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36-054 (12) BP-2023-1513 57 REDFORD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-054-001 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-2023-1513 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2023 Contractor: License: Est. Cost: 2524 PELLA PRODUCTS, INC 096558 Const.Class: Exp.Date: 03/C1/2024 Use Group: Owner: STEELE KELLI M Lot Size (sq.ft.) Zoning: WSP Applicant: PELLA PRODUCTS, INC Applicant Address Phone: jg$urance: 155 MAIN ST 6H15382 GREENFIELD, MA 01301 ISSUED ON: 11/06/2023 TO PERFORM THE FOLLOWING WORK: INSTALL REPLACEMENT WINDOW 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: f i )2 To II Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner F- •liver-I- * /`�•l �/ v .--o / ®cT 2 fL, The Commonwealth of Massachu etts ( 5 20 FO ,. v, Board of Building Regulations and S andit* nF M ICI ALITY Massachusetts State Building Code, 780 CAZR,-,,•rent nin,,tiq,z7 Gin U E Building Permit Application To Construct,Repair,Renovate Or 13 T° .§1# us ise Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: A 3 r /Sil/ Date Applied: 4,A—) 7?3 I��/ II- 6.ZOZ,3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 oAddress: 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted street?yes x,- no Map Number Parcel Number Zoning Inf rmation: 1.4 Property Dimensions: ew sh 1 oning 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' 1 iwneCr'of Record: /� Name iLl(Print) � Stly,State,ZIP DreD ) kAA O1C/ 511 ReG.Qrd Dr yG-6rI5—.WU e 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 (,I Number of Units Other 'R) Specify:'Re,�1, MN) Brief pt& DescriptionWW1 of Proposed Wor 2: ,i1, window L i exi f n' O pfl i a wor r Id-'SRec Reed )n CPntretil SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ a ,Oa 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ �y ❑Standard City/Town Application Fee (Q ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 0 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5. Mechanical (Fire $ O Suppression) Total All Fees Check No''�C eck Amount: Cash Amount: 6.Total Project Cost: $ vU ❑Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) (� fn0Cbp Tr.P vo r "gir_f, icense Number Exp ti ate Name of CSL Holder I c Nar(4/7e j� List CSL Type(see below) IINo.and Street J Type Description '1n ,I h U Unrestricted(Buildings up to 35,000 Cu.ft.) Gr n C ld 1 act DIlc Restricted I&2 Family Dwelling City/T , at ,Z M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1-113- 0-r1(aFrmlIS6V11 5a1e3. earn Insulation Telephone E ail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) I j `7g ].lice. ProdL 1 Th2, HIC Registration Number Expiratio Date IHIC I/J mp�nx O e or -sot Name I a MOM c and Street Email address r n` e Id t PA 013E 1113 50-Oqlez ity/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 t1 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 authorizeTrf VOr ?rb�.,5 © P4)11&tocijr-) 1 00. to act on my behalf,in all matters relative to work authorized by this building permit application. KO 1 a/.fie- Wt /kT,he�l lgic a3 Printwner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and p 'es of perjury that all of the information contained in this application is tru curate to th t o my wled a understanding. 1 Rlibr gMS 1bi 1CIP3 Print Owner's or Authorized Agent's N e(Electronic 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" Contract - Detailed ?"4 Pella Window and Door Showroom of West Springfield 69 Ashley Avenue Sales Rep Name: Lukomski, Adam Sales Rep Phone: (413) 335-3237 West Springfield, MA 01089 Sales Rep Fax: 413-774-6348 Phone: (413) 736-9239 Fax: Sales Rep E-Mail: alukomski@pellasales.com Customer Information Project/Delivery Address Order Information Kelli Steele Steele Kelli 57 Redford Dr Florence MA Quote Name: Vinyl 250 Series Sliding Window 413-575-8251 57 Redford Dr JSD-VIKTOR 57 Redford Dr Order Number: 739Y2KL071 Florence, MA 01062-3534 Lot# Quote Number: 17438466 Primary Phone: (413)5758251 Florence, MA 01062 Order Type: Installed Sales Mobile Phone: County: Hampshire Payment Terms: GreenSky Financing Fax Number: Tax Code: MASS E-Mail: kmsteele67@gmail.com Quoted Date: 10/15/2023 Great Plains#: 1007547308 Customer Number: 1011308960 Customer Account: 1007547308 Line# Location: Attributes 10 Living Room Pella 250 Series, Sliding Window, Vent Right I Fixed I Vent Left, 2425.70 X 1149.350, Item Price Qty Ext'd Price White $2,824.02 1 $2,824.02 1: Non-Standard SizeNon-Standard Size Vent Right/Fixed/Vent Left Triple Slider I ' 2 Frame Size: /2 X 45 1/4 ©I 2145 General Information: attion: Standard,Vinyl, Block, Foam Insulated,3 1/4",3 1/4", Sill Adapter Included, Head Expander Included Exterior Color/Finish: White - - Interior Color/Finish: White Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock, 1 Lock,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen, InViewTM Performs.Information: CPD Not Rated,Performance Class R, PG 25,Calculated Positive DP Rating 25,Calculated Negative DP Rating 25,Year Rated 0811 fear Opening Width 21.062,Clear Opening Height 41,Clear Opening Area 5.996819, Egress Meets Typical 5.7 sqft(E)(United States Only) Grille: No Grille, Wrapping Information: Pella Recommended Clearance, Perimeter Length=282",Glazing Pressure=55. Venting Width: 1/4 Vent Frame Size:2425.70 X 1149.350 LP-1 -Lead safe practices this opening Qty 1 MP-9-3 Wide Modified Pocket Installation Qty 1 AC-MSF-Minimum Set up Fee(less than 2 FF or 5 Pockets) Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 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 8 DocuSign Envelope ID:96A975FC-B4DF-4C27-B618-58FEODBACDF2 t..ustottler: nem ateeie rrojeca game: Steele Kelli 57 Redford Dr Florence MA Order Number: 739Y2KL071 Quote Number: 17438466 Project Checklist has been reviewed Kelli Steele Adam Lukomski Order Totals —C g t@kame (Please print) ,-Poia,fifikatgep Name (Please print) Taxable Subtotal $1,109.65 W Sit tit, 114auM bielaKisC Sales Tax @ 6.25% $69.35 Gustomergignature 146 tatriTgezp Signature 10/16/2023 10/16/2023 Non-taxable Subtotal $1,345.00 Total $2,524.00 Date Date Deposit Received $1,262.00 Amount Due $1,262.00 Credit Card Approval 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 6 of 6 DocuSign Envelope ID:96A975FC-B4DF-4C27-8618-58FEODBACDF2 Pella Products Inc. 155 Main Street Greenfield, MA 01301 To Whom it may Concern: I,Kelli Steele , 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; 57 Redford Dr Florence, MA 01062 Please accept this letter in place of my signature on the permit application. Thank you, r—OocuSigned by: Signature: " SfU- -•—F6B627F61927470... Date: 10/16/2023 PELLPRO-01 - CHRISTINE ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) `-►°� 1/3/2023 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 CONTACT Christine Sullivan Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street Iwc,No,Ext):(413)594-5984 (A/C,No):(413)592-8499 Chicopee,MA 01013 ADD E-MAILRESS:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:EMC Insurance Companies 21415 INSURED INSURER B:EMCASCO Insurance Co Pella Products,Inc INSURERC: 155 Main St INSURER D: Greenfield,MA 01301 INSURERS 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR, INSD WVD IMMIDDIYYYY) IMWDD/YYYYI A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE __ $ 1,000,000 CLAIMS-MADE X OCCUR 6A15382 1/1/2023 1/1/2024 DAMAGETORENTED 500,000 PREMISES(Ea occurrence) $ MED EXP(Arty one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE UMITR APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO 6Z15382 1/1/2023 1/1/2024 BODILY INJURY(Per person) $ -OWNED SCHEDULED _ AURTEOS ONLY _ AUUpTNNO��SyyyyNNEEpp BODILY INJURY(Per accident) $H A AS ONLY UTOS ONLY UTO PPorr EDAMAGE accident) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LAB CLAIMS-MADE 6J15382 1/1/2023 1/1/2024 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION Xy PER STATUTE OTH AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNERIEXECUTIVE YIN 6H15362 1/1/2023 1/1/2024 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N N IA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Installation Floater$100,000 Included Operations usual to the sale and installation of doors&windows. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Florence(Northampton)Building Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ( P ) 9ACCORDANCE WITH THE POLICY PROVISIONS. Office 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts i j Department of Industrial Accidents moz" `' Office of Investigations i� = Lafayette City Center . _ t 2 Avenue de Lafayette, Boston, MA 02111-1750 M ' •'� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Pella Products, Inc Address: 155 Main st City/State/Zip:Greenfield MA. 01301 Phone#:413-774-7231 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 50 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in anycapacity. employees and have workers' P h' 9. Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 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 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 not those entities have employees. If the 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: EMC Insurance Company Policy#or Self-ins. Lic. #:6H 15382 Expiration Date:1/1/2024 Job Site Address: 57 Redford Drive City/State/Zip:Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). 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 day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi it er the pains and ' s of perjury that the information provided above is true and correct Signature: Date: 10/19/23 Phone#: 413-5 2-5968 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): 10 Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: lb_tgla, , To: I6L4) Q: Fl d,e b1,1in 51r&A 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. ____ Commonwealth of Massachusetts ( Construction Supervisor Division of Occupational Licensure ! Unrestricted-Buildings of any use group which contain /// Board of Building Reg i rations and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed i C onsttilon S'Ipe/rvisor space. 1 CS-096558 z 4* Qt Tres 03/0112024 TREVOR BR9SS ' WV� ` 10 GEORGE$T - a GREENFIELLY jrtA Al ., 40I,LY&1a Failure to possess a current edition of the Massachusetts Commi;aloner K. V State Building Code is cause for revocation of this license. For information about this license Call(617)727.3200 or visit www.mass-gov/dpt THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENDCONTRACTOR expiration date. If found return to: TYPEz_SdafementCard Office of Consumer Affairs and Business Regulation Restr i Expiration 1000 Washington Street -Suite 710 14 7, -' Boston,MA 02118 ( . rt 'FLEA PRODUCTS.� ,,� , ^ _ *-REVOR BROSS i ( r, ,� 55 MAIN STREET w` -1, t" 1.04„e(45 i __',,F,00S it � 3REENFIELD,MA 01301 f ' ____ -: `- •- Undersecretary of valid without signature '- 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. s Willard Brown CS106010 Vladimir Shevchuk CSSL099209 Scott Bowdish CSSL100232 Bill Leger CS89338 Christian Lambert CS065102 Robert Kairnes C5113305 Igor Kravchuk C5094911 ti City of �i j�Northampton Kevin Ross <kross@northamptonma.gov> U Value 1 message Danielle Crowningshield <greenfieldsa@pellasales.com> Mon, Nov 6, 2023 at 9:32 AM To: "kross@northamptonma.gov" <kross@northamptonma.gov> Good morning, From what I can find the U Value for the window being installed at 57 Reford Drive is 0.28. Thank you, Danielle Crowningshield Showroom Ambassador 413-774-7231 dy0a c Celebrating over 60 Years in New England! Since 1962!