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24B-013 (4) BP-2023-0264 6 DENISE CT COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24B-013-001 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-2023-0264 PERMISSION IS HEREBY GRANTED TO: Project# RENO 2022 Contractor: License: Est. Cost: 119250 SEAN MCCARVEL 117811 Const.Class: Exp.Date: 02/28/2026 Use Group: Owner: ELIZABETH MAGUIRE Lot Size (sq.ft.) Zoning: URB Applicant: SEAN MCCARVEL Applicant Address Phone: Insurance: 170 WEST ST (413)406-6678 SOLE PROPRIETOR NORTHAMPTON, MA 01060 ISSUED ON: 03/03/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR RENOVATIONS, SIDING AND WINDOWS,DOORS 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: Fees Paid: $775.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner f MAR The Commonwealth of Massachusetts r•,,, Board of Building Regulations and Standards 2023 FOR I`l; Massachusetts State Building Code, 780;cMR> MUNICIPALITY ry USE Building Permit Application To Construct, Repair, Renovate Or'uepte,ish a j Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 09-4)-3" Lj y Date Applied: „g ,,, )'4 ri,: 3 3 ta3 Building Official Signature i Bate (Print Name) SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 1.2 Assessors Map&Parcel Numbers G G 0e.iliCf 61" 2c-f,r '-`i13-013 -®oi 1.1 a Is this an accepted street?yes K no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (AB 5,'71� e v-4m,',y /12 7 I�2 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: Zone: _ Outside Flood Zone? Public 121 Private 0 Check if yesE9 Municipal El On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: xeu-4 1-e r Kad-1A le-e4 0,1 IA (CSkt)-e ) F lreubeA r(o reo cy PI 4 0 /0‘ a. Name(Print) 0..Ar^5u re City,State,ZIP S)-. 5ovescPisin v0 / `-(135-3/ z35� 8e1-11 i}iggi4''re54� 3�G►l.con/ No.and Street Telephone Ettiail Address `' SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building lid Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 1 Number of Units Other 0 Specify: Brief Description of Proposed Work2: P,ewtc lei !; . die it avI e1 boJ-h be hr'evn4S ) Sid;71 +lf/Meei✓fef'/q.tinoi 1 (e('lgree/ecl4;c /, plcrvib,'n5 ichd keei-i RePto-c 5 ;vVG7 (r;Se 93.," ruh !0v"/ 12 ))5r('Sr;ser1.7+ �� 10") rq"e ih 1 etitt1411rb,,nd0✓s ( -3-6yk 1-2.1(6 headerbeAwisxdOubleTacK;kkds) w rnd0l,✓ (4 rc+;el 1 S e / AefIc,C-P 4c_,O rS SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ Ca 000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 7 5 CO 0 Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ / `71 0 0 0 2. Other Fees: $ 4.Mechanical (HVAC) $ / 7 7 5 D List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ , C eck No.' (i _Check Amount: I 6. Total Project Cost: $ I tCt 2,ej 0 V Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.5 f( 74511 / i /2C,2 6 r c, vl f"l c Co r d e ( License Number Expiration Date Name of CSL Holder List CSL Type(see below) LI 70 we5-1- 5-F No.and Street 11 Type Description Tor no t E/� M /�.. o / 6 0 (% Unrestricted(Buildings up to 35,000 Cu.ft.) Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances i3 -qD -66766 5eai Q F N6 w3.00n I Insulation Telephone mail address D Demolition 5.2 Registered Home/ Improvement Contractor(HIC) qG y 3 S CCt C Vl /� t 4 VU e ( HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name l 7C t-✓es)- e No.and Street Email address NorTh yqf-l1 MA- 0/ 6.0 1/3 Vo6 667' 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 to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 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 Sego Pt c c 4 rN e l to act on my behalf,in all matters relative to work authorized by this building permit application. zccbeM A, Mct uire 3 k l,C.In'2a ak ,5/o6/c1oa3 Print Owner's Name(Electronic S ature) ( 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. Sectv) Coo 3/0//',1 0 3 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.) 3(co (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) I'? 0 Habitable room count 6 Number of fireplaces I Number of bedrooms "3 Number of bathrooms J. Number of half/baths Type of heating system IcA S r c e cJ ;✓ Number of decks/porches / b rc-z r Type of cooling system Cevt J.rq( Enclosed / Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" City of Northampton sj Massachusetts ��5 !Fro G DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 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: U e C (,' 10 _y The debris will be transported by: Name of Hauler: Nrfh'l&c r-, (AO Signature of Applicant: �Y pp g Date: 0 3/0// -02 3 The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 - Boston, MA 02114-20!7 wwt .mass.gov/din VI takers'('nmpensutiyn Insurance Affidavit:Builders/ContractorslElectriciansullumbers. '1'0 BE FILED WITH THE PERMITTING AUTHORITY, Anolicant Information Please Print Leeihly Name(liusinessiO ganizationflndividual): 5 eG, ✓� 9l L C p✓v e Address: 1 70 UJ C.SQ City StatefZip: �� ' ' ''{` \'1 oavl n i M k0Jc60 Phone#: f l 3 - 6'6 'G 6 7'6 ore you an employer?Check the appropriate twat: Type of project(required): 1.0 I.ern a employer with employees(full and or part-time}-• 7. Q New construction 2 1 am a sole proprietor or panuterahip and have nu employees working for the in g_ Ea Remodeling any capacity_[No workers'comp.insurance rrolmur:al_l ? 1 am a homeowner doing all wink myself.[No workers`emit.insurance required.]` 9. Dentalition 4.0 I am a homeowner and will be hiring wvuractora to conduct all work on my property. I wilt 10 0 Building addition ensure that all contractors either have twxrrken'compensation insurance ur are sole l in Electrical repairs or additions proprietors with no employees. 1243 Plumbing repairs or additions am a general contractor and I have hired the stab-eunsractors listed on the our he-i sheet_ 130 Roof repairs These sub-contractors has a employees and(save workers'comp.insurance.; _ 6.0 Weare its officers have exercised their right of exemption per MC,L c. 14.®Other W�)SOWS lit_§1(4),and we have no employes.[No workers'carp.insurance/twined) 'Any appliant that checks boa tt1 must also fill out du section below showing their workers'compensation sy information_ +Homeowners who submit this affidavit indicating they are doing all work and then hire outside ctrttrnetars mutt submit a new affidavit indicating such. .Contractors that cheek this box must attached an additional sheet showing the name of the sub-ccsutactorrs and state whether or not those entities have employees_ If the sub-cuntractars have employees.they must provide their u urkcrs-ctnnp.policy number_ I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: _ Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City?StateiZip: Attach s copy of the workers'compensation policy declaration page(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 fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S.250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby aril under the pains and pen pe►jitry that the Information provided a ace is true and correct Signature: Date: �cc V2-0 2 3 Phone#: / ( 3 - Y06-( 67 Official use only. Do not write in thi% urea.to be completed by city or town official City or Town: Pernmit'l.icense# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3.('ityf1-own Clerk 4.Electrical Inspector 5. Plumbing Inspector b.Other Contact Person: Phone#: The d•e^ (owjvi9 Co4frac,1-0ds ha✓e orW: l( c./orKoh 1-11:5 prc>ec Oeil;ce cr ►1cerniVe b M'1) FrgnK Wcl®Li. K /ecLrc_ Ott bc,y R00i;43 - RGo1;43 t40 d ge c l 7 N er�-i Aq 14 t/i-kC '-kr;5 Saluq itAnibb)n 6er tie pro - muidGboi-emQjJ-- r lVoIck A half men - 4sbesi.05 Oe✓;vie Oilerkeci Clovr5 _3prrfe d00r5 I hj Beg(4/'L u cold SOVIS irriffeVe0114 - (AIO(4014/S,doorS/ S/d,/19, 4-1-er5 1CGhnSoh - Masonry • DATE(MM/DD/YYYY) ACOD R ® CERTIFICATE OF LIABILITY INSURANCE 03/03/2023 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 Lilliam Martinez,CISR,CPIA NAME: King&Cushman Inc. PHONE (413)584-5610 FAX (413)584-9322 (A/C,No,Ezt): (A/C,No): P.O.Box 447 E-MAIL LMartinez@KingCushman.com ADDRESS: 176 King Street INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01061 INSURERA: Green Mountain Insurance Company 20680 INSURED INSURER B: Sean McCarvel INSURER C 170 West St INSURER D INSURER E: Northampton MA 01060-3739 INSURER F: COVERAGES CERTIFICATE NUMBER: CL233305219 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 SUIdR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A 20031304 08/14/2022 08/14/2023 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY 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 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (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) 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. 210 Main St AUTHORIZED REPRESENTATIVE Northampton MA 01060 { C C%i-f ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Licensee Details Demographic Information !Full Name: SEAN M MCCARVEL Owner Name: License Address Information City: Northampton State: MA zipcode: 01060 Country: United States License Information 'License No: CS-117811 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: Issue Date: 2/22/2023 Expiration Date: 2/28/2026 License Status: Active Today's Date: 2/22/2023 Secondary License Type: Doing Business As: [Status Change Reason: License Issuance Prerequisite Information • trio Prerequisite Information No Available Documents /1 E, (il'�l1./>1 C�/ICL�C�CI-Gf� ,JJCG%1CG� 1(4!)e Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual SEAN MCCARVEL Registration: 196403 Expiration: 08/11/2023 D/B/A FRIENDLY NEIGHBORHOOD BUILDER 170 WEST ST NORTHAMPTON, MA 01060 Update Address and Return Card. 1 15 20M--05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 196403 08/11/2023 1000 Washington Street -Suite 710 SEAN MCCARVEL Boston,MA 02118 D/B/A FRIENDLY NEIGHBORHOOD BUILDER • SEAN Iv1CCARVEL ` 170 WEST ST c!.�'z!�s> NORTHAMPTON,MA 01060 Undersecretary Not valid without signature