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37-082 BP-2022-1484 6 DIAMOND COURT COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-082-001 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-2022-1484 PERMISSION IS HEREBY GRANTED TO: Project# KITCHEN RENO Contractor: License: Est. Cost: 138000 THE TUCKER GROUP LLC 107919 Const.Class: Exp.Date: 09/24/2023 Use Group: Owner: KORNBLATT ANNE B&DEBORAH 5 STIER Lot Size (sq.ft.) Zoning: WSP Applicant: THE TUCKER GROUP LLC Applicant Address Phone: Insurance: 60 SCHOOL ST (413)387-7381 7PJUB-4N82783-2-21 HATFIELD, MA 01038 ISSUED ON: 11/18/2022 TO PERFORM THE FOLLOWING WORK: KITCHEN RENO 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: 8rThct .y2 Fees Paid: $897.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • 1 / The Commonwealth of Massachusetts NOV `1 22 .OR � : t '' Board of Building Regulations and Standards Massachusetts State Building Code, 780 CM#-• hNN CIPA.ITY f :>r USE m run Building Permit Application To Construct,Repair,Renovate(�f'LT_on h'`o_ f Mar 2011 One-or Two-Family Dwelling --r�Q 07p_0. This Section For Official Use Only Building/,,...,,,._> Permit Number: !a 7-).—I'-I 3 'i Date Applied: ' 2.5, z____ . 11-IB.Zt. Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers in DINot0i. 7 COOKI 1A1V-ZikvAPV01.91 M P 31 o Gz 1.1 a Is this an accepted street?yes i 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 I Private❑ Zone: _ Outside Flood Zone? Municipal Ft On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: A;liat e t,t. I 0( .o to(o Name(Print)n1 City,State,ZIP (p �/lAhA,m,.9(2 Coi i. 00.0 if4)LA(` g)+►t.il. e.ow% No.and Street Telephone Email Addisess SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) X) Addition p Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: y.vicicky FtwtopftA, I Oc,I-V pit,(v 1\-a pIW 1.9. +-..76 4 ) Mtvt SfL.IC Juts`? SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 10111010. 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ �(��0 ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ ''�t 00`0 ' 2. Other Fees: $ 4.Mechanical (HVAC) $ (5 i I0 0: List: 5.Mechanical (Fire $ Suppression) Total All Fee �� Check No. ( 0 Check Amount: - ash Amount: 6.Total Project Cost: $ [1.3 '�10� 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) li.kyA^Lj Vitro Mo..) License Number Expiration Date Name of CSL Holder List CSL Type(see below) t-3 /1119e,L No.and Street ST Type Description [l Yh C Q Ik o t o3 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP' M Masonry RC Roofing Covering ( p WS Window and Siding 4 I "Al-13tA tov.& 61,.. .04 AA G ,LL O W SI Insulation F Solid l Burning Appliances Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) t 1 p 42 6(LZ 12424 TVIALeg, 6..s.a' HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name JJ Co 0 Stit t ST• t-Cw�.�&Ct k i1nn.,,ob. coon No.and et Email address fit% am), MA Robb 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 )111 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 A1V5 ►i11 's to act on my behalf,in all matters relative to work authorized by this building permit application. volt, 7+ .IJ 271.i it OtN. 11 t ?��2 Print Owner'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 accurate to the best of my knowledge and understanding. 1) tllit (1/0L1 Print Owner's or Authorized Agent's Name(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" 11:32 c. 5G CN Rc r \tip rf ti� r r' r. 4 9, Nai As Viewed From The Exterior CN 4939 FS 48" X 39 1/8" RO 49" X 39 5/8" Egress Information No Egress Information available. Performance Information U-Factor: 0.27 Solar Heat Gain Coefficient: 0.3 Visible Light Transmittance: 0.51 Condensation Resistance: 57 CPD Number: MAR-N-251-00890-00001 ENERGY STAR: N, NC Performance Grade Licensee #899 AAMA/WDMA/CSA/101/ I.S.2/A440-08 LC-PG50 1219X1197 mm (49X47.7 in) LC-PG50 DP +50/-50 FL9686 J 11:36 B 5G.� . Stone MARVIN Bare P 2W1 H Assem 76" Xt Unit: Elev CN 3f Rougl 1 As Viewed From The Exterior E FS 75" X 63 3/4" RO 76" X 64 1/4" Egress Information A1, A2 Width: 34 3/8" Height: 26 31/32" Net Clear Opening: 6.44 SqFt BE Performance Information Al, A2 Aln U-Factor: 0.28 Ext Solar Heat Gain Coefficient: 0.32 Sto Visible Light Transmittance: 0.54 Br Condensation Resistance: 56 CPD Number: MAR-N-272-00896-00001 Unit: ENERGY STAR: N, NC Elev Performance Grade Al, A2 CN 3f Licensee#783 Rougl AAMA/WDMA/CSA/101/ I,S.2/A440-08 1 LC-PG40 1054X1924 mm (42X76.8 in) LC-PG40 DP +40/-40 FL6525 ti E BE Ain Commonweat#h of Massachusetts Division of Professional Licensure Board of Building R uiations and Standards irk Const+ tt lip-tvisor CS-107919 "` irev 0912412023 THOMAS DA4 MUN f 60 SCHOOL '= , a - HATFIELD & 01 F•:, „ , ,e. Commission er ,A > . e t,ix. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affai Business Regulation � .._ 9 1000 Washingt4a rl - Suite 710 Boston„1 c,ka ttt 118 Home Impro t,o , WL .. Registration R Type: LLC THE TUCKER GROUP LLC. 1 .4 e anon: 179682 Ej.tion: 08/27/2024 D/B/A DADMUN DESIGN&CONSTRUCTION 60 SCHOOL ST — Jail`,, HATFIELD, MA 01038 f 11111111 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer AffaiiS&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPt LC'C Office of Consumer Affairs and Business Regulation Re is tin 1000 Washington Street -Suite 710 179 82 Si08127/2024 Boston,MA 02118 THE TUCKER GROUPL 4,a i D/B/A DADMUN DESIGN;&1,00S` -UCTION THOMAS DADMUN • - Z. 60 SCHOOL ST s=`- J( �a. /a,ffi4,i HATFIELD,MA 01038 t-C Undersecretary Not valid without signature AC`R°J CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ..- 11/14/2022 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 l CONTACT Scott King,CIC NAME: King&Cushman Inc. PHONE ONNn Eztj__(413)584-5610 ANC,NQk (,13)584-9322 P.O.Box 447 AD E-MAILDRESS: seingikingcushman corn 176 King Street INSURER(S)AFFORDING COVERAGE NAICN Northampton MA 01061 INSURER A: National Grange Mutual Insurance Co INSURED INSURER B: The Tucker Group LLC,DBA:Dadmun Design&Construction INSURER C: 60 School St INSURER D: INSURER E: Hatfield MA 01038 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22111405023 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 710TLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS0 YVVO POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 500000 MED EXP(Any one person) 10,000 A MPT4694Q 11/13/2022 11/13/2023 PERSONAL aADVINJURY 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 5 2,000,000 POLICY JECTr LEE PRODUCTS-COMP/OP AGO S 2,000,000 OTHER FITRV S 5,000 AUTOMOBILE LIABILITY COMBINED SfNGLE LIMIT (Ea acgMene ANY AUTO BODILY INJURY(Per person) 3 OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPEf@YY DAMAGE AUTOS ONLY AUTOS ONLY ( Readenl) S UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE f - DED RETENTION$ I S WORKERS COMPENSATION H STATUTE ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L..EACH ACCIDENT OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE It yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ID ft' tT iJ J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonrt>eahh of Massachusetts Department of industrial Accidents 1 a 170 ' ,; j�, 1 Congress Street,Suite 100 =�':1 Boston,MA 02114-2017 atwtw.mass.govldia 11 air kers'('otupensation insurance.Affidavit:BuildersI(T tractorxfE7eetrieianiiiPlumbers. 1(1 HI 1II,k:U 551111 THE PERNII l sir(;Al 1'11014111. Applicant Information }� Please Print Legibly Name 1 Business(Orgar ization,ltuitvidueij: 'Pit LjCf + l/?I400'Q LLLi Address: top SL44,91),k,_�r, C:Fty 4tateiZip: l ittfl,k7 111,k....._610 b Phone#: ' I3'_..b ire you an employer?Cheek die appropriate trot: Type of project(required): l.C3 I am a employer with..........................__ citiploy.es Gfuli andof part-time t." 7. CI New construction 20 I am a wok proprietor or partnership and have no employ re%working tot rite in S. Remodeling any capacity_[No workers'comp.ueuurancr tequired_l 9. Demolition 30 lama(wmeownet doings all work myself.[No workers`comp_insurance re ones l" 10 fl Building addition a.0 1 am a homeowner and will be hiring contractar%to conduct all work on my property I will ensure that all taint Yuft cilia have workers"eirtpenaation mummy or are sobs 11.0 Electrical repairs or..additions pruprictora with no cinpluyres. 12.0 Plumbing repairs or additions l am a general contractor and I haw hirett the robet-tariraetura listed an the arras iccl,hcet_ fliese sub-cuntracturs Irma en owra and hove workers'curnp.in urana 1 Roo repairs 6.0 We a a corporation aril its officer%have exaacise�d their right of t:Amtrak's"'per 1NCiL c_ 14.0Other air 152,§1(.if,and we have no employees.[No workers'comp.insurance required" "Any applicant that checks box rrl must also till out the section below showing their worker;'corimenaatium polity information. lionteowncra who submit dais affidavit indicating they are doing all work and then hire out,.ide contractor%mini%oboist a new affida%it naliiaitialghoick :Contractors that check this box must attached an additional sheet showing the name of the tub.untractuca and state whether or not those martial hare clripku±rcca lt'the sub--nm4rackas have.an altycxa.they must proside their worked comp policy numbed. I am an employer that is providing worLers'compensation insurance for city employees. Below is the policy and job site information. Insurance Compan) Name: 1V- 4YtA.NI; Policy#or Self Z -1 Z- Expiration Date: 2- 2 a` Z 02 --ins.Lie.if: � P-��� �" ��Z1�i� }� Job Site Address: b I Alois o,M 0 Coot'V City-'State'Zip: tjtiV�►h- �vl( ._._e l0 tel 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 andJor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 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 c r under the pains and penalties of perjury that the information provided above its b'ue and correct. Signature: G Date_ I l/L I/24 i Z Phone 3#: 4 02 - R11 -15iA Official use only, Do not write in this area,to be completed by city or town official City or Town: PermitiLicense#( Issuing Authority(circle one(: 1.Board of Health 2.Building Department 3.('ityi fovin Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ___ City of Northampton K H A D.tp?rOy� rj�S Soh �� 4� + Massachusetts mow,. .1�. r ( v 4 k DEPARTMENT OF BUILDING INSPECTIONS ,, \ ! yo 212 Main Street • Municipal Building ilb, �b Northampton, MA 01060 ESN j%'‘`�" 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: The debris will be transported by: Name of Hauler: P ,f/l4a N il.lt/Ot Mc• pp Signature of Applicant: tvvviz.-9. Date: tti l l l /2-aZ,- g DADMUN Design + Construction Protect Address: SubContractor List 6 Diamond Court 11/15/2022 Florence, MA 01062 Subcontractor: Has Employees: Yes No Geryk Plumbing & Heating X James Elkins Electrician X Brian Polan X All Seasons Heating X SDL Home Improvement X Northern Granite X Summerlin Flooring X Rightway Drywall X Executive Painting X Cortina Tile X