38D-049 (6) BP-2024-1440
33 WINTHROP ST 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-2024-1440 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2024 Contractor: License:
Est.Cost: 4895 POTENTIAL ENERGY LLC 106184
Const.Class: Exp.Date: 04/27/2025
Use Group: Owner: JEFFREY VOLLINGER, ELLEN& WICE,
Lot Size (sq.ft.)
Zoning: URB Applicant: POTENTIAL ENERGY LLC
Applicant Address Phone: Insurance:
1 HARTFORD SQ, SUITE 216 (413)798-0273 we 9083282
NEW BRITAIN,CT 06052
ISSUED ON: 10/30/2024
TO PERFORM THE FOLLOWING WORK:
INSULATION/W E ATH E R I Z ATI ON
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 Driveway Final: 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: /2-
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
�c
The Commonwealth of Massachusetts
,. Board of Building Regulations and Standards i <98 7 .OR
icsl),1 r.L., i:
Massachusetts State Building Co e, 780 C 20(94 f{vMUN IPALITY
„r, USE
Building Permit Application To Construct, Repair, Re to r-De "sh a / Revised Mar 2011
One-or Two-Family Dwelling °(' ,, I
/ r'
This Section For Official Use Only
Building Permit Number: ,41)/A 'PNVO Date Applied:
57,E P ,& ci-&-- .� /0.30.
Building Official(Print ame) Si a Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
33 LJ;c,4lm Si 110 -045 .00I VD-Mg-o01
1.Ia Is this an accepted street?yes t/ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
it,-, ekei t Al 424 oc..e,c 0
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
(11c- Mfa- n\a... ry e c‘1c, rrlck
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone9
Public 0 Private Check if yes Municipal n site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
3 L.) - -1 J'yrr. \1a11,r5eC kt0rk-kvarocktil,Mt3 r)lot.0
Name(Punt) City,State,ZIP �a:
_Z 1 Uccc+A(,) St• ZoL -tti'i-71 7 tit-dual('eRci l•ex.,
il Address
and Street Telephone Et
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Owner-Occupied Repairs(s) ❑ Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units l Other Specify:'„r,s_4 4, -lor>
Brief Description of Proposed Work2:_,:r SGc:^5 4 Ors, ref.emu- A" PAmvstc.as (fit 3 3ct4 ce.r
C- .e.s—Llco.te Z" R-toerr-d 314 $4 , -lcNe. ,.eJv- S:u.S -lo" P*_1a4r510.as 124 s4
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building S 4 gcs I. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical S O 0 Standard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3. Plumbing $a 2. Other Fees: $
4. Mechanical (HVAC) $ 0 List:
5. Mechanical (Fire $
Suppression) Total All Fees:
�"' Check No,d7Cheek Amount:
476
6.Total Project Cost: $ A$C►' 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
Coastrecdo.Supervlsor License(CSL)
106184 04/27/2025'
Nicholas Meister License Number Expiration Date
None of CSL Holder
344 Andrews Street List CSL Typo(ace below) R
No.and Street Type Description
06489 U Unrestricted(Building up to 35,000 cu.f.)
c State,Southington,CT lir Restricted 18&2 Pa ily_Dwelling
M Masonry
RC Rooting Covering
WS Window and Siding
�p 8� SF Solid Fuel Burning Appliances
860-620-4433
ni otentialener cons i Insulation
Telephone Email address j D Demolition
Si Revered Home Improvement Contractor(HIC) 192284 6/21/2024
Potential Energy,LLC HIC Ramon Number Expiration Dale
HIC Name
1 H era Square HIC
ntBo E info@potentialenergyus.com
No.and Street Email address
New Britain,CT 06052 413-798-0273
Citytrown,State,ZIP 7ekiphone�
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e.152.f 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 Potential Energy,LLC
to act on my behalf;in all matters relative to work authorized by this building permit application.
]'riot s r®teturej E, (2Y
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION roax
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this app' at ion is accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent's Name(Electronic Signature) 1c ZlDate
NOTES:
An Owner who obtains a building permit to do his/her own weak or an owner who hires an unregistered contractor(not
registered in the Home Improvement Contractor(HIC)Program),will Ng 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
wvk w•.ntass.tio ocq Infornwdiou on the Construction Supervisor license can be found at mu5.mass. oy'dns
When substantial work is planned,provide the information below:
Total floor area(sq.ft.) 1 al\St'- (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) ► n O g sfr Habitable room count(o
Number of fireplaces 1 _ Number of bedrooms 3
Number of bathrooms 1 Number of halflbaths b
Type of heating system Gil SleA.rc% Number of decks/porches a)-
Type of cooling system- rn` Enclosed.9- Open
"Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
a Massachusetts L. °'<<
ftil :G
�' ��~ • �''' DEPARTMENT OF BUILDING INSPECTIONS �:� '�°
_ 212 Main Street • Municipal Building
�' Northampton, MA 01060 ���__�;�0
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: Cu ' - g'c'n S rn 4- S4`"*( 1"_ l fCr- c,...Q)C
The debris will be transported by:
Name of Hauler: rn-Itr c4-;cl Ervec-5y
�/ (C7- -;--)--
Signature of Applicant: Date: ttf zit tilt?
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOMER PHONE DATE CLIENT• WORK ORDER
Jeffrey Vice (202)494-7991 09/18/2024 547698 00004
SERVICE STREET BILLING 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 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.)
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 $700.22
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 $1,423.42 $71.18
Provide labor and materials to install an 8"layer of dense packed R-
25 Class I Cellulose to a kneewall floor.
BASEMENT SILLS-6"FIBERGLASS 124 $378.20 $378.20
Provide labor and materials to install R-19 unfaced fiberglass
insulation to the perimeter of the basement ceiling at the house sill.
Document Ref:VZKIG-DACVX-FBCOJ-PGNHC Page 1 of 4
WEATHERIZATION CONTRACT EVERS=URCE
CUSTOMER PHONE DATE CLIENT WORK ORDER
Jeffrey Wice (202)494-7991 09/18/2024 547698 00004
SERVICE STREET BILLING 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: $4,710.68
Program Incentive: $4,211.68
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,
Pa/rrck&lam Jeffrey Alice
RISE Rsprasentativa Client Signature
09-27-2024
Printed Name Date of Acceptance
Document Ref:VZKIG-DAC VX-F6COJ-PGNHC Page 2 of 4
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 Nice
Owner's Signature
09-27-2024
Date
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor
to the above referenced project:
Qt'ecs- lest LnPcg1/ 16/y/LtL1
Participating Contractor Date
Document Ref:VZKIG-DACVX-F6COJ-PGNHC Page 4 of 4
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Signature Certificate �:.:---
•�.�; Reference number:VZKIG-DACVX-F6COJ-PGNHC :�.�;
�. Signer Timestamp Signature "
Patrick Golarz 1 '❖:
Email:pgolarz@riseengineering.com �C ��r�•_ / /a
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:•:.; Sent: 18 Sep 2024 14:41:11 UTC
:•: Signed• : 18 Sep 2024 14:41:12 UTC �;
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'•••••• IP address:173.13.83.201 ••.
�:::� Location:Cotuit.United States ..;
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: Jeffrey Wice
;;.;{ Email:jmwce@gmail.com w + _ :::�
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:�:1 Sent: 18 Sep 2024 14:41:11 UTC J •;•::,
%,;�;, Viewed: 18 Sep 2024 18:55:27 UTC IP address:204.97.104.30 ;::�;.
.v. Signed: 27 Sep 2024 15:23:28 UTC Location:Albany,United States 4::;
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RISE CST - BASIC
vJune 2023
CLIENT Vollinger,Jim CLIENT# 547698 PASS ✓� U NO TESTS ri
FAIL I
TESTER COLE PAYNE DATE 09/14/23 (
Fail Reason _ ]
HVAC Equipment Type Fuel Venting Type Comments
Heating system 1 B=Boiler 1 Natural Gas Natural Draft -1 L-- 1
Heating system 2 _ _ I I
DHW C=Storyg a Tank 1 Natural Gas Mechanically Vented
AC I _
Blower Door Testing
Building Airflow Calculation: Volume:13.000 Occupants:1 Bedrooms: 2 Stories above grade: 2
15 Vent req Building: 76 Vent req Occupant. 45
�0%BAS: 796 BAS: 1,138 Blower Door start:
Basement included in volume calculation: Yes No Blower Door End:
Blower Door Barrier:
PERFORM AMBIENT CO MONITORING Zero your CO meter outdoors.
Are CO detectors present in home? Yes Ambient CO in any part of home>9 ppm? No Any gas leaks detected? No
CO CONCERN: If ambient CO is>=35 ppm,stop test,open windows,evacuate house with homeowner.
PERFORM WORST CASE DEPRESURIZATION TEST If all appliances are sealed,skip depressurization and spillage.
Set up home in'winter conditions':Turn all combustion appliances off,close and lock all exterior doors/windows.Close all CAZ doors,if any.
Close all interior doors,except to rooms with exhaust fans or returns ducts. NOTE:Excess depresurization does not necessarily fail CST.
ESTABLISH WORST CASE Establish baseline pressure. Press enter button after stabilizing to deduct baseline.
Pressure(Pa)
Turn ALL exhaust equipment ON. List exhaust appliances turned ON and quantities below. Record pressure
#Bath Fans #Kitchen Fans #Dryers Central Vac
Air handler and exhaust ON Record pressure
If the air handler increases negative pressure(more negative)in the CAZ,leave it ON. Otherwise,turn the air handler OFF
OPEN door to CAZ(if applicable) Record Pressure
Record worst case depressurization number:Most Negative 0
If there is unsealed ductwork in CAZ with natural draft appliance,select Yes No
PERFORM SPILLAGE,DRAFT,AND CO TESTS Performed with CAZ in worst case.Monitor ambient CO throughout testing
Record Outside Temp Draft limit -2.75 Check for evidence of flame rollout,stop testing if Yes I I
Check for flame distortion on air handler start
1. Test smallest BTU appliance for spillage within 2 minutes of operation PASS Test smallest BTU appliance exhaust after
Test smallest BTU appliance draft -3.2 5 minutes of operation.
Draft limit pass/fail CO(0): 20 CO:,,13 ,02:
2. Test next larger BTU appliance(if any)for spillage within 2 minutes PASS Test next larger BTU appliance exhaust after
of operation.Retest smallest BTU appliance for spillage PASS 5 minutes of operation
Test next larger BTU appliance draft CO(0): 8 CO: 5 02:
Draft limit pass/fail
3. Test additional larger BTU appliances(if any)in similar fashion,re-testing each preceding smaller BTU appliance for spillage
4. If an appliance fails for spillage,test for spillage in natural conditions(all exhaust off),alone(Pass/Fail)
If an appliance fails in natural conditions,open window or door in CAZ to simulate makeup air,test for spillage DHW WCD-only spillage
Review likely spillage causes with customer and direct to heating contractor. that passes under natural
conditions means it is NOT
5. Test gas oven exhaust CO:( 6.Test gas dryer exhaust. CO(0): CO: 02: a barrier to WZ.PASS.
PASS: Below CO threshold AND passes spillage. FAIL: Over CO threshold CR fails spillage.
Work may not proceed until system is serviced and problem corrected.
CONCLUSIONS: Check appropriate result at top of this form.Discuss health and safety problems,concerns,recommendations,and resolutions.
Turn off running water for DHW,check DHW temp. Make sure heating system is on/operating.
Turn fuel switch on. Issue WZ Barrier,if appropriate.
RISE CST - Reference and Notes
REFERENCE TABLES
Appliance Threshold Limit CO(0)Calculator:(20.9/(20.9-02))'CO= Acceptable Draft Test Ranges
Central Furnace 400 ppm air free CO(0) Outside Temp(F°) Min Draft Pressure
Boiler 400 ppm air free CO(0) CO CONCERN:If ambient CO is>=35 ppm <10° 2.5
Stop test,open windows and evacuate house
Vented Room Heater 200 ppm air free CO(0) with homeowner. 10°-90° (Temp/40)-2.75
Water Heater 200 ppm air free CO(0) >90 -0.5
Oven/Broiler 225 as measured CO High CO on a SEALED COMBUSTION boiler-only is
Clothes Dryer 400 ppm air free CO(0) NOT a barrier to WZ work.Furnace is a FAIL.
NOTES:
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street-Suite 710
Boston,Massachusetts 02118
Home Improvement Contractor Registration
t-,.- y
Type: LLC
POTENTIAL ENERGY LLC +4I Registration: 192284
t,.., Expiration: 06/21/2026
1 HARTFORD SQUARE BOX 2-E
NEW BRITAIN,CT 06052 \..'\ ?:_ f
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE:L'_C Office of Consumer Affairs and Business Regulation
1311&22111000 Washington Street -Suite 710
earrit2o2s Boston,MA 02118
>OTENTIAL ENERGY Ll.0
JICHOLAS MEISTER / 'n •f '_
I HARTFORD SQUARE xt !, ..,frit�y
SUITE 216
JEW BRITAIN.CT 06052 Undersecretary Not valid without signature
, ..,,t,„..t ,..„,,,,a. .
r .
Commonwealth of Massachusetts
a d Division of Occupational Licensure
I in
Board of Building R egulations aria Standards
`H
Construction, T�_ 1 & 2 Family
4.
CSFA-106184 v . ' * spires: 04/27/2025
NICHOLAS EXA I '' . MEISiER ' '
344 ANDREVVS STREET
SOUTHINGT$)1 CT 06489 r ''‘
, k'F-
Commissioner i'. YEk i i it6L,
The Commonwealth of Massachusetts
�._. Department of Industrial Accidents
Ain
I__.¢ _ Office of Investigations
) _FOR_ iv Lafayette City Center
2Avenue de Lafayette,Boston,MA 02111-1750
011 wwwcmass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
ADDlicant Information Please Print Lemibly
Name(Business1/Organlzation/Individual):� C l/
Address: ti !-�Gr1-Eoc�d S�t .GZ �tanr S1 Uln�7 P -- —
City/State/Zip: A J10.4..1 M a����' Phone#: -"7 g' -O
Areyfh an employer?Check the appropriate box:
1.[ I am a employer with 4. [] I am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any capacity. employees and have workers' 9. ID Building addition
[No workers' comp.insurance comp.insurance.:
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.EOtherT43,Sy - ta
comp.insurance required.]
*Any applicant that checks boot N 1 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,
tenntnctors that check 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 must provide their workers'comp.policy number.
. , .---- ----
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. A
Insurance Company Name: A S S j;g: \t1Stc_ 2c I Cg-
Policy#or Self-ins. Lic.#: L)C gOe 3 a,g . _ Expiration Date: 8/24/2025 -
Job Site Address: 33 Winthrop Street City/State/Zip: Northampton, MA
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S1,500.00 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. 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 certify dte.paine lttes of perjury that the Information provided above!s true and correct.
Signature: . Date: 10/22/2024 _ v
Phone#: 1.11 3.-19 L-0A-)3
i ,.
Official use only. Do not write In this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(ch k one):
10Board of Health 20 Building Department 3t]CityPTown Clerk 4.❑Electrical Inspector 5r1Plumbing
Inspector 6.00ther
Contact Person: _ Phone#:__