Loading...
37-022 600 FLORENCE RD-262 MOUNTAIN LAUREL PATH BP-2019-0910 GIS 9: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37-022Jy(�a. CITY OF NORTHAMPTON Lot: -000 / PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category INSULATION BUILDING PERMIT Permit# BP-2019-0910 Proiect# JS-2019-001528 Est Cost: $3800.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sa.ft.): Owner. FISHMAN PETER zoning: Applicant. AMERICAN INSTALLATIONS LLC AT. 600 FLORENCE RD - 262 MOUNTAIN LAUREL PATH Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON:2/22/20790:00:00 TO PERFORM THE FOLLOWING WORK:ATTIC INSULATION AND AIR SEALING THROUGHOUT 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 2/22/2019 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner - heparboeik use only. fph:one Ci ofNorthampton Status ofPermih Buil ing Department CurbCuuorivewayPermit2 Main Street SewerlSepgsAybi1p fifty oom 100 WateIrANelIAvagabilgy rtha plan, MA 01060 Tyro Sets ofstrudural Plans 587 1240 Fax 413-567-1272lans lPEc1t Other Spedfy _ a O CONSTRUCT,ALTER REPAIR RENOVATE OR DEMOLISH AONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION - ( —a (O 1.1 ProoedyAddress: This section to be completed by office 262 Mountain Laurel Path Map -2 Lot Ung. Florence,MA 01062 Zone Overlay Disfrpet EM St Dwd CS Dlebict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Fishman,Dara &Peter 26 Mountain Laurel Path,Florence MA 01062 Name(PdnU (415)MY 864x7e See attached Telephone Slg abee 7-2 Authorized AaaM: American Installations 130 College St., Ste 100 South Hadley, AfA 01075 Nam(PMQ Cunent Nkilkg Address: \ �(n V. 16.A=A— / 413-552-0200 SlpnaWn Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item EsSmated Cost(Dollars)to be Official Use Only completed bpermit a Ikent 1. Building $3,800.00 (a)Building Pewit Fee 2. Eleetdcal (b)Istmated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 7� 4. Mechanical(HVAC) �v S.Foe Protection 6. Total= 1 +2+3+4+5) F $3,800.00 Check Number 3D Lit This Section For ONidel Use Only Building Permit Number. Day Issued: Signature: 4 2 'Z2-Zo19 BuAdkg Comrdssbnemrcepedorof BuNdings Day SECTION S.DESCRIPTION OF PROPOSED WORK(check all applicabi 1 New House Addition Replacement Windows Alteratlon(s) Roofing ❑ Or Doore � Accessory Bldg. ❑ Demolition ❑ New Signs (D] Deeks M SldinglO] Otherl2Yq Brief Description of Proposed Work Attic insulation and air sealing throughout Ageragon of existing bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renowatlng unfr fished basement _Yes No Plane Attached Rog -Sheet Ga.If New house and or addition to existing housing complete the following, a. Use of butidag:One Famtiy Two Family Other b. Number of rooms In each family unit Number of Bathrooms a Is there a garage attached? d. Proposed Square footage of new consimction. Dimensions e. Number of stories? f. Method of healing? Fireplaces or Woodstmes Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type ofoonsauclion I. IscenshuctionwithinlODfLofwegmds?_Yes No. Iscensbuctionwitldn100yr. floodplain_Yes----No J. Depth of basement or celarilmr below finished grade k. Will balding conform to the Building and Zoning regulations? Yes_No. I. Septic Tank_ City Sewer_ Pdwitswell_ Citywato Supply_ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT l Fishman, Dara&Peter as Owner of the subject property herebyauthodze American Installations to act on my behalf,in ail matters reledwe to work autlwdzed by this building permit application. See attached 2/18/2019 Signature of Orman Date I, American Installations as Owner/Authorized Agent hereby declare that the statements and Information on the foregoing application are We and accurate,m th best of my knowledge and belief. Signed under the peke and penalties of perjury. American Installations PriyaqNemo -1i 'L/ �' � ; 2/18/2019 Sigiwaaeof edAgent Daze i 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: 26 Mountain Laurel Path The debris will be transported by: American Installations The debris will be received by: Waste Management of New England Building permit number: Name of Permit Applicant Wesley Couture 2/18/2019 (A�p i�y� k. (n.)1JAAJ Date Signature of Permit Applicant s� Up¢npeJ4lnpurM American installations Ma Ra9latMd #ln9R2 saproueFesu..twRa s4A swnn weer,eupsms.mac:(.)1.42n1rc14v1 seam:•..M. Fishman,Oat&Peter 12/17/2018 Z6 Mountain laurel PaN Florence MA 01062 (516)236-2453 dammO son@gmall:com 416263 wa nom. 18-3479 wn DuantM unk Unk Cost e+s Total AS AIIRSEAUNAUNG 14 jrnaniour) $ RS.00 $ 1,190.00 WEATHERSTRIP DOOR&ADDSWEEP 3 each $ 80.00 $ 240.00 Air Sealing $ 1,430.00 Air Sealing Incentive $ (1,020.00) Air Selaing WXealax $ 410.00 ATOCFIAT-6"OPENR22aUULOSE 1,288 ,ft $ 1.32 $ 1,700.16 VENTRATION CHUTES 74 each $ 2.50 $ 185.00 ATTIC DAMMING-R-38 FIBERGLASS 114 spft $ 2.05 $ 233.70 ATTIC HATCH-SEAL&INSULATE 1 each $ 6000 $ 60.00 INSULATED BATH EXHAUST HOSE 2 each $ 60.00 5 120A0 Air Sealing WX Balance i lum sum $ 410.00 $ 410.00 Total Wenherinti. $ 2,708.86 WWhul,ation Incentive $ 2,031.65 Fborboew Removal $ 250.00 Total P.JM $ 3,T2BA6 Toni UUllty Contribl $ 3,301.65 Total Customer Contdbudon $ 42722 mlhbn;nCnitlpmlJ.MepbeMMlani.ernaxiF.Zyx,wWnnMlpwpmMt. MmIrn11WIhIMtILLCMMYprppweple NmW Ylmw•.rhlmJ Ym�wmm[Me Mepdm repel whN wpCw WNNeapc..p.Oallba..w el bal.NNb W Nb,naJ.W nr(q M.ievl Fnwvat Vtlw v mui FmN. nrgvrur. Capaop.:napEoepnea.peM —.na TOTALCONTMCTVALUEa $ 422.22 mndtialuertatlMpacry pntl.n Mnby.®pad Yw.rt alnMma4bdpwakas.pMfxd p.ymantwalYl/iduwn Plor Down Pdym¢m= $ 142.OD 0 n sbnd..mw,we WNMQ .f�t 1QHhWn. pu p Balance Duepo Un Com0le[ion= $ 285.22 Dam Fishman(Jan 10,2019) Fishman,Dara&Peter 12/17/2018 B.Zamer 8. ZasMu- 12/17/2018 The Commurnwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 01111 wrvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibly Name(Business/DrganimioNlns ividua0: American Installations,LLC Address: 130 College Street, Suite 100 City/State/Zip: South Hadley,MA 01075 Phone#: 413-552-0200 Are you an employer?Check the appropriate box: Type of project(required): 1.[X] Ism o employer with 60 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or pen-bme)- have hired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.i Remodeling ship and have no employees 'Deese subcontractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their ME] Electrical repairs or additions 1❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself[No workers'comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers' 13.9 Other Insulation comp.insurance required.] — ;Any applicant that eheas box al moa also fill notion section below showing their workers'cono e am on policy infomtion. t Homeowoen who submit thetaRMavil uWkming flay arc doing all work an!then hire amaidc cmboeton,must submit o newaamavit indicating sad. �Cummelms and check this boa must mWrlso m addiumod aheet showing Ihe,una or as sub-contrxtors mq aver wort rx come Nhey arum aim. I am an employer rhm is pro idlng workers'rompensadon Imurance for my employees. Below is the poacy mulish site information. Insurance Company Name: Guard Insurance Companies Policy#or Self-ins. Li,.9: URWC6099171 - Expiration Date: 09/04/2019 Job Site Address: 4-1- Mar4-'W) ucvfFJ pc f4a City/Slats/Zip: P16Yvn(y Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure m 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 n STOP WORK ORDER and a fine of up to 5250.00 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 ttpnify,under the pains ann]dpenal ieess of perjury that the information provided above is true and coma. Signature-4 zein�z � ( .r9-fLT.ul2s>— Date,. 2II q i[q Phone#:/ 413-55 -0200 Official use only. Do not write in this area,to be confided by city or town offiein. 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 b.Other Contact Person: Phone#: Corrmronwea6h of Massachusetts Constructwn supwvww ®; Division of Professional Licensure Unrestricted-Buildigs of any uses group which contain Board of Building Regulations and Standards Was Uses 36,000 cubic f"t(991 cubic meters)of enclosed Construe ibn SOpervisor spac. CS-106178 Upires:09/29/2019 WESLEY COUTURE 710LATHROPSTREET SOUTH HADL&NIA 01070 FaBus fe peaces a curers states of Me Massachusetts; State Building Coda Is Gua for ravocrion of the ECM". For Information abed alta Oearlaa Commissioner Ca0(617)IV-nn or visit arlagovhip n"//e ((�(1/J'(yY1f1I7(ltP-(Cfftl (l �? ;1:1C7-C'77LC.1P.tt.1 FY Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Horne improvement Contractor Registration Type LLC AMERICAN INSTALLATIONS,LLC. Rapistra9arc 175862 190 COLLEGE STREET SURE 100 06/28/2019 SOUTH HADLEY,MA 01075 - tlpdais Adds.and Mum Card. Mark rasson for chirps. WA1 O LJMWIl nAdr!_ n P�.._t n.Empnymebt.❑1SM OEN OMea M Conwmar ABMs a 9uYnaas RNulatlon HOME IMPROVEMENT CONTRACTOR Registration valid far lndsiduai use eNy 1.. TYPE:LLC bass M in"refni Baia. E bual rahrm to: E1gW[gl0g EOgiDg9n OMs,of Cenaumsr Allain and Mrariew,Ragula6en 175982 0612813019 10 Park Ree-9u1te 6170 AMERICAN INSTALLATIONS,LLC. Boston,MA 02118 WESLEY COUTURE 190 COLLEGE STREET SUITE 100 t valid Mthout signature SOUTH HADLEY,MA 01075 Undersecretary 9 ACORd CERTIFICATE OF LIABILITY INSURANCE °Are /202 '" 9/64/]010 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 Me POLICIES SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRVIE A CONTRACT BETWEEN THE IMBUING INSURER(S), AUTHOFl01UD REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the oartlBDRe holder M an ADDITIONAL INSURED,the pollty(Ma)nand G alMsaad. N SUBROGATION M WANED,wD)aot W the twine and OpMlDona of STI policy,o•MIn policies nay re0cln an anluraenerA A stalmo erl On tN•oamfrals l0a not Con1w r19Rn to fine oemfloste taller m Mu of arch •. PROloonl rim. PONare NaHMr k Orinnall (613)516-0111 w .ltD)....Nal S Forth fling Street ML 1poNaregeabWreg0grimell.00e AIFnNA1n MYl 9 N ! ■orthuglton 4 01060 wMRAA 1 re ■uteal Ca• t .m rcme-N shire mathawwsr gDAAD Iv. Co. A Lcm,o inaealutiona, LRC Rat. Attn. 16ma 6 6uB. CDutura 130 Collage guest, edits 100 aONEg F. Bou" Badley M 01073 i. COVERAGES CERTIFICATE NUMTER9Last6r 3049 9-2019 REVISION NUMBER: THIS IS TO CERTIFY TILAT WE POLICES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO WE INSIMED NAMED I FOR WE FCl1CY PEAnD INDICATED. NOTWIPW NgNO ANY REOAPRABIT,TERM OR CONDIT ON OF ANY CONDUCT OR OTHER DOCUMENT WfDI RESPECT TO WADI We CERTPMATE MAY BE ISSUED OR AMY PERTM.WE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIE TERMS, EXCLUSIONS AND CONDTCNS OF SUCH POLICIES.LIMITS GROWN MAY HAVE BEER REDUCED BY PAID C1Ax.1S. Mm I IaFOFNYRK! uYn UxxnIn40OM4 want E,.qNoccI s 11000,000 A Z IXNMO14°E ❑OCgA s 300.000 504535217 914/201! 9/N/]oi! y®pP a 10,000 PBIlp41LeAW FWRY s 11000.000 OFNLIA°REMTE unrµq FB EEA: Oggyy AWRFO,Rre ! 2.000.000 Z gTIJLr❑JEtn ❑LL'C PROIMCIS.WMP.EI AW i i,000,000 s AVI°Itlal waNnr i 11000,000 A uIv,WFO BWRYINNBrIPxpeml s Z °MED asannv 911120111 114/2019 a1LILnxJURYIPp WINN) ! Z H.W. A Aye F i s mean z —c stow .ym a a,000 ■ I"ra"w"Da oCLln EY.M0=aV*nZ a 1,00010" A eYDWIIY dAMwOE AODEpAre S 1 000,080 z Flaala... 114/2911 11412.11 s salBw o9lNwnlox AIWmloTaruasuD r/x Aa'^dMElO11 aao.E 4FECU^YE E.L EYI.IA°>OFExr t 500,000 B "aFlCFAMflIBlFnikEa] ❑N/A 0�HNE OaC609917 9/4/3014 9/4/361f EL dOFAOE-FA EriW'E i S00 000 EL F. YMT f Sao 0.0 A C.."I Ssagrty WISSOb 9H/]019 9R/]Ol9 MM[YgfgAW 090BAW OFOFgMIaXa ILOtAIBrg/YdmH IAOOROt01.MeFoa Ae�NONYM,wry YM9ebON�o�sa N,gaOD CERTIFICATE HOLDER CANCELLATION SHOULDARY OF THE ASOVE DESCRIBED POLICES BE CANCELLED BEFORE Evidence of InrmrenCe WE EImBATCN DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W11H WE POLICY PRDVIBCNS. A0M01®REMAMAT N Grinnell, CICU, CIC f✓-j�-- -� Y' � O 19•&2010 ACORD CORPORATION. All NghM nMaryal. ACORD 26(201601) The ACORD name end logo are regllim marls of ACORD INS01b la/arl