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36-269 BP-2024-1235 78 TURKEY HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-269-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1235 PERMISSION IS HEREBY GRANTED TO: Project# INTERIOR RENO 2024 Contractor: License: Est.Cost: 114828 ADAM CLARKE 102048 Const.Class: Exp.Date:08/07/2025 Use Group: Owner: CHARLENE &BRIAN COLBY Lot Size (sq.ft.) Zoning: RR Applicant: CHARLENE& BRIAN COLBY Applicant Address Phone: Insurance: 78 TURKEY HILL RD FLORENCE, MA 01062 ISSUED ON:09/25/2024 TO PERFORM THE FOLLOWING WORK: INTERIOR 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (fir" Fees Paid: $798.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner ---A--t----?, --0-‘4 ,�rce ► I l7 35-a(A.-- c-1°1 1 t, F _ t r sal, The Commonwealth of Massachusetts 2 4/ 2024 Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY 4fipT of USE h'°uT '"'°1N. t ' Per it Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 NAB: - pP R p oN'P'A°7o v !+ One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 60'a 4i a v" Date Applied: F, --a�� _ SL 9. Zy Building Official(Print Name) gn re Date SECTION 1: SITE INFORMATION 1.1 Property Address' ^1 1.2 Assessors Map& Parcel Numb s hBTu r K .l{ I-1-i t I cal ��7fQ�'Y� �J S cLDt 1.1 a Is this an accepted street?yes ✓ no M H a� Map Number Parcel Number 1 Zoning Information: 1.4 Property Dimensions: r le 'a 18( �.a4 N/A Zoning District Proposed Use Lot Area(sq II) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided N N -NA 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone I'nfor ation: 1.8 Sewage Disposal System: Public 19' Private❑ Zone: _ Outside Flooyes or' Municipal site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP' 2 Owner'of Record' C.I�rlan��/nr 'anal 66 \— l 0rerc-e /4 ( - O IC- 3 Name(Print) City,State,ZIP ( .C��� l r-1`a\ur WI I lcal L e-S75-6 Crn rY7 '0mao No.and Street Telephone E ail Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building ci Owner-Occupied g Repairs(s) 0 Alteration(s) 0 Addition 0 A Demolition 0 Accessory Bldg. 0 Number of Units Other "Specify: 126345 n o i Brief Description of Propos Work': 0 C,,c)fr r -I r an b rlq a, a ,nV\arr� 1 ooc SECYIO MATED CONSTRUC ON COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $/ 1 /64/, irip 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee I o� 40 0 Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ L l ii-4 . $� 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ if i‘i Check No.2 605Check Amount: i Cash Amount: 6.Total Project Cost: $ I I L$�' 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES I 5.1 C nst uction Supervisor License(CSL) /13 I i) �: 1Q CD _0{7 fir a m 1 • a.r�(L [License N(um(berr Expirattion Date Name of CSL Holder I V G r 3c\ t 11 C.) „1 List CSL Type(see below) U No.and Street v V`^�[ ` T Description 1 ,� a_ 1 ct& \ MA- CD`�� V Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP J 1" 1 Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering 46C,Peactar i�5l�G�'OD► , WS Window and Siding LI 1 -C2AO - CiD 2 C SF Solid Fuel Burning Appliances N •I��JYY1 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 'ors NC. HI C s Li3 � iat-� ) Regigistration Number Expiration Date H C C any Name or HIC Regi ant N I Olo -�ranV Ma- V,b O `Cs le sc "Ker_ora s-' n N .and Street (OTS _ Email address •C_C�'�\ City/Town toZIP 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 1' No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTORR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize lI _ih1'(1?3 P'[i?) r f')d_ ) to act on my behalf,in all matters relative to work authorized by this building permit application. klainT C.J d r- d a4 Print Owner's Name(Electronic Signature) late 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 contained in this application is true and accurate to the best of my knowledge and understanding. —�ha_,al-tichai au_441 . //a/di/ Print Owner's or Aut orized Agents Name(Electronic Signature) Dat NOTES: 1. An Owner who obtains a building permit to do his/her own w ,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A er important information on the HIC Program can be found at www.mass.gov/oca Information on the Con ction Supervisor License can be found at www.mass.gov/dps 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" 9/19/24.11:45AM Proposal Print evaluation sheet will be provided for you to sign. Your final payment and any progress payments should be mailed to the address below: A Clarke Construction, 1 Court Street, Westfield MA, 01085 We ask all of our clients to: - Keep their appointments, or tell us, at earliest opportunity, as soon as they realize they can't make it; - Provide us as much notice of your up-coming needs; - Respect that we are focused on doing a 'quality'job, rather than a 'quick'job; - Pay invoices in full, on the due date; - Treat your purchase with the respect and care it deserves; - Undertake the prescribed maintenance schedule for your goods; and - Always remember to enjoy life! In return,we agree to: - Keep focusing on continuously developing better ways to provide for your needs; - Respond to all your communications as quickly and efficiently as possible; - Give you the most accurate expectations on delivery and strive to 'over-deliver'on our promises; - Provide you with a consistently friendly and professional service, no matter who on our team you deal with; - Maintain our quality and not tolerate 'inferior' products,just so we can 'discount'; - Keep you informed of our innovations and treat you like the valued VIP that you are. Approval Deadline: Sep 18, 2024 I confirm that my action here represents my electronic signature and is binding. Required Owners Charlene& Brian Colby Sep 9, 2024, 11:05 AM Approved Outout No reason for action provided hops://buildcrtrend.ncUapp/Proposal/Print/9511826 5/5 The Commonwealth of:Massachusetts ±: �-- ' = Department of Industrial Accidents =17 1 Congress Street,Suite 100 `"—AL ' Boston, MA 0211.1-2017 ►i'H'lhmass.gn1'/(lift Wruicers' Compensation Insurance Afflda+it: 13ui1ders.!(-nntractorst/EketriciansfPlumbersl. I O HE FILED F 11►S I tit TICE PER-►111 I!Nt;:�l'THOKI"1'Y. Antillean'information Please Print Legil►!v Name(13ustr►cwc'Orranizztlon!ndls lduai I: A. Address: C5 u L0 yV d.. vto�ACitv�'StatefZip: o P tune g: L113— a 40 SYo a rc su an employer?Cheek thy appropr ate fors: Type of project(required): 1.1 I am a employe.:aids (v employees(full attd iu pat:-lintel' 7. 0 New construction I am a sole proprietor in lr nnership and haw no employees Murkic g for lase m 11. 0Remodeling any 1.-2pao.tt'.[Nu workers'comp.wur:tnaa nttuinxi.l 9. ❑ Demolition 30 I ant a hintiams ner doing all nerd.myself.[No wurken'csmgr.irtnttrcuwe ra pineal) 10 Q Building addition a.O I am a It nn.:uw tier and will be hying«s nt-.i tarts:uvndutt all wttl on my p1V]\Ytti. I'. ill en.un that all 4.-01111aLltita eitltet haw workers'uusupertsatlutr ntsmtattce or ate.uk 110 Electrical repair;or additions pruptiekous%uh no employees. 12.0 Plumbing repairs or additions 50 I am a aerteral cuntrectur and I has.:hived the Mob-cutrtractutr listed on the atta iact!sheet 13 Roof t repairs TheseWh-cuntractuts has►employees and has.N'U[16Cri ct cgs.insuraaee. 1�s G.Q N e are a eotpsxattun and it,officers hale exercised their Hybl ul exenlpirtmt per NI(AL.. 14. tier bl §f 1 i t.and we hale no employees.[Nu%osiers'comp.insuruse.required.' n nJ eoc5 'Any applicant that -IAa:ks bur.:t must also fill out the section below.haw ing their workers'compensation policy information. Homeowners sshu sttlnmit this atltdas it ituln mmHg they ate doing all wink and then hire outside contractor.must.ubmtit a new:Whigs it indicating such. :Contracture that cheek thin box must attached an additional sheet shuts ing the name tsf th..uh-couttactars and state whether to nut those sattit's-,has. employees_ It the sub-contractors has..-rrtplu+.es.they must pros idc thc-ir worker. comp.Isiltcs'numbei_ I am an employer that is providing soarers'compensation insurance for my employees. Below is the police and job site information. Insurance t:onipany Name: A r t'J-ell Policy#or Self-ins.Lie.I#: �,(� ). xp o Date: - SLQ r1I a , y I Q» )41 Job Site Address: 1��LXn �K t 1 P C)!A't� City/State Zip: 1-1Cce M A- v 1063 Attach a copy of the ttrarkers'contpsation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under M(iL e. 152.*25A is a criminal violation punishable by a fine up to S1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to SS250.00 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 ce of u er the pains and penalties ofperiur►•that the information provided above is true and correct. Si=_•nature: I)st.: 61 a a ;}hurts: : LAS—ab Official use only. Do not write in this area. to be completed by city or town official Cite or boss n: Permit:l.icense Issuing.%uthnrit% (circle nue): I. Board of I1eallh 2. Building 1)eparttnent 3.City/Town Ckrk 4.Electrical Inspector 3. Plumbing Inspector fi.Other Contact Person: Phone#: ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/12/2024 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 Greylock Insurance Agency PHONE Mary Benjamin FAX PO Box 603 (A/c.No.Ext):413-729-6090 (A/C.No):413-997-3710 Pittsfield MA 01202-0603 ADDRESS: mbenjamin@greylock.org INSURER(S)AFFORDING COVERAGE NAIC License#:1803779 INSURERA:Arbella Mutual Insurance Co 17000 INSURED ACLARKE-01 INSURER B:Arbella Protection Insurance Co 41360 A Clarke Construction Inc 1066 Granville Road INSURER C:Associated Employers Insurance Co 11104 Westfield MA 01085 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1054885619 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. INSR TYPE OF INSURANCE ADDL SUBR- POLICY EFF POLICY EXP LIMITS LTR JNSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY 9520108576 6/13/2024 6/13/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $100,000 MED EXP(My one person) $5,000 _ PERSONAL 8 ADV INJURY S 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER GENERAL.AGGREGATE $2,000,000 n POLICY X PRO- JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: B AUTOMOBILE LIABILITY 1020038629 2/20/2024 2/20/2025 COMBIaaccident)NED SINGLE LIMIT $500,000 (E ANY AUTO BODILY INJURY(Per person) $ OWNED x SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) S UMBRELLA IJAB _ OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ c WORKERS COMPENSATION WCC-500-5009653-2023A 12/9/2023 12/9/2024 X PER AND EMPLOYERS'UABILITY Y/N STATUTE OTH- ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes descr,be under I DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S 500,000 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. City of Northampton 212 Main Street Northampton MA 01060 AUTHORIZED REPRESENTATIVE ../YJa..y P' .16 ys^.:_ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT:_ LOT SIZE:WCR5314 0/A REAR LOT DIMENSION: REAR YARD /4/61. SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton OZ,,AM,.,O - ,. ��S Sj' ��, a-^ Massachusetts �S c( I ! i 1• K:;c4 P. DEPARTMENT OF BUILDING INSPECTIONS -S. c ro ,�'� �i' " 212 Main Street goMunicipal Building O Q1. �y�,.. Northampton, MA 01060 rfph, V7k'Vt' 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: \( ) IOA) C_O 0 6Y\C\ ,C3) - '' ' 1 \ . The debris will be transported by: Name of Hauler: a--th (r7(Y t` CQ c-j. Signature of Applicant: cd Date: C-t II a O�a(---1 G f Lt,erce Cne.,LuL-)1 14; Ya . Commonwealth of Massachusetts Division of Occupational Licensure • Board of Building Re ulations and Standards IT Conson ' rvisor CS-102048 E spires: 08/07/2024 ADAM 7 CLARKE 1066 GRANVItLE RD. WESTFIELD I<Olf1 011 vaiiTiiSSS; • ••• ^ n .E2 Y''-4'I J • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration z ""' _ t v 1 :"'��' •w �., . Type: Corporation A. CLARKE CONSTRUCTION INC. A - • Registration: 163413 Expiration: 06/15/2025 D/B/A A CLARKE DESIGN STUDIO -= 1066 GRANVILLE ROAD WESTFIELD, MA 01085 = = = ..�._ • Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiratism 1000 Washington Street -Suite 710 163413 06/15/2025 Boston,MA 02118 .CLARKE CONSTRUCTION INC. B/A A CLARKE DESIGN STUDIO DAM CLARKE J66 GRANVILLE ROAD 4.404' IESTFIELD,MA 01085 1 1_J-- Item Qty Operation Location 2200 1 N A None Assigned RO Size: Unit Size: LOOKUP BY R, BRACKET, SPL ARM W/SCREWS 82 PN: 1361210 PART NUMBER ENERGY STAR NO Item Qty Operation Location 2300 1 Active-Passive None Assigned RO Size: 36" x 42" Unit Size: 35 1/4" x 41 1/4" G336. Unit. 400 Series Gliding XX, White Exterior Frame, Pine w/White - Painted Interior Frame. Pine w/White - Painted Interior Sash/Panel, Active-Passive, Dual Pane Low-E4 Standard Argon Fill Stainless Glass/ Grille Spacer, Metro, White, White, Full Screen. Aluminum Hardware: GW Metro White PN:1765206 Insect Screen 1: 400 Series Gliding XX, G336 Full Screen Aluminum White PN:1763610 Unit# U-Factor SHGC ENERGY STAR Clear Opening/Unit# Width Height Area (Sq. Ft) Al 0.3 0.29 NO Al 14.2810 36.1250 3.58000 Quote#: 5635752 Print Date: 6/1/2024 10:36:40 AM UTC All Images Viewed from Exterior Page 11 of 12