Loading...
38D-049 (4) BP-2024-1156 33 WINTHROPST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38D-049-001 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-2024-1156 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est.Cost: 11500 ENERGY PROTECTORS INC 1(11 143 Const.Class: Exp.Date:06/16/2026 Use Group: Owner: JEFFREY VOLLINGER,ELLEN&WICE, Lot Size(sq.ft.) Zoning: URB Applicant: ENERGY PROTECTORS INC Applicant Address Phone: Insurance: 64 PAXTON RD (774)253-0277 V9WC522768 Spencer,MA 01562 ISSUED ON: 09/09/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: Final: Final: Final: Rough Frame: Gas: Fire Department I)rivewway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: //:712 Fees Paid: $78.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner /�. iq LI p The Commonwealth of Mass' •hus sFp � OFO '011\9. Board of Building Regulations an n¢r'ds. 6 M . F0 L1TY Massachusetts State Building Code.78 'MR. 'Oc�Q L Building Permit Application To Construct,Repair, Renovate Qr Demolish a % evise ,l1ar 2011 One-or Two-Family Dwelling -,'-.` / This Section For Official Use Only Building Permit Number: 60ial4,-I)SC/ Date Applied: \� S ,GI /07,10 � _ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P3rykrty Asldres NC Assessors Map& Parcel Numbers 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: — Outside Flood Zone' Public 0 Private 0Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' r ei r' 129ct►rd.. , w, c. e_ ti � tr ��vn 10 tzvx ,/A /\- t,1 - G t (�v Name(Print) t' City,State,ZIP -3 '3 \,.) v�, .A---V\fcAp S t- - 0►.— 6 t -7 6 ) ) No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other lali ecify: F'"e <' ZC‘A`c-c.� Brief Description of Proposed Work`: pt. ,r- S e--c-i.I J . v% S v 1 G. `l._ _ t-4 t C -o a- 4 `l c,..-1 ct , S, l c, A.- �. e ic-4-e r- . c.!� w c-l l% SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building S t i r 0`D I. Building Permit Fee:S Indicate how fee is determined: ( ❑Standard City/Town Application Fec 2. Electrical S ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List: 5.Mechanical (Fire S Total All Fee Suppression) Check No.4 Check Amoun� Cash Amount: 6.Total Project Cost: S ( t S d a 0 Paid in Full 0 Outstanding Balance Due: I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-101143 Joshua Dada License Number Expiration Date Name of CSL Holder List CSI,Type(see below) u St Paxton Rd No.and Street Type Description Spencer,MA 01562 U Unrestricted(Buildings up to 35.000 cu.ft.) R Restricted I&2 Family Dwelling City Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 774.253-0277 jdada79(Qnolmad.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) r, 24 172960 ISISPOSis t Energy Protectors Inc H1C Registration Number Expiration ate H1C Company Name or HIC Registrant Name St Paxton Rd jdeda79(ghotrna t.cam No.and Street Email address Spencer,MA 01562 774-253-0277 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 11V 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. yobte‘ c 3 clra`( 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 f 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,bca Information on the Construction Supervisor License can be found at www.mass.gov/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system 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 i_*- /. Department of Industrial Accidents _=�_ 1 Congress Street,Suite 100 =44 Boston, MA 02114-2017 ,is, ,'. ww►ttmass.gov/dia • Workers' Compensation Insurance Aftldavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print l.ettibh Name(Business/Organization Ind ividual):Energy Protectors Inc Address:64 Paxton Rd City/State/Zip:Spencer, MA 01562 Phone #:774-253-0277 Are you an employer?Check the appropriate box: Type of project(required): 1.Im a employer with IA employees(full and or part-time).' 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] ?.0I am a homeowner doing all work myself.[No workers'comp.insurance required.)' 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either hat e workers'compensation insurance or arc sole 11.0 Electrical repairs or additions proprietors with no employees. I_.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]31:Roof repairs These sub-contractors hate employees and have workers'comp.insurance.: 0 We arc a corporation14. III Otherweatherization �. and its officers hate exercised their right of exemption per VIGI.c. 152.S I(4).and we have no employees.[No workers'comp.insurance required.) "Any applicant that checks box yl 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 cheek 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 mum provide their worker,'comp policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the polio'and job site information. Insurance Company Name:National Liability&Fire Insurance Company Policy#or Self-ins.Lic.#:V9WC522768 v S Expiration Date: —1 1 t ! a Job Site Address: el —3 W l t�l- (--t ip t. City;State/Zip:IV or c•-t-Phil, A' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). CA t76 d 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: c/a" (.4_(Lc( Date: ` 3 O'-'( Phone#. 774-25277 Official use only. Do not write in this area,to he completed hr 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#: City of Northampton 1 Massachusetts /4 ►- '?e• 11 t .GV Ikl �,.��.v ill DEPARTMENT OF BUILDING INSPECTIONS i ,' , 212 Main Street • Municipal Building vp\,, C' - �,,. t Northampton. MA 01060 v'•" ‘. 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: Energy Protectors Inc 64 Paxton Rd Spencer, MA 01562 Location of Facility: The debris will be transported by: rw•-C. 45,--t U (OVe. 0 k-a1S G Name of Hauler: c 66, J-k_ Signature of Applicant: � g Date: S-I 0! li WEATHERIZATION CONTRACT EVERS=URCE CUSTOMER PHONE DATE CLIENT) WORK ORDER Jeffrey Wice (301)461-7677 07/25/2024 547698 11803 SERVICE STREET ELLING STREET PROPOSED BY. 33 Winthrop Street 33 Winthrop Street Cole Payne SERVICE CITY.STATE.ZIP BI.LING CITY.STATE.ZIP Program Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE: $499 CAP Eversource is offering your home a maximum cost of$499 for eligible insulation and air sealing measures.This is a limited time, non- transferrable offer from Eversource, contract must be signed by July 31,2024 and the work must be installed by October 31,2024. HOME AIR SEALING 4 $426.36 $426.36 Seal areas of your home against wasteful,excessive air leakage. 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.) ATTIC FLAT- 15"OPEN R-49 CELLULOSE 315 $904.05 $678.04 $226.01 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to open attic space. SLOPE-4"DENSE R-13 CELLULOSE 186 $494.76 $371.07 S123.69 Provide labor and materials to install a 4"layer of R-13 Class I Cellulose to sloped ceiling area. KNEEWALL-2"RIGID BOARD 314 $1,711.30 $1,283.48 $427.82 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to a kneewall area. KNEEWALL-3"FIBERGLASS R13 314 $700.22 S525.17 $175.05 Provide labor and materials to install 3.5' R-13 faced fiberglass batt insulation to the kneewalls. KNEEWALL FLOOR-8"DENSE R-25 CELLULOSE 470 $1,494.60 $1,120.95 $373.65 Provide labor and materials to install an 8"layer of dense packed R- 25 Class I Cellulose to a kneewall floor. WALLS-ALUMINUM SIDED 8" 1,240 $5 356.80 $4,017.60 $1,339.20 Install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting, if needed,will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead- Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. BASEMENT SILLS-6"FIBERGLASS 124 $378.20 $283.65 $94.55 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Document Ref:DTMOZ-VRY7A-XUYUV-BSAE8 Page 1 of 3 WEATHERIZATION CONTRACT EVERS=URCE CUSTOMER PHONE DATE CLIENT* WORK ORDER Jeffrey Wice (301)461-7677 07/25/2024 547698 11803 SERVICE STREET Ell-LING STREET PROPOSED BY: 33 Winthrop Street 33 Winthrop Street Cole Payne SERVICE CITY,STATE,ZIP BILLING CITY-STATE,ZIP Program Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING-OK Because the weatherization recommendations are in readily accessible areas and your energy specialist verified they do not contain knob and tube wiring,your weatherization can proceed without an electrician's inspection. Total: $11,466.29 Program Incentive: $8,706.32 Client Total: $499.00 I.DESCRIPTION OF WORK TO BE PERFORMED Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract: II.PAYMENT Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous incentives may increase or decrease the size of the Program Incentive Share, Cole_Paque Minty Nice RISE Representative Client SIgnatere Cole Payne 07-26-2024 Printed Name Date of Acceptance Document Ref:DTMO2-VRY7A-XUYW-BSAE8 Page 2 of 3 mass save Savings through energy efficiency PERMIT AUTHORIZATION FORM 1, Jeffrey Wice owner of the property located at: (Owner's Name) 33 Winthrop Street Northampton (Property Street Address) (City) hereby authorize the Mass Save"' Home Energy Services Program assigned Participating Contractor to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. Jeffrey Glue Owner's Signature 07-26-2024 Date FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: 5C/ t ( '9 -) Participati ontractor Date Document Ref DTMQZ-VRY7A-XUYUV-3SAE8 Page 1 of 1 ACC)REP DATE IMM!DD.YYYY) CERTIFICATE OF LIABILITY INSURANCE 8-26/2024 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 THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Nina Grochowski Coonan Insurance Agency, Inc. PHONE — FAX 267 Main Street IA/c.NQ, ;508-987-7122 _" (A/c,No;508-987-7152 MAL Oxford MA 01540 AD ss: nina@coonaninsurance.com - _ INSURER(S)AFFORDING COVERAGE 1 NAIC/ _ License#;1ZQ298S INSURER A:Safety Insurance Company _ 188 _ INSURED ENERPRO-01 INSURERS:National Liability&Fire Insurance Company Energy Protectors, Inc. 64 Paxton Road mutant c:Westchester Insurance Company _ Spencer MA 01562 INSURER D:Northfield Insurance Company INSURER E: Nautilus Insurance Co INSURER F: COVERAGES CERTIFICATE NUMBER:1411018109 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIR TYPE OF INSURANCE 'ADDL SUER (WDDYYYYYI IMM/D YD/YYYY)LTR COMMERCIAL MD WV() POLICY NUMBER LMwtS 0 X COIMdERCIALGENERALLIABILITY ' Y Y WS569024 8/31/2024 8/31/2025 _ EACH OCCURRENCE __ S 1.000,000 DAMAGE TO RENTED i CLAIMS-MADE ,...X.,OCCUR PREMISES(Ea occurrence). S 50,000 11 i MED EXP(Any ono person)_ $5.000 — _ i PERSONAL 6 ADV INJURY $1,000.000 OENI.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2.000.000 X_ POLICY _ PR COT I LOC PRODUCTS-COMP/OP AGG S 1,000.000 OTHER $ A AUTOMOBILE LIABILITY Y Y 8236519 12/23/2023 12/23/2024 COMBINED SINGLE LIMIT $1,000.000 .___ (El COddeRtl ANY AUTO BODILY INJURY(Per person) $ OUTOE ONLY X SCHEDULED BODILY INJURY(Piesald.M) S AUTOS x AUTOS ONLY HIRED X AUTOS ONLY ( accident) DAMAGE S S /E X uNeRELLAUAB X 'occUR Y Y AN1322957 1 8/31/2024 8/31/2025 EACH OCCURRENCE $1,000,000 ' EXCESS LIAS CLAIMS-MADE AGGREGATE S DED X RETENTION S in MD t = Y---'—-'--- B WORKERS COMPENSATION 1 V9WC522768 9/1/2024 9/1/2025 X 1 gA I TuTE 1 I°ER AND EMPLOYERS'LIABILITY --� AN1PROPRIETORPARTNER/EXECUTIVE YIN ElN/A E.L EACH ACCIDENT ,S 500.000 OFFICER/MEMBEREXCLUDED9 "' '- -- (Mandatory In NH) E.L DISEASE-EA EMPLOYEE S 500.000 It as descnte under —_ ------------ - - -- DkSCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 500,000 C Pollution L,abtlity Y ' G74384808001 1/6.2024 1/6/2025 gpyogate Lmd , 500,000 Each Occurence 500.000 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES(ACORD 101.Additional Remarks Schedule may be attached if more space is requiredi CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Unitil Corporation 325 West Road Portsmouth NH 03801 AUTHORIZED REPRESENTATIVE 1\,(,L& `—,-Yb 0/14-0.412--0. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration ENERGY PROTECTORS INC. 17 2960: 08/19l2026 64 PAXTON RD, SPENCER, MA 01562 — .- — • w f,, Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 3 Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Cofporaton Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 172960 08119/2026 Boston,MA 02118 ENERGY PROTECTORS INC. JOSHUA DADA 64 PAXTON RD. _' I SPENCER,MA 01562 Undersecretary of valid without signature ® Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure Unrestricted-Buildings of any use group which contain less than Board of Building R ulations and Standards 35,000 cubic feet(991 cubic meters)of enclosed space. Const nr �i'pervisor CS-101143 expires: 06/16/2026 cc JOSHUA S DADA 64 PAXTON PAXTON RD, ' SPENCER MA 4i1562 �l',. i Z5 4 J 1 AL,i' ri t.�(1l,LV '��. flIP' Failure to possess a current edition of the Massachusetts State Building Code Is cause for revocation of this license. Commissioner .1..2;tL/Ls.._ Contact OPSI:(617)727-3200 or visit www.mass.gov/dpllopsl