The URL can be used to link to this page

17A-115 (4) B -2023-0084 14 CLAIRE AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-115-001 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-2023-0084 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 1038 BRADSHAW ENTERPRISES LLC 108517 Const.Class: Exp.Date: 12/10/2024 Use Group: Owner: HUFF PATRICIA V Lot Size (sq.ft.) Zoning: RI/URA Applicant: BRADSHAW ENTERPRISES LLC Applicant Address Phone: Insurance: 246 CONNECTICUT AVE 413-310-8010 A0158300004 SPRINGFIELD, MA 01104 ISSUED ON: 01/26/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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 VI LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I r f Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner i. L-,,->..-.,__ ,,, i 3.,c-r,..,, ,,.- uiLT 'q4Z The Commonwealth of Massadhuse s `!. Board of Building Regulations and Sta. dard� FOR s Massachusetts State Building Code, 7 O CMI�N c? " MUNICIPALITY I USE / h^7k O� 0�3 / Revised Mar 2011 Building Permit Application To Construct, Repairs RefloNAK4,, olish a , k One-or Two-Family Dwelling 4Ypzor,,' n rAJ SpFcr,` This, Section For Official Use Only - u!N) N" Building Permit Number: /0"�3'a Date Applied: 1 1AJ l J - '95 `1' 2 /-25-Z023 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: I 1.2 Assessors Map&Parcel Numbers 14 Claire Avenue, Florence Ma 01062 IA 1.1a Is this an accepted street?yesYES no Parcel ID 1.3 Zoning Information: 1.4 Property Dimensions: NA NA NA NA 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 NA NA NA NA NA NA 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: _El Outside Flood Zone' Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Patricia Huff Florence Ma 01062 Name(Print) City,State,ZIP 14 Claire Avenue 413-219-3464 • No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'.(check all that apply) New Construction O. Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addi,ion 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:MASS SAVE:ADDING INSULATION TO THE ATTIC.AIR SEALING WALL PLATES WORK SCOPE AND PLANVIEW ATTACHED. 1 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1038.00 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ _ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees:$�, Suppression) rl� 6 Check No.A V heck Amount:IV Cash Amount: 6.Total Project Cost: $ 1038.00 0 Paid in Full 0 Outstanding Balance Due: Treasurer's Approval: Board of Health DPW Conservation Comm Approval: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS 108517 12/10/2024 SEAN MATTHEW BAILEY BRADSHAW License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 246 CONNECTICUT AVENUE No.and Street Type Description SPRINGFIELD, MA 01104 U Unrestricted(Buildings up to 35,000 cu.ft.) _ R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding Signature SF Solid Fuel Burning Appliances 413-301-8010 SEAN@BRADSHAWENTERPRISESLLC.COM I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 194456 02/07/2023 BRADSHAW ENTERPRISES,LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 246 CONNECTICUT AVENUE 5einalay, ^ „^M IESLL No.and Street Signature Email SPRINGFIELD,MA 01104 413-301-8010 City/Town,State,ZIP I cicphone 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 ® 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. • • Print Owner's Name 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. SEAN BRADSHAW mwu;t,�, Print Owner's or Authorized Agent's Name 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" dotloop signature verification:dtlp.us/RpFP-6GzK-Cdat 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:Buliders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMUTING AUTHORITY. Applicant information Name(Business/organizational/individual):Bradshaw Enterprises, LLC Address: 34 Front St Indian Orchard Mills Suite G60 City: Springfield state: MA Zip: 01051 Phone P: 413-250-4746 Are you an employer?Check the appropriate box: Type of protect(required): ✓ 1. I am an employer with 11 employees(full and/or part tine)' []7. New construction —12. I am a sole proprietor or partnership and have no employees working for me in any 8. Remodeling capacity.(No workers'comp.insurance required.] —I9. Demolition 3. I am a homeowner doing all work myself.[No workers'comp.insurance required]t DO. Building addition 04, I am a homeowner and will be hiring contractors to conduct all work on my property, Flit. Electrical repairs or additions I will ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 012. Plumbing repairs or additions u5. I am a general contractor and I have hired the sub-contractors listed on the attached 13, Roof Repairs sheet These sub-contractors have employees and have workers'comp.insurancef I16. We are a corporation and Its officers have exercised their right of exemption per MGL, 14. Other c.152,§1(4),and we have no employees.[No workers'comp.insurance required.) "Any applicant that checks box el must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing aft work and then hire outside contractors must submit a new affidavit Indicating such. Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entitles have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and lob site information. Insurance Company Name: Sentry Insurance (Agent- Phillips Insurance 413-594-5984) A0158300004 8/12/2023 Policy#or Self•Ins.tic#: Expiration Date: Job Site Address: 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. I do hereby certify under the pains and penalties of perjury that the Information provided above Is true and correct,and that clicking this checkbox and typing my name in the field below will act as my signature. Name: Sean Bradshaw Date: 9/29/20 Phone#: 413 250-4746 Email: scan@bradshawenterpriseslIc.com dotloop signature verification:stlr...s:RpFP-6GzK-Cdst A ,�-,,,--—•R'"IN BRADENT-01 BROOKE ACVCE DATE(MM/DD/YYYY) �,,, CERTIFICATE OF LIABILITY INSURANCE 8/25/2022 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 POUCIES 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(les)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 NAME: 1 gpN7ACT Brooke Barre Phillips Insurance Agency,Inc. PHONE FAX 43 592-8499 97 Center Street (AIC,No,Ext):(413)594-5984 (A/C,No):( 1 ) Chicopee,MA 01013 ,0SS:brooke@phililpsinsurance.com _... INSURER(S)AFFORDING COVERAGE ...._.._...._�-. _......_NAIC S INSURER A:Middlesex Insurance Company INSURED --.... ..._._. -- INSURER Sentry Insurance i,2491 88 -_ Bradshaw Enterprises,LLC INSURER C:EVANSTONINSURANCE CO. 135378__-..,...,.. PO Box 944 INSURER D: ;, Chicopee,MA 01021 INSURER E;,_,_, 1--- 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 R __.. --- ADGLISUBR --_. _..... IMPOLICY EFF POLICY EXP .... ._. __ INSURANCE IMBD i WVD POLICY NUMBER M/OD/YYYY) IMM/DDNYYYI LIMITS ALT TYPE OF X COMMERCIAL GENERAL LIABILITY EACH OCOURRENCE iz. 1,000,000 CLAIMS-MADE X OCCUR' A0158300 8/12/2022 8/12/2023 DAMAGESJEQCTED 500,000 F_ .__. P.LiEM1SESjEaoskllreaa)_ $._._._ MED EXP jAnny one person)_...__.t:_ ..._._.�.._.10,OOD PERSONAL 0 ADVINJURY _I!,_. _...._ 1,t)OU,000 I GEN'L AGGREGATE LRCTIMpIT,APPLIES PER: GENERAL AGGREGATE $ 3,000'� f POLICY j X i SE 1 1 LOC .PRODUCTS.COMP/OP AGG{$ 2,000,000 { OTHER; I E A ADTOYOa4.E'Awry COMBINED SINGLE LIMIT I 1,000,000 (EamidentL._.__ 4$ X I ANY AUTO A0158300003 8/12/2022 8/12/2023 BOOILv INJURY(Par person)_,'$ _. OWNED SCHEDULED AUTOSRE�ONLY AUTOSNWNED BOODILY INJURYjPer accident);j.._ .._.. AUTOS ONLY :'SONS (Per entOPERTY 4AMAGE r$ A X UMBRELLA UAB X OCCUR - EACNOCCURRENCE 2,000,000 EXCESS UAB CLAIMS-MADE1 A0158300 8/12/2022 8/12/2023 AGGREGATE ... 2,000,000 DED X RETENTION$ 0 f B WORKERS COMPENSATION X- PER OTH- AND EMPLOYERS'LIABILITY Y 1 N STATUTE ER y,...._... A0158300004 8/12/2022 8/12/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVES E.L.EACH ACCIDENT ,>E ppF�FlCE /4MgEit EXCLUDED? ,Y, NIA ---- ----- (Mendatary m NH) '-- E.L.DISEASE-EA EMPLOYEE .... .........___1,000,000 It es.describe under 1,000,000 DESCRIPTION OF OPERATIONS below I ! E.L.DISEASE-POLICY LIMIT E C Pollution Liability I 1 CPLMOL10S072 1/1/2022 1/1/2023 Aggregate 250,000 I I DESCRIPTION OF OPERATIONS I LOCATIONS/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 Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE 7 O 4/g-). r''L"r ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 194456 BRADSHAW ENTERPRISES, LLC Expiration: 02/07/2023 246 CONNECTICUT AVE SPRINGFIELD, MA 01104 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 194456 02/07/2023 1000 Washington Street -Suite 710 BRADSHAW ENTERPRISES, LLC Boston,MA 02118 SEAN M. BRADSHAW 34 FRONT STREET 0•10/0"°(a-,/"..4. SPRINGFIELD,MA 01151 Undersecretary Not valid without signature dotloop signature verification: t, 7 DEBRIS DISPOSAL AFFIDAVIT In accordance with the provisions of MGL c.40,s.54,is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c.111, s.150A. ANY AND ALL DEBRIS PROUCED AS A RESULT OF WORK PERMITTED UNDER THE ATTACHED APPLICATION WILL BE DISPOSED OF IN: USA Waste Recycling Name of Licensed Solid Waste Disposal Business/Facility 15 Mullen Rd, Enfield CT 06082 Address of Licensed Solid Waste Disposal Business/Facility USA Waste Recycling Name of Hauler Sean Bradshaw 9/20/2020 Print Applicant Name Date 0 I,Sean Bradshaw do hereby certify under the pains and penalties of perjury that the information provided above is true and correct, and that clicking this checkbox and typing my name in the field above will act as my signature. RISE CERTIFICATE OF COMPLETION / INSPECTION NAME: Patricia Huff AN EMPLOYEE-OWNED COMPANY CLIENT# 437331 WORK ORDER# 10209 PROGRAM: Eversource GAS MA CONTRACTOR: Bradshaw Enterprises LLC ADDRESS: 14 Claire Avenue I Florence 34 Front Street PHONE: 413-219-3464 Indian Orchards MA 01151 EMAIL: pjrhuff@comcast.net 413-250-4746 Combustion Safety Test: Yes No INSPECTOR: Blower Door # Pre Post MEASURE DESCRIPTION QUANTITY INSTALLED INSPECTED PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PE 10 EXTERIOR DOOR WEATHER STRIPPING 3 NOTES: DISCLOSURE: I have installed the measures listed above, in accordance with the terms of the contract. CONTRACTOR SIGNATURE Date I have inspected the house at the above address and determined the energy conservation measures checked above were completed by the Contractor. ❑All inspected measures were completed in accordance with contract and meet program standards. ❑Deficiencies Found-We will notify the contractor of the deficiencies and the contractor will contact you to arrange for a repair. INSPECTOR SIGNATURE DATE I confirm the measures listed above have been completed to my satisfaction. I have received a copy of the Certificate of Completion/Inspection and hereby authorize the release of any final payments to the Contractor. I understand this Certificate of Completion does not in any manner void any warranties provided to me by the Contractor. CUSTOMER SIGNATURE DATE FINAL CUSTOMER CO-PAY DocuSign Envelope ID:AC20479B-8D86-4143-9C18-AF280805830B WEATHERIZATION CONTRACT EVERS=URCE CUSTOMER_ PHONE DATE. CLIENT JP WORK ORDER Patricia Huff::_: (413)219-3464: 01/11/2023:: 437331 I 10209: SERVICE STREET BILLING STREET PROPOSED BY: 14 Claire Avenue 14 Claire Avenue Heather Lieber SERVICE CITY,STATE,LP BILLING CITY.STATE,ZIP. Program Florence, MA 01062, Florence, MA 01062, EGMA-HEST Page.: 1 DESCRIPTION QTY:_: COST INCENTIVE: TOTAL INCENTIVE 75%. For eligible weatherization measures,Eversource is offering an [[! incentive of 75%for insulation measures and 100%for the air sealing measures,both with no limit.You are eligible to apply for the 0%Heat Loan to finance your co-pay,applications must be submitted before the weatherization work begins.'; PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO:: 10 $943.30 $943.30: Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements,attached garages and other unheated areas (windows are not generally addressed.):'; EXTERIOR DOOR WEATHER STRIPPING:: 3. $95.43' $95.431 Provide labor and materials to install Q-lon weatherstripping to door(s)to restrict air leakage.:: Total: $1,038.73 Program Incentive: $1,038.73 Client Total: $0.00 i I.DESCRIPTION OF WORK TO BE PERFORMED Contractor will perform or cause to be performed the above work at the Clients Address in a professional manner and h accordance with the terms of this Contract: II.PAYMENT Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IICI upon satisfactory completion of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost Changes to the individual line items and/Or previous mayjrease or decrease the size of the Program Incentive Share. i . clboAsssoANAmm DoeuSigned by NOW5±fN5704CE Heather Lieber 1/11/2023 I 4:04 PM EST Printed Name Date of Acceptance DocuSign Envelope ID:AC20479B-8D86-4143-9C18-AF280805830B mass save Savings through energy efficiency PERMIT AUTHORIZATION FORM I, Patricia Huff owner of the property located at: (Owner's Name) 14 Claire Avenue Florence (Property Street Address) (City) hereby authorize the Mass Save® Home Energy Services Program assigned Participating Contractor to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. —DocuSigned by: Y )1L+ ‘�7Eu]� signa Do 70vCE Owners ture 1/11/2023 14:04 PM EST Date FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date The Official Websde of the Executive Office of E011ED the Division of Professional ticensure and the Consion of Standads MrMHJ Public Safety Hop-e Etzi:e Mass. Licensee Details Demographic Information Full Name: SEAN Matthew Bailey BRADSHAW Owner Name: License Address Information City: South Hadley State: MA Zipcode: 01075 Country: United States License Information License No: CS-108517 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 1/6/2023 Issue Date: 4/28/2015 Expiration Date: 12110/2024 License Status: Active Today's Date: 1/9/2023 Secondary License Type: Doing Business As: Bradshaw Enterprises, LLC Status Change Reason: License Renewal Prerequisite Information No Prerequisite Information No Available Documents Close Window ©2011 Commonwealth of MassecnuEett Site Poi cies Contad Us