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42-167 (4) 16 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS BP-2021-1757 Map:Block:Lot:42-167-001 Permit: New Build CITY OF NORTHAMPTON PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1757 PERMISSION IS HEREBY GRANTED TO: Project# BEM-2 02 1-00 1 04 1 Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 29000 LLC 103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: FLANNERY, JAMES J Lot Size (sq.ft.) Zoning: WSP Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 4132035888 R2WC130849 EASTHAMPTON, MA 01027 ISSUED ON:09/10/2021 TO PERFORM THE FOLLO WING WORK: FOUNDATION ONLY 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: I e, • V . Tit * Fees Paid: $200.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner ( r The Commonwealth of Massachusetts A. Board of Building Regulations and Standards AjT ,: F R ` Massachusetts State Building Code 7p C R M NIC PALITY g , E Building Permit Application To Construct, Repair, 11enov` ©I~ R vise Mar-7011 One-or Two-Family Dwelling t,�rirH4 1-743,1 $AW; oNs n This Section For Official Use Only Building Permit Number: . P- a I - /7 57 Date Applied: '% .• > -9 Building Official(Print Name) 1 Signature Date ( SECTION 1:SITE INFORMATION 1. ope Addre ' 1.2 Assessors Map&Parcel Numbers ' �e , / ,k4 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensipns - �y Proposed Use Lot a e (c " Z 7—b S i li( jot-7 Zoning District Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required I Provided Required Provided i 1 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 lcr Private❑ ❑Municipal On site disposal system Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' Ifewnerl of R N it/s C 611 it. e(P ` .� Ci State,ZIP , J. dSzftOwl5SI I c'A ZTephone UEddrmsT SECTION� 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction let Existing Building 0 ( Owner-Occupied 0 f Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 1 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': ?. �' 0 5c7 ..r yet styj„ , SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 036 e« 0 R 1. Building Permit Fee: $ Indicate how fee is determined: I 0 Standard City/Town Application Fee i 2.Electrical $ it 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 6! Or-r 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ i,1 o Total All Fees: $Check No.'53+theck AmounM aVJ•) Cash Amount: 6.Total Project Cost: $ 7 6i l_3{ � I p Paid in Full ❑Outstanding Balance Due: CcOO al ck. ) v....' p.o � I x SO -74 /#1�)- 6alt"t n- SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C S— l 03C 6/ Lt o27�_ � rwes P7 ? W License Number Ex on Name f CSL older tcl(Sitite 'r 1 List CSL Type(see below) rL � Descri tion IV N . p C, 1v1 /; U L-(0 �U Unrestricted(Buildings up to 35,000 cu.ft.) O `( ( R Restricted l&2 Family Dwelling ity/Toi,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 Al(141DAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be co...leted and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuanc> of the building permit. Signed Affidavit Attached? Yes r. No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FORRUILDING PERMIT I,as Owner of the subject property,hereby authorize 1-7---- /G { "!/' `G"`" to act on b alf,in all matters relative to work authorized by this building permit application. c/7'/ P t Own r ame(Electroni gnature) ate SECTI N 7b:OWNER1 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 's a lication is true nd accurate to the best of my knowledge and understanding. CI ai,47 Pr nt IOwner's A horized Agent' ame(Electronic Signature) D e +i 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.) /2-00 (including garage,finished basement/at�c' s,decks or porch) Gross living area(sq. ft.) S/p u.,(L Habitable room count Number of fireplaces Number of bedrooms 'Z Number of bathrooms '�. ` Number of half/baths / Type of heating system 1-fed- ,f){}I+'LD Number of decks/porches `lam 1 Type of cooling system 1 ' U Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" /ZO 0 City of Northampton O� Y4A MrJt �., Massachusetts ��s. x ce DEPARTMENT OF BUILDING INSPECTIONS w ' 212 Main Street • Municipal Building 9v� Os• we:" Northampton, MA 01060 Sr)‘'‘ 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: t'i - G Ic-e, GI, y The debris will be transported by: Name of Hauler: p6,46. ()e.,(-- --t /U Signature of Applicant: Date: `//,--/ CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD I, SIDE YARD1‘2_0_ SIDE YARD 7 FRONT SETBACK 'V) 6-6 r FRONTAGE Home Energy Rating Certificate Rating Date: 2021-09-27 HIS Projected Report Registry ID: HERS p Ekotrope ID: 7dBPGwr2 HERS® Index Score: Annual Savings Home: Your home's HERS score is a relative X Glendale Rd. 40 performance score.The lower the number, Northampton, MA 01062 the more energy efficient the home.To $ Builder: learn more,visit www.hersindex.com 288 "Relative to an average U.S. home Your Home's Estimated Energy Use: This home meets or exceeds the Use[MBtu] Annual Cost criteria of the following: Heating 11.6 $745 Cooling 0.6 $38 Hot Water 1.8 $115 Lights/Appliances 17.0 $1,094 Service Charges $84 Generation (e.g.Solar) 0.0 $0 Total: 30.9 $2,076 HERS Index Home Feature Summary: Rating Completed by: .....comp Home Type: Single family detached ,so Model: NIA Energy Rater: Hayden Cantoni RESNET ID: Existing '"O Community: N/A 130 Conditioned Floor Area: 2,31 Q fiz Rating Company: HIS&HERS Energy Efficiency 1)0 57R Adams Rd.Williamsburg,MA 01039 „o Number of Bedrooms: 2 4136588784 Reference Home 100 Primary Heating System: Air Source Heat Pump•Electric•3.56 COP e° Primary Cooling System: Air Source Heat Pump•Electric•21.7 SEER Rating Provider. Energy Raters of Massachusetts w 2 Woodlawn Street Amesbury,MA 01913 „ Primary Water Heating: Residential Water Heater•Electric•3.55 Energy Factor 978-270-3911 00..••.,� eo House Tightness: 2.7 ACHSO < - 50 Ventilation: 55 CFM••11 Watts ♦Q, . go /Ia.re•I" Duct Leakage to Outside: Forced Air Ductless /147;/‘‘ /_iwThis Home (/�:a Above Grade Walls: R-16W '" ' Zero Ever 10 Ceiling: Vaulted Roof,R-41 Home 0 Window Type: U-Value:0.28,SHGC:03 Hayden Cantoni,Certified Energy Rater 'MP' Lest Energy Foundation Walls: R-15 Digitally signed:9/27/21 at 3:06 PM II e kot ro a Ekotrope RATER Version:Li A.2751 The Energy Rating Disclosure for this home is available from the Approved Rating Provider. This •..rt does not constitute. warran or uarantee