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25A-093 (6) BP-2023-0516 22 COOLIDGE AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-093-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PiRMIT U NG Permit# BP-2023-0516 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS/DOOR 2023 Contractor: License: Est. Cost: 5600 KRIS LARANGE 116300 Const.Class: Exp.Date: 11/08/202$ Use Group: Owner: BRAZ>NALL JENNIFER MULLINS Lot Size(sq.ft.) Zoning: URB Applicant: KRIS LARANGE Applicant Address Phone: Insurance: 18 NORTH ST (413)824-0609 GRENFIELD, MA 01301 ISSUED ON: 04/25/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOWS AND 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: O • � y0 �^ 'V Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner R8 --ie &-rvio 1 I Wiut vt re gilt/ , _ The Commonwealth of Massachusetts '-0-.) Board of Building Regulations and Standafds APR FOR 2 MUNICIPALITY ' Massachusetts State Building Code, 780(MR j 20 USE Building Permit Application To Construct,Repair;RenctiititergtDernolish a /Revised Mar 2011 One-or Two-Family Dwelling �'rti4"�r yr',tur np�.r� This Section For Official Use Only q°?oso j Building Permit Number: !9' A 3- 6I& Date Applied: 4,/J AZ s /� �! - y- 2 5 2623 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1. Property dress: 1.2 Assessors,Ma &Parcel Numbers cocA, 1.1 a Is this an acce d 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 pi Private 0 Zone: _ Outside Flood Zone? Municipal Oif On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 OwBeri of Rec rd: �, „ Zentli s'r VWA,h�&a"�e \k lo. ! . - 'f)-in \AA Q1oGa Name(Print) City,Sta e,ZIP d 1, e � N is)sia-o it jb�z��f.,g11�TA.�.c, , No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied l Repairs(s) ri7 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 `Number of Units Other 0 Specify: Brief Description of Proposed Work2: %J .V1601,,J cI' l bv(r one y4{c •Tr y 3 rep LN.41 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) OftIcIal Use Only 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ 040 r Check No.`(11 Check Amount: Cash Amount: 6. Total Project Cost: $ 5 (701 0 Paid in Full 0 Outstanding Balance Due: 1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �/ -- 11(0 0 t. �" .ete. t, �,�-C_r1 re ., License Number Exp lion ate Name of CSL Holder ��J'` 16 ‘ o rk\r> St- List CSL Type(see below) No.and Stref Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) + � �� ` R Restricted 1&2 Family Dwelling City/Town, ate,ZIP M Masonry RC Roofing Covering WS Window and Siding t, l SF Solid Fuel Burning Appliances (4\r ) ,414-06G IC� itNrorvq,L..:�tZrnA\ .CO•')'1 I Insulation Telephone email ad e D Demolition 5.2 Registered Home Improvement Contractor(HIC) q c. _ i cWOX-) H bon Number to H1C Co an e or C Registrant Name ►'9 a 4-T, k1,e,�II a ) p m�►.). Loin and Stre �`` ` ` ,,� }��� iEmail ads 6 City/Town,State,ZIP Telephone 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 IV No 0 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 'A,C.t_) L asrCl� to act on my behalf,in all matters relative to work authorized by this building mit application. 1������.�- f '�lz��/23 t Owner's dame(Electronic Si attire) 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 understandin . Print Owner's or Authorized ent's Name(Electronic Signature) ate 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" _ The Commonwealth of Massachusetts Department of Industrial Accidents ' r' 1 Congress Street,Suite I(ll1 i. 4 - tt tip •� :-� Boston,MA 02114-2017 WWw.mass.goV/dia " 111»kers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO HI FILED WITH IDE PER:MMITI IN(:AUTHORITY. Applicant Information �/ r Please Print Leitibly Name il3w inc :tkianization.Individuali: [�C,7D l.,Q,.r4tt(s Address: ‘ n City/State/Zip: Phone p e-iyi ?).act- °Gal , , Ardor an entpkr_aer'l'berk the appropriate but: Ty pe of project(required): I taw a cmployct With . -_,._._._.._ employees atilt aad'err part-tinsel." 7. 0 New construction I a a wie pnapririuc or pernnertitup and hive nu emytkry me working for e in S_ 0 Remodeling any capacity.[flu wurkess'cmxnp.tnaw1antt myw*td l.0 i am a homaowenn doing all wink myself.[No aorktrs'comp.iaxttrance rectun zi.}` Demolition ensure that ail t�mrrtractuts eitherrFIi 1C 1i%Axil. conapenaattiot nrhurantX o ati sole l 11 a Electra addition 4. l am a hunacuwnrr and will be i nitmatturs to cuuckiet all work on my property. 1 w d 11.�Electrical repairs or additions proprietors with no c^mpluwcta. 12.0 Plumbing repairs or additions 5C3 I am a gmzte^rai cunt:actor and 1 Isaac hired the sub-contractors Iiyted on the attatfied street. 13 These sub-contractors Isaac employers and haw a winters'comp.insurance.; Roof repairs b 6.0 We are a corporation and Its officers lame exercised titers right of exemption per lNcit_e. 14.In Other t 1A) l t 2.§It4).and we have no ennployecs.[No workers'comp.insurance minima} ba2r-e+ .r!> r •airs}applicant that chuck lox e I mail aiw tit)out the section below show ing their worlds'cumpensatiun puticy informnatimn_ t turn sew nen who aubimit this atii4u w it inilacatimi they*redoing all work and their hue outside contractors mutt submit a new affulat it indiaatting soda. 'C'unuacton.that check this box must attahwdi an additional sheet showing the name of the gut-eiantractursand AA':whether or not those entities hate enipluiecs. If the sub-contractors hase cmmplus ees.they must pmusidc their ',amain.'e<nnp.voile)manila 1 am an employer that Ls providing workers'compensation insurance for my employees. Below is the policy anti job.site information. Insurance Company Name: __ _._._ — Policy#or Self-ins.Lie.4: 1 Expiration Date: Job Site Address: ICityiStateiZip: _ Attach tt copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152.525A is a criminal violation punishable by a tine up to 51.500.D0 and.'or one-year imprisonment,as well as civil penalties in the form of a STOP{WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coterat a vertltcation. I do hereby c •under the nd mollies a rlury that the information provide above true and correct. Signature: (... Date: LIdi4 ao3 Phone#:(y1 b). .0 Cl Official use only. Do not write in this area.to be completed by city or tow oniciaL ('its or Town: Permitfl.icense Issuing Authority(circle one): . I. Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone»: a City of Northampton SAS "a�C (-79\ Massachusetts � i. (i?� .. •.c. � .; DEPARTMENT OF BUILDING INSPECTIONS S‘ :'`j°b { 212 Main Street • Municipal Building �v6, .. Northampton, MA 01060 jS .. 1�a' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a conditi n of Building Permit Number is that all debris resulting fro this work shall be disposed of in a properly licensed waste disposal facility, as defined by MG c 111, S 150A. The debris will be disposed of in: Location of Facility: ?A) C.),Pr.• ' F 6A t C� CRi*--?- e\ ,, anq- CA rc'..)\ The debris will be transported by: Name of Hauler: b.ek O Signature of Applicant: ,w�� 4,' ,-� Date: il_a_00aS t I e 1, RESIDENTIAL PROPERTY RECORD CARD 2023 NORTHAMPTON Sltus:22 COOLIDGE AVE Map ID:25A-093-001 I Class:Single Family Residence Card: 1 of 1 Printed:December 22,2022 CURRENT OWNER I GENERAL INFORMATION il Livingk BRAZENALL JENNIFER MULLINS Units 1 22 COOLIDGE AVE Neighborhood 8 . NORTHAMPTON MA 01060 Alternate Id Vol/Pg 5797/261 District Zoning I Class Residential Property Notes l (° ` Land Information Assessment Information Type Size Influence Factors Influence% Value Assessed Appraised Cost Income Primary Sf SF 6,666 137,500 Land 137,500 137,500 137,500 0 128,500 Building 177,900 177,900 171,500 0 147,100 Total 315,400 315,400 309,000 0 275,600 Manual Override Reason Base Date of Value 2023 Value Flag MARKET APPROACH Effective Date of Value 1/1/2022 Total Acres:.153 Gross Building: Spot: Location: Entrance Information Permit information Date ID Entry Code Source Date Issued Number Price Purpose %Complete 10/21/20 KB Not At Home Other 08/27/07 207 5,300 BLDG New Windows 0 10/23/99 SS Unimproved Convert From Univers 10/15/99 -8S- Unoccupied Owner Sales/Ownership History Transfer Date Price Type Validity Deed Reference Deed Type Grantee 09/01/99 130,000 Bldg Only Valid Sale RESIDENTIAL PROPERTY RECORD CARD 2023 NORTHAMPTON Situs:22 COOLIDGE AVE Parcel Id:25A-093-001 I Class:Single Family Residence Card: 1 of 1 Printed:December 22,2022 Dwelling Information ID Code Desna o ding rea Style Garrison 6 11TOFi VS 12 Year Built 1950 c 16FOVRH 2 6 Story height 2 Eff Year Built 1970 D RS1 FRAME UTILIT'. SHED 36' Attic Pt-Fin Year Remodeled 2007 Exterior Walls Frame Amenities 6 Masonry Trim x Color Yellow in-law Apt No Basement Basement Full #Car Bsmt Gar le G Is zE - 26 FBLA Size x FBLA Type Rec Rm Size x Rec Rm Type Heating&Cooling Fireplaces Heat Type Basic Stacks Fuel Type Gas Openings I 9 System Type Warm Air Pre-Fab Room Detail Bedrooms 3 Full Baths 1 z6 1 C26 1 Family Rooms Half Baths Kitchens 1 Extra Fixtures Outbuilding Data Total Rooms 6 Kitchen Type Bath Type Type Size 1 Size 2 Area Qty Yr Blt Grade Condition Value Kitchen Remod Na Bath Remod No Frame Shed 6 x 6 36 1 1995 C A 170 ,, *ct*N Adjustments r g o ' ,e,,... "' Al a. r an_. Int vs Ext Same Unfinished Area Cathedral Ceiling x Unheated Area Grade 8 Depreciation Grade C+ Market Adj Condition Average Functional CDU GOOD Economic Cost&Design 0 %Good Ovr %Complete Dwelling Computations Condominium I Mobile Home Information Base Price 211,415 %Good 75 Complex Name Plumbing %Good Override Condo Model Basement 0 Functional Heating 0 Economic Unit Number Attic 18,068 %Complete Unit Level Unit Location Other Features 0 C&D Factor Unit Parking Unit View Adj Factor •95 Model(MH) Model Make(MH) Subtotal 229,480 Additions 8,180 Ground Floor Area 676 Total Living Area 1,547 Dwelling Value 171,280 Comparable Sales Summary Parcel ID Sale Date Sale Price TLA Style Yr Built Grade 25A-066-001 29-NOV-21 256,900 1,185 2 1956 C Building Notes 25C-244-001 05-NOV-21 289,000 1,014 1 1900 C+ 25A-142-001 12-JAN-21 340,800 970 3 1948 C+ 25C-194-001 03-APR-20 299,900 1,939 1 1900 C+ 25C-109-001 30-AUG-21 325,000 1,274 1 1900 C+ ...___......_........_..._. ...--..--. V; Division of Occupational Licensure Office of Consumer Affairs&Business Regulation Board of Building Relulations and Standards HOME IMPROVEMENT CONTRACTOR Constzatkioni ISUitorvisor TYPEa,pilAdual Registration t Expiration 5,116300 zz.- spires: 11/08/2025 199282 ki_OEV09/2024 ..... L.KRIS E LAR*IGE - ' = KRIS E LARANGE _ . , .0 , ,_ -.- r----'-it 18 NORTH SI , ‘4 ." ,4 '-'' 4, 1 GREENFIELDyTh' A 01301 KRIS E.LARANGE 18 NORTH STREET ,„,izi.4. GREENFIELD,MA 01301 Undersecretary _.)s-- Commissioner (1,6121 g. u(4-4,....4.-4 j. • • A�RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 04/24/2023 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 I CONTACT Tracey Kuklewicz A.H.Rist Insurance Agency, Inc. PHONE (413)tl, (413)863-4373 FAX No): (413)863-9658 159 Avenue A �li ADDRESS: P.O.Box 391 INSURERS)AFFORDING COVERAGE NAIC C Turners Falls MA 01376 INSURER A: Main Street America Group INSURED INSURER B: Kris Larange INSURER C: 18 North Street INSURER D: INSURER E: Greenfield MA 01301 INSURER F: COVERAGES CERTIFICATE NUMBER: 2022 Certificate 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 INSURANCE _INSD WVD POLICY NUMBER (MMIDD!YYY /YYYY) Y) (MMlDD LIMITS XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE r0 RENTECS 500,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 3 MED EXP(Any one person) S 10,000 A MPP5898N 06104l2022 06l0412023 PERSONAL 8,ADV INJURY S 1,000,000 GEN'LAGGREGATE_LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _^ AUTOS HIRED NON-OVNNED PROPERTY DAMAGE S AUTOS ONLY ` AUTOS ONLY (Per accident) _ S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S $ WORKERS COMPENSATION 0ER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A El.EACH ACCIDENT S (Mandatory in NH) El.DISEASE-EA EMPLOYEE 5 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES IACORD 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Jennie Brazenall ACCORDANCE WITH THE POLICY PROVISIONS. 22 Coolidge Ave AUTHORIZED REPRESENTATIVE Northampton MA 01060 •.z 14vi ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD