17C-320 51 HILLCREST DR BP-2017-1284
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-320 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# BP-2017-1284
Project# JS-2017-002138
Est.Cost: 515971.00
Fee: $112.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RENEWAL BY ANDERSEN 090125
Lot Size(so.t3.): 21605.76 Owner: FLICKINGER JAMES E&NANCY B
Zoning: URA(l00)/ Applicant: RENEWAL BY ANDERSEN
AT: 51 HILLCREST DR
Applicant Address: Phone: Insurance:
30 FORBES RD (508) 919-0900 WC
NORTHBOROMA01532 ISSUED 0N3/8/201 7 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT 8 WINDOWS IN
SUNROOM
POST THIS CARD SO 1T 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 5/8/2017 0:00:00 $112.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck- Building Commissioner
City of Northampton
Building Department
212 Main Street
Room 100
` -• a
s 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
I SECTION I -SITE INFORMATION � �'/ 7-/a��
1.1 Property Address' - / Thle section to be completedby office
51 Hillcrest Dnve, Florence, MA 01062 Map t 7 Lot •
l&. _
Zone Overlay DlsWct
Elm SL District CB District
SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Nancy Flickinger 51 Hillcrest Drive, Florence, MA 01062
Name(Print) Current Mailing Address:
413-584-7821
see attached contract Telephone
Signature
2.2 Authorized Agent:
JAIME MORIN 30 Forbes Road, Northborough, MA 01532
Name(Print) Current Mailing Address
5008-3351-22441
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building $15971.00 (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 _ p 26. Total= (1 +2+3+4+5) $15971.00 Check Number 967i9a�ltf -299
ta
This Section For Official Use Only
Building Permit Number: Date
'�j � 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
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage % ri
Open Space Footage
(Lot arca minus bldg&pried
parking)
N of Parking Spaces
Fill:
(volume&Location) i L -
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 0 YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW O YES 0
IF YES: enter Book 1 Page and/or Document k F
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 0
IF YES, describe size, type and location: L
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: r
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 O
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 n Addition ❑ Replacement Windows Alteration(s) ❑ Roofing pi
Or Doors CD
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[O] Other[O]
Brief Description of Proposed
Work: Replacement of 8 windows in Sunroom
Alteration of existing bedroom Yes X No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
,.�.s. a , -
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 ftof 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
Nancy Flickinger ,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 attached contract 5/3/17
Signature of Owner 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 of perjury.
JAIME MORI
Name
5/3/17
Signature of Ownafrgent) Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holger: JAIME MORIN 90125
License Number
30 Forbes Road, Northborough. MA 01532 10-06-18
AddressExpiration Date
508-351-2241
Signatu - - Telephone
is-: m r i „.% c. , "':£� R:a. '',.-S,'jr'a` r>t.";ry x<+d:`v,^ Not Applicable 0
RENEWAL BY ANDERSEN 170810
Company Name Registration Number
30 Forbes Road, Northborough, MA 01532 12-23-17
Address Expiration Date
Telephone 508-351-2241
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 N No 0
3,V.L xi
The current exemption for"homeowners"was extended to include Owner-occupied Dwellines 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 buildine 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
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, S 1SOA.
Address of the work: 51 Hillcrest Drive, Florence, MA 01062
The debris will be transported by: _ Renewal by Andersen
The debris will be received by: Renewal by Andersen
Building permit number.
Name of Permit Applicant Jaime Morin
5/3/17 AAP
Date Signature of Permit Applicant
Renewal Agreement Document and Payment Terms
n. Aber Renewal by Andersen of Boston Nancy FIkkInger
ei ! legal Name:Renewal by Andersen LLC 51 Hillcrest Dr
- HIC#170810 Florence,MA 01062
WIND. CEMENT 30 Forbes Road I Northborough,MA 01532 H:(473)584-7831
Phone:508-351-22001 Fax:(508)986-7072 I RbABostonOperationsoAndersenCorp.com
Buyer(s)Name: Nancy Flickinger Contract Date: 05/01/17
Buyer(s)Street Address: 51 Hillcrest Dr, Florence, MA 01062
Primary Telephone Number: (413)584-7821 Secondary Telephone Number:
primary Email: nancybflickingerogmail.com 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: 515,971 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: SO
Balance Due: $15,971 Estimated Start: Estimated Completion:
Amount Financed: S15,971 8 weeks 1-2 days
Method of Payment: Financing 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: 2531 greensky; 1/3 deposit; 1/3 start; 1/3 completion
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 dated 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 nor 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 05/04/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION,
WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN
LANlagal Noma A IONby�OF Tdersen HIS RIGHT.
dba:litWeer f-Boston Boyers)
�Y"e I/"✓tet) )C....1 S
Signature of Sales Person Signature Signature
Will Salem Nancy Flickinger
Print Name of Sales Person Print Name Print Name
UPDATED: 05/01/17 Page 2 /9
Renewal_J- Itemized Order Receipt
'rAndersen. db.,Renewal by Andersen of Boston Nancy Flickinger
Legal Name:Renewal by Andersen LLC 51 Hillcrest Dr
HIC 4170810 Florence.MA 01062
he Kinn 30 Forbes Road I Northborough,MA 01532 H:1413)5847821
Phone'.508-351-22001 Fax:(508)986-7072 I RbABostonOperationsOAndercenCorp.com
IDb: ROOM: DETAILS:
101 Sunroom Window: Gliding, Double, 1:1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap.
Aluminum Wrap
102 Sunroom Window:Gliding, Double, 1:1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash: High
Performance SmariSun Glass, No Pattern, Hardware:White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
103 Sunroom Window: Gliding, Double, 1 1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
104 Sunroom Window: Gliding, Double, 1:1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash. High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
UPDATED: 0 5/01/1 7 Page 4/ 9
ewal Itemized Order Receipt
by rsen (lbw Renewal by Andenco of Bonn Nancy Flickinger
Legal Name:Renewal by Andersen LLC 51 Hillcrest Dr
HIC#170810 Florence,MA 01062
I
wawa n 30 Forbes Road I Northborough.MA 01532 H:(4131584-7821
Phone:508-351-2200I Fax:(508)986-7072 I RbABostonOperationsoAndersenCorp.mm
Mb: ROOM: DETAILS:
105 Sunroom Window: Gliding, Double, 1:1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash. High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
106 Sunroom Window: Gliding, Double, 1 1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
107 Sunroom Window: Gliding, Double, 1:1, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash. High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash. No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
108 Sunroom Window: Gliding, Double, 11, Stationary/Active, Base
Frame, Exterior White, Interior White, Glass: All Sash: High
Performance SmartSun Glass, No Pattern, Hardware: White,
Screen: Fiberglass, Half Screen, Grille Style: No Grilles, Grille
Pattern: All Sash: No Grilles, Misc: Aluminum Wrap,
Aluminum Wrap
WINDOWS:8 PATIO DOORS:0 SPECIALTY:0 MC:0 TOTAL $15,971
Renewal by Andersen is committed to our customers'safety by
P complying with the rides and lead-safe work practices specified by the EPA.
UPDATED: 05/01/17 Page 5 / 9
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