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23B-027 19 HATFIELD ST BP-2021-1131 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23B-027 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-2021-1131 Project# JS-2021-001898 Est.Cost: $2700.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NORTH EAST SPECIALTY CORP 110285 Lot Size(sq. ft.): 10497.96 Owner: BZDEL ANDREW&CLAUDIA A Zoning: URB(100)/ Applicant: NORTH EAST SPECIALTY CORP AT: 19 HATFIELD ST Applicant Address: Phone: Insurance: 148 DOTY CIRCLE (413) 739-4333 WC WEST SPRINGFIELDMA01089 ISSUED ON:4/6/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 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 ORT1 AMP NTN VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I , +, • Certificate of Occupancy Signat e: FeeType: Date Paid: Amount: Building 4/6/20210:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner ' / / C -./ , , The Commonwealth of Massachusetts #08W(127.‘ / Board of Building Regulations and Standard, S II R Massachusetts State Building Code, 780 CMR r �Q� UN IPA ITY �r�t�� USE Building Permit Application To Construct,Repair,Renovate is 1 : R• sed r 2011 One-or Two-Family Dwelling '�.ti 4`'FCr This Section For Official Use Only7°6 / Building Permit a umber: ' /- .?/--//3/ Date A lied: , 4-z VIIV 5 Ji% 2.I-6 Z OZI Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION j?, f2Je/d 1.2 Ass 4Y ap&Parcel Nu O?71.1a Isthis an accepted street?yes no Map Number� Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2 Own r' f Rec rd• ci-•ejaade- 11\)Or Aaf)1/0-E1/ /1'6 . NO 6 D 7ipeZCity,-State,ZIP ;ie,� - to g.s - Yaf No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building` P Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify. CO inC .),5 Brief Description of Proposed Work':i+t)e5C OR To Remove 4-di sees , mQ Ij codui T� � to P xl'STi j cpeh in L) VACTo rz • 25 - Fiic.Toa. .Z SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ 9-7a), 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ O� ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ 0 Suppression) Total All Fees: $ D() Check No.l a to I Check Amount: Cash Amount: 6.Total Project Cost: $ ") /' 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) e / Ct . 1,/v) License Numbcr C piration Date Name of CSL holder 3/ 3 L/ Mix es J RC List CSL Type(sec below) 0 No.and Street J Type Description ( �_ liE e/c1i (UT c 'O2 11 Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering .� WS Window and Siding `I/ SF Solid Fuel Burning Appliances 2F 31. 3) /3 a IIG:berfi)71fOesfori.toti I Insulation Telephone Email address D Demolition 5.2 Registered/ te�" Home Improvement Contractor(H IC) �ll� ��37�3 J tZ.- •��(1 IIIC Registration Number Gxpi lion Date A9km any Nam or IC Registra t Name �c�r� -�r�f ghpMrre nest RiI tOr) o.and Stet �. Email address 5 F ,D, .(J9 / 43.731-�I3j? 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 Issuance of the building permit. Signed Affidavit Attached? Yes 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 !ve e,. to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner'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 con • ed in this application is true and accurate to the best of my knowledge and understanding. a� 6 rint O er's or Au lhorized Agent's Name(Electronic Signature) ate 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(IIIC)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.rnass.gov/uca1_Information on the Construction Supervisor License can be found at w,vw_._na�+sti,go_vldp 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" The Commonwealth of Massachusetts Department of.Industrial Accidents Office of.investigations • Ilk ., r, 600 Washington Street ,., w Boston, NI.,4 02.111 www.mus'.s.' ov/dditi Workers' Compensation Insurance Affidavit: .Buillders/Contractors/.114,lectrieiatis/Plumbers Applicant information Please Print 8..egibly Name (13usinessiOrgttniztttion/lndividuttl): v y Address: , .'�� Q,. ..._. City/State/Zip: _1(5. Phone#:— ' f . Are you an employer? Check \ a the approprir box: r Type of project(required): I am a employer with .' j 4. Li 1 tun 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 l'hese sub-contractors have 8. �] Demolition working for the in any capacity. employees and have workers' r [No workers' comp. insurance comp. insurance.t 0 Building required.] 5. 0 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 MOL Y 12.0 Roof repairs insurance required.] t C. 1.52, §1(4), and we have no employees. [No workers' 13.0 Other — cornp, insurance required.] 'Any applicant that checks box#1 must also till our the section below showing their workers'compensation policy inhumation. 1 Homeowners who submit this affidavit indicating they arc 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Policy#or Self ins. Lie.#: W eo c r( fir. ` ��+• C.� Expiration Date:__._a'gf 1!"2_7 { Job Site Address: QT P/ Q/ City/State/Zip: l! 31f1LN ie_ O,'O 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 orf MOL 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 certify nder the pains and penalties of perf ay that the information provided above is true and correct. Signature: Date: 3/02_y___ Phone#: y/3- -239Y133__ 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: NESCO-1 OP ID:M; ,44C-ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) to......----- 03/18/2021 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 pollcy(les)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 413-737-5359 CO TACT J Raymond Lussier Ins Agcy Inc J Raymond Lussier Ins Agcy Inc PHOIE 413-737-5359 I FAX 413-732-2027 181 Park Avenue, Suite 8 _(N.N�Cp,��No,EYq: (AIC,No): PO Box 499 ADDRESS:infot lussierinsurance.com West Springfield,MA 01090-0499 J Raymond Lussier Ins Agcy Inc INSURER(S)AFFORDING COVERAGE NAIC■ INSURER A:COLONY INSURANCE CO INSURED INSURER B:Safety Insurance Company 39454 Northeast Specialty Corp A.I.M.Mutual Ins.Co. Nescor INSURER C: west sprtngnleld,MA 01089 INSURER D: INSURER E: INSURER F: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE NSURANCE 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. ILTR TYPE OF INSURANCE ADOLNS SUBR POLICY NUMBER (MMIDDIYCY YFYYI (POLICY M)D YDIYYYY) LIMITS A _X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 101 PKG0094179-03 03/18/2021 03/18/2022 DAMAGETO RENTED 100,000 PRFM(,r,F (Fa occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ,j 8f n LOC PRODUCTS-COMP/OP AGG 3 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (EaMaccidED enntSINGLE LIMIT $ 1,000,001 ANY AUTO 2433825 03/11/2021 03/11/2022 BODILY INJURY(Per person) 3 OWNED SCHEDULED AUTOSRE� ONLY X AUTOS BODILY INJURYTp (Per accident) $ X AUTOS ONLY X AUTOS ONLY IPA?acci nl)AMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORMERS COMPENSATION SEATUTE ER R H AND EMPLOYERS'LIABILITY VWC6003962-2020 07/09/2020 07/09/2021 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y f N E.L.EACH ACCIDENT $ OFFICE€)MEM5ER EXCLUDED? r N I NIA 100,000 ( anda ory m NHH1) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEI-ICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CUSTOME 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 A/1,-/-c -3--- 1._1---=----- ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Commonwealth of Massachusetts Division of Professional Licensure - ' hoard of Building Regulations and Standards Cori stiltgat alliiik rvit5Or •i CS=110285 > Tpires:01/09/2022 KEITH W DEV'_IN J. !' 3134 MOUNTAIN R6:44 WEST SUFFIEI D C:T (16093.' ) .4'• 1.? cti ll:a)-1\ • Commissioner ; ,may, -�-_ • A A� er V j 0, r_/ (4;1J., -ol - Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home lmproverne.nt,COntractor Registration • Type: Corporation , Registration: 103713 NORTH EAST SPECIALTY CORPORATION. Expiration: 07/13/2022 D/B/A NESCOR • 148 DOTY CIRCLE WEST SPRINGFIELD,MA 0'1089 • Update Address and Return Card. ::A 1 t) 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPg:Corporation before the expiration date. If found return to: Registratigf gxpiratiori Office of Consumer Affairs and Business Regulation 07/13/2022 '1000 Washington Street -Suite 710 NORTH EAST( F OiACINVOr1PORATION Boston,MA 02118 D/8/A NESCO ! SHARON M.TA8,llj=F 11 148 DOTY CIRCL'V� �slu�",d(r.f/Wl(�✓N. �......_ _ ..- ______.___-. _._ _ -- WEST SPRINGFIEL•17.tGlA:.'01089 Not valid without signature Undersecretary • • • • RYH M City of Northampton /14 • Massachusetts tSs . sC'�`` DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ` Northampton, MA 01060 ssbti �1�� 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: V ilCi'L)//!3 The debris will be transported by: Name of Hauler: C�54 /IQu/iy1 Signature of Applicant: Date: ;___ NORTHEAST SPECIALTY CORPORATION dlb/a NESCOR 148 DOTY CIRCLE HOUSE 4Window .,+.,. CONDO 6 C- Int. Ext. N1 r•r----- - r WEST SPRINGFIELD 0 �WhitelWhite ❑Tan/Tan E S C O 1-888-NESCOR-1 HISTORICAL Y ortl) ❑White/Bronze O Other THE LEVEL BEST IN HOME REMODELING 1-413-739-4333 NWONDOWS 2-- MEASURE DATE M nescornow.com smilecommulamsNSOD'S C� EASURETIME Mr./Mrs.: /tAn r'F. Y Z17EZ.- Al homo itizzement cmlracbre • Oele: "t 7 gogrxl In l one Improvement contract,sutrarnraclors e n- •.. s V 2 l oxempt ham rogsiralbn trr Ptovlsions o1 Chapterr142AKalty Cloy:J�Or71aAM r0/J 4 /0 Zr of the geno al nu I rn l Common- Home: v, wealth a Ma and status should be made to the(Nestor ni'Uelicie surner State: ,M Zip: �I Oi,a Office: AIIaIrs end Business Requlatron,Ten Park Plaza,Suite e r•e A. V• Boston,MA 02118-Phone 18171973-8700 III ECONOLINE K� SMAR7 CHOICE • Double Pane•Clear Glass•Hollow Frame•Screwed CornersHsig ame ty Lifetime Guarantee GF eesGlasslRep fir Free Screen Repave Free Re-Caulking 5 Year Warren III PERFORMANCE r PREMIUM Double Pane•Normal Low E Glass•Hollow Frame Impacted Glass•Low E Argon Gas•Welded Frame•Insulated Frame Welded Corners•15 Year Warranty Uletlme Guarantee•Fee Glass Repair•Free Screen Repair.Fr ee ree Re-Caulking II OG. Ii' v.!1n0 E au tY, aRc ' cc W H r O ado u o =M �. 9S X Z�Q — r�v — Yc'r . 2 �z alit 3LX © _ _ — El 3 X� rr0� 4)`cz -- rr`rof NUR 4 rrl©_rr_==rrrrrr rrrrrr 6 � X rrrrrr rr�rrrrrrrr lin X rr---rrrrrr rrrrrrrrrrrrrrrrrrrr1 o �� X rrrrr1rrrMI NM rrrrrrrrrrr`rrrrrrr1 2 =— - x rrrrrrrrrlrrrrrrrr rr�r��rrrrrr 0 See Attachment We Propose hereby to furnish material r ri .First Cl al are recognized.No verbal agreements a recognized.Everything must be in writing on the convect.Please make and labor-complete In accordance with 111 sure everything Is written on your order.It something is not on your work order,please do not request It from our stall. above Specifications,for the sum af: They are not allowed to give anything not on the contract.The salesperson's measurements above are approximate onlyand are not to be relied upon1140 .14' ..••D -C✓f"r N..sOI)s 0 as we have an employee who will come to your home after contract formation to take the actual and precise measurements. �+� dollars 2.RAPemba,We pug permits on at Jobs where they are required.Your permit cost le In additkz to your contract price.k (a rt In VTJ ). r would be unfair for unto add a standard permit charge to e9 contracts,since prices vary greatly from city to city and I`}r some cities do not require permits.It Is Impossible for your representative to determine your permit cost.fusua8y Payment to be made as to/lows: between S700 end SeecI•We only charge whet the city charges us,plus a$39.00 service lee.Balance Is due upon �. ',1�/)�J� cities regal e completion and Is not contingent p upon ifinaltonepho or the occurrenceof any other condition.Cartoon dues require final Impactions.a is your responsibility be home for your scheduled Inspection. Administration Fee f• 3.lnstallallon abettYm Isor 1f Saks reps ere not allowed ttoo chupe these limas.You may of hear horn us fore period of 1kemawtrle waiting air 1111 II/ materials to arrive.Don't woryll We wool call as soon as possible to schedule your lob.II you a using our financing, - . S G\O v the cock doesn't star ticking until your loan Is approved.it the start of your Installation exceeds pest One sattmaled •• • . above,we Wit credit your account S50.00 per week for every week that we fall behind.This contract cannot be 33%shall be made forthwith upon irl Veered ettw the dab of the measure completion of wort under this contract 4I.LEAD SAFE PAINT PRACTICES Uwe hereby acknowledge receipt of a copy of Ne pernpNel,'Rerravate Right: 't Important Lead Hazard Inlormstlon for WrdikS.child ore providers and schools',hlortnitg mdua of potentiet risk AMOUNT FINANCED ,a or lead hazard exposure horn renovation activity tone performed N myrour hone.Owe received this Pamphiel before the wok began. NOTICE: No agreement for home improvement contracting work Shall require a down contract price of the total amount of ell deposits or payment which the contractor must make,In advance,to order and/or otherwise obtain del very of s eclat order mate' Is and ut merit who h r m n I 1 payment(advance deposit)of more than one-third Of the total Acceptance of Proposal:I have read both sides of this document and accept the prices,specitications and conditions stand.I understand that upon signing,this proposal becomes a binding contact.You are to at a zed to do the work as specltled.Payment will be made as outlined above.You may Cancel this agreement it It has been signed by a party thereto at a place other than an address of the Seller,which may be his main office or branch thereof,provided you notify the Seller in writing at his main office branch by ordinary mail posted,by telegram sent or by delivery,not later then mid' night of the third business day following the signing of this agreement.Please refer to the Notice of Cancellation. / DO NOT SIGN THIS CONTRACT 1$'THERE ARE ANY 01A SPA Ely: gQ't� i7 Purchaser aewi By �;a purchaser 2: • Connecticut Pc.N545323) Massachusetts(tic.11103713) nescornow.com Scanned with CamScanner