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22B-013 (3) 45 MEADOW ST BP-2020-0271 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma .Block:22B-013 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categoa: Porch Repair BUILDING P E RM I T Permit# BP-2020-0271 Proiect# JS-2020-000459_ Est.Cost:$10353.00 Fee: $68.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RENAISSANCE BUILDERS 013302 Lot Size(sg.ft.): 8712.00 Owner: LEIRMAN ELIZABETH Zoning:URB(76)/URA(24)/WP(15)/ �plicant: RENAISSANCE BUILDERS AT. 45 MEADOW ST Applicant Address: Phone: Insurance: P O Box 272 (413) 863-8316 Workers Compensation TURNERS FALLSMA01376 ISSUED ON:8/30/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL CONCRETE PEIRS FOR PORCH, REPLACE PORCH FLOORING 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. Certificate of Occupancy sienature: FeeType: Date Paid: Amount: Building 8/30/2019 0:00:00 $68.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0271 APPLICANT/CONTACT PERSON RENAISSANCE BUILDERS ADDRESS/PHONE P O Box 272 TURNERS FALLS (413)863-8316 PROPERTY LOCATION 45 MEADOW ST MAP 22B PARCEL 013 001 ZONE URB(76)/URA(24)/WP(15)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tyneof Construction: INSTALL CONCRETE PEIRS FOR PORCH,REPLACE PORCH FLOORING New Construction Non Structural interior renovations Addition to Existing Accessoa Structure Building Plans Included: Owner/Statement or License 013302 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 Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 6� 30 -26)9 Si re of Building Official 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. Department use only City of North mptc �CEI Sta�fu�joffleunit: r:. Building Dep rtmrA t4,CutlDri eway Permit f �ttpt 212 Main treL Sewe/Septi Availability f ROOM 009 Wate/Well vailabilit rr 6 2 y sv Northampton, MA 20! wo ets o Structural Plans -'" phone 413-587-1240 Fax7-1272 Plot/ ite PI ns DFPT OF CaJ((DING INSPF Spe ify r� �o - APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENO f A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot a � Unit 4� fy)'e .ci�c�7 Zone Overlay District p`- Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: VXxVt uL� Telephone Signature 2.2 Authorized Agent: -)(hen ll �r Gl3 Name( ri Current Mailing Address: Etk� ��� y13 0aw 3 e''�l o Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical J (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) / r'. Check Number This Section For Official Use Only Building Permit Number: Date Issued: 116 Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) C�Section 4. ZONING All Informatio Must Be Comple ed. PermitkoG6Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department -- Lot Size i Frontage F L i Setbacks Front F-7 O Side L= R:= L:= R:= 0 0 Rear Building Height u Bldg. Square Footage % u Open Space Footage _ % (Lot area minus bldg&paved parking) #of Parking Spaces �— Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW 10 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW © YES IF YES: enter Book Page and/or Document#1 B. Does the site contain a brook, body of water or wetlands? NO © DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O Date Issued: C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: F 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 a avation,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 Alterations) ❑ Roofing ❑ Or Doors E] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[O] Other[0] Brief DescriptioQn,�of Proposed Work: -an9�lelo 6-164.01R- Alteration ot64.0 Alteration of existing bedroom Yes No Adding new bedroom Yes _,.><---No Attached Narrative Renovating unfinished basement Yes V_No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following_ a. Use of building:One Family Two Family Other b. Nuer of rooms in each family unit: Number of Bathrooms c. Is there a arage attached? d. Proposed Squa footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City ter Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize to act on my behalf,in all m tters relative to work authorized by this building permit application. Signature of Owner Date 1 t � 6)c ea �� 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. Signed under the pains and penalties of perjury. Print Na Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervvis1orn: &P-Ad Not Applicable ❑ Name of License Holder: -1���.L! " 61-4t�41 ( 5' 0r330� License Num r 114U ( c� Z 3 07��1 Address Expir t nota Date ..qzn-�L - CAjw Signature Te ep one 9.Registered Home Improvement Contractor: Not Applicable ❑ /lJ� { liJ Company Name Registration Number Ad Expirations Oate Telephone SECTION 10-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...... ❑ Lierman Proposal Page 5 The prices, specifications, and conditions are satisfactory and are hereby accepted. Please send a contract for the following work, as specified in the Proposal dated June 26, 2019: rV Front Porch $ 10,353.00 Area under Back Deck $ 8,650.00 Please make the following c anges or clarifications: 1� o� CaS� G cc. tll e Cies [ o✓1.5 't6J I l?G GI�C� � L�� G 9c Cc ` t�e.�T � �-iti ev" 4. � �✓1 Payment will be made as outlined below: Deposit on jigned acceptance of Proposal: $ 500.00 A payment schedule for the balance will be included with the contract. riz,&,"u t fora building permit,if required,.ory y behalf. 71, I 1 Customer Signature Date Ze" � 6fu-V -( q � Please print legal name for Contract Documents Customer Signature Date �Da a Please print legal name for Contract Documents All individuals listed as Owners of Record for a property are required to sign Contract Agreements. Please note any corrections to your name or address. Alsc, please give us your phone number(s) and the best times to reach you so we can keep you posted regarding our schedule. You may also provide an email address if that is a good way to contact you. Note: Please return only this signed acceptance sheet along with deposit. Retain the Proposal for your records. CO VII I C.L✓1 do,YI ,�P S T ��� �Gj ✓ 141 � ,L D ,vL .l Renaissance Builders, PO Box 272,Turners Falls, MA 01376 License#013302, Registration#106490 6/26/2019 Northampton, MA : Assessor Database: http://northampton.ias-clt.com/parcel.detaii.php?id=22B-013-00101 Northampton, MA : Assessor Database Property Search: Parcel ID: Owner Name: Street Number: Street Name: 45 MEADOW ST Search Reset Property Detail: Parcel ID: Card: Street Name: Street Number: Zoning: State Class: Acres: Plot: 22B-013-001 1 MEADOW ST 45 LA307 Single Family Residence 0.20 Owner Information: Property Images: Owner Name: LIERMAN ELIZABETH A&DANIEL P Picture: Owner 2 Name: O'DONNELL Owner 3 Name: Street 1: 45 MEADOW ST City: FLORENCE State: MA Zip: 01062 Dwelling Information: Style: CONVENTIONAL Year Built: 1860 Exterior Walls: FRAME Story Height: 1.5 Attic: NONE Basement: FULL Sketch: Bsmt Gar Spaces: 0 Total Living Area: 1343 Total Living Area Minus FBLA: 1343 Finished Basement Area: 0 Rec Room: 0 Heating System: OIL/STEAM Central Air: No Fireplaces: 0 Rooms: 7 Bedrooms: 3 Full Baths: 1 Half Baths: 0 1 ,f R/?/?O I9 1 19 PM Northampton, MA : Assessor Database: http://northampton.ias-cit.com/parcel.detaii.php?id=22B-013-00101 Valuation: Desc Appraised Land: $114,900.00 16 A:1.5Fr. Appraised Bldg: $120,500.00 560s Appraised Total: $235,400.001Fr/B B:1Fr/B 18 288 18 288s C:1 Fr 75 sq 16 D:OFP 20 5 24 sq E:2sOF 1 Fr_ 54 sq 75 F:O FP U 24 sq 28 1.5Fr/B 28 5 560 20 4 9 4 gD66 E66F6 4 9 4 The information delivered through this on-line database is provided in the spirit of open access to government information and is intended as an enhanc and convenience for citizens of Northampton, MA. The providers of this database: Tyler CLT,Big Room Studios,and Northampton,MA assume no liability for any error or omission in the information prov Comments regarding this service should be directed to:jsarafin@northamptonassessorus Fri.August 2,2019 : 01:18 PM : 0.08s : 10mb F R/?/?O 19 1•19 PM City of Northampton ,5... s. Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yv`•. cD� Northampton, MA 01060 LOUIS HASBROUCK BUILDING COMMISSIONER Effective July 1, 2015 Phone: (413)587-1240 Fax: (413)587-1272 Residential One and Two Family Building Permit Fees http://www.northamptonma.gov/702/Building-Departmen Fees for work not listed will be determined by the Building Department Any work beginning before a permit has been issued is subject to double fees and a stop work order removal fee Hours of operation are typically Monday thru Friday 8:30 to 4:30,Walk-In hours are closed at 12:00 pm Wednesday Permit Fees are paid to the CITY OF NORTHAMPTON CHECKS OR MONEY ORDERS ONLY: NO Cash or Credit Cards Checks or Money Orders Must Be Submitted with the Application or it will not be acted upon To Be Processed,Applications Must Be Complete and Include ALL Required Attachments All Applications Are Subject To Zoning Review.The Weekly Filing Deadline is 12:00 pm (noon) on Wednesday. Building applications-Require a plot plan,floor plans, elevations, structural and energy information as appropriate Sign applications- Require a photo of the existing elevation and a photo shopped placement of the proposed sign Applications may be subject to Central Business, and or Historic and Demolition Delay reviews It is the Owner's responsibility to verify property bounds and conservation issues COMPLETE DEMOLITION Accessory Structure-------------------------------------------------------------------------------- One or Two Family House----------------------------------------------------------------------$75.00 NEW CONSTRUCTION All Occupied Floors per sf---------------------------------------------------------------------------$.50 'h Floors,Walk-In Attics, Basements, Garages per sf----------------------------------$.20 Decks, Porches, Canopies, Porticos per sf------------ --- -- - ----- -- --- --$.20 NEW ACCESSORY STRUCTURE Free Standing Decks ----------------------------- -- ----$.20 per sf, Minimum $50.00 Shed up to 200 sf zoning review------------------------------------------------------------- Shed over 200 sf--------------------------------------------------$.20 per sf, Minimum $35.00 Tent over 200 sf-------------------------------------------------- -----------------------$30.00 Above Ground Swimming Pool--------------------------------------------------------------$40.00 In Ground Swimming Poo l--------------------------------•-------------------------------------$75.00 l.f REPAIR RENOVATION ALTERA ,ae $6.50 per$1000 of estimated cost(rounded up)---------------------Minimum $65.0 SIGNS .Siga.fa�cupation�--.-...----•-•-------..................------------ — w X40'. 0 SPECIALTY PERMITS Roofing ----•------------------------------------------$40.00 Siding -------------------------------------------------------$60.00 Non-Structural Door&Window Replacement------------------------------------------$40.00 Solid Fuel Burning Appliances---------------------------------------------------------------- Sheet Metal--------------------$25.00 with building permit on site-, Otherwise $50.00 SOLARRoof Mount--------------------------------------------------------------------------------------------- Ground Mount up to 8kw or 100% of demand-----------------------------------------$75.00 Ground Mount up to 200%of demand----------------------------------------------------$100.00 Ground Mount over 200%----------------------------Use the commercial rate calculator OTHER SERVICES Request For Zoning Determination---------------------------------------------------------$30.00 Home Business Review& Registration------------------•-------------------------------$30.00 ReplacementPermit-------------------------------------------------------------------------------$30.00 ContractorChange--- -----------------------••----------------•-----••--------•------------------$30.00 Temporary Certificate of Occupancy-------------------------------------------------------$75.00 Additional or Requested Inspections--------------------------------------- -- --------- Removal of Stop Work Order---------- -------------- - -------------------- - ----$75.00 Renaissance Builders PO Box 272, Turners Falls, MA 01376 Phone(413) 863-8316; Fax(413)863-9712 www.renbuild.net June 7, 2019 Elizabeth Lierman and Daniel O'Donnell 45 Meadow Street Florence, MA 01062 Work List for interior and exterior renovations to home at above address. Scope to include the following: Replacement of flooring and miscellaneous trim on front porch. Demolition of wall and grading work under deck. Budgets for future projects. 1000 GENERAL CONDITIONS 1010 Plans & Specifications A. Supply drawings as required for building permit application. 1020 Permits A. Supply all building permits as required. 1300 Project Management A. Provide copy of current Construction Supervisor's license. B. Coordinate operations under different sections that are dependent on each other for proper installation and operation. C. Notify Owner as necessary when scheduled work will impact occupied portions of the premises. 1310 Supervision A. Provide supervision at all phases of construction performed or subcontracted by Renaissance Builders. 1400 Warranty A. Supply certificate of liability (minimum $2M) and Worker's Compensation insurance. B. All work performed or subcontracted by Renaissance Builders to be guaranteed for one year. 1520 Temporary Facilities A. Provide portable toilet for workers. 1530 Temporary Protection A. Provide protection against the spread of lead dust to surrounding work areas. 1730 Cleanup & Trash Disposal A. Clean up all debris and leave the job site broom clean at completion of all work. Lierman Work List Page 2 B. Legally dispose of all debris. C. Vacuum all affected areas with vacuum equipped with HEPA (High Efficiency Particulate Air) filter at completion of repairs. 1950 Owner Responsibilities A. Cost of electricity and water during construction. B. All other phases not specifically outlined in this Proposal. FRONT PORCH • Replace front porch flooring. • Install four (4) new 12" diameter concrete piers. • Repair broken lattice. 2000 SITE WORK 2220 Demolition, Exterior A. Remove and dispose of existing porch flooring. B. Remove existing lattice panels as needed for access to underside of porch and save for reuse. C. Install temporary shoring to support roof. 2300 Excavate & Fill A. Excavate for a total of four (4) 12" dia. concrete piers to a depth of 48" below finished grade. B. Backfill after completion of pier installation using excavated material. C. Spread excavated material on site in area designated by Owner. 3000 CONCRETE 3300 Foundation, Cast in Place A. All concrete to be 4000 Ib. B. Porch to have four (4) 12" dia. concrete piers, buried to a depth of 48" below grade. C. All porch piers to have Bigfoot footings. 6000 WOOD & PLASTICS 6800 Porch & Deck Framing A. Carrying timber for porch floor to be supported by 6" x 6" pressure treated posts mounted to concrete piers using galvanized post base anchors. 6810 Porch & Deck Finish A. Porch floor to be 1" x 4" clear vertical grain fir tongue & groove flooring. B. All fasteners to be stainless steel. C. Reinstall lattice panels and repair and replace all broken pieces using clear red cedar. 9000 FINISHES 9910 Paint, Exterior A. All new wood to receive1 coat of primer. B. Repaint all columns, railings, flooring and lattice two full coats of paint at completion. Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#106490 7/16/2019 Lierman Work List Page 3 AREA UNDER BACK DECK • Remove and dispose of non-load bearing stone wall under deck. • Construct retaining wall at East end using pre-engineered concrete block. • Regrade area under deck and cover with landscape fabric and 4" of washed stone. 2000 SITE WORK 2220 Demolition, Exterior A. Remove and dispose of existing stone wall. 2300 Excavate & Fill A. Regrade area under deck using bank run gravel to pitch away from foundation. B. Cover existing area under deck with Geo textile fabric, and cover fabric with 4" of 3/4" washed stone. 4000 MASONRY 4220 Block A. Construct retaining wall at East end under deck using pre-engineered concrete blocks, equal to Ideal Concrete retaining wall block. END OF WORK LIST Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#106490 7/16/2019 The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations 600 Washington Street Boston, MA 02111 r , www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RENAISSANCE B JI MFRS Address: PO BOX 272 City/State/Zip: TURNERS FALLS MA 01376 Phone #: 413-863-8316 Are you an employer? Check the appropriate box: Type of project(required): 1.[X I am a employer with 24 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM MUTUAL INSURANCE CO. Policy#or Self-ins. Lic.#: MCC20020004972019A Expiration Date: 01/01/2020 Job Site Address: l V/' )� 0 - City/State/Zip: i o�;eA Ykf D1� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cern nder the pains and penalties of perjury that he information provided above is true and correct. Si nature: Date: Phone#: 413-863-8316 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Commonwealth of.Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Cons!,,4&%AfSbo rvisor s CS-013302 E�plres 08/17/2021 STEPHEN J GREENWALD. 390 MAIN RD GILL MA 013153. Commissioner Construction Supervisor Unrestricted -Buildings of arty use group which contain Idss than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston,Massachusetts 02108 i Home Improvern4a1=0n11ractor Registration Type: Individual RENAISSANCE BUILDERS 1=�- FU Registration: 106490 P.O.BOX 272 Expiration: 07/22/2020 TURNERS FALL,MA 01376 iYl � .., SCA 1 n TO Update Address and Return Card. yM�-0Sr1�7j (J�u rGb>N'MMtlia�/A O`[i'9LQ.ti¢(YeUdcuL Office of Consumer Affairs a Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TY E:Individual before the expiration dale.H found return to: Replstratldn, Expiration Office of Consumer Affairs and Business Regulation 1064'0? i i4 07/2212020 One Ashburton Place-Suite 1301 RENAISSANCE-BUIL Boston,MA 02108 STEPHEN J.GREE 390 MAIN no. GILL,MA 01354 Undersecretary Not valid without signature ; Renaissance Builders PO Box 272, Turners Falls,MA 01376 Phone(413)863-8316; Fax(413)863-9712 www.renbuild.net August 27, 2019 Louis Hasbrouck Building Commissioner 212 Main Street Northampton,MA 01060 Louis, Enclosed is a permit application for 45 Meadow Street, Florence. Liz Lierman&Dan O'Donnell own the property. Stephen Greenwald is the project manager. Also enclosed is: ❑ A signed Owner Authorization Form ❑ A work list describing the project ❑ A Workers Compensation Affidavit ❑ A Demolition Debris Affidavit ❑ A HIC Registration Affidavit ❑ A copy of Stephen Greenwald's CSL ❑ A check for$68.00 for the permit fee Please call me at 413.863.8316 if you have any questions regarding the project. Please send the permit to our office. Thank you, Donna Flagg Renaissance Builders