18C-011 300 HATFIELD ST BP-2017-0995
GIS#: COMMONWEALTH OF MASSACHUSETTS
:B
Maolock: 18C-011 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 replaced BUILDING PERMIT
Permit it BP-2017-0995
Project# JS-2017-001720
Est.Cost:$21420.00
Fee: $150.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RENEWAL BY ANDERSEN 090125
Lot Size(sq. ft.): 21213.72 Owner: MORIN SOLANGE&DENNIS CARTER MORIN
Zoning: RI(l00)/RR(100)/ Applicant: RENEWAL BY ANDERSEN
AT: 300 HATFIELD ST
Applicant Address: Phone: Insurance:
30 FORBES RD (508) 919-0900 WC
NORTHBOROMA01532 ISSUED ON:3/3/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE 9 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 Of 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:
FeeTvpe: Date Paid: Amount:
Building 3/3/2017 0:00:00 $150.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
ry j City of Northampton
r7 "� Building Department
f / 212 Main Street
%�-, Room 100
Northampton, MA 01060
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION 4o/1- 995
1.1 Property Address:
300 Hatfield St. _
Northampton, MA 01060
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Dennis Morin 300 Hatfield St., Northampton, MA 01060
Name(Print) Current Mailin Address:
413-See attached contract Telephone x/-9339
one
Signature
2.2 Authorized Agent:
JAIMrj ORIN 30 FORBES ROAD NORTHBORO,MA 01532
Name(Print) Current Mailing Address:
Al 508-351-2214
Signature Telephone
SECTION 3 STIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 Building 21,420 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Pennh Fee
4. Mechanical(HVAC)
5 Fire Protection
6. Total=(1 +2+3+4+5) 21, 420 ChedcNumber 7(/V isb
This Section For Official Use Only
Building Permit Nu Date
Issued:
Signature' s 3-3-/�
Building Commissioner/Inspector of Buildings Date
I
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
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 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#
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 0
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 O NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION S-DESCRIPTION OF PROPOSED WORK fcheck all malleable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n
Or Doors gl
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [Ej Siding[D] Other[CO
Brief Description of Proposed
Work: Replace 9 windows
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
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
I, Dennis Morin ,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.
SEE CONTRACT V1/2017
Signature of Owner Date
JAIME MORIN ,as Owner/Authorized
Agent hereby declare that the- .tements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains an• •- (ties of perjury.
JAIME Mu'
Print Name
3/1/2017
Signature of Owner/Agent Date
SECTION B•CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of Li se Holder: JAIME MORIN 90125
License Number
30 F rbcs Rd. , Northborough, MA 01532 10-06-18
Address Expiration Date
508-351-2214
Signature Telephone
Not Applicable 0
RENEWA BY ANDERSEN 170810
Company am; Registration Number
30 FOR:ES ROAD NORTHBORO,MA 01532 12-23-17
Address Expiration Date
Telephone508-351-2214
SECTION 11 ORKERS'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 0
The current exemption for"homeowners"was extended to include Owner-occupied Dwellines of one(I) 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 awn 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 lime,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 persons)
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
City of Northampton 212 Main Street,Northampton,MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, 854, I admowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Pormit shah be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the worlc: 300 Hatfield St.
The debris will be transported by: _ Renewal by Andersen
The debris will be received by: Renewal by Andersen
Building permit number.
Name of Permit Appf Jaime Morin
3/1/2017
Date S'• I re of Permit Applicant
Renewal Agreement Document and Payment Terms
biiAndersen' dba,Renewal by Andersen of Barton Dennis Morin
Legal Name'.Renewal by Andersen LLC 300 Hatfield St
111111...13-'‘11.7
HIC 4170810 Northampton,MA 01060
lumen ita ueonr 30 Forbes Road I Northborough,MA 01532 H:4133479339
Phone:508-351-22001 Fax (5081986-7072 I RbABostanOperationsOAndersenCorPtom
Buyer(s)Name: Dennis Morin Contract Date: 02/25/17
Buyer(s)Street Address: 300 Hatfield St, Northamptom, MA 01060
Primary Telephone Number: 4132479339 Secondary Telephone Number:
Primary Email: dennismorinOcomcast.net Secondary Email:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by
Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment
Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which
are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a
completion certificate after Contractor has completed all work under this Agreement.
Total Job Amount: 921,420 By signing this Agreement,you acknowledge that the Balance Due,and the Amount
Financed must be made by personal check,bank check,credit card,or cash.
Deposit Received: 97,139
Balance Due: 514,281 Estimated Start: Estimated Completion:
Amount Financed: $0 8-10 weeks 2 days
Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on
the date in which we complete the technical measurements.The installation date that
we are providing at this time is only an estimate.We will communicate an official date
and time at a later date. Rain and extreme weather are the most common causes for
delay.
Notes: 1/3 dep chk#1343 7139.00; 1/3 start 7140.50; 1/3 sub comp 7140.50
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be
valid without the signed,written consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this
Agreement, understands the terms of this Agreement,and has received a completed,signed,and dared copy of this Agreement,including
the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this
Agreement.
NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign.
YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT
OF 03/01/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,
WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
EXPLANATION OF THIS RIGHT.
Lead Name Renewal by Auden=LIC Boyer(s)
dba:Renewal by Andersen of Boston
,�� Gam. �u•.-�.L IYS..,".
Signature of Sales Person Signature Signature
Brandon Harvey Dennis Morin
Print Name of Sales Person Print Name Print Name
UPDATED: 02/75/17 Page 2 /25
I Itemized Order Receipt
by n. dbu Renewal by Andersen of Revell Dennis Morin
Legal Name:Renewal by Andersen LLC 300 Hatfield St
HIC#170810 NOnnamptom,MA 01060
naewNguanx. 30 Forbes Road I Northborough,MA 01532 H:4132479339
Phone:508-351-22001 Fax:(508)986-7072 I RbABostonoperationsoAndersencorp.com
IDtt: ROOM: DETAILS:
101 Kitchen Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkra il, Exterior Canvas, Interior Oak, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash: Colonial 1w x 2h, Misc: None
102 Kitchen Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light(FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash: Colonial 1w x 2h, Misc: None
103 Bathroom Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Canvas, Glass: All Sash.
High Performance SmartSun Glass, No Pattern, Tempered
Glass, Hardware: Bright Brass, Screen: Fiberglass, Full Screen,
Grille Style: Full Divided Light (FDL with spacer), Permanently
Applied Interior Wood Grille, Grille Pattern: All Sash: Colonial
1w x 2h, Misc: None
104 Bed 1 Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash: High
Performance Sm artSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash' Colonial 1w x 2h, Misc: None
UPDATED- 0 2/2 5/1 7 Page 4 / 25
Renewal Itemized Order Receipt
',And:$
ersen. dba:Renewal by Andersen of Boston Dennis Morin
� - Legal Name:Renewal by Andersen LLC 300 Hatfield St
HIC 1170810 Nonhamptom,MA 01060
inflow .nun 30 Forbes Road 1 Northborough,MA 01532 H:4132479339
Phone:508-351-22001 Fax:(508)986-7072 I RbABostonOperations®AndersenCorpconi
IDS: ROOM: DETAILS:
105 Bed 1 Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash' Colonial 1w x 2h, Misc: None
106 Bed2 Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash: Colonial 1w x 2h, Misc: None
107 Bed2 Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash: Colonial 1w x 2h, Misc: None
106 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash. High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All Sash: Colonial 1w x 2h, Misc: None
UPDATED: 02/25/17 Page 5 r 25
Renewal Itemized Order Receipt
db.:Renewal by Andersen of Boerne amnia Morin
eortLegal Name:Renewal by Andersen LLC 300 Hatfield St
, q HIC#170810 Northampton,MA 01060
nanen 30 Forbes Road l Northborough,MA 01532 H:41324)9339mop= u
Phone:508-351-22001 Fax:1508)986-70721 RbABostonOperationsoAndersenCorp.com
IDk: ROOM: DETAILS:
109 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional
Checkrail, Exterior Canvas, Interior Oak, Glass: All Sash. High
Performance SmartSun Glass, No Pattern, Hardware: Bright
Brass, Screen: Fiberglass, Full Screen, Grille Style: Full Divided
Light (FDL with spacer), Permanently Applied Interior Wood
Grille, Grille Pattern: All SashColonial 1w x 2h, Misc: None
WINDOWS:9 PATIO DOORS:0 SPECIALTY.0 MISC:0 TOTAL $21,420
Renewal by Andersen is committed to our customers'safety by
ojWiett
complying with the rules and lead-safe work practices specified by the EPA.
UPDATED: 02/25/17 Page 6 / 25
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