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23D-168 (11) BP-2023-0109 134 MAPLEWOOD TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-168-001 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-2023-0109 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 3255 PELLA PRODUCTS, INC 096558 Const.Class: Exp.Date: 03/01/2024 Use Group: Owner: C HARRIS EDWARD S& FAYE Lot Size (sq.ft.) Zoning: URB Applicant: PELLA PRODUCTS, INC Applicant Address Phone: Insurance: 155 MAINST 6H15382 GREENFIELD, MA 01301 ISSUED ON: 01/31/2023 TO PERFORM THE FOLLOWING WORK: 2 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: I ) f Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner f ,./1, Y,. o� ' The Commonwealth of Massachusetts1, q. O \"_>- �• W Board of Building Regulations and Standar4y°�,� ( s� FOR Massachusetts State Building Code,780 CMI�'7?./4t, Building Permit Application To Construct,Repair,Renovate Or -+,: , Revised Mar 2011 One-or Two-Family Dwelling °6b°tis This Section For Official Use Only Building P rmit Number: 31� ) 3"/Q r Date Applied: �v►� ' l�os5 J.�/��-- 1-31-2023 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 PropertyAddress: 1.2 Assessors Map&Parcel Numbers I BU- r1c e WJ(1 -Terrarf N f1 lmm ra Dl'b 1 L-c c b ) 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information• 1.4 Property Dimensions: 'R-esl( lliio) Lx►sihno5 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 OWNERSHIP' 2.L.Owner'of Record: 1 CI.te Rams ck)ren.e 0/0 , Name(P int) City,State,ZIP I (--t CYlopiel Terroof LtR-521-i-if, n Ft 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 Adoition 0 Demolition 0 Accessory Bldg.0 Number of Units Other X) Specify: f I(r-e flea )j W)I rb�g Brief Description of Proposed Work': I(�(+i n(, '}(.lip S A 1 n (,l?)C101� L I,6I f c' exlsfi Up .nir p. w l} no •lna es - 4he hui » s F)r (,t- Fci o ibr- b.or SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: 1 Item (Labor and Materials) Official Use Only 1.Building $ 3ta 35 I. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ f+y 0 Standard City/Town Application Fee � 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ -0 2. Other Fees: $ 4.Mechanical (HVAC) $ er List: 5.Mechanical (Fire Suppression) $ 0 Total All Fees: $ �(f�� Check No"' 36 Check Amount: ''l"t(J 6.Total Project Cost: $ 31066.35 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) _es_ 3 =_JVyr F3►-LSS License Number Expifatim Date Name of CSL Holder I hh List CSL Type(see below) U r V Georle Sfi ee Tr No.and Street Type Description Greer/-6)c id m 3o 1 Unrestricted(Buildings up to 35,000 cu.ft.) i City/To S e,ZIP / "`III��� Restricted 1&2 Family Dwelling n' M Masonry C— RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 4 13-51a-1Cr 3 Y I 5 I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Pf I I��r� 014 ena_I Q ^�Cs ,nC • HIC Registration Number airah n Date HIC Company Name or HIC strant Name i,55 main r«� ??rrn► }SO P.e11 Not., rren field i/n)9 (wo) 4e-51 -5611,03 Email address 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 (IC No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BU_I/LDING PERMIT I,as Owner of the subject property,hereby authorize i j'()r i i s C}f' Pie Ila l/)cl to act on my behalf;in all matters relative to work authorized by this building permit application. The e Fiffa 1ed //aL,a3 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 d ccurate to the best of m wledge and understanding. F vCr ,�Ivss /�a la3 Print Owner's or Authorized Agent's a(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 Pella Window and Door Showroom of West Springfield Sales Rep Name: Sanderson, Thomas 69 Ashley Avenue Sales Rep Phone: 910-514-8012 West Springfield, MA 01089 Sales Rep Fax: Phone: (413) 736-9239 Fax: (413) 736-3390 Sales Rep E-Mail: tsanderson@pellasales.com Customer Information Project/Delivery Address Order Information Faye Harris Harris Faye 134 Maplewood Ter Florence MA Quote Name: Bedroom Windows 134 Maplewood Ter GF 134 Maplewood Ter Order Number: 739Y2BS031 Florence, MA 01062-2716 Lot# Quote Number: 16085947 Primary Phone:(413)5846555 Florence, MA 01062 Order Type: Installed Sales Mobile Phone: County: Hampshire Payment Terms: C.O.D. Fax Number: Tax Code: MASS E-Mail: Quoted Date: 10/9/2022 Great Plains#: 1006937250 Customer Number: 1010747358 Customer Account: 1006937250 Customer Notes: Replacing 2 sliding Pocket windows with 2 sliding vinyl windows White/White Grilles Between The Glass Replacement style window For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 1/24/2023 Contract-Detailed Page 1 of 8 Customer: Faye Harris Project Name: Harris Faye 134 Maplewood Ter Florence MA Order Number: 739Y2BS031 Quote Number: 16085947 Line# Location: Attributes 10 2nd Option Pella 250 Series, Sliding Window, Fixed I Vent Left, 1346.2 X 1155.70, White Item Price Qty Ext'd Price $1,922.57 1 $1,922.57 l I ■M M M I 1:Non-Standard SizeNon-Standard Size Fixed/Vent Left Double Slider •,,Ii■■■ Oii■ PK# Frame Size: 53X451/2 krOINNO i C 7 i General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included i■i i i i i i 2127 Exterior Color/Finish: White l ii■■M■■M. Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced 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, InViewlM Performance Information: U-Factor 0.27,SHGC 0.26,VLT 0.49,CPD PEL-N-210-00055-00002,Performance Class R, PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Rating 30,Year Rated 08111,Clear Opening Width 21.542,Clear Opening Height 41.25,Clear Opening Area 6.170886, Egress Meets Typical 5.7 sqft(E)(United States Only) Grille: GBG,No Custom Grille,3/4"Contour,Traditional(4W5H/4W5H),White,White Wrapping Information: Pella Recommended Clearance, Perimeter Length= 197". Venting Width: Equal Frame Size: 1346.2 X 1155.70 LP-1 -Lead safe practices this opening Qty 1 EXTTRIMIO-PVC Ripped for stops Qty 1 AC-MSF-Minimum Set up Fee(less than 2 FF or 5 Pockets) Qty 1 MP-4-1 Wide Modified Pocket Installation Qty 1 Line# Location: Attributes 11 2nd Option Pella 250 Series, Sliding Window, Fixed I Vent Left, 1346.2 X 1155.70, White Item Price Qty Ext'd Price $1,502.57 1 $1,502.57 l i i i i i none 1: Non-Standard SizeNon-Standard Size Fixed/Vent Left Double Slider ;iiiiiiii PK# Frame Size: 53X451/2 i i i i NEON General Information: Standard,Vinyl, Block, Foam Insulated,3 1/4",3 1/4",Sill Adapter Included, Head Expander Included i i i I 2127 Exterior Color/Finish: White I :MINI OEM.. Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced 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, InViewn" Performance Information: U-Factor 0.27,SHGC 0.26,VLT 0.49,CPD PEL-N-210-00055-00002,Performance Class R, PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Rating 30,Year Rated 08111,Clear Opening Width 21.542, Clear Opening Height 41.25,Clear Opening Area 6.170886, Egress Meets Typical 5.7 sqft(E)(United States Only) Grille: GBG,No Custom Grille,3/4"Contour,Traditional(4W5H/4W5H),White,White Wrapping Information: Pella Recommended Clearance, Perimeter Length=197". Venting Width: Equal Frame Size: 1346.2 X 1155.70 MP-4-1 Wide Modified Pocket Installation Qty 1 LP-1 -Lead safe practices this opening Qty 1 EXTTRIMI O-PVC Ripped for stops 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 1/24/2023 Contract-Detailed Page 2 of 8 DocuSign Envelope ID:FE074F5C-E171-4577-9ACE-064C56030937 uustorner: raye mains rrolect Name: Harris Faye 134 Maplewood Ter Florence MA US Order Number: 739 Quote Number: 16085947 ❑Project Checklist has been reviewed Faye Harris Tom Sanderson Order Totals Customer Na raise se print) Pella Sales R, 'Doaeucgned by: (Please print) Taxable Subtotal $1,530.68 t, (ka.VV'tS 12Ywt Sainjt-rSbin, Sales Tax @ 6.25% $95.67 Customer Signa eiiii ALUALJ4/148l Pella Sales R TaNatligFB4A1... 1/16/2023 1/16/2023 Non-taxable Subtotal $1,629.00 Total $3,255.35 Date Docusignedby: Date Deposit Received $1,627.00 'alit, Avris Amount Due $1,628.35 Credit Card ppa e ** The date given for installation and/or delivery is an approximate date. Due to unprecedented demand and global shortages of raw materials, your installation and/or delivery date is subject to and likely to change. Pella Products Inc. cannot be held responsible for any additional costs, or lost time associated with manufacturing delays outside of our contract. Although we will do our very best to meet these dates, we ask for your understanding and patience during these times. ** Initials Below: DS L Ftt- For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 1/16/2023 Contract-Detailed Page 7 of 7 DocuSign Envelope ID:FE074F5C-E171-4577-9ACE-064C56030937 Pella Products Inc. 155 Main Street Greenfield, MA 01301 To Whom it may Concern: l Faye Harris , 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; 134 Mapelwood Ter Florence, MA 01062 Please accept this letter in place of my signature on the permit application. Thank you, ,-DocuSigned by: Signature: Full, Awris 873 AEDAD47248C... Date: 1/16/2023 PELLPRO-01 CHRISTINE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 NAME: CONTACT Christine Sullivan Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/c,No,Ext):(413)594-5984 (A/C,No>;(413)592-8499 Chicopee,MA 01013 Ma;christine©phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL C INSURERA:EMC Insurance Companies 21415 INSURED INSURER B:EMCASCO Insurance Co Pella Products,Inc INSURERC: 155 Main St INSURERD: Greenfield,MA 01301 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 I TYPE OF INSURANCE ADDL SUBR POUCY NUMBER POUCY EFF POLICY EXP UNITS LTR INSD WVDIMMIDD/YYYYI IIMIIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 4_1 CLAIMS-MADE X OCCUR 6A15382 1/1/2023 1/1/2024 DAMAGE TO RENTED 500,000 PREMISES(Ea co S MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEML AGGREGATE UMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY (Ea Baa dEelnt)SINGLE LIMIT $ 1,000,000 X ANY AUTO 6Z15382 1/1/2023 1/1/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE ONLY AUTOS yy Ep BODILY INJURY(Per accident ' $ AUTOS ONLY AUTO ONLY (Per a clt�tDAMAGE (rer l $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE 6J15382 1/1/2023 1/1/2024 AGGREGATE $ 4,000,000 DED X ' RETENTIONS 10r000 $ B WORKERS COMPENSATION X l RRTUTE ETH- AND EMPLOYERS LIABIUTY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N 6H75362 1/1/2023 1/1/2024 EL EACH ACCIDENT $ 500,000 Oland Rory In NHS EXCLUDED? N N/A E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY UMIT $ DESCRIPTION OF OPERATIONS/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)BuildingCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ( P ) ACCORDANCE WITH THE POLICY PROVISIONS. Office 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE /Ji'/l/rkt ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: I l'31-03 To: 1 ( WI\ OP Pibren alb 'Map StrP NDr-+hinnp15 , mF dI oce° 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. 1/1 Commonweattn of Massachusetts Construction SupervisorDivision or Occupational Licentiate Unrestricted -Buildings of any use group which contain Board of Building Req�taaons and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed OonsttliL t"Jdin Slipiyvisof space. CS 096558 ^ Ec 1)1res:0310112024 TREVOR BR9SS 10 GEORGE STREET GREENFIELD")HA 0 1tJ1 It J 1.1 Failure to possess a current edition of the Massachusetts State Budding Code is cause for revocation of this license. Commissioner �+ -j'b'l� For information about this license CA($17)727-200 or visit wwwma%rvyovwdpl 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:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 142279 03/23/2024 Boston.MA 02118 'ELLA PRODUCTS.INC. Ir-REVOR BROSS G�, 55 MAIN STREET 3REENFIELD.MA 01301 Undersecretary Not 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. Willard Brown CS106010 Vladimir Shevchuk CSSL099209 Scott Bowdish CSSL100232 Bill Leger CS89338 Christian Lambert CS065102 Robert Kairnes CS113305 Igor Kravchuk CS094911