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24A-050 137 BARRETT ST BP-2020-0459 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-050 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BASEMENT RENOVATION BUILDING PERMIT Permit# BP-2020-0459 Proiect# JS-2020-000778 Est.Cost:$59612.00 Fee: $387.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PETE MONAGHAN 047809 Lot Size(sq. ft.): 11238.48 Owner: ESPOSITO MARK Zoning: URB(I00)/ Applicant. PETE MONAGHAN AT. 137 BARRETT ST Applicant Address: Phone: Insurance: 60 SHAWMUT RD (781) 801-0744 WC CANTONMA02021 ISSUED ON.10/10/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-BASEMENT RENOVATION 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 10/10/2019 0:00:00 $387.00 212 Main Street, Phone(413)587-1240, Fax:(413)58771272 Louis Hasbrouck—Building Commissioner File#BP-2020-0459 APPLICANT/CONTACT PERSON PETE MONAGHAN ADDRESS/PHONE 60 SHAWMUT RD CANTON (781)801-0744 PROPERTY LOCATION 137 BARRETT ST MAP 24A PARCEL 050 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_BASEMENT RENOVATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 047809 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 & .1.11a9 �� Sign re of Building Official V 0 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 N ha pton �I V 't'y tatu,s Qf Permit. '. Building epartmee�nturb t/Driveway Permit 212 in *reet'CT ewe!Septic lrn 1ticAvailability 0 9 2019 / Wat rANell Availability Northampton°, Tw Sets of Structural Plans phone 413-587-124a flc � 8'��,� PI Site Plans oN' 0106r0 ONS O er Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR b MOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address This section to be complet--en�d-- by office 43 :�- g �„� Sl MapIQ Lot �)`� Unit A/m4/w 0�0 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Na (Print) � Current Mailing Address: �,/G/ Telephone 4113 Y� Signature 2.2 Authorized Agent: II Name(Print) Current Mailing Address: 024 -�� P7 V Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS 'PYKCIVAI Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building L����`�J (a) Building Permit Fee 2. Electrical c- e-` (b) Estimated Total Cost of Construction from 6 3. Plumbing 96 Z Building Permit Fee 4. Mechanical(HVAC) v r7 5. Fire Protection 6. Total=(1 +2+ 3+4+ 5) S���i2 ' Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: - IQ IV Building Commissioner/Inspector of Buildings Date ��1 ' r��>H�� �TO� 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 filled in by Building Department w 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 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtainedQ Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 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 Q NO Q 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 Q NO 0 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 ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[0] Other[0] Brief Description of Prop A ed Work: G9�G !'��fy�Zrwwr, STG'�y r _R�f7�/�vo-�, _,ey Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement t Yes No Plans Attached Roll -Sheet 6a. if New house and or addition to ex' housingg, complete the followin : 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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date as Own uthorized Agent hereby declare that the statement and information on the foregoing application are true and accurate,to the best of my nowledge and belief. Signed the pains and penalties of perjury. At 07 J Print Name Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supe or: Not Applicable ❑ Name of License Holder License Number Addre s Expiration Date Signatu Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Addr / Expiration Date �4vu dZo2 Telephone 144/1 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 pe it. Signed Affidavit Attached Yes....... No...... ❑ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS - 212 Main Street • Municipal Building v . Northampton, MA 01060 'i4 Q AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors.and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement,.removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the ho owner�haas contracted with a corporation or LLC,that entity must be registered Type of Work:7 >C � L� Est.Cost: Address of Work: Date of Permit Application: �Z9 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: rte- �011/ ti101-1.) eu,c - /3 4"y Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: A , Dati Owner Name and Signature t � City of Northampton ;h " Massachusetts '. IMPAR274ENT OF BUILDING INSPECTIONS " 212 Main Street • Municipal Building —� Northampton, MA 01060 -•��� Massachusetts Residential Building Code Section 110.R5.1.2 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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 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. _ City of Northampton Massachusetts ,A c DEPARTMENT OF BUILDING INSPECTIONS � x 212 Main Street •Municipal Building JF rr 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: (Please print house number and street name) Is to be disposed of at: V'A� 2 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Co any Name and Address) --\- f-1/ ' / Signatur f 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 IndustrialAccidents e 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): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.0 1 am a employer with employees(full and/or part-time).* 7. F1 New construction 2.[]1 am a sole proprietor or partnership and have no employees working for me in R. E]Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.Fj I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 0 4.F1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 1Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 1.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs "These sub-contractors have employees and have workers'comp.insurance.: 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§](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. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct Signature: Date: 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#: BASEMENT INTERIOR & EXTERIOR WALL PANEL • FINISHING SYSTEM ..f, SUBMITTAL SHEET DESCRIPTION The Owens Comings Basement Finishing System'UrArnited(the-system)is comprised of lightweight fiber glass panels.PVC lineals ' (which replace conventional framing)and foamed PVC trim moldings(which replace trim lirnber).Trim components snap into the lineals, malting moldings and wall panels removable for access to a home's foundation walls and for adding additional wiring.Because traditionalWIWI wood and paper-based building materials are f replaced with fiber glass and PVC materials,the Basement Finishing System'Urdimited offers LYy I 4 inherent resistance to mold and mildew*The system is covered by a lifetime limited war- ranty"covering manufacturing defects ;{ USES The Owens Coming Basement Finishing System'Unlimited is an innovative system u designed to insulate and finish basement walls ' It insulates,acoustically treats,and aesthetically finishes walls in a few simple steps.The sys- tem ys tem can be installed over exterior stud walls `;<<� '' T „ w _ and interior partition walls built with either wood or metal studs Panels can be painted to appeal to the horneovvner's preference. r N a AVAILABILITY _ Trim Moldin r The panels are lightweight,fiberglass board PHYSICAL PROPERTIES laminated(ung a water-based glue)with a Property Test Method Value specially formulated glass mat Edges are pro- F®r Fiber Glass Board: tested with a resin hardener for durability T 94"x 48"x'S/l'Wall PanelsThermalResistance ASTM C 518 R-4.16 I"Wall Lineals WaterVapor Sorption ASTM C 1 104 <2%by wt® 120NF, Trim Molding; 95%RH Cove Molding Compressive Strength ASTM C 165 min. Decor Base Molding @10%deformation 25 psf Decor Crown Molding @25%deformation 90 psf Casing Normal Density ASTM C 303 7.0 PCF (AI trim components are available in white. For Firrtshed Panel: cherry or wood-grain in various profiles) Code Compliance: Noise Reduction Coefficient ASTM C 423 0.80 ICC-ES Evaluation Report No.ESR-1872 at (one coat of primer&one coat of paint) Type A Mount www-icc-es.org. Surface Burning Characteristics ASTM E 84+ Class A Flame Spread<25 -Meets Class A Burn Rating Smoke Developed<450 . i� fie--U* itedeW edd reser��and ® Interior Textile Knish Fre Classification NFPA-286 Meets Acceptance midew,the Systern can not prevent or mitigate mod tithe Criteria ardtions neaemryfor ndd®DAnh ereOQa"t°1baerrierx Mold Resistance ASTM C 1338 Pass "See amral%amity for dells butimrs and resin m is ASTM G 21 Pass NotcThe Basement Frrshng System—lkinited Pard may +The surface-biming characteristics of the finished composite panel were determined in accordance with ASTM E 84.This be nstaled mw wood 6 acme Dabon of`xak if wads are —d—d ,..d d«o:6. d.e prop,-ries or mate is,procucts or assemblies in response to heat and flame under ml.)Iateo to local code requirements including vapor barrier LpOik aAd may be nst;W e6er amr metal stud cofmtrolled laboratory conditions Data from ASTM E 84 testing cannot be used to describe or assess the fire hazard or fire corstructed tour>daoon wals or irEeic r vrood or metal stud risk of materials products or assemblies when considering all of the factors pertinent to an assessment of the fire hazard of constructed wak a prcadar end use-Values are reported to the nearest 5 rating. Owens Corning Basement Finishing Systems • y of New England Esposito,Mark Currie Ruben,Rachel Contractor / Agent Authorization From 137 Barrett St g Northampton,MA 01060 413-687-4040 I, a orize Owens Conning Basement Finishing Systems of Boston to sign the building permit application on y behalf. to perform the work at: Home Owners Signature: Date: J o 1 9 /W Project Manager Signature: -e Date: f0 60 Shawmut Road 9 Canton, MA 02021 9 Phone: 781-821-0060 • Fax: 781-821-8552 0 %-w .ocboston-com Esposito,Mark Currie Ruben,Rachel 137 Barrett St CONTRACT Customer Namc Northampton,MA 01060 Customer Signature SKETCH Contract Date_ 413-687-4040 Sales Representative Signature ATTACHMENT Customer Phoni _._ Contract Prlce _ W t x 9 . Ja r J U f) a n q .I a M U w M 90 W p M M yp 7-1 5.�, t � Pte— g -� ��✓>✓-� ��a�`'`-� ��'"?7 Id 07 -Tz` 1 ` rl ( 1 j. f x fl M A NOTES: 'Each box equals one tout unless olhorwom noted INs ske"4 ,11 gao� representation of the work to be done it Is Icnderstood T*t ed dH"*r-' derived from this sketch are approximate and that alf klcefi"of I A I I fixtures,plugs,lacks nndloi switches aro%objec:t to change A MceasAm. LUXRENO-01 SCOOT CERTIFICATE OF LIABILITY INSURANCE � W312 DIYYYY) 913!2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. W if SUBROGATION IS WANED, 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). i PRODUCER c N ACT Stephanie Coots Gordon Atlantic Insurance PHONE 306 Washington Street a ANo,EM):(781)659-2262 204 F c,N,; 781 659-4725 Norwell,MA 02061 rMILR06:stephanieftordonatlanticinsurance.com INSURER(S) AFFORDING COVERAGE NAIC# iNSURERA:American Fire and Casualty 24066 INSURED INSURER B:Safety Indemnity Insurance Company 33618 Lux Renovations,LLC Dba Owens Corning Of New England JNSURER C:The Ohio Casualty Insurance Company 24074 60 Shawmut Road INSURER D: Canton,MA 02021 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INS, TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP JNS&-MOMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE I_J OCCUR BKA57350449 9/5/2019 9/5/2020 DAMAGE TO RENTED 100,000 SFS MED EXP(Any one rson) 15,000 PERSONAL&ADV INJURY 1,000+000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 21000,000 X jp� T FILOC PRODUCTS-COMP/OP AGG 2,000,000 POLICY CI OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 nt ANYAUTO 5902260 414/2019 4/4/2020 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY X AUOTNOpSyy�Ep BODILY INJURY Per acciden X AUTOS ONLY X AUTOS ONLY RP 0:.E.E:g rRAMAGE C X UMBRELLA UAB X OCCUR EACH OCCURRENCE 1,000,000 EXCESS UAB CLAIMS MADE US057350449 9/5/2019 91512020_ AGGREGATE S 1,000,000 DED I X I RETENTION$ 10,000 C WORKERS COMPENSATION X PER 0TH_ AND EMPLOYERS'LIABILITY XWO57350449 5/24/2018 5!24/2020 ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N E.L.EACH ACCIDENT 1,000,000 QEFICER/MEMgIW EXCLUDED? ❑Y NIA(Mandatory In NH) es,describe under E.L.DISEASE-EA EMPLOYE 1,000,000 SCRIPTION OF O Ir 1,000,000 DEPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached M more space is required) Home Improvement Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE InSUred's copy for proposals and/or permits THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Lux Renovations,LLC dba Owens Corning of New England 60 Shawmut Rd Canton,MA 02021 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Re of Consumer Affairs&Business Regulation License or registration valid for individul use only E IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration: 137943 Type: 10 Park Plaza-Suite 5170 Expiration: �9t2917 00 Supplement Cr+rd Boston,MA 02116 LUX RENOVATIONS,LLC. OWENS CORNING BASEMENT FINISHING SYSTEMS PETE MONAGHAN 60 SHAWMUT RD CANTON, MA 02021 Undersecretary Not valid wi out signature STATE OF RHODE ISLAND Commonwealth of Massachusetts Division of Professional Licensure CONTRACTORS'REGISTRATION Board of Building Regulations and Standards ��. AND LICENSING BOARD Construction 1 & 2 Family REGISTRATIONDATE CSFA-047809 1 E�Ipires: 07/22/2021 PETER M MC�WAG0 REGISTRANTS NAME , 136 RIDGE STREE MILLIS MA 04-r,4'-. AUTHORIZED REPRESENTATIVE • _ Commissioner • L + HOME IMPROVEMENT CONTRACTOR /� BASEMENT III ' FINISHING SYSTEM-'. Lti\' IZI:N0\2VI lONS LLC 60 S11-A\\11t I Rll 0Z1t1410 PETER MONAGHAN ` PROJECT MANAGER 60 shawmut road Registration 4- cc ti Expiration canton,ma 02021 HIC. 9" (4U� NES 11/30/2019 ■LUX mobile:781-801-0744 r�RAN5rU11T RENOVATIONS, LLC email:pmonaghan@ocboston.com SIGNED r Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card LUX RENOVATIONS,LLC. Registration: 137943 Expiration: 02/04/2021 D/B/A OW ENS CORNING BASEMENT FINISHING SYSTEMS 60 SHAWMUT RD CANTON, MA 02021 Update Address and Return Card. SCA 1 CS 2OM-05117 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Exairation Office of Consumer Affairs and Business Regulation 137943 02/04/2021 100 WS—s i ton Street-Suite 710 LUX RENOVATIONS,LLC. B Ston,MIN 02118 DIB/A OW ENS CORNING BASEMENT FINISHING SYSTEMS r% PETE MONAGHAN �-,p �J � f' " t�------- 60 SHAW MUT RD k�" CANTON,MA 02021 Undersecretary Plot valid Without signature