The URL can be used to link to this page

25A-143 (8) BP-2022-0290 18 BATES ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-143-001 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-2022-0290 PERMISSION IS HEREBY GRANTED TO: Project# windows/door Contractor: License: Est. Cost: 12250 E STUART GILES Ill 101817 Const.Class: Exp.Date: 12/27/2022 Use Group: Owner: LLC HONEY KOMB, Lot Size (sq.ft.) Zoning: URB Applicant: E STUART GILES Applicant Address Phone: Insurance: P O BOX 1 123 (413)883-1523 O NORTHAMPTON, MA 01061 ISSUED ON:03/24/2022 TO PERFORM THE FOLLO WING WORK: REPLACE DOOR AND PORCH 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Hj' ; y. . 93,7 Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner . y : MAR % =+ On?? The Commonwealth of Massachusetts FOR VIBoard of Building Regulations and Standards MUNICIPALITY �� Massachusetts State Building Code, 780 CMR USE - ,-fiardilti j'e Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Buildin Permit Number: 1?jr�— 7 v Date Applied: EvirJ �� 32yzozz, Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address; 1.2 Assessors Map& Parcel Numbers 18 DES 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 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: Outside1f Flyeood❑Zone? Public 41 Private❑ Municipal On site disposal system 0 ChecSECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record; {Q1c4+- 01-1 kl Z MQ-11:LJ 1\-1\0 O l O(0 O Name(Print) City,State,ZIP i8 P t)SSr. q I- 51S -,1Zz_ tits ci, ,egP 6MN<<. No.and Street Telephone mail Address C.0 M SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 1 . Alteration(s) 1 Sl Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': ---K (. (� C �� 1�C j( fit Po(2Ci , (A) t OOO .)i 'NC0.) IsktV.J \I F �oC,tJ ' -.I ttS SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ II—i Z-50 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: Check No.• J Check Amount: Li0 Cash Amount: 6. Total Project Cost: $ 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �S-1b\81-1 2'1 Z • T t�,t ES License Number Expiration ate Name of C Holder List CSL Type(see below) Li -Ro t X \ z3 No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) A �p�1� ` `v^\V" 0\O(o` R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding / / SF Solid Fuel Burning Appliances 4 1� 15Z3 GI tF O _GotAk, ,,, I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement// Contractor(HIC) (o295S .713 i � 23 -v{si��C r Kyc1 HIC Registration Number Expiration Date HIC_Com any Name or U1C Registrant Name ei 11 Z -�i(C6000b R17 GmAt[.CCU No.and trees Email address ot.o6A 4t35.S iSZ3 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 ti4 No........... ❑ 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 -1(&T Cc(€c 4-Li to act on my behalf,in all matter relative or thorized by this building permit application. Aral\Aita\Lief // Print Owner's Name(Electronic Signature D 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 ate to the st of my knowledge and understanding. r�flc G'� 3 ►Z, I zz Print Owner's or Authorized Agent's Name(Electronic Si ) 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 Oft Ha MY�O S Si� • Massachusetts �v?S a; c wi 3 DEPARTMENT OF BUILDING INSPECTIONS y. 212 Main Street • Municipal Building v4 N.Mel s 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: V Q-EL CL‘►, Z of 1-1%I & K\oprisP •-) The debris will be transported by: Name of Hauler: �� Cit lsS Signature of Applicant: Date: The Commonwealth of Alassachusetts '==,!J Department of Industrial Accidents _ Ili-- 1 Congress Street,Suite 100 '�1�►= Boston, MA 02114-2017 wow mass.gorldia Workers'Compensation Insurance Aftidas it: Builders/Contractors/Electricians/Plumbers. It)Bl FILED D 1%I I H I tli PERMITTING Al't'HURII'l. Applicant Information Please Print Leiiibis Name(Business( antzation lndtvtduatl: • Address: r"-PD City/State/Zip: N O( eNt\J T (Iasi hone#: 1 S I 'S Z5 Are yaw as employer?Check the appropriate hose: Type of project(required): 10 I am a employer with employees atilt and or part-timet 7_ °Neu construction 4231 am a sole prupnews or partne-minis and have no crrtptoye s working for me to N. Remodeling any capacity.[Nu workers'comp.insurance required_) III 9- 0 Demolition 30 Ian a homeowner doing all work myself.No workers'comp-insurance required.] 40 1 an a homeowner and will be hiring contractors to conduct all work on my property. I will ! ❑ Building addition .t rnxun that all contractors either have workers'cc*npertsaUcei insurance oc art*lie I I a Electrical repairs or additions proprietun w ith no employees. 12.0 Plumbing repairs or additions .0 I am a enteral contractor and I have hired the aub-e:untraerors listed on the attache&sheet. l Roof repairs sub-contractors haw ha employees and have wurkera'comp.insurance.: 6.0 We are a corporation and its otTu:ers have exercised their nght of exemption per ARA c. 14.( Other I S2§it 4 s_and we have no employees.No workers'comp.insurance required.I *Any applicant that dhos:ks bui.v I mint also till out the section below showing their workers'compensation pulley information. +Homeowners who aulnntt this atrtdav»=heating they are doing all wort and then hire outside contractors must autrnut a new affidavit indicating such. ;Contractors that cheek this box must attached an additional sheet stowing the name of the sub-cururacturs and state whether or nut those eartttics have employees. If the sub•contractort haul errrpluycea.they must pm%Me their workers'euxnp.policy number l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job.site information. Insurance Company Name: Policy#or Self ins.Lie.#: Expiration Date: — — Job Site Address: City;State.-Zip: 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. 152,425A is a criminal violation punishable by a tine up to S 1.500.00 and/or one-year imprisorunent,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 DR for insurance coverage verification. I do hereby cer ;um l the in.+ey u►penalties of perjury that the information provident above/is true and correct. Signature: Date: ,_V Phone#: I 8C a2 JSZ-- F Official use only. Do not write in this urea,to be completed by city or town official t its or Town: Permit/License# I,suing Authority(circle one): I. Board of Health 2. Building Department 3.('ity'/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: TE AC CERTIFICATE OF LIABILITY INSURANCE DA03114/202 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 POUCIES 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 House NAME: King&Cushman Inc. PHONE (413)584-5610 FAX (413)584-9322 (A/C.No,Ext): (A/C,No): P.O.Box 447 E-MAIL ADDRESS: 176 King Street INSURER(S)AFFORDING COVERAGE NAIC A Northampton MA 01061 INsuRERA: Ohio Security Insurance Co. 24082 INSURED INSURER B: E Stuart Giles III INSURER C: PO Box 1123 INSURER D: INSURER E: Northampton MA 01061 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2231404680 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 ADDL-SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 50'� GE CLAIMS-MADE X OCCUR PREMISESO(EaENTED occurrrence) $ 300,000 MED EXP(Any one person) $ 15,000 A BKS58361785 03/01/2022 03/01/2023 PERSONAL&ADVINJURY $ 500,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY JEr LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: Expense Mod Factor 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ^ AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction'Supervisor CS-101817 Expires: 12/27/2022 E S GILES III PO BOX 1123 NORTHAMPTON MA 01061 depv Commissioner ? r1 Q K. bl&niita • //Office of Consumer Aftr rs&Bus nessK44�6tion HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Exaltation 162958 07/31/2023 E.STUART GILES,ttl E STUART GILES III ' j°� 23 MIDDLE ST. HADLEY,MA 01035 Undersecretary MARVIN MARV I N , COLLECTION tb ELEVATETM EirE"n3 STA -Cerliltediuntyiriyiliru lvnytut d r ' `FRGYSTAR `r , Certified Elevate Casement Picture I WFeWF/ Fixd 1NFR� 11/16" 16 Low E2 Arg 3.9mm 27219.8mm arg/3.9mm Nr Na icnarfenestnta❑ .0045 SS—U Pine or EQU Ratcng Counmle CERTIFIED MAR—N—252—01080—00001 ENERGY PERFORMANCE RATINGS -trio' il'S I-Pit SOLAR HEAT GAIN COEFFICIENT 0.27 0.34 , ADDITIONAL PERFORMANCE RATINGS J'ISi9LE 1RANS,,IITTANCE 0 .58 -- sfautacurr n pu!aes MI iaese range conform lc apohcahle NFAC procedures tow delermr!ng Ahole orudee pedernonce NeQC ra,ngs ace delerrmed few a rued set CI en,ronmenta conditions and a spent c arodue see NW.aces^el recrrmecd anY ivodul and does not warmnl the sudanddq of am.product Ur to*WIC use Conan narufaclurers literature for other nroduct performance mformtlion woo ON org MEurwow w coon 4 nwo.cr,sccn=osumwba Elevate Casement Picture Ii WDMA F4a1rm,w1 Cm HiedManufacturer Stipulates Hallmark Ceditication As Indicated Beloe UNIT Hat Prodod Wei 107-II-900 A101MNOMkcSk101i I.S 7JAI10-01 .LC-PG50112211117 no+56171 is POSITIVE DESIGN PRESSURE SDP, +50 pit NEGATIVE DESIGN PRESSURE DP, 5D pit 'Water Nettle Test Prism 15 pit l — AB OOC 867 _ 0 01 Remove this tli Tel prioK 30� ---__ Save for tutor!reference