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31B-161 (2) 169 ELM ST BP-2019-0767 GIs#: COMMONWEALTH OF MASSACHUSETTS MV.Block: 31B- 161 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Building BUILDING PERMIT Permit# BP-2019-0767 Project# JS-2019-000786 Est.Cost: $228280.00 Fee: $1489.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WRIGHT BUILDERS 16370 Lot Size(sg. ft.): 19819.80 Owner: LEONARD BENJAMIN&LORIMER REBECCA Zoning URB(100)/ Applicant: WRIGHT BUILDERS AT. 169 ELM ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 (116) Liability NORTHAMPTONMA01060 ISSUED ON.•1/9/2019 0:00.00 TO PERFORM THE FOLLOWING WORK.-NEW MUDROOM ADDITION, ALTERATIONS INCLUDING NEW DORMER WITH BATH/BEDROOM, KITCHEN AND 1 ST FLR BATH REMODEL 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 Sipnature: FeeType: Date Paid: Amount: Building 1/9/2019 0:00:00 $1489.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP•2019-0767 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287(116) PROPERTY LOCATION 169 ELM ST MAP 3 1 B PARCEL 161 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST EN SED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: NEW MUDROOM ADDITION AJJEI6NS INCLUDING NEW DORMER WITH BATH/BEDROOM,KITCHEN AND 1 ST FLR BATH REMODEL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 16370 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: Approved 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 6x, d—� 1/9[/ Signature of Building Official 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 City of Northampton Status of Permlt � Building Department eurb"GutfDnveway Permit 212 Main Street SewerlSepticvallabitlty , Room 100 Wat�er� W.- Northampton, r Northampton, MA 01060 Tuvo � `ofiSlriictiirat Plans- phone 413-587-1240 Fax 413-587-1272 P o/S it Pl n Eli OtherSecify ' APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office ' ^^ Map f Lot Unit 1 R uY` Sfi. Nod-T)�A,W-nr , MK Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: KT-ST. MA- - Name(Print) Current Mailing Address: .� ! - Lf( 3 - 2-a� - '1811 Telephone S at e 2.2 ALitdorized Aaent: w it, cr� &V I Ae*-S knib im tK e Lf 9 Name(Print) Current Mailing Address: ' II ? Signature Telephone p p SECT N 3-ESTIMATED CONSTRUCTION COSTS '- Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 2. Electrical �► l� 71 �-. (b)Estimated Total Cost of Construction from 6 3. Plumbing r 5/ C j L�3 . Building Permit Fee LIEF vv 4. Mechanical(HVAC) � 5. Fire Protection — 6. Total=(1 +2+3+4+5) b. Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 fill in by Building Depa nt Lot Size ___® .______ __ Frontage Setbacks Front ( �E i s Side U-1— R._ L: R:1 � Rear — _T Building Height _.....I Bldg. Square Footage % _,a Open Space Footage (Lot area minus bldg&paved { parking) #of Parking S ces Fill• ���..__.. .__.,�__--___A___w�.. _�.� _ _.�, _ .�_�.,, ume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DON'T KNOW YES Q IF YES, date issued:! u F IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES Q IF YES: enter Book E Page, and/or Document#` L _ . .. E B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained O , Date Issued: C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, gradinq,q6zavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES0 P1 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 0 ReplacemerLWindows Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [ Siding[O] Other[O] Brief Description of ProposedG(, Work: N M Vtr 'p �.� A-T 0* S I N Nowl>ogme* Alteration of existing bedroom Yes No Adding new bedroom Yes NoS1' Attached Narrative Renovating unfinished basement es _ ' No �tt'�d j Plans Attached Roll -Sheet OA-T-w 6a. If New 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 7 c. Is there a garage attached? =+ C(S�rrlt U D(� f d. Proposed Square footage of new construction. � Sf Dimensions I I/ e. Number of stories? 7. 0e'M ( 1t7b Sr— s P�A�f �1 MC f. Method of heating? Fireplaces er Aetevca'umber of each p� g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? "1 J h. Type of construction i. Is construction within 100 ft. of wetlands? Yes —X_No. Is construction within 100 yr. floodplain Yes-X—No j. Depth of basement or cellar floor below finished grade 0 4k k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Y Private well City water Supply_ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, W Ll�-;b 1'tt-r V as Owner of the subject property hereby authorize to act,?n my behalf, inall atters r lative to work authorized by this building permit application. * 1Z Z o Sig e of Owner Date as Owner/Aut__ ho_rued_ Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge an a ief. Signed under the pains and penalties of perjury. Print Name 41�V / Aq- Signatur/of Owner/Agent Date 11 IF SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Constructilo'n'Supeervlisor:/� Not Applicable ❑ Name of License Holder: License Number rt" o I lag I q Address Expiration Date `77z,t,�� e""- i3- b — 8' Si-- 're Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ I o 153-L Company Name Registration Number e*jt-S ST ° pj-�l /lam ff-1 t`I IAA--- Address Expiration Date Telephone 00 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....... No...... ❑ File#MP-2019-0036 APPLICANT/CONTACT PERSON WRIGHT BUILDERS ADDRESS/PHONE 48 Bates St (413)586-8287(116) PROPERTY LOCATION 169 ELM ST MAPXAPARC,FL,I6 Q L 701 URB 001/ IIS SECTION FOR OFFICIAL USE ONLY: PERMIT AEffJCA3=CHECKLIST ENCLOSED REQUIRED DATE ZOWNG FORM FILLED OUT Fee Paid Buildin" Permit Filled out Fee Paid T eof Constnmdon: ZPA-ADDITION TA THEEV-TNG HOUSE FOR A NEW MUDROOM AND REAR DECK Now, . 4` ..�_..r.�..�.�.�....,..._.__ �..:..,.�. Non structural irtterior renovations Addition to Existing Accessory Structure,,,, B_ dift Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PFF NTED: Approved V Additional permits required(see below) �Gl� �K � �� a 6E�S ELM Ntst�R�-c,o,�M1is►o.tJ PLANNING BOARD 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 REOUIRED UNDER: Finding_ Special Permit ,• Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Sdptic 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 Signature of Building Official 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 the Office of Planning&Development for more information. 0EGEIVED File No. [ �' ZO G PERMIT"PLICATION (§ o.2) r-F TP N ..� ;? it t all information and return this form to the Building -Insg Wz h the X30 filing fee (check or money order)payable to the City of Northampton 1. Name of Applicant: Wdght Builders,Inc. Address: 48 Bates Street Telephone: 413-586-8287 2. Owner of Property: Benjamin Leonard & Rebecca Lorimer Address: 17 West Street, Hadley, MA 01035 Telephone: 413-209-7811 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain} Builder 4. Job Location: 169 Elm Street, Northampton, MA 01060 _ Parcel# Districts : Parcel Id: Zoning Map#- �;>� +� :� O. In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property: Single family residence 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Addition to the existing house for a new mudroom and rear deck 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW X YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# 9.Does the site contain a brook, body of water or wetlands? NO X DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Continues On Other Side) W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doc 8/4/2004 10. Do any signs exist on the property? YES NO X IF YES, describe size, type and Wca" Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO X IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY ZONING Lot Size .445 acre (19,819.80 sf) .445 acre (19,819.80 so Frontage 110 feet 110 feet Setbacks Front 50'- 4" +1_ 44'-4" +1- Side L:7'-0" +/1 R: T-0" +/- L:7'-0" +/1 R: T-0" +/- L: R: Rear 69'-11" +/- 69'-11" +/- Building Height 22'-0" +/- 22'-0" +/- Building Square Footage 2,290 sf 2,489 sf %Open Space: (lot area 19,819.80-2,290 building 19,819.80-2,498 building minus building Fr paved -1,034 driveway= -877 driveway= parking 16,495.80 16,444.80 #of Parking Spaces 4 4 #of Loading Docks NA NA Fill: NA NA (volume I* location) 13 Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: 9-2(&5-App(icant's�� Si natur e NOTE: Issuance of a zoning permit does not relieve an applicant's burden to com y with all zoning requirements and obtain all required permits from the Board of Health,C nservation Commission, Historic and Architectural Boards,Department of Public Works and othe applicable permit granting authorities. W:\Documents\FORMS\original\Building-Inspector\Zoning-Permit-Application-passive.doe 8/4/2004 SITE 102.1 V A-0 305. Zoning: 144.45 RB 151 CO New rear deck 31 - 3' 11 - _0.1 185.3 o� o 110 Addition 1280.7 F�4-f 19,819.80 sf 31 B-162 Leonard Lorimer Residence 169 Elm Street, Northampton, MA 01060 tt CITY HALL 2 E :1 1 2 NORTHAMPTON T HISTORICET AL COMMISSIONOMASSACHUSETTS 0 CITY HALL William Fenno Pratt Architect,1849 Historic District Commission Decision: The Northampton Historical Commission voted unanimously on October 30, 2018 to grant a certificate of appropriateness pursuant to Section 195 of the Northampton Code for at 169 Elm Street, Map ID 31B-161 for construction of a second story dormer and mudroom on a 1960 Colonial Revival half Cape, as well as replacement of front and garage doors,windows and gutters, as submitted by Ben Leonard and Rebecca Lorimer, and as shown in permit application materials dated October 15, 2018, and subsequent details submitted October 29. The Commission finds that the work proposed conforms to the performance standards of the Ordinance and Historic District Design Guidelines by considering compatibility with the existing building and the District. Additional Conditions: Removal of gutters is allowed as an option without any additional review Porch footings shall be hidden with wooden trellis installed in framing Existing siding shall be utilized or duplicated The front door shall be wooden,with a lintel Plumbing stacks shall not be added to the front roof elevation I,Sarah LaValley, as agent to the Historical Commission, certify that this is a true and accurate decision made by the Historical Commission, and certify that a copy of this and all plans have been filed with the Commission and the City Clerk. I certify that this decision has been mailed to the owner and applicant. Any person aggrieved by a determination of the Commission may, within 20 days after the filing of the notice of such determination with the City Clerk, file a written request with the Commission for a de novo review by a person or persons of competence and experience in such matters, designated by the Pioneer Valley Planning Commission. City of Northampton - ' Massachusetts DEPARTMENT OF BUILDING INSPECTIONS D'z 212 Main Street •Municipal Building Northampton, MA 01060 Debris 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 150A. The debris from construction work being performed at: 11g sr, ti o R-P-N-*--rh lnL� (Please print house number add street name) Is to be disposed of at: V'ALLt--'1 e2tC— j tet„'A�— (Please print name and to tion of facility) Or will be disposed of in a dumpster onsite rented or leased from: -10 A 360 , V 1�rii S �G M Pr' (Company Name and Ad re s) Signa uof Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): f'a Cr--r_AA 0)� Address: 9 f; -(Ir City/State/Zip:N b g��e`ro t4, (HfY 0006 Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in $,fRemodeling any capacity.[No workers'comp.insurance required.] 9. Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t lO;KBuilding addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.[-] tubing repairs or additions 5t�I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13Roof repairs These sub-contractors have employees and have workers'comp.insurance.: . 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.0 Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify unde he pains d nalties of perjury that the information provided above is true and correct. Signature �/��-1 Date: f Aefzi/ Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DATE(MM/DD/YYYY) ACORN® CERTIFICATE OF LIABILITY INSURANCE 03/22/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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(les)must have ADDITIONAL INSURED provisions or 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). PRODUCER CONTACT Jenna Rodrigue,CISR Elite NAME: Webber&Grinnell MINE 4 -0111 (413)586-6481N c No): 8 North King Street E-MAIL iroddgue@webberandgrinnall.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURERA: Arbella Insurance Group 17000 INSURED INSURERS: A.I.M.Mutual Wright Builders,Inc. INSURER C: Attn:Jonathan Wright INSURER D: 48 Bates Street INSURER E: Northampton MA 01060 INSURER F: COVERAGES CERTIFICATE NUMBER: Master2019 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR ADDL SUOK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY) (MMIDDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE15- CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A 8500068268 03/01/2018 03/01/2019 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑JECT F�LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMEa acddentBINED SINGLE LIMIT $ 1,000,000 ANYAUTO BODILY INJURY(Per person) $ A OWNED v SCHEDULED AUTOS ONLY I OINI AUTOS 1020070845 03/01/2018 03/01/2019 BODILY INJURY(Per accident) $ X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident PIP-Basic $ 8,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESSLIIAB CLAIMS-MADE 4600068266 03/01/2018 03/01/2019 AGGREGATE $ 5,000,000 X DED RETENTION$ 10,000 $ WORKERS COMPENSATIONX STATUTE ETH AND EMPLOYERS'LIABILITY Y/N 500,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A MCC20020005342018A 03/01/2018 03/01/2019 E.L.EACHACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Informational Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD f . ConwrmnweaM of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr,oat visor CS-016370 _ ares;07/Z812019 V D ' THOMAS P _ 480 N WEST_ FEEDING M �Q Commissioner 1 t. '7z:re lei, Officeof Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, M usetts 02118 Home Improv Ctor Registration EM i5 7 Type: carpacafim WRIGHT BULLDERS, INC. u I Ar Re�G[afion: 101536 48 BATES STREET I' 06/25=20 NORTHAMPTON,MA 01060 a! F R� IP,I ,0v Update Address and Return Card., SCA 1 a 2OM-aw17 .`fie �a,�nnonu�sa�o�✓�aa.1¢�/�udaffa Office of Consumer Affairs 3 Business Regulation HOME IMPRO ENT CONTRACTOR Registration valid for individual use only before the expirationAkta. If found return to: Office of ConsuirwAffairs and Business Regulation 06125/2020 1000 Washington -Suite 710 WRIGHT BUI � Boston,MA Q �• f. JONATHAN A. ,..', 48 BATES STREE3� NORTHAMPTON,MA X1060 Undersecretary valid without signature a a E x GY S -RV J1C�1\1 APPLICATION FORM FOR LtayV�RISE:I;�ESIDENTIAL NEW CONSTR"UCTION ana ADDITIONS 786 OMR Appendix J Applicant"Itiattie W U.I L-t�G. Slteticlress> 6 ` t.�N. - Ci r'6wn: /l �li"plicant"Ai3dress: _ t}': ._ ' 0. Use Group. ' Date of�,pplicatiou: ____: AppIzcantel'llone: applicant Signature:: ---^ Cornlxllan�e:Path(�hQlrTe arie) ❑ I'resc,raptive"PAC,16. (Limit6d"041 24art ly ivoo trarrie buildings heated with ossil:fuels only 1?ackage through; r from TabJb Ji.2.ttij: __ Heating Degree Days.(HDD,;)from Table J5.2.1 a., hoz Items d,thrh naVfr aues That apply from:T able 1 ',2 1 b;) a. Gress 4�all Atex s fi, f. Wall R-value R- b. .Glazlgg Area, sq ft; g, Floor R=value: R— c,. Glazing°a(104 x b a) "la h. Bwmenf wall R= d GlaznigURvalue. U .i: SlabPe"rimete R e. "Ceiling R value j.. Heating AFUE ❑ Cotnp.o>zeat`Prforinance `'ly4nual:Trade-fJfi" imited to wood orlcnel fraine3 bwlditgs only) Clurlate Zone(from, ggar 2,, �) ❑ Zone-1.;2 [� Zone;13, ❑ Zone:I h Attach Jrarle U }3'ot krh from kppenclix J,[and<HYAC Trade-Q Worlsheet,'f applieabre] MASclleck"SAftrvare AtfacJiCor pliance:lteportand Inspectian'Cheist.printouts. [],'1TomeEnergy L�a#ingSystiem Evaluatitln: . Attach Hoirle.Energyl:ating Gertifzcate(HERS rat%ng score mus}`be 8 oarlglier) Systems,Anaiyt, QTt; ❑:Renewable EueTU Sources Attach Mass Registered Arefiiteut or, neer Analysis:.. . . ...... .... ALTERNATIVE F01RADDITIONS ONLY. a G oss S�i?allclulg aL sq,ft b,Glaxing rlrea'_L' Giazing:°fa{loo x b`� 21 0 DITION rvitll"Gl zing%(c j up; p 40°fo iiia r u§e 7�0 SMR Table J1 1 2 I below.., MAXIMUM U-Value .. MINEMOM :R-Values:: Fenesiraiiun= C Bilin .- v�all .Pwr BAserlfeiit' Wali Stab Paiiiteter.Np.th 0.32. . _. R-49 .,.:-: ��0:._. I1-30 R-15 Cetniinuutts I2-I0,2"11 I :Crlazing Ates ma be elthar Rougli't7peniug or Unttd mcnstons z; ;Bslsed gn R l sung. AppFtes either to every unit,or to are;}Weigh' average of Il wuts. celting Ins laElorl,may be used m place OF1.31 37:it the insuiatlou ac111e.- the full R-value the entire ce tit g area (r.d-not:castlpress�d aver exteiigr walls,An mcluzl ng any°access opts ings.) [] "SUNRQQNT"addifio»(gre.ater.thari 40%glazing-tn-wall'an ceiling grc ss;area) Attach"`Consnrl)er.Jnformation Form"fro 1: �•, .��{�.'' ��a � � • fAl Ar 1Oft. I! n Ak ' , _ ♦ • ; I' ? # F •�': _.+mss';, ,� �� +•`we►/� ` w low .1' A-it,- _.PW r - I - 4; a 5- r na *` CrQ ca (Q1 CD 41 AF y { r } y + a. x lo d- rte - r • - - s