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43-116 (5) BP-2022-0492 217 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 43-I 16-001 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-2022-0492 PERMISSIONIS HEREBY GRANTED TO: Project# BATH RENO Contractor: License: Est. Cost: 17000 CHRISTOPHER SKELTON 108360 Const.Class: Exp. Date:05/09/2024 Use Group: Owner: M. TAYLOR STEVEN, R& REBECCA Lot Size (sq.ft.) Zoning: WSP Applicant: CHRISTOPHER SKELTON Applicant Address Phone: Insurance: 2 MARLBORO RD (413)265-5521 HOLYOKE, MA 01040 ISSUED ON:05/06/2022 TO PERFORM THE FOLLOWING WORK: RENO BATH 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: 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: (N Fees Paid: S110.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner � ._ .___ .. . Can , a `( RECEIVE ;, MAY - 5 2022 Th*Commonwealth of Massachusetts Mpof Building Regulations and Standards FOR �i Boardssachusetts State Building Code, 780 CMR MUNICIPALITY • r �c Il `I�S l�l i -TIC t‘.3 USE i �Ik1c �tg�Retrffhtit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling phis Section For Official Use Only Building Permit Number: goo- ?'>' ' ) Date Applied: /eV►k) (Koss '/G— 5-(0-Zozz Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 217 Park Hill Rd 1.1 a Is this an accepted street?yes 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'Lone? Municipal 0 On site disposal system 0 Check ifyes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Steven R and Rebecca M Taylor Northampton, MA 01062 Name(Print) City, State,ZIP 217 Park Hill Rd 781-640-7036 stevet21@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 2 Repairs(s) 0 Alteration(s) ® Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Renovation of existing bathroom. Remove spa tub, vanity, etc. Replace with new shower stall, vanity and tile work. Relocate heating vent and overhead lighting. Small closet area(2'x3'to be added. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $14400 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $1500 ❑ Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $1100 2. Other Fees: $ 4. Mechanical (HVAC) $0 List: 5. Mechanical (Fire Suppression) $ Total All Fees: Check No.(O k Check ount: 6.Total Project Cost: $ $ 17,000 0 Paid in Full 0 utst din e: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cs108360 05/09/2024 Christopher Skelton License Number Expiration Date Name of CSL Holder 2 Marlboro Rd List CSL Type(see below)u No.and Street Type Description Holyoke Ma01040 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonr y RC Roofing Covering WS Window and Siding 413 265-5521 .com skeltoncont@ mail SF Solid Fuel Burning Appliances 9 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 198089 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name Chris skelton No.and Street Email address 2 marlboro rd City/Town, State,ZIP holyoke ma 01040 Telephone4132655521 skeltonconst@gmail.com 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 0 No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT if I,as Owner of the subject property,hereby authorize Cvi')S to act on my behalf,in all matters,relative to work authorized by this building permit application. Print Owner's Name(Electronic Si ature) ate 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. Christopher Skelton 5/3/22 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 =�,,= 1 Congress Street.Suite 100 lifo' �' Boston, MA 02114-2017 www mass.gov/din 11 or kers'Compensation Insurance Alydas it: Builders!('ontractorstElectrieians/Plumbers. 10 BE.FLED W 1111 111E 1'ER1111`I I's(:AI IIlORI 11. Applicant Information Please Print l.eeibls Name 413ustnrsa Urgamzatron Indictdtudl: Address: 217 Park Hill Rd City/State/Zip: Northampton, MA 01062 Phone #: 781-640-7036 Are y.rr as empleser'Cheek the appropriate twit: Type of project(required): I.CD I am a enipkrysa with employees(full and of part-titre I.• 7. ❑ New construction 20 I am a sole proprietor or p°Menhip and hate err cnipkn ees w urkug fur rot on X. © Remodeling any capacity_[Nu outlets'coinp.uuurance rcyuind_j 9. Demolition 30 I am a hevwnet doing work myself.[No wuricers'comp.insurance regrind.[' ❑ hom 1 Building addition 4E1I am a humevwmt and sill be hiring contractors to conduct all wool on my property_ I will eiuun that all come,.:tun either hate%token'comperuatrun insurance or are auk I I I: Electrical repairs or additions propretun w ith nu ernployei . 12.0 Plumbing repairs or additions .30 I am a Eenctal contractor and I has e hind the sub-cuntraetun listed on the attached sheet_ I These srm�untractun base employees and has a outlets'comp.unurance.• 3.0 Roof repairs 14.ci Other 60 We an a corporation and its officers have exenised their ngh t of exemption per 1116L c. d t2. 1141,and we hate nu employees.[No wurlen'etanp.insurance required.) •Any applicant that checks box a I must also fill out the section below show mg their wurleTs compensation policy tnfunnation. tirwt>Lvwren who submit du%atlw4►it urdieatuve they are doing all stork and then hire outside cuntraeturs must submit a new affwlat it indicating such. :Contractor that cheek this hut must attached an additional sheet show ins the name of the sub-cuntrietun and state%tither or nut those entities hate einpluyces 11 the sub-.untraetors Mate employ.e .dies must pro%ads their wuiken'comp.policy nuanb.:t I am an employer that is providing a•orAers"compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Policy g or Self-ins. Lie. 4: Expiration Date: Job Site Address: CityrState'Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and espiratios date). Failure to secure coverage as required under MU_c. 152,r25A is a criminal s tolation punishable by a tine up to S 1,500.00 anti or 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 verification. I do hereby cer ' nder the pains and penalties of perjury that the information provided above is true and correct Signatu . Date: 5/3/22 Phone 4: 781-640-7036 Official use only. Do not write in this area,to be completed by city or town official ('its or Town: Permit/License 4 Issuing Authority (circle one): I. Board of Ilealth 2. Building Department 3.City rrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone 4: City of Northampton aSHAM�+r\ Si f ` Massachusetts A.: DEPARTMENT OF BUILDING INSPECTIONS t 4; 212 Main Street • Municipal Building ' . .Ca er+s�`J' 1 Northampton, MA 01060 sb -, ,�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: kMhQST `-. L) (44kr( l The debris will be transported by: Name of Hauler: fl ,A,\Y\ +VI rt Signature of Applicant: Date: .r57, ,2 v jb 'off , �- v v 1iI'--- Ii f t ' A Ja ys City of Northampton Q0.t MA MPFp� s. Massachusetts g ..:r s,� ':. c. i3 d': � ( DEPARTMENT OF BUILDING INSPECTIONS , ,w � 212 Main Street • Municipal Building )j. :-V ')* Northampton, MA 01060 s ......... PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS, ROOFS,RENOVATIONS,ROOF 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. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate (new /replacement windows). 7. Home owner's License Exemption Form (if applicable). 8. Note any Special Permit requirements (if applicable). 9. Energy Code—all new construction (Gut/Rehab) requires a HERS Rater Affidavit 10. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. 5/5/22, 12 03 PM Office of Consumer Affairs&Business Regulation-Mass.Gov Search by Registrant Last name Search by Registrant First name City/Town State Zip code Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Wednesday, May 4, 2022. Search Results RESPONSIBLE RATION ABBE I- XPIRAI ION STATUS INDIVIDUAL NUMBER DATE Christopher skelton skelton, chris 198089 2 marlboro rd 03/02/2022 Expired Holyoke, MA 01040 Site Policies Contact Us © 2018 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. https://services.oca.state.ma.us/hic/licenseelist.aspx 2/2 5/5/22, 12:03 PM Office of Consumer Affairs&Business Regulation-Mass.Gov LorA Mass.gov lc ^ 1 0 r 0 Affairs r , 0 tt (OCABR) Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and click the 'Search' button. Please note pressing the Enter key will clear fields. Search by Registration Number 198089 [ Search You must click the "Search Registrant" button to search by name or location. Please note pressing the Enter key will clear fields. Search by Registrant Company name t Search Registrant 1 https://services.oca.state.ma.us/hicflicenseelist.aspx 1/2 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO ( City of Northampton Kim Carson <kcarson@northamptonma.gov> APPLICATION/CONTACT INFO 3 messages Kim Carson <kcarson@northamptonma.gov> Wed, Apr 20, 2022 at 11:50 AM To: SKELTONCONST@gmail.com Kimberly.spencer@state.ma.us Try the contact above for your CSL renewal problem. Kim Carson Northampton Building Department 212 Main St 413-587-1240 HIGHLIGHTED building-permit-windows, doors, etc..pdf 1011K Chris Skelton <skeltonconst@gmail.com> Thu, May 5, 2022 at 4:35 PM To: Kim Carson <kcarson@northamptonma.gov> 4: 34 ..11 LTE ■ qy . . I I tid 1—. \A II V I 1 1\n.I%A 1 V /1%r LI 16.1 V I 1 V I I I Ii! 1 V I Massachusetts flffiro of rnnci ImAr Affairs & Business Regulation 14 Home Improvement .Irrr. .A 1.�....: .�..r w,... •r a"t a r,r... it,:.... —,—, https://mail.google.com/mail/u/0/?ik=28605c8627&view=pt&search=all&permthid=thread-a%3Ar3653564500846039739&simpl=msg-a%3Ar-6333730001349878183&simpl=msg-f%3A17320199745402... 1/7 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO Edward A. Pallesch , Undersecretary 501 Boylston street, suite 5100 Boston , Massachusetts 02116 Phone Payment onfirmation YOUR PAYMENT HAS PROCESSED AND THIS IS YOUR RECEIPT 10_ - _ _ _ _ _ _1 __ i_I_ _ hops:/tmail.googie.com/manta/0/?ik=28605 c8627&view=pt&search=all&permthid-=th read-a%3Ar3653564500846039739ftmpl=msg-a%3Ar-6333730001349878183&simpl=msg-f%3A 17320199745402... 2/7 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO Tour application will oe processea in me 3-5 business days . Please vvisit wwv. mass .gov/homeimprovement for more information on the Home Improvement Contractor program . Your account has been billed for the following transaction . You will receive a receipt t via email . 1 Office of Consumer Affairs and Business Regulation - HIC Registration Program Ten Park Plaza, Suite 5170 Boston, Massachusetts 02116 (888) 283-3757 Transaction Processed Successfully. iot, ,..„,,, itak, - INVOICE # : f328bc33-edfd -4796-88b3 - 600feadf3c1 9. , . . , . . . ..,. ... . .. ...,_ . .. . .... ... ... . .. . . , . ... . . . . .. ... .. . ...... ... , https://mail.google.com/mai I/u/0/?ik=28605c8627&view=pt&search=all&permth id=thread-a%3Ar3653564500846039739&simpl=msg-e/a3Ar-6333730001349878183&simpl=msg-f%3A17320199745402... 3/7 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO A c n ur .c et Once I get my new number I will let you know but it was renewed. [Quoted text hidden] Chris Skelton <skeltonconst@gmail.com> Thu, May 5, 2022 at 6:46 PM To: Kim Carson <kcarson@northamptonma.gov> 6 :45 .1.1 LTE 111 X HICCard . pdf ci: ,, , . .., , ,,.,_ ,, hops.//mait.google.com/maif/u/0/?ik=28605e8627&view=pt&search=all&pairnilliid—llhead-a%3Ar3653564500846039739&simpl=msg-a%3Ar-633,3/30001349878T83&simpl=msg-f%3A17320199745402... 4/7 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO f; .` 4. o CHRISTOPHER SKELTON 2 MARLBORO RD HOLYOKE, MA 01040 _ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs & Business Regulation Registration valil HOME IMPROVEMENT CONTRACTOR expiration date. TYPE: Individual Office of Consun Registration Expiration 1000 Washington ' 198089 ,..,* ,05/04/2024 Boston, MA 021 CHRISTOPHER SKELTON4 rk -, .. _,... ‘ , , , ,:- .4„,,,,, ilk, ..„...,..mIs . _. .,„ „,,,,, , mil oir -itrara it iit -i -iiiti* -- CHRIS SKELTONT 2 MARLBORO RD ' ,. X a.i .46,44. HOLYOKE, MA 01040 M Ir^tfir.,. , runt+ let ilklA'F 1 hops://mail.goog le.com/ma i I/u/0/?ik=28605c8627&view=pt&sea rch=al I&permth id=th read-a%3Ar3653564500846039739&si mpl=m sg-a%3Ar-6333730001349878183&si m pl=msg-f%3A 17320199745402... 6/7 5/6/22,8:41 AM City of Northampton Mail-APPLICATION/CONTACT INFO THE COMMONWEALTH OF IV' Office of Consumer Affairs and 1000 Washington tract Boston, Massachuset Home I m • rovement C• ntr https://maii.googie.com/mailm/W?i cr--L860bc8ba&view=pt&search=all&permthid=thread-a%3Ar3653564500846039739&simpl=msg-a%3Ar-6333730001349878183&simpl=msg-f%3A17320199745402... 5/7