Loading...
39A-057 (4) BP-2024-1572 58 LYMAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 39A-057-001 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-2024-1572 PERMISSION IS HEREBY GRANTED TO: Project# window 2024 Contractor: License: Est. Cost: 2880 PELLA PRODUCTS, INC CSSL100235 Const.Class: Exp.Date:03/14/2026 Use Group: Owner: DIANE HARR JONATHAN & Lot Size(sq.ft.) Zoning: URB Applicant: PELLA PRODUCTS, INC Applicant Address Phone: Insurance: 155 MAIN ST 413-512-5968 6H15382 GREENFIELD, MA 01301 ISSUED ON:11/27/2024 TO PERFORM THE FOLLOWING WORK: 1 REPLACEMENT WINDOW 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 Drhewac 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: 4/2. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / ,N �_ / � ;0� 4/0k ter. 1 , The Commonwealth of Massa usetts Board of Building Regulations and dard$. F cis � . � ' Vt Massachusetts State Building Code, 780�IIr''.. `���Q MUNIC ALITY - • \ SE Building Permit Application To Construct,Repair,Renovate 'f emoiish a Revised Mar 2011 One-or Two-Family Dwelling c , This Section For Official Use Only Building Permit Number: i .2'J /$"7,1- Date Applied: 7 ,/f/r D / // -21-9 Building Official(Print Name) Sign re Date SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 1.2 Assessors Ma &Parcel Numbers U can Rd. N A NtM` r4-R.C50S1L..ot 1 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: i X 1,S4-lrAl ii es t kx-mQ-1 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 1 Owner'of Record: ic lUnCA r \O n t-Acar kioc-i+v,mpton, Lna, 010(00 Name(Print) City,State,ZIP rm8' L uv n yl1-5 Lo-lo r&5 Jone kn.host-Gcotail iC i No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify: Brief Description of Proposed Work2: iet Lt. I t�illo(,�L,1,� 1(')i'0 exL 4i J'\Ol Lr 7XIt ii- ti Q c-,hp. s h j(r-4,.L 3 1-koo r1p,r-. `/ 1--Cc‘c+or = (), 3(J9 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ g �O. OD 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ CIStandard 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 Fees: Y W i 14 Check No$019 Check Amount: 'I' Cash Amount: 6.Total Project Cost: $ gs-RD,00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) P Hera �a A) C��.-1Uer p ate Name of CSL Holder n �S License Number Expiration c_( w J '0 1 c r u L_ n r List CSL Type(see below) No.and Street � a Type Description n ' A Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State ZIP J Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding l SF Solid Fuel Burning Appliances 46 �j).- u Perml-*�ye crsales• (.Q)fY) 1 Insulation Telephone hinail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) t �-1 a n c 1 L PccAiicks HI`C Registration_NI umber Expiration Date HICA bb i\nc, Tmpany Name or HIC '(� (i Name 's' caw) No. and p-ecm� el lac e. I e e,\01. k1I- Ci OI I3-ol a 5gCO d 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 Issuan a of the building permit. Signed Affidavit Attached? Yes 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 to act on my behalf,in all matters relative to work authorized by this building permit application. OU\-4-e1/4-0\ad Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby ttest under the pains and penalties of perjury that all of the information contained t/this a1li ion is e an accurate to the best of my knowledge and understanding. DLA 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 halflbaths 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" Docusign Envelope ID:7F27E12B-4044-44E1-A06F-FB5B19359676 Contract - Detailed Pella Window and Door Showroom of Greenfield Sales Rep Name: Rousseau, Mitchell 155 Main Street Sales Rep Phone: 413-768-8379 Greenfield, MA 01301 Sales Rep Fax: Sales Rep E-Mail: mrousseau@pellasales.com Customer Information Project/Delivery Address Order Information Jonathan Harr Harr Jonathan 58 Lyman St Northampton MA Quote Name: Lifestyle Double Hungs 58 Lyman Rd 58 Lyman Rd Order Number: 739Z3KR031 NORTHAMPTON, MA 01060-4228 Lot# Quote Number: 18746358 Primary Phone: (413)5866855 Northampton. MA 01060 Order Type: Installed Sales Mobile Phone: County: Payment Terms: C.O.D. Fax Number: Tax Code: MASS E-Mail: jonathan.harr@gmail.com Quoted Date: 10/3/2024 Great Plains#: 1006210483 Customer Number: 1010044050 Customer Account: 1006210483 Customer Notes: ****SIGNING THIS CONTRACT WILL VOID THE PREVIOUSLY SIGNED CONTRACT WITH MATCHING ORDER AND QUOTE NUMBER**** Window Specs: Lifestyle series w/Simulated divided light grilles w/spacers Interior: Prefinished White Exterior:White Hardware:White Pocket install"test window" Total Price after 20%discount:$2,880.00 50%due at contract and 50%due at installation For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 11/7/2024 Contract-Detailed Page 1 of 7 Docusign Envelope ID:7F27E12B-4044-44E1-A06F-FB5B19359676 k,usrurner. Jundtndn Harr riojecr'Jame: Harr Jonathan 58 Lyman St Northampton MA Order Number: 739Z3KR031 Quote Number: 18746358 Line# Location: Attributes 70 Dining Lifestyle, Double Hung, 27.5 X 69.75, Without HGP, White Item Price Qty Ext'd Price $3,080.35 1 S3.080.35 JZ 1: Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 1/2 X 69 3/4 2179 General Information: No Package,Without Hinged Glass Panel,Clad,Pine,5",3 11/16",Jambliner Color: Gray 4 Exterior Color/Finish: Standard Enduraclad,White Interior Color/Finish: Prefinished White Paint Interior 0 Glass: Insulated Tempered Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude Hardware Options. Cam-Action Lock, 1 Lock,White, No Limited Opening Hardware,Order Sash Lift, 1 Lift, No Integrated Sensor Viewed From Exterior Screen: Full Screen,White,InView'u Performance Information: U-Factor 0.26,SHGC 0.45,VLT 0.55,CPD PEL-N-35-00501-00001, Performance Class LC, PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Rating 30,STC 27,OITC 23,Clear Opening Width 24.312,Clear Opening Height 31.625,Clear Opening Area 5.339354,Egress Meets Typical for ground floor 5.0 sqft(El)(United States Only) Grille: SDL w/Spacer, No Custom Grille,7/8",Traditional(2W1H/2W1H) Wrapping Information: Foldout Fins, Factory Applied, No Exterior Trim,3 11/16",5", Factory Applied,Manufacturer Recommended Clearance, Perimeter Length=195". Frame Size:27.5"X 69.75" MP-4-1 Wide Modified Pocket Installation Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 Line# Location: Attributes 75 None Assigned BPC - Permit-subject to change if actual cost greater than shown Item Price Qty Ext'd Price $95. S95.00 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 11/7/2024 Contract-Detailed Page 2 of 7 Docusign Envelope ID:7F27E12B-4044-44E1-A06F-FB5B19359676 Lusturner: Junautan Harr rruject'Jame: Harr Jonathan 58 Lyman St Northampton MA Order Number: 739Z3KR031 Quote Number: 18746358 Jonathan Harr Mitch Rousseau Order Totals Cuto nu qns y:�e�r NAme (Please pant) Pella Sales Rep Name (Please print) Taxable Subtotal $1,841.88 �-9lgned by: je 'I (kw ssuuk Sales Tax @ 6.25% $115.12 'etriftitiiet3S101Mure Pella ii`eletsdaela ynature Non-taxable Subtotal $923.00 11/7/2024 11/7/2024 Total $2,880.00 Datebocuslgned by: Date Deposit Received $1,440.00 Je ROT Amount Due $1,440.00 'isrigt3erittisflitigiblival Signature For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 11/7/2024 Contract-Detailed Page 7 of 7 Docusign Envelope ID:55ED08E9-116F-432D-A8B0-BAA720E0916C Pella Products Inc. ?‘ 155 Main Street Greenfield, MA 01301 To Whom it may Concern: Jonathan Harr , 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; 58 Lyman Rd Northampton, MA 01060 Please accept this letter in place of my signature on the permit application. Thank you, (—Signed by: Signature: 36'1^ &aYr • 65D028C84CCE48C Date: 10/11/2024 The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations 361 Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 ' y www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Pella Products, Inc Address: 155 Main st City/State/Zip:Greenfield MA. 01301 Phone #:413-774-7231 Are you an employer? Check the appropriate box: Type of project (required): 1.❑i• I am a employer with 70 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. RRemodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] + 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: EMC Insurance Company Policy#or Self-ins. Lic. #:6H 15382 Expiration Date: 1/1/2025 Job Site Address: 58 Lyman Rd City/State/Zip:Northampton MA 01060 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 pains and penalties of perjury that the information provided above is true and correct. Signature: '' , P £e Date: i 1 1 D- ` 1 Phone#: 413-512-5968 Official 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): I❑Board of Health 20 Building Department 31:City/Town Clerk 4.❑Electrical Inspector 50Plumbing Inspector 6.1:1Other Contact Person: Phone#: -------millilI PELLPRO-01 CHRISTINE .4�ORO CERTIFICATE OF LIABILITY INSURANCE [ °12/114/2"u20 3 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(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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER _NA CONTACT Christine Sullivan Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C.No,EA):(413)5945984 Wc,No):(413)592-8499 Chicopee,MA 01013 Ae'p iss,christine@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC• INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:EMCASCO Insurance Co 21407 Pella Products,Inc INSURER C: 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. NSRT TYPE OF INSURANCE ADM SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD,WYD IMM/DD/YYYY) IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 J CLAIMS-MADE I X J OCCUR 6A15382 1/1/2024 1/1/2025 DAMAGE TO Ea R nce) S ENTED 500,000 PREMISES I ocoim MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JEi�T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: ..-- 3 A AUTOMOBILE LIABILITY (EaaMBINED iideentSINGLE LIMIT $) 1,000,000 X ,ANY AUTO 6Z15382 1/1/2024 1/1/2025 BODILY INJURY(Per person) $ _— OWNED AUTOSAUTEp ONLY ^_ SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY Al ONLY TOPE tDAMAGE $ $ A X UMBRELLA IJAB —X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAR CLAIMS-MADE 6J15382 1/1/2024 1/1/2025 AGGREGATE $ 4,000,000 DED X RETENTIONS 10,000 $ B WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N 6H15382 1/1/2024 1/1/2025 E.L.EACH ACCIDENT $ 500,000 OFF tlEatF�MBER EXCLUDED? N NIA 500,000 (� NNNN E.L DISEASE-EA EMPLOYEE $ M yea describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 Cityof Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main St Northampton,MA 01060 - AUTHORIZED REPRESENTATIVE riA '"^-ice ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 WashingtonS,treet-Suite 710 Boston.-Massachusetts- 02118 Home ImoroVt3meiitCdntractdr:Registration Type: Supplement Card Registration: 142279 'FLEA PRODUCTS.INC. Expiration: 03123.2026 '55 MAIN STREET GREENF1ELD,MA 01301 • • 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. If found return to: TYPE:Supplement Cord Office of Consumer Affg1ss andi8usiness Regulation 3�4131catton Exolntllon 1000 Washington„SS et to 710 142270 03723/2026 Boston,MA O02718 1 ,ELLi.PP.000i,TS.iNC. ���' • tRNOR GROSS 155 MAIN STREET i'�' / •'`"- 3REENFIELO.MA 01301 Undersecretary 114Without signature Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Liconsurc Board of Building Regulations and Standards Restricted to: COn truci. a :,j�C i t Speciz IVCSSL-WS-Windows and Siding d CSSL-100235 . plre5:0311412026 ELWIN P HE RINGSHA. 7.4. 407 AUDUB P.I. .ROAD p LEEDS MA i' 163 • ' O '-1 . O - t��l `t J� >>, Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner C e.14 tom, Contact OPSI:(617)727-3200 or visit www.rnass.govldpUopsi City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: I � x�� S Ur%(.L,,V c:kc.4-0`k- The debris will be transported by: ic.A.-Q:n\Adi\ l,yi The debris will be received by: 1 S YY-t c "3-- j( 1 i F 0' :J t J(!4 Building permit number: Name of Permit Applicant Y.0 kx-& . PCC)tiii_ 4 101..0. watt rd it Date Signature of Permit Applicant