38B-239 (7) 26 OLIVE ST BP-2019-1172
GIs#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:38B-239 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv:window replaced BUILDING PERMIT
Permit# BP-2019-1172
Proiect# JS-2019-001901
Est Cost:$5700.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group BEYOND GREEN CONSTRUCTION 074539
Lot Size(sp. ft.): 11935.44 Owner: SCHLICHTING KERRY
zoning: URB(100)/ Applicant. BEYOND GREEN CONSTRUCTION
AT.- 26 OLIVE ST
Applicant Address: Phone: Insurance:
13 TERRACE VIEW (413) 529-0544 O WC
EASTHAMPTONMA01027 ISSUED ON.•412412019 0:00:00
TO PERFORM THE FOLLOWING WORKWINDOW REPLACEMENT
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:
FeeTyoe: Date Paid: Amount:
Building 4/24/20190:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
RECLi ` a
The Commonwealth of Massachusetts
2 Board of Building Regulations and Standards FOR
Massachusetts State Building Code,780 CMR MUNICIPALITY
USE
"W'"ert. it Application To Construct,Repair,Renovate Or Demolish a Rev(sedlfar 1011
One-or Bvo-Famuly Dwelling
This Section Far Official Use Only
Building Permit Number:
NNumber: X( -' Date Applied:
/-z3-2019
Building Official(Print Name) Signora, Date
SECTION 1: SITE INFORMATION
1.1 Property Address: IS Ass'ess^orsap&Psrcel Nu e
co Unvc �t IVO(41)a.m n . n 9' � 9
].la Is this an accepted street?yes_ "-Q- Map Number Parcel Numher
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(f)
1.5 Building Setback,(D)
Front Yard Side Yards Rear Yard
Required Provided Re imood Provided Requned Provided
1.6 Water Supply:(M.G.L c 40,4 54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Publico Private n Zone: _ Outside Flood Zone? Municipal o On site disposal system o
Check if yeso
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
kl 4 scb %%C h±lnU aw,ZP2
Nama( o Ci ,Sfate,ZIPt.n�
a(x ZINC 10-3335
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction o Existing Building o Owner-Occupied o I Repairs(s) o I Altemtion(s)�.1or� Addition o
Demolition o Accessory Bldg.c Number of Units Other 1"pecify: 11 i f)s,tl'V)S
Brief Description of Proposed Workr: f f-Mdle P i rl 51 I Z tsli Oc(Oi.JC ( Jp. ?e(la+tn5
Q{-
0.CQme
It ro
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee:S Indicate how fee is determined:
2.Electrical $ o Standard City/Town Application Fee
o Total Project CosP(Item 6)x multiplier_x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Su ression $ Total All Fees:
6.Total Project Cost: $ �'1 O� rye Check No. m
Check Amount:. Cash Amount:_
W o Paid in Full ❑Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
SECTION 5: CONSTRUCTION SERVICES 77Q
5.1 Construction Supervisor License(CSL)
SEAN R IEFFORDS l-.S— V, SJ I r a 8 l£+±A
License Number Expimtidn Date
NameofCSLHolder
Lin CSL Type(see below)
13 TERRACE VIEW
Type . .. Description
No.and Strcet U Unrestricted(Buildmas up to 35,000 mr.ft.
EASTRAMPTON-MA 01027 R Restricted IBr2 I' mil Dwellin
City?own,State,ZIP M Meso
RC Roofing Covering
WS Window and Sldin
SF Solid Fuel Burning Appliances
413-529-0544 SEANABEYONDGREEN BIZ I Insulation
Tele hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) I 9 ) S ICS
S R1 fF b -B d Gr Co Inrcf HIC Registration Number Expirafion Date
HIC Company Name or HIC Registrant Name
11 Terrace View seen adeyondgMM biz
No.and Street Email address
Easthampton_MA 01027 411-529-0Sa4
Ci /Town,State,ZIP Telephone
SECTION 6:WORMERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.4 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...........❑
SECTION 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize R.Pyn n(',� C-1/t°C(/1
to act
"oon-Lmyy behalf,in all matters relative to work authorized b this building permit application�l
Print Owuer'S N I 1
(Elcctmnic Signature) Daze
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of th�information
contained in this application is true and accurate to the best of my knowledge and underslandingJ
_Sean Jeffords `'"Ipp
)as n
Print Owner's or Authorized Agent's N is Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home improvemem Contractor(HIC)Program),will mol have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can he found az
www.mass ovy//ow Information on the Construction Supervisor License can be found at www mass env/dro
2. When substantial work is planned,provide the information below:
Total four area(sq.ft) (including garage,finished basementlattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of hal9baths
Type of heating system Number of decks/porches
Type ofcooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department oflndustrfalAccidents
I Congress Street,Suite 100
Boston,AIA 01114-1017
www anass govildia
Wil.rivers'Compensation Insurance Affidavit:Builders/ContractorsMmtrleians/Plumbers.
TO BE PILED WITH THE PERMITTING AUTHORITY.
AnoliceM Information /n7 Please Print LedblY
Name(BusinwNOrgenbatiuMndivid.l):L(4 11111fJ G (e en I ' nn,St]'l �(Ctin/l
Address: V i u )
City/State/Zip:EG S�Vl act 'C Cn j"O, Phone#:
Are yev.n emPloYer'aeck We.pProprl.te hos: Type of project(required):
1.®lama mq,byo with�en@larees(full enNor pa-tinrl' 7. E]New rAnsWction
3.❑lama mk paprssbr orpraenbiPaed Mvememploy«a workkg formein 8. E]Remodeling
any v,wny.[No wodan'coop,aw..o .goose.]
J.❑Immehwrcoasrar doingell wswk mYwlt lNo workers'mmP imhow-hoquiroolt A ❑Demolition
a.❑lune Mtoow.o.M will inion moors to mMucoll wotkonm 10 E]Building addition
gran rPmRtb. Iwill
more thutaa mveactoe aims have worken'mmpmsmion ivuarce or ere ole 1LE]Electrical repairs or additions
proprimnn with m mryloyue. 12.❑Plumbing repairs or additions
5.❑lama¢neral cmaactoact I here hind these euwctas limed on We wholud sheet. 13.❑Roof repairs
lMa subcanhentanheve mnplayco and Mve wohos'come-imwmcc.s
h.❑weaasemwaewendk.off aha.ee.eroeed r;ghtefaeaP� mMGLe. ME)Other W'l;)dplus
152,110).end wa Moe m unployeer.[No worken'comp.tonus.romind]
*Any applkmn that checks boo#1 ata also fill out We section below Showing their workers'mrtPrnamim PlaY lafworatim
t Nosneowtws who submit Wis affid.vit indkating Way are,doing ell wok awl Wo hire onside whose ter,mum submit a mw aRWrvit ketones such.
IComxws thm ebwkWu boa mum atachM en edWdonel ahemihown,We Dame offle subconow urs end use whmMr or his those otitis Mve
emPloyas. If the suhcmm icmm Mve engbyen,they must Provide 66, worken'mo, it,inanition.
lam an employer thatis providin,&workers'eampensadon imurancefor my employees Below is the polky andlob sin
information. ry
Insurance Company Name:
Policy#or Self-ins.Lic.#: J LI}PC 7 00 S I Expiration Date: —
Job Site Address: a\P 0\0SY' City/StaWZip:ko(+Vl A4'vl (N.1�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration oko(sr15
Failure to secure coverage as required under MGL c. 152,y25A is a criminal violation punishable by a fine up to$1,500.00
and/or onayeu imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby eerdfy under the pains an ► ury that the information provided above is nue and correct
Signature, Date UI \�
s
Phone M
i
OJflcial use only. Do not write in this area,to be whololaed by city or town ofJiciat
City or Town: Permit/License# 7
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Impactor 5.Plumbing Inspector
6.Other
Contact Person: Phone M
i
I
Can .ea8h of Masseo0usetts i
/ Division of Professional Lken a,le 1
Board of Building Regulations and Standards i
Conatrsplluf{�Opfrvisor i
CS-074539 * Expires: 11/282020 AW
i s
SEAN R JEF;OR.�
�0u5,
7 IV
13 TERRACE 1
EASTHAMPTON3IA O,M 7 �J
l
UI`IaSI4P3'� -
Commissioner
dXk/ i
l(JQ9TU/rT.P92 leaf OG GJ .CC�IdCL �.P S. .
Office of Consumer Affairs and Business Regulation
One Ashburton Place- Suite 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
TYPT Corpondim
BEYOND GREEN CONSTRUCTION INC. Reglatrsaorrt 181746
iSTERRACEVIEW ��� O5/082�
EASTHAMPTON,MA 0102/
upearewea.wana Bmvm coa.
scw, C z®+mn
Olnce NE BAPRO EME aCOWRRBTOR n
NOMEIN TYPENENTalbor, ACTOR. isdo thesegelMfordsta.duMudretur
TYPE CCravatian Sefarethe eapiration data. HiouM ratum tA:
B> a 1�Sffilitd
19146 a+ OOne Ashtiurton Puse-Slareltasnld mBoainan fleBMetlon
BEYOND GREEN CONSTRUCRON INC. Boamn,MA 02108
SEAN JEFRMS
EASTHAMPTON,W U r Not vaW wMwtd sWrature
FASTHAMP(ON,MA 010'17 UntlalSeCiB�IY
Has^f rs:nrrnr,Heol;Antrn-n=[ :a .
Fupplxmzut to 2: nitA�(marc.�
_C. 01—hce'se On''
qutr *3s; [u Ts.. coastrueno a:teraboa' teumadoa, repair, male-tzaGau, wt e .
mmve nett,remuaa or demo!Lfan or$.e constructional of an addition to amt pre-ezisunz ewver o,.cupted
tu..0 n'sm.gq a zaat an be ao mot tray Sour dwellsg trait,or to structures which aye adjxccn o a c
u :LC'_,INRlp,v_9 bE SOt.. -c tmp(„terl CLYt�._0.�.`4::5 ceru fm excePaOns,a:o'g Piiu Qt!tCn'rWqu;r n'—.t5.
-.e U ^vmh: _ l.U'i(1G�Uu�S Esu cost:
r-.sc:gores Q(-4-, �_ V1C.�M, }Zl\,�M V),
aer' Nnane �CY F I cjib n __
Oete cf?erm�i application: LA�-�=µ-1-
:that:
a=ctrnt±on is <<cira;`:, ;GFO"ing r arrow'(s):
:roti:excluded by law
fon uudur S MO.20
`tier� n�c'rP.
C;'ce gi'sc�-' that
F?�7'.v'ERS PfILLING THEIR OWN ^Et.tvl J:i.A d - 'tirt..U` eliRt C'DV A.9.:TOF3
FOR APPLICABLE HO'JtE 7 .
_?vjPRM yi~NT IVORK DO NGT HAVE A CRSS '[`
ARBITRATION PROCR.M ORGLAR4N_'z='_ND UNDER I.:IGI_.^. 142A.
'31 perjlzy�
1 hereby apply Cr a pernnt as he agwt ofine ut riCf: j
Date:_ t9IIL^3CIir.T; 3="��'i_:;�EE\ C�M1:STg.k: 7=1;279 _
ns:_ e notice. 4 hcrsln a:�'.;y ;u;>pcm;ii X.'A:-:,•a-ee:of the._smperryy. �
.._. ✓rrZtrr .z, _ ___
BEYOND GREEN
C ON ST R U - T 0
DEBRIS DISPOSAL AFFIDAVIT
?N ACCORDANCE ViT
v ,c -
MASSE:4'-
MASSACHUSETTS GENERAL '-AV,,' Q:AP-ER 40, SF- 3;,
54. A CONDMON OF BUILDING PERM?
FOP. DEMOL'_,__i# T-= 'gAT
RESULTING i PQM, THIS '. C!V 51 ='!.';. BE KlEMQVEV FRO;-
SITE AND DISPOSED O'= IN' A PROPER Y I�CENSED SO'--D
WASTE DISPOSAL FAC"_-Y' AS DEFINED
3S50A.
-Ty-
ALTERNATIVE
i Y-
ALTERNATIVE RECYCLING. NORTHAMPTON, MA
2hCCTMN SITE I-)DRES_..-.
BE DISPOSED AND TRANSPORTED 5S-
3 POND GREEN CONSTRUCTION 0-
.:..TERNATIVE RECYCLING
L
SIGNATURE __-
DATE
§S
-�A
2U S�t 0 '�J� aVildin5
Lo 0\64cy—
Name:
Address:
City, -state:
Phone: act- C)7NL4 y
F-vops'—�'!Juane,
Nanw —
Address.,
(contractor}attest and affirmthst the building I intend to
insulate does not have any open air(fmob and tube}writing in the spaces to be insulated and that ihave
provided:he property owner With a copy di-this efficiama.
Contractor signature
Data
Leader Home Centers Proud Supplier of.- Customer
1123 Bernardston Rd J*LArrjjEVVS QUOTATION
Greenfield MA 01301
Tel: 413-774-6311 &BROTHERS
Fax:
Email: atimberlake@leaderhome.com
BILL TO: SHIP TO:
QUOTE# ° STATUS CUSTOMER PO# DATE QUOTED
442348 None 3 1 /_ 1 3:19:07 PM
QUOTED DY TETl1 S PROJECT NAME QUOTE NAME
Aaron Timberlake Unassigne BGC
LUNE# DESCRIPTION QTY NET PRICE EXTD.PRICE
100-1 2 $277.54 $555.08
Walcott Replacement Double Hung
30.5 X 56.75 Unit Size,White,Insol Low-E&Argon,DLO
Width Equal,2/2 Lite SDL, 5/8",White Simulated Divided m
Lite w/Spacer Bar,25.62 X 22.87 Clear Opening,4.07
SOFT,Single Lock,No Window Opening Control Deeice,
Insert White Half Screen Applied -
Head Expander,w/Sill Extender
Unit 1: UFactor: 0.28, SHG: 0.26,VLT:0.47,CR:61
Opening: 30 75"X 57"
O.S M.: 30.5"X 56.75" Tag: None Assigned
LINE# DESCRIPTION QTY .NET PRICE EXTD.:PRICE
200-1 1 $234.04 $234.04
Walcott Replacement Double Hung
30.5 X 56.75 Unit Size,White, Insul Low-E&Argon,DLO 15
Width Equal,22 Lite Contoured,White Grille in Airspace, it
25.62 X 22.87 Clear Opening,4.07 SOFT, Single Lock No E
Window Opening Control Device,Insert White Half Screen
Applied
Head Expander,w/Sill Extender
Unit 1:UFactor: 0.28, SHG:0.26,VLT:0.47,CR: 61
Opening: 30.75"X 57"
O.S.M.: 30.5"X 56.75" Tag: None Assigned
Page 1 Of 2
QUOTE# .. STATUS CUSTOMERPA# DATEQUOTED
44234 None 3/18/20193:19:07 PM
QUOTED BY TERMS PROJECT NAME QUOTENAME
Aaron I united Unassngned BG
LINE* DESCRIPTION QTY NET PRICE EXTD.PRICE
30o-1 6 $240.35 $1,442.10
Walcott Replacement Double Hung
30.5 X 56.75 Unit Size,White,lnsul Low-E&Argoa DLO
Width Equal,2/2 Lite Contoured,White Grille in Airspace, in
25.62 X 22.87 Clear Opening,4.07 SOFT,Single Lock e
White Window Opening Control Device,Insert White Half
Screen Applied
Head Expander,w,Sill Extender
Unit I: UFactor:0.28,SHG:0.26,VL 1:0.47,CR: 61
Opening: M75"X 57"
O.S.M.: 30.5"X 56.75" Tag: None Assigned
LINE# DESCRIPTION QTY NET PRICE EXTD.PRICE
400-1 1 $248.89 $248.89
Walcott Replacement Double Hung
309 X 56.75 Unit Size,White,hi LOW-E&Argon,DLO
Width Equal,6/6 Lite Contoured,White Grille in Airspace, •,
25.62 X 22.87 Clear Opening,4.07 SQFT,Single Lock,No e
Window Opening Control Device,Insert White Half Screen
Applied
Head Expander, w,,Sill Extender
Unit l:UFactor:0.28, SHG: 0.26,VLT:0.47,CR 61
Opening: 30.75"X 57'
O.S.M.: 30.5'X 56.75" Tag: None Assigned
All Prices are net. Quote is good for thirty days. Please review all quamitics, SUR-TOTAL:''. $2,480.11
specifications,and information for accuracy_ Special orders can not be returned for LABOR-, S0.
00
credit. Signature implies acceptance of these specifications. Your order will net be FREIGHT: $0.0
processed without authorized signature. SALES TAX: $155.01
Thank you for all of your efforts! TOTAL: $2,635.12
We appreciate the opportunity to provide you with this quote!
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