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24A-122 (4) BP-2021-2168 42 NORFOLK AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-122-001 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 Penn it# BP-2021-2168 PERMISSION'S HEREBY GRANTED TO: Project# WINDOWS Contractor: License: Est. Cost: 21000 ART BUILDERS INC 108871 Const.Class: Exp.Date:01/20/2023 Use Group: Owner: FINE,JULIE S AND JACOB FINE Lot Size (sq.ft.) Zoning: URA Applicant: ART BUILDERS INC Applicant address Phone: Insurance: 311 BRAINERD ST (413)262-9217 WCC-500-5015171-2019A SOUTH HADLEY, MA 01075 ISSUED ON:11/10/2021 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOWS AND ADD 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 i 1V • ,2 - Fees Paid: $140.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner FTECEIVEL) The Commonwealth of Massachus tts Board of Building Regulations and Standar NOV 9 20 FO Massachusetts State Building Code, 7 C M IC ITY US BuildingPermit Application To Construct,Repair,R novae sed ar 2011 ppp ___ n HPE ioNs One-or Two-Family Dwelling oN �.+n oioso ThisSection For Official Use Only Buildin /� Permit Number: �� ' l Date Applied: KEu�,� >> / 1 I-16-ZDZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION k.. 1.1 Property Address: A 1.2 Assessors Map&Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: X c,05 .�,\tc._ A)ay 12-.,-VA,.. iw 14 0 /06 Name(Print) / City,State,ZIP YZ /VdV/ l if-Vtu ✓t Y/3 536Gv2 JGc..&Se4114-e 1 1 :9.c- , No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building PY Owner-Occupied 0 Repairs(s) 0 Alteration(s) Illl; Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ � IOSpecify: f _ Brief Description of Proposed Work': RrtFJ C " LA.)a1, ,JOL I\ r rovtt cc, (t, . ocia. w 'he .act) o A. .CY. 4, o ��i a V\Ct, rt p k ce- orC w w,c1� O h. S Cl'e o J' 614.5-&, w -0A e- ,Nc coJ S SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ t ck, OOv 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 $ Suppression) Total All Fees: $i 1 qash Check No. I eheck Amount: I Amount: 6. Total Project Cost: $ 21 ,600 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /O eg7 / / ` , c�/ 20 � ) j f eC IC) F r License Number Expiration Date Name of CSL Holder v fy List CSL Type(see below) gict. e S Type Description No.and Street t ±A yQ( /Ct rf ° /C) 7.2 U Unrestricted(Buildings up to 35,000 cu.ft.) / R Restricted 1&2 Family Dwelling City/Town,State,ZIPM Masonry RC Roofing Covering WS Window and Siding / Idtc5- F Solid Fuel Burning Appliances I*3 'Z(,-Z.9/. (�.r! b,'�'I i nc€J S � I Insulation Telephone Email address 'CO1^'t D Demolition 5.2 Registered Home Improvement Contractor(HIC) ART auiC,at ,s 'NG • i83COO I /v20 3 HIC Comp Name or HIC gi t Name HIC Registration Number Expiration Date 31) 'r Ihe, e q�"�b��lders- �'nC�Oc.t��lv6Rs No.an4r4,C4 I e�, A A ,olo75 l3 2 C 2' 2(7 Email address GO YY� 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 COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 'V to act on my behalf,in all matters relative to work authorized by this building permit application. j c.d ///y/zi Print Owner's Name(Electronic Signature) Date 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 the information contained in this application is true and accurate to the best of my knowledge and understanding. 0,0 y/ Z z, I Print Owner's or Authorized A ent'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" City of Northampton t .; Massachusetts 2, ' ',i „f, , DEPARTMENT OF BUILDING INSPECTIONS S+ r � / e' 212 Main Street • Municipal Building J'`•,,• L„ Northampton, MA 01060 , .'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 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. C cori c�ess ... 2l a, rv,)c.6,i f', 0•1/C; ) (t,(tko-w-pty ; 1 lq) The debris will be disposed of in: Location of Facility: 2> O Q.s ��Y^" 0r �,. ; V� �" ibh , M N Y i p � j1 C vad ( e R v�Gl ►\,,D) The debris will be transported by: Name of Hauler: A K 1 OW( � b RS j E ,vc : - Signature of Applicant: e- 'r y- Date: l/O�/7. --)Z'1 _____ The Commonwealth of Massachusetts 7.t err*�• Department of Industrial Accidents ill1.= 1 Congress Street,Suite 100 'yz-'si Boston,MA 02114-2017 -. ,. w ww mass.gov/dia )%urkrrs'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED Willi THE PERMITTING AITHORITI'. Applicant Information GU i Please Print Lellbly Name(Busittcss()rgatttzaticrm�Itdividual): (� RT GV L S )� IU G Address: 7 f 1 13 CO.t►1e, t'Ck 5T City/StatelZip:✓ ' ! 1�I IY 0 1�7 Phone#: /3 `Z- 2 7 Are year as eaebYd!Clerk the appropriate trot_ Type of project(required): Lad am a employer with 2 employees(full ant m hart-thine}_• 'j. l New construction 21:3 I am a sole pmpriciar or purin►rship and have no employees working for me in 8. 0 Remodeling any capacity.(No workers comp.insurance ncn}uireal-( 301 an.a IIUmM"owraT doing all work myself.(No workers'comp_insurance nx}wrcrl_I• 9. 0 Demolition 100 Building addition 4.0 i an.a homeowner and will be hiring contractorrs to conduct all work on my property_ I will ensure that all coriraiu,s either have workers'cralperuation insurance or are sole i i a Electrical repairs or additions proprietors with no employee's_ ilia Plumbing repairs or additions 50 I am a general contractor and I have hind the subcontractors listed on the attached sheet These sub-cuntraciom have employees and have workers'comp.ue prance 13.1=1 Root repairs 6.0 Vie e a acnq.or tiun and its oilmen have exercised their nghl of exemption per M(iL c- 14. Other IS2,11(4 and we lair nu employees.[Nu workers'comp.insurance requiretid.I •Aay"prima dial checks Not?t I mum also fill out the section below sbuw ing their wor►ors"eusopeasmor policy iiionrahow. Iknuau0ee who submit this affidavit indication/they ant doing all work and then hire outside committees rant submit a new affidavit indicding such- Ienaitatlota that check this box mug attached as additional shesi showing the nine oldie sub-contractors and shale whether or out those entities base dayaea. lithe sub-cnractuu have employees.they must provide dim workers"comp.policy'ntaaber. �lslI anturn an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. j, i_ Insurance Company Name: f ! $5 DC l Cam,.'•ed b. rn 7I O ,e,`S -- — Policy#or Self-ins.Lic.#:YICC-5-00-c016 j 71 -Z )Lo A Expiration Date: /6(/ V2022. lob Site Address: q Z, Na f F6 I k Q.U(, City�State.�Zip: n.)014�,0"ten i I°1 R O/d 60 Attach a copy of the workers'compensation policy declaration page(showing the policy nnnther and expiration date). Failure to secure coverage as required under MGL c_ 152,§25A is a criminal violation punishable by a fine up to S 1,500.00 andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA tar insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the Information provided abase is trite and cornier Signature:, Of<�� § �' Date: 41 l U v) / ?b L- 1 Phone#: 4(2 G 6 7. q ,- 7 Official use only. Do not write in this urea,to be completed by city or town oJ'iciaL ('its or Toon: Perm ill I_icense# Issuing Authority(circle one): I.Board of Ilealth 2.Building Department 3.('ity;riossn('lerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �....1.4 ARTBUIL-01 CKELLY ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ ) �� 10/11/20212021 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: _ AXiA Insurance Services PHONE FAX 933 East Columbus Ave (A/C,No,Ext):(413)788-9000 1(ABC,No):(413)886-0190 Springfield,MA 01105 EDDR ADRE SS:info axis 9rouP.net INSURER(S)AFFORDING COVERAGE NAIC I INSURER A:National Grange Mutual Ins.Co 14788 INSURED INSURER B:Associated Employers Art Builders Inc INSURER C: 311 Brainerd St INSURERD: South Hadley,MA 01075 - 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 IWAfDD/YYYY1 IIr11DD/YYYyk A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BPT0050U 10/12/2021 10/12/2022 DAMAGE TO RENTED 500,000 PREMISES(Ee occurrence $ MED EXP(Any one person) S 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE pLIMB APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X 1 POLICY ]JEC'T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: EPLI $ 10,000 BINED S AUTOMOBILE LIABILITY (Ea cddent)INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ — OWNED I SCHEDULED AUTOS ONLY _ AUTOS BODILYBODILY INJURY(Per accident) $ AUTOS ONLY AUTO ONLY PROPE tDAMAGE $ (tree )) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ( /NI NIA WCC-500-5015171-2020A 10114/2021 10/14/2022 EL EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S 500,000 Ifyes,describe under 500,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT,4 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 Proof Of Coverage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED�Gtl ur ' REPRESENTATIVE,/ Alt( //t&t,U' ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:586031DO-9E7C-480A-96C6-F5973AE980B4 Customer(Sell) x�xcr lu{o QUOTATION 21 West Street r M k I L E S West Hatfield,MA 01088 1 / 413 247 7454 (WILDING S1Aftk1At.S St1PPLIC11 Christa Grenat Creation Date 4/23/2021 BILL TO: SHIP TO: Phone: Fax: Phone: Fax: QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED JACOB FINE Unassigned Project SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER grenatc@rkmiles.com - 735792 Lineltem# Description Net Price Quantity Extended Price 1-1 $458.67 2 $917.34 Comment/Room: Product: 8300 Series,Double Hung,NC None Assigned RO:32.5"x 59.875" r—os I TTT Overall Size:32"x 59.375" TTT Unit Size:32"x 59.375" A Sash Split:Equal 40at- Performance Level:Standard, 'al Glass Options:Double Glazed,LowE,Argon,Annealed,SS �n 3/4"IG Thickness,Clear Opening:26.625"x 24.2725",4.488Sq ft Ratings:U-Factor=0.27, SHGC=0.25, VT=0.47 Vinyl Color: White Locks: Standard,Double - 32" -- Hardware: White, - RO-32.5" Screen: Full Screen,Extruded-Fiberglass,Sash Options: Vent Stop, W.O.C.D.(Double), Grids: Contour GBG,Colonial,Unit 1 Glass 1:,Unit 1 Glass 2:2W2H,Not Applicable,Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides, Wall Depth:6.5625, Last Update: 6/17/2021 2:43:02 PM Page 1 Of 2 Printed: 6/17/2021 2:44:01 PM DocuSign Envelope ID:586031 D0-9E7C-480A-96C6-F5973AE980B4 QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED JACOB FINE Unassigned Project SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER grenatc@rkmiles.com 735792 LineItem# Description Net Price Quantity Extended Price 2-1 $440.25 4 $1,761.00 Comment/Room: Product: 8300 Series,Double Hung,NC os None Assigned RO:36"x 59.875" 1 I — 'ITT Overall Size:35.5"x 59.375" l -r TTT Unit Size.35.5"x 59.375" l " —{r Sash Split:Equal j Performance Level:Standard, °3'� '` Glass Options:Double Glazed,LowE,Argon,Annealed,SS �n 3/4"IG Thickness,Clear Opening:30.125"x 24.2725",5.078Sq ft Ratings:U-Factor=0.27, SHGC=0.25, VT=0.47 — Vinyl Color: White Locks: Standard,Double R35_ Hardware: White, O Screen: Full Screen,Extruded-Fiberglass, Grids: Contour GBG,Colonial,Unit 1 Glass 1:,Unit 1 Glass 2:2W2H,Not Applicable,Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides, Wall Depth:6.5625, r--Doeosigned by: SETUP: $0.00 Joao!, LABOR: $0.00 CUSTOMER SIGNATURE ,Q,Q pA DATE FREIGHT: $0.00 DEPOSIT: ($0.00) BALANCE: $2,845.74 We appreciate the opportunity to provide you with this quote! SALES TAX: $167.40 SUB-TOTAL: $2,678.34 TOTAL: $2,845.74 Last Update: 6/17/2021 2:43:02 PM Page 2 Of 2 Printed: 6/17/2021 2:44:01 PM DocuSign Envelope ID:13C8457A-761C-48BB-8845-EB5515E89D90 OMS Ver.0003.08.01(Current) JACOB FINE Product availability and pricing subject to change. New Project 1 Quote Number:6YSDTRD LINE ITEM QUOTES The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item Quotes. Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit. Line#5 Mark Unit: Net Price: 2,138.16 Qty: 1 Ext. Net Price: USD 2,138.1$ Feature Mismatch:Divided Lite Options MARVIN Stone White Exterior ___ White Pine Interior 197.37 FE r 3W1H- 45 Degree Angle Bay I Assembly Rough Opening 73 15/H32 X 57 11 " 16 9/16"Projection .163i ineHead and Seat/16 Board DS 149.18 I� Bow/Bay Setup Charge 364.14 J Unit:Al 368.73 i! I t-\, Elevate Double Hung CN 2256 I Al -2 ( _ f,3 Rough Opening 22 1/2"X 561/4" Top Sash IG Low E2 w/Argon Stainless Perimeter Bar GBG 32.90 As Viewed From The Exterior Rectangular-Standard Cut 2W2H Entered As:Size by Units Stone White Ext -White Int RO 73 15/32"X 57 11/16" Bottom Sash BF 66 1/64"X 55 3/4" IG-1 Lite Low E2 w/Argon Egress Information Al,A3 Stainless Perimeter Bar Width:18 3/8" Height:22 31/32" Net Clear Opening:2.93 SgFt White Weather Strip Package White Sash Lock Egress Information A2 White Window Opening Control Device 25.24 No Egress Information available. Exterior Aluminum Screen 19.89 Sash Limiters and Window Opening Control Stone White Surround Devices,when engaged,may reduce the egress Charcoal Fiberglass Mesh opening dimensions of windows. Performance Information Al,A3 Unit:A2 533.97 U-Factor:0.28 Elevate Double Hung Picture Solar Heat Gain Coefficient:0.28 CN 3656 Visible Light Transmittance:0.48 Rough Opening 36 1/2"X 56 1/4" Condensation Resistance:56 IG-1 Lite CPD Number:MAR-N-272-00920-00001 Low E2 w/Argon ENERGY STAR:NC Stainless Perimeter Bar Performance Information A2 U-Factor:0.26 368.73 Solar Heat Gain Coefficient:0.33 Unit:A3 Visible Light Transmittance:0.57 Elevate Double Hung Condensation Resistance:60 CN 2256 CPD Number:MAR-N-273-01258-00001 Rough Opening 22 1/2"X 56 1/4" ENERGY STAR:N,NC Top Sash IG Performance Grade Al,A3 Licensee#783 Low E2 w/Argon AAMA/WDMA/CSA/101/I.S.2/A440-08 GBtGainless Perimeter Bar 32.90 LC-PG40 1054X1924 mm(42X76.8 in) Rectangular-Standard Cut 2W2H LC-PG40 DP+40/-40 Stone White Ext -White Int FL6525 Bottom Sash Performance Grade A2 IG-1 Lite Licensee#793 Low E2 w/Argon AAMA/WDMA/CSA/101/I.S.2/A440-OS Stainless Perimeter Bar LC-PG40 1562X1924 mm(62X76.8 in) White Weather Strip Package LC-PG40 DP+40/-40 White Sash Lock FL6535 White Window Opening Control Device 25.24 Exterior Aluminum Screen 19.89 Stone White Surround Charcoal Fiberglass Mesh OMS Ver.0003.08.01(Current) Processed on:6/18/2021 3:05:35 PM Page 2 of 4