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12C-084 (5) BP-2022-1645 44 MARY JANE LN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12C-084-001 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-2022-1645 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2022 Contractor: License: Est. Cost: 21287 NEWPRO OPERATING LLC 110763 Const.Class: Exp.Date: 05/05/2024 Use Group: Owner: J BROWN WAYNE E&ELEANOR Lot Size (sq.ft.) Zoning: RI/WSP Applicant: NEWPRO OPERATING LLC Applicant Address Phone: Insurance: 26 CEDAR ST (781)844-8249 152000448 WOBURN, MA 01801 ISSUED ON: 12/22/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF 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: . ›,2 . 331 II Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner _ _ __ The Commonwealth of Massachusetts 1 W Board of Building Regulations and Stindar FOR Massachusetts State Building Code, 7A0 C R DEC 2 2 2022 ICC1Pg LITY Building Permit Application To Construct,Repair,R ova a Or Demolis ised.far 2011 One-or Two-Family Dwelling PFPT.OF FSU Ln NG INSPECTIONS ,,Of1TNmn°Tn"d w o O60 This Section For Official Use Only ---�'" -'_�.� Building Permit Number: S P" .11... (0 c-(yam' Date Applied: /SEUIJ ' ��0-)5 ,�/� /Z-Z2-ZOZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1 Property Addres�: 1.2 Assessors Map& Parcel Numbers _ M� s � �L iN . �� �p 1.1a Is this an accepted street?ye 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: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 0 L ,qe►��� ,p,Zo�z1�/1 f2piziiwi, 9- DID4 7' Name(Print) City,Sta ZIP ilpg-Thi O lV Lam'- i 3��� �-/ 7 No.annStreet Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check a that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Speci : Brief Descriptiov of PrjaosedWork': i ETA ), 47725 ,R .12U0' AID SD i" ) CAM>'11 "S SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ZJ 247, l,-y 1. Building Permit Fee: $ Indicate how fee is determined: ll 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees c Q Suppression) yy�t 00�y 0 Check No. eck Amount: Cash Amount: 6.Total Project Cost: $ '2 7'z 0 Paid in Full 0 Outstanding Balance Due: • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /j-- / )—7i ���---2 Z c,� 3` Ff#, di ,U4€. License Number/ Expiration Date / Name of CSL Holder 6 U 9 . / ) e I� List CSL Type(see below) No.and Set L ff L1J lj�([� ` e Description 4� . y ,�l� �j fi p�, fi!� Unrestricted(Buildings up to 35,000 Cu.ft.) �(/� /v/ Do !�✓ Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding -/ # 45 2 /9 SF Solid Fuel Burning Appliances y I Insulation Telephone Email address D Demolition 5.2 Re/�i ne ramp, TIC HI��' � �-�^�Z /V C Registration umber Expiration Date HIC C zy NN r egistrant / No.}yd) tre�C ,ii / J,��^big.* �f,�/.. /J//4 72Q Email address City/Town,State,ZIP V) /,'/ /Telephonef '// 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 the building permit. Signed Affidavit Attached? Yes 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 J . Z V )p to act on my behalf,in all matters relative to work authorized by this buildin permit application. Fke/t5A012- 67/-fr74/41 — efr21/209eT -2 li-2e> _.2--. 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 in this appf ttion is true and accurate • -best knowledge and understanding. ��� _iv,- ,2 -2,^�.2 Print Owner's o AAuthorized Agent's Na nic •gna e) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered cont. ctor (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 i 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porc Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms h Number of bathrooms Number of half/baths 1 Type of heating system Number of decks/porches Type of cooling system Enclosed Open L 3. "Total Project Square Footage"may be substituted for"Total Project Cost" CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton Massachusetts 1.f?� r±( j ' DEPARTMENT OF BUILDING INSPECTIONS y f�y° �'� 212 Main Street • Municipal Building O` P -, 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: AW7 nth The debris will be transported by: 4..ez Name of Hauler: t ' 2 V Signature of Applicant: _�z . Date: / &-,2/z___2__ The Commonwealth of Massachusetts • it 1= / Department of Industrial Accidents ! . =i?Ri(= 1 Congress Street,Suite 100 7i�elc i Boston,MA 02114-2017 �,i.si+rr www,mass.gov/dia Workers',Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. • TO BE FILED WITH THE PERMITTING A UTHORTTY. • Applicant Information _ Please Print Legibly Name(BusinessiOrganizotioMndividua!): I�T� -te-i -- /it) LT? ���.29--//✓ 2,-. L'!--[ , • Address: 2 ' ( '` 4'. T' 1 . City/state/Zip; 1/11,0 %rtit. 1Ai �' 1 Phone#: l %'% / `'✓7-1 f‘ • Are yo an employer?Check the appropriate boa: Type of project(required): i i. 1 urn a employer with -- -4) employees troll undicc pan-timal° 7. 0 New construction { 2.0 I am a sole proprietor or partnership and have no employees working for me to B. 0 Remodeling any capacity.(No workers'comp.insurance required] 3.01 am a homeowner doing all work myself.(No workers'camp.insurance required 11 9. ❑Demolition 10[J Building addition 4 Q 1 um a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that alhcontractors either have workers'compensation insurance or art sole 11.0 Elec lean repairs or additions • proprietors with no employers. • 12.0 P robing repairs or additions S.01 rim a general contractor and i have hired the sub-contractors listed an the attached sheer. l 3. Roof repairs These sub-contractors have employees and hove workers'camp.insurance t • p 6.0 We arc o corporation and its officers have exercised their right of exemption per MGL c• 14.0 Other ' 152,q 1(4),and we have no employees.(No workers'camp,insurance required.] 'Any applicant Ural checks box fir 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 newandovit indicating such. :Contractors that check this box must attached an additional sheer showing the name of the sub-contractors and stoic whether or not those cnrhies have employees. If the subcontractors have employees,'ibcy must provide their workers'comp policy number. J am an employer that is providing workers'compe cation nsurance for my empl ees. Below is the policy and job site information. /� / Insurance Company Name: L, o-� /›Lit.• ,`7 C.��G�,�/� .� /—� � Policy#or ScJt=ins.Li�c.Jlt�:f y�-�_� �j O`G�O�� J �/�'� Expiration Date: y� -7 �p=--may-y2� Job Site Address: —b 2l rt/l //U VT'Y�'E LA/ City/State/Zip: F /L—t//vf�( i-oib 2— Attach a copy of the workers'compensa on policy declaration page(showing the policy number and expiratio date). Failure to secure coverage as required under MGL c, 152,§25A is a Criminal violation punishable by a fine up to S 1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification, I do hereby cerpi jdr the pains and penalties of perjury than the information provided above is true and correct. 5ienature: f l // Date: 1 1 ) "2 '. 2 - Phone d: / -42-j �7 Official use only. Do not write In this area,to be completed by city or town official City or Town: Permit/License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other . Contact Person: Phone ti: Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card NEWPRO OPERATING,LLC. Registration: 58689 26 CEDAR ST. Ex ration: 0 05/04/2023 WOBURN, MA 01801 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 146589 05/04/2023 1000 Washington Street -Suite 710 NEWPRO OPERATING,LLC. Bost ,MA 02118 JEFFREY CONNORS iva#41/v‘.-----1-11/d 26 CEDAR ST. �rlt��(�G(�mGlc�olcWOBURN,NIA 01801 Undersecretaryithout signature Page 1 of 1 A�RDA CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/23/2022 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 John Beam NAME: Willis Towers Watson Northeast, Inc. PHONE 1-877-995-7378 FAX 1-888-467-2378 c/o 26 Century Blvd fA/C.No.Extl: (A/C,No): P.O. Box 305191 ADRESS:ADDDR certificates@willis.com Nashville, TN 372305191 DSA INSURERS)AFFORDING COVERAGE NAIC S INSURER A: North Pointe Insurance Company 27740 INSURED INSURER 8: Praetorian Insurance Company 37257 NewPro ed Operating LLC Starr Indemnitya Liability C 38318 26 Cedar Street INSURERC: Y ump �' Woburn, MA 01801 INSURER D: General Casualty Company of Wisconsin 24419 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: W26742300 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 I TYPE OF INSURANCE ADDL SUER PoLiPOLICY NUMBER (MM/DY LTR JNSD WVD DIYYYY)-(M/DD/YYYY), LIMITS LT X COMMERCIAL GENERALUABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence' 1,000,000 A MED EXP(Any one person) $ 20,000 171000062 11/23/2022 11/23/2023 PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 C G 4,000,000POLICY TX LO PRODUCTS-COMP/OPAGG $ $ OTHER: - _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 _ (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B 'OWNED SCHEDULED 161000714 11/23/2022 11/23/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C IL — EXCESSLIAB CLAIMS-MADE 1000579769221 11/23/2022 11/23/2023 AGGREGATE $ 5,000,000 DED RETENTION$ _ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY I STATUTE OTH- ER Y/N D ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? NIA 152000448 11/23/2022 11/23/2023 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 11 yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Building CFE1386721 11/23/2022 11/23/2023 Blanket Limit $26,273,652 Business Personal Prop Blanket Limit $32,049,560 Business Income & Extra Blanket Limit $17,008,332 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: HomeRenew Group Holdings, L.P. acquired NewPro Operating, LLC, NewPro Plumbing, LLC and they are now under HomeRenew Group Holdings, L.P. Insurance Program, effective 05/10/2022. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ,A - `Evidence of Coverage -- ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 23359634 BATCH: 2752825 r . Commonwealth ot Mc ib. Division of Occupations , .,...17i2 Board of Building Re9ulations and Standards _.• , Cot IlSktitl On SUpervisor ,,,,...'• ,/, ci- CS-110763 _.. , , ' spires : 05/05/2024 ......-r- :t f. JEFFREY CONORS i , -...c. . ..,- 64 OLD FIELA RD SOUTH BER*CK. ME .03908 ..0.:. •-.. ' ..,;. • . . . .N.. ) 1,Vck"NS'. . , , • , . .. ..),-,, - ,, • - Commissioner {c-)tVci 1--"I. V•im LP-fa, Page 1 of 11 CT Reg#0605216 MA Reg#1465n RI Reg#26463 IJ HOME SOLUTIONS 26 Cedar St Woburn, MA 01801 800-242-9974 Federal ID #20-2625129 Roofing Contract Customer Information Eleanor Brown (413) 923-1547 0 Date: 11/01/2022 44 Mary Jane Lane helgebrown@comcast.net Rep: Bryan McConnell Florence MA 01062 Office# 401-309-7264 Location Agreement NEWPRO hereby agrees that it will, for the consideration hereinafter mentioned, furnish all labor and material necessary to install the goods purchased by Owner in accordance with the terms described on the following pages of this agreement (collectively, this "Agreement") at the premises located at: 44 Mary Jane Lane Florence MA 01062 Shingle Roof Details Shingle: GAF Timberline HD Lifetime Color: American Harvest - Cedar Falls Underlayment: Protect-All Deck Protection Drip Edge Color: White Layers to Strip: 1 Roof Installation Options Chimney Lead QTY 1 New Cricket QTY 1 Block out Gable Vents (Foam insulation board over inside, No exterior work) QTY 2 Repair Wood Fascia/Trim Boards (Does not include R & R Gutter) Feet 68 R &R Aluminum Gutters Feet 81 Ridge Vent Included Low Profile Clean Flow Intake Vent Included Gutter Options New 5" Downspouts Only Hi-Gloss White Installation & Promotion Details Newpro will remove any demoed or installation debris from the property in relation to this contract. All promotions were applied at the time of purchase and can not be combined with any future offers. Details •Tarp from roof to ground to keep clean •Starter course at all roof edges • Install 8" drip edge • Replace all chimney flashing with new lead as needed • Replace all pipe collars with new heavy duty aluminum •Clean up&haul away of job related debris • Matching Hip and Ridge shingles on all roof peaks • Customer to remove breakables from walls • Customer asked to cover items in attic Payment Total Price: $21,287 Page 2 of 11 Deposit: $2,000 Due Upon Completion: $19,287 Payment Method: Finance Estimated Start&Completion Estimated Start: 4 to 6 weeks Estimated Completion: 1 to 4 days Customer understands they will be contacted to set a firm installation date once all product is received. es'? State MA Year Home was Built 1967 This space intentionally left blank Page 11 of 11 Customer Information Eleanor Brown (413) 923-1547 0 Date: 11/01/2022 44 Mary Jane Lane helgebrown@comcast.net Rep: Bryan McConnell Florence MA 01062 Total Price: $21,287 Deposit $2,000 Balance Financed $19,287 Amount Financed $19,287 Stage 1 to be processed at order $9,643 Stage 2 to be processed upon completion $9,644 Financing terms are subject to change based upon review of customer credit history. Customer Info Last 4 Digits of Social 5250 Disclaimers By signing below,I/we,the Borrower(s): 1.Acknowledge submitting an application for a loan with a participating financial institution in the GreenSky Program; 2.Acknowledge receipt of the GreenSky loan agreement("Agreement")with the lender specified on the Agreement("Lender")and agree to be bound by the Terms and Conditions of the Agreement. 3.Authorize the payments in the schedule above subject to mutually agreed upon completion of the project stage; 4.Instruct our Lender to disburse the proceeds of the GreenSky loan to the Merchant identified above in the Amount(s)specified in the Payment Authorization Schedule. The Signature of a Borrower(s)below or the subsequent use of the GreenSky loan to make a purchase will constitute acceptance by all Borrower(s)of the Agreement and the authorization of Borrowers to process the transaction as identified in the Payment Authorization Schedule above. Bryan McConnell Eleanor Brown 11/01/2022 11/01/2022 Date Date This space intentionally left blank Page 1 of 22 HOME SOLUTIONS Roofing Work Order Customer Information Eleanor Brown (413) 923-1547 0 Date: 11/01/2022 44 Mary Jane Lane helgebrown@comcast.net Rep: Bryan McConnell Florence MA 01062 Rep# 401-309-7264 Additional Details Looking to get on schedule asap. Replacement fascia on rakes. Roof Details Shingle: GAF Timberline HD Lifetime Squares: 14 Color: American Harvest - Cedar Falls Underlayment: Protect-All Deck Protection Drip Edge Color: White Layers to be Stripped: 1 Roof Installation Options Ridge Vent Feet 40 - %color% Strip Asphault Shingles Squares 14 - %color% Chimney Lead QTY 1 - %color% Pipe Collars QTY 3 - New Cricket QTY 1 - %color% Block out Gable Vents (Foam insulation board over inside, No exterior work) QTY 2 - %color% Repair Wood Fascia /Trim Boards (Does not include R & R Gutter) Feet 68 - %color% R & R Aluminum Gutters Feet 81 - %color% New 5" Downspouts Only Feet 36 - Low Profile Clean Flow Intake Vent YES Gutter Options New 5" Downspouts Only Feet 36 - Hi-Gloss White This space intentionally left blank