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18C-069 (3) 2 GLEASON RD BP-2017-0758 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-069 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 relaked BUILDING PERMIT Permit# BP-2017-0758 Project# JS-2017-001270 Est.Cost: $11851.00 Fee:$84.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grouo: RENEWAL BY ANDERSEN 090125 Lot Size(sq.rt.): 9713.88 Owner: MCNALLY JOHN D&CATHERINE Zoning: URB(100)/ Applicant: RENEWAL BY ANDERSEN AT: 2 GLEASON RD Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTH BOROMA01532 ISSUED ON:12/9/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 8 REPLACEMENT WINDOWS - BATH & BEDROOM 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 12/9/2016 0:00:00 $84.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner A. '1111111111 City of Northampton • 4' 212 Main St =: r Room 100 E1' ti Northampton, GGG���� o-0 .� phone 413-587-124013--127x , APPLICATION TO CONSTRUCT,ALTE •+PATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1*SITE INFORMATION el—/ 7- '7'SO 1.1 Property Address Mb seelen b is completed by 2 Gleason Road, Northampton MA 01060 Map LW UrM Zone Overlay Dist** em x Disks CS DNntq _ SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.,1 Owner of Record: John Mcnally 2 Gleason Road, Northampton MA 01060 Name(Print) Current Mailing Address: ne.attached contract 413-$751524 Telephone Sigreture $.2 Authorized Anent JAIME MORIN 30 FORBES ROAD NORTHBOROUGH,MA 01532 Name(Pang Current Meana Address: 508-351-2244 Signature Telephone SECTION 3•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 611,651 (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 / 9 6. Total=(1 +2+3+4+5) $11,851 Check Numberg6Q77N7 p y` This Section For Official Use Only Date PermitN ... J,/®/ ���jJJjjj Issued: /// G� Signature: � �S // t/ / Buldrg of Guiding& Date Section 4. ZONING All Information Must Be Can eted.Permit Can Be Denied Due To tete Information This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: It: Rear Building Height Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved parking) P of Parking Spaces Fill: P r (volume&Location) fP A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document s B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O 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 O NO O IF YES, describe size, type and location: E. Will the construction activity disturb(dealing,grading,excavation,or filling)over 1 acre or is it part of a common plan thatwill disturb over ) acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. New House n Addition ❑ Replacement ppl ementWindows Alterationts) n Roofinger ❑ Accessory Bldg. ❑ Demolition ❑ New Signs 101 Decks [O Siding[CI Other[Dl Brief Description of Proposed Replacement of 8 Windows Work: Alteration of existing bedroom Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement _Yes No Plans Attached Roll -Sheet 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 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 74-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT John Mcnally ,as Owner of the subject property hereby authorize ,IAIMF MORIN to act on my behalf,in all matters relative to work authorized by this building permit application. SEE ATTACHED CONTRACT 12/1/2016 Signature of Ower 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 pains and penalties ofperjury. JAIME MOWN- Print Name 12/1/2016 Signature of Owner/Agent 7 Date SECTION S•CONSTRUCTION SERVICES SAMLE icama_MME- : tt 115: k 90125 30 Forbes Road Northborough MA 01532 10-UR_1R Manna Expiration Date Signalize Telephone Not Applicable ❑ _RFNFWAI RY ANf)FRSFN 170810 Company Name Registration Number .t •: : :•aa . •: . :•t•• 12-23-17 Address Expiration Date Tele nona5O8-351-2244 P SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L a.152.h 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 S oer~ ay $t ,.,aytar {.ei : 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 p supervisor.CMR 780, Sixth Edition Section 1084,54. ptfinitioa 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 fano structures.A person who constructs more than one home in a two-veer Period Shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that helsbe shall be responsible for all such work performed ender 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,veru 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 =4: Agreement Document and Payment Terms am l wd bWAS—..faer= Atm Madly Les nod lemma!OF IMme,at 2 Gleason m IIK 171111 mraa.mr..w Odle wimme .m Mobs Sall Mslhboaae.101o1532 IMn11575-1521 On SOF75L2200 I Fa:MOM SNIT I/beikdonemprawalawthoeoCadcom Caa.a(a)Name!Mkt MdVN1y cane race Das nays Cnla.e(s)Stem Atha—Z Gleason RP,Northampton,MA 01060 tibry Tdepheam Mad= swasen Telephone Nisbet_ It....,Enua:lannalloSincnallylawofficexese Secondary Email: Infer(s)hereby)dndy.mf manly apo m pads the path—andfor mann el"Renewal by Aden LLC dPuI.Renewal by Aedeaa of Bemarcuaramor'k b moo/dare.fA de tent and ethaldele detad la dk Ammer Doral sad rancor Tema.Notice of Caadmb.,I'nasi Olde Ran*.Kasa)c Saha Com Swap.MA Addered en.Tena and Condition of Side. IndSefe Fore.if Min•Rader,Flna.ok Ceram.MA Camaro:Mbiemloo,Rdam Arms,end ay ether document minded m eke Agrannt Dooms seneo of width am weed to by the olectively.Ids -Aen Baym(e)bad"man se m ma nap rglethen ante after C—_--ha a apfmd y dl mollMkt tmeismore i 1ptms Tad Job Adapt: 511,651 yea $tendo Ira that dm Riots Da,and the Mrs Demotic �. Reared Min be made by sereaml cheek,bank duck ado case,a ash. Remind: wl tem Out 57.507 Fouad Suet head Caepledoe: Amore Monona SO i10 wanks 12 Ars Method d hyalnc gyl/Ondk lit tool*ire adaa bred ce dm date of the Aped comma ad mrndsely w Fleet CJ(a/!2 de err b.Aid we maybes dm adaaid MS the' L da ere me in Depositpails n this time it ay a®m We.a aaa.m —a Add dam 53.!1!00 al dame slams dam.Rale sed came weather in de ma comma calla for till Stan 53046.00 &LT 113 Sub.Con.59,9$3.00 L .W apoo sod mamma tam thk Aroma aaa3tam the mike taamo.dlar bea.cen its patio as that that an no.erbd maimsd..m. or any Ode mart oldie Arcades_Pe alteration a m 4 dub da.L>oY Apace=MO be weldtal allow da�pmd wham cream dbod the 6geW ed Contractor.L,uW hothy scluramialuts dm I I)hes red db dieonce mea Ne ofC_.odatlen oremone de anus of dim wnstiean fameadyawn above aleA wa S .t o VIM end SA or of dim tasarrees- NOTICE iD OWNFL D.m dos this moron ifWhmk.Iba an sodded to a sen nide comma at dr dee you ip. IOU,THE BUYERR,MAY CANCEL THIS TRANSACTION A7 ANY MAE NOT WEB THAN MIDNIGHT OP 11/25/2016 OR THE THIRD BUSQ®SSDAYAFTERTHEDATEOPTHISTRANSACTION, 'HICHEVIDt DATE IS USER.SEE 17IEATTACHw NOTICE OF CANCELLATION FORM FOR AN cmon t Slow=ISale Rom SE/para Seine Mask Salem Join McNally 11/21616 aeon 2 f IO .ti; Itemized Order Receipt ilbsensliwArlormedirm MS Mdelll • e �,., lead Nin:ferwwl 1w MdeismTIC I Gleason N3 1P iaK II711614 rsxthwwm.1N0t0Pa ems.. 30 Ste twdlNwthtwoulb,Mc inn N13475-1524 Nene sa-n1-2200 I Fa:150M'WW2 I aaostm4paataM Salon,italp cam let Bathrm Window: Double-Hung. Equal. Slope Sill Insert, Traditional Check rail, EXTERIOR White, INTERIOR Whitt. Grass; Sash All tigh Performance SmartSon Glass, No Pattern.Hardware: White. Screen:TruScene wilt,Exterior Color Match, Full Screen. Grille Style:No Grilles. Mis Ill Bed 1 Window:Double-Hung,Equal.Slope Sill Insert, Traditional Checkrail, EXTERIOR White,INTERIOR White,Glass:Sash All: High Performance Smatt$un GtaSS, No Pattern.Hardware; White,Screen:Trukene with Exterior Conor Math,Ful) Screen, Grille Stele:No Grilles, Misr: Non 103 Bed 1 Window:Double-Hung,Equal,Slope Sill Insert.Traditional (bedroll, EXTERIOR White, INTERIOR White, Guam Sa3h All High Performance SmartSon Glass, No Pattern, Hardware: Whitt,Screen:TruScene with Exterior Coror Match,Pull Screen, Grille Style:No Grilles.Miss:Non 104 Bed 1 Window:Double-Hung, Equal, Slope Sill Insert,Traditional Checkrad, EXTERIOR White, INTERIOR White.Gems;Sash All High Performance SmartSon Glass, No Pattern. Hardware: White. Screen:TruScene with Exterior Color Match, Full Screen,Grille Style:No Grilles, Mise:Non AIS Bed 2 Window: Double-Hung. Equal, Slope Sill Insert. Traditional Checktail,EXTERIOR'white, INTERIOR Whitt Glass Sash AR- High Performance SmartSun Glass. No Pattern, Hardware: White, Screen:TruScene with Exterior Color Match, full Screen,Grille Stela:No Grilles.Miss:Non /1021,16 taw 4 t 20 w • Itemized Order Receipt • ' • - £w7dwdtwAaio4Dams aw..kawAhr Leese Name:Reveal by Manses LLC 2 Gleason RO 1... - It[Man Mrdvnofae ra diate rem. HHtH525-152rem. wax 3a Rear SOS-131-22W I Fac 150.111164172 I NWBoslonOpaaenneW/FseaCait con 166 Sled 2 Window: Double-Hung,Equal,Slope Sill Insert,Traditional Che(krail, EXTERIOR White, INTERIOR White,Gime: Sash All Nigh Performance SmattSun Glass, No Pattern,Hardware: White. Scram TzuScene with Exterior Color Match,Full Screen. Grille Style:No Grilles, Miss:Non $01 Bed 3 WRndow: Double-Hung. Equal, Slope Sill Insert. Traditional Checttail. EXTERIOR Whale.INTERIOR White,GEass:Sash M. Nigh Pertorman<e SmartSun GIM$, NO Pattern. Hardwire: White,Scala:truScene with teener Color Match, Full Screen, Grille Style:No Grilles,Nisei Non 140 Bed 3 Window:Double-Hang,Equal,Slope Sill Insert.Traditional Cheftrall, EXTERIOR White, INTERIOR Whitt,Glass:Sash All High Performance SmartSun Glass, No Pattern.Haadwara: Whitt,Screen:Tru5cene with Exterior Color Match,Full Screen. Grille Style:No Grilles, Misc: Non rirMIDWf:a dtIUIO DOORS:f SWAM:0 MSC 0 TOTAL $11251 UPDATED: 11/21/16 Rtwwty,telGexa&dantt#d a tercara os'rafr7 by mots.'leaf ON swirl not tra sad/maims gettif y Fie EPN. it@tf16 Pace S l 20 et, aannum m�i Mf *a...r . = Deporim'f floMmnWAaWma IP _� • ' , Office of Isnalgaileau 1 ;^ ' a,W Straw \?1- Be MA 12111 irwva am .o ✓Ji. Work 's' Compmaotlm romance Affidavit BudidententrneterefEketricianfEhumben Amami Intermtllm Slaw ESA Lobb Name w.m�oq�olatim7.e.la.l} RENEWAL 6Y ANDERSEN Addams: XI FORBES ROAD city/state/4p: NORTHBORO,MA 01632 pie it 508951.2714 An mem e pb)mf Click do ryproprhrle tae: '170•II WOO 0•1/Wine 1.kJ I a a empbyr wee 90 4. ❑I am a head maa.eor and l 4 0 New am.becdm .mpbya(fa milk:pas ).• have hied dm ao6-none.:,.. 2.0 I am&solepapimkror.—La- l.dmthe.IarAda ea. 7. [J Remodeling 'hip and haw m employees7hoe'��aolm•hm a 8. ❑Demolition rag Ion me b am oapeobn. employ eea�Sham wt.' 9. 0 mail_Mirim [No"°dm''comp.Somme 5. ❑ W .eammortion mg its 10.0 Elect Mal mobs or Melina 3.❑ Ion�!m) m.owdobl r0 came terve eradadm l11.0 Pboq hrepairs re Whim. vyright ofamopSmpeMGL ❑ '•lt[Na t•a�..'corm. .13;81(+),mdWeh nm 17. Roof miry intone moaned]r employees.[No mean' 13.0 Other mem.intonate r•goini] _ •Amy Allu.teomsblm in a Yoep orarl=bin d•wYaddwan'mgme.em path'nano.: tso.eeawbunbolt .flIJ..1wannday e•4ia.fwaeddnaom tcakem.edmenortInitkamd'd. tcoad.Yeskfhb ha a nicht armrdvgawks its asam.dnaasstism a aim•Sods -elsa Mae nirastaolos r.•maim,amra=.pc, f*.mat=Spew Met fa..Abp:tam iyr.•Yle wrke.'capatiou Snot for q seer law k Spay aam/ahS AYhrrml.n wow"fmpmyNam: OLD REPUBLIC INSURANCE COMPANY PolcyNorsdFio.uc.it. MWC3Df)23100 justice Dar 10/01/2017 2 Gleason Road Jablm Adler ohyserzip Northampton MA 01060 Mari.opyafthe...b..•empanels pearydaehodloc pp(elseming in poky noble od oidratla d.k? Pathe to mese covv.p a mord oda secrim 25A ofMO1.a.152 cm led to the'mambas ofaimtol penalties of• to ton to 91.500.00 ard'oroe•yer hmtmmmt,a eel aeivs remake in the f®darn?WORK ORDER and a floe ofip to 9250.00•dry aha.be.ialm. Be advYed 9rt a copy of IS mamma m y be tmwtled to die Office of for imam ammo veefrenta IX✓t�ir lore Mpirmellesew dMrtr set owioneam' r-_iLMmew it.wit rya immi 9ar.i/n DM 11/30/2016 Phones 0- 51-2214 Mai.IwSp. D.mmw*b Ms Is be espial bldp et be •ificit thy or row P avdWIA a.I -mlImlog Aathmlly WSW a c): I.Board afHeal 2.Madam Daprlumt 3.City/Tom Clot 4.OJ Osaka hapaerr S P akks Inman 60®r Cast NOM 196111181k ----, ANDECOR.91 SALWAN,N 4CORO S'CERTIFICATE OF LIARILLTY 1NSURE I °""ptharflms 1E 1W) CERTIFICATE IS ISSUED AS A MATTER OF RWOR8U7gN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERIIFICATE DOES NOT AFPIRNATIVELY OR NEGATIVELY AMBIND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. 1195 CERTIFICATE OF INSURANCE DOES NOT CONSITTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER IMPORTANT: B the aa*at• hander is n ADDITIONAL INSURED,We OoIIcSs)must M.adarasd. N SUBROGATION IS WANED.RASO To the Sm. aM condMSM of the policy,conk p.1NJ•e may rooks on endorsement. A AYbmont on tido aSUlwM don not confer Heltts is the arlRkate holder in lieu deck ondorros(a). PAONICM t%tNNmr Willis Town Watson CSftNfcab Gator VAR at IlloneepiatMC , 877)946+7978 888)467.2378 NOWyMa.TN 372300101 NNARNNAPIEIIelaC0ERY4e 1 roue• mum A:Old Republic Isurama Company 124147 _. ram mune a: Ra nl by Anderson NALARM c: _,.... 30 Farber Rad BOU Mo: .1 Northbomuch,MA01132 POURER E: ! ANAs P: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELLOW NAW BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE MOOT PERIOD INDICATED. NOTVAMSTANNNG ANY REQUIREMENT.TERM OR CONm11ON OF ANY cera RCT OR OiHE.R DOCIMEC VAIN RESPECT TO VA CH THS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN.THE INSURANCE AFFONDWD BY THE POLICIES DESCRIBED HE IN IS SUBJECT TO ALL THE TERMS. EXCURSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE Of NRMMCE lay PODGY MASS eaYPQ__ I_aYfr LAMS A u coW&mIERAL LwuTT GYM OCCURRENCE 1,000,000 GLMNANOE I X i cam I 301234 11001/2016 10301/2017 �1OCA p1 500,000 NI I 1 MEG ECP Urn OM Mann) 10,000P9agroELAA7NRMN ..1,000,009 eI ItAoPEOATE LW WRNS Pae GENERAL AGGREGATE 4,000,000 ©pm=! ] [-ux PRODUCTS-CaamPA03 EMMUa99 AMOaE I mAA NY I Yine .00t sr ,000,000 AMYAUTO MWTS 30E232 18 00 0112010 1112017 BODILY nN YMY(Pr MRn) © _ 1 BODILY IINMYMr AIS .�. HIRED AUTOS A _9'v.oMrettO � .�.� I I _ —_ Awa• umII MNVNBMAnE SAGGREOME .—•�..— 1m Rtomsi woman O�L. AMP AUNT KIKIII X et I J@t A Am nYYRIflSATAInIRILTBaiOOINE [! MWC3M231E0 1001/2016 1W01RM7�e,L EMEN M.AOQOm 1,000,000 OinBEIWOREREgIIA<or NIAI OX HMAAIllab�EM�IMI EL GRIMM•IM aRLDYEI 1,000,000 oEsallanon OF(IPFRATLBrNwoo I _�..._... �..._ I EL DSEAAE-naxttm 1.000,000 1 I 1 I Esn nod or OPSMID$SILOCALaerVe£IPE PACO®MI,*Sm.aA4AL Ed W4m w a l&Vmanyw 4,4011 CERTIFICATE HOLDER] CANCELLATION SHoND ANY OP THE ABOVE OEWNSEP POLICES BE CANCOLLED SWORE WE EIPMI10N WTE THETIOF, NOM WILL SE 0ll.NMIZD N ACOaOANCE WEN TE POLICY PROVISIONS. ABIIm,,@Mp mmMATIE Proof al Insurance ISt%/. 19-00, — ID 1951.2014 ACORD CORPORATION. All rights reaeraad. ACORD 25(2014E01) The ACORD rams and logo an ngMand rots of*CORD 4. 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