38B-171 (7) 17 MADISON AVE BP-2017-0176
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B- 171 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-2017-0176
Project# JS-2017-000287
Est. Cost: $1800.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: AMERICAN INSTALLATIONS LLC 106178
Lot Size(so.ft.): 8232.84 Owner: PAGAR JOSHUA&CLAR BARNHART
Zoning: URB(100)/ Applicant: AMERICAN INSTALLATIONS LLC
AT: 17 MADISON AVE
Applicant Address: Phone: Insurance:
130 COLLEGE ST (413) 552-0200 WC
SOUTH HADLEYMA01075 ISSUED ON:8/11/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL ATTIC & BASEMENT 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 8/11/20160:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0176
APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC
ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY01075 (413)552-0200
PROPERTY LOCATION 17 MADISON AVE
MAP 38B PARCEL 171 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT y��
Fee Paid o'YT
Building Permit Filled out
Fee Paid
Typeof Construction: INSTALL ATTIC&BASEMENT INSULATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 106178
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INEO9MATION PRESENTED:
//Approved 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
P-mo "t -.y
�r171- 1/4K
-
Sig�ofBuiLmg official 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.
4
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RECEIVE Northampton
n QACm DdvewRey Pe rtYt
12 .'n Street Sewer/3ePdcAvetlabm .
A7• 9 who .•• 100 Watermell Avafebggy
a • • MA 01060 Two l?de ftea aal;P an
. •ne 413.87 240 Fax 413.587-1272 ptowS a Pian,T_
t>___oremc mm�s -
NOPTIAmFIenAdo.,;Gvs
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
Lot Unit
17 Madison Avenue Northampton,MA 01060 Map
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
7.1 Owner of Record:
Clara Barnhart&Joshua Pagar 17 Madison Avenue Northampton,MA 01060
Name(Print) Current) 6Ad a s:
(3140
See attached Telephone
Signature
2.2 Authorized Ment:
American Installations 130 College St., Ste 100 South Hadley,MA 01075
Name(P, fr OCurrent Meting Mdmee:
American Installations W1-41 C . (A / 413-552-0200
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
item Estimated Cost(Dollars)to be Oficial Use Only
completed by permit applicant
1. Building 1800.00 (a)adding Pemtit Fee
2. Electrical (b)Estimated Total Cost of
Cmatuction from(6)
3. Plumbing Building Permit Fee
4. Medmnimi(HVAC)
5.Fire ProteWon n
6. Totai4(1 +2+3+4+5) 1800.00 Chedc Number den ( �(Q�
This Section For Official Use Only GT
Bulking Permit Number. Data
D to
Signature:
Building Com ntsionedlnspector of Buildings Date
Section 4. ZONING AU Information Must Be Completed.Permit Can Be Denied Duo"Rei complete Information
Existing Proposed *Nuked by Zoning
This column tube filled in by
Bonding Depsmmt
Lot Size
Frontage
Setbacks Front
Side L:I i R: L: Ri
Rear
Building Height f I I
Bldg.Square Footage % I
Open Space Footage
OA con minas bldg&paved
waking)
#ofParking Spaces r 1 I
wolomea:lamdoo) I
A. Ifas a Special PermitNariance/Finding ever been issued for/on the site?
NO 0 DONT IOIOW 0 YES 0
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Pagel and/or Document al
B. Does the site contain a brook, body of water or wetlands? NO O 00147 KNOW 0 YES 0
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained O , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
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 O
IF YES,describe size,type and location:
E. Will the construction activity diskab(deadng.grading.excavation.orMing)overt ace or Is Upanof a common plan
that wR disturb overt acre? YES O NO O
IF YES,then a Norlhanpton Storm Water Management Permit from the DPW Is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition 0 Replacement Windows Alteration(s) ❑ Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition 0 New Signs (OI Decks IO Siding!1 Other(g
Bdef i Pse=
Wodc Atc�and asb ement insulation and air sealing throughout
atioNfa:OB 1g bedroom Yes No Adding new bedroom Yes No
Attached
AtAttachedReg -SMeIRenovating unfinished basement Yes No
. 0 _a _,. .
se.NNew house and Or addition to existingrhousinq,comDlefothefollowinq-
a. Use of building:One Fondly Two Fan* Other
b. Number of rooms In each family unit Number of Bathrooms
o. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number ofstodes?
f. Method of heating? Fireplaces or Woodctwes Number of each,
g. Energy Conservation Compliance. Masacheck Energy Comptenceform attached?
h. Type of construction
I. Is construction within 100 ft.of wetlands? Yes _No. Is construction withkt 100 yr. Aoodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. WM building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank_ City Sewer__ Private well qty water Supply_
SECTION 7a-OWNER AUIHORIZAIION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Clara Barnhart&Joshua Pagar as Ow of the subject
Pronedy
hereby authorize American Installations
to act on my behalf,In all matters relative to work authorized by this buk®ng penM application.
See attached 8/4/2016
Signature of Owner Date
I, American Installations eaOscar/Authorized
Agent hereby diadem that the statements and Information on the foregoing application are hue and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
American Installations
Print Name
8/4/2016
Signawa of WnrerAgea Date
SECTIONS-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. Not Applicable 0
Ngmeotuoanae Holder: Wesley K. Couture 106178
License Number
130 College St., Ste 100 South Hadley,MA 01075 9/29/17
Addmas Datatlan Date
i A. C2----/��� 413-552-0200
siture
Telephone
9.Registered None 4norovemenfContractor. Not Appleade ❑
Wesley Couture 175982
Company Name Registration Number
American Installations 6/27/17
Address Expiration Date
130 College St., Ste 100 South Hadley,MA 01075 Telephone413-552-0200
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152,§26C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
in the dental of the issuance of the budding permit.
Signed Affidavit Attached Yes..._.. at No..._ ❑
11, -Rome Owner Exemption
The current exemption for"homeowners"was extended to include Owner.occupledDweMnes of one(I) 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 108.3.5.1.
pefmition 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 stmdorees accessory to such use mit or farm
snuenaes.A person who constructs more than one home In a two-year period shag 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 peformed under the bundle!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 Sr which this Remit 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,von 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 Mnotated.
Homeowner Signature
City of Northampton
Elys .
Massachusetts �
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Moniaipal Building
Northampton, Mt 01060 44
Property Address: 17 Madison Avenue Northampton,MA 01060
Contractor
Name: American Installations
Address: 130 College Street Ste. 100
City, State: South Hadley, MA
Phone: 43-552-0200
Property Owner
Name: Clara Barnhart&Joshua Palar
Address: 17 Madison Avenue
City, State: Northampton,MA 01060
American Installations (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 0i 1,
Date 8/4/2016 �/
La
MA
1 re
gree nin. lla n. re
BBB. INONIOTOS
Licensed&Insured
--
-- . MA CR it 106318
MA Registration If 175982
American Installations
13o cokes Street Suite lqb south menu MAOIO7s•office:(4131552.100 Fix:14131552M02• Email:rupport@MmernanInpanatlpa.wm
Barnhart&Pagar,Clara&Joshua 1/27/2016
mo Er-nil
17 Madison Avenue Northampton MA 01060
Kin oa
314 412 6685 barnhartclan@gmailcam
428899 tai owl
1C-fl1 161915
ow
Quantity Unit Unit Cost Total
Mr&eeling -
Total Air Sealing $ -
Total Air Sealing Incentive $ -
WEatlnd O3 n
HATCH SEAL&INSULATE 2 each $ 60.00 $ 120.00
TEMP ACCESS THRU DRYWALL 1 each $ 85.00 $ 85.00
KW FLOOR-10"OPEN R-35 352 sqk $ 1.34 $ 471.68
2"RIGID BOARD 320 sqk $ 3.50 $ 1,120.00
REMOVE INSULATION 66 sgft $ 0.75 5 49.50
Total Incentivized Weatherization $ 1,796.68
Total Non-Incentivized Weatherization $ 49.50
Total Project $ 1,846.18
Total Utility Contribution $ 1,347.51
Total Customer Contribution $ ' 498.67
WARRANTY:nmer¢an lmtanatans,LLCM)provide the above stated Mnwowrcr with a 2 year worrnanshipw.nnry.
American Initallationg LLC hereby proposes toiornli alt material and labor to complete the above scope of work In accordance with the aWespecfctbns and at local and date building
regulatbs tar the Total Contract Value as stated Mrtln. yJ
ACCEPTANCE OF PROPOSAL:The above prices,specifications and TOTAL CONTRACT VALUE=I p 498.67
Conditions ar factory and are hereby accepted.You are V- tnrl�` Y1'
I
authorized. dowo as speclped yment will be l/3 down prior to Down Payment=4$ 16600 `- V
start ofwo .and ba ante due up/ • piano PAID
Balance Due Upon Completion= 332.67
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1 (E PRE-WEATHERIZATION BARRIER INCENTIVE nationalgridITHU.HE
mass save CONTRACTOR EVALUATION REPORT HEREwYOREFORYW.
EliglbAAyInformation and completion Instructions on back.
glte R A A
Rebate Rec int@Q((aentk)Onnn. [ rrn Ls�/Y]n'I- • Protect ---
Address aramn[k
'lg6S3lTG4t20 wing
Date ofAs>essmene�----
State [mons EnwrsPK sr¢t__—.-- -
KNOB it TUBE WIRING
ontrector k to evaluatethe seeded locations below where weetherfeation recommendations have been made to determine if there Is anY
active knob
r&tithe wiring:
iJ't.Atnc ,u.•-Slopes >t$xtic Walk Up Walls lKnee Wall Area O Exterior Walls 0 Overhang O Garage Ceiling 0 Basement
MECHANICAL SYSTEM,HIGH CARBON MONOXIDE EVALUATION
U Contractor is to evaluate the selected mechanical systems)below and provide service.If possible.to reduce high carbon monoxide levels as
measured in the undiluted Sue gas to below NM gem"
Heating System O Hota Peter System O Oven O Other
DRYER VENT EVALUATION
aro -:" "" Y vent andpfovides€nioetaProlirly r"f'=ft To
Upon oornpleflyo�nofmy bspecdonllate toured Natthae Nrio actNelaw6''&die ablg In a - a
IA k' $JAstit Slopes Attie Wan(Up Walk Aria U Extoller
ELECTRICAL CONTRACTOR INFORMATION t lr a'+ `
Company risme: Al/cA- 3' L O'. /eCTt C,'
r a4 r.`. �� �u''u �
aea_r@�anst+al .Alihae/ 3 Lan, , `Llcaneir-F " " .0
Hl have read and agree to.the T-. & • Pre-Weathenzation Barrier Incentive.
a • s /f,�ii� '/lel ;.Et i/rte Date: �— i
•
., H. H CARBON MONOXIDE EVALUATION
Thesekl eAft*IstiYWsystemhas been evaluated and serviced.Testing results of carbon monoxide in the untainted flue gas are as fdbwe
]1�Rwsten: CO ppm O Oven CO Ppm ❑ Hot Water System CO ppm
CO ppm
eagnneTIOn
C'GnflD!A'
ConteD4WSllie'. License X:
:Cr scak,-
O.i ., read.and agree to,the Terms&Conditions of the Pre-Weatherization Barrier Incentive.
. . .=.•,.s_ . cure: -
❑ThedeNerveKhas :: Q
CONTRACTOR H�RMATION s+s+ �` ..
:ompany
"awn'
atte6 ''
btlVdctSf Mama: 2st
,{l ihaveread„andagreeto,the Iefms& �.. � '
.onDactorxgRatu r- _,�. _