31A-011 (7) BP-2022-1554
259 ELM ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-011-001 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-2022-1554 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION Contractor: License:
Est. Cost: 18000 YAMIL JR BRITO 115714
Const.Class: Exp.Date: 03/31/2025
Use Group: Owner: THE TRUSTEES OF THE SMITH COLLEGE
Lot Size (sq.ft.)
Zoning: URB Applicant: B. ALPHA CONSTRUCTION
Applicant Address Phone: Insurance:
29 DANIEL DR (413)539-8310 A9WC324145
CHICOPEE,MA 01013
ISSUED ON: 12/05/2022
TO PERFORM THE FOLLOWING WORK:
INSULATE ATTIC
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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
)2 . 7-1'1 •
Fees Paid: $126.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVE -)
-1 uit_-r iAYI
� :�%�
The Commonwealth of Massachusetts
fi�' Office of Public Safety and Inspections
Ise: _� `r' Massachusetts State Building Code(780 CMR)
Bu ding Permit Application for any Building other than a One-or Two-Family Dwelling
DEPT.OF 13UILDING INSPECTIONS (This Section For Official Use Only)
^'Or1T14AMr1'`ON.MA 01000
L5 tsf Date Applied: Building Official:
SECTION 1:LOCATION
S I -E1 M S} Ae4-1,0.w.p#n A I ,ry4 CYO60 //er ,I/ole/
No.and Street Cit /Town Zip Code Name olding(if applicable)
1 /t'_ oil
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other LEI Specify: 1+nCV 10,1-ion
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No Q'
Is an Independent Structural Engineering Peer Review required? Yes 0 No 11K-
Brief Description of Proposed Work =v1 0441�► ►I-c (t 00 t:Si ,1 Wrr C i..1 oJGL► .
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) D
Existing Use Group(s): Proposed Use Group(s): _
SECTION 4 BUILDING HEIGHT AND AREA
Existing 'roposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-2❑ R-2 0 R-4 0
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA D IB D IIA D IIB D IHA D IIIB D IV D VA D VB
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information Sewage Disposal: Trench Permit Debris Removal:
Public 0 Check if outside Flood Zone 0 Indicate municipal 0
A trench will not be Licensed Disposal Site 0
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review-Process:
Not Applicable 0 Is Structure within airport approach area? Is their review corrgpleted?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0
SECTION&CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
J El_11v1N 7: rllvrril 1 I VVVrrrr 1W 1X1.Jl(1LH11ViV
Name and Address of Property Owner
Trvs-res o�srtt,}{, ('otte ,;s9 El K, sI Akr/-I a�p/o,r1 MA- QlO
Name(Print) N c.and Street City/Town Zip
Property Owner Contact Information:
4i3-SAS- PH/a - - 5 r'1 clued 5 7ri ill,.eh1
Title Telephone No. (business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Yat4 i I et;40 a9 Do►n i c I Or C k i cope? Alit Olo/3
Name Street Address City/Toivn State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of endosed space and/or not under Construction Control then check here❑.
Otherwise provide construction iontrol foram(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
Telephone No. (business) Telephone No.(cell) e-mail address
SECTION 11 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit fio.n the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the i suance of the building permit.
Is a signed Affidavit submitted with this application? Yes IrNo ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ /fr/DO V Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$ .
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ / $1 O b o _ (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
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 ledge and understanding.
•
Yc&v4i I 8l; ti/3-,- ld
Please print and sign name Title Telephone No. Dat
a9 pa.n'tel Dr. C'hicop,'e ofo/3 B,A1 ho►eoKsi.bal.o----'''Cone'
,
Street Address City/Sown State Zip l Address
Municipal Inspector to fill out this section upon application approval: 1 1' 3U-ZO ZL///2
Name Date
City of Northampton
7‘r ,.. Massachusetts }•_ �'t�;
,11 ff.• DEPARTMENT OF BUILDING INSPECTIONS Z j„
\ 212 Main Street • Municipal Building ti A
Northampton, MA 01060 wSNry
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: Vallej
Re
The debris will be transported by:
Name of Hauler: Luis AI Cc° ck.
Signature of Applicant: Date: I IP•31 ��
The Commonwealth of Massachusetts
r - ~( Department of Industrial Accidents
I Congress Street.Suite 100
.:. Boston. .if.-I 021lit-201%'
WWw:ntass.gor/ilia
- - 1S In kers'('utnpensatiun Insurance.%fl-idav it:Builders/ContractorsiE lectriciatts;Plumbers.
10 Ri:FILED WITH THE rE:R;►i r1JN(:Ar fll0R 11 .
"Vpplicant Information /� Please Print I.etibls
NAM:
NaIBusinessOn w tntiinIndr+idual►: B . AIe�A Cvrt5-I-yUc4) or 1. L. C
Address: .2.9 OcAft;e 1 D r.
City/State/zip: C I.N1 c ore e e1 Lpicy3 phones:s: (y/3) 53 9 -,310
Are yam am employee Cheek the appropriate bra:
"1"ypr of project(rryuirrrd):
I.ism s tt 7 a employer h employees Chill aod:br part-tin e).•
7. D New construction!
2.0 I am a sdc pnuprrttar or pantncrslirp and have no employees satkitt tar are in 8. O Remodeling
any capacity.(Nu sm ien'comp.uuurance required.J
30 I am a hurirw ,s si du cur doing all l myself.(Nu workers'cusp.tmura ce requiruiL("
9. 0 Ikemoldion
10 Q Holding audition
4.a I am a iwnwsna-r and s ill be hinny contractors to conduct all work on my property. I s ill
ensure that all contractors either ha%e ain n"compensation m,oiranct or are soli 1 l Ekctri at)repairs r additions
prupnetors Kith no employees.
12.0 Plumbing repairs additions
tcj I am a liersral contractor and I has a hind the sub-cuntraeton listed on the attached sheet. I3.❑RWf am
These sub-contractors base employees and have aurlevs'comp.rrauran►�e.t
6.o We an a corporation and its officers have exercised then nght ui exemption per tN(iL c.
14_ n s u t�t-�i o t1
rcpalbet
IV!.tt It4).and se base no aitpluyees.INu smilers'coma.insurance required.)
*Any applaant that checks I.us FI must also till out the section helms shins inp their smilers"compensation polies information.
s tknmvsners shu submit this a UAL sit.ndieatinr the%are dmnn t all soh and then hue outside contractors inust submit a nes attidas it iodin4.y auto
t ontiactors that check this bon must attached an additional sheet show my the panne ut the sulreorurasiors and state*balm or not those atlpiea hate
employees. It the sub-contractors rs base employ ees.they must pros Mc their surien. cs imp.policy number.
s
I am an employer that is providing worAers'compensation insurance for my employees. Below is the polity job site
information. / l �^
Insurance l'osiip iris. Nana:: leaf\O 1 A 1,.iO4.61 I i T'j t -I;5{i.) (O,y\C a OM it)
Polh.. ::rr Scat-ins. I_a.. =: A 'NCI ply -f 1 y -- - - Expiration Date g/3/ ',•3►I
►„I,Site Addtcs . 2-5 q 6l rl,, 5 4- CitylState Zip: �( Iu►(mil,A l ►ti14 0/0/3
Attach a copy of the workers"compensation policy declaration page(showing the policy number and exfi ion date).
Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine up to 1500.00
and-or one-year impnsonment.as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up t S250.00 a
das against the violator.A copy of this statement Wray be forwarded to the Office of Investigations of the DIA for nsurance
eo'crate veriticatient.
I do hereby certify under the pains and penalties of perjure that the information provided above is true and cursed.
•Signature: I).tic l//a 3/(9_3
Phone (1/i3) S34} - Y31O
IOfficial use only. Do not write in this area.to be completed by city or town official
('its or Town: Permil'Licrnse 4
Issuing.‘uthorits tcircic orieI:
I. Board of Health 2. Buildim_Department 3.(-its:Town(Jerk -t. Electrical Inspector 5. Plumbing Inspector
6.Other
( oniact Person: Phone»:
r I. . w •
29 DANIEL DR. CHICOPEE, MA 01013 (413) 539-8310
Building Permit Authorization Form
I WE 11467- SiTHE smirq CJ wner of the property located at
e�-o P P Y
(Owner's Name)
pie & Lc-i2y 14o-fe- 1 2s`) LAI $r. A/ .T/2 >Api J, M4
(Street Address, and City)
Hereby authorize Yamil Brito of B. Alpha Construction LLC to act on my
behalf and obtain a building permit to perform insulation/weatherization
work on the above named property.
"--"c--el l3 5-85-- 2 2,12_
wner's Signature Owner's Phone Number
i/ - /G 2 2-
Date
�H.M City of Northampton
i° f __ �S�' s��
J Massachusetts ' r
t ,,.
)1'_ DEPARTMENT OF BUILDING INSPECTIONS yJ +;
' II�`� 212 Main Street • Municipal Building ifs ^��
4.' Northampton, MA 01060 NW �7�
Property Address: c5 q ' , 1 N -)--•, I L9r- , A.m f 1 04p
Contractor
Name: vc,twi I�r1�0
Address: a'el f)o-vA1 e I Di .
City, State: C1tcc'ae 1A-444-
Phone: CkiI3) S39 - if3/0
Property Owner Name: The 1,( U51tC5 or -I-Le Sw►I Cisflecr
II
Address: a5 9 E hAA S- . 0a� t'ki ,0ln i M'{�"
City, State: 10 1u,„„f�'6)y) 1 v l-A 1
1
�/ (1 1
1, (MAAi B_,- Fb (contractor) attest and affirm that the building I intend to
insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have
provided the property owner with a copy oft is affidavit.
Contractor signature
Date / 1 Ig /d.
POLICY NUMBER: A9WC324145
Basic Policy Information
Named Insured Transaction Information
Firm Name: B.Alpha Construction LLC Term: 8/3/2022-8/3/2023
Address: 29 Daniel Dr Last Update*: 8/3/2022
Chicapee, MA 01013
Business: (413)539-8310 Carrier: National Liability&Fire Insurance Company
Cell:
Fax:
Email: b.alphaconstruction@gmail.com
Workers Compensation
Employers Liability
WC&Employer's liability
Each Accident Limit: $1,000,000
Disease Policy Limit: 11,000,000
Disease Each Employee: $1,000,000
Deductible/Type:
Applies To:
'Not all information contained in the document may be the latest representation of your information. If you request new coverage or a change in coverage,please be
advised that coverage cannot be bound without speaking to a licensed agent.If you have additional questions or concerns,please contact your Agency directly.
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
CS-115714 Expires: 03/31 /2025
YAMIL JR BRITO
29 DANIEL DRIVE
CHICOPEE MA 01013 ..
40
Y,F 40,
•
Commissioner a ` CY/Lbik.„
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: LLC
Registration: 201875
B.ALPHA CONSTRUCTION Expiration: 05/03/2023
29 DANIEL DR
CHICOPEE,MA 01013 w — ----
Update Address and Return Card.
SCA 1 0 20M-05/17
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE i_LC before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
201875 05/0312023 1000 Washington Street -Suite 710
B.ALPHA CONSTRUCTION Boston.MA 02118
YAMIL BRITO ;`/ '/ 9
29 DANIEL DR 11`a4,4,4 f� Not valid without signature
CHICOPEE.MA 01013 Undersecretary /