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17C-135 (17) • BP-2024-0025 16 BARDWELL ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-135-001 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-2024-0025 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: *Est.Cost: 65352 YAMIL JR BRITO 115714 Const.Class: Exp.Date: 03/31/2025 Use Group: Owner: FLORENCE CASKET COMPANY Lot Size (sq.ft.) Zoning: OI/URB Applicant: B. ALPHA CONSTRUCTION Applicant Address Phone: Insurance: 29 DANIEL DR (413)539-8310 A9WC423273 CHICOPEE, MA 01013 ISSUED ON: 01/08/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: $458.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ��, 'f1V t7 K-•T Acr,ost-vr 'jG�V = '��lGli1 �!''/y1i; .� r)p?A The Commonwealth of Massachusetts lrl j �� 5 Office of Public Safety and Inspections .. �t`p�tS • Massachusetts State Building Code(780 CMR) • : gnhlt-Application for any Building other than a One-or Two-Family Dwelling v:.;10:jt\a "r.. (This Section For Official Use Only) Building •er,mit3'umber: ?y. Date Applied: Building Official: SECTION 1:LOCATION lb & -cl we II S.I. Florence 44 6/04 - rlOrenGe Co.tk e4- Co 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 0 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 I Specify: 2-.11u I4-iOM / Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No L5� Is an Independent Structural Engineering Peer Review required? Yes 0 No 0----.' Bt}of Description of Proposed Work: We V i II b£ j►1S 11 4.4i Ike e x 4-tr f or Lica(.s .I,.f Ik -Sal 5rrC•� fuci. a lvsc 4, Cell o.4 Coven'vt n i kk ;1i}d�•.c sev # i,:..4-. 50i f� Wo�.41 ■hit' .i• w �lw be i cetiolose R-pT"'T0 gzp", •S/oQes wilt i* t4 R- Ta'{ s f( j ( .i... 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) 0 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-0 H-5 0 I: Institutional I-1 0 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 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION&CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 HA IIB 0 IIIA0 IIIB0 IV 0 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 A trench wi •trot be Licensed Disposal Site 1 Public 0 Check if outside Flood Zone 0 Indicate municipal 0 required or trench or specify: 411 i-rotis ft Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 wi.11do ID Shoo Railroad right-of-way Hazards to Air Navigation: MA Historic Commission Review Process:l Not Applicable Is Structure within airport app lete ch area? Is their review comp ? or Consent to Build enclosed 0 Yes 0 or No Yes 0 No 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 kAi:1 I i 0%44 ?o a.r / 6 &.rd.we U s 4 Inorer c e AAA- O/o 6 ?- Name(Print) (9 No.and Street City/Town Zip Property Owner Contact Information: 2 s�y �/ / �[ y_ __�- y .st. - - aj I(ka art S 0 Coo.casbAt r Title Telephone No. (business) Telephone No. (cell) eiail address If applicable,the property owner hereby authorizes: ytk,t*i I et,i-o 61-q C ; ( Olive C(4 ico oee A"`r4- /3 Name Street Address City/t own 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 CI. Otherwise provide coast rut t ion r<rntrol 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 C r 1 1,,,/....C., Company �ame � CS T I ( S 7 1 y �� �,. V r1w.i rt ame of Person Responsible for Construction License No. and Type if Applicable P-q Dow.;a I O r i v.e (14i c o `e e ✓� (A- aro/3 Street Address City n State Zip /If 3_S 3 q V 31 V - - 6.Af/ 1 �K o s-r. c 1.-i tw oe G.,l,co 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 isssance of the building permit. Is a signed Affidavit submitted with this application? Yes G''No CI SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 45 ?S a- Building Permit Fee=Total Construction Cost x assert here 2.Electrical 5 appropriate municipal factor)=$ . 1 3.Plumbing $ 44 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact muni ' 1• 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 6 S 3 5 a (contact municipality)and write check number here 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 est of y know edge and understanding. YcM ) 6♦;Jb — 1'G.r hi e r 4/13- s34 tr 3 1 O S A4► �� Please print and sign name Title p Telephone No. Date a-Ct O�y,: el O el, C 1,6 c.of fe M R- O/obo a'#/rh.k-consirvc i o.,4y* I. OW, Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: 7- '//'�i /-(j-202 P P P PP PP Name Date City of Northampton <H M j:� i t " . ' Massachusetts 'A. �'. * fG DEPARTMENT OF BUILDING INSPECTIONS y 1° ,* 212 Main Street • Municipal Building Jti a Northampton, MA 01060 "xi- 3,�0.' 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: 31.9 M P S.rt o 5 4- C li c,oP eP ,M 4 Ol o t 3 The debris will be transported by: Name of Hauler: 13• MeL4_ Coh51-rvC.4-inn L L C Signature of Applicant: Date: //CAI L( \ -- The ("ununonri•eulth o/.tlussuchuseits i Department of/ltdu,trirrl.lcciclelrts z3 f 1 ( on rest Street. Suite 100 liraBoston. _11.-102114-20! rs,is"rs.mesa.go►/ditt �--! 11 pikers'( umprnsation Insurance.UTwlat it:Buik rrsContractor' Electricians,Plumbers- (()Of. 1-II_t.i)W11111 1 III.PE1t%1I I I I (..%1 l lll)It111. .tntrliteut Informat- Please Print l.tsibh Name Illusunz-s,nr.t.int.r il ion Inc',t4lnal V r 4M PAf`". CONI S4- ti LII-,o to L C Address: a.ct. OcA,v ;'e 1 D t-;ye City/Stan;zip: C :c c10 e e 04 4- Phone et - F 3 i a trr r•uu as cntpby.cr'.•I.buck the appnatprtatc toot: l y pc of project(required) i 3 i.arm a cntrl,wcr s41th CIIIIISI,sacw lio))Arid oa rase-tlnn:t.• 7. D `ets ct'n,iructteln _. I ant a sole prop i i lalrlm:v.11 p and has.uo clllj.k.:h et,w„ikula tot tt-c In N. 1" J Remodeling an)capa.al%. (\o UM'k.r• :my.I sul:ancc r.quucti l LJJ 9. 0 Demulitton 4. i t am a luarucvw no ih'im all work Inc,eli.Poo nolktas . n4, Itllsurairca t�"+gtnt►J.l" E_-) 10 Building addition i n I ant a lr.,nrcvnito and tnlll Inc bluing asutrractorckl conduct all weak cm nrr,irmupaty.. I wtti .7lsur.ttwt all c4wttractorc either ila4c aurt.n".sTtapoicAliiin his t i xi in arc.w'k I I.0 Electrical repairs or additions i'1„pnckars wItII Ill,cury'loccC, 1_'.J Plumbing repairs of additions ‘�I aul a pcirc-ral cuntra.tot and I Las hued du:sub-ctnataa.ti'rs IjsIc1 Olt tip,:;Macho.'shccit. 13. JRoot repairs 1hcsa sub.smttaci.rs hasa cinplot.ls 4nd half N.uk.r,'scnrip.in INtagw.,. 1 14. ' thei I„5t/1 'l on h.0 11 c arc a cotpc-rataw and its crttacen hack:cu.-rusad awls eight tot.tcmiclu li per NU&c. i42.i ii 41.and we irasa no c'rtaldnse.s.I Nua i4.rs comp Irlsli=arlc.'1.ytin.ill I *An+ applicant that chwks Isis iI must Attu till out tia,scctr4,ti Is luck shok.ay that V.otkce,'c„mpcns.atlun p phut ud,aunalac n *itr,:rt141,ss Ilan.scht•,ut.uI11i tln,attt4last1 Itrdtaaltn'}Ube!.arc dollti all w oil.and th ciu hlrc OW Silk ccnllrack,rs ItiW,t cututtal a ncs4 anlda4 it st dicakiaa•such. ,C 4intta ctlir'..ttut check this K.%toast attal.'lucd an ad htic,ulal thud 414.,wlni'tla.nalri,eat tit.tut.uxeCi'aa'rors arid+tate ullt^lll.r e;a mg tituv..at6ttics hala l'ttirh,Rr.s It Eli,',uf'•clurract.,ts la%a aitlrl,,s..s.talc's muse pn's Mc Blear ',4 01kcL1 ae,ttlr rl.rltsM merits'( I ant an employer that is providing worAers"compensation insurance,for my employees. Below is the polity and job sire information. Insurance Conipant Nainc Oa}t Ott OA L i A a ( I P( re n/ti fct,vs_C ' Pole or Self-ins. l_t4:. /4 1 c 3 (9-- —1 /y,� l=Wperatluu Date:_ ri 9-0 9-4-1 Job Site Address: ?40 3.`'8 w e I1 S l-l (its Siatc Lill. PLO oreViCe ,M 4 0106 - Attach a copy (lithe storkrrs'cone t rlsalitin path s till l.arittiott page(shutting the policy number and expiration date). Failure to secure cot crags:as requited under MGE c_ 1522.y_25A is a criminal s tolation punishable by a tine up to SI.500-(t) and or one-year imprisonment,as stall as cis t l penalties in the form of a STOI'WORK ORDER and a tine'Aim to S250.00 a day against the t tolator.A copy of this statement mat he titrst ardcd to the Office of Int csttgattons of the DNA for insurance cot erage tenlication. 1 do hereby cretin'and the in . s and nultie o1 perjur►•that the information proi'hdrd above is teat•and carrect. Phone y/3)S ,? —Y 310 Official I c only. Do not write in this urea.to be completed by city or town official ('its or lotsn: Permit..License:r Issuing.luthurih (circle unel: I. Board of Ilealth 2. Building f)eparinient 3.( ih-'I ossn(lark 4. Electrical Inspector 5. I'luutbing Inspector h.Other ( untact Person: Phone r): CONSTRUCTION CONTROL WAIVER From: (p� 1 otw•i l Ut i t't7 - Ig. rvio L Co hs)-r v c,t ro n O4C ce = a-9 DcNr;tI Or;ve , CIA ; core /vlk 01 4t3 To: Jonathan Flagg Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code,section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at /, 864J Lot', S4 , (/- /orev ce , 1/i414 O/O6? because the work is of a minor nature,will not affect structural elements, health,accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully, B . ALPHA CONSTRUCTION LLC 29. 0 •: !El OR. CHICOPEE, MA 01013 (413) 539-8310 Building Permit Authorization Form I, 1,ti itA,Itow\A , owner of the property located at (Owne 's Name) (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. Lfavp, 1 Owner' Signature Owner's Phone Number fL1? /7-77 Date Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-115714 Expires: 03/31 /2025 YAMIL JR BRITO 29 DANIEL DRIVE CHICOPEE MA 01013 `f Commissioner 'c;���rl / ,M_M City of Northampton a -!'>'; 4:?....."''' 4 ,,i Massachusetts . m. .,* ; DEPART NT OF BUILDING INSPECTIONS y, self 212 Main Street • Municipal Building JFf `b ^,a Northampton, MA 01060 s,yy j`s,., Property Address /d 8ar(l tiv e (I 14$ Of `" ` 10 4 n, biA' Contractor Name' R. Aiello.- mS--rvc-4i c L L C Address: dq QtmA:t ( OciJe City, State: C k ico 2 e` MO ©l()/3 Phone: 64 1 3) 3i - $3)O Property Owner Name: ilki i I t i We e Address: !6 8044,we.tt 5 , Al.e a..•yP kr, / City, State: hVekfiv; I &:I-0 (contractor) attest and affirm that the building I intend to 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 affidavit. Contractor signature /ite;1 ,0 Date IN Al