Loading...
17A-221 (7) 182 NORTH MAPLE ST BP-2016-1195 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-221 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: windows replaced BUILDING PERMIT Permit# BP-2016-1195 Pro iect# JS-2016-002057 Est. Cost: $27890.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 090125 Lot Size(sq.ft.): 18730.80 Owner: KLAES ROBERT&JUNE zoning: URB(100)/ Applicant: RENEWAL BY ANDERSEN AT. 182 NORTH MAPLE ST Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTH BOROMA01532 ISSUED ON:4/12/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 14 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 4/12/2016 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton Building Department �7 212 Main Street APR 12 ?Ole Room 100 orthampton, MA 01060 DLE -11 4 3-587-1240 Fax 413-587-1272 ,rk. ark APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 7.1 Property Address: This section to be completed by office Map Lot Unit 182 NORTH MAPLE ST FLORENCE, MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: JUNE KLAES 182 NORTH MAPLE ST FLORENCE, MA 01062 Name(Print) Current Mailing Address: cc��nn 413-584-6245 Telephone Signature 2.2 Authorized Agent: E M IN 30 FORBES ROAD NORTHBORO,MA 01532 Name( rint) Current Mailing Address: 508-351-2214 Signature 1zTelephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 27,890.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 27,890.00 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by SINGLE FAM SINGLE FAM Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % 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 © DONT KNOW ® YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW O YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained o , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® 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 Alteration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[p] Other[p] Brief Description of Proposed Work: REPLACE 14 WINDOWS-NO STRUCTURAL CHANGE Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa,if New house and or addition to existina housinal complete the followina: 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 JUNE KLAES 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. ?,P Qs�r QUI Signat�er 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 pa' and pe alties of perjury. - J /dikft_JP_ Print Name A7)A__L Z` - 9-�,� Signature of Owner/Ag Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 86 GARDINER STREET LYNN, MA 01905 10-06-16 Address Expiration Date 508-351-2214 Signature Telephone S.Roulatered Home Improvement Contractor: b Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FORBES ROAD NORTHBORO, MA 01532 12-23-17 Address Expiration Date Telephone 508-351-2214 k 14z Ir 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....... W 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 permit. 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 eke C'ommoxweek&of.'?rlanackasei* Deptrrltatraewf ro'laralx�tria!'.��x�s O.Okle Of 1j"eS49V&*$ 0 1pashhqtan.Vree t Je stm,KA 02111 tw,ow,iM engovIdis Workers' Compettaation ltniwance Affidavit:Bufldez%IC utra+ctonV trlriensMuumben It +int In;l'ar�ptalai0 . .�11��� 1 ! •�I I'�ltb9e�'�mI. ly nBeTiC tBttsirtesslihfsa wj.-antfnM(fistdh"j' RENEWAL BY ANDERSEN Address: 30 FORBES ROAD City/Statel7.ip-`NORTHBORONA 01532_._ Pht1t ?':W508-351-2200 _ Are on as em*y y—Cheek the appropriate bow: Type ofpr*,rt(required) T I toot a employer with ___30 __ 4. ❑ 1 am a gran ml uwwaector anti I 5. ❑N iew canstrucrtio n etnpla ees{fu l attd,`or pa:taitnc�' have huvdihe attv-contraoors 3list.-Al tm the attached.dteti "* ( ?, ' Re mc4al ing i am a sole p�p�etor or pa:tttesr- list .-Al and have no Employ fhe%soh-%wgdt4uu)rs have S ❑1)e mulition wotking for tete nr WV IMPK ity workers'.map.kwffwn x. 4 ❑Building addition [lNo wtrkers'comp.NVuWa*cc z 0 we am a commatxan aad iLQ 0ffic"'s have raercxed ttK-ir Ekx trieal or litioras a.[„j I am la,mcov►n r doing all work right of onnj doa pa MGG, t t: Ptiunb mpau�s or idit>ons trryself l No wAers'co mp- c.152,0M a J v►v have of 12.:3 Rout maim ttrstna=rat{uoa]' employees [No woflwrs' 13❑{khet i amp.mouawc regwrri.] --- AAs,,ao iwn that jr&%bm 4'must 4V feel-V;the a:.*n W6%%boss tt�t ow ss.a + �.mry�x:s um wile)M200 c. rs i W0W0 & Aha Vi.)s tt th?'ai�`adwvit t`adtt*w;gw�abz dame mit aott tofu d=We M.daor cuaru a "mint m&m6 a an aloud.0 ss�Jt =�:vs araxs MvX4*%by,tttutt ma we.W A&Wad%boo i A.VkMe the not tsi 0z sub,-pahxm+t:and thou i6oM*,s't,wT pra'3 pUtq'ttlxwn l ain as eaVA"r drat is prom wwAm're mptwtttioet I ont►rac*pr AV eMptuym Stot,iso skepo icy octet job abe igftrnrtttlpf. lnaursttce Colnpmy Name- OLD REPUBLIC INS.CO. ruled 4 or:self-hw. Lu• � KW 5A3_Q4.__ . -16 182 NORTH MAPLE STREET FLORENCE, MA 01062 -- job Sita Aess: ---------- Attach --Attach a ram of the work*W compensation pokey decatr adon pW(sttawhsg the polk)number mW esplrarthm dare} Failure to tuewe coveltage as:equyrvd unM Stion 25A of NJGL c: 152 can W to the Lmptssfbon of criminal pe -4 of is fine.up to S 1,1100.00 artd or ane-year ataprssonmcdt,ab well as(--h it pen4ieS in the form of,a STOP WORK()RDER and a fm d up to$2-V 00 a day against the violator. &advised that a copy of this statornent rune.,be fomard&l to the Office of Investigattcym of the INA for nnurance coverage veriticahon I*hereby • atatiot pours tirtclpantairs of perjmpy dwt Ow it{lrar ltr�vtt ptttrlkd rrbeht A a�OW comwt $lam __.... y 50 51-2200 Q#kJal use a*. Do not write in tkit wine.,to br rempkUd by ri,(r or town a,,M lel: City or 'own: PerrLieatasaa# lsxW"Agit)(chef-one): 1.Board of I1ean 2,Haffding Department 3.Cig!ro*n Clerk 4•Eketrlcal Inspector.S."embitrg Inspector 6.Other Contact person; I'lwrrr#: +► a Ckmi *� ANC7-N7 VinyUlNobd a:ompoaft Mederisl Dual LArgon Laws-Ed Smar Sun PsaoductType; Picture ENERGY PERF'S}FVAMCE RATMW U-Pa&or Solar Heat Gain Ga�iin�►Cooetti+fee 0r 1053 0 . 22 A P i 7k—m-n mAL PEaRl4C3A r= RAnNciS' Yisibie TraneaTaittanoa 0 . 51 �+MNGf�RIiXl�CSRIIW�utcYaM�i�Msf �a�AeOiY iY1l• �jHah+Msmli. VIA aswnsmew�ae�wrM�6wM+ew.n�errai�erra�ewatas+c�brrarspeprawa s.eusirr.P.re�Ys rr�rr�1[w�u['r1e�NMHsip�ion. mrd f�ifleKl a or M"M OMMcM T2IAA.IIOkNDM DFI p" F-050 i I ta7Q-O�Bf tAf3B-LiOy Renewa 93 byAndersena WINDOW REPLACEMENT an Andetsm(:novt1v Wood/Vinyl Composite IF Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)A-P Solar Heat Gain Coefficient 0m29 0 . 19 - ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 .. 42 MaauhWarar stlpusuaa tot tow ratlnpe amlam b apprcaoN NfT1C preaedares for d.urmininS whets pnaduct pedorawnce' mR NC mkol am detarmkmd lora root oat d asw wMenm cerMkiam and a ap+e+Gc pradum us. NFRC doss net raeemmand any prodam and dela Mt waraM 1M sakaakky at any produm fa any spedirn ase. Coria,rnmufacturor's Femurs for sthar produm P*namancs 1nbrm0W- Www.rdtc.Ogy This product meals Breen 6._ flwte Mahe meatal standwdayowrninyanergy �x. elRc'raney,Mary me41s iu �„ 't f 9*w aril amarmar educatioMl <` r,,,s r f�: e. � vsXAf malariet aww. ..+-' DESIGN PRESSURE(PSF) vnK"am ow , www. m..00n H-LC25 RbA DB Sloped Sill DH IN Tftw wiWSW crA"11C14MMIMAfil OK htuadackear slouwm mmotmmiaeb Ma or atargtrns. deets a exmreds M.E.C.,C-E-C,&I.E.C.C.Air infSkmJi a mq.kamsnta WOMA Hslk wk Cenftalkm f§syram. ReneWal Itemized Order Receipt 11�,Andersen Aw Rawwal b Axi&nmn of bwom Jun*Kilbas 4*3i5R4-5245 I Ro,-?m Field fo.isz: 101 Liv Hardware: SE teen: f Grillo Style: % Grille Pattern: ..-i- 102 Liv Window: i H ardwa re: Screen: Grille Style, C.1rillp Pattern: Wsc' 103 by Windom. 1,:1 T G I avi Grille Style., GrAle Paitte.rn: Misc Winflow- r!;:t' 01- Grille Style: 7 fat l'le 'Patter'n: J M iSE7 P I Itemized Order Receipt ll'Andersen d6&-kvwwal bv Am&ngrt of Dovbm 170810 M Hall window: Glass. Hardware: icfeen: Grille Grille Pattern: --,m Fisc. 206 Hall Window: Glatt Hardware: 'iC Screer.: Grille Style: rille P.,mern: 207 Bed 1 VVindow- u-j ',-I F,'7:F. Glass: dir'li, Hardware: 'o—c Grille Style. Grille Pattern: 20$ Bedl 'Window: Hard are: Screen. -J. i Grille StylenE Grille Pattern: ReneWal Itemized Order Receipt 17*An.dersen d"-RcurwJ by Axi;hnwrt of bo"s An*KI"s 11; L Iry 170810 TIM 209 Be,12 '04indow: Glass: Hardware: *`. t. Grille Style. Grdlp Pattern: FaF,SC 210 Bed2 VVindow- Glatt: c Hardware: ',fn Grillo Style' Grille Pattern: 1A I s-C 10. 211 [ip,l Window: F— 'Glass: Hardware: Stween: 'I Grille Style. Grille Pattern: 141 a C. 212 Bed3 Window: .,T Hardware: 5 C Teen: Grille Style. ar r i I e Patle r n: IS C WINDOWS: 12 PATIO DOORS:0 SPECIALTY 0 MISC. I TOT, i S23,%8 UPDATED: 0 3 IS 6 u,,-O and lcu,l ;?J' -t.i rhTf P4, Renewa .M Renewal by Andersen Corporation -ofhcs Mass -Et,,. ki 15'2 Rktad* NkirtlttxqouFL % ,ad)u,,, "A L, byArxlersen Mucle(5041 3 5 1-12fill!)- F 3A 4 508�9MI-7(1'-' WINDOW RIPLACtMgNT 201 CCNM%CT ThIS--kiltOldificni thl..CUSIFOXI"'INEILM,:,,Nv rvoR [VONCLI'l XCHL'"A L'%'AfIlk:l"IL'it Corporahkmt At'id hAn, KIACk 4-l'tIV1:f .­). COM I IUI:101`M-ki BLAYLT11 lwr%:by agivi:to aitiet-*j and li"Ill'y 11L,: [,t:Jk1w. OIh%:r Ilian t, j-k-lV%V.jjlj jjlk•tCffjjS;Iltj LOjjjI%"jn,",l llrl� Will lvltljtll of 114JI lklf'k:I:-Itld I!ttk:L 1. T1 iL%Amci idrr,!rtt is suktlLv I M.L' Ow O'erml-11NA Lk'lldlt.OJJS III [lit: VMVrflk:n,,. Thk:1l-110W ltl: ,jdLt3t1k'4L-i,j]1%.!rjn0fIS,Of'.Ael IL#tIS It:Itrslllk S;it J xirVILA:k Btjv,:r is I ot-LicivJ:tri'Lt jrl.g 1 llakIL- Amendment to agreement Add I double hung windim In den canv2si out white in.full frame Reverse cottage with custom check rail height and tempered jtIa&% CkI.1II_-4LN. lits: 10110kviri,-I, tk:rill-, L-I the A;4VCL-ML:I1t "N akO ill th,!rk: is It" L[IJfI-,.,L', AI1 OLAI'l Wilt [V lell, blUlIx L%1 MLLIAM:4 11411 Ilk'11131i+;1:JI-11ILk". NEW Tolal.loll Ar�lt,ri,; S27,8V.kV Pavnwnl Method: t lq-%,iii WL-,viv1d :&,;.k;I 5.0L, CficenSky Finafxx Check New LUI-mi,c it SUr.L11 101': 59j;.-i-1.50 (ttl:vnSlkFixiavhx N,-%-., Crrc%:nSk4 Finitivi: St firlsl kit 1,+: Vl.l;:L7.N.-I ft to aSread and undentood by&W between dw putke is diis Aammdowd mW the odgind Agmemat omxdhft this entim undamindtaS be- twOm the PUtia.MW ft=an no VUW WWWSWWWW chwgM or Md1ftft NW of the Unn Of Ns Amixwkwmt ") havby at hwwl- edgm thatBuyniW hu nod thisAnurAxwd and ho reavivtd x OMP1d4 rt4 imil d&W oupy ciftivis AmmdmwA on Ow dde writban below. Ra"W by AndmM Cmpamfim 94werw June M Klaes it': .mstS.i�JtStA Ulm xfmirlft RiffleWal Agreement Document and Payment Terms 4*Anderscm Aw Rvw—al by Asclknen,of D000s Ain*Xt"s 1 U6, ,47 r-cfci�; "J.1 4 z I -0 Naitic. June Kla" t.a]tttratt hate. 03110116 ('LL-,im-no 10 Silver Addrcxv 182 North Maple St Florence, MA 0062 Sxxond--n ldcphusic Numix-r. niuLary 17-111.ail- k1aes1824kcwncast.net S-. onkliar-, Kj,.c!!s1 INcreby wind, ;md sc,rulla kgrt-s ro pa-rchvw4bc pit-dkjo-;aadfo( cr.r t, 4 R;:DmAl b� Aii-d-m-m. 1.3('d-1*b.-%-j Rcm-wal b. .% zdcrwrj in ai.LordaitLc ^tth thk-wrtiv,aiid Conditi4mi dc%-Lrz6cd in this`'4t UUTTIIL-nt DOLumena arid Payn W*nt Ir rm-c. Nt i6ce of Cam.-ebrion. ITrmi-ivtf Receipt.WjtrA nry, and('s"Tillhrion,of I�id-'Nife F-otm. If 6)sing a Hiiildcr.and .16 I h orhe-documoir jrrA<hcd io chk Agreement LNxtun-hrnt,The tcrms of Ah,Kh ast all agired to bv Eh.0 PM-El4-4 and irwoiporarcd hocin by rxiercricc(caflec-ivvhi, than 'Armcmcnt-1. Bwx:rk i hercbv Ar .rccx to Aig"a c—pl-son crr-ific;itc of c:r ContrAcrar hax cmcipleEed all under this AFreemeni. 1,41tal);)b Amount: $23,948 Byugiung rhi%;igtr4-mt-n;,,vnti ;cknrvr,,-4-epr chat tliv Rx-Li-wr [Inr. and thv Amolant Ro:xivLA S948 Fin2nLtd 11.11mt kv trialic bV ivrurrul -lwck.hank L6xA-cirobt"rd,or c4%h. 1.')vqx,N1t Ralan,L:Due: 523,000 F-stur-fl-A Ettnutctf CLmn,40[gift: .Vnount FirianLcd: 523,000 5-16-16 1-2 days MzihuL 4 Pavalcm: CaSh/Che`Ck tike inK;jllarioms Kiied r,n -r c djic of(hc si gii<,l conmm arid Oft Financing the dare in which we complete du icAnILA rnca.%urcmen"-Tik-inAallatton date'z6t ikvc Arc jwyy ing Lit this,rimy k on1% xi mimite.Wc will communicate an dirc 57667 at signing and trritc at a later datc. Rain and c-ktrcmc wcathe-r an:11t,:Tttv-nt LLoncmuti tamcN icer S7666at start aLlavL S7666at completion Fki,cf,s I %rv;:N mki und-trittad-;that this Aplentilt',ritSls1:tlCektyle cnrifc pawl,the pawanJ else[ There are N.,,vital uno�c.-,.Undiscz changing or modifing Any nF the tcrms of this Agrermeni. No,21wLracion%to or devialions from this Agreement voill be-valid %,-ithou- the signori, k%ri iten�A:-nwnt of bit th the BLk&r*- End Contractor. Bwottts!hffeby jckwyw!;.*x-s that Bitkerts) 1) his read thii. Agro.-mrnr. %imlemtAnd%the orrm,of this ARimment.and h2%wrhxxi a oirripEcted.,,mnrd. and LIATed CoPV OFlhi% Apyremt,-nt-including the iux, atta6ta Notic%OFC2.11LVIlation.on dw-htc Irrq uriticii alxwe and 'uas otally infurm-Lxi ui'Su-,1,crs t2ght cc,caned this k_ NOTICE OWNER: JIL:ent Du not uivi duS LOntrICt if blank-Yvu Ltlhr:Ltapr Let the LIMILM-Lt Al tkC 1121.1C "Kil. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE 'THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCEel ON FOW FOR AN WtANATION OF THIS RIGHT. a !qmaiurt: Of Sall--A lk-i-son Signature slKizatum- James Kassiotis June,Kim 1�ixa Nivic ofSalcN l7cr%on NIL L nt Kmic Ptint Name a <;, -7