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18D-024 BP-2023-0074 938 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18D-024-001 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-2023-0074 PERMISSION IS HEREBY GRANTED TO: Project# 2022 BATH RENO Contractor: License: YANKEE HOME IMPROVEMENT Est. Cost: 16609 INC 066324 Const.Class: Exp.Date: 03/28/2023 Use Group: Owner: DARLING EBENEZER C Lot Size (sq.ft.) Zoning: URB Applicant: YANKEE HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 36 JUSTIN DR (413)341-5259 WC 9099267 CHICOPEE, MA 01022 ISSUED ON: 01/25/2023 TO PERFORM THE FOLLOWING WORK: REPLACE EXISTING BATHTUB WITH SHOWER &SURROUND ON 1ST FLOOR 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: ti / AL '� 1►'� Fees Paid: $110.50 212 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 Massachusetts State Building Code, 780 CMR Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: P Z023—D 0-2ki Date Applied: d2 7.A r�� 1/25/ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1r? c ro rty ddress: rridg1.2 Assessors Map&Parcel Numbers e Pad # 1 CAD-az�-on 1 1.1 a Is this an accepted street?yes no Map Number Parcel Number Zoning Information: Property Dimensions: Go 3 acres 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(a Private❑ Zone: — Outside Flood Zone? Municipal%On site disposal system 0 Check if yes2r SECTION 2: PROPERTY OWNERSHIP' Owner'of Record: uc1 D(krl 1 n.9 )o( Lnamp-kctn , r itPt 01 O( L Name(Print) City,State,ZIP 6rt o-z_ M - 1 413-Ett-1 - tot-r) n per S' r) ► aakesJn�xxn_.c, -c No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 12/ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) 0 Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': 'ht(`( tvr 11r,61 r focui +U :: ! U4A- Uwa., s, and ctx-wv-es awn i) GICX (1 C SkOI.t-e r r\ (3,-) £CX 1,J ((C ( A 1 S 1 O-r4 l)(, -C Ur S . '�s� F(o01—. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S LSO) 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier/b, (oe'' x 6 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: Suppression)5.Mechanica 1 (Fire $ Total All Fees:$ 6/' Check No)V027 Check Amount//O, Cash Amount: 6.Total Project Cost: S `( ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) l _ (y ( c;,. 3 n ft)I cj (t e. I Pt I r o'9 License Number yT Expiration Date Name off C Holder !� PO jp% \o�j List CSL Type(see below) No.and Street l/lt7 T e Description j A'10 r , 0 P/1- 00(6.3 Unrestricted(Buildings up to 35,000 Cu.ft.) l J 1 ' 4t R Restricted 1&2 Family Dwelling City/Town, State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413 3 rnp('R3 0._)vargP U(n1' I Insulation Telephone Email a dress D Demolition 5.2 Registered Home Improvement Contractor(HIC) 3 \����'�L \ ' QC \< HIC Registration Numbery Expiration Date OS-HIC Company Name or HIC Registrant Name L.and Str \1ACet e f c,�T�1 c)j o, 13—3k-1 Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE A1}IDAVIT(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 Issu e of the building permit. Signed Affidavit Attached? Yes No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT t I,as Owner of the subject property,hereby authorize_ 1 ,ri ('�', �,_� 1^� (', i f n 4C' ts r\ to act on my behalf, in all matters relative to work authorized by this building permit application. COC raL+ -X - 'Ia-3I a3 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 application is true and accurate to the best of my knowledge and understanding. '-OCR CA)CatcO CA * \I `'D-3I23 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" (MWDDIYYY ACOROa CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE Y) 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 David Jarry Neill&Neill Insurance Agency Inc PHONE FAX 662 Riverdale Street tA/C.No.Ext): 413-732 4137 (NC No):413 731-6629 West Springfield, MA 01089 ADDREESS: dj@neillandneill.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Western World Insurance Co. 13196 INSURED Pro Solution Construction, Inc. INSURER B: Zurich-American Insurance Grou ZUR 116 Lancaster Ave West Springfield, MA 01089 INSURER C: 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 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD, (MM/DD/YYYY) (MM/DD/YYYY) A ✓COMMERCIAL GENERAL LIABILITY NPP8746152 07/11/2022 07/11/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE Ri OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 VIPRO- 1,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMO $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 6R144767 11/04/2022 11/04/2023 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER N ANY PROPRIETOR/PARTNER/EXECUTIVE Y Y NIA E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Yankee Home Improvement THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 82 Industrial Drive ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ba,404R42.1e2=> ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD t ,,r _)t s .x .. is 'k i}} �� t aI _ pP �}i�• ?t�ji�{Z }(rr;_ a c \t}`�.R } _t � F ��I `. ar a l r> t a > r 'c, o tJJJ� 1�v , t fi>s t k)s Jt�s�r i -+S ?' � s lr„V)!c+trt N,V Lri/ �SApi,� O ?repo 3 }�SSi�iM1?rr f;Y If tlr a�S}c E in r f :, ,,9t i i l{ >}j'\pv}TS>tc flt rs j•4 rs vi• 7 ,l si£ O {, 2 i�.1\itp ', ?li y �l` t'ta ,, ti\r S li rt t • r s i , } `L. 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'•� ,,L 4. 5. ,5,.te�, <r. -:>'.< .,x'+' :;i,, 't,;3\, l \ , r.�,,t, rig• }' �2' ,\ t.< ,lr s ,�., a.<, Fr +4`r,,., >�:v,t.., a.....,,, nY: ,.U•)-•.` iil., ,n .,,\,1 •, ,< � �r sCb�I< s'a ;.�'..s at.,lr>, a`<a ,, :<5.1�:,. ,,.l,f,t ,�:r.:� ..),, t ..;.t\. :�' '( 'h � s`� .l. irS.,,'.Pi+i, ,.,.t:�.\n,. .1.' .�;t;;\,:a'o;,tcr.. .,.� , f s. h tf Et,l.st,:4ta'} �.r.:e,ita.s�>,s..,}..ti. <:: s � .\\tit \, L �,�:ham.����i;t�,tiv�,\ �\sh`.�r�� ����C.s� `T� 5 �`�„� f�������{�1�3,{1�.r., tZ7,s(.3lCr<..ut,,.h.,ati..3, `\ t E\ •'' 1gA„.fit\\\ ,, t; \` ,,,,eke,aa k'di.;,,....41e),\vaah„tx,,,u .,4..>~,a\� t 1�{ t,�rtl,�}aa?r,.`CX`i ... 5, \� v N O N (TB to THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 160584 Expiration:YANKEE HOME IMPROVEMENT INC p ration: 08/11/2024 36 JUSTIN DR. CHICOPEE, MA 01022 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 160584 08/11/2024 Boston,MA 02118 'ANKEE HOME IMPROVEMENT INC 3ERARD RONAN 16 JUSTIN DR. ;HICOPEE, MA 01022 ors Undersecretary Not valid without signature The Commonwealth of Massachusetts ""` Department of Industrial Accidents =, , 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information M Please Print Legibly Name (Business/Organization/Individual): ��v')e,Q ��,_ �1 t 1 r r0‘.4p(NPr\-t Address: 3(. • City/State/Zip:C Y \C912 _ ("6)P Q YjPhone#: 3Lq 1 "S QSq t Are you an employer?Check the appropriate box: Type of project(required): 1.'1 am a employer with (tit) employees(full and/orpart-tune).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.] 10[]Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will. ensure that all contractors either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions proprietors with no employees. 2.0 Plumbing repairs o•additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.Q Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other___— 152,a l(4),and we have no employees.[No workers'comp insurance required.] :Any applicanrthat checks box 41 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they arc 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. , c �y Insurance Company Name: ?l'ir \\\ \�`� 11��Uf��1 ..�. � APne Policy#orSelf-ins.Lic.#: 1 gUc1 a..5.pT) Expiration Date: 0 I \ f 9\3 Job Site Address: 1' kJ t( y CityiStatep:� , CYM Th• Cj 1 3(ei Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certif d the pal and penalties ofperjury that the information provided above is true and correct. Si nature: •! L/' V Date: Phone . "tl) .0ke-S$Lls 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#: Page 1 of 9 Yankee Home Improvement MA Lic#160584 p CT Lic#0673924 36 Justin Drive RI Lic#33382 To' YANKEE • Chicopee, MA 01022 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Bud Darling 413-584-6476 Date: 01/20/2023 938 Bridge Rd #1 buddarling@comcast.net Rep: David Prats Northampton MA 01060 Replacement Work Details Replace and Dispose of Existing Tub Install Base Base Type Acrylic Shower Pan Single Threshold Base Color White Drain Location LH Wet Area Wall Quantity 1 Type Acrylic Surround Color/Style White Smooth Bath/Shower Door Door Type Standard Sliding Door- 56 - 60" wide base Door Finish Brushed Nickle Glass Type Rain Shower and Bath Accessories Quantity 2 Accessory Single Tier Corner Shelf Color White Grab Bar Grab Bar Quantity 2 Grab Bar Size 24" Finish Brilliance Stainless Linden Grab Bar Location Soap Dish Wall This space intentionally left blank Page 2 of 9 Hardware Delta Fixture Selection / �. Linden **-. 1In2ition l : Shower g ` Head Trim Kit Finish Brilliance Stainless Temp Assure Valve? Yes, style is only available with temp adjust valve I 1 Job Specifications Remove existing Drywall/ Plaster in the wet area and replace with moisture resistant board per code. Inspect insulation on exterior walls and replace as needed. Inspect Sub-floor under wet area and replace as needed. Replace mixing valve, inspect drain and trap and bring up to code. Scope of Work and Special Instructions IN stock program applied Free door program applied Cash discount applied We are removing the existing tub unit and installing a white smooth walls white left hand shower pan Rain glass brush nickel sliding glass doors frameless 2x24 inch grab bars Horizontally placed on the soapdish war one high and one parallel underneath two single tear white shelves on the left-hand corner Linden intuition brush nickel fixtures shouter kit. (Needs to be installed in two weeks son is having surgery)faster the better Do Not Do We do not do any painting or staining. This g e e intentionally left blank Page 5 of 9 Payment Schedule YHI agrees to perform the work,furnish the material and labor specified above for the total sum of: $16,609 Form of Payment Check Deposit Amount $5,536 Deposit Type Check Check# 1524 Cash Due Upon Completion $11,073 David Prats Notice: No agreement for home improvement contract work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to oder and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. ID Bud Darling 01/20/2023 Date This space intentionally left blank 1