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38D-050 (4) 39 WINTHROP ST BP-2021-0143 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38D-050 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2021-0143 Proiect# JS-2021-000250 Est.Cost: $8998.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 090125 Lot Size(sq.ft.): 4748.04 Owner: MULDOON PHYLLIS Zoning: URB(100)/ Applicant. RENEWAL BY ANDERSEN AT. 39 WINTHROP ST Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTHBOROMA01532 ISSUED ON.81612020 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 4 REPLACEMENT WINDOWS 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 Signature: FeeType: Date Paid: Amount: Building 8/6/2020 0:00:00 $40.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 0 Department use only o n City of Northampton Status of Permit: m G7 Sn? Building Department Curb Cut/Driveway Permit 3 , 212 Main Str�eoe�t Sewer/Septic A vailabili ty _vcrRooQWater/Well Availability K 010nNorthampt M 650/ Sets f Structural Plans Ml tP ,O lans pec, in Pfr�i� TO CONSTRUCT,ALTER,REPAIR, DE LISH A ONE OR TWO FAMILY DWELLING ,o SECTION I -SITE INFORMATION 1.1 Property Address: This section to be completed by office 39 Winthrop St Northhampton MA 01060 Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Phyllis Muldoon 39 Winthrop St Northhampton MA 01060 Name(Print) Current Mailing Address: 413-585-9006 See Attached Contract Telephone Signature 2.2 Authorized Ascent: JAIME MORIN 30 FORBES ROAD NORTHBORO,MA 01532 Name(Print) Current Mailing Address: 508-351-2277 Signature - Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 8,998 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) Of, 5. Fire Protection 00 0C 6. Total=0 +2+3+4+5) 8,998 Check Number ,This Section For Official Use Only / Building Permit Number:__L I' �1 v/ / Date Issued: Signature: ' Building Commissioner/Inspector of Buildings Date SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors rn Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding 01 Other[a Brief Description of Proposed Work: Replace 4 windows Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes 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. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square 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? Yes 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 water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Phyllis Muldoon as Owner of the subject property hereby authorize JAIME MORIN to act on my behalf, in all matters relative to work authorized by this building permit application. SEE CONTRACT 07/30/20 Signature of Owner Date JAIME MORIN 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. JAIME MORIN Print Name 07/30/2020 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 7 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 30 Forbes Rd. , Northborough, MA 01532 10-06-20 Address Expiration Date 508-351-2277 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FORBES ROAD NORTHBORO,MA 01532 12-22-21 Address Expiration Date Telephone5 0 8—3 5 1—2 2 7 7 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....... t No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of 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. 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 pen-nit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 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 shell be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 39 Winthrop ST Northampton MA 01060 The debris will be transported by: Renewal by Andersen The debris will be received by: Renewal by Andersen Building permit number. Name of Permit Applicant Jaime Morin 07/30/2020 Date Signature of Permit Applicant Page 1 of 1 ACo CERTIFICATE OF LIABILITY INSURANCE °09�18�2o 9' 14. 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 NAME: Willis Towers Watson Midwest, Inc. PHONE 1-877-945-7378FAX 1-888-467-2378 c/o 26 Century Blvd (AIC,. X: Nl: A P.O. Box 305191 ADDRESS: Certificates@rillie.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE WUCN INSURERA: Old Republic insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC — - 30 C Forbes Road INSURER C: Northborough, NA 01532 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W12663065 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. LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER PM/DDY EFF iPWD�EXP LIWTS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO Rr=NTEU--PREMIE Ea occurrence S 500,000 A MED EXP(Any one person) 10,000 MWZY 314161 19 10/01/2019 10/01/2020 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT �APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY D JECT �LOC PRODUCTS-COMP/OP AGG S 4,000,000 OTHER: $ AUTOMOBILE LIABILITYISN IDn)SINGLE LIMIT $ 5,000,000 X ANY AUTO BODILY INJURY(Per person) S • OWNED SCHEDULED MWTB 314159 19 10/01/2019 10/01/2020 BODILY INJURY(Per accident) E AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY APer dent S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION 3 $ WORKERS COMPENSATIONX P OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER A. ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUE No NIA MW 314158 19 10/01/2019 10/01/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ues,descnbeunder 1,000,000 SCRIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 6-, Evidence of Insurance ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 18532909 aATCa. 1372547 Comnwnwealth of Massachusetts Division of Professional Licensure Unrestricted-Buildingss of f any use group which contain Construction # Board of Budding Regulations and Standards oSupervisor less than 36,000 cubic feet(991 cubic meters)of enclosed Constr p0t6n'Supervisor space. CS-090125 U ires: 10/06!7.020 JAIME L MORIN wf .+ 88 GARDINER STREET LYNN MA 01906 ''f HC�c:t�t•� Failure to possess a current edition of the Massachusetts Q � State Building Code is cause for revocation of this license. For information about this license CaM(617)727-3200 or visit www.amss.gov/dpi Office of Consumer Affairs and/Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card RENEWAL BY ANDERSEN LLC Registration: 170810 30 FORBES RD Expiration: 12/22/2021 NORTHBOROUGH,MA 01532 Update Address and Return Card. 3CA 1 $ 20M-V11[7�j ��e l(XL)7Yi!)tOIIUBdAIf! �l �lG1P.�d Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:SupWemem Card before the expiration date. If found return to: Rest's ratio_r1 Expiration Office of Consumer Affairs and Business Regulation 170810 12122/2021 1000 Washington Street -Suite 710 RENEWAL BY ANDERSEN LLC Boston,MA 02118 ' JAIME MORIN /i .,, ' �jf. G' )st,.•__�--' 30 FORBESRD NORTHBOROUGH,MA 01532 Undersecretary Not valid oifthout signature ,r Doubt e Hung R�� • �ewal 'CYC E5&derser. w�Kuow• Rertr►cee�ext "° ��r Nwa WoodMnyl Composite IF Dual DaAMon b Low E4 S wr,rm «« . t i 047W18-010 ENERGY PERFORM ucc. WINGS U-Factor(U.S)/!-P Solar Neat Gain Coefficient 0 a �01I ADDITIORAL Pr-.nr.ORMMPE WAGS Visible Transmittance Oa42 ��MWNIrLsO bi<rYa.dd�.ri.�r�+dpM.�.MaMe�Pndrot.kak.. a nOWtSvL (a olrr nd Ae.t.a wrnMIM.sbC1M�rVPowwas for MW pod%wa. P�P.Ao+�.na.6farrlbn, WIMMI WWK PR0*O%w.and �' t�1�..rri�e'4ioi�011r L�Ll.4t .�`._ _ • DESIGN PRESSURE(PSI) H-LC 5 - RbA DB Sloped Sill DN IN uuwnrwcwbat )ft r..ra.om..e.Y.ec„Cxc,i}R[fN w . I.y„ywr,bwarnr+Y.�«c..nb.m,.P.epina Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal by Andersen of Boston Phyllis Muldoon&Laura paul M. L.A..... Legal Name:Renewal by Andersen LLC HIC#170810 30 Forbes Road I Northborough,MA 01532 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbookingeandersencorp.com Buyer(s)Name: Phyllis Muldoon & Laura paul Contract Date: 07/28/20 Buyer(s) Street Address: ., Primary Telephone Number: Secondary Telephone Number: Primary Email: muld390comcast.net Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: 58,998 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $0 Balance Due: 58,998 Estimated Start: Estimated Completion: Amount Financed: 58,998 10-12 weeks 1 days Method of Payment: Financing We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: GS #3225 25 months nonono; ; 1/3 dep; 1/3 ins; 1/3 eom Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/31/2020 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Renewal by Andersen LLC dba:Rene lb Andersen of Boston Buyer(s) V—TU^i ---- - -- --------- -- —---- fM�v�w. Signature of Sales Person Signature Signature Antoine Tannous Phyllis Muldoon Laura paul Print Name of Sales Person Print Name Print Name UPDATED: 07/28/20 Page 2 / 25 Renewal Itemized Order Receipt 17YAndersen. dba:Renewal by Andersen of Boston Phyllis Muldoon&Laura paul MR. Legal Name:Renewal by Andersen LLC HIC#170810 30 Forbes Road I Northborough,MA 01532 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com ROOM: 101 bathroom Window: Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Traditional Checkrail, Exterior Canvas, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Misc: None 102 kitchen Window: Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Traditional Checkrail, Exterior Canvas, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Misc: None 103 kitchen Window: Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Traditional Checkrail, Exterior Canvas, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Misc: None 201 bathroom Window: Double-Hung (DG), 1:1, Slope Sill, Insert Frame, Traditional Checkrail, Exterior Canvas, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: White, Screen: TruScene, Full Screen, Grille Style: Interior Wood Only (INTW), Grille Pattern: Sash 1: Colonial 3w x 1h, Sash 2: No Grille, Misc: None WINDOWS:4 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $8,998 0 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 07/28/20 Page 3 / 25