31B-286 BP-2023-1658
129 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31B-286-001 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-2023-1658 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est.Cost: 18040 YAMIL JR BRITO 115714
Const.Class: Exp.Date: 03/31/2025
FIRST CONGREGATIONAL CHURCH OF
Use Group: Owner: NORTHAMPTON
Lot Size (sq.ft.)
Zoning: CB Applicant: B.ALPHA CONSTRUCTION
Applicant Address Phone: Insurance:
29 DANIEL DR (413)539-8310 A9WC423273
CHICOPEE,MA 01013
ISSUED ON:11/22/2023
TO PERFORM THE FOLLOWING WORK:
INSULATE BASEMENT WALLS
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:
r_trihkicv\„ 1/42 Ile /
Fees Paid: $126.28
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
NOV/ 6.--' 106-i, , .,„. -711° E.:-/nkt, 'I iii,/Yni t
2 20 23
he Commonwealth of Massachusetts
Office of Public Safety and Inspections
or pi Massachusetts State Building Code(780 CMR)
'�',t ! �tt,'",r rmi Application for any Building other than a One-or Two-Family Dwelling
,�
�• ,�1�5p Ny
\,` //;;, 0 (This Section For Official Use Only)
Building Permit Number: ,f I tf-'7,elDate Applied: Building Official:
SECTION 1:LOCATION
1 V 9 MC0 A 14- Alo4Lo►%Me of\ MA 01060 Fer4 CA urckes
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 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 Specify: �-vc 5 U I p►.+I 0 h
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No lir-
Is an Independent Structural Engineering Peer Review re uired? 11 Yes 0 No ID,'.---
Brief
Description of Proposed Work: J e will e \ vi s V(A.� N to a r r/M e H f tI/S • L
INS ktN. 1pr .vv% closed cell (AN8 c.b�ceri L..i1 � rife ihiliAirccgA1
pa,>n 1
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 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 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 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 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 CI IBCl IIA0 IIBC IIIAC IIIBC IV CI VA 0 VB 0
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❑ A trench wi not be Licensed Disposal Site[�
required la or trench or specify:
Private 0 or indentify Zone: or on site system❑ permit is enclosed 0 5 d'er
Railroad right-of-way Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 11 Is Structure within airport approach area? Is their review completed?
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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Propertyr Owner / / i,i L ,A
CICS4 CL,VCC-N 1aCI' 1�A;h ST. 64140 Ln f \A 01060
Name(Print) No.and Street City/Town Zip
Property Owner Contact InformatioA_k'
Dor1/1oa O'Meda? ( . =- 540 9?f -
Title �Jl Telephone No. (business) Telephone No. (cell) e-mail address
If a plicable,the roperty owner hereby authorizes:
GAM; 15C Al) get 196.tn i e 1 06 4 e C k i co ee vql-- 0/0/3
Name Street Address City/To*n 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 enclosed space and/or not under Construction Control then check here 0.
Otherwise provide constru<t ion roni t r()1 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
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
eg. M kc.. C v r• S 4ru cat i 00
Company Mame
VCA'Vill 1 ( €) ° C3 - 1 I S1J Li ( Uvtre /icIe )..1)
Name of Person Res ons le for Construction License No. and if Applicable
�q Oc weet 1 , ,-,, C In; G0 e-e ,�/I�(y/ OtOi3
Street Address City/Tcvn Slate Zip
qi3-579 Y3 /0 - - )° Y,11-1 LC0ns fruCj�tor t yt.uk;l . cow,
Telephone No. (business) Telephone No. (cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.$25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes CI No 0 _
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ /(,0 if e 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 $ / `U q0 (contact municipality)and write check number here i'i
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 knowledge and understanding.
Vat41; g40 Par,Lri e.y 5i j- ff3/0 //*P.3
Please print and sign name Title ele hone No. Date
a'9 O.r: e l 0 r; ve C 1; c o e e ,Mr44 ow/3 g• FV�hcLavol 'udii i Mc,;f.ccr1
Street Address City/Town State Zip Email Address v
Municipal Inspector to fill out this section upon application approval: }^jsk§,ift\i,.., 1I I I/c7 ��
Name ' D to
City of Northampton
44/,
Massachusetts ti�Ss •• sC`
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building Jti OD
Northampton, MA 01060 ,'W ,�(�`�
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: 5 ka 3, �} lAkec,1ow 5 C t i C v e e r 4'J4 C) to /3
The debris will be transported by:
Name of Hauler: R . P1 P c, Co rJLT of PI
Signature of Applicant: Date: / f a- Y 23
The Commonwealth of.tlassuehusetts
Department of lndustrial Accidents
, .... .v
1 l Congress Street.Suite 100
-�:� Boston,MA 0?114-01
>' www.mass.go►/ditt
11 urkers'Compensation Insurance Afliidasit:Builder'si'('ontructurs I:kctricii nsiTluinbers.
1O III. 1 ILha)11 lilt 771E PERMI I"li\G At-lift 1.
.tuulicant Information �, Please Print 1.er`ibh
Name ttita,l:r:,,0rr.tnt/atttrn Intfr,.t.lnals V• ell pliG CO rt,f ruc4' On -
Address: 4:2-9 Do.r; e I Dr 1 v'e -
City/State/Zip: C 1,, ; (:tr€C t ,A t4- 61013 Phone #:(1.-ii 3,S3 9-- Y 3 /U
Aim qua as e'rttphncr'.'l k�k the Appropriate boa_ I a pe of project(required)
t. a'tU'1',at w l4kt snot*fte.:c,trot)arid uea tt uL-tlrctxl' 71 Neu construction
2173 1 am a sole l+roF'r tw of IUrtliCt,IUI,and)tail MO inrrtol.-a:,o.tkltt_i' for net in N. 0 Remodeling
:MI,Capactl. l`o t.mixt,'comp.ilUnrarux tequucd.l
9. []Demolition
;.Q lam a limn ov.tt.'a dom.:all„ork ntri.scill.l'sw wttrlut.'coarse ansurtar, co4natcal.l"
10 D Building addition
4.0 I ant a ltonwa,a,tun and,+all l,:hirmlm:cotrrratttrrwta•coctduct ail%%OA rn enr,pw tery_ I will
caunri that all c,wura.lor,Cabal'ha4C wtaller."court.in.alatvt uutaranct Of ari,,t,ic 11C l lr:,L'tr-tcal relines Or addrttt;trrs
r...Tn.tors vAth no irlrployec,
12.®Pluttlhini legate.or addtuon.
ti 0 I ant t glth:Tal. n1lack+r slid I ha%C lilted flat uah-r-onuactnn lt,ted on tlic artachid.lists
[tics.:soh-c,n tLicrot-sluatccurrio!,cc,altJhail,tt:tl.r,'Con1p.rat,twtara:i. 13.�titt►tti eel.ttr,
tt.Q N c are a output-a non anti it,otta:cr.has c can c ',cad train rnghl of c%a:m lwn r:t Mt t l.L.
14. thci ,-y!_St.i/cl-1 1'0✓t
152.$Ili 41.anti a.basil is 011111 crsaa:,.INo 14cnLer%'c=cnrtF'.tn,uuam,:rcywn.:d
Ana applicant that cli al.h.t tI intr.'Alai,till and Ito:s.,xttott bclou,ha,a tn>tlatiat 140t1.4T, •'t+itlpt'nf.idUMr polio inftu nnratk,rl.
k lit sots iits Volk,,titvntt tins atttala,at mads.alinp ttaii aril doing all work and then hue ctttt,adr*A:ettackn.lutist,aak+mnt a nc,a atir,tisit aratltt.attac atwh.
It'onttactor,tint check flit,hoot ntta.t atl a.t M an.wl,lntiotaal,)aria,how my tb.:name.of tb.sins ctartra.ti'rs and,tat..v.11cikur or not tla„c,.nape~has.:
e itrl.evec, It toil,nh-cenraractor,lur,i curio...cc,.they ntta,t pro,talc thilr ,,orkcr,'.,;'uses p.eltc}rutaaniw-t
I am an employer that is providing,eorLers"compensation insurance jar my earplor a rs. Below is the policy and job site
information.
ltisuiancc C tnnpan Nano: Wu-4\ O flora.' L1 0. bp$ 1 1 T ' 1(1% (Q
Policy tz or Self-ins.Loc.ts: it q \ij C q a 3 t; 7 3 lAptration 1):tte: O 3 2- q
Job Site Address:_/ `C_ Ai v1 54 iced-- _------_ ("It), State Lip. Nor/hal,op i0Y1. +a4/1" 0!o C6
.Vlach a cups of the workers'compensation polio;) declaration page(showing the pulicl. number and ispiration date.).
Failure to secure coverage as required under 1MGL c. 152.*25A is a ernnmal s'dation punishable bs a tine up to 51500.11(1
and or one-year imprisonment.as well as civil penalties in the firm of a STOP WORK ORD1:R and a tine of up to S250.0(1 a
dal against the stolator. A copy of this statement rttas he forwarded to the Office of Investigations of the DIA for insurance
coseralit' ACrilicatton.
I do hereby certify a ler the .ain.a pet allies of perjury that the information provided ab.Ire is lr re and correct.
f
`ianatute. 1):11, ti 7- I a 3
Phone::: ( fl3 539 -'3Io
Official use only. Du nor write in this area.to be completed by city or town official.
ial.
('its or Coven: Permit license-tt
Issuing.tuthurits (circle one):
1. Board of Health 2. Building Department 3.CO Gown Clerk 4. Electrical Inspector 5. Plumbing Inspector
b.Other
( tintact Person: Phone*:
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs ana Business Regulation
1000 Washington Street -Suite 710
Boston. Massachusetts 02118
Home Improvement Contractor Registration
type LLC
Regstration 201875
B ALPHA CONS—AUCTION LLC Expiration 05413202S
2S DANIEL DR
C.-LOP:E.MA 01013
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs i business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration data It found return to:
TYPE L•.0 Office of Consumer Affairs and Business Regulation
filK0ITUABLOO EARiLetion 1000 Washington Street -Butte 710
2C1875 0541/2025 Boston,MA 02118
6 ALPHA C 1STR UCTION LLC
YAMIL dR;TD
29 DAN EL DP
CMiCOPEE MA C1013
Undersecretary Not valid without signs ure
Commonwealth of Massachusetts
Ili Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
CS-115714 Expires: 03/31 /2025
YAMIL JR BRITO T
f.
29 DANIEL DRIVE •
CHICOPEE MA 01013
\� , ,.:
{i *r
1*-.
4
Commissioner a,Pa f; V&y/LitLk..,
B. ALPHA CONSTRUCTION LLC
29 DANIEL DR. CHICOPEE, MA 01013
Building Permit Authorization Form
I, No r24 PL /-004 A 1� ' , owner of the property located at
(Owner's Name)
/2 f /;4,a/k1 S'7 /14),.,h/,7'717A , 414 C( o SZ.)
(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.
_ ' if 96' 5,5,44J3
Owner's Signature Owner's Phone Number
/C13 v 0 3 3
Da e
POLICY NUMBER: A9WC423273
Basic Policy Information
Named Insured Transaction Information
Firm Name: B.Alpha Construction LLC Term: 8/3/2023-8/3/2024
Address: 29 Daniel Dr Last Update*: 8/3/2023
Chicapee,MA 01013
Business: (413)539-8310 Carrier. National Liability&Fire Insurance Company
Cell:
Fax:
Email: b.alphaconstruction@gmall.com
Workers Compensation
Employers Liability
WC&Employer's liability
Each Accident Limit: $1,000,000
Disease Policy Limit: $1,000,000
Disease Each Employee: $1,000,000
Deductible/Type:
Applies To:
Individuals Included/Excluded
Name Title Status
Yamll Brito 50 Contact Include
Joel Brito Co-Principal Include
"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.