The URL can be used to link to this page

31B-030 (5) BP-2023-0249 43 SUMMER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-030-001 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-2023-0249 PERMISSION IS HEREBY GRANTED TO: Project# KITCH/BATHS 2023 Contractor: License: Est. Cost: 125000 NU-WAY HOMES INC 013693 Const.Class: Exp.Date: 07/20/2023 Use Group: Owner: INC NU-WAY HOMES, Lot Size (sq.ft.) Zoning: URC Applicant: NU-WAY HOMES INC Applicant Address Phone: Insurance: 10 WHITE AVE (413)563-0085 EAST LONGMEADOW, MA 01028 ISSUED ON: 03/02/2023 TO PERFORM THE FOLLOWING WORK: KITCHEN&BATHS RENO 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. ckfit Signature: , i Q 7 . . I , N Fees Paid: $812.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner CEv The Commonwealth of Massachusetts r Board of Building Regulations and Standa F - 1 2023 FOR • Massachusetts State Building Code, 780 CMR MUNICIPALITY t USE Building Permit Application To Construct,Repair,Renovate Ortfeniolish,a :,, Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: (}I2 al 3 P (if Date Applied: mil 1 a i fI i .2, : IF: a Building Official(Print Name) I Signature SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers ,M 413 sv , � Sr. "k//3 — 030 —" OW 1.1 a Is this an accepted street?ye no Map Numiier Parcel Number 1.3 Zoning Information: h 1.4 Property Dimensions: .)rtC-- UeiMrt N..rtL„if Zoning District Proposed Use /SS" 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 Owner'of Record: IVO-cane, Grin CS dV+,c. e/o.bp- L , W71fM /tl/q d/d27 Name(Print) • �y�3 ity,State,ZIP � /0 4�i'3. I T" ' ' ] £3 vcp, IN UA,M►yj�O.N dS G 0@ ,/reap; 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(sp< Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: (JP d owe fl i rt J� f- /3c7(,Rm eve.S. IchvtT.'Ti'!M o - A Jb./1• SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 7S'400 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ .54 l70b 0 Standard City/Town Application Fee 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ .•SdOU 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ (1, Check No.1(g(0 Check Amount: Cash Amount: 6. Total Project Cost: $// �PIU 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Cs—o/3695 7/.20/20'17 3a�� /s1 % d'ae., License Number Expiration ate Name of CSL Holder i J List CSL Type(see below) V /0 UA/Grp CJt No.and Street T Aie Description ��p - D/O�� Unrestricted(Buildings up to 35,000 Cu.ft.) �� I��`r/'v Restricted 1&2 Family Dwelling City/Town,Sta IP M Masonry RC Roofing Covering WS Window and Siding ()kV SFSolid Fuel Burning Appliances SG 3-col r ivvki O ✓J, 1SGO �....(4c,,f I Insulation Telephone Email address V D Demolition 5.22 Registered �HomeeII provement Contractor(HIC) /O s h .. .JU 1Ir t //nWA / HIC Registration NumberNu xpira on Date HIC Company Name or HIC Registrant Name ID 4,4te n 190e • V lv o rre 6 D %6..47 No...and Street Email address _____..571_3_______e _____ City/Town, State, 016 .. 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 J ' No 0 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 to act on my behalf,in all matters relative to work authorized by this building permit application. 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 acc . e o :e best of y ow ed and understanding. N O--tv+o �i�'.5 ./ / la 7/ o 3 Pnnt Owner Authorized Agent's Name(Ele . . 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" City of Northampton Da5HAM.6\ +ems ys...... ..S•c ya ` Massachusetts �÷S " !� w ?3 o r DEPARTMENT OF BUILDING INSPECTIONS � '~� 212 Main Street • Municipal Building yJs, �� Northampton, MA 01060 rsd `�o� 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: S19 Wig«, l/•"7 g v�l� �� w G The debris will be transported by: Name of Hauler: Sri /w/,7 Signature of Applicant: Date: d'2127/.2023 I The Commonwealth t f Massachusetts tie Department of Industrial Accidents .41.........im 1=- 1 Congress Street,Suite 100 iYn� t. {ar7.7 Boston, MA 0211,1-2017 ;..,—,�1 WNW.mos.£gov'/die 11waters'('ontpensation Insurance Affidaisit:Builders+("ontracters ElectririanstPlumhers. l()HE it LED N'fl'It 1 mai PE Itlkill-IING All'iIIOIktI'1'. Anplicaant lnform.ation Please Print Leeibb, Name 4Elustns_sa•Or .arlizaticn;In,il+aural,= N U "'4J14 t5 islci I Address: lb 6,11 tt77 t e 1 _ A1111 0/05-- (71 z C'i 'State;`Zi AS7—L4rei M Phone#: (Vi'3)i . . Are yam an employee Cheek the appw le host: T.Iy pe of project(required): La I ant a employer with __.____ ,employees(fall andiur pat-tires I.* ]. 0 Neu construction 2El I am a auto proprietor or ponmership and hays nu ernl,LYyees working for na in Refill 7dcling any capacity.[Nu workers'comp.trtauran n:quinni.l ®Demolition 30 I am a Itumotnyner doing all wuh rn}self.INu workers'crop.rrruraalem nrywrtai_1' 4.0 I am a hunioa yowl and will be hiring:wrter..tenors to conduct all work on my poverty. I will 10 0 Building addition ensure that all ex nlraelura either hake workers'componsalrton utauraner in arse Male I 110 Electrical repairs or additions proprietors with no r npluy.ces. I 2. J Plumbing repairs or attentions 0 I am a general contractor and I have hired else sub-contractors lisiwi un the anadied sheet. I 3.0Roof repairs emt These sub-euntracturs have plu me and hose workers'comp.insurance; c are a corporation and its ufftc rs have es.sn iced diets right of exemplum per MGL c. 14.❑Othei I3_,§lilt.and wu have no employees.[Ni,workers'coop.insurance required.] 'Any applicant that e$waks lox>o I must also fill uut 11w section below showing their worker'compensation polio,nti iinatiUn. t tivannuw ncrn who submit tins affialm it indaratirig they are doing all work and then hire auttaitie curticwturs must satbnul a new atilula+it rrslicafung shwmh. :Contractors dial check this boa must attached an additional sheet showing the name of tie sub-:amtrulurs and state whether or nut Muse entities Ion,: employees. It elk'sub-cunttactsrs Katie employees.they niva provide'their workers-.vtrnp.puluc}-number, I am an employer that is providing workers'compensation insurance for am employees. Below is the policy and job site information. Insurance Company Name: — Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City,State.:Zip: Attach a copy of the workers'compensation policy declaration page 4 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 tine up to S I,5tO.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 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. do here ,ter( r der he pains .!`+ •mottles of ry'urt'that the infortntation provided above is it a and correct Signatu • "roirrofee Date: eV/24 020a-5 Phone#: Official use oink. Do not write in this area,to be completed by city or town official. City or Town: PermitiLicense At Issuing.Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: u- AccJR1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �...�` 02/27/20�3 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 Paula Belisle NAME: Crimmins-Graveline Insurance (EIC,NNo,Ext): (413)283-8378 FAX No): (413)283-2556 1382 Main Street E-MAIL pbelisle@cgins.com c ins.com ADDRESS: @ P.O.Box 905 INSURER(S)AFFORDING COVERAGE NAIC# Palmer MA 01069 INSURER : James River Insurance Company 12203 INSURED INSURER B Nu-Way Homes Inc INSURER C: 10 White Avenue INSURER D: INSURER E: East Longmeadow MA 01 028 INSURER F: COVERAGES CERTIFICATE NUMBER: 2022 GL 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 DAMAGE D CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 000840844 08/06/2022 08/06/2023 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER. - I GENERAL AGGREGATE $ 2,000,000 POLICY JE T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 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 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:43 Summer Street Northampton.MA 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. Building Dept AUTHORIZED REPRESENTATIVE � � 212 Main Street ��'� Northampton MA 01060 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD