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28-073 (6)
BP-2022-1331 301 SYLVESTER RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 28-073-001 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-2022-1331 PERMISSION IS HEREBY GRANTED TO: Project# DOOR Contractor: License: Est. Cost: 1358 EXTERIOR ASSOCIATES INC 113456 Const.Class: Exp.Date: 07/23/2024 Use Group: Owner: T SPANGLER CARL L& XINH Lot Size (sq.ft.) Zoning: WSP Applicant: EXTERIOR ASSOCIATES INC Applicant Address Phone: Insurance: 408 SOMERS RD (860)978-591 1 WC9097314 ELLINGTON, CT 06029 ISSUED ON: 10/17/2022 TO PERFORM THE FOLLOWING WORK: INSTALL ONE ENTRY 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: Fees Paid: $40.00 • 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECE1\1-7 ___ � 'Thc ''untulion4realFlt of Ca+saehtisetta FOR _._. Boird o Building Regulations and Standards k AV: ' OCT 1 4 2022Mas.eh efts State Building Code. 780 CMR MUNICIPALITY SE Building Permit A lira 'on To Construct.Repair. Renovate Or Demolish a Revised Mar 111 0 c-or Tito-Family Dwelling DEPT. D NORTHH '?ONMA 01060 INSPECTIONS A� This Section For Official Use Only Building Permit Number, ��1 Date Applied: l -to 5-) //. . /0-l7-2oz1 Build mg Otfi;:idl t Print Name► Signature Date I SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessprs Map&Parcel Numbers . 301 Sylvester Road, Northampton,MA 01062 A 7 0 73 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: lA Property Dimensions: Zoning District Proposed Use Lot Area 4sq tl) Frontage till 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required PM. Required Prix tiled Lib Water Supply:(M,G,Le.40,I54) 1.7 Flitted �im l iitorin:ition: 1.8 Sewage Disposal System: ' Zonc Put blic0 PmvateD t !tea i!ti 0 Municipal 0 On site diq►+xcal stisteitt D' SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recarek ...Cati.Stli"'i4lar Northampton, MA 01082______._. __._.w.. Name iPrint) City, Stale.ZII' 301 Sylvester Road 4134174 . ,., CSPAN9LER4074@GMAIL.COM !fit'.and treat Telephone Email .naives, SECTION 3: DESCRIPTION OF PROPOSED WORK/(check all that apply) New Construction[3 Existing Building 0 Owner- Occupied C3 Repares) C I Flherationls) CI , Addition 0 Demolition 13 Accessory Bldg. 0 Number of Units Other Q Specify: Door _ Brief Description of Proposed Work Installing one entry door.no structural changes. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building S 1358.36 I. Building Permit Fee:S Indicate how ice is determined: 2_ Electrical 0 Standard City/Town Application Fee 0 Total Project Cost(Item 6)x multiplier x 3.Plumbing S . 2. Other Fees: S 4.Mechanical (HVAC) S List 5.Mechanical (Fire S Suppression) Total All Fees: S - Check No.dt 64 9Ch ck Amount O Cash Amount: n.Total Project Cost: S_ 1358.36T'�_� ... C I Paid in Full 0 Otsstanding Balance Due: 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Cconstruciion Supervisor License(CSL) 113456 7123R4 Kyk.Nielsen I icerise Number Expiration Date Nang of t SL Holder 31 Overfill Rd List(St.Type(see bektwl R .. _ ., Type DescriptionNo.and Street (riii;;tr eleJ tEitnlctne t up k t t i eu.tf.t t fington.CT 06029 ___.. R Restricted 1&2 Family Dt%clhn� ___ CityTown.State.ZIP ttit Masonry RC Roofing C't' rtttg WS Window-and Sitting SF Solid Fuel Burning Appliances 860.918-5911 OFFICE@EXTERIORASSOCIATES-COM ! . !nnilation Telephone Email address f) Demolition 5.2 Registered 'ionic Improvement Contractor(HIC) 103175 4 Eaeeriar Associates Hrc HIC R _. _� _..._ _--- cetislraticyaNumbee Ea capon Date HIC Conic any Nana or lilt`Registrant Name 31 Overhit Rd OFF IC E{c EXTERIORASSOCIAT .COM No.and Street Email address Ellington,CT 06029 BB0-978-5911 Cny!Town.State.ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(1I.G.L c.152.§ 2 (6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure tt provide this affidavit will result in the denial of the Issuance of the budding permit. Signed Affidavit Attached? Yes .... SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED SMIEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner oldie subject property,hereby authorize Exterior Associates. Inc_ • to act on my behalf,in all matters relative to work authorized by this building permit application. Carl Spangler 9/22/2022 Print Ohlna'a Name tEtectrt►n eSignaturet Dat. SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties o f perjury that all of the informati contained in this application is true and accurate to the best of my knowledge and understanding. Denis Audet 9/22/2022 Print Owner's or Autht rived Agent's Name(Electronic Signature) I),,t; NOTES: I. An Owner who obtains a budding permit to do his'ber own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will lies have access to flit:arbitration program or guaranty fund under M,G.L,c. 142A.Other important infonnation on the IIK'Program can be found at WWW.mass.j ctv;'oca Information on the Construction Supervisor License can be found at www mass.poi. dp 2. %%'hen substantial work is planned.provide the inf►rination below- Total floor area(sq.It.) (including gxira w,finished basemeneattics,decks or porch) , Gross living area(sq. ft,) Habitable room count Number of fireplaces" , Number of bedrooms Number of bathroom Number of bilf`baths Type of heating system Number of decks porches Type of cooling system Enclosed tin 3. -Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton '*** . Massachusetts rt DB.PAR7P1E?JT OF BUILDING IIiSPACTIONS ^w a4' 212 Main Street • N icipal Building r' , Northampton, Nh 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 Hauling, East Windsor, CT The debris will be transported by: Name of Hauler: Exterior Associates,Inc crIkada Signature of Applicant: ( Date: The C onomont•"enith 0IAfo.rsorkwxea thy,fit --- 1)e lfllttltl ofindustrial Ar•r'Idertei Office of Investigations �' Lafayette hYry. (note ;" 2:lrMIK tit 1. iry ette, Boston, MA 102111-1?5 te►vemmou.Ro(Vella 'N'eerttn' (:onipensathin I nee reset Aflidasil: Milliken:( onirscIn rid Ekc1ridesvrlrlisn AppGcaat Inform lion Plcate trigjalk Name(11•menrOssinumbon.buievarbeeli, Esilaflur PasaQiatap Adtirt.v. 31 Overfill Rd C tyitsse bp:E nytrr C i C$U79 AM 11 An yea es w -; ,n!Check die appepri ee b . . I.n l awls cater web b 12• 4 Q 1 ama soots!o�oa �lor sat! Typr a(preyed � aliploycel 4 MM WA"pain-e,e.,:1 • III hived the arb.coetronem ft. © Nc,. c rael�irw 2-0 l aaa a sate promisor Of pantxr liao d a the ainehed shed 7. 0 Raiaadcliv drip oil byre na employees Thera sub-t oneremos% M w a $. ❑Domeistson we rlcas rot nor me WI employ employees■d hsvc Aurk4n O. ©fJarldilsO atilleion Me meth='comp.iawreu ee =op inan'aae.' roperet1 0 We ore a.orparation art its Ile Tamer iri1 peptore or achs►t,r e. 3.❑ I east a hoaeeowner*ere eta+.cri officers have exercised that I In rhedbi a ads or acidities' neyedE Me workies-comp tied of twi t:ttaro per%ail berellee 1+ C. I5?.i I(4►,and vat hive no 12, mums wnpSoyres. (No work t:' 13 odic/ mew diet amp ►ncur:tnce re xrred.I , •Awry 1fiotl dm O n io,boot ti' nod ago k l ma liar ro.taw Mckg..tr<i.xtt t1K+r~►aria* sag as rig 4foleemua. nmaaeaas sin mins araiirk sria+gtd City art James as midi Ard eve here otiukk aaswax%rage riit a asap aAtime roll___Ina rCaaInsris tat aiack tm b rang wa,ri od et adder ova,.bore i csi sj ors gone dig wb•owireayun and rear Min a M ins elms bow gaylataea Ow+r►vogitartwa boat es*lu�ar tlar*swam x...wlr trays r.arbs'ssa¢Icy astMa 111.1.111,11.16. I ear on employer iw k proniii a workers'coapertowno r fit wr+eikir fir aq#11101 jneac &km bike wiry sirOA der Lowrance t'orttpa,-ti hater Beloey Insuraiaa GarrDany Nary•at Self 144 Lrc R ANL M?`C.0 138.570 F&prat}na nest 1 if 14 2 Job Sew I\� '�t `=r Rk . C'ty'S Lie Nb 1 �' Anger a espy eel ere wearrc�es" petit• decIaratiaa pate ts-- Mnwile the polity aaeaier soddorer).e....4 Kea rink/irebsenor c�creersi r as'ignored iaQ, St,tsar 'S A ,,t M(it.c I S?an Iced in feat ofenn iwd peelakres of a �(' fine up or SI,SSSJIxtrl.crt oneicir corn+.7gttrtr:Tv 4. NL II ors cited pogenres a 4.c. k ni of s STOP WORK ORDER gad a rise of Jr NI f25SJ I a duly avow ire violator Sc ad+.i d t..a' .a copy of thn vatcrocru nay be isrwiadt,+d ro Ire Office of 'ohc-ot Silhoili.of the DIA foe tinvroacc anemic 1t'r i t K 1 M r1 I do Merit cerefir mole:the pours owl penoldes of pee err thatie roJurwr.tion pr+rddvd purvey ha Inge ewwrrs _ DM. 77 . eq9 PtgLar•: eBL1417�6ii11 .,... Ogled our eert fe is area ewer In dab ems,it be cietrd A!'de+or away delleiti City or Timm Pr I Vela AnehriNy( user. sulkord etwall KJ Raeltttt Ikpartaarin 3 Cilyf Iwo 4:kr4 eI311;ielrlaal lespesMr SOPlemllie leepener C..NI't Parsee: . . . PMIM fit . II, uommonweaitn oT massacnusetts Division of Occupational Licensure •I Board of Building Re ulations and Standards Cons ion, rvisor CS-113456 s = ,,. F�il;pires: 07/23/2024 e� K� KYLE NIELSN 31 OVERHILt/RD ,,4'. .11111t ELLINGTON `'05 060 r°x,, vv%l Ii IijJivi VGA L./W. 41A I1. 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: 4 31 OVERHILL RD Expiration: 0 04//2828/2023 2 ELLINGTON,CT 06029 Update Address and Return Card. 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 DENNIS AUDET 31 OVERHILL RD �{ ,o(C.i�,a6/��t' ELLINGTON,CT 06029 Undersecretary Not valid without signature Client#: 98251 EXTERASC IDDIYYYY) (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): (AIC,No)� Insurance Brokerage, Inc. EMAIL arazzo IPa com PO Box 549 ADDRESS: IPaparazzo@starshep.com P• Providence, RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Co of New England 11867 INSURED INSURER B: Exterior Associates, Inc. INSURER C: 31 Overhill Road INSURER D: Ellington, CT 06029 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 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 INSURANCELIMITS INSR WVD POLICY NUMBER _ �MM/DDIYYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X S2442015 04/01/2021 11/14/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES(EaEoccurrence) _$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 LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X S2442015 04/01/2021 11/14/2022 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS X y NON-OWNED PROPERTY AUTOS ONLY AUTOS ONLY (Per accident) $ $ A r 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 PER OTH• AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? '' 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/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 OE 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