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23C-085 (2)
BP-2021-2300 72 BLISS ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23C-085-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2300 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS Contractor: License: COASTAL PROPERTY SERVICES Est. Cost: 6700 LLC 110790 Const.Class: Exp.Date:01/04/2023 Use Group: Owner: MASSACHUSETTS HOUSING FINANCE AGENCY Lot Size (sq.ft.) Zoning: WSP Applicant: COASTAL PROPERTY SERVICES LLC Applicant Address Phone: Insurance: 108 HOKUM RD (860)395-7797 OZWECGP4809 OLD SAYBROOK, CT 06475 ISSUED ON:12/15/2021 TO PERFORM THE FOLLOWING WORK: 14 NEW 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: cs- k Fees Paid: $65.00 • 212Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR t / MUNICIPALITY Massachusetts State Building Code,780 CMR USE .-• 1 Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Build�in�'Permit Number: a A 1-,.23OD Date Applied: h EU►n) ,5 /2-19-7OZ1 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1PrIrty ddr_eesss� ireet 1.2 Assessors Map&Parcel Numbed 1.1 a 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 it) 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 Plood Zone? Municipal 0 On site disposal system CIPublic 0 Private 0 Check if yes❑ _ SECTION 2: PROPERTY OWNERSHIP' ,X/ 2.1 Owner'of ord: oZtOg �e( rmt City,State,ZIP I eu ova gist- 8:fl Q t t7 vs twos ,cast 3 �. b� � ,COY K�l,cl�ir -�. No.and Street Telephone Mail Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) \ New Construction 0 Existing BuildingGK-Owner-Occupied 0 Repairs(s)Pr Alteration(s) ❑ Addition 0 1 Demolition 0 Accessory Bldg.0 Number of Units I Other 0 Specify: Brief eesscri tiorl of Pjo osed War / v S.__ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ WOO et I. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ — 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$ Suppression) �'�,,,,,,:V/,' ��//'�� (J dp Check No.K/ l heck Amount: Cash Amount: 6.Total Project Cost: $ 670 ❑Paid in Full 0 Outstanding Balance Due: dotloop signature verification:dtip.us/BbC3-tH11-gnEF SECTION 5: COSSTRt CTlON SERVICES SJ Construction Supervisor Lieenve(CSL_) C5 116�QQ 23 ThnitaiGeola., Lc..>LUmI;Cr Alf on Date Nwme of CM,.ttohie: I 0 13 rn., �["� 0 ci ,,i,i51 CST,l',,v flee.below) No and 5ue ob105 Type Description c o G `, _ i t nregrietel.t{Buildings up to 35.00 vu.n.l__._ ... Resmete t i1:2 F.urily Dueihn -_ CIty'i't at+n,State.Zit' Vi :'Masonry RC Roofing C ok.CTiil i' . ._'t _ ws wit,40„ and sill sa I 51 sow Furl l3wniity ,^powtct5 -- 1 Insulation Tel-phone t.:,...r-i f1 thrr _, _ ( _ Demolition -- i--- = 5.2 g p istered Home, tro e, nr t Contractor(I#IC) f 64$S _ _ _ . „ u..._.____ ;ICE R¢gtslaatgan? ,mtvs' xpiration Date lilt„ out v:`.' or tIC L t.tr3s• :;ac ill ` ��, etif64/- Al' d*ree! h act v jk A4 5. 241,..5121. ...267427. rtrlait aa;eFs 3 Ci o.vo .late.7`IP telephone w,� _ SECTION ti:WORKERS'CONIPFNSATION INSURANCE AFFIDAVIT(M.G,L c. i52.5 25C(6)) Workers Compensation Insurance affidavit mus: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..........17. No . 0 1 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L as Ownei of the s tbject 7tropert ,hereby authorize Cioile.1 / (/0/d?Y 1; s - to ao:on,1r, I,c. ". n al:'ratters relative to work authorized by this;building pent if application. K� /'(ee i dotloop verified 11/15/21 10:25AM EST 11/15/2021 FKOLRYXU-ELDVDJMJ Print 0',11: '� it ,_.t_v ,yw...rut 1.J''.tr SECTION 7h;OWNER 1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I b ebv attest under the pains attd penalties of perjwy that all of the inforr a.e'-.,,,; contained in this appticr. a is lid accurate to the best of my knowledge and understanding. - Oil j_1../ Print Owners or Authorized gent's N •(r.leetruntc Signature) sat NOTES: An Owner who obtaans a building permit to du hiss ter own work,or art owner who hire's an unregistered contractor (not registered in the Flame Improvement Contractor(111C)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other impoitart'information on the HIC Program can be found at i4+<c w.mass.gov!oca Information on the Construction Supervisor License can be found at www;mass ga}:'Bps 2. When substantial work is planned,provide the infarrsat:on below: Total floor area(sq ft,) (including garage,finished basement1attics,decks or porch) Goss living area(sq. h Habitable room corint Number of fireplaces ..__.._ Number of bedrooms Number of bathrooms Number ofhaifthaths Type of heating System Number c f decks!porches Type of cooling system .__ Enclosed Open L3. "Total Project Squire F'oota;;e inay be subs'i,iced rot"Total Protect Cost" ,may i The Comtrtanwealth of Massachusetts i"`: Department of Industrial Accidents o an t� 1 Congress Street,Suite 100 �i if e" Boston,MA 02114-2017 ‘4.4s4, wwwrarassgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricinns/Plumbers, TO HE 11 LED WITH THE PERMITTING AUTHORITY. Applicant information Please Print Legibly Name(Business/Organization/Individual): 1V c �er/1/0IB,PS Address: I a 13,k00, A o€d City/State/Zip: o`9G bro6k a grAione#: 8Y 5--4-11f"7 Are you an employer?Check the appr priate box: /� Type of project(required); I 1 ant a employer with v employees(full and/or part-time).* 7, w construction 2.I J I am a sole proprietor or partnership and have no employees working for me in S. Remodeling any capacity.[No workers'comp.insurance required.] 3.E3 lam a homeowner doing all work myself.[No workers'comp,insurance required.]t 9. El Demolition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees 12.❑Plumbing repairs or additions 5.0 I ate a general contractor and I have hired the sub-contractors listed on the attached sheet. j 3.QRoof repairs j These sub-contractors have employees and have workers'comp.insurance* 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.QOlher. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box NI 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: ila ,:i vivw,-i ___. Policy#or Self ins.Lic.#: Z. w if-C. 9V2 Expiration Date: WittZz— Job Site Address: L3/'55 _City/State/Zip: al li c 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby car' P and the p#�,penalties of perjuty that the information provided above is true and correct. Signature: tip 11.01 vt. '0... Date: t lb t 24 Phone#: i 3C15.-�1 I/7 Official use only. Do nett write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I..Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton SORT-IAMB,,;-: . S\s . S1C; � �`'' Massachusetts �{�� i•.- t{ wf DEPARTMENT OF BUILDING INSPECTIONS ' �,, a t .7 212 Main Street • Municipal Building y. C ; Northampton, MA 01060 .P$.jy • 'tiQ 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: O A .c -F-Q dOitteSthel The debris will be transported by: Name of Hauler: '" 5! ' 1 U pp Signature of Applicant: CO Date: 1Z Z lZ g ACC CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) kIlleuer,,,,,. 12/02/2021 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Clinton Insurance Center. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16 West Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Clinton CT 06413 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (860)669-9288 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Hartford Insurance CO Coastal Property Services LLC Mutual &Daniel Genga INSURER B:Liberty 108 Bokum Rd INSURER C: - Old Saybrook CT 06475 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'. POLICY NUMBER POLICY (Meiunnmrvv nATICY E MMInn�YVY LIMITS ON I 7R w¢qp TYPE nF INCIIRANCC ( ) ( ) B GENERAL LIABILITY BKS55363251 12/10/2021 12/10/2022 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 50,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY n PRO- n PR T LOC B AUTOMOBILE LIABILITY BAS55363251 11/27/2021 11/27/2022 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS X (P�a INJURY $ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR I CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ S A WORKERS COMPENSATION 02WECGP4809 06/11/2021 06/11/2022 v VVCSTATU- T H- AND EMPLOYERS'LIABILITY Y( ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes.describe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Al 010785 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN City of Northampton NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Department of Inspectional Services IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 212 Main Street Northampton MA 01060 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ay f ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD \ Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Cons �onf$ rvisor CS-110790 - h i scpires:01/04/2023 DANIEL GE A i 108 BOKUMROAD '"7 ' p OLD SAYBRt:0K CT #111/ .-- Commissioner �00 - K. S r, n • Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC Registration._ : Expiration 168397- 0?/14/2023 COASTAL PROPERTY.SERVICES,LLC. w 7. DANIEL GENGA 108 BOKUM ROAD \;w „�n-,.•19 � "''� ! OLD SAYBROOK,CT 06475' Undersecretary iinyIp x 107 Pierce Road, Clifton Park, NY 12065 PRODUCT MODEL INFORMATION VINYLMAX WINDOWS ECLIPSE SERIES CUSTIMER/CUSTOMER JOB N/A SERIES- MODEL Eclipse—Double Hung PERFORMANCE CLASS R-PG35 (DP35—40" X 63")—per ASTM E 330 AIR INFILTRATION 0.11 cfm/ft2—per ASTM E 283 WATER RESISTENCE 5.43 PSF—per ASTM E 547 AAMA/WDMA/CSA 101/I.S.2/A440 Test Reports Available Upon Request GLAZING DUAL GLAZED THERMAL PERFORMANCE RESULTS: Eclipse Double Hung—Dual Glazed—CLR/Argon/CS36 PERFORMANCE RATINGS: U: 0.29 SHGC: 0.38 VT: 0.53 CPD#-EWG-K-3-15557-00001 Eclipse Double Hung—Dual Glazed Energy Star Glass Pack—CS36 Low E/Argon/Hard Coat Low E PERFORMANCE RATINGS: U: 0.25 SHGC: 0.37 VT: 0.49 CPD#-EWG-K-15563-00001 ANSI/NFRC Test Reports Available Upon Request REINFORCEMENT Meeting Rails, Bottom Rail, and Stiles FINISH/COLORS Linen, Desert Sand, Bronze Exterior SCREEN Full Screen - Half Screen MUNTIN/GRID USE Various Patterns, Color Match