24A-170 (6) BP-2023-1695
14 JACKSON ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24A-170-001 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-2023-1695 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS2023 Contractor: License:
Est.Cost: 20275 BENJAMIN GREENE 96066
Const.Class: Exp.Date: 07/28/2024
Use Group: Owner: P KELLY CRISTEN M&MATTHEW
Lot Size (sq.ft.)
Zoning: URA Applicant: BENJAMIN GREENE
Applicant Address Phone: Insurance:
47 Chapin Street (413)374-9826
EASTHAMPTON, MA 01027
ISSUED ON: 12/06/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 6 REPLACEMENT WINDOWS
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:
9 •
I
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
,' d� a
iI. 1,,,.........b
The Commonwealth of Massachusetts , OFC ��k� j F
Board of Building Regulations and Stan,.ids
W
Massachusetts State Building Code 781 el !' i C ALITY
,T 0 E
Building Permit Application To Construct,Repair,Renbv ;Oi'",I, ""olish a evise Mar 2011
,
+n /G
One-or Two-Family Dwelling -,.,'o li�soP�
This)Section For Official Use Only ..°'‹,,,OArS
Building Permit Number: dA' /6 95 Date Applied:
i4Et1i#J (as ,// J )2-6-zaz3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
(ti a'►.cKSo.i S1-
1.1a Is this an accepted street?yes K 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 0
Check if yes❑
SECTION 2: PROPERTY O/�WNERSIHP' �,/ Q
2.1 Owner!of e Record: (< 1 NO// '� t4 �7 /11// 4 /O 6 Q
tAgName(Pnnt City,State,ZIP
/ — �-5 e
( t1j41c /CSo(1Si-- I-21 67/ lellyi�eZe7mh,/ roil
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 Mt Specify: Gv/i 4/e S leer,/S
Brief Description of Proposed Fork': �KS1// G ieQiaterr,n A bvi" c sw S seet> �I 4yr
semi et 7 c lto( 1 cox+-ri`r+r r CS 10k 4 olk•M 4e) .1 Ball /'7 1i
MP(vvtS. ..V.- L ArCnn c k0i,41, 0oo/.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 20 234— _ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$ 1-104 °°
Check No.1331 Check Amount: Cash Amount:
6.Total Project Cost: $ 20 ZT Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 0% .7 `26ey
gt,rl p140/4 6. 4 n L- License Number Expiration Date
Name of t SL Holder
.�C h List CSL Type(see below) U
No.and Street " Type Description
E eiS+11,a vn P A vi ri 4 QI d ZI- U Unrestricted(Buildings up to 35,000 cu. ft.)
City/Town,State,ZIP R Restricted 180 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
qQ l�Cvt 2�¢� iO oh SF Solid Fuel Burning Appliances
(3 /GZt 9 ./. cost I Insulation
Telephone Email addre< D Demolition
5.2 Registered Home Improvement Contractor(HIC)
►3c�, w►, �. . i'q .� t;rc ew l S��?3 -8 Z�zs_"
fHIC Registration Number E on Date
HIC Company Name or HIC Registrant Name
Ll"1'(tt Diet 434— 9/ten a /LSlbial�"o�� gor,
No.and Street 1 Email address ✓ Con
F SOltirsi i Ahot £41'4- cro21— C1/33 ?-770"
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 BUILDINGPERMIT
I,as Owner of the subject property,hereby authorize g eVtt A I f /t l k Q-
to act on my behalf,in all matters relative to work authorized by this building permit application.
moll\tw
Print Owner's Name(Electronic S. attire) Date
SECTI 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
contain in thi pplicatior is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent' ame(Electronic Signature) I 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
Information on the Construction Supervisor License can be found at
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
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.ntass.gov/dia
))+.,ikrr«'(omprnsalion Insurance Affidavit: Builden/Contractors/EIectricians.1Plumbers.
It)Bt: I•II.F:I)WITH'f11E PERMITTING,Alt'f 1OIt111.
udicant Information ('lease Print Legibly
Name(tiustness:Organization Ind lvutuJI t: Eerie Glvn l/t /.0 et/t
Address: 4 —4--( (4.10A S _
City/State/Zip:_ 5 c vv' `)-o v p'1 Bt Phone .#: C/13 377-y 9
Are yrnr an employee.( heck the appropriate boa.
Type of project(required):
d.Q I AM a employer with employees 4 full:mein part-time}.• 7. 0 New ctmstruction
2 t a3n a sole proprietor err partnership and have nu em41luyec>working for me in S. Remodeling
any capacity.[No workers'comp.insurance reyuired.I
9. ❑Dcrnohtiun
30(um a homeowner clung;all work myself.No workers'comp.insurance renuisod.]'
10 O Building addition
d.a t um a homeowner and will be hitting contractors to cunufuct all work un my property. l will
ensue that all cuntracton either bast worker'compensation insurance or an sole 11.0 Electrical repairs or additions
proprietors with go ernployUCs.
12.0 Plumbing repairs or additions
I am a general contractor and I have hired the sub-aaxttraelus,limed on the attached sheet.
nog.sub-coatru►lun have employees and have workers'comp_insuranoe.1 13.0 Root repairs
6.0 K e are a corporation and its officers have cxeaco 4 their right of exemption per Wit.c. 14.®OIhe[ eGr/S/dooi
13Z. WO.and we have no rnrpluye►s..!No worker,'comp.insurance requin:d.!
'Any applicant that cheeks box Ott must also fill out the section below showing their wurkecs'compensation policy information.
'lionwawnen who submit this affidavit indicating they are doing all work and then Lure outside cuntracturs Must subunit a new al litho it indicating such.
-Contractors that chock this box must attached an additional short showing die nacre of the sub-contractors and state whether or not those entities have
ernpioyces. if the cob-enrrtraci ors bare errp:rncu..they must provide their n,.:i._r--'ennui. puler}n.nr^e:.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh site
information.
Insurance Company Name: —
Policy#or Self-ins.Lie.it: Expiration Date:
Job Site Address: City/State Zip:
Attach a 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,§25A is a criminal violation punishable by a tine up to$1,500.00
and/or one-year imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of investigations of the DIA for insurance
coverage verification.
I do hereby certify unde the pains and penalties of perjury that the information provided abate is true and correct.
//
Signature: �6/UZm. Date: 1 I/ N/ioz3
Phone;: '1(-3 eim U
Oflicial u•t'Wily_ Do nut write in this area,to be completed by city or town official.
('its or'town: Permit/License
Issuing Authority(circle one):
I. Board of Health 2.Building UeparUnent 3.( its Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
.- n Massachusetts
ti
DEPARTMENT OF BUILDING INSPECTIONS
a; 212 Main Street • Municipal Building
Northampton, MA 01060 l' 'w ")�
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: UGl I( 7 ReclGii P J- io nkri'ty , r(-a,1
The debris will be transported by:
Name of Hauler: --g PAA^al,rri 11\ Ch[
J
Signature of Applicant: IL__ Date: 11/(ti/2 0? 3
• BEN GREENE — ELEVATE
MATT KELLEY .041L.
CO LS
Quote#: N42HZFU
I ...4111=
A Proposal for Window and Door Products prepared for:
Job Site:
01002 BUILDING
I SUPPLY
Shipping Address: ABBY CHURCHILL
COWLS BUILDING SUPPLY COWLS BUILDING SUPPLY
125 SUNDERLAND RD PO Box 9676
AMHERST, MA 01002-1098 North Amherst, MA 01059
Phone: (413) 549-0001
Email:abby@cowls.com
This report was generated on 11/14/2023 10:24:15
AM using the Marvin Order Management System,
version 0004.05.00(Current).Price in USD.Unit
availability and price are subject to change.Dealer
terms and conditions may apply.
Featuring products from:
MARVIN
r1,:t/i4tc‘, v e-32 4 o '1 o G/ S ( -e rt (brci J
Y w
OMS Ver.0004.05.00(Current) BEN GREENE-ELEVATE
Product availability and pricing subject to change. MATT KELLEY
Quote Number:N42HZFU
GLOBAL SPECS
The following product and option choices were designated as part of this project's Global Spec. Global Specs can be
over-ridden on a line item basis. Exceptions to the specification are outlined in Line Item Quotes. Please proof all units
thoroughly to ensure accuracy.
OMS Ver.0004.05.00(Current) Processed on: 11/14/2023 10:24:15 AM Page 2 of 7
For product warranty information please visit,www.marvin.com/support/warranty.
OMS Ver.0004.05.00(Current) BEN GREENE-ELEVATE
Product availability and pricing subject to change. MATT KELLEY
Quote Number:N42HZFU
UNIT SUMMARY
The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item
Quotes.
Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit.
NUMBER OF LINES: 2 TOTAL UNIT QTY: 6
LINE MARK UNIT PRODUCT LINE ITEM QTY
1 Elevate Double Hung Insert 5
10 29 7/8"X 53 3/4"
Entered as
Inside Opening 29 7/8"X 53 3/4"
2 Elevate Double Hung Insert 1
10 29 7/8"X 37 3/4"
Entered as
Inside Opening 29 7/8"X 37 3/4"
OMS Ver.0004.05.00(Current) Processed on:11/14/2023 10:24:15 AM Page 3 of 7
For product warranty information please visit,www.marvin.com/support/warranty.
OMS Ver.0004.05.00(Current) BEN GREENE-ELEVATE
Product availability and pricing subject to change. MATT KELLEY
Quote Number:N42HZFU
LINE ITEM QUOTES
The following is a schedule of the windows and doors for this project. For additional unit details, please see Line Item
Quotes. Additional charges,tax or Terms and Conditions may apply. Detail pricing is per unit.
Line#1 Mark Unit:
Oty: 5
MARVIN White
White Exterior
White Interior
Elevate Double Hung Insert
Inside Opening 29 7/8"X 53 3/4"
8 Degree Frame Bevel
Glass Add For All Sash
V Top Sash
Stone White Exterior
White Interior
IG-1 Lite
Low E3/ERS w/Argon
Stainless Perimeter Bar
Bottom Sash
Stone White Exterior
White Interior
IG-1 Lite
Low E3/ERS w/Argon
Stainless Perimeter Bar
As Viewed From The Exterior White Weather Strip Package
Entered As:10 1 White Sash Lock
FS 29 1/2"X 54 1/8" White Window Opening Control Device
10 29 7/8"X 53 3/4" Exterior Aluminum Half Screen
Egress Information Stone White Surround
Width:25 27/32" Height:21 37/64" Bright View Mesh
Net Clear Opening:3.87 SqFt 3 1/4"Jambs
Sash Limiters and Window Opening Control Thru Jamb Installation
Devices,when engaged,may reduce the egress Existing Sill Angle 8
opening dimensions of windows. ***Note: Unit Availability and Price is Subject to Change
Performance Information
U-Factor:0.24
Solar Heat Gain Coefficient:0.2
Visible Light Transmittance:0.46
Condensation Resistance:45
CPD Number:MAR-N-424-00714-00001
ENERGY STAR:NC,SC,S
Line#2 Mark Unit:
Qty: 1
MARVIN Stone White Exterior
White Interior
Elevate Double Hung Insert
Inside Opening 29 7/8"X 37 3/4"
8 Degree Frame Bevel
Glass Add For All Sash
Top Sash
Stone White Exterior
White Interior
IG-1 Lite
Low E3/ERS w/Argon
Stainless Perimeter Bar
Bottom Sash
Stone White Exterior
OMS Ver.0004.05.00(Current) Processed on:11/14/2023 10:24:15 AM Page 4 of 7
For product warranty information please visit,www.marvin.com/support/warranty.
OMS Ver.0004.05.00(Current) BEN GREENE-ELEVATE
Product availability and pricing subject to change. MATT KELLEY
Quote Number:N42HZFU
White Interior
IG-1 Lite
Low E3/ERS w/Argon
Stainless Perimeter Bar
White Weather Strip Package
1 White Sash Lock
White Window Opening Control Device
Exterior Aluminum Half Screen
Stone White Surround
Bright View Mesh
A 3 1/4"Jambs
Thru Jamb Installation
Existing Sill Angle 8
***Note: Unit Availability and Price is Subject to Change
As Viewed From The Exterior
Entered As:10
FS 29 1/2"X 38 1/8"
10 29 7/8"X 37 3/4"
Egress Information
Width:25 27/32" Height:13 37/64"
Net Clear Opening:2.44 SqFt
Sash Limiters and Window Opening Control
Devices,when engaged,may reduce the egress
opening dimensions of windows.
Performance Information
U-Factor:0.24
Solar Heat Gain Coefficient:0.2
Visible Light Transmittance:0.46
Condensation Resistance:45
CPD Number:MAR-N-424-00714-00001
ENERGY STAR:NC,SC,S
OMS Ver.0004.05.00(Current) Processed on: 11/14/2023 10:24:15 AM Page 5 of 7
For product warranty information please visit,www.marvin.com/support/warranty.