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43-157 (3) 20 HAWTHORNE TER BP-2018-1264 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:43 - 157 CITY OF NORTHAMPTON Lot;.001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category:ADDITION BUILDING PERMIT Permit# BP-2018-1264 Proiect# JS-2018-002246 Est Cost: $210000.00 Fee: $1095.00 PERMISSIONIS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BRADLEY MILLER 101669 Lot Size(sq. ft.): 126502.00 Owner: BACON ROBERT 1&ANDREA L Zoning: Applicant: BRADLEY MILLER AT.• 20HAWTHORNETER ApplicantAddress: Phone: Insurance: 20 WILL PALMER RD (413) 977-1153 WC SOUTHWICKMA01077 ISSUED ON:817/2018 0:00:00 TO PERFORM THE FOLLOWING WORK:ADDITION AND RENOVATION 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: O_I: Insulation: Final: Smoke: Final THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occuoancv Signature: FeeTvne: Date Paid: Amount: Building 8/7/20180:00:00 $1095.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner o% ; 2(A File#BP-2018-1264 SEE J APPLICANT/CONTACT PERSON BRADI iY MILL-R R,UUP ADDRESSIPHONE 20 WILL PALMER RE SOUTHWICK (413)' 7-1153 PROPERTY LOCATION 20 HAWTHORN TER MAP 43 PARCEL 157 001 ZONE THIS SEC 'ION FOR OFFICIAL USE ONLY: sL,� PERM f APPM4TION CHECKLIST R_ CLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ) Fee Paid TvueofConstruction, ADDITION AND RENOVATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included Owner/Statement or License 101669 3 sets of Plans/Plot Plan T�H"�EYOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INPRMATION 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: Cub 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 Permit from Elm Street Commission Permit DPW Storm Water Management p Demolition Delay //� 8t3118 Stg atme of Bui�mg Oficial 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.Correct Office of Planning&Development for more information. )ku,,r/ he. Sind%n� but r kvc -k Ltru+G /Department use only City of Northampt n Status of Permi fl WId�g(Dptm nt Curb Cumrtveway Permit i� 212 Main Stree Sewer/So plicAVaAebilRy WalerANeBAvatafiAtty. °car , ft"Pff911660 Two Seas of,' 'rad Plans' -1272 Pfof(Site Plans Olfier':Spool] APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OJR(7TWO aFAMILY DWELLING SECTION 1 -SITE INFORMATION p"' •`^ v' �'" �� 1.1 Prr�o77p��e,rty,,A//ddress: This section to be completed by office oft/ �7q(,.-�10✓✓(� �G/'� Map Lot iii / Unit Zone Overlay District Elm SL Dlahict CB DlsMct SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner ofRepord: f �✓O/CrnCtM06� �. O/ Pr ,-? ir4ndrii 6, 0?0 Name,�((P/Print) Current Mailing All res : �G —�l u✓3 t� Oda Telephone Signature L 2.2 Authorized Aber, 66 (M t 7/✓t S a �aJ G�cs-7Rtic( Ma . of o�y' Name 'aN Current Mailing Address'. no -wBZ-OVF`l Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Oficial Use Only completed bpermit applicant 1. Building /Z S 00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing UO O Building Permit Fee 4. Mechanical(HVAC) 30y DO C) S.Fire Protection 6. Total=(1 +2+3+4+5) ) e 000 Check Number This Section For Official Use Oni Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Data rJsEy G✓ �✓ o'le -c%e r C ,I.t @ EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 760!' 4D0) r) K2 f�o S) (f , SD ,4//0,C?2W0r/CPI5'cvr -S = 7/ r T�/1 'Yla/, 3� Section 4. ZONING At Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled is by gg// Building D<Pamment Let Size Frontage 737._4_ Setbacks Front rI 1 - r Side Ly7�r Oi R:l l� LJ'19�—t R:' TYr.Zgt Rear 7.14 Building Height _ (r Bldg.Square Footage ( � - 7 % � #31 -- LL Open Space Footage in _0 % 67�'t yy,�,, hh `% (Lot area mus bldg&paved , 00 1V jl rico volume&lucauoa A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO to DONT KNOW O YES O IF YES, date issued: IF YES: Was�the permit recorded at the Registry of Deeds? NO `(bC DONT KNOW O YES O IF YES: enter Book Pagel and/or Document 7 �nt B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW yy YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,r¢xgavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing 0r Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding Other[pj Brief Description of Propose J p /� ,^,1 Work: Svi /J �%1/ �G�Q�//� ✓/ �+ Alteration of existing bedroom XYes No Adding new bedroom Yes No Attached Narrative Renovagng unMished basement _Yes No Plans Attached Roll -Sheet Sit.If New house and or addition to existing housing, cornDlete the following: a. Use of building:One Family_ _Xr Two Family Other / b. Number of rooms in each family unit:___ Number of Bathrooms / (, L') c. Is there a garage attached? k 7 S y d. Proposed Square footage of new con`strruction. 3� 1 Dimensions S >=—L O //-,,AS e. Number of stories? ex-154- q t A'(yi/bi C� f. Method of heating? c�X 'K✓)G Fireplaces rWoodstov Yes Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 1. Is construction within 100 ft.of wetlands? Yes X No. Is construction within 100 yr. floodplain_Yes No / t j. Depth of basement or cellar floor below finished grade !�' k Will buildiixg conform to the Building arta Zoning regulations? x Yee-No. 1. Septic Tank X City Sewer_ Private well_ City water Supply X SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGE/NT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 9Gj-1— /-1c✓1 as Owner of the subject prepa her y orize t y be i I Afters relativgno work authorized by this building permit application. Signature of Date Z as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signetl jer the pains and penalties of perjury. Print Nlltia Signatur of er/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su.Ppervisor/: �r Not Applicable ❑ Name of License Holder: f,,�/ /L/i//'�// C) �Z'7 License Number f 7� C, ;11 p 1 kvl Expiration Date /(J✓I VI Cr`r LN /IlC 01077 SignaW Telephone 9.Reaistered36ureaiwerevaraea4Contractor. ` ` Not Applicable Company Name Registration Number a ctrl Zy Sfi Addressr,� y/3 Expiration Data — y Mal • Old�� Telephone 5Z'5'—O/CC O.5 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(e)) 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...... ❑ City of Northampton ' Massachusetts c r Z DOF BUILDING INSPECTIONS 212 Nein 212 Nein Street • INniciavilCing amp �V�p CT NortM1 [on, NA 010 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to fora family homes. Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC I M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pm existing owneroccupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building'be done by revistered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: /-YW,r - 4- 4/)(i(4'�j mAs Est.Cost: o?/Of D0 Address of Work: -.2o T)G. Date of Permit Application: �� I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): —Job under S 1,000.00 Owner obtaining own permit(explain): _Building not owner-occupied �Other(specify): 57C✓R.<4 Oe iaS gje2 -{T'1 OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: dn) Dthe Contractor Name HIC Registration No. OR: Notwithstanding the ano I hereb for a building permit as the owner of the above property: Date O Vr e and Signature 17- cyt— Gi/) City of Northampton sus, Massachusetts ® 'x DEPARTMENT OF BUILDING INSPECTIONS 410 Win Street • Municipal Building Vµ Noathamp[on, MA 01060 Massachusetts Residential Building Code Section 110.R5.1.2 Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.85.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR I I O.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. City of Northampton Massachusetts �3 F G 3 DR $ e BUILDING INSPECTIONS 212 Neinin Streep Z' 212 t �Nunicipal Building NoiNamptan, NA 01060 p Debris Disposal Affidavit In accordance of the provisions of MGL c 40, 554, 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. The debris from construction work being performed at: -f�o ./,/mow br,1.? ?Z—,,— (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster on/site rented or leased from: /yuIne s Wwldw /,9a . (Company Name and Address) 5A 3 Signature ofPermit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. _Q\ The Commonwealth of Massachusetts 1� Department of/ndustrialAccidents / Congress Street,Suite 100 Boston,MA 02]14-20177 wwminess.gov/dia {iorkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMfTTING AUTHORITY. Applicant Information Pllene�ase Print Le Hit Name (Basiness/Orsan�adommdir.idaap: 49k2_42!k (( n Nilx,r. l— s• L1N S jY 'dN Address: g t nti ) City/State/Zip: lteS a /•'0. Phone#: Are you an employer'Check the appropriate box: Type�o�f�project(required): III am a employer with employees(full auNor poo-time)." 7. D}avew construction 2❑I am a sole propnetor or partnership and have no employees working forme in S. [M�Remodeling any capacity.[No workers'comp insurance wombed.l 3.❑l am a homeowner main ell wok worko'm ed]t 9. El Demolition g y mp.irtsmamce rcquir 4.❑1 eon a homeowner and will be hiring contractors to conduct all work on my property. 1 will l0�Bnllding addition careare that all cantmnce,either have workerscompensmion insurance or are sole I1.❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5 1 am a general contractor and I have hired the subcontractors listed on the attached sheet. These sob-contractors have employees and have weaken'-sup,insurance 13.❑Roof repairs 6.❑We am a empornom and as officers have exec sed their right of exemption per MGL c. 14.[_1 Other 152,4114),and we have no employees.(No workers'comp-insurance requ red.] Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and than hire outside commoners must submit a new affidavit indicating such. 'Con avelars that check this box most attached an additional sheet showing the name of the subcommears and state whether or not those crones have employees. If ducod,-contractors have employees,they most provide their wmkcrsamp.policy...bar. 7 am an employer that's providing workers'compensation insurance for my employees. Below is the policy and job site information. ��II ,t�I ,,�1 Insurance Company Name: rK�/r I //I �/'�/J/li&-4 L� _ Policy#w,".-f rs.I a.:- //ALL ZOO Zo,%>0&(/?—0I7 xpiration Date: 7/01S Job Site Address:AO 5C-7H /AA-7 Cre� City/State/Zip: gc'e_ rVIc,' Of�6Z 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 fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a frac 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 verificatioul. /do hereby cera der the pains and penal. of perjury that the information provided above is true and correct S' to Date Phone# 160— Official use only. Do not write in this area,to be completed by city or town offreiaL City or Town: Permit/License of Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City(rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more ofthe foregoing engaged in ajoint enterprise,and including the legal representatives ofa deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)instincts I,addresses)and phone numbers)along with their cemfica@(s)of howar ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,we not required to carry workers' compensation insurance. If an LLC or LLP docs have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemaiNicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address'the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (re,a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia Client#:12617 ELMEL ACORD- CERTIFICATE OF LIABILITY INSURANCE7/2 ° 120 n27ng17n THIS CERTIFICATE 15 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[he certificate M1older is an ADDITIONAL INSURED,Ne policy(ies)must be entloreetl.If SUBROGATION 15 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 endoreement(s). PRODUCER x ,ACT Jane Eitel T.P.Daley Insurance Agency,Inc PHONE 017788-0No: 971 ' 413 739-2645 AIC No B.: NL 1381 Westfield St AD RISE. janeeitel@Qldaleyinsumnce.com _ P.O.Box 1150 INSUREMaIARIF DNGCOVERAGE West Spdngfield,MA 01090 NSURER A.Valley Forge Ins.Co. A 20508 IxsuaaD IxsUREae:National Fire ins.Co. -A 20478 Elm Electrical, Inc, One Development 8 Continental Cas Ins.Co. A .20443 Construction,LLC,8 Piper Electric,LLC INSURER E:AI _ INSURER o: MIMA Employers Ins.Co. A 33758 68 Union StreetEvanston ins.Co. A - 35378 INSURERS: Westfield,MA 01085 - MSURERF: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT MATH 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 POUCIES LIMITS SHOWN MAY HAYS BEEN REDUCED BY PAID CLAIMS. ILm ttPE Cr IN3UMHCE AADDLaUBR POLICY NUMBER MM� Y MMApYryYVY Uses A GENERALUAMUTY 05084491987 071012017 07/01/201 EACHCO,ECCURREUCE $1,000,0_00 % coMMERCIAL GENERAL UAewry "a OR F. $600000 1$500000 CLAIMS-MADE OCCUR MEOEV IA,x a=PeaP�l ai_5_000 PERsoNALa AwINJuxv s10� 00,000_ GENERAL 820, 00,000 GEN'LAGGREGATE LIMIT APPLIES PER'. PRODUCTS-GER AGG 52,000000 PoDCY X P—T Loc s GO BINED SINGLE LIMIT 1,000,000_ C AmonoMLE unaluTv 05084492007 7/01/2017 07/01/204 Ee e_dUm - -� X ANY AUTO BODILY NJURY IPU Pnsm1 '8 ALLCVMEO SWEOL BCOILY INJURY IPer awden11 8 AUTOS NON- PROPERry MMAGE 5 % HIRED AUTOS X AUTos Perzr I s C X uveRELu use X CE05084491990 7/01/2017 07/01/tat EACH OCCURRENCE 51_0 ODOi00_ ExcisSLIAB LW AGGREGATE 810000000 OGD X R€TDWOU$100000._ T D AN EMPLOYERS COMPENSATOR mCC20020000842017A 7101/2017 07101/201 Y STT TR OOF THI AN EMPLOYERS Wanitt ANY PRQRIETORNARTNERI.CCUT-[— EL,EACH ACCIDENT 82000000 OFFICERMEMBERE%CLUOEG, O NIA HNSP IrtYMxm EL DISEASE-E„FSES EMPLorEE.82000000 GESCRI TON.1.r ELDISEASE-POUCYDMT 52000000 DESCRIPTION OF OPERAnorvs eewr E Excess Umbrella MKLVIEUEI00208 7/01/2017 071011201E 10,000,000140,000,000 Liability DESCNPTIGN OF OPERATIONS ILODATONS I VEHICLES Mm,n ACORD IN,Aad Nlaml Remaha SCM1Mul ,M n aP Ele rtp—dI General Certificate CERTIFICATE HOLDER CANCELLATION One Development SConstruction, SHOTHELD ANY EXPIRATIONDATEDATE ABOVE THEREOF, NOTICPOLICIES BL CBE CELLED DELIVERED BEFORE LLC ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2()10f06) t off The ACORD name and logo are registered marks of ACORD #S1421071M141402 JXE r Commonwealth of Massachusetts Division of Professional UCefWWW f Board of Building Regulations OW Mir poll OMS 1y n f. a 5i at !��Iile9� w CS -101669 SRADL 20 VOLLML R SWT�K CW'fltY' issk~ 5/25/2018 City of Northampton Mail-20 Hawihome Te mre 0 CRY of d Louis Hasbrouck<Ihasbrouck@northamptonma.gov> 20 Hawthorne Terrace 1 message Louis Hasbrouck<Ihasbrouck@northamptonma.gov> Fri, May 25 2018 at 10:43 AM To: gdayharsh@one-d-c.com Cc: Kim Carson <kcarson@northamptonhrr v> Gary, I understand that One Development&Construction is a large and reputable company.We're stuck with the state's Home Improvement Contractor program (https://w .mass.gov/home-improvement-contractor-registration-and-renewal) We can issue the permit without an HIC registration if the homeowner acknowledges that they understand the regulations and that they are not eligible for the fund (see attached).We'll accept a letter or a copy of the(attached)form, electronic OK. I realize this is an unnecessary requirement in this situation but you'd understand if you'd ever had to deal with the program. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413)587-1272 fax r NEW HIC.pdf 149K https:llmail.google.coMmaillcaluiol?ui=2&ik=ec5f19a57e&jsverixDVk5HntT0.en.&cbl=gmail_fe 180509.12_p4&view=pt&search=sent&M=16397cOdBbb23c31&s 5131/2016 City of Northampton Mail-Re:20 Hawthorne Ten. BoYrpQavr Louis Hasbrouck<Ihasbrouck@northamptonma.gov> Re: 20 Hawthorne Tern 1 message Louis Hasbrouck<lhasbrouck@northamptonma.gov> Tue, May 29, 2018 at 5:43 PM To: Gary Dayharsh<gdayhamh@one-d-c.com> Gary, Plan notes for 20 Hawthorne Terrace; No issues with zoning; setbacks OK. House should get smoke/co/heat alarms per current code based on the extent of renovations. Can you mark up the plans? Mass code 5/8 Firex sheet rock for garage/dwelling unit separation and supporting walls;triggered by adding living space above the garage. Mass amended table R302.6. Mass uses 2015 IECC(amended); (R502)additions either prescriptive or performance based(HERS or Energy Star). Prescriptive is usually a lot easier. Mark up the plans to show envelope R values, make notes for HVAC, service hot water and lighting.The windows,doors,walls and floor seem OK; The ceiling insulation needs to be R-09. The proposed framing is not prescriptive;we'll want engineering for the framing before we do the rough inspection. Let me know if you have questions. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax On Fri, May 25, 2018 at 11:43 AM, Gary Dayharsh <gdayharsh@one-d-c.com>wrote: ?On Tuesday please send the plot plan by email to the NoHo Building Department at the address above. Thank you -n &9th Res 780 CMR 2017.10-23.pdf 385K https://mad.google.coMma Vca/o/0/?ui=2&ik=ec5fl9a57e&)sve -dxVNc9V029.ea&cbl=gmail_fe_180516.06_p8&view=pt&search=sent&th=163addb39419d9bc&. 513112018 City of Northampton Mail-20 Hawthorne Terram CRY Of A Louis Hasbrouck<Ihasbrouck@northamptonma.gov> 20 Hawthorne Terrace 1 message Louis Hasbrouck<Ihasbrouck@northamptonma.gov> Fri, May 25, 2018 at 10:43 AM To: gdayharsh@one-d-c.com Cc: Kim Carson <kcarson@northamptonma.gov> Gary, I understand that One Development&Construction is a large and reputable company.We're stuck with the state's Home Improvement Contractor program (https:t/v .mass.gov/home-improvement-contractor-registration-and-renewal) We can issue the permit without an HIC registration if the homeowner acknowledges that they understand the regulations and that they are not eligible for the fund(see attached).We'll accept a letter or a copy of the(attached)form, electronic OK. I realize this is an unnecessary requirement in this situation but you'd understand if you'd ever had to deal with the program. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413) 587-1272 fax NEW HIC.pdf 149K https:/Imail.google.mMmaillWu/0/?ui-2&ik=ec5fl9a57e&jsve—dxVNc9Y02g.en.&cbl-gmail ie_180516.06_p8&view=pt&q=from%3Agdayhamhy40one-d-uwn CHN of Louis Hasbrouck<lhasbrouck@northamptonma.gov> 20 Hawthorne Terrace 1 message Rose Daley<rdaley@elmelec.mrr> Wed.Aug 1, 2018 at 1168 AM To'.'thasbrouck@northamptonma.gov"<Iasbrouck@northamptonma.gov> Cc:Gary Dayharsh<gdayharsh@oned-c.com> August 1,2018 Mr.Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton,MA 01060 RE:20 Hawthorne Terrace,Florence,MA Dear Mr.Hasbrouck, This letter shall serve to confirm my understanding that,as homeowner,acting as my own contractor through my construction company,One Development&Construction,LLC,this project shall not be covered by the Mass Fund that covers work by home improvement contractors. Robe Bacon