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10B-037 (4) BP-2024-1193 38 FRONT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 10B-037-001 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-2024-1193 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 20234 Contractor: License: HAYDENVILLE WOODWORKING & Est.Cost: 19065 DESIGN INC 116208 Const.Class: Exp.Date:04/13/2025 HARTMAN, CLAIRE CHANDRA &HULL, Use Group: Owner: KATRINA Lot Size (sq.ft.) Zoning: URA Applicant: HAYDENVILLE WOODWORKING &DESIGN INC Applicant Address Phone: Insurance: 35 CONZ ST (413)665-7402 WMZ-800-8007423-2022 NORTHAMPTON, MA 01060 ISSUED ON: 09/13/2024 TO PERFORM THE FOLLOWING WORK: 22 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: ////"Z. Fees Paid: S60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner // Ci SeP The Commonwealth of M sac* s ? W Board of Building Regulations a t iida c20?� OR Massachusetts State Building Code ' M ICIPALITY >>>,'^ir, USE Building Permit Application To Construct,Repair,Renovat- Si h 'evised Mar 2011 One-or Two-Family Dwelling '7060/04,s ,y , This Section For Official Use Only Building Permit Number: er�,d T. /113 Date Applied: c ."-b7,g- cii*( 4) c2:—. -t—, ?-42-2y "—Building Official(Print Name) ture Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 38 Front St, Leeds 1.1 a Is this an accepted street?yes X _ 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 CI Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner.'of Record: Chandra Hartman & Katrina Hull Leeds, MA 01053 Name(Print) City,State,ZIP 38 Front St 303-807-0985 chandra.hartman@gmail.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building la Owner-Occupied IR Repairs(s) Di Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Replace 22 windows. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building S 19,065. 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical c, ❑ Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All FL: $ /n Check No.Oa'Check Amount: ° Cash Amount: 6. Total Project Cost: $ 19,065. 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 116208 04/13/2025 Zinnia Wu Stetson License Number Expiration Date Name of CSL Holder 35 Conz Street List CSL Type(see below) U No.and Street Type Description Northampton, MA 01060 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-665-7402 SF Solid Fuel Burning Appliances zinnia aydenvillewd.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 110732 11/02/2024 Haydenville Woodworking& Design, Inc./Zinnia Wu Stetson HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 35 Conz St L. :oil. �9 zinnia@haydenvillewd.com No.and Street Northampton, MA 01060 4 -6.6-74 2 Email address City/Town,State,ZIP Telep one 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 IH No .D 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 Haydenville Woodworking & Design, Inc./Zinnia Wu Stetson to act on my behalf, ' all matter relative work authorized by this building permit application. Print er's Name(Electronic Signature) Date SECTION 7b:O ER' 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 is application is true and accurate to the best of my knowledge and understanding. 09/11/2024 Print Owner's or Autho ized 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" City of Northampton r.4s.0 _�Zti'!� Massachusetts 4.. `s, • - N., ,p DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street 40 Municipal Building �Jp �D� � PY* Northampton, MA 01060 'PS'N �7�•\' 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: Valley Recycling, 234 Easthampton Road, Northampton The debris will be transported by: Name of Hauler: HWD Signature of Applicant: , i_ Date: The Commonwealth of Massachusetts Department of Industrial Accidents =;„ 1 L Office of Investigations ;:e=_ = t 1 Congress Street, Suite 100 C =''ts� Boston, MA 02114-2017 44:. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Haydenville Woodworking & Design, Inc. Address:35 Conz St. City/State/Zip.Northampton, MA 01060 Phone#:413-665-7402 Are you an employer? Check the appropriate box: Type of project(required): 1.El I am a employer with 5 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other 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. :Contractors 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. Insurance Company Name:A.I.M Mutual Insurance WMZ-800-8007423-2023A 12-1-2024 Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: 3 6 Tf�17,5L City/State/Zip:IMS/ 7��n av 631 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 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 the pa' and penalties of perjury that the information provided above is true and correct. Signature: - Date: Phone#: 41 6 74 Official use only. Do not write in this area, to he completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE: Corporation Registration Expiration 110732 . 11/02/2024 HAYDENVILLE WOOQWORKING l DESIGN, INC. (11 ‘::-..f.. f". ,..\4'9 C.;.- t::1 A' -:' _____Vp ZINNIA STETSON 35 CONZ STREET . - - . ' ,(u n,�l a ,'�(�r k NORTHAMPTON, MA 01060.,'' 4 , ‘� :. r `• Undersecretary Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, MA 02118 1.;z71/4 A' -,:x ' N t v d without signature 97 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re l lations and Standards Const(iol.S1.pervisor CS-116208 - spires:04/13/2025 ZINNIA WU SJETSON I HADFIELD RD SOUTH DEER IELD MA 01373 "S.'. O.H i Commissioner fwia /,'. 'aiFrnu2w_ Construction Supervisor Unrestricted-Buildings of any use group which contain less than 36.000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl DATE(MM/DD/YYYY) ACCORD® CERTIFICATE OF LIABILITY INSURANCE to/17/zo23 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 CONTACT NAME: AX AXIA INSURANCE SERVICES INC PAtGNo Enl• 413-788-9000 Fa.plo): 84 KYRON ST SUITE A EMAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL/ WEST SPRNGPIELD MA 01089 _ INSURER A SELECTIVE INS CO OP ANERICA 12572 INSURED INSURER B: BAYDENVILLE WOODWORKING AND DESIGN. INC INSURER C: 35 CON2 ST INSURER D: NORTHANPTON MA 01060-3803 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 ADDLISUBR POLICY EFF POLICY EXP LIMITS n WVD POUCY NUMBER IMMJDDIYYYY) IMMDD/YYYY} X COMMERCIAL GENERAL LIABL Y X S 2377902 12/1/2023 12/1/2024 EACH OCCURRENCE UAMA $ 1,000,000 CLAIMS MADE T7 OCCUR PREMISES S(F(tc1tU S00,000 PREMISES(Ea occurrence) S A MED EXP(Any one person) $ 15,000 PERSONAL&ADV NIJIJRY $ 1,000.000 GENL AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE $ 2,000,000 X POLICY E YES n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ IEa acciderdl ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED Al1TOS(N4LY AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per acddentl $ A x UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 S 2377902 12/1/2023 12/1/2024 EXCESS LIAR _ _CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ZERO S WORKERS COMPENSATION 1 PER 1 STATUTE 1 I ERH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED', NIA (Mandatory In NH) El.DISEASE-EA EMPLOYEE S If yyeess describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UNIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Certificate of Liability Insurance was created by Selective on behalf of the agent. CHANDRA HARTMAN is included as additional insured with respect to General Liability as required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION CHANDRA IIARTMAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 38 Front Street Leeds,MA 01059 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC#: A`ORE) ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGFNCY NAMI II7NSURFD AXIA INSURANCH SERVICES INC RAYDENVILLE WOODWORKING AND DESIGN, INC POLICY NUMBER 35 CONZ ST S 2377902 CARRIER NAICCODE INORTNAMPTON MA 01060-3803 SELECTIVE INS CO OF AN[ERICA 12572 l EFFECTNEDATE: 12/1/2023 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM. FORM NUMBER: ACQRP 25 FORM TITLE:CERTIFICATE_nF r,TARI1 T rv_TN URA NCE _ _ JOB 8 JOB LOCATION ACORD 101 (2008/01) '2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I P� Kim Carson <kcarson@northamptonma.gov> I J 38 FRONT ST APPLICATION Carrie Hawkins <carrie@haydenvillewd.com> Fri, Sep 13, 2024 at 11:54 AM To: kim Carson <kcarson@northamptonma.gov> Cc: Zinnia Stetson <zinnia@haydenvillewd.com>, Myke Welch <mike@haydenvillewd.com> Hi Kim, The windows for 38 Front St, Leeds are all vinyl, double hung: 1. (1)31.5"x 45" U factor= U-Factor=0.29, SHGC =0.28,VT=0.53 2. (2)25"x 45" U-Factor= 0.29, SHGC = 0.28, VT = 0.53 3. (1)27.5"x 50" U-Factor= 0.28, SHGC = 0.28, VT = 0.52 TEMPERED 4. (2)27.5"x 52"U-Factor= 0.28, SHGC = 0.28, VT= 0.52 5. (3)27.5"x 52" U-Factor=0.29, SHGC =0.28, VT=0.53 6. (1)27.5"x 52" U-Factor=0.28, SHGC =0.28, VT=0.52 TEMPERED 7. (2)27.5"x 52.5" U-Factor=0.29, SHGC =0.28, VT= 0.53 8. (9)27.5"X 48" U-Factor= 0.29, SHGC =0.28, VT= 0.53 9. (1)20.5"x 28.75" U-Factor=0.28, SHGC =0.28, VT=0.52 TEMPERED Thanks, Carrie [Quoted text hidden]