23B-073 (3) BP-2023-0825
90 SOUTH MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23B-073-001 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-2023-0825 PERMISSION IS HEREBY GRANTED TO:
Project# RENO 2023 Contractor: License:
Est. Cost: 86500 MILL RIVER RENOVATIONS LLC 082881
Const.Class: Exp.Date: 03/09/2025
Use Group: Owner: ABEL WAISMAN JOHN C &SARAH
Lot Size (sq.ft.)
Zoning: URB Applicant: MILL RIVER RENOVATIONS LLC
Applicant Address Phone: Insurance:
12 DICKINSON ST (413)885-2305
NORTHAMPTON, MA 01060
ISSUED ON: 06/23/2023
TO PERFORM THE FOLLOWING WORK:
SIDING REPAIRS,NEW WINDOWS, REBUILD PORCH
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: (61"41 I •y
n
J
Fees Paid: $562.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
r #
The Commonwealth of Massachuset b°°'"9 c3c..7
Board of Building Regulations and Standar.Cto OR
Qiii, Massachusetts State Building Code,780 CM' o2�� S� 1'� US`� Y
Building Permit Application To Construct,Repair, Renovate Or toys'•.• .sh a Revise ar 2011
One-or Two-Family Dwelling Vob
This Section For Official Use Only
Building Pennit Number: 6 e'. '2- Si?-8.` Date Applied:
it• ► i': N a a3
Building Official(Print Name) I Signature I Da e
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
90 MA11J SIT i ' 1..e ht dE �316, 07'S-001 -
1.1a Is this an accepted street?yes X__ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Or< i 10 • Sx xis- �hNx�.Y '15,-7•do Sc. I A o FT—
Zoning District I'ruhosed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft) 4 IVQ C.,t.1,1,CES -t a ecN5 r I).3 G
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
IV SZ- 15 35 i 8 ,o hoc
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Publicli Private 0 Zone: _ Outside Flood ne? 1Municipal Ois On site disposal system ❑
Check if yesrIN
SECTION 2: PROPERTY OWNERSHIP'
219wnert of Record:
.)cM14 'vi A\.5/M ' 5 AQAN ABET. ri.og-e4C F l KA CA o 6 Z
Name(Print) City,State,ZIP
qo S MA11J ST 0113)3o.43z2.8 jC‘,J L SW@ c,lskco .Cor\
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building pi Owner-Occupied or Repairs(s) 0 Alteration(s) pi Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify:
Brief Description of Proposede Work2: �t�ae '' S�e,�A C�D�Are,M.)c . �(�� �,.� i,a;�de..�S
l^�N ` t i 1�-t•'`e� �- oc .4- �US�.7t oe, %NA J►\\. I r N►Mn; 'S�:'�-
S PCs vn , ,n;Aor e\reAr.Ze, %,Q Qa e s,
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 6/, z.w , ice 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ! oeo , ''o 0 Standard City/Town Application Fee
❑Total Project Costa ;Item 6)x multiplier x
3. Plumbing $ O 2. Other Fees: $
4. Mechanical (HVAC) $ ')„..\ ,loc.. ..° List:
5. Mechanical (Fire $
Suppression) O Total All Foes: i O
do ,
Check No. j Check Amount:
6.Total Project Cost: $ 86, 5 co . 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS. pa2881 31q IZS
NAT-ol nIA Claw.(��\\ License Number Expiration Date
Name of CSL Holder ``
F% •' eafL SA- List CSL Type(see below)
No and11 Street Type Description
QlG ,A A b 03 S U Unrestricted(Buildings up to 35,000 Cu.ft.)
/ ��l R Restricted 18c2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
r t Q I SF Solid Fuel Burning Appliances
`�V��18 'V7J7 o,nC, l�tc tuecrt+tw,1-+o4s.cdt^ I Insulation
Telephone J Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) / y S
J k\X & sjet' �r1oJ4�D�S 1 LC.. �Qo 9 b i �( � 2
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
(14, JNtEPMS \d��M�`\r IA'(4�1ko bAS. Co"
N and Street �1 Email address
SA Y, MA o%o3S (H/3)218 . 8'111
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 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,here., authorize At\\ ?. U
er r-onax1 �
to act on my behalf,in all m. ers .'ve to work authorized by this building permit application.
gals+-KtA • „Aim 1
Print Owner's Name(Electronic Sita' Date
SECTION ' :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 accurate to th�_best of in knowledge and understanding.
���►�e ' N0., 6.2/- Z3
Print Owner's or Authorized Agtm Name(Iaectroni mgnature) 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"
The C'ommonovalth of Massachusetts
l Department of Industrial Accidents
IMMO
1 Congress Street.Suite 100
=t Nr Boston. MA 02114-2017
;�c� N'Wn mttsc.g01' Zia
1l1)1kers'('untpensation Insurance Ulidasit: Builders("ontractorsrFlectririans Plumbrn.
14)III:Iti ll)U11111 111I:PI:R%II I l I\(::111111t)1t111_
Applicant information Please Print Lrt_itl►
Name I tiu,n>4aa t h .aaeaf.tti.n!neht a.fta.d ns
Address: V2 ' \ ASo— 5�
City/State/Zip: f I o t .a ON?�o ntkA o\o60 Phone#: CIA 13) 88 S•23°
.err? a err rinpMner='(Yn4.tilt Apptvpr1att I.r.t:
Type of project(required):
l.�I an a envietcr%kith engtk.ttc%ttull:and et part-timel• 7. 3 Nets construction
2741 atlt a 9.rk pvupticttn et yxutneehip and lean no en-phlox,.ntrtkntt: fox nee in K. Remodeling
ret_.caltacIt%..[NO 1tK11,e3,'taurilt.ubut:n'It Icytterap
9. Denntlttion
30 I ant a liatinowitnet timing all next ins Nell I Nu Ne ika9-conk. It1+urnri"C nalWhtil_I'
10Q Building addition
1 fl I ant a Itontev.%ne7 and w.t19 Iir luting avnMaLYon Mt c:enJtlet apt skulk en net pst.porty_ I sk tll
canine that all ctuut:rc ter cilleet hate ttenlen"kensp►7u:tlsun to utamx or an:,uric 11.I Electrical repairs or additions
palm tetra,utth nu.tenptl.r}eea
12_0 Plumbing repairs or additions
S.CI site yoncraltl.nttacttrt anal I bate hued the wh-toattractt.n J Ott lint atlachcd,Iteet
u 13.0 Rt•t►f repairs
1lre9e Wdt.el mu-4,tutu%iLtte'e-e tpd..tecs,sadisti tut rket, comp.ttbutan:t.'
14_0t*tote
6.0 We an:a tl.rp o aletat and at,officers hat c cveret.ed their tight r.t ete11101ltut per
IS_'_ It It_and Kt hate tut empit tees. tttgkere titrtnp.tn,lnanc required.
d.l
'Ant applicant that checks net -1 Inu.I silo till out the xttw.nhelutt thou ins:then notion,:tutrtpen%attton p►dtey adurrnitt.n.
(r.ttttartt tttr9 tthu sulking the,atttttaet tt trtdtealotne thcs ate doing all nark and then lure twtlshie ctutlrtetur,sutra%altnut a ntvt atdtdat ski nada:Alnpe%tech.
:(w.nitatttur%that check lists het,must:utaeh l an.wttlritetaI!heel!honing the name rd the 9n1.-cuetinnteck anal%laic ttltctlaor r.0 not glom:e1tutte,Irate
cntplo:tec, It the suet-cottlr:ttt.u,Tear c.7ttl.lotees they must pruttjc/heat tu.rkex,'catnip ratite!.tomrrhet
I um an employer that it providing wearAe r%•compensation insurance far mil employees_es_ Below is the'Why and jab site
in/irrmutiun_
In.tet.tnr:c Company Name:
Policy IS or Sell-ins_Lic_#_ LAptratltln Date:
Job Site Address: eity'Stale Zip:
Attach a copy of the.corkers'compensation policy declaration page Isho%sing the policy number and ertpiration date).
Failure to secure coverage as required under NIGL e. 152.ss"25A is a criminal violation punishable by a line up to$1.5(0_(0
axe ur one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDLR and a line of up to S250.011 a
day agamst the violator.A copy of this statement may be hinsarded to the Office of Investigations of the DIA for insurance
wtcrage tertticalton.
I do hereby certify under the johns and penalties of perjury that the infurmulitmLarasided above is true and correct
titrataw 6 /2o
phone: (1 ►3) 88S'2-.5
Official toe only. Do tun write in this area.to be completed by city or lawn of/iciut
City or Minn: Pernlitll_icrnse#
Issuing Authority (circle one):
I.Board ur Ilralth 2. Building o)epartrnrnt 3_('its risen n(7rrk 4. Electrical Inspector i. Plumbing Inspector
(t.Other
Contact Person: Phone#:
City of Northampton
OaYH M. '.�. S .i. s ..
Massachusetts '��
.f DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 Ssbfy ��‘�``
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: CaScAa \1.I0.5 Sy5-\-00.,5 • 684c, / ek;A SA., F-�kyo e 1 MA
CA01 o
The debris will be transported by:
Name of Hauler: -ThAAie_ .icV-\eS
Signature of Applican • Date: 6 .20 as
ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
�..�� 6/20/2023
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 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 Lauren Eckhardt
NAME:
Clayton Insurance Agency, Inc. tntco No Eri1c (413)536-0804 I{a,No):
ADD (413)534_7e74
1649 Northampton Street RESS: leckhardt@claytoninsurance.net
INSURER(S)AFFORDING COVERAGE NAIC/
Holyoke MA 01040 INSURER A:Merchants Preferred Insurance Company
INSURED INSURER B:
Mill River Renovations LLC INSURERC:
12 Dickinson Street INSURER D:
INSURER E:
Northampton MA 01060-1504 INSURERF:
COVERAGES CERTIFICATE NUMBER:23 MASTER REVISION NUMBER:
THIS IS TO CERTIFYTHAT 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 BYTHE 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 EFF POLICY EXPD/ LIMITS
LTA WVD POUCY NUMBER (MM/DYYYY) (MM/DD/YYYh
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE n PREMISDAMAGEES (Ea occurrence) $ 500,000
CTR2007624 2/10/2023 2/10/2024 MED EXP(Any one person) $ 5,000
_ PERSONAL&ADV INJURY $ 1,000,000
GENT AGGREGATE LIMIT APPLIES GENERAL AGGREGATE $ 2,000,000
LIC POY n PRO- I I JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: ADINT $
AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea aWdeM)
ANY AUTO BODILY INJURY(Per person) $
A - ALL OWNED SCHEDULED
AUTOS R AUTOS MCA1003255 10/1/2022 10/1/2023 BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS R AUTOS (Per accident)
UMBRELLA UAB OCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION I PER I OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? n N/A - - - -
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
Il yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more apace la required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Northampton THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City Hall ACCORDANCE WITH THE POLICY PROVISIONS.
210 Main Street
Northampton, MA 01060 AUTHORIZED REPRESENTATIVE
Michael Regan/FMT A,-/ P �e�...
CO 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025(201401)
W
it Commonwealth of Massachusetts
Division of Professional Licensure
B :ard of Building Regulations and Standards
ionst aio uperviwr
C S D8233
Expires: 0310912025
JONATHAN P CAMPBELL
29 MEADOW ST
HADLEY MA 01035 •,
r a
rnmIssioner cc� 14 rr�i .�.,.,
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affair and Business Regulation
1000 Washingto rept - Suite 710
Boston, Massachusetts 02118
Home Improvement{pntractorRegistration
kelp , : ' d ,
./s S """`S k 1
.+� _ _ ,.. , : Type: LLC
station: 200961
MILL RIVER RENOVATIONS, LLC r"'#
, ptration: 02/14/2025
12 DICKINSON ST
NORTHAMPTON, MA 01060 ---:w' "
a
\ -":LL s 7 ..":::,7 I
,.,.� 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. tt found return to:
rYPEnIC Office of Consumer Affairs and Business Regulation
Reclittli!llifff1 FASIVilL11 1000 Washington Street -Suite 710
200961 '_ _ 02/1 420 2 5 Boston,MA 02118
MILL RIVER RENOVATttNVS,'LLC ,
i '
JONATHAN CAMPBELL
29 MEADOW STREET Cam,,,,,,;,: a<!d
HADLEY, MA 01035
Undersecretary Not valid without signature
6/22/23, 12:06 PM City of Northampton Mail-90 SOUTH MAIN ST WINDOWS
City of
Kim Carson <kcarson@northamptonma.gov>
Nortiwonplon
90 SOUTH MAIN ST WINDOWS
2 messages
Kim Carson <kcarson@northamptonma.gov> Thu, Jun 22, 2023 at 10:55 AM
To: "jon@millriverrenovations.com" <jon@millriverrenovations.com>
I forgot to ask you for the U value on the replacement windows
Kim Carson
Northampton Building Department
212 Main St
413-587-1240
Daniel Bradbury <dan@millriverrenovations.com> Thu, Jun 22, 2023 at 11:27 AM
To: Jonathan Campbell <jon@millriverrenovations.com>
Cc: "kcarson@northamptonma.gov" <kcarson@northamptonma.gov>
Kim,
They are all Marvin Elevate line windows. The U-factor is 0.28 per the quote.
Performance Information
U-Factor: 0.28
Solar Heat Gain Coefficient: 0.32
Visible Light Transmittance: 0.54
Condensation Resistance: 56
CPD Number: MAR-N-272-01474-00001
ENERGY STAR: N, NC
On Thu, Jun 22, 2023 at 11:23 AM Jonathan Campbell <jon@millriverrenovations.com>wrote:
Begin forwarded message:
From: Kim Carson <kcarson@northamptonma.gov>
Date: June 22, 2023 at 10:55:34 AM EDT
To:jon@millriverrenovations.com
Subject: 90 SOUTH MAIN ST WINDOWS
https://mail.google.com/mail/u/0/?ik=28605c8627&view=pt&search=all&permthid=thread-a:r-6925985511094816646&simpl=msg-a:r-6970602575125157287&simpl=msg-f:1769417130699232890 1/2