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32C-276-006
BP-2024-1097 80-82 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS UNIT 2B Map:Block:Lot: CITY OF NORTHAMPTON 32C-276-006 Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1097 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: PHIL BEAULIEU & SONS HOME Est.Cost: 7550 IMPROVEMENT 62618 Const.Class: Exp.Date: 06/13/2025 Use Group: Owner: TRUST HARRIS-ELSEN ROSALIE Z 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: 09/24/2024 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: /2- Fees Paid: $125.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner .. ri .C ./ -. ' ••-.1/60 The Commonwealth of Massac1tusetL' 12� Board of Building Regulations andtS ndads., 2Q F►/R W Massachusetts State Building Code, 780 qv�tn„4 1 f PALITY 'r•,,��>�Nn SE Building Permit Application To Construct,Repair, Renovate Or • o SRevi. -d Mar 2011 One-or Two-Family Dwelling ° -tot Section For Official Use Only Building Permit Number: 3P 7''(. 109 7 Date Applied: r� .Gig=IG,ibt S? c /' y'zy-�-I'Building Official(Print Name) Si re. Date SECTION 1:SITE INFORMATION 111,P rope Address: y 1.2 Assessors Map&Parcel Numbers D Wl i I t ArnS S • 28 Nor 100" 1.1a Is this an accepted street?yes ✓_ 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.I.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. is'ncr'of Record „r O f� a f p Q O`O�� Seri A (J'<cscke mmo(Print) City.State,ZIP h) Wi 111 tr S S-t. ZQ (q43) 55173 rosaliee;sen )gmai,. cQM No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED/WORK2(check all that apply) New Construction 0 Existing Building E Owner-Occupied Ig Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. Number of Units Other 0 Specify: Brief Description of Proposed Work2: Mu_ 2. ljl/t d d v,< . SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs Official Use Only (Labor and Materials) 1.Building $ 1 5 50.eQ 1. Building Permit Fee: $ Indicate how fee is determined: i 0 Standard City/Town Application Fee 2. Electrical $ — --- ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing S •x....— 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire S h Suppression) Total All Feesil 411 11 °o Check No. it r Check Amoun 11 Cash Amount: 6.Total Project Cost: S —1 SS ©. 0 Paid in Full Cl Outstanding Balance Due: aI1 1 1 (IL 1 ?%6 U \IA - SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License tCS1.1 0 S-d(o 2 D 3 S (p /13 J2j Phil Beaulieu&Sons Home Imp.,Inc. 217 Grattan Street,Chicopee,MA 01020 License Number Expiration Date HIC REG#100073 CSL#CS-062638 List CSL Type(sec below) Alain Beaulieu PH:(413)592.1498/Fax:(413)594.6008 Type Description 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 SF Solid Fuel Burning Appliances ti{35q 2t'9$ mbeau.l tA.AZ P b- i. net- 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 100073 (.0 /7 /210 Phil Beaulieu&Sons Home Imp.,Inc. 217 Grattan Street,Chicopee,MA 01020 HIC Registration Number Expiration Date HIC REG#100073 rnbe.akl;e ) PBfir. f1eA- CSL#CS-062638 q Alain Beaulieu ( )5 2-1 Ltg 8 Email address PH:(413)592.1498/Fax:(413)594.6008 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 191 No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize RI.16eCtU,li-e4A I Sons Home = e fro t/ IYIa-af to act on my behalf,in all matters relative to work authorized by this building permit application. ROSa. ) g/2 i /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. pkl I beau u * Sons f fOr& I r9 a-1-t- 8' /2//21 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(I-11C)Program),will gpi 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.govidps 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 hall7baths 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" Approved by Rosalie Eisen on May 22,2024 Approved �r. � Phil Beaulieu 8t Sons Home Improvement, Inc. Beaulieu HOME' IMPROVEMENT, INC, 217 Grattan Street `' Lt _� Chicopee,MA 01020 2 Rhone:(413)592-1498 Fax:(413)594-6008 • Rosalie Eisen Phone:413-335-5173 / Job Address: 80 Williams Street 28 • Northampton,MA 010G0 Proposal Revised 2 - Williams St - Windows - Eisen Print Date: 5-29-2024 Windows Description Price Furnish and install two(2j 44x94 Anderson 400 series double hung replacement Energy Star glass)Double pane ment windows $7,550.00 LowE glass/Argon gas White interior/white exterior Full screens Simulated divided lites between the glass to match existing New interior stops if needed(painted or stained by others) Cap exterior casing with brake formed aluminum-Color:White Insulate and caulk the perimeter of windows Breakdown: 2 -44x94 @$3,775.00 each General Includes removal and disposal of 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 52,525.00 deposit is due upon signing; Half the remaining balance is due at the start of the project; The remaining balance is due upon completion • • • Total Price: $7,550.k FINANCING OPTIONS FROM GreenSky Aiy t•r.•, • �t. • rut No Interest if APPLY NOW Paid in Full in 12 Months ;u�rt rorreda wpproral trw,.d 1s b,lac r..nrg:he p[amotwala Poe'oc:wt al •n:efest 4 yea red t1 the purchase amcun!•t as d r 1 fu 1 • •wrt•1[1 m3rfls. • Fixed Rate 12.99% APPLY NOW • for 120 Months Par_832 _car terns t'20"-cnlisa:rYet a:e:fl2 °-.Pa • Fcr e.rmple,assu ring the fu l crew:bm,:a used o•••aa epprrfa oete to•every S'.XO franc*:a:12 9914 AoP 127:month y payme'Its of 1"4 i3. Reduced Rate APPLY NOW for 120 Months .u>fr::t:.•edtapo,c.ai hrec nte•eurateof7,y9=a•I;.W,based on :eoi:arcrtr i,ess far 1Y:n•3rt-.; Payment example assumes Cne t me 1"0.7,purchase ar*op>•:a'date .P9 7 99•o-'9.ri'i:with 120 • oay-•ects cfS12•.27-51;3.1;. a•eC:to:re ii:aiF•cval -hen e•a--C es a-e est•na*es xh; a•:cal r ay-ert amounts aaseo or amou-1 ar i t•m•ng of at,chases. 3t?- -)t'.::.for eiranoiry ccsts anc terms.Laans fa to 3•eenSky s.ccns-mer[can xova--,are p•r:Jed ty Synayts_a'la • Ve^ter cp f.41_c e4)204? wrt:.t•eya•y!:age.*ate.:Ace. •ear.-31 at-al cns r,ye-aer.c.saa tr, x`a^vl al s•a•cs ;nee 121y 3er;i: >Q._L s,<r. :es he : ns cn te-3f CO•;cu- 2-3er. ••4•!e.: aw•wnms:xsu-•e•accessvrce Yee'#,:rsa •eys:e•e1ta1e a' s'•:eerSti .L_ ant s ,cenei:[to S.3-1 ahere,r nsii.t:-s forthei•-se - cc-nec!c wrt•t-a: :arsa er aaip•cyram •ec-r•Sky:e-.o•ra .._t•saer3-Va te:hx:y,ce--oany!ha!••na-ages t-e Gree-SKy3 oc-su••e• aar aravirn ottylralon anc se-.:r g suacart t 3 1 s ara • a:herefa-.'U nsYa,t Yshat make or h lit a-ay•a-1 :ars 3•eenSky L_r_anc awn l y See,:•ry._L:: are not or sers ;.11 :•e ii:je:,Slays anc car semis are ceter-•nei ay x)y•a-n e-yerrss LCNDfR Legal 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 .onable 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 he 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 scopArof 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. Returned Check Fee • A fee of$25.00 per instance of a returned check will be added to the remaining balance Finance Charge. • V/2% 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 frorn the guaranty fund provisions of M.G.L.c. 142A. • Registration: 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. ani1A,.. r� Beaulieu A+ HOME IMPROVEMENT,INC. 'Stay Connected with our social media and helpful links above Proposal Date:May 21,2024 revised from April 23,2024 Revised from:April 22,2024 Estimate.Date:April 18,2024 PBHI Representative:Fran 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. • • , -• Signature: Date May 22,2024,3:04 PM Approved by: Rosalie Eisen • Comments: You need to tell people in advance that this proposal must be signed before the Greensky application is completed I have spent a huge amount of waste of time trying to deal withthis ,: \ Ine c,untntunwcuttn ty nnuS.ucnuaetts Department of Industrial Accidents ' ;' Office of Investigations Lafayette City Center t, --,'" 2 Avenue de Lafayette, Boston, MA 02111-1750 :1. www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Field t3 C.aik i te)A. * g0(IS H-Gk/ytt2, -TN)rn vt ilia.&4- Address: 2. 1 -1 61ra 4-E cc) f• Crit.; L op et- tvt Pk- 01 o--LO City/State/Zip: Phone #: 413-592 - 14 9 6 Are u an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 25 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors h El New construction listed on the attached sheet. 7. ElRemodeling 2.❑ i am a sole proprietor or partner- ship and have no employees These sub-contractors have g, 0 Demolition workingfor me in anycapacity. employees and have workers' P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. 0 We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.12 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 employees. [No workers' 13.[�Other �)//Idd It✓S comp. insurance required.] *Any applicant that checks box 1F 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 naunc 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. /�� L Insurance Company Name: T7 174 1 t -fiefs-( 2—risu.rOnG2 �C oM perm 2-800-1v20S - 2023 nn '2 25 /25 Policy#or Self ins. Lie. #: W� �T Expiration Date: Job Site Address: 30 Williams `1 t• 2 3 City/State/Zip: 'V O r+0 n MA— O i O(90 Attach a copyof 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 ns nalti perjury that the information provided above is true and correct. Si ature: Date: 5/2 ► /ill Phone '413 — 5'72 —i 9i3 Ofrcial 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): 1❑Board of Health 2❑Building Department 3EJCity/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.00ther Contact Person: Phone#: • •Commonwealth of Massachusetts Division of Occupational Licensure • Board of Building Re ufations and Standards Cons fS peIJrvisor CS-062638 z E 4pires:06/13/2025 ALAJN M BE. LIEU 217 GRATTA STREET ' CHICOPEE Mi'j 01020 • 4��17t'J:1�� Commissioner dada, K'. • 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: 6 Expiration: 073 6/0 07/2026 217 GRATTAN STREET 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 expiratiop date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration gxcilration 1000 Washington Street -Suite 710 100073 06/07/2026 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT,INC. \LAIN M.BEAULIEU '.17 GRATTAN STREET / ;HICOPEE,MA 01020 Undersecretary Not valid without signature PHILBEA-01 ABI ACORO CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DD/YYYY) 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 C 1CT Abljanled Fontanez Phillips Insurance Agency,Inc. PHONE Fax 97 Center Street (ac,No,Est):(413)594-5984 (A/C,No): !Chicopee,MA 01013 gs_abi(phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL s INSURER A:A.I.M.Mutual Insurance Company • 33758 INSURED INSURER B: Phil Beaulieu 8 Sons Home Improvement Inc. INSURERC: 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. LIR TYPE OF INSURANCE IN SD y�yyp POUCY NUMBER pCp yyyYl jMMI POLICY YXyyl UMITS COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE S CLAWS-MADE OCCUR DAMAGE TO RENTED PREMISES fEa occurrence) S MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE pL(IMIT APPLIES PER: GENERAL AGGREGATE ri JE S POLICY CT n LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY (Ee ami en SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED _ AU�T�OpS ONLY _ AUTOS BODILY BOODILY INJURY(Per accidMO S AUTOS ONLY _ AUTO ONLY (Per•Pg i GE $ S UMBRELLA UAB _ OCCUR EACH OCCURRENCE ,-t EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION S A WORKERS COMPENSATION XTH. AND EMPLOYERS UABIUTY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN .WMZ-800-6205-2023A 2/25/2024 2/2512025 EL EACH ACCIDENT _ (Me NH) 1,000,000 (M oin NH1,000,000EXCLUDED? N NIA 1, 0,00a E I. DISEASE-EA EMPLOYEE $ M wsa,ue urasr DESCRIPTION OF OPERATIONS below -- - E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached W more space 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 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYY) kr....../ 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:ACT ERIC MASON THE MASON AGENCY INC (a°Ne,Ext) (413)589-2307 __ (.__,No): (413)569-2308 504 College Hwy ADRESS, themasonagencyIamerican-natlonal.com Southwick,MA 01077 INSURER(S)AFFORDING COVERAGE NAICS INSURER A: Farm Family Casualty Ins 13803 INSURED ' INSURER B: _ _ PHIL BEAULIEU&SONS MI-SURER C: _ HOME IMPROVEMENT, INC. INSURERD: 217 GRATTAN STREET INSURERS: _ Chicopee, MA 01020 MA 01020 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. USSR TYPE OF INSURANCE ADDN,SUER POUCY EFF ' POUCY EXP LIMITSLTNwan LANDM'VD POLICY NUMBER IMMIDD(YYYY) INMIDDYYl X COMMERCIAL GENER�ALLUABILUTY EACH OCCURRENCE S 1,000,000 CLAIMS MADE /� OCCUR I PPRREMISE TO RENTED S(Ea occ rrenca) S _300,000 ' BUSINESS OWNER'S MED EXP(Any one person) i 25,000 A j 2001X2810 2/25/2024 2/25/2025 PERSONAL a ADV INJURY S 1,000,000 GENL AGGREGATE UNIT APPLIES PER: I GENERAL.AGGREGATE S 3,000,000 PRO- r-� X POLICY CI Mr I )LOC -PRODUCTS-COMP/OP AGG S 3,000,000- OTHER: 1 S AUTOMOBILE LIABIUTY ((EOAL SINGLE LIMIT S 1,000,000 ANY AUTO BOCLY*WRY(Per peison) $ X/ SCHEDULEDA OS ONLY X ALIT 2001C7139 2/25/2024 2/25/2025 BODILY INJURY(Par accident) S XHIRED NON-OWNED 'PROPERTY DAMAGE S AUTOS ONLY X AUTOS ONLY ,iPer accident) S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 3,000,000 A ^ EXCESSSLLIAB CLAIMS-MADE,i 2001E1738 2/25/2024 2/25/2025 _AGGREGATE ,S 3,000,000 DED 1 X I RETENTIONS 10,000 Qp S WORKERS COMPENSATION STATUTEP ER R AND EMPLOYERS'LIABILITY YIN :ANY PROPRIETOR/PARTNERIEXECUTIVE 0 E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E L DISEASE-EA EMPLOYEE S 'It yes desube under -._--— DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S I , 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached It 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(2016/03) The ACORD name and logo are registered marks of ACORD CONSTRUCTION CONTROL WAIVER From: Phil Beaulieu&Sons Home Imp.,Inc. 217 Grattan Street,Chicopee,MA 01020 ,r41""''"' HIC REG#100073 CSL#CS-062638 Alain Beaulieu PH:(413)592.1498/Fax:(413)594.6008 To: 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 g0 ( ; II,ams Dyed- U04 26 Na( ,of 9,i M - 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, Ph;h;/ gC4 0./,`G4 $ Se i S 1--fa ru,. �n�1,0r-0vt/rt"..4i-, 2-4c .