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43-046 (4) BP-2024-1548 73 AUTUMN DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 43-046-001 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-2024-1548 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2024 Contractor: License: Est.Cost: 2372 EXTERIOR ASSOCIATES INC 113456 Const.Class: Exp.Date:07/23/2026 Use Group: Owner: DIANNA KHOLODAR Lot Size (sq.ft.) Zoning: WSP Applicant: EXTERIOR ASSOCIATES INC Applicant Address Phone: Jnsurance: 31 OVERHILL RD (860)978-5911 WC9097314 ELLINGTON, CT 06029 ISSUED ON: 11/21/2024 TO PERFORM THE FOLLOWING WORK: REPLACEMENT DOOR 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 72. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1 tk The Commonwealth of Massac setts W Board of Building Regulations and tand ds^/�V F F. ' M IC 'ALITY Massachusetts State Building Code(780( MR 9 2024 E Building Permit Application To Construct,Rep' ,Rer)q r Demolish a evisei Mar 2011 One-or Two-Family Dw • A::;,7 rv11)„ ,/L This Secti For Official Use Only °N.0,iq,,,ZIO,;I Building Permit Number: 1J 0'O.J''`/J5'1' Date Applied: 57- ci I/-z/- y Building Official(Print Name) S' re Date SECTIn Dv.,...ON 1:SITE INFORMATION 1 ro er d dr ss: tyl 1.2 Assessors Map&Parcel Numbers , a 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(It) 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 ifyes❑ SECTION 2: PROPERTY OWNERSHIP' Owner'of Rec r n 616 0 4 A - /t7 o a- ame( ri City.State.'LIP W ' 6C{AUA No.an .'trees . ai ddr _s SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) ! ftrb New Construction❑ _ ' ...,i.6iii.1 rr Owner•Oeoupied_Q_ Repairs(s) 0 Alteration(s) 0 Addition 0 D ' t �- ^ 0 Accessory Bldg.0 Number of Units Other irSpecderbits Brief Description of Proposed Work2: fall /jn p -'`` fano get4 gle _____. '""--------......„, CTION 4: ESTIMATED CONSTRUCTION COSTA---'"—N Item Fctimateri('t�tS Official Use Only (Labor and Materials) 1.Building $ , ,5O 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ `!� ❑Standard City/Town Application Fee ❑Total Project Cost (item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees; Check NoiYsil heck Amount#'UP Cash Amount: 6.Total Project Cost: $ or-.),3-4-(..2 8 5O 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 113456 7/23/26 Kyle Nielsen License Number Expiration Date Name of CSI.Holder List CSL Type(see below) U 31 Overhill Rd No.and Street Type Description Ellington,CT 06029 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Famil Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 860-978-5911 office@extenorassociates.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 103175 4/28/25 Exterior Associates,Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 31 Overhill Rd oifice@exteriorassociates.com No.and Street Email address Ellington.CT 06029 860-978-5911 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 0 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 Exterior Associates,Inc. to act on my behalf,in all matters relative to work authorized by this building permit application. 1.3iCknoaqi . .uo 1 , I3 c � Print Owners Name(ElectronicIgnature) I ate SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,l.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 knowledge and understanding. nts Prim viner's or Authorized Agent's Name( rg a re) a 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 basetnent/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" The Cum►►tomvc'aldt afMalsfirtc/u,,wns i t� Department of Industrial Accidents i'as ,:ter - 1 Congrrr.' Street, Suite 1011 c..-e= . Boston,;IJ4 02114-21117'' Ivww mass.gor/diu . 1)einkers' Compensation Insurance AffidavirBuilders'Cantr,ctors/Electricians/Pium her 5, TO BE}lt.i:n w1'rl1'rllt:PERntrt-1 lNc:AE rimt'r1'. •J)pli3nJ jriformati'on Plei r Print_LeeibI Name i ha,tu .,urwnllattun-Indi%idualt: ExteficrAssociates Address: 31 Overhil Road City/Stitt:Zip: Etington.CT 06029 Phone Jt: 860.978-5911 ^ Areyumanemptuycr?Ck krheappropriatrbtt Type of project trequiredl: 1.®lavnaempiuyerwith 12+ employee+f inn,rx tnparraisner I 7, ❑New construction 22.0lamasokOro?tictttr ospttrm* and ba+c oil crttph,yccsuaktngtu:m.tn K 0 Kentodeling any capacity.1/10 work en'war.inianncerequited.i N. ❑Demolition 3QIamahomcoants dump all nod myself.Nonorkei amp.rm titanic ingiord i' I U(Building addition 4.Qlamalrumcor,ner and ainbelerirtt;coe:ulos, tycunductaN work onn proprrty.I nitl ensure thnall:ares.rrl, caber have wcxluci.srap:a+eve cnantuc ot ate.nk 1 10 E6:16.iI repairs Or additions prop rick trsw Oh nocmpkn txw, 1...❑pbtmbin(,repairs or additions SQlatnagencraltoctxr•r andth:RelctiJthe.4Fvnra'rr Ihtcdonthcnt.cIed.7urt 13.QRnnfrcpaits Thcsc.o9•0,,c:s.t'r. harccmpit3.r.and Ita%c workers'romp Rua 4.0 earencorpo:stiar. sndirsorris:ohsw exercised their right act( arp cmpticr1101,e I ®Other New D000Docxs 152.•1I14►.and ac twcnucrnpkrr.•c+l%t.anr'cn'tang tnsrr nceaaioeed !Any applicant tiro cbcri+SPA ct trm.t also fill mil the.ccttanhcbw.trn+trrtr their anthers'cc:ntr..lztc policy Mil rtrrtitm. it-mwoaccr. aho!admit nokatlithiimtlicrflngnceyam doing all a rot andthenhireouradccunvatct,r'mur.(who!9Nwutftdnsituwlivtritg,tkh ;Gauls La. that checkdtnhmmutattaltedansdc6utmalshetsshAcengthermreofthe+4h•rnner.ww, and*lair%hailet tir nut*ar+etratur,tow: employee,.If tin i0... :tr.:o, hasconploycc•.nccy must pnntuc(h N .:k r>'c.enr-polw}nr.n*er I am an emplayerthat is proriding work en'compensation ia+uranc'e fi,r•my employee. 1ir1+tw i+ the pnlic yard job.+ifc is,,rmation. Insurance Company dame: Batley Insurance Company Policy r or Self-ins. Lie.t1: BN1WC013B57O Lspiratiun hate: 11/14/24 ft.-_ Joh Sae Addre : City/State/hp: . 'A G/I A ,r i,o t,Mtaeh a copy of the workers eomprmatisn policy declaration pate(showing the policy awn a . el. r 1 on •ore). Failure to secure cuverapeas required under MO;Lc. 152.§25Ai.a criminal%iota lion punishable byaErneuptoSI5ONl.110 �1 (:D( ) a rui/ortincloarimpriconment.sa well as civil penakies in the for►ofa STOP WORK ORDER and a fine of up so S2511,00a day against!heliolatry.A copy of chi+statement may he forwarded to the Office of In estigationsofthe DIA for insurance cos cni8c vetirlealion. 1 da hereby cetilfy under Nee pains and prrurliie+of perjary Mat information provided oho►• lis true and correct, !wiatutc: fstiosit Etas. 1/ Li.;/C9Ct phltne t+: 860-978-5911 Official use only. DO tint write in this urea,to he completed by city nrtoren ojfictial. City or'Irwin: PcrmiVl.ict'nse P Issuing Authority(circle oar): 1.13nardofHealth 2.Building Department 3.City/Town O'Iera, 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton _� Massachusetts i g . .0 i DEPARTMENT OF BUILDING INSPECTIONS �i A... -; t 212 Main street • Municipal Building dF ---— Northampton, KA 01060 tr,� ►,%v' 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: USA tiauYng Eastwndsor, CT The debris will be transported by: Name of Hauler: Exterior Associates,Inc 7Date: 7/Signature of Applicant: __ ,27--.---‘,., (/ -5/ y Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure Unrestricted-Buildings of arty use group which contain less than U Board of Building Reifulatdons and Standards 35,000 cubic feet(991 cubic meters)of enclosed space. Cons nitYp rvisor • CS-113456 • e"pires:07/23/202C. KYLE NIELSON i 310VERHIL!(RD 344;116111? ELUNGTON 06029 0 O O 4UI Ltlti13 ,l Paiute to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner � Contact OPSI'(617)727,3200 or visit wwwanass.gov/dpl/opsi THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type Out of State Corporation EXTERIOR ASSOCIATES INC. Registration: 103175 31 OVERHILL RD Expiration: 04126J2025 ELLINGTON,CT 06029 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 expiration date. H found return to: TYPE:Out of State Corporation Office of Consumer Affairs and Business Regulation Resl.>tt[01.kllt t+'XRltitton 1000 Washington Street -Suite 710 103175 04/28/2025 Boston,MA 02118 TERIOR ASSOCIATES INC. NNIS AUDET OVERHILL RD LINGTON.CT 06029 Undersecretary Not valid without signature Client#:98251 EXTERASC ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVY)10/31/2024 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 pollcy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Lynn M. Paparazzo Starkweather&Shepley(CT) PHONE 860 583.0943 FAX 860.709.9354 (A/C, yE_Nxt): 0/C,No): Insurance Brokerage, Inc. EMAIL(A/C, arauo tarshe com� PO Box 549 ADDRESS: p p• Providence, RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAIC C INSURER A:Selective Insurance Co of New England 11867 INSURED INSURER B: Exterior Associates, Inc. 130 Old Town Road INSURER c Vernon Rockville, CT 06066 INSURER o: 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. t/r TYPE OF INSURANCE ADDL SUBR` PpL(� (MUM P �TR �INSR WWI I1 POLICY NUMBER (MI�I,'DD ,(MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X S2442015 11/14/2024 11/14/2025 EACH AGOCCURRENCE S1,000,000 AIM OC CLS•MADE X CUR i PREMISESQEoe) $500,000 MED EXP(Any ore person) S 15,000 PERSONAL S ADV INJURY S 1,000,000 GEM AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE S2r000,O00 X POLICY U SP& LOC PRODUCTS•COMP/OP AGO S 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X S2442015 11/14/2024 11/14/202 COMBINED SINGLE LIFAI F 1 000,000 "tlEa ecddant) _W $ 1 X ANY AUTO BODILY INJURY(Per person) S — OWNED ^-SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS X AUTOS ONLY X NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB vOCCUR X S2442015 11/14/2024 11/14/2025 EACH OCCURRENCE $2,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTIONS A WORKERS COMPENSATION WC9097314 11/14/2024 11/14/2025 X ISTATurE OTti- ER W AND EMPLOYERS'UABR.ITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? y NIA (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $500,000 M yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more apace Is required) Home Depot USA, Inc.,and the parents, affiliates and subsidiaries are added as additional insured as required by written contract/agreement. **Excluded officers for workers compensation: Nicholas Audet, Dennis Audet"` CERTIFICATE HOLDER CANCELLATION Home Depot USA, Inc., Compliance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C-12 ACCORDANCE WITH THE POLICY PROVISIONS. 2455 Paces Ferry Road Atlanta, GA 30339 AUTHORIZED REPRESENTATIVE ©O119888--2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2490659/M2490651 CTLMP ati �•, � i City of ploPNortiwurin Kim Carson <kcarson@northamptonma.gov> 73 AUTUMN DR APPLICATION 2 messages Kim Carson <kcarson@northamptonma.gov> Wed, Nov 20, 2024 at 10:56 AM To: Exterior Associates <office@exteriorassociates.com> Hi, You did not fill out the description of work. Could you please let us know what you are doing here so we can process your application. Thanks, Kim Carson Northampton Building Department 212 Main St 413-587-1240 Exterior Associates <office©exteriorassociates.com> Wed, Nov 20, 2024 at 11:30 AM To: Kim Carson <kcarson@northamptonma.gov> I am so sorry, I don't know how I missed that. Scope is - Remove and replace one entry door, no structural changes. Thank you [Quoted text hidden] Exterior Associates Inc 130 Old Town Road Vernon, CT 06066 (860) 978-5911 www.exteriorassociates.com https://www.facebook.com/exteriorassociates