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17A-088 (5) 3 MOUNTAIN ST BP-2021-0047 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-088 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING P E RM I T Permit# BP-2021-0047 Project# JS-2021-000064 Est.Cost: $89977.00 Fee: $630.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: RENAISSANCE BUILDERS 013302 Lot Size(sa. ft.): 14810.40 Owner: PEASE SARAH A Zoninp,: RI(100)/URA(100) Applicant. RENAISSANCE BUILDERS AT. 3 MOUNTAIN ST Applicant Address: Phone: Insurance: P O Box 272 (413) 863-8316 Workers Compensation TURNERS FALLSMA01376 ISSUED ON:7/20/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:EXPAND EXISITNG BATHROOM AND BEDROOM 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 Sivnature: FeeType: Date Paid: Amount: Building 7/20/2020 0:00:00 $630.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner a►z �\ Department use only City of Northampton Permit: f f 6 a Building Departmpe � J EiDriveway Permit 212 Main Streptic Availability Room 100 ti�na Water ell Availability Northampton, MA �J Two e of, tructural Plans phone 413-587-1240 Fax 413= ' �theSr ite Pians L { Stiecify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVAT Q R bEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be complet�P office UVA' Map � ! Lot � Unit 'eta rr✓�r✓e, MIA G 0 2 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sax-ate. V-e-� Mauh Name(Print) Current Mailing Address: �e - 1"t` r r"—J Ot, -� 4o4on zC461(\- Telephone Signature 2.2 Authorized Agent: PQ 26 Name(Print) Current Mailing Address: yi3 - 8& )- 831 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (�Li (�`l� (5/0/ (a) Building Permit Fee 2. Electrical (� I (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 2,�] 4. Mechanical (HVAC) 71)U 5. Fire Protection 6. Total = 0 + 2 + 3 +4 + 5) Check Number �j This Section For Official Use Only Building Permit Number: ��— / Date Issued: _ �� a Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors I] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding [0] Other[p] Brief Description of Proposed �, L _1, ( (� Work: E i 5`tl oyGl t vt irmyy\ e1y6 M rI Alteration of existing bedroom_ Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house 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 c. Is there a garage attached? d. Proposed Square footage of newconstru",ction. imen ' s e. Number of stories? �() tt/"_&An'g Z f. Method of heating? ireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 f wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of baseme or cellar floor below finished grade k. Will bui ' g conform to the Building and Zoning regulations? Yes No. I. eptic 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, See 1 Gl��'WI' (yam 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 I, �p�PX� .� Car�te��a-fid as Owner/Authorized Agent hereby dec re 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. W Print Name Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ` 1 Not Applicable ❑ Name of License Holder: � (2"ey\ J C'��c�,�nf�la-�� C�5 0/,2ZO License Number 0 Z0Z1 Address Expiration Date -86 'Svlcn Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ :t, s5arnce Zu i ld e.rz 16 LIP Company Name Registration Number �6 'teaX 2`l , Trne.;rs l(S Mrd Oi'27 -1 . 22 2� Address /I LL QQ�� QQ Expiration Date Telephone'?/3"CXp3'U3� 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....... 7No...... ❑ RENAISSANCE EUILDERS PO BOX 272, TURNERS FALLS, MA 01376, 413.863.8316, INFO@RENBUILD.NET, WWW.RENBUILD.NET July 7, 2020 Sarah Pease 3 Mountain Street Florence, MA 01062 WORK LIST for Expanding Existing Bathroom and Bedroom on First Floor of Home at Above Address. Revised from May 9, 2020 proposal. Scope to include the following: Interior and exterior renovations per plans. Expand existing bath to allow for walk in shower. Cut opening between front bedroom and back room to expand bedroom and allow for second doorway into bathroom. Close up existing door to front bedroom and enlarge existing door at end of hallway for new access to bedroom. Change cased opening at living room to hallway to flush drywall opening with protected corners. Add half wall and chair charging station at front door. Replace front door. 1000 GENERAL CONDITIONS 1210 Allowances The price quoted below includes the following allowances. All allowances are for material only unless otherwise noted. A. Tile Floor, per square foot, approximately 100 sq. ft., B. Tile Shower Base and Walls Including Trims and Shampoo Shelf, Lump Sum, Pending Design, labor& materials C. Plumbing Fixtures D. Door Hardware E. Interior Sliding Door and Hardware F. Exterior Door 1300 Project Management A. Provide copy of current Construction Supervisor's License. B. Provide shop drawings, samples, color choices, and/or selection charts as needed for Owner's approval. C. Coordinate operations under different sections that are dependent on each other for proper installation and operation. D. Notify Owner as necessary when scheduled work will impact occupied portions of the premises. 1310 Supervision A. Provide supervision at all phases of construction performed or subcontracted by Renaissance Builders. 1520 Temporary Facilities A. Provide portable toilet for workers. 1530 Temporary Protection A. Construct temporary dust proof partition to separate work areas from surrounding areas. B. Provide floor and dust protection to work areas, and provide a walkway to and from work areas. C. Provide protection against the spread of lead dust to surrounding work areas. 1730 Cleanup & Trash Disposal A. Clean up all debris and leave the job site broom clean at completion of all work. B. Legally dispose of all debris. C. Vacuum all affected areas with vacuum equipped with HEPA (High Efficiency Particulate Air) filter at completion of repairs. 1950 Owner Responsibilities A. Cost of electricity and water during construction. B. All other phases not specifically outlined in this Proposal. 2000 SITE WORK 2220 Demolition, Exterior A. Remove and legally dispose of existing front door. 2225 Demolition, Interior A. Remove and legally dispose of existing shower and shower walls. B. Remove existing closet door and entry door to back room and save for reuse. C. Remove and legally dispose of existing closet walls in back room. D. Remove and legally dispose of existing floor covering and underlayment in existing bathroom. E. Remove existing door to front bedroom and save for reuse. F. Remove existing sink and toilet and save for reuse. G. Remove existing closet and wall at Northwest corner of front bedroom. H. Remove existing cased opening at entry to hallway adjacent to the fireplace. I. Cut opening approximately 9' wide between front bedroom and back room. J. Cut openings as necessary for new plumbing and electrical work. 2226Hazardous Materials A. Perform all demolition of painted wood materials per EPA Lead Safe practices. B. Perform all clean up after demolition per EPA Lead Safe Practices. 6000 WOOD & PLASTICS 6120 Framing, Walls - Rough Carpentry A. Frame new walls for new tile shower and entry to bathroom from expanded bedroom. B. Install blocking for grab bars. C. Frame new walls for new closet in Southeast corner of expanded bedroom. D. Infill door opening at Northwest corner of bedroom where closet has been removed E. Install three (3) 7" x 13/4" LVL beams at new wall opening. F. Build half wall in entryway. G. Prep all walls, floors, and ceilings in work area for new finishes as needed. 6220 Casing & Base A. Door casings to be paint grade poplar and match existing profiles as closely as possible. B. Base moulding to be paint grade poplar and match existing profiles. 7000 THERMAL & MOISTURE PROTECTION 7200 Insulation, Vapor Barrier A. Seal penetrations between floors with Thermafiber fire stopping or fire rated silicone. B. Install spray foam insulation around perimeter of new exterior door. 8000 DOORS & WINDOW 8100 Doors, Exterior A. Front door to be Therma-Tru Smooth Star fiberglass door, per allowance. B. Set exterior door in bed of acoustical sealant. C. Shim door at all hinges and all corners. All shims to be installed prior to insulation. 8200 Doors, Interior A. Reverse swing of cellar door to swing into stairwell, cut door approximately in half. B. Interior door sizes and quantities as follows: Quantity Size Type Jamb 1 Pair 2'0" x Raised panel doors New 6'8" rabbeted jamb 1 3'0" x 6'8" Surface mount sliding door to bath from bedroom Flat jamb 1 3'0" x 6'8" Hinged raised panel door at new bedroom entry 8700 Hardware, Doors & Windows A. Door hardware to be per allowance. 9000 FINISHES 9200 Sheetrock & Plaster A. Bath walls and ceilings to have '/2" moisture resistant drywall. B. House walls to have '/2" drywall. C. Repair and convert wood cased opening at end of hallway to wrapped drywall opening with wood/plaster corners. D. Finish all drywall with three coats of joint compound, sanded smooth. E. All joint tape to be fiberglass mesh type, applied using Durabond dry mixed compound. F. Fill all voids and holes using Durabond dry mixed compound. G. Patch all areas affected by renovation and leave ready for painting. 9300 Tile A. Install ceramic tile over Ditra anti-fracture membrane that has been fully glued to sub flooring with waterproof glue in bathroom. B. Install shower base and waterproof walls using Schluter shower base system and Kerdi wall system, or equal. C. Shower to be zero clearance, or as close as possible without reframing the floor system. D. Install ceramic floor and wall tile in shower. E. All shower work including base and waterproofing per allowance pending tile choice and design. 9640 Wood Flooring A. Install hardwood transition at new opening between rooms. B. Patch floors where walls have been removed. 9920 Paint, Interior A. Fill all nail holes with non-shrink putty. B. All new interior walls and ceilings to receive one coat of Benjamin Moore Fresh StartO MoorWhiteO, Sherwin Williams, or equivalent primer sealer. C. Interior walls to receive two coats of Benjamin Moore, Sherwin Williams, or equivalent flat acrylic paint. D. Interior ceilings in all areas to receive two coats of Benjamin Moore, Sherwin Williams, or equivalent ceiling paint. E. All walls and ceilings in affected area to be painted corner to corner. F. New standing and running trim, door and window casings, millwork, and interior doors each to receive a total of three coats of Benjamin Moore, Sherwin Williams, or equivalent latex paint. G. All existing trim in work area to receive a total of two coats of Benjamin Moore, Sherwin Williams, or equivalent latex paint. 10000 SPECIALTIES 10800 Bath Accessories A. Install the following bath accessories: one (1) shower rod and two (2) grab bars in shower. 15000 MECHANICAL 15400 Plumbing A. Install one (1) shower valve with hand held shower on slide bar and separate shower head per allowance. B. All water piping to be copper or cross linked polyethylene tubing. C. All sewer and drains to be ABS plastic. D. Remove and reset toilet and sink. 16000 ELECTRICAL 16100 Electrical Wiring A. Install new 42 position electric panel in place of existing panel. B. Demo all electrical in walls being removed or modified. C. Relocate light switch to bedroom. D. Install new three way switch in bathroom. E. Install outlet in entryway wall. Exterior Ramp and Entry Construct new landing at front door with low slope walkway from the driveway. Slope not to exceed 1720'. Replace sewer line from house to the street. 2000 SITE WORK 2220 Demolition, Exterior A. Remove and legally dispose of existing concrete steps at front door. B. Remove existing siding as needed for new landing and save for reuse. 2300 Excavate & Fill A. Strip topsoil and subsoil from construction area and stockpile on site. B. Excavate for block wall for landing to a depth of 48" below grade. C. Do preliminary backfill and rough grade from material on site. D. Construct sidewalk from driveway using structural gravel base and compacting. E. Prep sidewalk for hardscaping. 2540 City Sewer A. Replace existing sewer line from house to street. B. All work to comply with City of Northampton DPW requirements. 2900 Landscaping A. Spread loam, seed, and straw for all disturbed areas. B. Supply additional loam as needed. 3000 CONCRETE 3300 Foundation, Cast in Place A. Footings to be 8" x 20" continuous poured on undisturbed soil. B. All concrete to be 4000 Ib. 3350 Concrete Slab A. Form and pour 5' x 6' x 5" concrete landing at bottom of sidewalk. B. Form and pour new 5" sidewalk from landing to landing. C. New slab to be 6' x 6' x 10' welded wire fabric. D. New slab to have a broom finish. 4000 MASONRY 4220 Block A. Construct new block wall per the following: a. Block to be 8" x 12" x 16" CMU. b. Block to have vertical #5 bars 8" o.c. and at every corner. c. Grout all cells that contain bars. d. Install two (2) #5 bars continuous in bond beam at top of wall. B. Construct approximately 7 linear feet of retaining wall using Ideal Block retaining wall blocks. 6000 WOOD & PLASTICS 6800 Porch & Deck Framing A. All exterior framing materials to be "Natural Select" Copper Azole pressure treated lumber. Framing to be installed with ZMax hangers and hot dipped galvanized framing nails. B. Vertical surface of wall where rim joists are to be installed shall be covered with snow & ice barrier to a height of 2' above floor height of deck. C. Floor joists on porch to be 2" x 8" pressure treated, 16" o.c. 6810 Porch & Deck Finish A. Deck floor to be 5/4" x 6" Trex Transcend decking, installed with concealed fasteners. B. Construct bench on South side of landing to match decking. C. Deck railing to be 2" x 3" with 1'/z" square balusters of Trex transcend on North side of landing. 7000 THERMAL & MOISTURE PROTECTION 7460 Siding A. Reinstall salvaged siding at completion. Alternate #1 Add for roof over entry landing. Pending response from roofing manufacturer. Alternate #3 Increase opening to kitchen as much as possible by removing existing stops only and repainting jamb. END WORK LIST Pease Proposal Page 9 ACCEPTANCE OF PROPOSAL: Agreement between: Sarah Pease, 3 Mountain Street, Florence, MA 01062 And Renaissance Builders, PO Box 272, Turners Falls, MA 01376 The prices, specifications, and conditions are satisfactory and are hereby accepted. Please send a contract for the following work, as specified in the Proposal dated July 7, 2020: v," Price $ 48,751.00 L/ Exterior Ramp and Entry $ 26,476.00 ✓ Alternate #1 Add $ 14,500.00 t , �i Alternate #3 Add $ 250.00 Please make the following changes orr clarifications: rn / kX6� e inti �u'�+' o� 'Row i �2e } o — se- add` Sc `A- it'f--1ti i ve- S ts� cR D �1-4 r` m �' yh¢' Payment will be made as outlined below: Deposit on signed acceptance of Proposal: $ 500.00 �W "y v� A payment schedule for the balance will be included with the contract. �� �` ft5 authorize you to apply for a building permit, if required, on my behalf. 4- :� q 12,b Customer Signature Date Schir a,h (J6 5 e- Please print legal name for Contract Documents Customer Signature Date Please print legal name for Contract Documents All individuals listed as Owners of Record for a property are required to sign Contract Agreements. Please note any corrections to your name or address. Also, please give us your phone number(s) and the best times to reach you so we can keep you posted regarding our schedule. You may also provide an email address if that is a good way to contact you. Note: Please return only this signed acceptance sheet along with deposit. Retain the Proposal for your records. Renaissance Builders, PO Box 272,Turners Falls, MA 01376 License#013302, Registration#106490 7/7/2020 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plum hers Applicant Information Please Print Name (Business/Organization/Individual): RENAISSANCE BUILDFRS Address: PO BOX 272 City/State/Zip: TURNERS FALLS MA 01376 Phone #: 413-863-8316 Are you an employer?Check the appropriate box: Type of project(required): I.[X I am a employer with 22 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' Y p tY� 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.�S Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I?. Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#t 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: AIM MUTUAL INSURANCE CO. Policy#or Self-ins. Lic. #: MCC22002� S'0004972020A t Expiration Date: 01/01/2021 Y Job Site Address: (�Q�1 \*1 1 V1 Cek City/State/Zip:e0 rPa'lcf Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certif er the pains and penalties of perjury t t infornrrrtion provided above its true and correct. Signature: YDate: v� Phone#: 413-863-8316 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#: A�® CERTIFICATE OF LIABILITY INSURANCE DA07108/2020 Y) o7/os/2o2o 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 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. 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 Andrea Feeley NAME: Webber&Grinnell PHONE No Ext): (413)586-0111 AIC,No): (413)586-6481 8 North King StreetE-MAIL afeeley@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Northampton MA 01060 INSURER A: Arbella Protection 41360 INSURED INSURER B: MA Employers/A.I.M. 12886 Gill Building Corporation INSURER c: GuideOne National/BRECK 14167 DBA:Renaissance Builders INSURER D: PO BOX 272 INSURER E: Turners Falls MA 01376 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 1/2020 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. INSR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX]OCCURPREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 15,000 A 8500066134 08/01/2019 08/01/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: I GENERAL AGGREGATE $ 2,000,000 POLICY [g PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNEDv SCHEDULED 1020057016 08/01/2019 08/01/2020 BODILY INJURY(Per accident) $ AUTOSONLY /� AUTOS XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE 4620085703 08/01/2019 08/01/2020 AGGREGATE $ 5,000,000 DED I X1 RETENTION $ 10,000 $ WORKERS COMPENSATION SPER OTH- AND EMPLOYERS'LIABILITY TE RT ER YIN 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA MCC20020004972020A 01/01/2020 01/01/2021 E .EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ifl (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ Each Occurrence $500,000 Contractors Pollution Liability C ENV562000484 08/01/2019 08/01/2020 Aggregate $500,000 Deductible $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) For interior renovations at the address below. CERTIFICATE HOLDER CANCELLATION Sarah Pease SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 3 Mountain Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Florence,MA 01062 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AFFIDAVIT FOR DISPOSAL OF DEMOLITION DEBRIS Supplement to Permit Application As a result of the provisions of MGL c. 40, s54, I acknowledge that as a condition of the issuance of a Building Permit, all debris resulting from the construction activity governed by this Building Perrnit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c. 111, s 150A. I certify that debris resulting from this demolition will be disposed of as listed below: Job Site Location: 3 MR U rNA_&_�rl S- . . ,rid ffA& Name of Permit Applicant: Renaissance Builders Disposal Facility: F & G Recycling Address of Facility: 15 Mullen Rd., Enfield, Ct 06082 -_IF-SAID TACILITY IS OTHER-THAN I_HAVE LISTED I-CERTIFY THAT - I WILL NOTIFY THE BUILDING OFFICIAL OF THE CORRECT LOCATION OF THE SOLID WASTE DISPOSAL FACILITY WITHIN TWO MONTHS OF THE DATE OF THIS APPLICATION. s=+rr Signature of Applicant at Commonwealth of.Massachusetts Division of Professional Licensure '`-••, Board of Building Regulations and Standards ConS�np"A-AIA bovv visor r. CS-013302 .�' {(1 pires 08/17/2021 STEPHEN J GREENWALD. 390 MAIN Rlij GILL MA 01358 Ilii r JI "01 Commissioner Construction Supervisor Unrestricted -Buildings of arty use group which contain Icss than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston,Massachusetts 02108 i Home Improvem6akG�ntractor Registration `•;1_ _= �� Type: Individual RENAISSANCE BUILDERS — raU Registration: 106490 �� - - ,I Expiration: 07/22/2020 P.O.BOX 272 TURNERS FALL,MA 01376 SCA 1 7GM05,17 Update Address and Return Card. C{ C'5v/'e lao+.r.,nwu WIX o`Q•�(aawt/u�acll� Office of Consumer Affairs 6 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TY. E.Individual If the expiration dale. d found return to: Roaistretlan, Exoiratlon Office of Consumer Atfairs and Business Regulation tOG49a==;.tea 07122!2020 One Ashburton Place•Suite 1301 flENAISSANCE•1311.IkiDE •_ Boston,MA 0210a 6.1 STEPHEN J.GREE •-Li' ��-�!� 390 MAIN RD. -�1„+3' C �^ GILL.MA 01354 Undersecreta Not valid without signature N m z� = v ` RE ISSANCE '37 y� ILDERS D 1p N �_ O o PO BOX 272, TURNERS FALLS, MA 01376, 413.863.8316, o' INFO@RENBUILD.NET, WWW.RENBUILD.NET N 0 Jonathan Flagg, Building Commissioner City of Northampton 212 Main St. Northampton, MA 01060 Jonathan, Enclosed is a permit application to renovate the first floor bathroom and bedroom as well as construction of a front entry ramp at 3 Mountain Street, Florence. Stephen is the project manager. His cell phone number is 772-9430 if you have questions or concerns. Also included is: ❑ A scope of the work ❑ An Owner Authorization signature page ❑ A Worker's Compensation Insurance Affidavit and current COI ❑ Demolition Affidavit ❑ A copy of Stephen Greenwald's Construction Supervisor License and Home Improvement Contractor Registration ❑ Drawings A101 and A102 ❑ A check for $630.00 ($7 per $1,000 of job costs) Please call Stephen if you have any questions. Thank you, Natasha Olanyk Administrative Assistant natasha .renbuild.net i G 'CJ A i 47 v (� n U o 2 x 8 p,t, rim Joist snow d ice barrier 2' above surface of landing C/) ;-1 2 x 8 p,t, sill plate N v 2 x 8 p,t, Joists 16" zMax hangers < hot dfppe gale framing nails 5/4 x 6" Trex decking 5" concrete slab w/broom finish 6x 6 x 10 welded wire fabric Top of Landing = O" compacted strcutural gravel Existing FF = O" Q O Top of block wall = -9 3/4" Id OC } Dae CL 4 U O exlstfng grade M Z LU z 8 x 12 x 16 CMU block wall O U 05 vertical bars 8" o,c, and each corner J 2-•5 bars In bond beam at top of wall o m Ql grout all cells that contain bars L 4 5/8 x 12" galy plate bolts 2' o.c. E m U 8" x 20" footing of 4000 Ib corcrete---�, D O N ' 0 min, 48" below grade �°•� � � "� U 4 U LL Description: LANDING DETAIL DETAINCs ETAIL Date: 01/14/20 Drawn 5y: TAF'/SJG Scale:I/4"- I' Drawing No. SK - 1 p N _ r � O M Q\ zero threshhold shower w/seat Q hand spray 3. M CO U 4'_6" Sliding "bard" style door °� M Replace hallway flooing Enl res opening to Enlarge 2 openings 3 if possible Patch floor i Reinstall half door at _________________ _____ --------------------- top of cellar stairs ❑ Remove wall,` install beam, Z 3- 1" x 1 3/4" LVL Q O Infill door opening W Z U Q adZ z � w tYQQ 7r Infill door opening, d d U Half wall w/wood cap, Qexcept for opening m CO d height to be determined, Vor shelves L W Q) d) U 10'-3 m :3I 0 U4U � Chair charging station 1 w/shelves above, split p Descri tion: FLOOR PLAN Framed landing, 1 etween bedroom 8 entry Q block Date: 06/05/20 14) } y } 1 ' 1 Rev: 06111/20 Landing w/bench/ra i I 0.1/08/20 i 1 -A- L A_ L Drawn By: TAP/SJC3 scale: 1/4" = V Drawing No. ,4101 DRIVEWAY 6i—011 E r N ° ° D vo. \ D o D o D o O Q (0 tQ X E D D LQ (D LQ D ��• D o4�• D r r+ D D D o4�• D ��• D o �I f 1 � � f ,, fl „ moo � • rL� rL � rL D 4v D 4v D 4 D 4vV l.L � D ��• D o4 D o4�• D o4�• D o4�• D .D ,D .D p 0 p � p � t T rL � rL � rL � 4vV D 4vV D 4vV D 4vV D 4vv � }� r I I L I o4 v' D o v D o4 v• D �v• t � T � fi h f r r t � �� } � • � � r � r � r � r � r � L L D 4 v D 4 v V D 4 v V � t � � • � � • � o • vo r r r r r r � O r L-� L L� L °vim aov � avvp � rfi� rig r }� rf � r }� rfi� rL 1r Q W Inc. Inc- Inc- � - L L V 4 O .`4 V • D QD � D Q . O .. � 40„ jr �IFyr �fl'Jar y _ D I � p � p• � p• .'4 p• � 91 pp � p• 4 4 L L Vv 4vV 4vvD 4vv 4°•v 4v•v C 4vv r r r r .D ,D .D ,D -D .D � � r � r � r � r � � r t k T fi fi i I } L t f fi k f fi 4 L 4 L 4 L L L 4 L 4 L L I E o 03 1!� fl1 lel A (D n CC n S fl, Customer: SARAN PEASE A E o 0 0 -0 Address: 3 MOUNTAIN ST Renaissance oc� D o Do City, State: FLORENCE, MA j� z 0 tai n� 0 z BuIlllders p 0 ! Project: BATH RENOVATION 390 Main Road,Gill,MA 01376 ACCESS RAMP 413-863-8316,Fax 413-863-9712