38B-163 (2) BP-2021-1998
20 FORT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38B-163-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1998 PERMISSION IS HEREBY GRANTED TO:
Project# BP-2012-0921 Contractor: License:
Est. Cost: 57000
Const.Class: Exp.Date:
SCHLUENZ, JONATHAN, K &JONATHAN D
Use Group: Owner: RICHMOND
Lot Size (sq.ft.)
SCHLUENZ, JONATHAN, K &JONATHAN D
Zoning: URB Applicant: RICHMOND
Applicant Address Phone: Insurance:
20 FORT ST
NORTHAMPTON, MA 01060
ISSUED ON:10/07/2021
TO PERFORM THE FOLLOWING WORK:
RENOVATION
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.
Signature:
Fees Paid: $370.50
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Rou..Ei Pu
i RE _
The Commonwealth of Massachusetts ia
Board of Building Regulations and Standar,s •
oi) Massachusetts State Building Code, 780 C R OCT - S „�YIZI'JNIC E L Y
Building Permit Application To Construct, Repair, Reno .te Q_ :; • ish a Revises Mar 01l
One-or Two-Family Dwelling NORTH____IN;
This Lion For Official Use Only .AA 01060
Building Permit Number: (4, A< < Date Applied:
S /I ,
. ► '17 to
Building Official(Print Name) Signature , 1 to
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
ZD PP12-F- ',We -1- 3V9 30g - l (v3 - 00 )
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
u ?-g UP-g Z, oe S 7‘t• 5
Zoning District Proposed Use Lot Area(sq II) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
10 1b IS I . 5 20 to,6
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: ___ Outside Flood Zone?
Public,a Private❑ Check if yes Municipal krOn site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
\IoW 5t,}1UHaIlZ.- Nora-h/iMp *N MA- 0106, 0
Name(Print) City,State,ZIP
20 fi=v R-t (413) 5b/ b3 i/ ja14 svl,Ike k2Gt�9 ANA i ) • co m
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building jiir Owner-Occupied 0 Repairs(s) h' Alteration(s) g Addition 0
Demolition RI Accessory Bldg. 0 Number of Units 1 Other 0 Specify:
Brief Description of Proposed Work': c,$+ -'v 44111 . Yl eul I h 4 N 1A-hoN / B t,eaii #4,P 1`
glvlk6,11 . Ytpilat i hei+Ih -1-.� App1.10,,.nces w ur�-/ et-iL Go• re l 1Cj uve
y)-1 eY1 ►,9• ya i
kl4-an mi ' 2-siD •f yr bit 4 wt• new pow 12-ao -Ars'
F osv
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 20 1 p 00 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2. Electrical $
S i 0 0 Total Project Cost3 (Item 6)x multiplier x
3. Plumbing $ / 0 1 0 0 0 2. Other Fees: $
4. Mechanical (HVAC) $ / 2,1 0 0 0 List:
5. Mechanical (Fire $ /,
Suppression) Total All Fee's,:/ {� O �J V
Check No.1 G� Check Amount`. `
6.Total Project Cost: $ 7 / 0 0 0 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email 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 Issuance 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.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I 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 my knowledge and understanding.
30 .t/ki, )vt.tnz— /U / 5/ 7,2.1
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.) 1 3 'p (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces 0 Number of bedrooms 2-
Number of bathrooms I '/Z Number of half/baths /
Type of heating system M N I 5 PU+' Number of decks/porches /
Type of cooling system Enclosed Open )(
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidents
, / Congress Street,Suite 100
sar. Boston, MA 02114-2017
wwatmass.gov/dia
1Vorkers'Compensation Insurance Alliidasit:Buiklers/Contraetors/EkctriciansfPlumbers.
'ID tt1: E it.E:t)N1 I THE PERMITTING AUTHORITY.
ADDiicant Information Please Print t.et ihls
Name(Busincss C)rgantzationtlndnidualh:--- -j og l bi?AA Z.
Address: Z 0 Fv
City/State.Zip: Novi-11/1 M p+ n.J MA- 010 b D Phone#: (rn3) 5 bi• b 311
Are you an employer?Cheek the approjirietc!His:
Type of project(required):
la 1 am a employer with _._ employees(full anti'err part-timer• 7. CI New construction
2C1 I am a side proprietor or p,utnershap and had c no employees working for me in 8. @ Remodeling
any capacity.[No workers'ccnnp.unsunutu required.]
10 I am a ho ►tswner doing all work myself.ilso workers'trump.insurance required.]`
9. 0 Demolition
m
421 I am a hum-owner and will be hiring contractors to conduct all work on my property. I will 1 El Building addition
ensure that all contractors either}rase workers'compensation insurance or are sole I 1.1 Electrical repairs or additions
pruprietore with no employees.
12.0 Plumbing repairs or addition
50 I am a e rniral contractor and I has c hued the sub-contractors listed on the arcuated ahem. I 313 Roof repairs
These sub-contactors Rase employees and have workers'comp.insurance.'
et.O We an a curpe,ration and eta officers has e exercised their nght of eaempinm %1(per iL c. 14.0Ot}tet
1.12.t''1I41.and we lease no employees.[No workers'comp.insurance required.]
'Any applicant that ehevks box 41 must also fill out the section below show ing then workers'compensation pulley information.
°11dxrrcow ners who submit this affitkrsit indicating they are doing all work and then hue outside contractors must submit a new al tdas it indicating such.
:Contractors that cheek this box must attached an additional sheet show tog the name of the sub-contractors and state whether or not those entities has,
employees if the sub-conlracton.Nast:employees.they must pros idle their workers"comp.policy number.
I ant an employer that is providing worAers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: `
Policy#or Self-ins.Lic. #: __--.- Expiration Date:
Job Site Address: City?State?Zip:_
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to S 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 S250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
1 do hereby certify under the pain,and penalties of perjury that the information provided above is true and cerree(.
C'ilt,nt• -: (‘ 13) 7b I. b 3
Official use only. Dr,not write in this area,to be completed bt'city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.(`ity:Toss Clerk 4. E ectrical Inspector 5. Plumbing Inspector
G, Other
Contact Person: Phone#:
City of Northampton
! rlc Massachusetts �?Ss y. cam
1 DEPARTMENT OF BUILDING INSPECTIONS �=
212 Main Street • Municipal Building
Northampton, MA 01060 SbW 7‘'\,
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: Z `) 50147- -liamp N RD • No V•Nn av411) N MA-
The debris will be transported by:
Name of Hauler: Sel. - stmItAv,► Z.
Signature of Applicant: Date:
City of Northampton
a0M AM T
Massachusetts Os\*".1"41:
• DEPARTMENT OF BUILDING INSPECTIONS
wk r• L�x, 212 Main Street • Municipal Building�w ' Northampton, MA 01060
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT
I, o u 61 1I'BIM k • A#1 I U NZ— (insert full legal name), horn (insert
month, day, year), hereby depose and state the following: 40 0/13)/4 7 2,
1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or
work on a parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'
exemption, does not involve the field erection of manufactured buildings constructed in accordance with
780 CMR 110.R3.
3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2:
Person(s) who owns 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 home in
a two-year period shall not be considered a home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I
qualify for and will abide by the Massachusetts State Building Code's requirements for the super ision of
the project or work on my parcel, I am not engaged in construction supervision in connection with any
project or work involving construction, reconstruction, alteration, repair, removal or demolition
involving any activity regulated by any provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection with the aforementioned project or work on
my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work.
•Signed under the pains and penalties of perjury on this day of 133!/i'o ip , 20 v(.
(Signature
Home Energy Rating Certificate Rating Date: 2021-09-23
Registry ID:
Projected Report
Ekotrope ID: 3LM5n8KL
HERS® Index Score: Annual Savings Home:
Your home's HERS score is a relative 20 Fort St
58 performance score.The lower the number, Northampton, MA 01060
the more energy efficient the home.To4,49Builder:
learn more, visit www.hersindex.com Relative to an average U.S. home Jon Schluenz
Your Home's Estimated Energy Use: This home meets or exceeds the
Use[MBtu] Annual Cost criteria of the following:
Heating 26.3 $1,853
Cooling 0.7 $50
Hot Water 2.5 $173
Lights/Appliances 20.4 $1,433
Service Charges $84
Generation (e.g.Solar) 0.0 $0
Total: 49.9 $3,592
HERS Index Home Feature Summary: Rating Completed by:
iiip. w..r...s, Home Type: Single family detached
ISO Model: N/A Energy Rater: Jared Kain-Woods
RESNET ID: 7824901
Existing 140 Community: N/A
Homes ,b Rating Company: Power House Energy Consulting
llo Conditioned Floor Area: 2,464 ft2
,,p Number of Bedrooms: 3 PO Box 9571,North Amherst,MA 01059
Reference 413-835-5162
Home too Primary Heating System: Air Source Heat Pump•Electric•10 HSPF
°O Primary Cooling System: Air Source Heat Pump•Electric•20 SEER Rating Provider: Energy Raters of Massachusetts
so 2 Woodlawn Street Amesbury,MA 01913
m Primary Water Heating: Residential Water Heater•Electric•3.55 UEF 978 270 3911
6._ietHouse Tightness: 3 ACH50 7 '`�a,
so Ventilation: 55 CFM•50 Watts e ;
This Hoene e
40 ^ +IaiM-tls It
Duct Leakage to Outside: Forced Air Ductless ... ,r
:o Above Grade Walls: R-21 /v ) h'""•"°��
2eroE 10 Ceiling: Vaulted Roof,R-48 Jll Lea ' `at2� — 1dcyeitti
Horne G
Window Type: U-Value:0.55,SHGC:0.47 Jared Kain-Woods,Certified Energy Rater
ussuern Foundation Walls: R 10 Digitally signed: 10/1/21 at 11:53 AM
e ko t ro Ekotrope RATER- 5
I' The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This r-•on does not constitute an warran or.uarantee.
Stretch Code Specifications
Project Address 20 Fort St Northampton, MA 01060
POWERHOUSE HERS Rater Jared Kain-Woods
Slab Uninsulated
Foundation Walls R-10 fire rated foamboard
Blockers & Runners R-24 spray foam
Exterior Walls R-24 spray foam
Cathedral Ceilings R-49 sprayfoam
Windows & Glass Doors U-Factor= .55
Air Barrier&Air Sealing Details Maximum blower door test of 3 ACH50
Heating/Cooling Equipment 10 HSPF/20 SEER ASHP
Water Heater Heat Pump water tank
Ducts No ducts
Ventilation System Heat Recovery Ventilator(HRV)
Projected Ventilation CFM 55
Lighting 100% LED Bulbs
Refrigerator Energy Star certified
Dishwasher Energy Star certified
Washer Energy Star certified
Dryer Energ Star certified
Scenario HERS Index Score
All specifications used above, and 58 home built per plans
N 1107.4(R407.4)may use any combination of the following renewable energy trade-offs
to increase the maximum allowable HERS rating for each unit separately served by any
combination of the following:
1. Solar photovoltaic array rated at 2.5kW or higher shall offset five HERS points.
2. Clean biomass heating system,solar thermal array, or geothermal heat pump,or a
combination of these systems,operating as the primary heating system shall offset
five HERS points.
3. Solar thermal array for primary domestic hot water heating or a clean biomass
stove shall offset two HERS points.
NOTE: A clean biomass stove offset may not be combined with a primary heating
system offset.
Table N1106.4.1 (R406.4.1).Maximum HERS Ratings with Onsite Renewable Energy
Systems
Maximum HERS index score a
Whole house renovations;
Renewable Energy Source New construction additions
65
Solar PV>2.5kW;Renewable 60 70
primary heating system
Solar PV;Renewable primary 62 72
heating&solar thermal DHW
Solar PV&Renewable
primary heating&solar 67 77
thermal DHW
a Maximum HERS rating prior to onsite electric renewable generation in accordance with section NI 106.4
(R406.4).
N1106.5(R406.5)Revise the section as follows:
N1106.5 (R406.5) Verification by Approved Agency. Verification of compliance with
section N1106 shall be completed by an approved third party. For compliance using a
HERS rating or Energy Star Homes 3.1 certification, verification of compliance shall be
completed by the certified HERS rater. For compliance using PHIUS+ 2015 or PHI
software, verification of compliance shall be completed by a certified passive house
consultant.
N1108.1.2(R502.1.2)Add an exception to the subsection as follows:
EXCEPTION: Alternatively, the addition and any alterations that are part of the project
shall comply with N 1106(R406)and shall achieve a maximum HERS index using Table
N1106.4.1 (R406.4.1).
Jon Schluenz
395 Hadley Street
South Hadley, MA 01075
Jonathan Flagg
Northampton Building Department
Re: 20 Fort Street Northampton Building Permit Application
October 6, 2021
Hello Jonathan-
1 am writing in regards to the Building Permit Application for the proposed renovation project
at 20 Fort Street in Northampton.
I will be acting as the construction supervisor for the project. I am a licensed architect in the
state of Massachusetts. When renovations are completed, the house will be the sole residence
of myself and my partner.
Please let me know if you have any questions.
Thank you,
c uenz
'MA Arns #952682
02E D A/its
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No.952682
NORTHAMPTON
1- MA
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