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36-056 (18) BP-2023-1532 41 REDFORD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-056-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1532 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2023 Contractor: License: Est.Cost: 9849 PELLA PRODUCTS, INC 096558 Const.Class: Exp.Date: 03/01/2024 Use Group: Owner: ALHASSAN SOFIYA Lot Size (sq.ft.) Zoning: WSP Applicant: PELLA PRODUCTS, INC Applicant Address Phone: Insurance: 155 MAIN ST 6H15382 GREENFIELD, MA 01301 ISSUED ON: 11/01/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT 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: • T11 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Cpmmissioner oe �() T 31 gZ, The Commonwealth of Massachusetts-'r• ?O ' IV Board of Building Regulations and Staritia'r`ds,'6i, F R S�� UNI IPALITY Massachusetts State Building Code, 780 CMR..�`04w:''•�%'F USE Building Permit Application To Construct,Repair,Renovate Or Demo 4°N Rev' ed Mar 2011 One-or Two-Family Dwelling QAA This Section For Official Use Only BuildingPermit Number: ✓'/•A�- 1 '4 Z. Date Applied: /e.,,,� 7 Z //>' lI'I-ZO2 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 14,Pryperroy„Address: 1.2 Assessors Map& Parcel Numbers be R)jra Uri kre 1.la Is this an accepted street?yes . no Map Number Parcel Number 1.3 Zoning Information 1.4 Property Dimensions: -xeep16iviln .l Esii 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 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2 ner'of Record: o a Alhoc,san Ftnrtn�., MA C l blia Name( ) City,State,ZIP 1-1 I fed-r)re T nue 43-jiB1-64-14 nonce No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 1 Specify:PpI. j)oOr Brief Description of Proposed Work2:?).P le (r'1P ill-IT? d( )r lA,S'11(3 P x1n1 n 7j openloci to 11--‘ no siTior ivied awnriei t rrr Q,af) SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $q a gqq Cb 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ aef 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5. Mechanical (Fire $ Suppression) a Total All Fee Check No.1 a 1 Pheck Amount:41 D Cash Amount: 6.Total Project Cost: $ q ilq0i U2) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ,rUDr1ir45 ( fbeem c License Number p ratit o Date Name of CSL Holder r &ccge S -e List CSL Type(see below) No.Id- and Street Ti Description el U" Unrestricted(Buildings up to 35,000 Cu.ft.) �� �� � Restricted 1&2 Family Dwelling City/T g te,Z>P M Masonry t�' RC Roofing Covering WS Window and Siding � SF Solid Fuel Burning Appliances U13-5l)- O,permilsgtell�� les,(/`)m I Insulation Telephone it address D Demolition 5.2 Registered Home Improvement Contractor(HIC) I)1XV o 3pi] Rl l&Rbeittdis HIC Registration Number Expiration Date ICI C mp Name or HIC Re strant Name and t a E4nail address n tlo ,piu A al l 4 I -51 ,3 i tty/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 ;V 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 1 re vor Er(,65 0P / {�- cdv i•11, to act on my behalf,in all matters relative to work authorized by this building permit application. SO i s Alh1�n - Soe Mier► id /o/iq ' 3 Print O '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 a curate to the best of my wledge and understanding. Owner's 5 --. lr31lglg3 O Print wner's or Authorized Agent's Na a(Electronic Signature) Date NOTES: I. 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" Contract - Detailed ?"* Pella Window and Door Showroom of Greenfield Sales Rep Name: Rousseau, Mitchell 155 Main Street Sales Rep Phone: 413-768-8379 Greenfield, MA 01301 Sales Rep Fax: Phone: (413) 774-7231 Fax: Sales Rep E-Mail: mrousseau@pellasales.com Customer Information Project/Delivery Address Order Information Sofiya Alhassan Alhassan Sofiya 41 Redford Dr Florence MA Quote Name: Sofiya Alhassan-41 Redford Dr, Florence, MA, 41 Redford Dr JSD-VLAD 41 Redford Dr Order Number: 739Y3KR041 FLORENCE, MA 01062-3534 Lot# Quote Number: 17406078 Primary Phone:(408)7819449 Florence, MA 01062 Order Type: Installed Sales Mobile Phone: County: Hampshire Payment Terms: C.O.D. Fax Number: Tax Code: MASS E-Mail: Quoted Date: 10/5/2023 Great Plains#: 1007537322 Customer Number: 1011301663 Customer Account: 1007537322 Customer Notes: Purchase option: Wells Fargo 60 Month with 0%interest $9,849.00 total after discount $164.15 per month For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 10/19/2023 Contract-Detailed Page 1 of 9 Customer: Sofiya Alhassan Project Name: Alhassan Sofiya 41 Redford Dr Florence MA Order Number: 739Y3KR041 Quote Number: 17406078 Line# Location: Attributes 10 MIS Pella Entry Doors, Double Entry Door, Inswing, 1778.0 X 2041.5250, Blue Ash, 4 Item Price Qty Ext'd Price 1 9/16" $9,731.54 .`. $9,731.54 1:7080.375 Double Entry Door PK# Frame Size: 70 X 80 3/8 Unit Type: Active/Inactive Inswing,Standard Sill,No Fire Rating,No Fire Rating m 2145 Dimensions: 68,80 Dimension Options: Cut Down, 1 1/4" l _ General Information: Standard,4 9/16",4 9/16" Panel Style: 3/4 L' Panel Viewed From Exterior : No ripe Panel Selection: Smooth Fiberglass,Painted,Blue Ash,Painted,Blue Ash Frame Selection: Composite,Black Threshold,No Panel Reinforcement,Smooth,Painted,Blue Ash,Composite,Smooth,Painted,Blue Ash Hardware Options: Latch Bore with Deadbolt,No Bore,2 3/8",2 1/8",No Integrated Sensor,Construction,Construction,No Handle Set,Flush Bolts, Satin Nickel,Standard Deadbolt,Standard Steel Ball Bearing,Stainless Steel,Mill Finish Sill Sri, i9 SHGC 0.21,VLT 0.24,CPD PEL-M-258-47931-00001,Calculated Positive DP Rating 35,Calculated Negative Wrapping Information: 2"Brickmould,Factory Applied,4 9/16",Pella Recommended Clearance,Perimeter Length=301". Obscure Glass Style:SatinEtchLowE Frame Size: 1778.0 X 2041.5250 EXTTRIMI5-Kick board to match ext trim PVC Qty 1 ED-5-Entry Door Install w/Sidelight/Transom Qty 1 LP-1 -Lead safe practices this opening Qty 1 EXTTRIMI9-5/4 x 4 Exterior Style PVC Qty 2 Line# Location: Attributes 15 Int Trim/Jamb Ext Wood Products 31/2 Craftsman 2, Length: 96, Bright White.Wood Type: Pine Item Price Qty Ext'd Price $55.72 6 $334.32 1: Accessory PK# Frame Size: 1 X 1 L. ,1 2145 General Information: Pine,3 1/2 Craftsman 2 Interior Color/Finish: Bright White Paint Interior Wrapping Information: Perimeter Length=0". Viewed From Exterior Frame Size:0.0 X 0.0 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.peila.com Printed on 10/19/2023 Contract-Detailed Page 2 of 9 DocuSign Envelope ID:04413B83-18CD-4541-A862-82CE81FOEB31 t,ustomer. bonya,,Hassan rroject Name: Alhassan Sofiya 41 Redford Dr Florence MA Order Number: 739Y3KR041 Quote Number: 17406078 Sofiya Alhassan Mitchell Rousseau Order Totals ,CdatWOON-3 e (Please print) P911a_ la Vame (Please print) Taxable Subtotal $7,097.41 Sb6 a Qt tutSSAA, i L rbIASSt,tt. Sales Tax @ 6.25% $443.59 `Crise f$ti re Plla Ste"g61i'S°/ 'nature 10/16/2023 10/16/2023 Non-taxable Subtotal $2,308.00 Total $9,849.00 Pt%ocusigned by: Date Deposit Received $9,849.00 S66 a atit,ASSatot, Amount Due $0.00 CrediCr arci'� ee a oval Signature For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 10/16/2023 Contract-Detailed Page 8 of 8 DocuSign Envelope ID:83A7AB34-8EF3-4976-AE61-E2F48A9E851A Pella Products Inc. 155 Main Street Greenfield, MA 01301 To Whom it may Concern: Sofiya Alhassan , as property owner, give permission to our contractor, Pella Products Inc. to obtain a building permit for the installation of windows and/or doors in my home. Located at; 41 Redford Dr Florence, MA, 01062 Please accept this letter in place of my signature on the permit application. Thank you, ,-DocuSigned by: Signature: SO6r, athAsSi iA. F84CBB8D2418408 Date: 10/10/2023 PELLPRO-01 CHRISTINE ACORO CERTIFICATE OF LIABILITY INSURANCE DAT1(3 1/3/202/202 YYY) �•�•� 3 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 CpME:NTACT Christine Sullivan NA Phillips Insurance Agency,Inc. PHONE (413)594-5984 413 592-8499 97 Center Street (A/C,No, (F A�.R°i'� Chicopee,MA 01013 leakss:christine@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:EMCASCO Insurance Co Pella Products,Inc INSURER C: 155 Main St INSURERD: Greenfield,MA 01301 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. INSRR TYPE OF INSURANCE Ir1SDL WV° POLICY NUMBER MINDCDmYY POLICY EXP LT ► ( Y) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6A15382 1/1/2023 1/1/2024 DREM SET EaEN ErDence) j 500,000 MED EXP(Anye person) $ 10,000 on PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE pLIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO 6Z15382 1/1/2023 1/1/2024 BODILY INJURY(Per person) $— _ _ AAUTO�S ONLY AUTOS BODILY pBROpDIILY INJURY(Peraccident)3 AUTOS ONLY AUTOS ONLY (Per a Eoc denq GE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE 6J15382 1/1/2023 1/1/2024 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 B WORKERS COMPENSATION X PPEERRTUTE ER OTH- AND EMPLOYERS'LIABILITY AANYPROPRIIETOR/PARTNER/EXECUTIVE YIN BH153112 1/1/2023 1/1/2024 E.LEACHACCIDENT $ 500,000 (Ma dER/M In NH)EXCLUDED? N NIA 500,000 E.L.DISEASE-EA EMPLQYEE $ If yes,describe under 500,000 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) Installation Floater$100,000 Included Operations usual to the sale and installation of doors&windows. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Florence(Northampton)BuildingCommissioner's THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ( P ) ACCORDANCE WITH THE POLICY PROVISIONS. Office 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ®`- V.ly''ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: 141(11 To: TOLM O 1 1b1? ei— a1a Mn,i 3fri Subject: Disposal of Debris The purpose of this letter is to certify that all debris from any project undertaken by Pella Products, Inc. in your town will be transported to a dumpster at our main facility; 155 Main Street, Greenfield, MA. Pella Products, Inc. is under contract with Waste Management of Massachusetts For the disposal of the contents of this dumpster. Very truly yours, PELLA PRODUCTS, INC. Joy Grover Accounting Manager Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Office:413-512-5968 Cell:413-834-8799 To: Building inspector From:Trevor Bross— Installation Manager Date: February 17, 2022 Subject: Building Permit Applications& Designees Pella Products Incorporated is in the business of replacing windows and doors for our customers. Our process includes providing a building permit for each and every project. I am a licensed Construction Supervisor. Building Permits will be applied for using my CSL#CS-096558 and my HIC# 142279. Please find a copy of my licenses below, sL Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure Unrestricted-Buildings of any use group which contain Board of Building I mt lations and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed E.'fi s Constn S visor space. CS-096558 - , tit ►res:03101[2024 TREVOR BROSS r.,Trr 10 GEORGE STREET GREENFIEL12gM 4tj < fiP v01.tt'A,13' 4 1, Failure to possess a current edition of the Massachusetts Commissioner (iQt fi- �74nt itc� State Guiiding Code Is cause for revocation of this license. VU For Information about this license Cali(617)7274200 or visit www.mass.govfdpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affair's.8,Business Regulation Registration valid for individual use only before the HOME IMPROVEMENt°CONTRACTOR expiration date. If found return to: TYPE::Sup`pfemen t Card Office of Consumer Affairs and Business Regulation Re istr 'iS1ii piration 1000 Washington Street -Suite 710 14 7 /2024 Boston,MA 02118 'ELLA PRODUCTS,IS .m '� • e.1 . 'REVOR BROSS 55 MAIN STREET P ,1v " 3REENFIELD,MA 0130 T f Undersecre t s r n..✓ 5 n • A Each Installation will be staffed by our installers who are all licensed in accordance with current building codes. Below listed are our installers and their license numbers. Please accept these individuals as my designees. Willard Brown CS106010 Vladimir Shevchuk CSSL099209 Scott Bowdish CSSL100232 Bill Leger CS89338 Christian Lambert CS065102 Robert Kairnes CS113305 Igor Kravchuk CS094911