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38B-047-004
BP-2022-0883 9-11 LYMAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-047-004 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-2022-0883 PERMISSIONIS HEREBY GRANTED TO: Project# porch repair Contractor: License: Est. Cost: 29000 ALLEN GUIEL CS-054248 Const.Class: Exp.Date:04/12/2024 Use Group: Owner: LAPLANTE JOAN F Lot Size (sq.ft.) Zoning: URB Applicant: GUIEL CONSTRUCTION Applicant Address Phone: Insurance: 63 CHESTERFIELD RD 412-268-9200 6S6OUB-9F66069 WILLIAMSBURG, MA 01096 ISSUED ON:07/26/2022 TO PERFORM THE FOLLOWING WORK: PORCH REPAIR 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: I • IT .I • Fees Paid: $188.50 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1. The Commonwealth of Massa hus s JU( - S 2022 FOR ,. 00Board of Building Regulations and St ds M ICIPALITY Massachusetts State Building Code, 7$6 r uitn,n,� USE ,,4P it IN Building Permit Application To Construct, Repair, Renovate Of-t2 Eons Rev sed Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: i3p- 0 —8 a d3 Date Applied: (PrintI,. ' e 0 1 VApa 7,94, ad, Name) ' de Building Official , Signature Da SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 ssessors Map&Parcel Numbers u 7 , I) LLj�� Cog Co 1.1 a Is this an accepted street?yes o no Map Number Parcel Number 1.3 z9pi Information: 1.4 Property Dimensions: UKig 5110 6-11 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 O)0 t't of Record: CipA M / Jo >1 Loe c r N � }®�-, o o Name(Print) City,State,ZIP II 6 L-VviA444 Ro ri 113 ,Z 70 a. I J.- J nG vI La )Rtig Pl rr1 itit41L.` com No.and Street Telephone Email Addre SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Pt Owner-Occupied g Repairs(s) IV Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 5- Other 0 Specify: PBrief Description of Proposed Work': , cC � l _X ha SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 29, 006 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $Suppression) Total All Fees $ ©Q�j Check No.(JO Check Amount: i f Casvh Amount: 6.Total Project Cost: $ aql �� 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) OcL )(-1¶ 6 , I LA /2//-€ 1 6'U re i License Number Expiration Date Name of CSL Holder (!Q 0 � e0 List CSL Type(see below) No.a{► Street Type Description VA\ �,Z0 �,,,# Q ��/, U Unrestricted(Buildings up to 35,000 Cu.ft.) VJ R Restricted 1&2 Family Dwelling ity/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding I/J 4q� 1151 2II�2��@ �J1 e\- SF Solid Fuel Burning Appliances ''�� I Insulation Telephone E it address D Demolition 5.2 egistt�ered Home I provement Contractor(HIC) �6 r I�( l,( , �2J. a� (I-' I Gv I-R� HI Registratio Number Expiration Date H Comp y Nome pr H ,Re Met e (p 2\VNA @ 9 u)-A-Cow 1 zet 0 14, d 104/6 q l;;q kficil, Email address tty/Town,State,Z111 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 ❑ 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 )1 /lei GV l e-L_- to act on my behalf,in all matters relative to work authg1zed by this building permit application. •-, e CO) izt:r taini e__ 7 /34rt 1 46 4.1-ti, k/ /7-2 Print Owner's Name El@ctronic Signature) _VJ 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 applicatio is true i accurat the best of owledge and understanding. Alm 6'u)-e_ \ % e) -2cP -2 Print Owner's or Authorized Agent's Name(Electron c Si ature) 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" 0 Repairs to the front porches. Remove all aluminum wrap from beams. Replace or repair rotted beams at second and third floor. Replace the third floor joist system entirely. All new lumber shall be pressure treated. Replace third floor porch flooring with composite tongue and groove. First and second floor decking/flooring to remain. Remove fjp post trim and replace with oil primd lifespan pine (26 posts). I City of Northampton t,0% s - Oti „, .r �'" t, Massachusetts ��2 , t a * 1 ` y: k DEPARTMENT OF BUILDING INSPECTIONS v :v ; y !►iallit 1,r- � 212 Main Street • Municipal Building J� a� y�;a� Northampton, MA 01060 'Tilly 3,0‘'° 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: (-7, Location of Facility: (a\ UG , "L 1)1,/A . The debris will be transported by: Name of Hauler: 6l)i Co' 1467. C.kic✓1 •_. 4,,, , _, Signature of Applicant: / Date: 7 LI 'ZL _'`"� The Commonwealth of Massachusetts * t _ Department of Industrial Accidents :�1' 6 1 Congress Street,Suite 100 Nit_,.=.y Boston, MA 02114-2017 �t" " www.mass.gov/dia Workers'Compensation Insurance Affidavit: General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Guiel Construction , Address:63 Chesterfield Road City/State/Zip:Williamsburg, MA 01096 Phone #:413 268 9200 Are you an employer?Check the appropriate box: Business Type(required): 1.El I am a employer with 2 employees(full and/ 5. ❑Retail or part-time).* 6. 0 Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. El Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑ Manufacturing no employees. [No workers'comp. insurance required]** 11.0 Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp. insurance req.] =12.0 Other Building and Remodeling *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Hartford Underwriters Insurance Co Insurer's Address: PO Box 4614 City/State/Zip: Buffalo, NY 14240-4614 Policy#or Self-ins.Lic.# 6S60UB-9F66069-2-22 Expiration Date:04/27/23 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb c ' ,and e pains n enalties of perjury that the information provided above is true and correct. Signature: �� . Date: 11? Phone#:413 289 9200 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. Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia AcoFr, CERTIFICATE OF LIABILITY INSURANCE DATEi(MM/DD/YYYY) 7121i'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 CONSTITUE 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(ies)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 an endorsement(s). PRODUCER CONTACT NAME: CRAY DOWN INSURANCE AGGY PHONE FAX 226 RUSSELL ST STE B (A/C.No.Ext.):(413)256-1142 HADLEY,MA 01035 E-MAIL ADDRESS: INSURED INSURER(S)AFFORDING COVERAGE NAIC# GUIEL,ALLEN R DBA GUIEL CONSTRUCTION INSURER A:HARTFORD UNDERWRITERS INSURANCE COMPANY 63 CHESTERFIELD ROAD INSURER B: WILLIAMSBURG,MA 01096 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADM SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITSLTR MSC WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea Ocartrenae) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I PROJECT I 'LOC PRODUCTS—COMP/OPAGG $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea acodent) $ BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION WORKERS COMPENSATION v PER OTH AND EMPLOYERS'LIABILITY Y/N N/A UB-9F66069-2-22 04/27/2022 04/27/2023 STATUTE -ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $100000 A (Mandatory in NH) If yes,describe under DESCRIPTION OF OPERATIONS BELOW E L.DISEASE—EA EMPLOYEE $100000 E.L.DISEASE—POLICY LIMIT $500000 $ $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BUILDING DEPARTMENT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 212 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS NORTHAMPTON,MA 01060 AUTHORIZED REPRESENTATIVE ©1993-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/3) The Acord name and logo are registered marks of ACORD AC to CERTIFICATE OF LIABILITY INSURANCE DATE/1 A/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(ies)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). PRODUCER CONTACT The Dowd Agencies, LLC PHONE Diane LaFleche FAX 226 Russell Street, Suite B (ac.No.Ex)).413-538-7444 (AIC,No):413-536-6020 Hadley MA 01035 ADDRESS: dIafleche(rjtdowd.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Utica First Insurance Company 15326 INSURED ALLERGU-01 INSURER B:Commerce Insurance Company 34754 Allen R.ui GCol INSURER C:Hartford Underwriters Insurance 30104 dba Guiel Construction — 63 Chesterfield Road INSURER D: Williamsburg MA 01096 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1902181630 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABIUTY ART3000145300 4/22/2022 4/22/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occvvenc0) $50,000 MED EXP(My one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 _ 1 POLICY, X ECT LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY RVT614 2/22/2022 2/22/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION UB9F660692 4/27/2022 4/27/2023 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECIJTIVE Y N/A E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Allen Guiel is excluded under the Worker's Compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sarah Erickson 99 Water Street AUTHORIZED REPRESENTATIVE Leeds MA 01053 /�J_ Ca .471 -wOr . I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: Individual Office of Consumer Affairs and Business Regulation Registration fxplration 1000 Washington Street -Suite 710 104444 07/13/2024 Boston. MA 02118 ALLEN R. GUIEL ALLEN R.GUIEL WI CHESTERFIELD RD A 1 WILLIAMSBURG.MA 01096 - Undersecretary Not al without signature Commonwealth of Massachusetts IPDivision of Occupational Licensure Board of Building Re ulations and Standards Const iontS rvisor CS-054248 Expires 04/12/2024 ALLEN GUIE 63 CHESTERFIELD RD - WILLIAMSBI!jG NIA 11096 - Commissioncr 1 f'. "t.:J4*,