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25C-015 (7) BP-2023-0130 168- 170 NORTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-015-001 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-2023-0130 PERMISSION IS HEREBY GRAN' ED TO: Project# SIDING 2023 Contractor: License Est. Cost: 37768 PHIL BEAULIEU 62638 Const.Class: Exp.Date: 06/13/2023 Use Group: Owner: L SANDRI, LISA Lot Size (sq.ft.) Zoning: URB Applicant: PHIL BEAULIEU & SON HOME IMP'OVEMENT Applicant Address Phone: Insurance: 217 Grattan St 413-592-1498 WMZ80062050 CHICOPEE,MA 01020 ISSUED ON: 02/02/2023 TO PERFORM THE FOLLOWING WORK: STRIP TOP LAYER OF SIDING AND INSTALL NEW 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 o LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ri t 'I •I LbJk... �r Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner -a_ The Commonwealth of Massachusetts - 2 2023 Board of Building Regulations and Standards !` ' FOR W Mi VICII'ALITY Massachusetts State Building Code, 780��Wil p[ '1Nr,"""- 1 USE �Or7 ��t�?�� Re,Wsed Mar 2011 Building Permit Application To Construct,Repair,Renovate Or l� tt�r�rvs , One-or Two-Family Dwelling Nection For Official Use Only Building ermit Number: Date Applied: LzVvN -55 // z '2-2 2Z3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1 2 Assessors Map&Parcel Numbers nil — 17 0 N 0(+in Stye t_�', N t'Fln n 1.1 a Is this an accepted street?yes ✓ 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2. Owner' Record: Lisa w,dr► 01OU0 Name(Print) City.State,ZIP Ito - 110 No(-E r^ (413) 2105-obig L L Sondn 7L drag!- Gd,v No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 1 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) d Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Ship # p I no T s i d t on Tns _012 ae-AJ lriv-N� Si CI la cr, aQ - rYtNl.Xr1 , SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 3 b 7 6,ge°O I. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost- (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ — List: _ 5. Mechanical (Fire Suppression) Total All Feel: U.° Check No.i� l heck Amount: Cash Amount: 6.Total Project Cost: S 3 3-1 ' (p k, ❑Paid in Full 0 Outstanding Balance Due: PHILBEA-01 CHRISTINE A.C'ORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 2/18/2022 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 gaircr Christine Sullivan Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (NC,No,Eat):(413)594-5984 �(MD,No):(413)592-8499 Chicopee,MA 01013 Rb . ss:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:A.I.M.Mutual Insurance Company INSURED INSURER B: Phil Beaulieu&Sons Home Improvement Inc. INSURER C: Phil Beaulieu 217 Grattan Street INSURER D: Chicopee,MA 01020 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 NSD SUBRI POUCY NUMBER POUCY EFF POLICY EXP LIMITS �MMIDDIYYYYI,(MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ' f LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSAUTOS ONLY J AUTOS BODILYp BODILY INJURY(Per accident) $ AUTOS ONLY OOS O Y (PeOrr accdentDAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION y PER H $ AND EMPLOYERS'LIABILITY Y/N X STATUTE ER WMZ-800-6205-2022A 2/25/2022 2/25/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ QFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC� DATE!MM1D0/YYYYI `�. CERTIFICATE OF LIABILITY INSURANCE D3/02/22 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 NAMEACT ERIC MASON THE MASON AGENCY INC PHONE Al°NQ,Exth (413)569-2307 FAX (A/C, (413)569-2308 504 College Hwy oDDREss: themasonagency@amerlcan-natlonal.com Southwick, MA 01077 INSURER(S)AFFORDING COVERAGE NAICfI INSURER A: FARM FAMILY CASUALTY INSURANCE 13803 INSURED INSURER B: PHIL BEAULIEU&SONS HOME IMPROVEMENT, INSURER C: INC. INSURER D: 217 GRATTAN STREET INSURER E: Chicopee, MA 01020 MA 01020 INSURERF: 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 INSD SUBR1 POLICY NUMBER POLICY EFF POLICY EXP LIMITS (NNIDD(YYYYI INNIDDIYWY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE 10 RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 BUSINESS OWNER'S MED EXP(Any one person) $ 25,000 A _ x x 2001 X281 0 02/25/22 02/25/23 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER $ AUTOMOBILE LIABILITY COMBIBINdEED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ .— A AINNED UTOS ONLY X AUTOSULED x 2001 C7139 02/25/22 02/25/23 BODILY INJURY(Per accident) $ XHIRED \/ NON-OWNED PROPERTY DAMAGE I $ AUTOS ONLY AUTOS ONLY (Per acddentl $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAR CLAIMS-MADE 2001E1738 02/25/22 02/25/23 AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N 7 A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yas,describe under 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) ( Y Pa q ) CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI2ED REPRESENTATIV U 1988- D15 ORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • • Commonwealth of Massachusetts @il Division of Professional Licensure . Board of Building Regulations and Standards ConstruttiOn184ervisor CS-062638 Expires:06/13/2023 ALAIN M BEAULIEU 217 GRATTAN STREET L CHICOPEE MA 01020 ,.. IL • Commissioner diva fi. Fltri 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: 100073 . PHIL BEAULIEU&SONS HOME IMPROVEMENT, INC. Expiration: 06/07/2024 217 GRATTAN STREET CHICOPEE, MA 01020 -o r 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 100073 06/07/2024 Boston,MA 02118 'NIL BEAULIEU&SONS HOME IMPROVEMENT,INC. 1;. r tLAIN M.BEAULIEU ' v :17 GRATTAN STREET\ c_ c:HICOPEE,MA 01020 < -X_ c'-AS: . Undersecretary Not valid without signature I nu l..WrtrriOrtrveuttrt V/ lrateaaUWiumata Department of Industrial Accidents • Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Phil Beaulieu & Sons Home Improvement, Inc. Address: 217 Grattan Street City/State/Zip: Chicopee, MA 01020 Phone #: 413-592-1498 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 25 4. ❑ I am a general contractor and I 6 ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p ty 9. ElBuilding addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ¢ c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] • *Any applicant that checks box!l l must also till out the section below showing their workers'compensation policy information. ! Homeowners who submit this affidavit indicating they are 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 nut those entities have employees. lithe 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. Insurance Company Name: A.I.M. Mutual Insurance Company Policy#or Self-ins. Lic. #:WMZ-800-6205-2022A Expiration Date:2/2512023 Job Site Address:1 L V — 1 r1 0 (V D r+i S I Y tt f City/State/Zip: Nv1/`t CYr1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 0/Cleec Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 da}lagainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of thDIA for insurance coverage verification. I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. Signature: ' g2�uGtl D 1130 123 ate: Phone#: 413-592-1498 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (check one): 11:1Board of Health 20 Building Department 3OCity/1'own Clerk 4.1:Electrical Inspector 50Plumbing inspector 6.0Other Contact Person: Phone#: City of Northampton 'atNAM ' Af• o. S . SC *' d h` Massachusetts �� x- '<< 61 • it i ( ; 4 DEPARTMENT OF BUILDING INSPECTIONS r ° 212 Main Street • Municipal Building vti. P� 'r w Northampton, MA 01060 'r AON1, 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: j 5 I ( ds la0 �2 The debris will be transported by: 1)v . y" S -( Name of Hauler: (it.. S Inc I Date: 1 /3 / Signature of Applicant: Z 3 Phil Beaulieu & Sons Home Improvement, Inc. 217 Grattan Street Chicopee, MA 01020 / Phone: (413) 592-1498 • Fax: (413) 594-6008 Beaulieu HOME IMPROVEMENT, INC. 1023 Lisa Sandri 413-265.0674 168-170 North Street Northampton,MA 01060 Print-date: 1-1072023 i Siding Siding and Window Trim Only Strip the existing top layer of siding only on the house-dispose of all debris Furnish and install Norandex Cedar Knolls siding-Body color:Newport Blue-White on the lower side porch(Comer color:4" white Create while break formed aluminum trim between the Newport Blue and White siding on the side porch Cover and flash all window and door casings with brake formed aluminum-Color:White Soffit and Fascia to remain untouched Install'J"blocks,split blocks and dryer vents as needed Licensed electrician to reattach all electrical equipment . Specifics No inside wall of the front porch Total-Siding and Window Trim Only $36,200.00 Price $36,200.00 Gutters Remove and dispose of the existing gutters and downspouts Furnish and install new seamless white aluminum 5"K-style gutters and downspouts $2,568.00 Price $2,568�00" General Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of(5185.00)per hour t.materiats 15%of material Payment Schedule S500.00 deposit at signing; • S16,000.00 payment due at the start of the project: S16,000.00 payment is due midway during the project; The remaining balance is due upon completion Total Price: $38,768,00 customer Consents: Contractor is authorized to use med.a for promotional purposes Contractor Is granted pen ,ss,ari t access property after signing unto project completion Horneo rner's signature grants p<•rn+::,ion t: Contractor to obtain a'+necessary busking permits poi is A t_15•t Beaulieu 111141 14/F1111 41\1 IVl 'Stay Connected with our social media and helpful links above Proposal Dale January 10,2023 Revised From December 13,2022 Revised from September 29 2022 Estimate Cab_ September 26.2022 PE14l Reptecentative Fran Beaulieu Authorized Signature C!SSignature: Print Nauru: 5 \P, �t tl Date- J / l o 23