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18C-131 (3) 73 BLACKBERRY LANE COMMONWEALTH OF MASSACHUSETTS BP-2021-1840 Map:Block:Lot: 18C-131- 001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1840 PERMISSION IS HEREBY GRANTED TO: Project# 2021 EXTERIOR RENOVATION Contractor: License: ART LERAY GENERAL Est. Cost: 63000 CONTRACTING INC C-070511 Const.Class: Exp.Date: 12/03/2021 Use Group: Owner: PATTERSON, LINDA Lot Size(sq.ft.) Zoning: URB Applicant: ART LERAY GENERAL CONTRACTING INC Applicant Address Phone: Insurance: 32 POLAND AVE (978)895-0024 VWC-100-6024864-2020 WINCHENDON, MA 01475 ISSUED ON:09/07/2021 TO PERFORM THE FOLLO WING WORK: STRIP&REROOF METAL ROOF, INSTALL VINYL SIDING,GUTTERS, WINDOW REPLACEMENTS, REAR DOOR PORCH & SUNROOM WINDOWS 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. Signature: I 9 Fees Paid: $409.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner -n - i The Commonwealth of Massachusetts 0 ` Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE N Buildi4 Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 o 1 -� One-or Two-Family Dwelling ,--�, This Section For Official Use Only Building Permit�•, : ZO7,I-Iwo Date Applied: °e dO7 l 2,0z 1 -Y— VIA, 1 •-s 9-7 Z6Z1 Building Official(Print Name) Signature Date SECTION I: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 91 &Ac�(&rlrc UN ' 18C.-131-00 1.1a Is this an accepted street`. es no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: lAtze .250 Acres Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? _ Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: � Li IV 0 A e rt(i So r J Nv�, �l‘1 micron) 0119 , O/O 6 a Name(Print) Ci ,State,ZIP 93 QLr�c(2nrt) Liv. 13 �r3 is No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Pro sed Work': 1` ft r Q L tvd,IN .Ke tcQQ �� ;IL il O+�� ¢p-S to dam w;V:00c./L5 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (La r and Materials) 1. Building $ 3'c oto 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3(Item 6)x multiplier , . `) x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Sri Suppression) $ Total All Fees: $ ��, Check No.I 176, Check Amount L1OC Cash Amount: NO6.Total Project Cost: -,61re I 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 ConstructionrQ Supervisor License(CSL) 0`7�1 , / / jJ 0021 I n, `�2 "y License Number Expiration Date N e of CSL Holder J 31 R)fl•,^ NA P)Li List CSL Type(see below) No.and Street Description C)Q I n e‘ .c ^ F h I T) /t/y 7 r U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP tv 1 tJ I , I V ( J Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding 97 ql V 15 l , SF Solid Fuel Burning Appliances (�'�IJ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) L N cC errKRPROe. C F ?g y` 1 7/ate IC egistraU umber xpiration Company a or HI Registrant Name Le n�) c��ai C.A.N Pr 1 C No and,Street C. LP/ MI9 , q78 r , y /� Email address/� «J ' r7 �j� �// �V nv AST. - 1 ll rr City/Town,State,ZIP Telephone SECTION 6: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 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLET• ' , EN OWNER'S AGENT OR CONTRACTORp APPLIES FOR BUI i ING P RMIT I,as Owner of the subject property,hereby authorize R"\ J Ni to act on my behalf,in all matters relative to work auth. izedJ 'is .ui ng permit a'' cation. G. 1 ns`p • j S (4 . _40%. ... - Clh/9'0) Print Owner's Name(Electronic Signature) - Date SECTION 7b:OWNER' OR A Y ORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. PAI-C\i‘ di\ Lilt .11 7 t -6 )- k Print Owner's or Authorized Agent's Name(Electronic 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 Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • The Commonwealth of Massachusetts ‘4, Department of Industrial Accidents / Congress Street,Suite 100 Boston, MA 02114-2017 ivww.mass.gorldia or kers'('ompensation Insurance Aftidas it: Buildersit'ontractorstElectricianstPlumhers. 10 HI:I ILED PI:RNII 11 iM.AUTIHMITI. Analicant Information lease Print Lee:ibis Name lausines.s.1)rganizationindividual): LO. P7 M/AA( aNta 9cl-, ITV t. Address: 9 GL_ Na( N/6- \Auk_ City/State/Zip: IN(_\{Atj N.) ftliiione g 5) 5 .. co 7 y Are you An III player?Cheek die npprogrinte Iona: Ty pc of project(required): t.E.Vin 1:1110 0"Cr 1.111 ---ernplo)vcs(hill And or part-titnel.• 7. 3 New construction 20 I am n a ok ProPrwtor or purtru-r.hip And hate no eiriplix.working for me in s. Remodeling an (No tidier.'comp.insuranix required.] 9. 0 Demolition 10 I au 3 114..30:00.11..1&Hale an MLA aTy3Cif. talMilet?'comp.insurance requited.] 10 0 Buikling addition 40 I am 4hocm,ov,net and will be hiring contsactort oconduct ail work on in) property. I will astute that all eontractum either hac worken,'tromp:maw=in.urante tar are sole 11.0 Electrical repairs or additions proptietor4 with no.-mployces. 12.0 P19mblng repairs or additions 50.am a aourral contractor and I has e hired the lub-conuactor.limed on the Anatiled diect 13 on airs These 34ab-oontrJclum Ito c employee.Anti has Mk 1 ink er-*romp.imurance.• er 14, Other obr 6.E3 We.are a cOrNcillon and sb Olken has exercised their right of exemption per kftil c. 152.4.3(4).and c hate no imployecs.[No wurlict.•comp,insurance requited.' CA) I I'10(-‘ An applicant that cho..1....bro. I mint Aho till out the:Action below shroaing then A in ker..'coin-Amon:ion ptdts informartoct Homeowner%who submit tio.Attida.it indicating they atedoing,all 55 oft and then him out.ide contractor.mug sAttnust nok aftid.v.it indicating welt ontractors that check tin.Kw mug atta=cri an additions/sheet shave mg the name of the sub-contractor.and state NittAiliT or nut thlINC onitgics haw cop10%,:e. lUk oih-contractor.hoc employee..they'mot pnoidetheorBOr.CrS o.rinp Niro),nunity.m 1 an,an employer that is providing worAers'compensation insurance for my employees. Below is the policy and job site infOrmation. Insurance Company Name: C;) 0-CQ-11.-M kolu Policy#or Self-ins.Lie.0: t-ti C. )06 6 If Expiration Date:C7/. ./ 0?"-( Job Site Address: 5 Ft/1 t PRI it2h, v‘.) City,Statelip: NON \P-1-\ YTYVVC(`-) ill Attach a copy of the workers'compensation policy d ration page(showing the policy number and expiration date). Failure to sec 'overage as required under MGL e. 152. §25A is a criminal violation punishable by a tine up to S1,500.00 andfor one-y.-. in srisoninent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against t viol or. A copy of this statement may be forwarded to the Office of Ins estigations of the DM for insurance cOvCrat4t: ter htR /do hereby t .rti fy 'tiler the Ur a multi perjury that the information provided bore is true and correct Si vtlatuN: Dale: 9 / 9-0 cet Phonc. / 70 (6.d. 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): I. Board of Health 2.Building Department 3.(-it'll-own('lerk 4. Ekctrical Inspector 5. Plumbing Inspector b.Other ('ontact Person: Phone#: City of Northampton .t K rn y °ti�., ��ti srn°-. 'r-a Massachusetts :�� "rc, i et 4 DEPARTMENT OF BUILDING INSPECTIONS ., 212 Main Street • Municipal Building , `b' Northampton, MA 01060 Jsf I 'N''' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number I'OP-zo2 1-( 'tO is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ' 1C)\ 13 ' ' r 0-10)7 N M -\ . The debris will be transported by: Name of Hauler: \ 14 \ - triJ n <-(- L ' ` ny Signature of Applicant: Date: ?/77(?°2- 1 __,.....a,N ARTLERA-01 BSOMES 'Aai CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) `-�� 7/16/2021 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 NAME: HUB International New England PHONE FAX 90 Parker St (A/C,No,Est):(800)243-81341(A/C,No):(978)630-5390 Gardner,MA 01440 EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Evanston Insurance Company 35378 INSURED INSURERB:AIM, Inc. Art Leray General Contracting,Inc INSURER C: 32 Poland Ave INSURER D: Winchendon,MA 01475 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP UNITS LTR INSD WVD (MM/DD/YYYY) IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X 3EV8162 10/1/2020 10/1/2021 PREMSES((EaEoNccuErrencel $ 50,000 MED EXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Eef LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTEO�S ONLY _ AUTOS BODILYBODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS ONLY PROPERTY accident)DAMAGE $ $ _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER VWC-100-6024864-2020 9/25/2020 9/25/2021 100,000 ANY FICER/RIETOER EXCLUDED?ECUTIVE Y N/A E.L.EACH ACCIDENT $ (Mandatory in NH) 100,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 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 Dallas Park Condominium Trust THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. C/O North Point Management 55 Lake Street,4th Floor,Suite 7 Nashua,NH 03060 AUTHORIZED REPRESENTATIVE I 99?14-”--- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a Division of Professional a CS-070511 r,fires_ 1 , 32 * *LAND b g p Via.. E N, ':.,' ' ---191.44/3 (j4e'l 7 #, cA MAYIBiA I , `� , �� :, �� ' t ART LERAY GENERAL CONTRACTING, INC. PROPOSAL 978-895-0024 CONTRACTOR:ART LERAY JOB LOCATION: 73 blackberry In northhampton ma C.S.L.070511 H.I.C.191448 OWNER:linda aatterson E.I.N 20-0268544 OWNER ADDRESS:73 blackberry lane EMAIL leraycontracting@comcast.net OWNER CONTACT: PROPOSED WORK WE WILL STRIP AND INSTALL A STANDING SEAM METAL ROOF WE WILL STRIP AND INSTALL A RUBBER ROOF SYSTEM ON THE REAR SUNROOM WE WILL REMOVE EXISTING SIDING ON THE GABBLE ENDS AND INSTALL HOUSEWRAP AND VINYL SIDING CEDAR MASTIC WITH ALL METAL WRAPPED IN WHITE ALLUMINUM COILSTOCK WE WILL INSTALL WHITE ALLUMINUM GUTTERS AND DOWNSPOUTS WE WILL INSTALL CERTAINTEED VINYL REPLACEMENT WINDOWS LOW E TO MEET ENERGY CODE DINNING ROOM WINDOW INCLUDED WE WILL FRAME INSTALL CASEMENT VINYL WINDOWS IN THE REAR SUNROOM WE WILL INSTALL VINYL PVC TRIM AROUNG THE GARAGE DOORS WE WILL INSTALL A VINYL SLIDING DOOR TO THE REAR SUNROOM WE WILL INSTALL A NEW FIBERGLASS DOOR TO EXIT THE SUNROOM PRICE DOES NOT INCLUDE ANY HIDDEN CONDITIONS TOTAL ESTIMAT 'D •I ST $63,700.00 3 PAYMENTS$25,0 I 1.00 I EPOSIT$ I,000.0 I /2 CO i' :,700.00 COMPLETION (� ,� q 7 ha) CONTRACTO ' --- wa* ` DATE AUTHORIZED OW , ►'� '• --= -- ' '-DATE � % "°�(