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37-113 BP-2022-0878 16 ICE POND DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-1 13-001 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-2022-0878 PERMISSION IS HEREBY GRANTER TO: Project# BASEMENT RENO Contractor: License: RENAISSANCE BUILDERS DBA Est. Cost: 50717 GILL BUILDING CORP 013302 Const.Class: Exp.Date:08/17/2023 Use Group: Owner: EINHORN JENNIFER & DEBBIE KRIVOY Lot Size (sq.ft.) RENAISSANCE BUILDERS DBA GILL BUILDING Zoning: SR Applicant: CORP Applicant Address Phone: Insurance: PO BOX 272 (413)863-8316 MCC20020004972021 TURNERS FALLS, MA 01376 ISSUED ON:07/25/2022 TO PERFORM THE FOLLOWING WORK: BASEMENT RENO 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: i51 � i1 • )21I Fees Paid: $331.50 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner cFi The Commonwealth of Ma achu•-tts J�� �6. c; Board of Building Regulations d .:•rds OR Massachusetts State Building Code, q� �Q� M CIPALITY tea• r4� o, USE Building Permit Application To Construct, Repair,Reno 1" 10-.1olish . '• ised Mar.?011 One- or Two-Family Dwelling ,!'^oper, n,Lo'ys. This Section For Official Use Only Building Permit Number:.. -1,2— 9 7S7 Date Applied: iyivitlitzt 411,. Building Official(Print Name) Si ature /Dare SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 16 Ice Pond Drive, Florence, MA 01062 37 )) 3 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: *no change** **no change'`* Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) **no change** 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❑ Private❑ Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:Jennifer Einhorn Florence, MA 01062 Name(Print) City,State,ZIP ' 16 Ice Pond Drive 646-872-0173 einhorn.jenn@gmail.com No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) let Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Convert existing basement space into family room. See attached work list and drawing. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire r Suppression) $ Total All Fees: 4 % ,7 Check No4}7 Check Amount: f Cash Amount: 6.Total Project Cost: $ 50,717.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-013302 8/17/2023 Stephen Greenwald License Number Expiration Date ' Name of CSL Holder U PO Box 272 List CSL Type(see below) No.and Street Type Description Turners Falls, MA 01376 U Unrestricted(Buildings up to 35.000 cu. Ii.) R Restricted I&2 Family Dwelling City/Town, State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-863-8316 info@renbuild.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 199409 8/23/2022 Stephen Greenwald / HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name PO Box 272 info@renbuild.net No.and Street Turners Falls, MA 01376 413-863-8316 Email address 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 14 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 to act on my behalf,in all matters relative to work authorized by this building permit application. **see attached signature page** 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•i this application is true and accurate to the best of my knowledge and understanding. 7/11/2022 Print Owner'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" Einhorn Proposal Page 5 ACCEPTANCE OF PROPOSAL: Agreement between: Jenifer Einhorn, 16 Ice Pond Drive, Florence, MA 01062 And Renaissance Builders, PO Box 272, Turners Falls, MA 01376 The prices, specifications, and conditions are satisfactory and are hereby accepted. Please send a contract for the following work, as specified in the Proposal dated February 4, 2022: 1/4":„? Convert Basement to Family Room $ 47,901.00 Alternate #1 $ 2,816.00 Please make the following changes or clarifications: Payment will be made as outlined below: Deposit on signed acceptance of Proposal: $ 500.00 A payment schedule for the balance will be included with the contract. I authorize you to apply for a building permit, if required, on my behalf. Customer Signature Da 77\--- kAy'\\ )' Please print legal name for Contract Documents „?/%.?1/2 Customer Signature � Date A & i ERS67kki von' Please print legal name for Contract Documents All individuals listed as Owners of Record for a property are required to sign Contract Agreements. Please note any corrections to your name or address. Also, please give us your phone number(s) and the best times to reach you so we can keep you posted regarding our schedule. You may also provide an email address if that is a good way to contact you. Note: Please return only this signed acceptance sheet along with deposit. Retain the Proposal for your records. Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#199409 2/4/2022 RENAISSANCE r BUILDERS PO BOX 272, TURNERS FALLS, MA 01376,413.863.8316 INFO@RENBUILD.NET, WWW.RENBUILD.NET February 4, 2022 Jennifer Einhorn 16 Ice Pond Drive Florence, MA 01062 Work List to Convert Existing Basement Space into Family Room, Approximately 640 Square Feet, at Above Address. Scope to include the following: • Insulate exterior concrete walls and new interior walls. • Frame and finish soffits to conceal duct work. • Finish all walls with drywall. • Install lay-in acoustic tile ceiling. • Construct closet under existing stairs. 1000 GENERAL CONDITIONS 1020 Permits A. Supply all building permits as required. 1300 Project Management A. Provide copy of current Construction Supervisor's License. B. Provide shop drawings, samples, color choices, and/or selection charts as needed for Owner's approval. C. Coordinate operations under different sections that are dependent on each other for proper installation and operation. D. Notify Owner as necessary when scheduled work will impact occupied portions of the premises. E. Site investigation and plan development, final scope of work, and design. 1310 Supervision A. Provide supervision at all phases of construction performed or subcontracted by Renaissance Builders. 1400 Warranty A. Supply certificate of liability (minimum $ 2 million) and Worker's Compensation Insurance. B. All work performed or subcontracted by Renaissance Builders to be guaranteed for one year. Einhorn Work List Page 2 1530 Temporary Protection A. Protect completed work in progress to ensure protection from damage or deterioration until substantial completion of project. 1570 Winter Conditions A. Owner responsible for all snow plowing and sanding as necessary to ensure safe access to the work area. Owner will be billed for cost of snow removal and/or sanding by Contractor if it is required for safe and/or timely access. 1730 Cleanup & Trash Disposal A. Clean up all debris and leave the job site broom clean at completion of all work. B. Legally dispose of all debris. 1950 Owner Responsibilities A. Cost of electricity and water during construction. B. All other phases not specifically outlined in this Proposal. 2000 SITE WORK 2225 Demolition, Interior A. Cut openings as necessary for new electrical work. 5000 METALS 5160 Steel Studs A. Soffits to be constructed using 20 Ga x 1-5/8" steel stud framing system. B. All framing to be to be 16" o.c. 6000 WOOD & PLASTICS 6110 Floor Framing A. Install 3%' Dricore panels over existing concrete floor. 6120 Wall Framing A. Frame perimeter walls and demising wall from remainder of cellar using 2" x 4", 16" o.c. B. Sill plates to be pressure-treated with Dow foam sill sealer. 6220 Casing & Base A. Window and door casings to be 1" x 4" S4S paint grade. B. Base moulding to be 1" x 6" S4S paint grade poplar. 6430 Wood Stairs & Railings, Finish A. Install yellow pine treads and poplar risers on existing stairs. 7000 THERMAL & MOISTURE PROTECTION 7200 Insulation, Vapor Barrier A. Concrete walls to have 3" of polyisocyanurate foam (R-21) from top of slab to top of wall. B. All demising walls to have 3-1/2" rock wool (R-14). 8000 DOORS & WINDOW 8200 Doors, Interior A. Interior hinged doors to be 1-3/8" Brosco 6-panel pine, #M1051 . B. Interior bifold doors to be 1-1/8" Brosco raised panel pine. Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#199409 4/5/2022 Einhorn Work List Page 3 C. Interior door sizes and quantities as follows: Quantity Size Type Jamb 2 3'-0" x 6'-8" Hinged, raised Clear pine rabbeted panel pine 1 2'-4" x 6'-8" Hinged, raised Clear pine rabbeted panel pine 1 8'-0" x 6'-8" Bifold, raised panel Clear pine flat pine 9000 FINISHES 9200 Sheetrock & Plaster A. All walls and soffits to have IA" moisture resistant drywall. B. All joint tape to be fiberglass mesh type, applied using Durabond dry mixed compound. C. Finish all drywall with three coats of joint compound, sanded smooth. 9500 Acoustic Ceiling A. Install Chicago Metallic grid system. B. Install Armstrong 2' x 2' lay-in ceiling tile, per allowance. 9620 Specialty Flooring A. Install LVT flooring per manufacturer's instructions in the entire area, per allowance. 9920 Paint, Interior A. Fill all nail holes with non-shrink putty. B. All new interior walls and ceilings to receive one coat of Benjamin Moore Fresh Start® MoorWhite®, Sherwin Williams, or equivalent primer sealer. C. Interior walls to receive two coats of Benjamin Moore, Sherwin Williams, or equivalent flat acrylic paint. D. Interior ceilings to receive two coats of Benjamin Moore, Sherwin Williams, or equivalent ceiling paint. All ceilings to be the same color. E. Standing and running trim, door and window casings, millwork, and interior doors each to receive a total of three coats of Benjamin Moore, Sherwin Williams, or equivalent latex paint. 16000 ELECTRICAL 16100 Electrical Wiring A. Install a total of 12 outlets in interior to comply with Massachusetts code. B. Install ten (10) 6" LED wafers in ceiling. C. Install 8 linear feet of electric baseboard with wall mounted thermostat. END WORK LIST Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#199409 4/5/2022 The Commonwealth of Massachusetts Department of Industrial Accidents 5ifft.1 Office of Investigations •_ Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lessibly Name (Business/Organization/Individual): Renaissance Builders Address:P.O. Box 272 City/State/Zip:Turners Falls, MA 01376 Phone #:413-863-8316 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 25 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑■ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in anycapacity. employees and have workers' p h' 9. ❑Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1 2.ERoof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] *My applicant that checks box#1 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:AIM Mutual Insurance Co. Policy#or Self-ins. Lic. #:MCC20020004972022A Expiration Date:08/01/2022 Job Site Address: 16 Ice Pond Drive City/State/Zip:Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expi tion date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pe alties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORD R and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the pains and penalties of perjury that the information provided above is true and correct Signature: /...9 Date: 7/22/2022 � Phone#: 413-863-8316 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 11:1Board of Health 2❑Building Department 31:City/Town Clerk 4.0 Electrical Inspector 51:'lumbing Inspector 6.0Other Contact Person: Phone#: A��o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/22/2022 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 Andrea Feeley,CISR NAME: Webber&Grinnell HONE Eael: (413)586-0111 FAX(A/ No): (413)586-6481 8 North King Street E-MAIL afeeley@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Arbella Protection 41360 INSURED INSURER B: MA Employers/A.I.M. 12886 Gill Building Corporation INSURER C: DBA:Renaissance Builders INSURER D: PO Box 272 INSURER E: Turners Falls MA 01376 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 8/2022 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 $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE Xl OCCUR PREMISES(a occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 8500066134 08/01/2021 08/01/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ - OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED X SCHEDULED 1020057016 08/01/2021 08/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per acadent) Underinsured motorist BI $ 250,000 split limit 9 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ , , A EXCESS LIAB CLAIMS-MADE 4620085703 08/01/2021 08/01/2022 AGGREGATE $ 9,000,000 DED XI RETENTION $ 10,000 $ WORKERS COMPENSATION XI PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 1 B ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA MCC20020004972022A 01/01/2022 01/01/2023 E.L.EACH ACCIDENT $ , , OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000000 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 Jennifer Einhorn & Debbie Krivoy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 16 Ice Pond Drive THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Florence, MA 01062 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 AFFIDAVIT FOR DISPOSAL OF DEMOLITION DEBRIS Supplement to Permit Application As a result of the provisions of MGL c. 40, s54, I acknowledge that as a condition of the issuance of a Building Permit, all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c. 111, s150A. I certify that debris resulting from this demolition will be disposed of as listed below: Job Site Location: 16 Ice Pond Drive, Florence, MA 01062 Name of Permit Applicant: Renaissance Builders Disposal Facility: F & G Recycling _ Address of Facility; 15 Mullen Rd., Enfield, Ct 06082 IF SAID FACILITY IS OTHER THAN WHAT I HAVE LISTED, I CERTIFY THAT I WILL NOTIFY THE BUILDING OFFICIAL OF THE CORRECT LOCATION OF THE SOLID WASTE DISPOSAL FACILITY WITHIN TWO MONTHS OF THE DATE OF THIS APPLICATION. /. L47 7/22/2022 Signature of Applicant ' Date 111 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr vctlbtA15'pp.rvisor CS-013302 spires:08/17/2023 STEPHEN J GREENWALD PO BOX 272 TURNERS FALLS MA 01376 Commissioner ejca..eat Construction Supervisor Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl RENAISSANCE BUILDERS PO BOX 272, TURNERS FALLS, MA 01376,413.863.8316 INFO@RENBUILD.NET, WWW.RENBUILD.NET July 22, 2022 Jonathan Flagg Building Commissioner 212 Main Street Northampton, MA 01060 Jonathan, Enclosed is a permit application to convert the existing basement space into a family room at 16 Ice Pond Drive. Stephen is the project manager. His cell phone number is 772-9430 if you have questions or concerns. Also included is: ❑ An Owner Authorization signature page ❑ A scope of the work ❑ A Worker's Compensation Insurance Affidavit and current COI ❑ A Demolition Affiaavit ❑ A copy of Stephen Greenwald's Construction Supervisor License ❑ Drawings ❑ A check for $331.50 ($6.50 per $1,000 of job costs rounded up) Please call Stephen if you have any questions. Thank you, Madeline Spencer-Orrell Administrative Assistant madeline(a�renbuild.net