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38B-270 (2)
BP-2022-0397 244 SOUTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-270-001 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-2022-0397 PERMISSION IS HEREBY GRANTED TO: Project# DOOR Contractor: License: Est. Cost: 882 EXTERIOR ASSOCIATES INC 113456 Const.Class: Exp.Date:07/23/2022 Use Group: Owner: N LAFLEUR DARYL G&JESSICA Lot Size (sq.ft.) Zoning: URB Applicant: EXTERIOR ASSOCIATES INC Applicant Address Phone: Insurance: 408 SOMERS RD (860)978-5911 WC9097314 ELLINGTON, CT 06029 ISSUED ON:04/20/2022 TO PERFORM THE FOLLOWING WORK: NEW DOOR 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: el I >2 T-1 , I • Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards MUN1C-FORlPALITY �� Massachusetts State Building Code. 7S0 CMR APR 5 2C22 USE - Building Pemni'Application To Construct.Repair, Renovate Or Demolish a RevrcciMar 1"011 One-or T1vo-Fandh.>Dx ,ing , -. - _. _ -_ AiihSection For Official Use Only Building Permit Number 1Datr Ap lied: kva>v ,.,, i/c .�_ -. L_/q"-ZOZZ Building Ofticial(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Pro erty Addre : 1.2 Assn _,Map&Parcel Nam .70 I.1a Is this an accepted street?yes X no Map Number �j Parcel Number _4- 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(fi) 1.5 Building Setbacks(ft) From Yard Side Yards T Rear Yard Required Provided Required Provided Required Provided 1.6 Water Sup :(M.G.!.c.40,350 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone' Public❑ Private 0 Check if ye$C1 i Municipal 0 On siie disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Name(Print} City. State.ZIP No.and Street Tclq,hone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(cheek al that apply) NewCon_aruction❑ Existing Budding 0 Owner-Occupied O i Repairs(s) O Akeration(s) ❑ VAddition O Demolition ❑ Accessory Bldg.O Number of Units Other ® Specify: Door_ _ Brief Description of Proposed Wo SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials.) I. Building. S I• Building Permit Fee:S Indicate ho fee is determined:J 3, Electrical $ 0 Standard City,"Town Application Fee ❑Total Project Cost`(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: $ 4.Mechanical (HVAC) _ ._..._v List: 5. Mechanical (Fire $ Total All Fees �,��f0 Suppression) ``�' Check No!1 OCheck Amount. Cash Amount: 6.Total Project Cost: $111111111111 0 Paid in Pull ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor license(CSL) 113436 7/2312022 Kyle Nielson ,.. __-- License Number Expiation Date Name of CSL Holder List CSL Type(see below)R.__ .-.__ .____ 40e Somers Rd_ No.and Street — -..... _,..-- TYPe Description U Llluesir u red at uadin as ups 3.000 cu.ft.) _Ellington,CT08029 — ---....___-- R Restricted 16/.2 Famtty Dwelling Cityrliwn. State.ZIP M Masonry RC • Roofing Covering _-- WS Window and Siding SF Solid Fuel Burning Appliances 860-978-5911 OFFICE.EXTERIORASSOCIATES.COM I loin lauan Id:L.0 te Email address D _ Dctmthiio@ 5.2 Regis(rrrd Hornehoprovement Contractor(HIC) 103175 028)2023 Exterior Associates,Inc. I IIt• Registration Number Expiration Date HIC C'on x nv Name or HIC Registrant Name 408 Somers Rd, OFFICE fp)EXTERIORASSOCIATES-COM No.and Street Eowil address Elington,CT 06029 660.987-3011 City/Towri.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 o f the building permit. Signed A Fiala vtI Attached? Yes... 51 No .O SECTION la:OWNER AUTHORIZATION TO BE COMPLETE!')WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject p petty.hereby authonne Exterior Associates. Inc. _Y_-- to act on my behalf,in al letters relative to work authorized by this building permit application. aIIIIIIIIIIIIII. P s N .accrete ignature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the pains and penalties a f perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Daryl Lafleur Print Owner's or Authow/0d Agent'+Nano tEkciioiur Signatuiel Date NOTES: I. An Owner who obtains a building permit to do higher 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.moss,lovfoca Information on the Construction Supervisor License can be found at www,matissovidos 2. When substantial work is planned.provide the information below: Total floor area(sq.R_) (including garage.finished bas mewattics.decks or porch) Grass living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of holf?baths Type of beating system Number of decks?porches ___ Type of cooling system -_ Enclosed Open _. 3. "Total Project Square Footage"may be substituted for-Total Project Cost" • C,‘ The Commonwealth ofMussachuselts .aepairttrrent of indxustrialA.cciderzts !:::;...'7..i . , .1 Congress Street,Suite 100 V • J .73ostort, MA.02114 2017 ar "' www.iiaass govtd/a IV-Os•kers'Compensation insurance Affidavit;Btrilclors1CRtttractors/Eiectt icians/Pinmbers. ' TO BE ED WITH TrIIl P]CRl4 rrr NC A.OTI{ORM''. A'tlralieantIntormation Noose Print Leg Nameit(Buninoss/Orranization/Indiv!dua1): EXTERIOR ASSOCIATES. INC. • Address: 408 Somers Rd. City/State/Zip:_Ellington,CT 0602g Phone if; 860.978.5_911 _� �,T Ara.you an employer?Cheek the.appropriate box: _ Type of project(x cciuirecl): l.pn I am a employer vririn _employees(dill anchor parr time).* 7, 0 New construction 2.n I am a xolc rmnpriutor or partnership and have employees working for ma in 8. 0 Remodeling any eap:tcihy.[Dro coos'<ocs'romp.nnsuraucr,required] 9- 0 Demolition :o1 ant a homeownerc'.ning all work mysalt'.(110 workex'comp.insurance requiredJ t 4.n I am a homeowner andwill be hiring cuunectors to conduct ail work on!ny uroparly. I will 10 Building addition cloaca that ell cutttractoireh:es-km workers'compensation insarancc orate solo 110 Weotrical repairs or additions . prapriutors with ne>employees. i 12.EiPhu ibiug repairs or additions 517)I am a g::ncrat canxetorend have hired the srtb•contrecttrs listed on Cho attached sheet, 13 Roofropait's These sub-contractors have employees and have works is"comp.ir"_gnihn`tet:1 6.Et We ere a carporrticn end its o`'ixcnrs have exercised their right of excerption per MQL c. 14.®Other HI C i i 152,}r 1(4),and we hews:no employees.[No workers'camp,inxurnne:n required.] tAnv applicant tbut oheuke box dt must also fill out the section below showing t teiir Workers'compensation policy information. • I)lea meowte>ts who a rhmit this affidavit indicating they a:o cluing oil work and then hire unlade contractors must submit a new a tldavit indicating such. :Contr ctou that cheek this box must attached an additional sheet ahuwiug Ibe unma of the sub-connectors anti state whothc;or not those entities have cmployees. .if the s, -euntractotr,have employees,they must pmvide their v zrkera'comp.policy number. I am an employer that is,providing workers'compensation tn.snrance,i`br my employees. Below is the policy and job site • Irdformation. ' Insurance Company Name:Berkley Insurance Co. _ _ Policy Ir or Self ins.Lie.0: BNUWC0138570 Expiration talc.: 11/14/22 Sob Site Address: City/State/Zip: ,,�{ - Attach a coley of the workers' compensation pot e c eelaration page(showing the policy nu nber awl tlapira z L elate). Failure to secure coverage as required Candor MGL 0.1.52,§25.A.is a criminal violation.ptraishable by a line up to$1,500.00 0 C acid/or one-year imprisonment,as well as civil penalties in the form of a STOP WO1UC ORlD R and a fine of up to S250.00 a • • day against the violator.A copy ofihis statement may Im forwarded to the Office of investigations of the OIA for iusurntace coverage verification._ _ do.Thereby certifyr under the pains and penalties of perju.ry that the information provided a Ot'a IV t•ue and correct i c ga ture: Dennis Audet — — • .. irate: , p ue if: 860-978-5911 `s __._ t Offir iftf rase onrlla. .110 not write in this arm, to he completed by city or toltrn official i I City oa•Town:..._., — Permit/License# . issuing Authority(circle one): 1.73oard at;CEealtla 2.I3uiiciingDepartment 3.CitytTown Clerk 4.Electrical Inspector 5,Plumbing Inspector G.Other Contact Person: Phone#: Client#: 98251 EXTERASC AC011"011., CERTIFICATE OF LIABILITY INSURANCE DATE(MM 11/10/2021YY) 021 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; lIf 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCCR CONTACT Lynn M. Paparazzo _ __ Starkweather&Shepley(CT) PIibNE 8(i0 583 0943 FAX - 860 709-9354 Insurance Brokerage, Inc. _(EAi A L,Exl)�_, _,„ (A/c,NJt - _ - PO Box 549 AopRess; IPaparazzo@starshep.com _--_-- - INSURER(S)AFFORDING COVERAGE NAIL U Providence, RI 02901-0549 __-_-_..__ ___. . INSURER A:Selective Insurance Co of New England 11867 INSURED INSURER B Exterior Associates, Inc. ___...___._.____._..... _._.. 31 Overhill Road INSURER- INsuRER D __ Ellington, CT 06029 -_ ._ _ ._ .._.._.__......_..____....._._.„..._...___.___......._____.__.._..---..-_-- INSURER 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 ADDL SUBRI '— ....._-....._.__..__.._.___—_-POLICY EFF POLICY EXP - LTR __-TTPC•OF INSURANCE _ INSR.AND ,______ POI-ICY NUMBER -_ MMIDDIYYYY_ MMIDDIYYYY__-- LIMITS A X COMMERCIAL GENERAL LIABILITY X S2442015 04/01/2021 11/14/2022 EACH OCCURRENCE S 1 000, '000 -- -__�CLAIMS-MADE I•. X I OCCUR DAMAGE TO RENTED - PREMISES(Ea occurranceL_,,.s500,000 . ... ........ .... .......__. MED EXP(Any one person) 515,000 ... ........_........-..._.. PERSONAL&AM/INJURY 51,000,000 GEIY'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S2,000,0OO XI POLICY I J FCT I,___-I LOC • PRODUCTS-COMPIOPAGG 52,000,000 OTHER; S A AUTOMOBILE LIABILITY )( S2442015 D4/01/2021 11/14/2022�O,M81cNEoDISIIJGLELIMIT 1 DOD •X ANY AUTO BODILY INJURY(Per person) S OUTOS ..... SCHEDULED ' BODILY INJURY(Par accident) S AUTOS ONLY AUTOS �— - •--�_ X WIRED . .. NON-ONNED ------fi/Li-....._..—.--------•-•--._._.....--- AUTOS ONLY X AUTOS ONLt' PROPERTY DAM1IAGE S .(Per Recipe/1D....._.... ......_ .._.-. _ . _ I. 5 A �( UMBRELLA LIAB I X OCCUR...„)( ___..-.-------____._....__.._.__._.. .-.._...—_........._._._...__..._.---.__......_..__..._....._._.........__.-....---_-.___.._._.._- 52442015 04/01/2021 11/14/2022 CACHoccuRRENCE s2 000 000 Excess LIAB :. . .._._.._. _ ,. ,-_ -- CLAILIS•fvIADE AGGREGATE 52,000 000 I DED I l RETENTIONS 15 WORKERS COMPENSATION ---.-_._......_.._. �PCR OTH- A AND EMPLOYERS'LIABILITY WC9097314 11/14/2021 11/14/2022 X1sIQLUiE.._J1rat-I ANY PROPRIETOR/PARTNER/EXECUTIVE Y N E.L.EACH ACCIDENT _ 55OO,OD O . OFFICER/MEMBER EXCLUDED'? I Y I N/q (Mandatory In NH) E.L,D15EASE_EA Etv1PLOYEE 5500,000 11 yes,deccliha under DESCRIPTION OF OPERATIONS bole,v Et.DISEASE_POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Rainarks Schedule,may he attached I1 morn space in required) Home Depot USA, Inc., dba THD At-Home Services, Inc., its parent, affiliates and subsidiaries are added as additional insured including On-Going & Completed Operations as required by written contractlagreement CERTIFICATE HOLDER CANCELLATION Home Depot USA, Inc,, dba THD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN At-Home Services, Inc. ACCORDANCE WITI-I THE POLICY PROVISIONS. Home Services Compliance C-11, 2455 Paces Ferry Road AUTHORIZED REPRESENTATIVE Atlanta,GA 30339 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1811758/M1808232 CTLMP x I V? 11 t1° Pr f sw tl,lret sure: rj„ : _: fl.tfltaffig ge.giOations .and to dai • �y{y{{�►►,�yyr ��••w• ]'�,t g y}+.s+�t Y� y,..,. Ra. :�.1 i t.• �t • .K i LE N!EL..SEN L Y•^ e , i�} $� 0 Tr'LAlZ LAN • •ett INGToN C.T • .4**;. : Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporattcn EXTERIOR ASSOCIATES INC; Rcgisiratton. SU3115 31 OVERHILL P.LI Expiration09/2PI2p23 ELLINGTON, CT 0e02g Update Address and Roturn Card. Offlco or ConcumorAffair$Buainosc Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: ;;ernomt,on beforo tho oxpiration data. If found return to: Registration Fxplratlttu Offico of Consumer Affairs and Business Regulation 1031/5 Li•tr2&21I23 1000 Washington Street -Suite 710 EXTERIOR ASSOCIATES INC Boston,MA 02118 DENNIS AU)ET 31 OVERHILI.RD �> : FLLINGTON.CT I?80?0 Not valid with signature Undersecretary out