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Untitled 67 PROSPECT ST BP-2017-0668 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block 318- 102 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPAIR BUILDING PERMIT PermitBP-2017-0668 Protect If JS-2017-001091 Est.Cost:$8000.00 Fee:$65..00 PERMISSION IS HEREBY GRANTED TO: Qonst.Class: Contractor: License: Use Groin ACE FIRE &WATER RESTORATION INC 074416 Lot Size(sq. ft.): 18251.64 Owner: DING DJUNG YANG Zoning:URC(100)r' Applicant: ACE FIRE &WATER RESTORATION INC AT: 67 PROSPECT ST Applicant Address: Phone: Insurance: 18 ELIZABETH ST (413)750-5200 Workers Compensation WEST SPRINGFIELDMA01089 ISSUED ON:II/16/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:STUCCO REPAIR DUE TO ROT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of numbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House R 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 11/16/2016 0:00:00 565.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck Building Commissioner File#BP-2017-0668 APPLICANT/CONTACT PERSON ACE FIRE&WATER RESTORATION INC ADDRESS/PHONE 18 ELIZABETH ST WEST SPRINGFIELD (413)750-5200 PROPERTY LOCATION 67 PROSPECT ST MAP 31B PARCEL 102 001 ZONE URCH00)/ ;THIS SEC t ION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid TweofConstruction:STUCCO REPAIR/7( F ROT New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 074416 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: ppmved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health _- Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay w/ _/''�/'' ///.5-/K Si& . re o uildint (ficial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Department use only 1 -°" ' 4 City of Northampton SiaslsaiPemdc L Building Department Curb Dutlbnvewdy.Pmmlt _. u 212 Main Street Srner/SepacAva abNtty ' Room 100 Water/Well Availability Northampton, MA 01060 Trio.&ReefStructralPlans phone 413-587-1240 Fax 413-587-1272 Ptovsje Plans`. Other Spat* APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION t.t Property This Address'. This section to be completed by office 4.7 Pros pc .4- 5% Map LotUnit WOrt-ha-.mpba 1 MIS O Zone Overlay District Elm St District_,.... CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1'}Owner of Resort �^ �/ /�✓ /e1:5 �U tx st yr et5 ` //n dire I�.KQ omfamns t dvat t N., ( l) `J Curren Mdlli edmo / J Signature . - iirad` I Telephone 773_,2 V-, ,..5-Vs — -_ Z.2 Authorized Agent A o ri4 ?WO-Aid Irt EIj24.L04-4 57 /A-)- Sprr.%1-.IvY KA NILinnt) Cuomo wens,us � it ? (�.�i?� m Oa- 7640- 1/4C-G200 *nature Teggmne SECTION 3.ESTIMATED CONSTRUCTION COSTS item Estimated Cost(Dollars)to be Oficial Use OMy completed by permit applicant 1. Building $7,_ ea (a)Building Permit Fee d 2 Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 12- ,yj /'�/ 6. Totai=(1 .2+3.4+5) ChectcNumber /a 4 (..1� This Section for Official Use Only Building Permit Number Date Issued. Signature: Bth dMg Commissionemnspector of&Hangs Date SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing n Or Doors ❑ Accessory Bldg. ❑ Demolition U New Signs I❑) Decks to Siding EDI Other( JI Bnet Descnplion of Pr•posed - Work. a • ..r .... • • tr Alteration of existing bedroom__Yes V No Adding new bedroom Yes t` No J Attached Narrative I ` Renovating unfinished basement Yes /V. 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. In there a garage attached? d Proposed Square footage of new construction. _Dimensions e. Number of stories" (. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance Masscheck Energy Compirance 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 foci 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, //yr/9 u,N �J //�(ai lly as Owner of the subject property / /j // 1.) ` hereby authorize 44 4 e W • - r, - /. ♦/u.N ,_ to- on my behalf in all matters relative o work authorized by this building per r app kation • - , io [ SE afore of a argf_ff/ /1 Da "� , %V.[. I. �j'/. / ,i '14 / e ,�c t - , e v �/✓as O Authorized Agentnereby Oblate"that the statements d information on the foregoing application are true and accurate,to the best a eC§e and belief. Signed and the pains and penalties of perjury. • �.? Print Na'' / ,a W Sgnetu-of Owner/Agent Date Section 4. ZONING An mfermanon Nutt Be Completed. Permd Can Be pealed Oue To Incomplete Information Existing Proposed Required by Zoning this column le he filled m n, Bedding neranmeie Lot Size Frontage Setbacks Front Side t. RI E: Ft: Rear Building Height Bide.Square Footage Open Space Footage au II-01 area rmnu,hoes pa cd parkmgr of Parking Spaces Fill. n.wme m tacanrel A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW (3 YES 0 W YES,date Issued: IF YES: Was the permit recorded at the Registry of Deeds? NC O DON'T KNOW ® YES O IF YES: enter Book Page and/or Document B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW CO YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Q , Date Issued: C. Do any signs exist on the property? YES © NO CO IF YES, describe size, type and Ic cation: D. Are there any proposed changes to or additions of signs intended for the property? YES (0 NO 0 IF YES, describe size, type and location: E. tM1iii the construction activity disturb{clewing grading.excevation.or Ming)over 1 aye or 15 R part of a common plan that will disturb over 1 acre' YES 0 NO 11) IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction a§ Not Not Applicable CI uven Name ofae Nolen,: / Oso SCC. / - L- License Number I��"Y-�'G2 C'-f'LCi�� Address Expiration Date Signature Telephone 8.Raeds�rstf tk ma knnreydmartf CiSirtealtoP..._ _ _ Not Applicable 0 Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.162,§26C(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 0 No., 0 lis-:Home Onter—L- The current exemption for"homeowners"was extended to include Qwner-oeenpkd 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 gets as supervisor.CMR 780. Sixth Edition Section IOS-1.5.1A Definition of Homeowner:Person(s)who own a parcel of land on which be/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 beluga who constructs more than one home in a two-war period shall net be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/sbe 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 _, Massachusetts Department of Public Safety V. Board of Building Regulations and Standards License: CS-074416 Construction Supervisor GARY W BRUNELLESlit BOX Box 1004 fN7ANVKLE MA 010/3. 11 o ll"� l�/1..� Expiration: Commissioner 00/18@013 Construction Supervisor i Restricted to: Unrestricted-Building 1 of any use group which contain less than 35,000 cubic fuet(991 cubic meters)of enclosed space. Failure to possess a current edition ofthe Massachusetts State Building Code is cause for revocation*Whit finesse. OPS Licensing kdonnation visit: W W W.MASS.00VIDPS i (---)C e fp 0 Eai/f/J'( 0/G%G(iCP4aQ (eiG(/.I 111-7-; ii Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 151246 Type: Ltd Liability Corpor Expiration: 5/232018 Tr* 419291 ACE FIRE &WATER RESTORATION GARY BRUNELLE 18 ELIZABETH ST. W. SPRINGFIELD, MA 01089 Update Address and return card.Mark reason for change. SCA I 0 201405/11Li Address 0 Renewal E Employment fl Lost Card le f innzo,,. af6 WC✓6lmm...(„aelZ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration; 151246 Type: Office of Consumer Affairs and Business Regulation Expiration: 523/2018 Ltd Liability Corpor 10 Park Plaza-Suite 5170 + Boston,MA 02116 ACE FIRE&WATER RESTORATION 306-71-j 316 8:26 AM Fax a Carol D1 ACCORD. CERTIFICATE OF LIABILITY INSURANCEgl11( YfM MMAXSYY 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: it the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must 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 endorsements). PRODUCER COSPAC1 NAE Mary Conroy James J. Dowd and Sons Insurance Agency Inc. NONE PAR 14 Sobala ROSS (6t k.Ezq:413-5'18-7444 Holyoke MA 01090 iikaEWss. moonrov@dowd.coin EEUPTOMER ID e:ACEFIRE-01 IN SURERISI AFFORDING COVERAGE MAK* INSURED INSURER A:Everyet IndeiniCy Insurance Company Ace Fire & Water Restoration Inc, 13 Elizabeth Avenue INSURERS(Quincy Mstuat Fire Insurance Camper] 15067 West Springfield MA 01089 INSURER C: INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:377194240 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 TOALLTHE TERMS CERTIFICATE MAY CONDITIONS OF PERTAIN, POLICIESTHE RLI4RS SHOWNEMAYYHAVE POLICIESNREDUCED PAIDRCLAIMSUBJECT MBR 'rypEOF INSURANCE ADDS Iva Poy�Y F¢R pDULY Eyf CIM PAR POD POUCY NUMBER {N1/2016 Y( /1/20YYYTY UYITi A GENERAL LASKIN EFAME0564SIS1 711/2016 9/1/291] EACH OCCURRENCE $1,000,000 DAMN'S IU HGV IAD R COMMERGLA,GENERAL LIABILITY PREMISES(EaaccuAeAcel 750,000 CLAMS.MADE X OCCUR UFO EAR(My One Wrsan) $5,COO PERSONAL&AOV INJURY $1.000.000 - ISINERAL AGGREGATE 12.000,000 GEM.AGGREGATE MAT AP PLIES PER PRODUCTS-COMPOP AGA 52.000,000 71 POLICY FP WC R AUTOMOBILE W@IUTY AFV206610 ]/]/2016 9/1/201] COMBINED SINGLE LIMIT 51.000.000 (E®eccaenU ANY AUTO 000113 INJURY(FNA pasaA1 S _XLOWNED AUTOS OO(g1Y(NARY(PeoAWAND 8 X SCHEDULED NUAOS - PR6PERTY DAMAGE X HIRED AUTOS (Pa accident) X NON,OWNED AUTOS 8 A S UNeRELALA8 X OCCUR EPAcuo0879181 7/1/2016 7/112017 EACH OCCURRENCE 51.000.000 EXCE SS LAB CTAMS.MADE AGGREGATE 71,000,000 DEwcTIOLE f X RETENTION 510,000 yyyy i f W0 WL KERS COMPENSATION IArU. GFRH MO EMPLOYERS'I.N@SiW VAN ANNFROPRADOPAA;nNERSEDSAVE D EL.EACH ACCIDENT $ Ynbbry le6CRfi%Ctw[m M+A IL desuoe under E.L.DISEASE uEMPLOYEE s PESCRIPTION Or OPERATIONS below E.L�DISEASE-POLICY LIMIT S OESCRIMOMOF OPERATIONS(LOCATIONS(VEHICLES IABbM ACORD 101,Add*bMRemttae&MH.,lime trait X Yepubedi WorkersCompensation Certificate of Insurance to fallow separately from the carrier. CERTIFICATE HOLDER CANCELLATION 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPINATON DATE THEREOF,NOTICE WILL BE DELIVERED Ace 3'2re & Water Restoration IN ACCORDANCE WITH TIE POLICY PROVISIONS. 18 Elizabeth Ave West Springfield Ma 01089 AUTHORMEDREPRESENTATAM �. i 0.4.00- I OO 19881008 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD ACO o" CERTIFICATE OF LIABILITY INSURANCE DATE (MI OD B TI 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 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). PRODUCERONTACT NAME: G•HR Laura a JAMES J. DOWD AND SONS INS AGENCY INC PHONE Eatk (413)437-1020 {MC,Nol: EMAIL ohara@dowd.com 14 Bobala Road P50REr48)AFFORDING COVERAGE HMCO HOLYOKE MA 01041 INSURER A: AIM MUTUAL INS CO 33758 INSURED ...- INSURERB: ACE FIRE &WATER RESTORATION INC INSURER C: INSURER D: 18 ELIZABETH STREET INSURER E WEST SPRINGFIELD MA 01089 INSURER F COVERAGES CERTIFICATE NUMBER: 76602 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. NSR TYPEOFINSUMNLE AWL SUER -.. POLICY EFF POLICY EAT - LIMITS LTR1Sb POLICY NUMBER IMMNDNYYYI IMMNDTTYYI COMMERCIAL GENERAL ILBILRY EACH OCCURRENCE $ LWME-MAGE OCCUR ONMGE TO RENTED PREMISES(Ea occurrence)_ $ MED EXP(Any one person) S. N/A PERSONAL A ADV INJURY $ GEMLAGGREGATE LIMB IFRIEB PER ''. GENERAL AGGREGATE POUCY jEa Li LOC PRODUCTS.COMP/OP AGG $ OTHER AUTTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ Ira IMA'AUTO ) BODILY INJURY(Per person) $ ALL OWNED SCHEDULED _AUTOS AUTOS N/A BODILY INJURY( aoylbin $ NON-OHIRED AUTOS AUTOS ED PROPERTY DAMAGE E _... AUTOS (Pm accident) UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS LLe CwMSMP➢E N/A AGGREGATE $ CFR RETENTION E 5 AND EMPLOYERS' LI COMPENSATION X SER ERN. AND EMPLOYERS'LIABILITY STATUTE ER Y/N NROPRIETORTILE ARTHEXECUTIVE WE.L.EACH ACCIDENT $ 1,000.000 A 'MFI R/MEMBEEREXCLUDEm P N/A NrA VWC10060144772016A 07/01/2016' 07/01/2017 snanory In leg EL DISEASE.EA EMPLOYEE S 1000,000 N yes (WORM under DESCRIPTION OF OPERATIONS below I EL DISEASE-POKY UMn $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD lot,Additional Remarks Schedule,may be etYchad II man specs N requIred) Workers'Compensation benefits will be paid to Massachusetts employees only Pursuant to Endorsement WC 20 03 06 B.no authorization is given to pay claims for benefits to employees In states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of Insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govfiwd/waiters-compensanon/investigationst 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 D LA9ISc- Daniel M.Cr. ., ,CPCU.Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 11/09/2016 11:04 14135871272 WON BLD DEPT PAGE 03/03 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 shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, /S150A. iA Address of the work: 7 Ayer"- Sr �e ian7 ^/, 17/11 The debris will be transported by: (2c 4c r AlcC' X,Si4iaf 0' The debris will be received by: tkIC /`/4/Lie?y,-./hnt./ Building permit number: �7 / Name of Permit Applicant �r Le ; Azir 34/a/s,L10�", ltpoi to :a Date Signature of Permit Applicant