' �'
.
i` O) O4
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license. Commissioner c,��• K. c &n
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpl
Ill
^" ) DATE(MM/DD/YYYY)
ACC•RD CERTIFICATE OF LIABILITY INSURANCE 04119/2022
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(les)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).
1CTKing,
PROODUCERDUCER NAME; SCOtf CIC
King&Cushman Inc. _�PA� (413)584-5610 x (413)584-9322
_
E No Eat) ►
P.O.Box 447 E.MAILss: sking@kingcushman.com
176 King Street INSURER(S)AFFORDINGCOVERAGE RAW A
Northampton MA 01061 INSURER A; Northfield Insurance Co
INSURED INSURER B; AIM Mutual Ins Co
New England Remodeling INSURER C
General Contractors,Inc. INSURER 0:
75 Valley Road INSURER E:
Southampton MA 01073 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2241904733 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.
TSR `KI1"It ODUCY EFL' POLICY ti,
LTR TYPE OF INSURANCE POLICY NUMBER LIMITS
IGISA 1NVD 1Mne+pDnYYI) fMtnorYYYv
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000
$
t1AMAGt TO RENTED 100000
CLAIMS-MADE X OCCUR PREMISES LEG occurrence) $ ,
MED EXP(Any one person) $ 10,000
A WS445136 10/23/2021 10/23/2022 PERSONAL a ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY JC LOC PRODUCTS-COMP/OP AGG $ 2.000,000
OTHER; $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
LEa ect nt)
ANY AUTO BODILY INJURY(Per person) $
OWNED ,.......SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED 'I° tOPtRTVi'AMAGE $
AUTOS ONLY AUTOS ONLY (?eI EICOWII) ._
$
,I , -.
UMBRELLA LIAB
OCCUR EACH OCCURRENCE $
EXCESS LIAB
CLAIMS-MADE AGGREGATE $
DED I RETENTION$ $
WORKERS COMPENSATION - I PER I I f'$'t'H
AND EMPLOYERS'UABIUTY Y I STATUTE I ER _,
ANY PROPRIETOR/PARTNER/EXECUTIVE N EL EACH ACCIDENT $ 100,000
B OFFICERIMEMBEREXCLUDED? NIA VVCC5006015012021A 09/04/2021 09/04/2022
(Mandatory In NH) EL DISEASE-EA EMPLOYEE $ 100,000
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 It more space Is required)
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.
210MainSt ____.-._..a ,
AUTHORIZED REPRESENTATIVE
Northampton MA 01060 J - C,_ .UK/
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
New England Remodeling
General Contractors Inc.
Proposal/Contract No.: 240041
Thomas M. Bacis Date: 12-28-2021
75 Valley Road
Southampton, MA 01073 MA Lic. #: 070061
(413)529-0801 MA Reg. #: 149948
TO: Jamie Broussard
Brian Hagan
184 N. Elm St.
Northampton MA
Job Description Price
All demo work by the home owner at their request.
Open wall from kitchen to back room.
Re frame area from kitchen to pantry.
Remove and install new cabinets per layout. Adding a pantry cabinet in the pantry
area. Cabinet allowance is $25,575.00
Add 8 recessed lights and 3 pendant lights. Add necessary outlets. Pendant lights
should be purchased and supplied by the homeowner.
Update electrical panel in the basement.
Ashfield Schist satin finish main counter top. $7,535 Final price will be given after
template.
Alternating maple and walnut butcher block top for island. Does not include any
sealing. $2,850 allowance
Hardware has a $350 allowance
Faucet should be purchased and provided by the home owner.
Alpha farm sink AW3020 $630 allowance
Wood floor work from Dion has a $1,970 allowance.
Install 2 matching wood panels on stairwell wall.
Re work framing and electrical for the Install of a pocket door frame with new door.
Sheet rock kitchen and back room.
Paint kitchen and back room.
Back room. Install tile floor with a $3.50 tile allowance. Spray foam ceiling and
insulate walls. Install 1-6' patio door and new vinyl sliding windows on remaining
walls. Create new back step, remove old step. Patch in and paint disturbed siding
areas. Install 2 ceiling lights and outlets. Light fixtures should be purchased and
supplied by the home owner.
Plumbing work.
Install kitchen faucet with water lines and drain. Install dish washer. Re work all the
second floor bathroom plumbing. Gas For- S%'LJ .
Heating work.
Add electric base board in back room.
Add electric toe kick heat in kitchen.
Remove radiator on back kitchen wall.
(2-Q 6„+' I() t se 7 (S ac k o F PUy ry cas ,l4e acr4
•
Appliances are not included in this proposal.
Cabinets and windows should be ordered immediately to avoid further price
increases.
Due to the volatility in the building industry we can only guarantee pricing for 7
days. We can not guarantee prices for future work. Jobs can be re quoted
before work begins.
Terms
1/3 down.
1/3 upon framing completed.
Remainder upon completion.
Work will start approximately end of march or when products come in.
We need to finish our 2 current house projects before we can start yours.
TOTAL: $152,350.00
- A 18% monthly service charge shall be applied to any balance over 30 days.
- Above prices good for 7 days.
- Any additional work or changes will be priced at the rate of$85.00/hr. plus material.
Customer Signature: Date: I ^ Za22
Customer Signa Date: l 4-
Contractor Signature: i Gt z.' Date: l I Z Z
4' City of
(4 `)Northampton Kevin Ross <kross@northamptonma.gov>
Fwd: 184 N Elm St
1 message
Shelly Bacis <shellybacis@gmail.com> Tue, Apr 26, 2022 at 9:24 AM
To: kross@northamptonma.gov
Sent from my iPhone
Begin forwarded message:
From: Shelly Bacis <shellybacis@gmail.com>
Date: April 26, 2022 at 8:38:08 AM EDT
To:jflagg@northamptonma.gov
Subject: re: 184 N Elm St
Hi there
Thomas asked me to email you regarding the windows for this job.
U value .27
Thanks
Shelly Bacis
New England Remodeling
Sent from my iPhone