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18D-053-167 BP 022-1198 80 DAMON RD#7106 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18D-053-167 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-2022-1198 PERMISSIONISHEREBYGRANTE I TO: Project#- KITCHEN RENO Contractor: License: Est. Cost: 5058 EXTERIOR ASSOCIATES INC 113456 Const.Class: Exp.Date:07/23/2024 Use Group: Owner: KHOKHAR SINGH NEETU &RANIT S Lot Size (sq.ft.) Zoning: URC Applicant: EXTERIOR ASSOCIATES INC Applicant Address Phone: Insurance: 408 SOMERS RD (860)978-591 1 WC9097314 ELLINGTON, CT 06029 ISSUED ON:09/23/2022 TO PERFORM THE FOLLOWING WORK: KITCHEN 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: 0 • g . >9 y • I 0 Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner E RCEI V _0 The Commonwealth of Mtissachuse is 1 Board of Building Regulations and Sta ar SEP F • 2 1 NI IC AUTY �. Massachusetts State Building Code. 78 CM 2�24 ' ' U E Building Permit Application To Construct.Repair. R o a Rc srd.tar'011 F BUILDING INSPECTION$One-or Tito-Family Dw llin NORTHAMPTON.Ma pt This Section For Official Use Only Budding Permit Number. b 6')'2-- i I rt Da pplied: /‘;.-.-tri..-) (1--55 ///;Z9'42-7.02Z. Building Official t Print Name 1 Stgtuture to SECTION 1: SITE INFORMATION 1.l Property Address: 1.2 Assessors Map&Parcel Numbers I.Ia Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposal Use Lot Area(sit tl) Frontage ill) 1.5 Bolding Setbacks(ft) Front Yard Side Yards Rear Yard Re.{uried Pio%tded Required I'tv%ideal Required Provided 1.6 Water Sup y:IM.ti.t.c.so,f54l 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public.0 t'rt%ate 0 Zone: ___ Outside Flood Zone' Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' M 'ofR o : IIIIIIIIMIIIIIIIIIIIIIIIIIIIII Nano t Pi tilt i City. Stale.ZI 11111111.111111. No.and Sheet Telephone Enid Address SECTION 3: DESCRIPTION OF PROPOSED WORK3(check all that apply) New construction 0 I Lusting Building® Owner-Occupied 0 Repairs(s) 0 Alteration(s) O Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: 1111111111.11111111111111111111111111 Kitchen renovation.new cabinets and flooring. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building SOMME 1. Building Permit Fee:S Indicate how fee is determined: 2. Electrical S 0 Standard City/Town Application Fee 0 Total Project Cost'(Item b)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List S. Mechanical (Fire S Total All Fees Suppression) Check No71 _Check Amou t Cash Amount: h.Total Project Cost: 0 Paid in Full 0 Outsta ing Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSI.) 1.13456 7/23r24 -.. Kyle Nielsen Liccnx Number F.xpuation Date Name of CSL Holder 31 Overhil Rd List CSL Type(see below) R No.and Street Type Description U Unrestricted(Buildings up to 35.000 cu.WIEIiris ton.CT 06029 R Restricted I&2 Family Dwelling City?own.State.ZIP M Masonry RC Roofing C'ovenng WS Window and Siding SF Solid Fuel Burning Appliances 860-978.5911 OFFICE@EXTERIORASSOCIATES.COM 1 Insulation Telephone Email address D _ Demolition 5.2 Registered Home Improvement Contractor(HIC) 10317523__ Exterior Associates Inc. HIC Registration Number Expir bon Dale HIC Company Name or HI('Registrant Name 31 Overhil Rd CYFtCEIE/EXTERIORASSOCIAT_ .COM \o.and Street Email address Ellington.CT 06029 860-978-5911 City Town.State.ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.4 25C46)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result an the denial of the Issuance of the building permit. Signed Affidavit Attached'' Yes KI No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED SMIEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I.as Owner of the subject property,hereby authorize Exterior Associates,Inc. to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name IEiectromc 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 infonnatio contained in this application is true and accurate to the best of my knowledge and understanding. Dennis Audet Print Owner's or Authorized Agent's Name(Eloctronic Signature) Date NOTES: I. An Owner who obtains a building permit to do hisher own work,or an owner who hires an unregistered ontractor (not registered in the Home Improvement Contractor(111C)Program).will not have access to the arbitrat on program or guaranty fund under M.G.L.c. 142A.Other important information on the IIIC Program can found at www.mass.gov yea Information on the Construction Supervisor License can be found at www.mass. ov 2. When substantial work is planned.provide the information below: Total floor area(sq. ft.) (including garage.finished basenentiattics.decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms `umber of bathrooms Number of halfbaths 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 • .► r '':�, Massachusetts 1 I r.;, z' DF.PAR1W IT OF BUILDING INSPECTIONS t 212 Main Stra•t • Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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: USA Hauing, East Windsor,CT The debris will be transported by: Name of Hauler: Exterior Associates, Inc I: Date: (9L6Signature of Applicant: the C'omaraon►twlrh of afro sachar+rtts Orpartment of InJnorial.4rhhdenty :a .. Office of I n tticstigation s LafayetteCity ("enter i• J 2.firnrr de Lafayette, Balton, VA 12111-1751 -44 w w•K nra ts,troeadia % 'ricers' Comprnsetian Insurance A Ind a%it: Ruikleri('on rs'Eleciridans.`Ptumben .Appliraat Information Meat hint !Adige : a/1ttC terale sotapimaauunindivid al):edlir.or Alan ates 31 Overbill Rd. MOM CT ol+ M:ee0-9711 011 Are bras sac empknoer'C1eck the appropriate eras: 12• A 1 am a general ete ntutor mad 1 3 KA � trelPkgek taw a e i vc WW1 ❑ 6. Near aomltw___ esephoyees/nail an tar part-e ra's►:J • be%`C hated doff sub-c.intractors 3.Q 1 an a sole r+riipi lean at pumas !mod as the aucbed .Asset i• ❑ liesaadeing Thew cub-common have tltip arid iliaccon�, & []Doreltttiaaat working lbw ant arty capacity employees end h *veto's' 0. (]Outhilas addition (N 'camp :2illIninnr ramp in nano S [] We are a,orpuraa run and tat IO❑Eiaetitai wand or additions 3.0 I awe a hossmoovowt tiotni all *oft officers have exervase4 thaw I I.❑Plutabiag wars or addames lelyME IN*aortas'wrap nett of mailman per NGL x o Read repels is 1a11rmrx rely'e 8 I t 152.11(4).and »c have no ('Vo aaadem' 1'1.�t�icr ttla�r floor employeaLcomp a naacce r'°qumd 1 !Me ep Meals dew dada loons!t.rre.seer 12.so the w ebeet below thwrMlg arse tali @rt'chanpalawn policy rdaater$--. Mor creme w ear eattne ibballidee tadicab a dog medal%at wont NW dm bit arta&cvaira.surs rase fraba tt K'!Wring aillemeros aCeei aaaear Sort tiwA Os boa ma.asdrd tee riblemeel dims slovens/ore wore dSe nab•combeate s and srrc oeairz wore dose exams kw wgipss of Ss wi aosaaa ra tier r+*tomaR obey owe preemie obey wartero'How gooey rlalrM.r Ifni • —. I)r►tow it prareiteet woo ors cnwpeweatina insereiserjbe VIIMIllaffrt Beierw it site peaty a1odfa►air larauaorae Comps y Naar Fie-ute!y h!s±uf ten Company Mary a es c4f. t. Lit a:61+RJVMCC1381170 Fqi a0111 Date t 11 I4PJJ2 Jab Sine Aiie-_ Bo C itrs . zw Air) 1 % ,Zit • b&a espy of tie Mg Often. COMPe� pupa*" declaradan pate 1 ' Ill 0 paltry awe er sad date). Failure b teeasre eats a % :E ,weed ceder Sc.t:.xt 2SA of M(;t r 152 tie fad be the ore pot tIr e*of cxattelaall - '- da lac tap to Si_tOO.Maaeitter nnc-year umpehmeneiv. ar 141:II as c evil pctiaoltioa at doe fonn.4 a STOP WORK OR a seen a Mae of sup►to r..50 00 a day agaan t tlra vwib. Be ad.exrd that.eoapY c f duo,su lcmcnt lazy be f*rwrrded le thr d finch moms ;''t t!w "?' t lot r rmew*WOW venflicat►c n !a*erred araorde►the penes red/aOIadles•f perjury that the inJonwatlawpwrrti,/ref mhoi r it true turd celrrred. 1�rt 1 7$ 11 • Ci4 t sae oath Oa sat wile ha alb ova,M be cspepee ed by arid►a►arum nfilltibd C iti w'Too a: Peraaltll.icraae Misusing k aglia r1tt ( 011N11 IDltnsrd al Resat g lkvartmrai I Ot I!1 awe 4 tort 4.0 i Metrical SOrlhoolite laspe s.r a[ t"tier Cestart Primo. »__�._ Phase n: . t;ommonweatm of massacnusetts ®, Division of Occupational Licensure •" Board of Building Re ulations and Standards Cans fonr4t0'5rvisor CS-113456 ti' spires: 07/23/2024 KYLE NIELSfV 31 OVERHILL'RD 7.71 .1111t ELLINGTON `��T 066 •Qt,LV(0.) n n /. • • Commissioner vce I v:d%1;� Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation EXTERIOR ASSOCIATES INC. Registration: 103175 31 OVERHILL RD Expiration: 04/28/2023 ELLINGTON,CT 06029 Update Address and Return Cbrd. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 103175 04/28/2023 1000 Washington Street -Suite 710 EXTERIOR ASSOCIATES INC. Boston,MA 02118 DENN IS S AUDET 31 OVERHILL RD g.4 „o(a /,a4/,4• ELLINGTON,CT 06029 Undersecretary Not valid without signature Client#: 98251 EXTERASC /DDIYYYY) (MM ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE TE(MM2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT Lynn M. Paparazzo Starkweather&Shepley(CT) PHONE 860 583-0943 FAX 860-709-9354 (A/C,No,Ext): (A/C,No►: Insurance Brokerage, Inc. E-MAIL arazzo IPa starshe com PO Box 549 ADDRESS: p p• Providence, RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAICA INSURER A:Selective Insurance Co of New England 11867 INSURED INSURER B: Exterior Associates, Inc. 31 Overhill Road INSURER c: Ellington, CT 06029 INSURER D: INSURER E: 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 TH. 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 TYPE OF INSURANCE LIMITS LTR INSR WVD POLICY NUMBER (MMIDDfYYYY�(MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY X S2442015 04/01/2021 11/14/2022 EACH OCCURRENCE $1,000,000 lCLAIMS-MADE X OCCUR PREMISES Eaocccu ence) $500,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY _$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- X POLICY X JECT I LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X S2442015 04/01/2021 11/14/2022 Ea aBcideDISINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS X HIR oS ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY (Per accident) A X' UMBRELLA LIAB X OCCUR X S2442015 04/01/2021 11/14/2022 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ $ A WORKERS COMPENSATION WC9097314 11/14/2021 11/14/2022 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is 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 contract/agreement 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 WITH 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(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1811758/M1808232 CTLMP