46-031 BP-2021-2217
21 FERRY AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
46-031-001 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-2021-2217 PERMISSION IS HEREBY GRANTED TO:
Project# TUB Contractor: License:
EAST COAST BUILDERS GROUP
Est. Cost: 8457 LLC 113121
Const.Class: Exp.Date:09/14/2022
Use Group: Owner: WEEKS JASON H&JENNIFER
Lot Size (sq.ft.)
Zoning: Gl/SC/WP Applicant: EAST COAST BUILDERS GROUP LLC
Applicant Address Phone: Insurance:
2 GORDON ST (860)370-9997 WCA5479357
SIMSBURY, CT 06070
ISSUED ON:11/22/2021
TO PERFORM THE FOLLO WING WORK:
BATHTUB 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.
Signature:
, ► '
Fees Paid: $65.00
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272
Office of the Builc4ine Commissioner
�
,fi t
CALL,e
l
_A_ The Commonwealth of Massachu efts NOV 19 2421 V
Board of Building Regulations and Stlanclards r FOR
Massachusetts State Building Code, 7$A',C MUNICIPALITY
r'tzTFr•;lnfn:,rn�q
USE
Building Permit Application To Construct,Repair,Renovate`O1'3e j haevs R�vised Mar 2011
One-or Two-Family Dwelling -'0
This Section For Official Use Only
Buildin Permit Number: W--A/- .1, / Date Applied:
, �t,— Z
11 19 zoz�
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Num0erl
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
1, . i-L
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:
Zone: _ Outside Flood Zone?
Public Private❑ Municipal On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:5v.A kJ-e -16S JV ef�h A611 4-'1 thbek O l o(2o
Na (Print) City,State,ZIP
21 Vt/r Ar.& yl3-..N1 -511.1 albrkei„z 01rkic4 : 1 ,r(1�
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building t Owner-Occupied 0 Repairs(s) 0 Alteration(s) Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: 34 A-hJi-vh (-ejrle,i }
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ Ig,' o cm 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ElStandard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: /'
Check Nog Q 3 Check Amount.1.1 Cash Amount:
6.Total Project Cost: $911 Li (5 1 , ' 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) c S —) 111L.\ 7/1 9 1 ZZ
JI(04,i il/h V`,r/ ) License Number Expiration Date
Name of CSL Hotter V
List CSL Type(see below)
2 L-1 o r 4 v,' S 1-
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Si'hS by f 1 C.\ (.)(r O 10 R Restricted 1&2 Family Dwelling
City/Town,State'ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
6)-7-g/x'5-3zej )yv,;✓c,rcJ ) by 1)I,. Lc Ai , I Insulation
Telephone Email address/ D Demolition
5.2 Registered Home Improvement Contractor/ (HIC)
f y39y3 101)71 z�z
rS\ ([in S u• I G1y/.S ('t rO I L L.C- HIC Registration Number Expiration Date
Hj.Company Name or HIC Registrant Name
L (1e,reAdn S (i n4�(4 S et_
No.and Street Email addr
5ir/S},ur (T (-)(.;e70 give :51D `jet 71
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 'X0" 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 3 e1'r F'Va V/1A rrc
to act on my behalf,in all matters relative to work authorized by this uilding permit application.
11 / 6 oZ0 1.
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.
1l1161ZoZI
Pri O '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"
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City of Northampton
f "¢ • Massachusetts s/'%
b DEPARTMENT OF BUILDING INSPECTIONS r. ~ r_
',�\ 212 Main Street • Municipal Building air'
Northampton, MA 01060 Oy
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.
The debris will be disposed of in:
Location of Facility:
The debris will be transported by:
Name of Hauler:
Signature of Applicant: Date:
_---.410 EASFOOA-o1 MMENIA N
AG R "'� CERTIFICATE OF LIABILITY INSURANCE DAtE(MM,Do"' Y)
1N/13/ 1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO NIGHTS UPON THE CERTIFICATE ROUTER.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 MIMI§INSt1RER(S),At#HORfL€O
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Ies)must have ADDtTIONAL INSURED provisbws et de erfdorsed.
If SUBROGATION IS WAIVED, subject to the tennis and conditions of the policy,certain policies May require an endorse►neot. A statement on
this certificate does not confer tights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONEACT Marry Henderson
AssuredPartners New Ert lend,Inc. SHONE
One Monarch Place,12th lr A/C,No,Ext):(413)327,7510 ( ,so:041M 3774i18
Springfield,MA 01144link":Mory,Hondersonektourodrininomoont
INSURERS)AFFORDING COVERAGE 01004
INSURERA:Audis INC CO. 3132i
INSURED Mt9URER 0 Union Insurance Company 3*544
East Cadet Builders Oreup,LLC INSURER C: .
E Oardent St. INSURER c
SIMSbury,CT 000T0
INSURER E:
INSURER F:
OOVR/MOEN 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 PLED
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.
IL TYPE OF INSURANCE Mt.SWVo POLICY NUMBER Vr Yl I LBWS
aR X COMMERCIAL GENERAL LAMM EACH OCCURRENCE $ 1' '
600
CLAIMS-MADE X OCCUR OPA54T0354 0/1/20 i 0/1/2022 ilitemiGstarsgEDenceY $ 200,000
000
MED EXP(Any one person) _$ 10,
PERSfN At&At*INJURY $ tOte
000
GERI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'
-000
POLICY X j X LOG PROCUCTS-CO IP'/E 'AGG 3 2'000'100
OTHER: -$-- _.
I AtitomOBILE LIABILITY COMaccidenBINEDtl $SINGLE LIMIT 1
( e '
X ANY AUTO CAA549921111 ONII 1 Man BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
'AVMs
REED NON-OWNED QER1'pAWIAGE e
AUTOS ONLY AUTOS ONLY Iran ^tl .
.. _.__ $
A X UMBRELLA LIAR X OCCUR I EACH OCCURRENCE $ 1'600'006
MEIN-two CLAIMSMADE CUA5479356 0/1/2021 0/1/2022 AGGREGATE - 1,00,
DED RETENTION$ _ i
A WORKERS COMPENSATION X I STATUTE I ERA
AND EMPLOYERS'LIABILITY WOA5470357 !/1/2f 1 I/1/2022 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE �T N/A E.L.EACH ACCIDEIVr $
FICER/MEMBER EXCLUDED? 1 �O O�
andatory in NH)
If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 560,006
DESCRIPTION OF OPERATIONS below .;..._..., , .El.DISEASE-POLICY LI?TT..$_.
DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more Space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES t CANEEEESO BEF
THE EXPIRATION DATE THEREOF HOUSE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROM
NS.
AUTHORIZES REPRESERtAIR/E
rl0Yd
ACt ND 25(2016/03) 010SS 201E ACORO CORPORATION.- AN rightsfetierMit
the ACORD Hama and loge are registered marks of ACORD
City of Northampton
s`;1'� Massachusetts
t tt, A Att.
r ..
E s�:•.. DEPARTMENT OF BUILDING INSPECTIONS l
1 212 Main Street • Municipal Building
Northampton, MA 01060
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.
The debris will be disposed of in:
Location of Facility: 7 3 Acj ,2 �. ` ���� S��'`� -l� 44,
The debris will be transported by:
Name of Hauler: ikft 'tc tiAi
Sin Te(rrq Yelli/eid° ( I /l //e)/
g ature of Applicant: Date:
IIIIIIIIIP'"
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
C 0 nstructi on v:› Lipervisor
3.44,4\
., ,
__,
- 113121 ,.....;-
,
,..._ . .... Expires : 09/ 14/2
4-
1'
4"010Mr
Vow"
JEFFREY P NAVARRO -
,......-
i itt,,, :•••;# (1111.111111111111111
3 SUTTON PLACE
- . .. / - ,......s
,
,Is....,..
EAST GRANBY CT 0602 •' '
YAW'
d' V 0 16"1"'-'14 -
IPI' I \il
D m m i s s i o n e r
__.......,.
Office of Consumer Affairs & Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE: LLC
Registration Expiration
193443 10/17/2022
EAST COAST BUILDERS GROUP, LLC
JEFFREY NAVARRO
3 SUTTON PL. / &.
EAST G RAN BY, CT 06026 Undersecretary
iiiaii E B
East Coast Builders Group, LLC
2 Gordon St • Simsbury, CT 06070 • Phone: (860) 370-9997
Jason Weeks
0131387-5179
Job Address:
21 Ferry Ave Chicopee
Northampton, MA 01060 MA 01107
Print-date: 10-28-2021
HIC.0641556
Price Breakdown
Title Description Price
Permit and Permit and Inspections $250.00
Inspections
-Apply for permit
- Pay for permit
- Inspections Included
Demolition -Disconnect all plumbing drains and supplies $1,400.00
-Remove shower pan and surround
-Remove existing substrate(eg:sheetrock/plywood)
Haul off debris Haul off debris $250.00
Plumbing -Installation of new tub(supplied by home-onwer) $2,725.00
-Installation of new shower valve and shower head(Supplied by ECBG)
-Installation of new tub drain and overflow(includes re-working drain as needed)
(Supplied by ECBG)
-Install finish trims upon wall surround being completed
Hardi-backer Hardi-backer substrate installation with hardi-back screws $525.00
substrate
Tub Surround -Labor and adhesive/fasteners for installing the tub surround. $1,350.00
Installation
-Tub Surround to be supplied by customer
By-passing shower -Supply/Install 60"Bypass shower door $2,187.69
door -Black hardware track,wheels,and handle
-3/8"Clear Glass
-Tub Curb mount track
Customer Credit Credit for tub drain assembly with overflow. $-230.00
Credit for shower valve assembly.
Total Price: $8,457.69
Payment to be made as follows:
Deposit due prior to start of job
BALANCE DUE UPON COMPLETION OF WORK
A charge of 2%per month(24%per annum)will be made on past due balance-$5.00 minimum service charge
NOTE: This price is valid for 7 days from the delivery date of the proposal. If the proposal is accepted after the 7 day
period,the price may be subject to change.
All material is guaranteed to be as specified.All work to be completed in a workman like manner according to standard
practices.A two year workmanship warranty is provided.Any alteration or deviation from above specification will become
an additional charge over and above the estimate.
Acceptance of Proposal-The above prices, specifications and conditions are satisfactory and are hereby accepted.You
are authorized to do the work as specified. Both parties agree to a three day(3)right to cancel on all signed/dated
contracts. Payments will be made as outlined above.
Now Offering Financing Through Greensky!
Signature:
Approved by: 4 Jason Weeks
Date: 10-28-2021 11:54 AM