14-002 (2) BP-2022-1145
1051 CHESTERFIELD RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
14-002-001 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-2022-1145 PERMISSIONIS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 48000 CHARLES MAHEU 055445
Const.Class: Exp.Date:05/21/2024
Use Group: Owner: COLLIN HAYES
Lot Size (sq.ft.)
Zoning: WSP Applicant: CHARLES MAHEU
Applicant Address Phone: Insurance:
326BATCHELOR ST (413)467-9581 SOLE PROPRIETOR
GRANBY, MA 01033
ISSUED ON:09/13/2022
TO PERFORM THE FOLLO WING WORK:
INTERIOR RENOVATIONS, NEW WINDOWS/DOOR AND NEW ROOF
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:
el • 1 9, 5 D
Fees Paid: $312.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
,i-----r3.E—Z-ETVED ---
1, The Commonwealth of Masschus s Q�FF P 1
,,,,t, Board of Building Regulations and S dares FOR
2022 FOR
Massachusetts State Building C e, 7 CMR ICIPALITY
USE
Building Permit Application To Construct,Rep ir, Rl'endg4 },fteffi tittre0Ns R ised Mar 2011
','N MA01080
One-or Two-Family Dwel ------- _ .._
This Section For Official Use Only
Buildin Permit Number:// Dae Applied:
� KoSs AZ q-13-Zozz
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
1051 Chesterfield Rd. Northampton.MA 01053 Assessor Map 14 Parcel 002
1.1 a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
WSP(Water Supply Protection) Residential 105.879 Sq. Ft 215.96 Ft
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
20 R. 29 Ft 15 Ft. 23 Ft(l)8 142 Ft(R) 20 R. 349 Ft
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: N/A Outside Flood Zone?
Public 0 Private CI Check if yes Municipal 0 On site disposal system IX
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Collin Hayes and Hilary Hayes Northampton, MA 01053
Name(Print) City,State,ZIP •
1051 Chesterfield Rd 973-558-2498 collin@hayeshousecompanycom
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building IA Owner-Occupied 0 Repairs(s) 0 Alteration(s) 60 Addition 0
Demolition Ciif Accessory Bldg.0 Number of Units 1 Other 0 Specify:
Brief Description of Proposed Work':
Remodeling downstairs bedroom&reframing ceiling, moving laundry to 1st floor,widening openings in kitchen,
7 new windows throughout, 1 door,and new roof.
,,.;. 44) a c iclige..
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 30,000 1. Building Permit Fee: $ Indicate how fee is determined:
Dim ei 0 Standard City/Town Application Fee
2.Electrical $ /�)
0 Total Project Cost (Item 6)x multiplier x
3. Plumbing $ ej OF&.4" 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire
Suppression) $ Total All F %; 31 }
Check No. VI Check Amount: '='�
6.Total Project Cost: $ `1Q i(fil() ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-055445 5/21/2024
Charles Maheu License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
326 Batchelor Street
No.and Street Type Description
Granby, MA Al033 U Unrestricted(Buildings up to 35,000 Cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-467-9581 maheuroofs@gmail.com 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
134615 12/17/2023
Charles Maheu
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
326 Batchelor Street maheuroofs@gmail.com
No.and Street Email address
Granby, MA 01033 413-467-9581
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 td provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes pK 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 Charles Maheu
to act on my behalf,in all matters relative to work authorized by this building permit application.
Hilary Hayes 9/12/22
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.
Hilary Hayes 9/12/22
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 ad 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.) 400 So Ft. (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 400 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"
S*
'"-"_ The Commonwealth of Massachusetts
" Department of lndustrialAccidents
"- '' 1 Congress Street, Suite 100
_:-rot_
M; 3, , --. .=s Boston, MA 0211 d-2017
.....,K4 www.mass.gov/dia
11oskers' Compensation Insurance Affidavit: Buiklerar'Contractarrs Electricians:Plumbers.
10 BE FILED 11 I Ili FID PERMll-1'INC At 11101011.
Aodlieant Information Please Print Lt;eibly
Name 1BusinessiO ganizatioa'1ndividual): Charles Maheu
Address: 326 Batchelor St
City/State/Zip: Granby, MA 01033 Phone#: 413-695-4150
An yen aseipiayer!Cheek Heappropriate Type of project(requiried):
to I am a employer with.._ ____ employees(full aed'or part-time).* 7. O New constructs
2Gij I am a suk prupnetur or partnership and have nu employees working for tee in $. ®Remodeling
any rapacity.(No workers'comp.insurance required_(
9. ®Demolition
3E31 am a homeowner doing all week myself.(No workers'comp_insurance resume!.)'
I 0 O Building additio
4.0 lam a ltunscownrr and will be hiring contractors to c,anduct all work un my property_ I will mime that all wntractnes either have workers'cu n,trspeatram insurance or are sole 1 ICI Electrical repairs additions
proprietors w ith no employees_ 12.0 Plumbing repairs or additions
3C3 I am a general contractor and I Rowe hired the sub-contractors listed un the attached Sheet.
These sub—contractors have employees and have workers'camp.insurance.: 130 Roof repairs
6.0 We are a exrepcdtiun and its officers have exercised their right of exemption per Wit.c. 14.D Other
152.41(0,and we haver no employees.[No workers'comp.insurance required.]
*Any applicant that checks box al mint also fell uut the section below showing their workers'competnaurioe policy informatics_
+Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mint submit a new affidavit indicating stash
k untractun that check this box must attached an additional sheet show the name of the sul►umtra:tors and'tatc whether or nut those entities have
employees. If the sub-curstracturs have eiripluyees.they must provide their u0rket's'comp.policy nunrlxr
I am an employer that is providing worAers'compensation insurance far my employees. Below is the policy and job site
information.
InsuranceContpany Name: N/A
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and a don date).
Failure to secure coverage as required under MCIL 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 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.
l do hereby 2 ; e
ins and Wallies of iurr that the information pro►iie is tru and correct.
Date: lf__ 2�0._�
Phone : 9/3 ` a 7 57/-5"-
Official use only. Do not write in this area,to be completed by city or town official
('its or Town: PermitiLicense ts
Issuing Authority (circle one):
I. Board of Health 2. Building Department 3.('its Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
b.Other
( ontact Person: Phone#:
City of Northampton
'' i. Massachusetts A.�?tgi
�`
a V DEPARTMENT OF BUILDING INSPECTIONS yt
212 Main Street • Municipal Building J\;.,
Northampton, MA 01060 ss'fr, IV)
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: /
The debris will be transported by:
Name of Hauler: 413 Dum•ster
Signature of Applicant: / Date: ?/.,,Z/.‘g
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DATE:
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SCALE:
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