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31B-030 (7) BP-2022-1450 43 SUMMER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-030-001 CITY OF NORTHAMPTON Permit: Demo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1450 PERMISSION IS HEREBY GRANTED TO: Project# DEMO GARAGE Contractor: License: Est.Cost: 59000 NU-WAY HOMES INC Const.Class: Exp.Date: Use Group: Owner: Lot Size (sq.ft.) Zoning: URC Applicant: NU-WAY HOMES INC Applicant Address Phone: Insurance: 10 WHITE AVE (413)563-0085 EAST LONGMEADOW, MA 01028 ISSUED ON: 01/11/2024 TO PERFORM THE FOLLOWING WORK: DEMO GARAGE 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: OK I/;i/9Jit THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: n I i t 'Di1dw .CQ/' ''P♦ r Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner Z0410u(74314 File #BP-2022-1450 1/I 1/ayP J APPLICANT/CONTACT PERSON:NU-WAY HOMES INC 10 WHITE AVE EAST LONGMEADOW, MA 01028(413)563-0085 PROPERTY LOCATION 43 SUMMER ST MAP:LOT 31B-030-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $75.00 Type of Construction: DEMO GARAGE New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee 4iiPe it from Elm Street Commission Permit DPW Storm Water Management emolition Delay al ►►' Clo aa Sign:ture of Building Official ' 0 Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. RECEIVED_____ The Commonwealth of Mass4chus tts Board of Building Regulations and St da:ty - FOR 7 2022 MUNICIPALITY Massachusetts State Building Code, 78 CMR _ ; I USE Building Permit Application To Construct, Repair, Rei)ised Mar 2011 r'T nF nut t-NNIr,IN-PECTIONS One- or Two-Family Dw41412g !n,3THA ^n-rON.MA 01060 This Section For Official Use Only Building Permit Number: RJ,- 3- -1 ysp Date Applied: CIA t)I` Ti 1 to Building Official(Print Name) Signature r I _tee SECTION 1: SITE INFORMATION 1 1 Pro erty Address: 1.2 Assessors Map& Parcel Numbers 93 .>V",ns e,e S7 " 1/2 —4f)30 -• 00/ 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 zoning Information: 1.4 Property Dimensions: OK C. Gr?IZ.4 _ t7e.s./a /Y A Zoning District Proposedcse 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: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: NO— vc29 /74)77 e.s ,c. /= 67— L u g (mod( w► 4- bin Name(Print) City, State,ZIP /n G � five. (Y/3), 3 ova Fs" fl) J ✓e4 1-1 rs 6.0VliffAii. No.and Street Telephone ()Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': / v /R y4 z e T1i f Cr-r-2 pAdarne .� P 7Ar 7-�Q,i,S /4.7- 4/,3 Su.7. ei 57-7 G )ill 'y70 7 Be, 73ori7e1„ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ 5 Check No.If`'�,3q Check Amount: 17 Cash Amount: 6. Total Project Cost: $ ilJ 0• ❑Paid in Full 0 Outstanding Balance Due:_ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) y-%A A . /Yi /11.9,neize License Number ExpirationDate Name of CSL Holder /0 / '1/ vP List CSL Type(see below) 151 (:n No.and Street Description C_`S, ��47 P/C�c ivt- m Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIPR Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding Cy//3)3 6 2 $ SF Solid Fuel Burning Appliances aJ YIIUw64li44j,7ec60�fg �.1 I Insulation Telephone V Email address (/( D Demolition 5.2 Registered Home Improvement Contractor(HIC) • HIC Registration Number xpiration Date HIC Company Name or HIC ant Name No.and Street Email address City , 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:OWNE AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) 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. Axs-cv,� ��nP��G �.D '`- 8/0 3 Authorized Agent's N lectronic Si nature) Date Print Own or ut or zed g s 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/ba Type of heating syste Number of de porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts • ;: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yJ`, CDC Northampton, MA 01060 rSy •• .15 Fee Calculator for New Residential Construction ONLY Location : Square Footage Amount Basement @ .20 1ST Floor @ .50 2nd Floor @ .50 1/2 Floors, Finish Attic, Garage @ .20 Deck / Porches @ .20 Total : e 25 City of Northampton < ' " 44, Sys -• s�� ;(/-1-- Massachusetts �w� i-- '<<. tt A. F' DEPARTMENT OF BUILDING INSPECTIONS y ` ,, ' 212 Main Street • Municipal Building O Cs Northampton, MA 01060 'r3'F%jy'- '�� 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: / //e ge,Cd/Cky__ 4 ( // liqi)-7/ /.7-7-- 7.77(i6 ift .7: 9_____ The debris will be transported by: Name of Hauler: • Signature of Applicant: ' Date: / (t `' L The Commonwealth of Massachusetts =r= Department of Industrial Accidents 6 1 Congress Street,Suite 100 -;� Boston, M-f 0?114 2017 www mass.gouldia U inkers'('ompensatinn Insurance AWWida%it:BuildersiContractors Electricians,'Plumbers. 10 13F: FILED Vi'11'll iii. NIE_RM1 r1'Iti(:Alrl-11(11t1'1l. Applicant Information T , Please Print Leeiblk Name IHusiness,Organtzatioa'lndnvidual►: (-&i _ N�► Address: la 604 )Q(f e • 0419 City/State/Zip: �,q �� io9"0q�. Phone#: 5//3 Are year aft eprptnyhtr!( k e the apprrprbeLr Type of project(required): 9.Q I am a employer with enepoyees(full and{or part-tiatk:l_* 7. 3 New construction _. tl am a sole propriety!'or purtne ship and have no employee.working tar a rn an h. Remodeling any capacity-[Nu workers'cxanp.utsurance n-yuirrd.I emu,t ion 3,0 I am a huttnvwncr doing all work.myself.[No workers-comp.insurance reyuirced.l' 1 lI 3 Building addition -l.Q I am a hunnvw net and will 1w hiring camtradun to conduct all work on my property. I wilt cnsutt that all cvraru-tun either have workers'eunnunisation insurance or•ire sole I 10 Electrical repairs or additions proprietors with no employees. I ZQ Plumbing repairs or additions I I am a i'inural contractor and I have hired the sub-contractors listed on the attached sheet. The sub-euniraciun r hav employees and have workers comp.insurance. 130 Roof repairs ion and ids off era have exin-iced their Elgin of a c-mem nper 11tCit_ 1+_ Other 152_¢ht4).and we hate no erripluy er.[NU workers'oo mp.insurance rcquutd.t 'An}'applicant that clrezks has yI meet also till out the section below showing their workers'compensation polit-y infuanatiun- t tiurnep,wncrs who submit this affidavit indicating they are doing all work and then hire outside contractors mint submit a new affidavit nrJieatatty %C'untractors that check this his must attached an additional sheet showing the name of the sob-contractors and state whether ut not those emetic,flay c e9mplo4'ecs_ if the sub-c IIairaeti+rs have employees.they must prat ide their workers-eomp.policy nwnnb r. 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: CitylState+Zip: 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$1,500.00 andikor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage t n. I do her r certify n r il eC al •an et Itic • that the i es formaiit n provided above is true and correct. Suns rain: Date: I7 031-aa-- Ofcial use only. Do not write in this area,to be completed by ciq'or frown a/icier!_ City or Town: Permit:License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.('ityT1own Clerk .1.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone 4: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: ��:� - e. S, The debris will be transported by: L fir' -/& p2�,T 7Uc4ti __ The debris will be received by: Building permit number: Name of Permit Applicant /l1 v — Lti / 6,_s 3 Date Signature of Permit Applicant A DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 07/28/2022 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 Paula Belisle NAME: Crimmins-Graveline Insurance (PnHic,No,Ext): (413)283-8378 FAX No): (413)283-2556 1382 Main Street E-MAIL pbelis@gle c ins.com ADDRESS: _ P.O.Box 905 INSURER(S)AFFORDING COVERAGE NAIC U Palmer MA 01069 INSURERA: James River Insurance Company 12203 INSURED INSURER B: Nu-Way Homes Inc INSURER C: 10 White Avenue INSURER D: INSURER E: East Longmeadow MA 01028 INSURER F: COVERAGES CERTIFICATE NUMBER: 2022 GL 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD VI/VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A 000840844 08/06/2022 08/06/2023 PERSONAL a Aov INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 PRO 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 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 YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: 18 Corticelli St Florence,MA 01062 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. Building Department 212 Main Street AUTHORIZED REPRESENTATIVE �� Northampton MA 01060 eda� I f9 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD