31D-131 (9) BP-2023-1639
241 MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31D-131-001 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-2023-1639 PERMISSION IS HEREBY GRANTED TO:
Project# AC UNITS 2023 Contractor: License:
Est. Cost: 10799 WG HOME IMPROVEMENTS INC
Const.Class: Exp.Date:
Use Group: Owner: GARY SCHAEFER
Lot Size (sq.ft.)
Zoning: CB Applicant: WG HOME IMPROVEMENTS INC
Applicant Address Phone: Insurance:
4125 147TH ST SUITE 2 (917)963-2805 2583715
FLUSHING, NY 11355
ISSUED ON:11/20/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL AC UNITS
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:
Ll1IT/61,
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEIVED
NOV 1 7 2023
DFP i OF tkUlLDING 1r`ISPECYIONS
NORTHAMI'Tora.��g p1-- h Commonwealth of Massachusetts
c..1i k '"' Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
' Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: .?3-4 3'/Date Applied: Building Official:
SECTION 1 LOCATION
r No.a Street.. City T.ricer, Zip Code Name of Building(if applicable)
Vn a 'ton 0 (06 0 S if) — /3 /
Assessors Map# Block#and/or .t #
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❑ Repair 0 Alteration 0 Addition 0 Demolition ❑ (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify: _
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0
Is an Independent Structural Engineering Peer Review required? Yes ❑ No 0
Brief Description of Proposed Work -
114,stpitI 'rut)a 9iit t- A-c- t.A.rs• er Side mat(
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❑ A-5 0 B: Business 0 E: Educational ❑
F: Factory F-1 0 F2❑ H: High Hazard H-1 0 H-2 0 H-3 0 H-4❑ H-5 0
I: Institutional I-1❑ 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❑ S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE{Check as applicable)
LAD IB ❑ HAD BB MAD IIIBD NO VAD VBD
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❑ Indicate municipal 0 A trench will not be Licensed Disposal Site CI
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:is is enclosed 0
Railroad right-of-way Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No❑ Yes 0 No 0
SECTION 8: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:
I`
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
p tvt
acv2-y.. SG�Q Ar ,44. l� A)'Att o M tvt A- or O 6'
Name(Pri t) No.and Street City/Town i� Zip
Property Owner Contact Information:
SW---70 c-- 4kic7"- 7e sk 42,104-ittaZi,C.;Ah
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Name Street Address City/Town 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 andf or not under Construction Control then check here O.
Otherwise provide construction control 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 •
GI A-we_C vath
Company Name
uJ C/ ) Guu d a6 4-2-R Akik c
Name of Person Responsible for Construction License No. and Type if Applicable
SZKRte-fli` ras lg711. 5t.4; 2 E tstt.,,- ley
,rtrect Address City/Town State Zip
c Odd King Q"Anse Cowl
Telephone No.(business) Telephone No.(cell) grikail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFNAVPT(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*,No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor �^ --
Item and Materials) Total Construction Cost(from Item 6)_$ 1 D.
1.Building $ /Q/ ' ! ! Building Permit Fee=Total Construction Cost x (Insert here
T, 2.Electrical] $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ k (contact municipality)
S.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ /0,_7 q( (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 best of my knowledge
and understanding.
()J I X /�J(7 (rt v .- . l� C'. t1 r,-tirrY 9( j3 • 1 091113
Please print and sign name Title Telephone No. Date
c l�4 dt2 Cr r rl $4 llL l�t '� .ie w�dl—o`Y 2T Cv G. ;1c rnl*C�ef Y!s/�& (c S„t►
Street Address City/T dw n State Zip Email M'dress
II 14-
Municipal Inspector to fill out this section upon application approval: ,C q ' 4 ittl
Name Da
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
•
SIDE YARD SIDE YARD
tiVyttl
WtGiVI
wit( ire;wTwl lei
oe► 54e. w ac( 110 in
FRONT SETBACK,
FRONTAGE
City of Northampton
Q{4 A!y)S S•S -{ sio
Massachusetts w+ `lf
'xi ice.
DEPARTMENT OF BUILDING INSPECTIONS a ,
212 Main Street • Municipal Building 06,. a
llorthampton, MA 01060 'rsbi ir3e.
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, 554, 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: C1t G
The debris will be transported by:
Name of Hauler: Ceti"cLA— I, ( u`'I V/ A
Signature of Applicant: Date:
444,
The Commonwealth of Massachusetts
—,. , Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.m ass.goWilln
i%tulcers'Cutnpensrtion Insurance?Midas it:8uikiersWontractorsiEtectticians/l'Iumberr.
TO TIE PILED WITH THE.PEKMirt1N(:Ai+l110MT%.
:Applicant Information Please Print is ibfs
Name iBusiness.OtpTanirstiaa'Indiividualt:
City/StateIZip: �. .. 113rT( Phone#: 1( 9'63 4?.
9 are"WI as eatulo er?Cheek the appropriate host ):
Tyr of project(required.
t.C3 I am a etrgrlafse=with .,..„.......�.,.,.,_.cropii.yes:a dna aatt yr part-bore).• 7. 0 New was/ruction
am a'ink puprtetcn or ferhserahtp and time errs employees a utkug tar toe to li. Remodeling
any caiwity.l".tiu asekers comp.irmunmee nlninaf.l r-+
9. ]Demolition
101 nm a Itutan wn a+Itritrg all atai myself,No'wurk eon*,srssuraart miasmaEi
4.01 am a hutnaamer and will be ham smentassons to conduct n11 awk Ott niy p a pcety 1%il1 1lI IItitltlililj addition
maim.hut all mintractuss either bast Reeks}'compensation unneattoe or are bale 11.(3 Electrical repairs or additions
ptvpoenia a.ith ne employees.
12.0 Plumbing repairs or additions
3 1 am a rap cuatractor and 1)save Moss the sub-contractors listed cos the aims-bed sheet
pima' I3.DR°°frepairs
1-mit sub-eins rattura have employees and lost a inlet»'comp.iscww"arx .` o a
41.0 We;ats:a corpe�rattu n and its seem have ea:m iss l then right of aactoptaoa per WA.c +�.�WW1
1.§tl4).and se haw no inarpio}ees.Vito wwktra'.vorp instrtanee regiwcal
*Any aplpticed that chaa lea bat¢1 suit also fill not the wettest betssc aMx&iag then mottos'compensation policy iulcertansat
Hotness k nem what anbtait this teaks%it iad oath g they art donna It work and thee,hire masa a contras-0m rows smlamil a new atfutas it imEiralnt math_
:Custamet':that check thin box must aua bed an atdttiunal,heei aura Mg the name ads:sa0,-rtsstrauctoes:uu1 state%she r to not those.aii ne.,base
employee:, tf sbasub-coratractars have employees.they mot pm+isle their ssorkere"omits relay mtmtssr_
/am an employer that Li providing workers'compensation insurance for my employees. Below is the policy and jab site
information.
�
Insurance Company Name tZ.Yds `J- �lx Lv <vv C v+cast aj_.._ ..__-----._--
Policy a or Self ins,Lic.a: : g ?2 p�' p E.xpiraticm Date: (/f' f 2a L 4
Job Site Address:c q &Lehr r C+ jJo Q.4 r,' i44,4 City'rStateiZip:_ O rr
Attach a copy of the workers'compensation policy ration page(showing the policy number and expiration date).
Failure to secure coverage as required under.Ll(;L c.152.*2 A is a criminal aiolatitrn punishable by a fine up to S I.5ll0.OU
atrct+ar oae-year imprmona tent,as well as civil penalties in the font of a STOP WORK ORDER and a tine of up to 52.50.00 a
day against the violator.A copy of this statement may be forwarded to the Ofitce of Investigations of the DIA fur ansurance
cortttrtpe"cartftcattott,
I do hereby certify;under the pains and penalties of perjury that the information provided above is true and correct.
Si re: f Dale: (7 la 2�
Phone*: ( '- 9 6 � S
Official use only. Do not write in this area.to he completed by city or town official
('its or Tovi n: Permit/License#
Issuing Authority teircle one):
I. I3oaral of Health 2.Building Department 3.Citytru►arn Clerk 4.Electrical Inspector S.Plumbing Inspector
b.Other !
Contact Person: Phone#: _ —
i: ., .. ,. .. ,.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affair§ and Business Regulation
1000 WashingtQ r , t-Suite 710
Boston Massachusetts,-02118
Home Improveren far- egistration
71_
1 : _ ^.+i,
,, yr ,Type: Individual
WEIXING GUO [ ei8ation 206428:
..,, *atom 09/14/2024
D/B/A WG CONSTRUCTION �� .�.
4125 147TH ST - .. d`44
STE 2 ,.„ ,:..4 olxt 3
FLUSHING,NY 11355 4
/r
�� ,,, " ✓ Update Address and Return Card.
•
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVE NT CONTRACTOR expiration date. If found return to:
TY(l.. _ iOffice duaI of Consumer Affairs and Business Regulation
e ist t Expiration 1000 Washington Street -Suite 710
206 28 .1.09/14/2024 Boston,MA 02118
NEIXING GUO
)IB/A WG CONSTRUCTION
�
NEIXING W.GUO � (� J
`t
025 147TH ST fvG„x,,�a 72,66,-.4 '
iTE 2
'LUSHING,NY 11355 Undersecretary Not valid without signature
A 1. S 0 I LI t E3 '' . V A' C Alk A 1 '
A •
HPIN Company ID: NMTPPS1554252669
73 Holmes St DATE 2023/10/24
Quincy, MA 02171 NGrid-TI.SY-249-
Invoice No. MA01060tt
Phone: (786)-536-7837
E-mail: �nfo•rna.,,aacrna-eco.corn
T.ROOTH INC T.ROOTH INC
249 Main Si,Northampton,SM 01060 249 Main St.Northampton,MA 01060
84S.705.6647 845.705-6647
1Vluf:
KW24HQ25SDO KINGHOME MINI SPLIT ODU 208.230V 60112 24k BTU Mooting. i1 ( i 2
Kw24HQ25SDI KINGHOME MINI SPLIT IOU 208 230V 6OHZ 24k BTU 2
GMV•36W1/B-T(U) GREE Multizone MIX ODU 36K 230V (Cooling-31"F) 1
GMV-ND36A/BT4UI GREE LIVO•GEN4 IOU 36K 230V 1
FLAIRPOCK001P I LAltt PUCK PRO WIRELESS THERMOSTAT 3
TH6320WI 200,1 HONEYWELL THERMOSTAT" 1
Installation Materials All of the installation needs Materials(Pipes,power wire,drain pipe,..) 1
Installation Service Labour Installation wicks and labor 1
Integrated System Installation of Integrated system 1
Detornrntssion Decommissioned by contractor 1
Warrenty Maufacture condenser 10 years warrenty 1
Comments or Special Instructions Material Coat $ 14,60.70
1.Check,Money Order,Cash or credit card MA Tax'6.25'% 5 '34i.05
2.All terms should comply with Absolute HVAC MA INC Rebate Agreement. Inter grated System C.,,sr 1.4Lt?.00
3.Labor cost included decommission and installation, Labor Cost $ 11,5:1,5.00
4.Balance needs to be paid before install. Total Cost S 20.445 85
r
5.No change can be make to the utility account once the installation began. Mass Rebate S 16,650 00
6.The above KINGHOME models are certified by NEEP(aslsp.neep.org). Special Discount S 1.000.00
7.Full rebate shall be paid to contractor Balance Due S 10 799.85
If you have any questions, please contact
1786)•536-7837,E-mail:info•ma®aacma•eco,corn