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24B-079 (70)
BP-2024-0484 73 BARRETT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24B-079-001 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-2024-0484 PERMISSION IS HEREBY GRANTED TO: Project# FASIA/SOFFIT 2024 Contractor: License: PHIL BEAULIEU & SONS HOME Est. Cost: 16394 IMPROVEMENT 62638 Const.Class: Exp.Date: 06/13/2025 HATHAWAY FARMS TOWNHOMES LIMITED Use Group: Owner: PARTNERSHIP Lot Size (sq.ft.) Zoning: URC Applicant: PHIL BEAULIEU & SONS HOME IMPROVEMENT Applicant Address Phone: Insurance: 217 GRATTAN ST (413)592-1498 WMZ-800-6205 CHICOPEE,MA 01020 ISSUED ON: 04/23/2024 TO PERFORM THE FOLLOWING WORK: REMOVE AND REPLACE FASCIA AND SOFFIT 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: :7Z Fees Paid: $119.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 4. �Si O L laa-LE IVEU '�, 1 9 2024 The Commonwealth of Massachusetts � *l, Office of Public Safety and Inspections =.�y;'� � Massachusetts State Building Code(780 CMR) PP' ',so;G lNSP nc,�1Nan�,,�, MA�, ltg Permit Application for any Building other than a One-or Two-Family Dwelling ,(�1 nAn (This Section For Official Use Only) Building Permit Numbed'I if U Z Date Applied: Building Official: SECTION 1:LOCATION 73 Barre.+I- S+reel Nor 41,1 ._.any VA mft orotoo {-{a-thawo -m s No.and Street City/Town Zip Code Name of Buil ing(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration ❑ Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No fi� Is an Independent Structural Engineerin Peer Review required? ��++ Yes 0 No 1311 Brief Description of Proposed Work: fmave + dispose a'tarn i n urn cei S c: 4 + So'fC Ins-M/, new so-r-r',f cane( beake fSornvud alurn]nw y) -f mS6A+191Y✓1• Yh5 4 II nevi win:l-e Q/um;niAm k_ style jK{fe-rs and dew•n o 4.+S. LA,ca¢iors spec:4-rd in Con c4-- SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) D Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub ❑ A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5❑ I: Institutional I-1 0 I-2❑ I-3❑ I-4 0 M: Mercantile 0 R: Residential R-10 R-2 Qt R-3 0 R-4❑ S: Storage S-1❑ S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) J IA 0 IB 0 11A0 IIB ❑ 111A ❑ II1B 0 IV 0 VAC VBI SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal CIA trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No 0 Yes❑ No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION NArie and Address of Property Owner 7iie r'ard tt111es 575Sot,ci-ti 13r,d9e.S!. A-ubo&.rr , Me 01501 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: W"--'—,• Pro per-lj (liana 1,e-1508.5.32_ c4 57o 4/3.56(6._ Nos xit 51tAjhesQs pear rnynn+. cool Title v Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: /�� Ph;I Sea 6t i e t*onto I oro'of tc4 i 2 0V�r di c, S*. all GIP" M A 0/°2 0 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control (the professional coordinating document submittals) PIain 81e4uIir.4A 4/3 512_/49g mbeawliewaP130-1.n4+ /000?3 Name(Registrant) TAtphonee No. e-mail address Registr ((�:,, /Registration Number 2 17 &ra4 S4• L-', Cp � MA 01020 /"-f/-- Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Pj4S 1 BC4 u.1,tA.4 $ Son s i-i- - -1--nieravcrnsfif Company Nam 414,n beet411.4 CS-0(02L036 C5L Name of Person Responsible for Construction License No. and Type if Applicable 21- &rc-Ffcn S4 . CA1 toe-c.e kkfl o(020 Street Address City/Town State Zip •'�13 -592 r 41 Si - - rn b,e a � P a t1= �--� Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the'ssuance of the building permit. Is a signed Affidavit submitted with this application? Yes V No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ I.Building $ 1(D, 39' 'oe Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)_$l iq . 3.Plumbing $ 1 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to II 6.Total Cost $ I (1) , 314 .00 (contact municipality)and write check number here IA-4 W SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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 knowled d understanding. a;/7 M t I r ,.. v e&- ?f 't13.5'2 2m9( '-}//512'/ Please printand sign name Title Telephone No. ale 211 Gea1--vn 5-I . CA•ti top-c.e MA 0/020 rnbeau4-cA4Z PEs HT.ru,/ Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ./. 7 `i-2 20 z l Name Date City of Northampton aa_NM4.,, ` . . t�C Massachusetts ' DEPARTMENT OF BUILDING INSPECTIONS Z I° 212 Main Street • Municipal Building Jti `D Northampton, MA 01060 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: Dwry,p Location of Facility: 55 S- -T- aylor Rd Zlt? d Cr- The debris will be transported by: Name of Hauler: �S A l+etn-- c Signature of Applicant: Date: y//s/?� DATE(MM/DD/YYYY) AC RO® CERTIFICATE OF LIABILITY INSURANCE 2/13/2024 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 CONTNAME: ERIC ERIC MASON THE MASON AGENCY INC ONE (tUC.No.Exit (413)569-2307 FUC,No): (413)569-2308 504 College Hwy ao AIL themasonagencycamerican-national.com _ _ Southwick, MA 01077 INSURER(S)AFFORDING COVERAGE __ NAM# _ INSURER A: Farm Family Casualty Ins 13803 INSURED INSURER B: PHIL BEAULIEU &SONS INSURER C: HOME IMPROVEMENT, INC. INSURERD: 217 GRATTAN STREET INSURERE: Chicopee, MA 01020 MA 01020 INSURERF: 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. INSRL TYPE OF INSURANCE INSO SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDDIYYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 300,000 BUSINESS OWNER'S _ MED EXP(Any one person) $ 25,000 A 2001X2810 2/25/2024 2/25/2025 PERSONAL E.ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP A_GG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea BIKEDacdden SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A X AUTOS ONLY X AUTOS OWNED \e' ULED ' 2001 C71 39 2/25/2024 2/25/2025 BODILY INJURY(Per accident) $ XHIRED N.,' NON-OWNED PROPERTY DAMAGE AUTOS ONLY /� AUTOS ONLY _(Per accident) $ X UMBRELLA LIAB 1 X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB I CLAIMS-MADE 2001E1738 2/25/2024 2/25/2025 AGGREGATE $ 3,000,000 DED X II RETENTION$ 10,000 $ _ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y t N STATUTE ER ANY PROPRIETOR'PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER'MEMBER EXCLUDED? N/A -- - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PROOF OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT IVE ©1 -2 CORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PHILBEA-01 ABI ACORO CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 2/13/213/2024 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 NQTE CT Abijanied Fontanez Phillips Insurance Agency,Inc. PHONE Eat (413)594-5984 FAX 97 Center Street ( ) (A/c,No): Chicopee,MA 01013 miss;abi©phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:A.I.M. Mutual Insurance Company 33758 INSURED INSURER B: Phil Beaulieu&Sons Home Improvement Inc. INSURER C: Phil Beaulieu 217 Grattan Street INSURER D Chicopee,MA 01020 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY Fzef LOC PRODUCTS-COMP/OP AGG $ OTHER. $ AUTOMOBILE LIABILITY (Ea SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED _ AUTOSRE� ONLY _ AUTOS BODILYBODILY INJURY(Per accident) $ _ AUTOS ONLY _ AUTO'ONLY ((PerraacidenlDAMAGE _ UMBRELLALWB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER SERTUTE OTH AND EMPLOYERS'LIABILITY ER Y/N WMZ-800-6205-2023A 2/25/2024 2/25/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FfCER/MEM TEXCLUDED? N NIA 1,000,000 andatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addkional Remarks Schedule,may be attached It more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts �, Division of Occupational Licensure Board of Building Regulations and Standards ConsttftetintSldpervisor fj CS-062638 Spires:06/13/2025 ALAIN M BEAULIEU • 217 GRATTAN STREET011 CHICOPEE Mt, 01020 IF Commissioner du�� /;. �&iL THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation PHIL BEAULIEU &SONS HOME IMPROVEMENT,INC. Registration: 100073 21 T GRATTAN STREET Expiration: 06/07/2024 CHICOPEE, MA 01020 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. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Exoiratipn 1000 Washington Street -Suite 710 100073 06/07/2024 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT,INC, kLAIN M.BEAULIEU !17 GRATTAN STREET mod, oy�< /��„4• :HICOPEE, MA 01020 Undersecretary Not valid without signature Approved by Hathaway Farms c/o Gerard Hughes on Apr 3,2024 Approved BeaulieuPhil Beaulieu&Sons Home Improvement,Inc. 217 Grattan Street HOME IMPROVEMENT, INC. _.167 Chicopee,MA 01020 14924 Phone:(413)592-1498 Fax:(413)594-6008 Hathaway Farms c/o Gerard Hughes Phone:413-586-1405x4 Job Address: 73 Barrett Street Northampton,MA 01060 Print Date: 4-3-2024 Proposal Revised 2 - Barrett St - Soffit - Gutters - Hathaway Farms Gutters and Soffit Description Phil Beaulieu Home Improvement is to perform the following scope of work on the locations listed below Remove and dispose of the existing aluminum fascia trim and vinyl soffit Cut holes in soffit for continuous venting Furnish and install perforated white vinyl soffit to match existing as close as possible(may not match perfectly) Furnish and install white brake formed aluminum fascia trim to tuck behind the drip edge Pull the drip edge away from the fascia board as needed Remove and dispose the existing gutters and downspouts(rear side units 1028-1030) Furnish and install new seamless white 5K aluminum gutters and downspouts to match the existing locations on the rear side of units(1028- 1030) Remove and reinstall the existing gutters and downspouts on the following units and locations: 1040-1043-Rear 3103-3106-Rear 3107-3108-Rear 4122-4123-Front 4124-4126-Front 4127-4128-Rear 4129-4131 -Rear 5184-5185-Rear Furnish and install new soffit and fascia on the following units and locations: 1028-1030-Rear 1040- 1043-Rear 5184-5185-Rear 4129-4131 -Rear 4127-4128-Rear 4124-4126-Front 4122-4123-Front 3103-3106-Rear 3107-3108-Rear • Total Price: $16,275.00 General Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of$195.00 per hour per lead carpenter or$115.00 per hour per apprentice + materials + 15%of material Payment Schedule $500.00 deposit is due upon signing; Half the balance is due at the start of the project; The remaining balance is due upon completion Leal Price Escalation: In the event of significant delay or price increase of material,equipment or energy occurring during the performance of the contract through no fault of the Contractor,the Contract Price,time for completion of contract requirements shall be equitably adjusted by change order. A change in price of an item of material, equipment, or energy will be considered significant when the price of an item increases twenty percent (20%) between the date of this Contract and the date of commencement of work. Work Schedule: The anticipated work commencement date will be determined and communicated to Homeowner at signing, but not to exceed nine months from signature, with substantial completion within 45 days after commencement. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this time frame. Substantial Completion: To the extent that work has been substantially completed, but certain materials need to be replaced or repaired by an original manufacturer or third party supplier(the cost of which does not exceed 10%of the overall Contract price), the remaining balance shall still be due and payable minus the commercially reasonable cost of such items,which may be held back by Homeowner until such items are replaced and payment hold- back shall then be due. Change Orders: To the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after the execution of this Contract, the Homeowner shall sign a change order specifying the changes in the scope of the Contract and pricing,which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract as if fully set forth therein. Finance Char9e: 11% monthly(ANNUAL PERCENTAGE RATE OF 18%) will be added to the unpaid portion of the balance due. Homeowner agrees to pay these charges. In the event of default of payment, Homeowner agrees to pay reasonable Attorney's fees & court costs. This agreement does not constitute a release of liability.By Homeowner's signature below,Homeowner acknowledges and agrees to the above. Arbitration: Contractor& Homeowner hereby mutually agree in advance that, in the event either party has a dispute concerning this Contract, either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs & Business Regulation and each party shall be required to submit to arbitration pursuant to M.G.L.c 142A,§4. Contractor Obligations: All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Alterations or deviations from above specifications involving extra cost will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. The Home Improvement Contractor Regulation Statute, M.G.L.c. 142A gives you certain warranties and homeowner's rights thereunder. Contractor shall inform Homeowner of any and all necessary permits, and it shall be the obligation of the contractor to obtain said permits. Homeowner is responsible for the cost of the permit fee.The permit fee will be determined by the local building department and will be billed immediately to the Homeowner.If Homeowner secures his/her own permits,he/she will be excluded from the guaranty fund provisions of M.G.L.c.142A. F • BSgistration: Contractor to have all registration, license number and insurance required by the state. Contractor to be registered with the Director of Home Improvement Contractor Registration. Certificate of Registration #100073. Any inquiries about Contractor relating to registration should be directed to the Consumer Hotline at(617)973-8787.Contractor to carry commercially reasonable insurance.Contractor's workers are covered by Worker's Compensation Insurance. Customer Acceptance of Proposal: Upon signing, this document becomes a binding contract under law. The above prices, specifications and conditions are satisfactory and are hereby accepted. Contractor is authorized to do the work as specified. Payment will be made as outlined in the payment schedule. Contractor may withdraw this proposal at any time prior to signature by Homeowner. Homeowner may cancel this Contract without penalty or obligation within three(3)business days from the date signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents: Contractor is authorized to use media for promotional purposes.Contractor is granted permission to access property after signing until project completion.Homeowner's signature grants permission to Contractor to obtain all necessary building permits. l� Google A�' ( D Beaulieu HOME IMPROVEMENT,INC. *Stay Connected with our social media and helpful links above* Proposal Date:March 25,2024 Revised From:March 5,2024 Revised From:July 31 and April 5,2023 Estimate Date:March 31,2023 PBHI Representative:Cameron Beaulieu I confirm that my action here represents my electronic signature and is binding. Do not sign this contract if there are any blank spaces. /a— atrttrekt. Signature: Date: Apr 3,2024,3:08 PM Approved by: Hathaway Farms c/o Gerard Hughes Comments: Please have Simple Contract signed that was emailed on 3/25/2024 t ne t,ummunweuttn uj wius,ucnuseics a Department of Industrial Accidents , , _..c _ Office of Investigations 7 = Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ?1 I i I 6 C&u.i 1` b 0 n.s flew_, J n p r o vr-414A+ Address: 21 -7 Grp +I c- St. Cam; L o.p e R- ©10-LO City/State/Zip: Phone #: 413-59 2- - 14 9 8 Are u an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 25 4. ❑ I am a general contractor and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. El 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,❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no �J f/t I i _ ' employees. [No workers' 13. Other o v ,S 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. tContractors 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. nnL - Insurance Company Name: AT1V1 I, l(�T 4c.( 1)&t r an CA.. -C o/Y1 p ac _ II'' `` - 0 - 0S - 2 0 2 s Policy#or Self-ins. Lic. #: tan 2- 8 �D Z 3 *� Expiration Date: 7 2 �2 S Job Site Address: -73 a('e+F J + City/State/Zip: /V 0 f "t?/ i 11 u T Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).© a 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 certify under 'ns alti perjury that the information provided above is true and correct. Si ature: Date: 4 I/S/Zy PhoneP. qi3 - 5'2 -149f 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): 1DBoard of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.❑Other Contact Person: Phone#: CONSTRUCTION CONTROL WAIVER From: -.•"""*. Phil Beaulieu&Sons Home Imp..Inc. . �a 217 Grattan Street.Chicopee.MA 01020 III REC 4100073 CSL#CS-062638 Main I3eaulieu PH:(413)592.1498 i Fax:(113)594.6008 • To: Jonathan Flagg Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at 73 S (re++ c.,rvptin because the work is of a minor nature,will not affect structural elements, health,accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully,