Loading...
17A-303 (8) 107 HILLCREST DR BP-2020-1224 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-303 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category: window replaced BUILDING PERMIT Permit# BP-2020-1224 Project# JS-2020-002063 Est.Cost: $9377.00 Fee: $80.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): 21823.56 Owner: DONNF,LLY TERRENCE P&GAIL K Zoning_URA(100) Applicant: YANKEE HOME IMPROVEMENT INC AT. 107 HILLCREST DR Applicant Address: Pli one: Insurance: 36 JUSTIN DR X413) 341-5259 O WC CHICOPEEMA01022 ISSUED ON:6/11/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT BAY 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Si�lnature: FeeType: Date Paid: Amount: Building. 6/11/2020 0:00:00 $80.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: Building Department dry Curb Cut/Driveway Permit 212 Main Stree3-;�, T Q Sewer eptic Availability s ¢ Room 100 'Vo OA-� <90� at/ellell Availability Northampton, MA 0106A�t °'�- Twp Sets of Structural Plans phone 413-587-1240 Fax 413-587.-1 7 ot/Site Pians then Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: Map 174 Lot Unit Cre s+ Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: C�Q11 I�rr�, 170nr�Il�a (m N W res Lir. VIomncA ,AF1\ Name(Print) Current Mailing Address: !=C I _ (QO * nn �� 1 11��J Telephone J0 W Signature e 2.2 Authorized Agent: Gl-efoaj 3(A Ju's+kr\ �Dny� , ChtCo , Ivt Name(Print) Current Mailing Address: Ion Signature - Telephone SECTION 3 STIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (� , (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= 0 + 2 + 3 +4 + 5) Check Number This Section For Official Use Only 1�0 Date Building Permit Number: Issued: Signature: G- �U-ZoZy Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW k YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW � YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, a avation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement wAdows Alterations) 0 Roofing EJ Or Doors 19 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other[CA Brief De npption of Proposed Work: �,E�ryij)jd_ (loci f 11gue- 1- 1 I,�1,,u uj ow �Y 01)62, • ko \rf)[) Alteration of existing bedroom Yes No Adding new bedroom Yes No I ra�4P_Wo Y- Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1 (:6 1 -t Je`r y IU , as Owner of the subject property J !� hereby authorize +;'f ome to act on my behalf, in all matters relative to work authorized by this building permit application. X LVA_�YCIG�r (o I ct l au �ao Signature of Owner Date I, Cnu Prom Worne ,Mvr7V(_ry'e f'-t as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Gef I o rn Print Name / Signature of wner/Agent Date SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number 3 I iZ-4 1 Address Expiration Date LA C5 Signatur Telephone 9.RenistiWed Home Improvement Contractor: Not Applicable ❑ 0 3 rye 1 mE(bv-r re(-)t WC.- I nOJ a l-1 Company Name Registration Number Address Expiration Date Telephone SECTION 10-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 build'ng permit. Signed Affidavit Attached Yes....... No...... ❑ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS y\'" 212 Main Street *Municipal Buildin Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: ICY? � ll�sr���� Dyr (Please print house number and street name) Is to be disposed of at: (P ease print name and localtion of facility) Or will be disposed of in a dumpster onsite rented or leased from: ORA (Company Name and Address) ce )g I a ac) Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. vfftce of invesugattons S Lafayette City Center 2Avenue 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): [xAYf Z "nw\—P— l��-a�/�(yt,t Address: City/State/Zip: Phone#: Q( - 31-(,1 - Sq Are you an employer?Check the appropriate box: Type of project(required): 1.[rI am a employer with 4 O 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7. [g4emodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. E]Building addition [No workers' comp.insurance comp.insurance.: required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]i c. 152,§1(4),and we have no employees. [No workers' 13.[1 Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. GContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have :mployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. [am an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Y Ojo Expiration Date: 10b, / aO lob Site Address: M 4 ` L(elll)� �)C• 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 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 if 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. t do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: C( ab Phone#: Q[3 — 3 —5 a lsG 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): 11111oard of Health 20 Building Department 3f]City/Town Clerk 4.0 Electrical Inspector 50lumbing Inspector 6.❑Other Contact Person: Phone#: Page 1 of 11 Yankee Home Improvement MA Lic#160584 CT Lic#0673924 Yj36 Justin Drive YANKEE RI Lic#33382 HOME Chicopee, MA 01022 413-341-5259 or 877-88-YANKEE www.yankeehome.com Customer Information Gail Donnelly Home: (413)586-2460 Date: 04/17/2020 Terrence Donnelly Terrence: (413)219-0123 Rep: David Curtis 107 Hillcrest Drive Gail Cell: (413)218-2400 Florence, MA 01062 tpol077@aol.com The following windows will be installed by Yankee Home Improvement Total number of windows being installed 1 Bay/ Bow Window Window Item Z U. 25 Window Style Bay Quantity 1 Window Brand Veridis 500 2x Pane Window Type Bay Casement , Location Living Room Size 96 x 56 Coil Color Glacier White Interior Window Color White Exterior Window Color White Hardware Color Cocoa Screen Type Full Bay/ Bow Roof Soffit Mounted Unforeseen costs that could occur. - Homeowner is responsible for removing and replacing any window treatments or air conditioning units in or around any windows/ doors to be replaced. Yankee Home cannot guarantee that window air conditioning units will fit in any windows that are replaced. - Homeowner is responsible for removal and re-installation of alarm components on any windows and/or doors to be replaced. Contractor will NOT replace alarm components. (Customer Initials) T-' b Acknowledgements & Notifications. - Any furniture must moved at least 5 feet away from windows and/or doors to be replaced. - All pets shall remain secured in safe location inside of the home away from windows and/or doors to be replaced. - All driveways shall remain clear during date of installation. - Any HOA approvals are the responsibility of the homeowner and will be provided by homeowner unless otherwise stated on this contract. vP o (Customer Initials) S ecial Instructions Customer is aware window is double pane glass. Customer wants Congnac interior color, not white as listed. Customer wants cocoa colored hardware. Page 3 of 11 Payment Schedule YHI agrees to perform the work, furnish the material and labor specified above for the total sum of: $9,377 Form of Payment Cash Deposit $3,126 Deposit Type Credit Card Cash Due Upon Completion $6,251 David Curtis Notice: No agreement for home improvement contract work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to oder and/or otherwise obtain delivery of special order materials and equipment, whichever amount is greater. -P-0 Gail Donnelly 04/17/2020 Date Terrence Donnelly 04/17/2020 Date This space intentionally left blank Page 6 of 11 Arbitration: The parties hereby agree that the Massachusetts Arbitration Act shall apply to all disputes and claims arising out of, or relating to this Agreement, including the breach thereof. The parties agree to follow the expedited procedures of the Commercial Arbitration Rules of the American Arbitration Association at a hearing only to be held in Springfield, Massachusetts. The commencement of arbitration proceedings by an aggrieved is a condition precedent to the commencement of legal action by either party except, mandatory arbitration procedures required in this Agreement shall not be applicable to any claim by Y.H.I., wherein it seeks a prejudgement remedy such as a real estate attachment, for cases where Owner has not paid a bill which is due to Y.H.I. Subcontracting: Contractor has the right to subcontract any part, or all, of the work agreed herein to be performed. All permits, license requirements, workmen's compensation and/or other job requirements shall be the sole responsibility of the subcontractor. Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. No Acceleration of Payments but Escrowing Allowed: The Contractor may not require payments to be made in advance of the times specified in Payment Section (front), provided, however, if it deems itself to be insecure, it may require, as a prerequisite to continuing the work described herein, that the balance of the payments under this contract that are in control of Owner, shall be placed in a joint escrow account that requires the signature of both Contractor and Owner for withdrawal. Insurance: Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by itself, its employees or its subcontractors in the performance of, or as a result of, work under this Agreement. Contractor agrees to carry insurance to cover such damage or injury. Construction Related Permit Acquisition: Contractor, under provisions of Chapter 142A of the Massachusetts General Laws, is required to apply for and obtain all construction related permits. Contractor shall not be deemed responsible for delays in the work described in this agreement caused by regulator, permit granting or inspectional agencies, authorities or individuals. NOTICE: If Owner obtains his/her own construction related- permits for the work described under this Agreement, Owner is hereby advised that in the event of a dispute, judgment and non payment of Contractor, Owner will not be entitled to make claim to or collection from the guaranty fund established in M.G.L. c. 142A. „y9 Modification: This Agreement, except as to concealed conditions or delays occasioned thereby or by restarts, cannot be changed except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation. Owner hereby grants Contractor a limited Power of Attorney to complete incomplete documents on Owners behalf. Completeness of Contract for Execution: Owner is hereby advised not to sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. Attorney's Fees/Costs Owner agrees to pay all costs of collection, including reasonable attorney's fees, cost and expenses. Furthermore, interest shall be charged at the highest lawful rate of interest on any and all overdue payments. Copy of Agreement to be given to Owner: This Agreement is governed by the laws of the Commonwealth of Massachusetts. It must be executed in duplicate, and an original, signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of a copy therefor. s <. u .m'...«.. ow rn or '.,4 '` Massachusetts Division of Professional Licensure atoand of BuildingRegulations Standards ConstruCtiOn 3sd,pV�tsor S w, Or-�- - CS-089442 t�- xptres : 03/ 19/2022 GERARD J RNA ?33^ T PO BOA 675 r EASTHAMPTON MA 01027 COmm * ssioner Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation YANKEE HOME IMPROVEMENT INC Registration: 160584 36 JUSTIN DR. Expiration: 08/11/2020 CHICOPEE,MA 01022 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Coruoration before the expiration date. If found return to: Registration bion Office of Consumer Affairs and Business Regulation 160584 08/11/2020 1000 Washington Street-Suite 710 YANKEE HOME IMPROVEMENT INC Boston,MA 02118 GERARD RONAN 36 JUSTIN DR. CHICOPEE,MA 01022 Undersecretary NOt V out signature YANKHOM-01 NICOLE ACORN CERTIFICATE OF LIABILITY INSURANCE DATE 1011(L(201 YY) `--� 1a1a2o1s 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(les)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 Nicole Waslick NAME: Phillips Insurance Agency, Inc. PHONE 413 594-5984 FAX 97 Center Street (A/C,No,Ext):( ) (A(C,No):(413)592-8499 Chicopee,MA 01013 A p IE :nicole@phillipsinsurance.com INSURERS AFFORDING COVERAGE NAIL 8 INSURER A:Ohio Security Insurance Co 24082 INSURED INSURER B:Selective Ins Co of South Caro 19259 Yankee Home Improvement, Inc. INSURER C:Ohio Casualty 24074 Ger Ronan -- 36 Justin Drive INSURER D: Chicopee,MA 01022 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 EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR BKS56702381 10/1/2019 10/1/2020 DAMAGE TO RENTED ���(� -PREMISES Ea occurrence) $ MED EXP(Any one son $ 15'000 PERSONAL&ADV INJURY $ 1'000'000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'000 POLICY❑X EO- F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY EOMBIN e.,J 000 SINGLE LIMIT $ 1,000, X ANY AUTO A 9106918 10/12019 10/12020 BODILY INJURY Per $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLDY PRer accidenOPER t AMAGE $ $ C X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1'0009000 EXCESS LIAB CLAIMS-MADE US056702381 10/12019 10/12020 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YEN ST T TE ER XW056702381 10/12019 10/1/2020 1,000,000 ANY CERIMEMBER/PXCLUDE/EXECUTIVE NSA E.L.EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? INI (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Property BKS56702381 10/1/2019 10/1/2020 Building Limit 3,117,000 A Property BKS56702381 10/1/2019 10/1/2020 Personal Property 153,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) Workers Compensation coverage is included for the following states:MA,CT 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. AUTHORQED REPRESENTATIVE v