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38B-234 (14) 52 OLIVE ST BP-2016-1032 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-234 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2016-1032 Project# JS-2016-001742 Est. Cost: $1781.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ENDLESS MOUNTAINS SOLAR SERVICES 108214 Lot Size(sq. ft.): 13242.24 Owner: MANNSTADT MARIS Zoning: URB(100)/ Applicant. ENDLESS MOUNTAINS SOLAR SERVICES AT. 52 OLIVE ST Applicant Address: Phone: Insurance: 288 KIDDER ST (800) 496-9620 WC WILKES BARREPA18702 ISSUED ON.•2/19/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ATTIC INSULATION 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. Certificate of Occupancy Signature: FeeType: Date Paid: Amount; Building 2/19/2016 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2016-1032 APPLICANT/CONTACT PERSON ENDLESS MOUNTAINS SOLAR SERVICES ADDRESS/PHONE 288 KIDDER ST WILKES BARRE18702(800)496-9620 PROPERTY LOCATION 52 OLIVE ST MAP 38B PARCEL 234 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ATTIC INSULATION New Construction g Non Structural interior renovations Addition to Existing Accessory Structure Buildine Plans Included: Owner/Statement or License 108214 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOP >UATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management D el Signature of Buildingficial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Department use only ity of Northampton Status of permit uilding Department Curb Cut/Dnveway Permit 212 Main Street Sewer/septscAVa6 il: jr. APL - FEB $ 1016 Room 100 WaterlUVell Avallabtlity No hampton, MA 01060 Two Sets`61!Structural Plans DEFT OF:RUiL6 G oneN413- 87-1240 Fax 413-587-1272 Plot/Sde Plans NOMTHAMPTON,MA 01060 Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 52 Olive Street Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Maris Mannstadt 52 Olive Street Northampton MA 01060 Name(Print) Current Mailing Address: 828-231-1876 attached Telephone Signature 2.2 Authorized Agent: 0 7042 Vl e, VIe_)c Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1,781 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 1,781 1 Check Number This Section F r Official Use Only Building Permit Number: I Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: — L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW Q YES IF YES: enter Book Page and/or Document#: B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW e YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK check all a6plicable New House ❑ Addition ❑ Replacemjent Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[p] Other[p] Brief Description of Proposed Work: Air scaling,Install 4"layer CR-14 Class I Cellulose to floored attic space,Install blown in Class I Cellulose to exterior walls Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing complete the follOWina: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETEDWHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING ERMIT 1, Maris Mann-Stadt as Owner of the subject property hereby authorize Endless Energy to act on my behalf, in all matters relative to work authorized by this building permit application. attached 2/9/16 Signature of Owner Date 1, Diane Hesser- Endless Energy as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Diane Hesser Print Name t 2/9/16 Signatu of Owner/Agent Date i SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Eric Chartrand CS-108214 License Number 27 Sanborn St Fitchburg MA 01420 4/2/18 Address Expiration Date 1 �- 978-652-2680 0 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 174479 Company Name Registration Number Endless Energy 1/28/17 Address Expiration Date 288 Kidder St Wilkes Barre PA 18702 Telephone 570-820-5990 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFID�VIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed a4submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 110 No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780 Sixth Edition Section 108J.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one hgme in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the bVilding permit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts kvDepartment of industrial Accidents Office of nvestigations d I Congress$treet, Suite 100 Boston,A A 02114-2017 S" www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Endless Mountains Solar Services Address:288 Kidder St City/State/Zip:Wilkes Barre PA 18702 Phone #:570-820-5990 Are you an employer?Check the appropriate box: Type of project(required): 1.9 I am a employer with 10 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. E] Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] + c. 152, §I(4),and we have no Solar employees. [No workers' 13101 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. J am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: HDI-Gerling America Inc Co. Policy#or Self-ins. Lic. #:000087615 Expiration Date:5/9/16 Job Site Address: 52 Olive Street 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 andpenalties ofperjury tkat the information provided above is true and correct. Sianatu�J G t4_0_ � _. Date -1�`� 6,0 Phone#: 5708205990 Official use only. Do not write in this area,to be 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#: i City of Northampton 1 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of!IMGL 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: 52 Olive StreetNorthampton MA 01060 The debris will be transported by: Harvey Rubbish Removal 68 Hopkinton Rd Westborough MA The debris will be received by: Building permit number: Name of Permit Applicant Endless Energy 2/9/16 ` Date Signature of Permit Applicant I 3 aims oldless Ener 1" 3. 9Y PERMIT AGENT AUTHORIZATION FORM ALL INFORMATION IS TO BE TYPED OR LEGIBLY PRINTED I, _ ��� aA� , do hereby authorize (Homeowner's Name) the company or contractor, selected by Endless Energy*, to obtain any and all necessary building permits at_50. ( (� � /.�- OI ao (Street Address,City/Town,State,tip) Permit Authorization obtained by Endless Energy Homeowner of Above Listed Address: G �_ U /'(Name Si ied) /ylA�21.5 M W V-S rgo I- (Name Printed) Endless Energy Representative: J4-1 e!�J— - 7-�� (Nam Signed) T. 7Q &M (Name Printed) This form supersedes any previously submitted letter(s) of authorization. "Endless Energy retains the right to select the contractor based on availability, location, and affiliation with the MassSave program. This form must contain only the people you want to pull permits in your name. To make changes to this form, you must submit a new form. This form will delete and replace any previous authorization form and the information contained thereon. www.americaninstallations.com Endless Energy i Home Performance Contractor I 184 Cedar Hill St,Marlborough,MA 01752 CONTRACT 14^60 774-540-1544 FAX(401)784-3710 Page 7 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Maris Mannstadt (828)231-1876 01/12/2016 429359 00001 SERVICE STREET BILLING STREET 52 Olive Street 52 Olive Street SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton,MA 01060 Northampton,MA 01060 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against Wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (2)working hours.A reduction in cubic feet per minute(efm)of ait infiltration will occur,but the actual number of cfm is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor to ensure the safety of the indoor air quality. $170.00 ATTIC FLAT:Provide labor and materials to install a 4"layer of R-14 Class I Cellulose added to(608)square feet of floored attic space. $1,027.52 DAMMING:Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass baits to(32)square feet for damming purposes. $65.60 SLOPES:Provide labor and materials to install a 8"layer of R-30 Class I Cellulose added to(24)square feet of slope area.Wherever possible baffles will be installed to the entire length of each bay to maintain ventilation space. $45.84 ATTIC ACCESS:Provide labor and materials to insulate the back of the attic door with 2"rigid Thermax board and seal the door's edge with weatherstripping to restrict air leakage. $73.91 ATTIC ACCESS:Provide labor and materials to make(4) access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non firewalled attic areas. $125.24 VENTILATION:Provide labor and materials to install(1)insulated exhaust host with roof mounted flapper vent to exhaust existing bathroom fan(s). $118.75 WALLS:Provide labor and materials to install blown in Class I Cellulose to(48)square feet of exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish.Finish sanding and touch-up priming/painting will be the customer's responsibility. $96.00 CRAWLSPACE:Provide labor and materials to install(76)square feet of 6 ml polyethylene over open ground in designated crawlspace/earthen basement areas. $58.52 www.americaninstallations.com Endless Energy Home Performance Contractor 184 Cedar Hill St,Marlborough,MA 01752 CONTRACT 774-540-1544 FAX(401)784-3710 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT A WORK ORDER Maris Mannstadt (828)231-1876 01/12/2016 429359 00001 SERVICE STREET BILLING STREET 52 Olive Street 52 Olive Street SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton,MA 01060 Northampton,MA 01060 JOB DESCRIPTION Total: $1,781.38 Program Incentive: $1,378.54 Customer Total: $402.85 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Two &85/100 Dollars $402.85 AUTHORIZED SIGNATURE-Endless Energy CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE DAYS. Feb, 19. 2016 8: 16AM No, 2842 P. 1/1 City of Northampton Mass4chuaetts 'fir DEPARTWNT OFOpILDiNG INSPECTIONS 212 Main Street • Munioipal Building �JRti•, rC GO +� �10 Northampton, MA 01060 I Property Address; 52 Olive Street I Contractor Name: Endless Energy Address: 288 Kidder Street City, State: Wilkes Barre PA 18702 Phone: 570-820-5990 Property Owner Name: Maris Mannstedt Address: 52 Olive Street City, State: Northampton MA 01060 Z., (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature Date �Ad e