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16A-020 BP-2021-2201 201 FAIRWAY VILLAGE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16A-020-016 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2201 PERMISSION IS HEREBY GRANTED TO: Project# windows Contractor: License: VALLEY HOME IMPROVEMENT Est. Cost: 7549 INC 077279 Const.Class: Exp.Date:06/21/2022 WILSON GREGORY C&HARRIET HOPKINS Use Group: Owner: WILSON ET AL Lot Size (sq.ft.) Zoning: WP/WSP Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: Insurance: P O BOX 60627 (413)584-7522 0055030215 FLORENCE, MA 01062 ISSUED ON:11/23/2021 TO PERFORM THE FOLLO WING WORK: 5 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. Signature: 3'1 1 • ' 1 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / 7T7 _ The Commonwealth of Massachus s NOV Board of Building Regulations and St dar s r 1 20� FO 1 ' Massachusetts State Building Code, 7 0 C ALI7Y �`i of U E Building Permit Application To Construct,Repair,Re v N n r�. iti vised ar2011 One-or Two-Family Dwelling a'Mq 0106 ONS --Thi's rection For Official Use�nl. Buildin Permit N er: r' �-.l.lO i Date Applied: cvl ! ii-ZZ-ZOZ( Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 k ess -s Map& Parcel Numbers 020/ Mcr& V. // 16 r � D 1.1 a Is this an accepterststreet?yes -no Map Number Parcel Tilumber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yard.: i Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: . Public❑ Private 0 Zone; _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSkUP1 7.1 nwMe;-1 of Record: , GP,°G>r 1f ki.(r►-ref Iscr, t.0 M S ' . CU©S3 Namernt) City,State,ZIP aol V\lika.. S$b- S5/6 No.and Street • Telephone Email Address • SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑. i Accessory Bldg. ❑• 1 Number of Units i Other 0 Specify: Brief De iption of Proposed Work': K RNGl,ctL. 5 'l rdc L9r\kA-S SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 1. Building Permit Fee: S Indicate how fee is determined: "-- ❑'Standard City;Town Application Fee • 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x • 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical. (Fire $ Total All Fees: Suppression) Check No.4a Amotl► R 6.Total Project Cost: $ 7 r t-i! I ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) a--)9 izt Ia .��`�Ly fir•, License Number Expiration Date Name of CSL Holder List CSL Type(see below) Pam . € (12 No.and Street Type Description 11�0` GNU �- —Li- -, Linretf.•ir eat(Buildingsupto=35,000-Q.It.) Vf?✓_(�C R. Restricted l&2FamilyDwelling City/Town, tatc,ZIP 1 lt+t . Masonry RC: Roofing Coveting • ,.f -- WS Window and Siding SF Solid Fuel Burning Appliances ---)S72— T Insulation Telephone Email address D Demolition 5.2 Registered Rome Improvement Contractor(RTC) n-t�vC n� - 1 Vss (on g 1261 ati 22 MC Registration Number Expiration Date HFC Corn 'Name or HIC Registrant ame , _ t)C (o tjtn�?No.and Street -�GieF'! 't_ �L1� dl�Sj Email address City/Town, State,ZTP 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`l j 'j Qr-rT to act on my behalf,in all matters relative to work authorized by this building permit application. '-1R R R t£'i i . W I r� t-1• N 3 Q.:3 1 C Print Owner's Name(Electronic Signature) ( e SECTION 7h;OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of rjury that all of the information contained in this application is true and accurate to th b of my kn wled; • understanding. S�i)ply3 3 Li 09/YX+� // i� o ) Print Owner's or Authorized Agent's Name(Electro c attire) Date NOTES: 1. An Owner vitro 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(HIC)Program),will not have access to the arbitration program or guaranty hind under M.G.L.c. 142A Other important information on the HIC Program can be found at v, w mass.acv oca Information on the Construction Supervisor License can be found at aa_•w__,irass.gov 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage, finished baserendattics,decks or porch) . Gross living area(sq.ft) Habitable room count Number of fireplaces Number of bedrooms • Number of bathrooms Number of hal.Vbaths 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" City of Northampton ti SAS• •: Massachusetts ' �-- `<< t DEPARTMENT OF BUILDING INSPECTIONS T. 212 Main Street • Municipal Building Northampton, MA 01060 r:yy ar 11�Q� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this•wbrk sfiall be disposed of in a properly licensed waste disposal facility, as defined by MGLc ill, S I5OA. The debris will be disposed of in: Location of Facility: 4E The debris will be transported by: M1 Name of Hauler: 1 vN---- �- Signature of Applicant: f Date: //—r5--' 042) Commonwealth of Massachusetts �� Division of Professional Licensure Board of Building Regulations and Standards Cons�r4'iS{S'prvisor CS-077279 in pires: 06/21/2022 • STEVEN A SPERMAN4 , r PO BOX 6062 1 • n FLORENCE ) 01062 S'. ys �0 yt: ,''0j 30 1t Commissioner eki �'. D Cecti UU • Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type. Corporation VALLEY HOME IMPROVEMENT INC Registration: 105543 P.O.BOX 60627 Expiration: 08/20/2022 FLORENCE,MA 01062 Update Address and Return Card. SCA 1 CI 20M-05117 w-2.4,7 ewe/'e X ✓g2JJac ..e/ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 105543 08/20/2022 1000 Washington Street -Suite 710 VALLEY HOME IMPROVEMENT INC Boston,MA 02118 STEVEN A.SILVERMAN i �� /r/�L 340 RIVERSIDE DRIVE .<l(G rGGlli�i" , , ", ��`�✓ FLORENCE,MA 01062 Undersecretary Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents -:=%tl=, 1 Congress Street, Suite 100 =in Boston,MA 02114-2017 y www mass.gov/dia _ or'Ceee-Compensation Insurance Affidavit:Builders/Contractors/Electrieians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant information _ Please Print Legibly Name (Business/Organization/individual): Ja t t-e3 1i C:0 C. -EErr,YJrpV"2t(Y1�,�-r4 , " -i i Address: NO Rl Ye✓o\C C Or-t . ? 0. 6ci< tro0(oZ1 City/State/Zip:Ftvtenc , e- Di 0(02- Phone#: L t3-StS4-7 S22- Are you an employer?Check[beappropriate boa: • Type of project(required): 1.®I am a employer with 1 e`employees(full and/or part-time).' 7. ❑New construction 2.01 am a sole proprietor or partnership and have no employees working for me in S. 21 Remodeling any capacity.[No workers'comp.insurance required.] 3.0 T am a homeowner doing all work myself. 9. ❑Demolition Y [No workers'comp,insurance required.]t 4.01 am a homeowner and will be hiring contractors to conduct all work on m proP�'. y I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and T have hired the sub-contractors listed on the attached sheet. These cult-contractrtrs have employee;and have workers'romp.insurance t 13.0Roof repairs 6.0We are a corporation and its officers have exercised their right of exemption1`1•❑Other gh per MGL c. 152,i:1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -Ay \,CL (-SC.)trAy") e),fo p Policy#or Self-ins.Lic.#: Ob C C)3 3 �\S Expiration Date: 07) 1 t 0 Job Site Address: del) F .Q.?. ta..gy V] d City/State/Zip: ILa.yrts Og t'J i US 3 Attach a copy of the workers' compensiefon policy deihration 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 fine 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 verification. I do hereby certify un r the pains and per alties of p hat the information provided above is true and correct. Signature: f ,1"-e/-) Date: 11 f!_�-1 I 3 Phone#: c:324-1S2 r, �r 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 5.Plumbing Inspector 6. Other Contact Person: Phone#: Item Qty Operation Location Unit Price Ext. Price 100 1 Left- Fixed - Right None Assigned $2,653.90 $2,653.90 1 — . _ ' - i L-[ RO Size= 129 3/8" x 48 1/2" Unit Size= 128 7/8"x 48" IY L .. .. v , Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Aluminum Material I . 112 CW14- P6040- CW14, Unit, Unit 1, 3: 400 Series Casement, Unit 2: 400 Series Picture Window-CW, Installation Flange, Terratone •a,„ ................._...........____ Exterior Frame, Terratone Exterior Sash/Panel, Pine w/White- Painted Interior Frame, Unit 1: Left, Unit 2: Fixed, Unit 3: Right, �'" Hinge with Wash Mode, Dual Pane Low-E4 HeatLock Standard Series Argon Fill Stainless Glass/Grille Spacer, Classic Series, White, White Factory Applied Window Opening Control Device, White, Full Screen, Aluminum Wrapping: 6 9/16" Interior Extension Jamb Pine/White- Painted Standard Perimeter Complete Unit Extension Jambs, Job Site Applied Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW14 Full Screen Aluminum White PN:1345056 Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW14 Full Screen Aluminum White PN:1345056 Extension Jamb 1: Unit 1, 3: PSC Unit 2: P 128.875 x 48 Interior Extension Jamb Standard Pine White - Painted 6 9/16"Top Job Site Applied PN:1354626 Extension Jamb 2: Unit 1, 3: PSC Unit 2: P 128.875 x 48 Interior Extension Jamb Standard Pine White - Painted 6 9/16" Sides Job Site Applied PN:1354620 Extension Jamb 3: Unit 1, 3: PSC Unit 2: P 128.875 x 48 Interior Extension Jamb Standard Pine White- Painted 6 9/16" Bottom Job Site Applied PN:1354626 Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al 0.24 0.31 Al 20.0197 43.1480 5.99870 B1 0.22 0.33 Cl 20.0197 43.1480 5.99870 Cl 0.24 0.31 Quote#: 1147225 Print Date: 11/5/2021 11:14:40 AM UTC All Images Viewed from Exterior Page 2 of 6 rLANDERSEN' WINDOWS & DOORS SOLD BY: SOLD TO: CREATED DATE Hamshaw Lumber Co Inc. -Greenfield 8/12/2021 1123 Bernardston Rd Greenfield, MA 01301-1164 LATEST UPDATE Fax:413-774-6317 11/5/2021M Abbreviated Quote Report - Customer Pricing QUOTE NAME PROJECT NAME QUOTE NUMBER CUSTOMER PO# TRADE ID Wilson rob wood 1147225 ORDER NOTES: DELIVERY NOTES: Quote#: 1147225 Print Date: 11/5/2021 11:14:40 AM UTC All Images Viewed from Exterior Page 1 of 6 Item gly Operation Location Unit Price Ext. Price 200 1 Right None Assigned $720.06 $720.06 RO Size =28 7/8" x 48 1/2" Unit Size = 28 3/8" x 48" o CW14, Unit, 400 Series Casement, Installation Flange, Terratone Exterior Frame, Terratone Exterior Sash/Panel, Pine w/White- Painted Interior Frame, Right, Hinge with Wash Mode, Dual Pane Low-E4 HeatLock Standard Series Argon Fill Stainless Glass/ Grille Spacer, Classic Series, White, White Factory Applied Window Opening Control Device, White, Full Screen, Aluminum Wrapping: 6 9/16" Interior Extension Jamb Pine/White- Painted Standard Complete Unit Extension Jambs, Factory Applied - 28.878._ "-" ._.....__...an ee ere............... Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW14 Full Screen Aluminum White PN:1345056 Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al 0.24 0.31 Al 20.0197 43.1480 5.99870 Quote#: 1147225 Print Date: 11/5/2021 11:14:41 AM UTC All Images Viewed from Exterior Page 3 of 6 Item Qty Operation Location Unit Price Ext. Price 300 1 Left-Right None Assigned $1,516.32 $1,516.32 ! ° RO Size= 57 3/8" x 48 1/2" Unit Size = 56 7/8" x 48" At 1 w, ; Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Aluminum Material CW14-2, Unit, 400 Series Casement, Installation Flange, Terratone Exterior Frame, Terratone Exterior Sash/Panel, Pine w/White - 5.t1 51 Painted Interior Frame, Unit 1: Left, Unit 2: Right, Hinge with Wash Mode, Dual Pane Low-E4 HeatLock Standard Series Argon Fill Stainless Glass/Grille Spacer, Classic Series, White, White AppliedOpeningControl Device, White, Full Screen, _ — _Yb bTb P Factory Window _..............66176..._..................__ .Aluminum RO.bT.bTs Wrapping: 6 9/16" Interior Extension Jamb Pine/White- Painted Standard Perimeter Complete Unit Extension Jambs, Job Site Applied Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW14 Full Screen Aluminum White PN:1345056 Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW14 Full Screen Aluminum White PN:1345056 Extension Jamb 1: PSC 56.875 x 48 Interior Extension Jamb Standard Pine White- Painted 6 9/16" Head and Sill Job Site Applied PN:1354621 Extension Jamb 2: PSC 56.875 x 48 Interior Extension Jamb Standard Pine White- Painted 6 9/16" Sides Job Site Applied PN:1354620 Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al 0.24 0.31 Al 20.0197 43.1480 5.99870 B1 0.24 0.31 B1 20.0197 43.1480 5.99870 Quote#: 1147225 Print Date: 11/5/2021 11:14:41 AM UTC All Images Viewed from Exterior Page 4 of 6 Item Qtv Operation Location Unit Price Ext. Price J 400 1 Left-Fixed None Assigned $1,993.41 $1,993.41 I RO Size =77 7/8" x 60 3/8" Unit Size = 77 3/8" x 59 7/8" g Mull: Factory Mulled, Andersen Ribbon Mull, 1/8 Aluminum Material CW15-P 4' 7/8"X4' 11 7/8", Unit, Unit 1: 400 Series Casement, Unit 2: 400 Series Picture Window-CW, Installation Flange, Terratone Exterior Frame, Terratone Exterior Sash/Panel, Pine w/White- Painted Interior Frame, Unit 1: Left, Unit 2: Fixed, Hinge -;6„5 =_._.. _ 48,n with Wash Mode, Dual Pane Low-E4 HeatLock Standard Series Argon Fill Stainless Glass/Grille Spacer, Classic Series, White, RO 11 1, 5-MOS White Factory Applied Window Opening Control Device, White, Full Screen, Aluminum Wrapping: 6 9/16" Interior Extension Jamb Pine/White- Painted Standard Perimeter Complete Unit Extension Jambs, Job Site Applied Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW15 Full Screen Aluminum White PN:1345060 Extension Jamb 1: Unit 1: PSC Unit 2: P 77.375 x 59.875 Interior Extension Jamb Standard Pine White - Painted 6 9/16" Head and Sill Job Site Applied PN:1354624 Extension Jamb 2: Unit 1: PSC Unit 2: P 77.375 x 59.875 Interior Extension Jamb Standard Pine White - Painted 6 9/16" Sides Job Site Applied PN:1354754 Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al 0.25 0.31 Al 20.0197 55.0230 7.64960 B 1 0.22 0.33 Item Operation Location Unit Price Ext. Price 500 1 Right None Assigned $666.05 $666.05 RO Size =28 7/8" x 41 3/8" Unit Size=28 3/8"x 40 13/16" o CW135, Unit, 400 Series Casement, Installation Flange, Terratone Exterior Frame, Terratone Exterior Sash/Panel, Pine w/White- Painted Interior Frame, Right, Hinge with Wash Mode, Dual Pane Low-E4 HeatLock Standard Series Argon Fill Stainless Glass/ i _ Grille Spacer, Classic Series, White, White Factory Applied Window Opening Control Device, White, Full Screen, Aluminum 52 Wrapping: 6 9/16" Interior Extension Jamb Pine/White- Painted Standard Complete Unit Extension Jambs, Factory Applied VI,_!01 Y>4 Hardware: PSC Classic Series White PN:1361536 Insect Screen 1: 400 Series Casement, CW135 Full Screen Aluminum White PN:1345075 Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area (Sq. Ft) Comments: Al 0.24 0.31 Al 20.0197 36.3810 5.05790 Quote#: 1147225 Print Date: 11/5/2021 11:14:41 AM UTC All Images Viewed from Exterior Page 5 of 6 SUB-TOTAL: $7,549.74 FREIGHT: $0.00 LABOR: $0.00 TAX: $0.00 TOTAL: $7,549.74 CUSTOMER SIGNATURE DATE *All graphics as viewed from the exterior. ** Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or other items. Thank you for choosing Andersen Windows & Doors Quote#: 1147225 Print Date: 11/5/2021 11:14:41 AM UTC All Images Viewed from Exterior Page 6 of 6