29-515 (17) BP-2023-1549
31 TARA CIR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-515-001 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-2023-1549 PERMISSION IS HEREBY GRANTED TO:
Project# RAMP 2023 Contractor: License:
Est. Cost: 4844 BRIAN BOUCHARD 116049
Const.Class: Exp.Date: 11/08/2024
Use Group: Owner: DANZIGER GEORGE &MELENA BONNELLO
Lot Size (sq.ft.)
Zoning: WSP Applicant: DUNN RITE HANDYMAN SERVICES LLC
Applicant Address Phone: Insurance:
264 LONG PLAIN RD (413)695-1233 42201264901
SOUTH DEERFIELD, MA 01373
ISSUED ON: 11/03/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL HANDICAP RAMP
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:
Ottill -H1 li %ICI
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
L -UK
I" &fna// Sun KY ?4' C
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The Commonwealth of Massachusetts NOV
Board of Building Regulations and Standar ` 2 FO
z
Massachusetts State.Building Code, 780 C R op IICI ALIT
ox.
Building Permit Application To Construct,Repair,Renovate O`r1 a ,`�c,� ' ed ar 2 11
One-or Two-Family Dwelling -��' Mq oF06,�oNg
This Section For Official Use Only
Building Permit Number: 8'')3- t J - q Date Applied:
4 ti* i 32 . ‘'' It • •
_10/.,
Building Official(Print Name) Signature i ate
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
3 t ��. C:.-�\e_
1.la Is this an accepted street?yes✓ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
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
d S'i 8-0'/9t' 7 S
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:
Geo verp .,,--r__, v---t-Okik 3 vw b 'F\o c e v,t 4 MP( 0 Idt&
Name(Print) City,State,ZIP
3 &c C. cam kie a q W S' ci da v.-zzly Ce 'm .c o wN
No.and Street Telephone 1 Email Ad es
SECTION 3:DESCRIPTION OF PROPOSED WQRK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied IR Repairs(s) 0 Alteration(s)i1 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units A Other 0 Specify:
Brief Description of Proposed
nn/C 0 Work2: ,r`�o,A\ �..�.i c�.p �,ti 9 > k� WS�re-
nP.0.a-e rr�u.. 1 r.Mj 1i.Q p A-'S%ee Vrn IN*S4 t P�
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I. Building $ UU y(y 1. Building Permit,Fee: $ Indicate how fee is determined:
G 0 Standard City/Town Application Fee
2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fee : $
Check No.q07`'Check Amount: Cash Amount:
6.Total Project Cost: $ 41
p t.i Li 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
eS-116041 /I
cx..Z ,.. \ , . Q License Number Expiration Date
Name of CSL Holder
al 4 N ` List CSL Type(see below)
Le% •
No.and Street Type Description
` k Unrestricted(Buildings up to 35,000 cu.ft.)
Q j� �� L�1 �3 Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
11 SF Solid Fuel Burning Appliances
_
1/13 65 13 3 b1,CI�V�VNY e/ 144CLA I Insulation
Telephone Email address /,s Co rv‘. D Demolition
5.2 Registered Home Improvement Contractor(HIC) 020.11
��.u r\ R HIC Registration Number Expiration Date
HIC Company Name or HIC egi�ra�t Name
.26 L/ /� }'(c��- ( vinbb ckv,vviI -:\e_1Z,c Mal Lore`
No.and Stre t Email address'
5 to ck rivA-61373 46 69s la33
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',yt.Z3i p,.r�n �1 rtb,,ykl\kk;leASkAat{hcLAS\taU-L
ton act on my behalf,in all matters relative to work authorized by this building permit application.
1��0'i'C1Q—ba.3 t" /26X3
Print Owner's Name(Electronic Signature) bate
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.
1/4k.sinac01/4. 11 l i &O2
Print Owner's or Authorized Agent's Name(Electronic Signature) Dar
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"maybe substituted for"Total Project Cost"
X. The Commonwealth of Massachusetts
!l, € Department of Industrial Accidents
E itt jti I Congress Street,Suite 100
�"9 ..- '1.-4,' Boston,MA 02114-2017
IP. ' www.mass.gov/dia
I1 orkers'Compensation Insurance Affidavit:BuildersKbntractors/Ekctrkians/Plumhers.
It)81 t71.E1)Willi THE Pl:RMrrcIN(;A1l'1'HUWTY.
ADDlicattI Information Please Print Let;ibls
Name i Business+organizationtindividual): i Q, 4-e.- Svc_ PLC—
Address: a C/ Le) v.y�let_• Y.Ra -
City/State/Zip:,spv�- ,� ce� ''M'(�0�37Phone#: Lil 3 bc T/23
Alt you an employee?/'lire//the appropriate loin:
Type of project(required):
I i am a employer with __4_ cngllu}.cti lfull ander part-time'/_•
I. 0 New eonstruitton
2 I am a sok proprietor or partnership and have no employee!.working for ntc in 11. O Remodeling
:Any capacity-[Nu workers'comp.insurance nvlwrrd
30 I am a homeowner doing all wart myself.[No workers'cusp.irwurancc nvlwnd-j"
9. ❑Demolition
10 0 Building addition
4.0 I am a homeowner and will be hiring contractors to eueduet all work on my property. I will
ensure that all nrntracton tither have workers'econpatsation insurance or an:sole I I.Q Electrical repairs or additions
prupricton with no„npinyca_ 12.0 Plumbing repairs or additions
NDI am a general cuntracwr ma/I have hind the sub-contractors listed on the attached sheet. 1 3�Roof repairs
These sub-contractors have employees and have workers'comp.insurance.;
1
hQ we are a corporation and its taken have exercised their GL right of exemption per M c_ 14.❑Other C
152.§1(4),and we wallas'no employees.[No ws'comp.insurance required.] `
`Any applicant that checks box#1 mew also till out the section below showing their workers'cumpcnsation polie-y information.
*Ilome ow rren who subunit this atTndavit indicating they are suing all work and then hire outside contractors must sobnut a new alticlas I:nndtcat➢nl ranch.
;Contractors that check this boa must attached an additional sheet show inc the name of the soh-contractors and,tale V./tether or not those entities have
employees.. If the sub-contractors love employees.they must provide their workers'esunp.poiies nwohet..
1 am an employer that is providing worAers'compensation insurance for my employees. Below is the policy and job site
in jormtitian.
[tt,tur:tricc Company Name: 4 r 6.0.` -- —
Policy#or Self-ins.Lie.#: t-) oC o2 01115 9 b I Expiration Date: L/)2742029
Job Site Address: 1 C,_Cit-C.\ Ci :4v� MUT j�,
tY StatelZip: p
Attach a 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 tine up to SI,500.00
andlor one-year imprisonment,as well as civil penalties in the tbrm of a STOP WORK ORDER and a tine of up to 5250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
col erat_*c verification.
1 do hereby certify underr the
�pains and pen of perjury that the information provided above is true and correct
4t+'tuiu e:L6.s''- �i���ssY� ✓/.�� Date: /t l i /26..L
pl,.. R-A Y5- /023`3
Official use only. Do not write in this area,to be completed by city or town official
('ity or Town: Permit/License#
Issuing Authority.(circle one):
1. Board of Health 2.Building l)epartolent 3.City'/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
(>_Other
('naiad Person: Phone#:
City of Northampton
•
• Massachusetts
t v 1$
DEPARTMENT OF BUILDING INSPECTIONS
f 212 Main Street • Municipal Building ^a'
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: Vci L„ Qo vie 1►l�
1
The debris will be transported by:
Name of Hauler: �c,,h �; �c rnr,,,,,, Cye_
Signature of Applicant: Date: // 6J 2_3
Arbella Protection Insurance Company
1100 Crown Colony Drive, Quincy, MA 02269-9174 A 1. BE L L A„
PROTECTION INSURANCE COMPANY
WORKERS COMPENSATION AND EMPLOYER'S LIABILITY POLICY INFORMATION PAGE
Policy Number Transaction Effective Date Bill Type
4220126490 01 NEW BUSINESS 04/27/2023 Direct Bill
1. Named Insured and Mailing Address Agent 28-213
DUNN RITE HANDYMAN SERVICES LLC PARTRIDGE-ZSCHAU INS AGCY INC
264 LONG PLAIN ROAD 25 MILLERS FALLS RD
SOUTH DEERFIELD, MA 01373 TURNERS FALLS, MA 1376--0312
Phone#413-863-4331
All workplaces are shown on an attached schedule.
2. Policy Period at 12:01 A.M. Standard at Address of Named Insured
From: 04/27/2023 To: 04/27/2024
Form of Business Business Description
Limited Liability Company CARPENTRY CONTRACTOR
3.A. Workers Compensation Insurance:
Part One of the policy applies to the Workers Compensation Law of the states listed here:
Massachusetts
3. B. Employer's Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3. A.
The limits of our Liability under Part Two are:
Bodily Injury by Accident $500,000 Each Accident
Bodily Injury by Disease $500,000 Each Employee
Bodily Injury by Disease $500,000 Policy Limit
3.C. Other States Insured: Part Three of the policy applies to the states, if any, listed here:
Connecticut New Hampshire Rhode Island
3. D. This policy includes these endorsements and schedules:
WC 00 00 00 C WC 00 04 06 A WC 00 04 14 WC 00 04 22 C
WC000425 WC200301 WC200302A WC200303D
WC 20 04 03 WC 20 04 05 WC 20 06 01 A
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required on the attached Information Page Extension is subject to verification and change by audit.
Minimum Premium Total Estimated Premium
$550 $11,471
Countersigned by Date
68AP 1021 01 16 4220126490 01 04/27/2023 Page 1
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
(42,
Type: LLC
DUNN RITE HANDYMAN SERVICES LLC �;, Re piration 202136
264 LONG PLAIN ROAD
= Exxpiration: 05/25/2025
04.
SOUTH DEERFIELD, MA 01373
7r..
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. If found return to:
TYPE:LLC Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
202136 05/25/2025 Boston,MA 02118
DUNN RITE HANDYMAN SERVICES LLC
BRIAN R.BOUCHARD
264 LONG PLAIN ROADN,
SOUTH DEERFIELD,MA 01373
Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division:of Professional Licensure sit
Bo d of Bui�ding Reg ilaUons and Standards
Construe ioVSDpgrvisc . •
C S-116049 spires: 11/08/2024
BRIAN R BOUCHARD
264 LONG PLAIN RD
SOUTH DEERFIELD MA 01373 .
Commissioner'cicvia
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT: 5-7
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD .1 5
SIDE YARD 9 b SIDE YARD d
F ONT SETBACK 6 5/
FRONTAGE
3l TA e_c 1-c
t -4, f - 5
14 \ C)--`k
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t S 1 1 4.9 ' 1
(V
Dunn Rite Handyman
A
4134 'r I,
264 Long plain Road '� yS.Q leu!MA 91373
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Opt p T 264 Long Plain Road
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2nd entrance for Handicap ramp
Pressure treated 2x8 joist 12"on center.
Pressure treated railing 4x4 post 5/4 top rail 3 separated rails
2 continuous handrails interior of railing
Trex composite decking
1'entrance stairway leads directly out front of house.This stairway will be turning to the right and lead
directly to the driveway.
Pressure treated deck built over concrete stairs.Topped with Trex composite decking 29"height.
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