34-005 (13) 296TURKEY HILLRD COMMONWEALTH OF MASSACHUSETTS BP-2021-1786
Map:Block:Lot:34-005-001
Permit: Alts Renovations CITY OF NORTHAMPTON
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1786 PERMISSION IS HEREBY GRANTED TO:
Project# Contractor: License:
Est.Cost: 40000 TEAGNO CONSTRUCTION INC
Const.Class: Exp.Date:
Use Group: Owner: NAKASHIAN NICOLE and JENNIFER CLARSON
Lot Size(sq.ft.)
Zoning: RR Applicant: TEAGNO CONSTRUCTION INC
Applicant Address Phone: Insurance:
228 TRIANGLE ST (413)549-0803
AMHERST,MA 01002
ISSUED ON:08/24/2021
TO PERFORM THE FOLLOWING WORK:
NEW CONCRETE FOOTINGS IN 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:
Driveway Final: Final: Final: Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I
Fees Paid: $260.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
,a.�. t� i ,1 •
The Commonwealth of Massachusetts
Board of Building Regulations and Standar.. FOR
Massachusetts State Building Code, 780 C �• u 2 3 2021 M CIPALITY
JJ USE
Building Permit Application To Construct,Repair, Remo art;Or Demolish a Revi ed Mar 2011
One-or Two-Family DweillingnF'PTORT n iLn,Nc INSPECTIO
Th' Section For Official Use Only"— A o1oso
Building Permit Number: g1.o?f• / Z I(/ Date Applied:
Building121 .0
Official(Print Name) Signature I Da e
�
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
29(o Tint Key E!-;t l 1ZP.
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
t=Ptt, l,gq 4.c1141
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
1.6 Water Supply: (M.G.L/ c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private hd Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 4Et-
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: A
1 J►c-9t 1,-1/+K S,5Ff I Pict 1 Fl o K.Rr t)GR IA- Ol O!o Z
Name(Print) City,State,ZIP
. Z l l0 Tv 2t<� �-}-►L( I?.p-
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Et/ Owner-Occupied 0 Repairs(s) Cry Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. It Number of Units Other 0 Specify:
Brief Description of Proposed Work2: SttcTPlt 1J 1,3 C.o►.>cR.t4.Ttrr. POOrit.) iS AN'
F'tooR- to ExtSr&wG, 6 2PcG11t.. 1JR. ) Shear WA 11 To t?,+t LNsrALI TIZR
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 401, 000 oa 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 0 Total Project Costa(Item 6)x multiplier x
3. Plumbing $ - — 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire Total All Fees: $
Suppression) titO
O Check No, .0 Check Amount: Cash Amount:
6. Total Project Cost: $ it 0,v° 0 Paid in Full 0 Outstanding Balance Due:
41(p.5b Ss, I6,00 = A 2ip0. oO
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) Lei -0 3411(0 1 ii t7/Zozz
IDOH -T-_A 6i p•-O License Number Expiration Date
Name of CSL Holder
P 0• 1 O )c 2 7- List CSL Type(see below)
No.and Street Type Description
A (,Lti1. rA,�P_y o t�� U Unrestricted(Buildings up to 35,000 Cu.ft.)
�'C R Restricted 1&2 Family Dwelling
City/Town,State,ZIP _ M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
4
c3+ .1-D$o3 C ,4cr(!teil4.M a•r-trrsvcsrior/a» I Insulation - -
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 1 p 8 l e,9 lB'17 f uze
c41..70 C-PO V-Ocr7b1►1 HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
T Ze 77ZI AlE S'4*tYF C c u 7,4e T a f fec qoCa..r-r.1rc-r ,v.(dm
No.and Street Erfiail address
i ad(a.rrr /NA- itod tiC.'SW,463
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 Issuanncce of the building permit.
Signed Affidavit Attached? Yes l7 No ❑
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 ( LAL-1 6J a Co I-) 7--le-vC(t O
to act on my behalf,in all matters relative to work authorized by this building permit application.
..----'-----.......... ee - )
Print Ovdner'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
conta. in this application is true and accurate to the best of my knowledge and understanding.
, ' �l q/z- (
Print Owner's or Authori d Agent's Name(Electronic Signature) Date
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"may be substituted for"Total Project Cost" .
&P/22/740/4(pedi 0-/ o--44-cr,ci«, ze114-
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvemont,Contractor Registration
Type: Corporation
m, _V %7) Registration: 108109
TEAGNO CONSTRUCTION INC. r. *—— IZ x Expiration: 08/17/2022
228 TRIANGLE ST. ?
AMHERST,MA 01002 # .-a 41
4.1
Flu
a r�.
Update Address and Return Card.
SCA 1 0 20M-05/17
r'/e Kisrmnono/.//gaa�oafeaerki
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Corporation before the expiration date. If found return to:
Registratjobn Expiration Office of Consumer Affairs and Business Regulation
1O Q 08/17/2022 1000 Washington Street -Suite 710
TEAGNO coNSTRucrJ f.tf4p_. Boston,MA 02118
DONALD J.TEA (V /q1
228 TRIANGLE ST .� �a l
AMHERST,MA 01002 Undersecretary Not valid without signature
City of Northampton
tHAm .,a+.
o- +► 1- SAS
/. .,:.sic
r Massachusetts S f<<
. 4 -. '94 DEPARTMENT OF BUILDING INSPECTIONS S?
`w w' w 212 Main Street • Municipal Building O- i
Northampton, MA 01060 yi;-vbs.'
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:
The debris will be transported by:
Name of Hauler: U S/ L-c) Pc 2( t jt--)C,
Signature of Applicant: Date: 4V2-4