17C-255 (5) BP-2023-1467
90 PARK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-255-001 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-2023-1467 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 7435 YAMIL JR BRITO 115714
Const.Class: Exp.Date: 03/31/2025
Use Group: Owner: FLORENCE CIVIC&BUSINESS ASSOCIATION INC
Lot Size (sq.ft.)
Zoning: URB Applicant: B.ALPHA CONSTRUCTION
Applicant Address Phone: Insurance:
29 DANIEL DR (413)539-8310 A9WC423273
CHICOPEE, MA 01013
ISSUED ON: 10/20/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION IN ATTIC FLOOR
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 � Q .
TAD,
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
�l�., re-�, �, RECEIVED
0,c- lg3O
ci
The Commonwealth of Mas.ac usR,t v ,,
tts 8
Office of Public Safety and Ins ectio1 2023
Massachusetts State Building Code( 80 C R)
Building Permit Application for any Building other th. a • •`F z i•i.I • 0 we ing
(This Section For Official Use Only) AMnTON,MA otos� ,
Building Permit Number: 07,5•/1107 Date Applied: Building Official:
SECTION 1:LOCATION
90 Poo-r 4 54. Of auto o�v�_ Al 01069- Fi°.erce Cw1c. # r3uy;mss Assoc:cf
No.and Street City/Town Zip Code Name of Building(if applicable)
Assessors Map# Block#and/or Lot #
SECTION 2 PROPOSED WORK
Edition of MA State Code used If New Construction check here❑ or check all that apply in the two rows below
Existing Building CT.' Repair❑ 1 Alteration ❑ 1 Addition 0 I Demolition ❑ (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other Specify:ff-tot Sd ia1'1 vh
n building plans_._] /_ ] of this l.__ ? Yes N_
Are and/or construction documents being supplied s part permit&YYu�atioil� 0 No
Is an Independent Structural Engineering Peer Review required? Yes 0 No ior—
Brief Description of Proposed Work: we (Jail! be i K 344.4(cd i wq 4.441.c rio or w i t L reify lose -
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) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
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 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 ❑ 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 0 R-3 0 R-4 0
S: Storage S-1 ❑ S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IIA ❑ IIB ❑ MA IIIB ❑ IV ❑ VA 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:
A trench v‘Ttl.riot be Licensed Disposal�o Ste❑
Public 0 Check if outside Flood Zone❑ Indicate municipal 0 required or trench or specify:'��
Private 0 or indentify Zone: or on site system 0 1^
permit is enclosed❑ 'D,,,�,,.p
s l
Railroad right-of-wa Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable Is Structure within airport app ach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No 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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information
Title Telephone No. (business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
'(o.w►i ( &;—o 9-4 Oc,,,►z t t Dr;ve Clek copee vv(b- o 10 i3
Name Ti Street Address City) own State Zip
to apply for and act on the propertyo 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 enclosed space and/or not under Construction Control then check here O'!
Otherwise provide construction a ntrol forms(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
w •
Street Address City/Town State Zip Discipline Expiration Date
•
10.2 General Contractor
7 g. �,P,��.� Cot)SCq ) U_e
Company Name
\I&A A- 3 e.�o BSI, I t 5i `�
Name of Person Responsible for Construction License No. and Type if Applicable
VA 9 t P \J‘ kcc,P ' - AA 01013
Street Address City/Town State Zip
_5- 31O MC!) 5.9 S3iv Y '+1L �i--P1sA�t (' C''1 •Gc�rv�
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 from 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 issue ce of the building permit.
Is a signed Affidavit submitted with this application? Yes o 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor
Item and Materials) Total Construction Cost(from Item 6)_$ ��3
1.Building $ 3 Building Permit Fee=Total Construction Cost x (Insert hero
2.Electrical $ appropriate municipal factor)=$ .
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ KO (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 7 M 3.i (contact municipality)and write check number here Ti'3
SE ATURE 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 b ,t of m owle e and understanding.
\ ictw d P4ef. *3 _In_ 83/01/1/A5
Please print and slain name / Title Telephone No. Date
a-I 5Mntel lh►ve et,iCopec w4t1 010/3 6.4ph«coifhuvkoneyAailea.,
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval:
oval: ,// /O ZI'Zdz3
Name Date
---. Commonwealth of Massachusetts
1.# Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
CS-115714 Expires: 03/31 /2025
YAMIL JR BRITO -7
29 DANIEL DRIVE ,-..., Mil .
CHICOPEE MA 01013 --r
NN sl k
Commissioner =,r a t; YETicbg,„
0
City of Northampton
M.M
o Q. �t'..• S`5 .. SjC
Massachusetts �� x_ :e
�, A, r
,� DEPARTMENT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building vti c�
Northampton, MA 01060 ssph, 3,r,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: 3 ( cr eo►.Jw 51 Ct., cc) ec AAA- 01 o t3 S ko J
P �
The debris will be transported by:
Name of Hauler: 1-3 . I&•-- Covt,4ry c-1 i'o... L I- C
Signature of Applicant: Date: >o//ce/X 3
The Commonwealth of Massachusetts
ill a Department of Industrial Accidents
it 1 Congress Street.Suite 100
Boston.MA 02114-2017
-,,;' w~•ww.ntacs.gor/dia
1.
11utkers'Compensation insurance:Vfidasit:Buildrrwi(ontrarhrrs Electririansri'lumbers.
It) Bt. 1 II.1.1) s 1111 1 ill. Pl.RS111-11%( Al M I ORO I.
Annlicant Information 1 // Please Print Emilia.Naml tlt�Li�i:t,::a►r.',tntrau.tn lndy,a.trial.;. 8. A-' �0. coo,I-ric_(-I op IV C
Address: a- 1 ()°a v\i e( 01 t v e
City/StatelZip: C c.Ore e /`1 j4- Oi 013 Phone (y/3) 5 3 9 - a' 3 /0
Art,,uu an e' sptuy.err?Cheri Mir approve'&bent:
Tcpr of project;required)
t. K4n31,ae111100v+ct'wrtl'1 6 11LM.titsaupart Lirtuet.• J. j Ninik conslrtlition
20 I atria x04c pruptxrtn tat paritte7,1171,and hose Ak.ellipl.nee,w,nkins fur in,an g. ci Remodeling
am carum:Ay_[;Nu HiHurker, comp.insurance requited J
9. ❑ Demolition
t
I ant a it..rru rewind Jkans 1It u.•rk Ur4xlt..I\w%,Pella, c..•rnp insurance mequirrrd..)
10 0 Budding addition
•t.Q I anI a lnlrnuatanne7 and will tdc iunnr cimtra.Nie.rip.a.ridu'i all varrk ipntrr'h plop:iti. I will
cntsute that all ctintrwturs other hate,.o,lkar,"corair a at.in insurance ipr are,isle I 1E3 IIrw1rica1 repairs or additions
pi ova actors V.III.th.erl7t.la14ees
12.0 Plumbing repairs or addition.
aI airs a gcueraI cuntlaeta,r areal 1 have hired the sub-contractors listed on the ataihid.toed.
l hex sub-cantrac tun have c niplri.cs and l uv e Yonkers'sirup.rmsurana c. 1 3.a Rd►u f relt;t t t.
14.(Other ,�vt 5 V I
u-4
6.0\\can;a c'.rrptiratlettr and ob.offners It rse l'lefcr.ed Merl right tat c'rettrption per.\U rt_c_
I mo' I441 and we hu.e no irlrtl kinx .l`l+'w tni►er. .,cnrip.mama MCC aa'attl.taa'id
•Anv applicant that clicvks htk t 7nu,[AN.,tilt otil IJic'rctrian 4.ek.a show Ins then+t utleis'ei+miwa.rn•,ation pnIK1 info raatwn
►hhi•rtnla%ti..O ,+tlaa sulbirm 111H,anida+Hl nl.h.atrn'rr ltl'e+ate dying all wistk ail then hut..icltsl.le'.inlir:n ltr.unu,t.uhnut a It CIA III hid.r+rt ttid .atprtr such.
unttac turn that check this hat rniast atra.ehed act additional.)Hirt slummy:the mine 01 the.ni'.intrractt,e,and state air guinea ur not thine civilities ha'.4
itripla.scc,. It flue sub contractor,base etinpltnce,.the+must pa. a.Jc then 0,11.cis' .imp.la.•lt.'.nuruh.t
i am an empinrer that is proriding K orAerr"compensation insurance for my employee.... Below is the polity and jab site
information. 1 t l (�
Incur.nec C'ciritpanv \;tilt I v a f j Ovt Cn Li a`0% 1 ►"t ' ►(e
PohcY ;-. O o 3 a
_ �q WC 3�y 1 q 5 I rlptr,�L..tt I��L�
!oh Site Address: 9 v ("w✓ 5-1. IVCNP4Awtp t"it% Slate tip. A• . O/0 6 6
Attach a copy of the workers'compensation deYlariration page Istiussing the Indic', number and expiration date).
Failure to sit ure eoserage as required under MICE c. 152,*25A is a criminal siulattun punishable by a fine up to SI 5(K)_00
and or unc-scar imprisonment,as a ell as cavil penalties in the brief of a STOP WORK ORDER and a line of up to S2S0.(0 a
day apiarist the%rotator. A dopy of this statement may, be tom aided to the)office of ink estigatrrins of the DIA kir insurance
L crz1Le%errliianon.
I do herebr certify miler the pans and penalties of perjury that the informaturn provided ahoce is true and correct.
7Ltl.i[Ui� I)ati /0/, s/a3
Phone:: (Li 3) 5 ' - fr3to
Official use only. Do not write in this area.to be completed by city or town official
(its or I ass n: Perntitfikense 4
Issuing.tuthurit (circle one):
I. Board of!traith 2.Building Department 3.('it,rI'own(Jerk 4.Electrical Inspector i.Plumbing Inspector
11.Other
('untact Person: Phone*:
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street-Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
type _LC
B ALPHA CONS-AUCTION LLC Reg ration 051875 fi 3/20L5
25 DANIELDR expiration OS3I2
C-ILCPtE.MA 01013
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. tt found return to:
TYPE:LLC Office of Consumer Affairs and Business Regulation
Bealatratten Egaratlan 1000 Washington Street -Suite 710
2C1875 115C:92025 Boston,MA 02118
B ALPHA CONSTRUC'iON LLC
'AMIL BR ITO
29DAMELDR
CHICOPEE.MA 01013
Undersecretary Not valid without stone re
ALPHA cC3NSTRUCTIo
B. (+113) s39-6310
29 A 4S L OA. CHICOPE£, MA 01013
er
Building Permit Authorization Form
1, icZO '/A/CL-7 Civ/C , owner of the property located at
(Owner's Name) 7
G /R/ S — .2/✓C CYO i-
(Street Address, and City)
Hereby authorize Yamii Brito of B. Alpha Construction LLC to act on my
behalf and obtain a building permit to perform insulation/weatherizatior
work on the above named property.
i f /' Y S. 'Y,L3 - 9.5 s
2 2 .
Owner's ' ignature Owner's Phone Numbc
/o-/O ) _
Date
„ M- , City of Northampton
oa,..
r>:,_
Massachusetts ,.� <r,
J. M b � , DEPARTMENT OF BUILDING INSPECTIONS '*
,,.f, 212 Main Street • Municipal Buildingjs �47 `a
Northampton, MA 01060 �h "?�
Property Address: f d Pa( ( No r4k‘ -Jove MA O106d
Contractor /� �+_ f
Name: . Al t lox. 0►'�5�' c j o r L. 1 C
ss��
Address: 2 p. Do.,^ i t 1 Dr i v e
City, State CiliCOeee tul $ 0 , 013
Phone: (9 J 3)S 3 '1 - 5' 3 1 °
Property Owner
Name: +Co(elitc ' ( i v t c * .go 3 tvke35
Address: SO Pc.(Y 4-- Wl/O(4 L aws p 1-ovt iaCo
City, State: J
1,, (contractor) attest and affirm that the building I intend to
1, �Av�ni I �f�
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 of this ffidavit.
Contractor signature . . 7e7)2(..)
Date ✓fold-v i a- 3