06-064 (2) 28 EVERGREEN RD - 62 CHESTNUT AVE EXT - UNIT 9 BP- 2011 -1071
GIS #: COMMONWEALTH OF MASSACHUSETTS
MaQBloc 06 - 064 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: New Single Family House BUILDING PERMIT
Permit# BP -2011 -1071
Project # JS- 2011- 001724
Est. Cost: $120000.00
Fee: $1184.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ANDREY V KORCHEVSKIY 87775
Lot Size(sq ft.): Owner: KORCHEVSKIY ANDREY
Zoning_UFA Applicant: ANDREY V KORCHEVSKIY
AT: 28 EVERGREEN RD - 62 CHESTNUT AVE EXT - UNIT 9
Applicant Address: Phone: Insurance:
235 WOODLAND WAY (413) 221 -7402
RUSSELLMA01071 ISSUED ON: 718120110:00:00
TO PERFORM THE FOLLOWING WORK.- CONSTRUCT 2 STORY SFH
ATT /GARAGE /PORCH
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 7/8/20110:00:00 $1184.50
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner
File # BP- 2011 -1071 L�C,
APPLICANT /CONTACT PERSON ANDREY V KORCHEVSKIY
ADDRESS/PHONE 235 WOODLAND WAY RUSSELL (413) 221 -7402
J
PROPERTY LOCATION 28 EVERGREEN RD - 62 CHESTNUT AVE EXT - UNIT 9
MAP 06 PARCEL 064 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out of
Fee Paid —
Tvpeof Construction: CONSTRUCT 2 STORY SFH ATT /GARAGE /PORCH
New Construction
Non Structural interior renovations
Addition to Existin
Accesso1y Structure
Building Plans Included:
Owner/ Statement or License 87775
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION PRESENTED:
(/ Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
Signature of Building Of icial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
City of Northampton;"
Building Department
\ 212 Main Street r
6 O\
Room 100
orthampton, MA 01060
e 413- 587 -1240 Fax 413- 587 -1272
P CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address
This section to be comp eted;by office
u ear �F �c� Map Lot, tlnif
Zane Overlay District
oikStb1s . CB.Dlstrict
SECTION 2 - PROPERTY OWNERSHIPIA1,14WRIZED AGENT
2.1 Owner of Record
e '0 R�
Name (Print) Current Mailing Address:
�Ct s C') /0 ?/
Telephone
Signature
2.2 Authorized Aaent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee `
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) /-Z(0 Check Number
This Section For Official Use Onl
Building Permit Number: Date
Issued:
Signature:
Building CommissionerAnspector of Buildings Date
C �! L-
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete formation
Existing Proposed Required by oning
This column be filled in by
Building DepaY4ment' V
` Lot Size
Frontage $2—
_ I
Setbacks Front
Side 2 S L: .,.-.= R ! l L: - - -J R: _ ?
Rear 30 I --- s
Building Height �� t
Bldg. Square FI MV =
Open Space Footage____ %,___.__
(Lot area minus bldg &paved
parking)
# of Parking Spaces -----
Fill:
volume & Location
A. Has a Special Permit /Variance /Findin ever been issued for /on the site?
NO Q DONT KNO YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DO KNOW 0 YES 0
IF YES: enter Book _ Page, and /or Document #_
B. Does the site contain a brook, body of water or wetlands? NO DON KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued.
C. Do any signs exist on the property? YES 0 NO (
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO M
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
1
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all abalicable)
New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding I Other [i=]
Brief Description of Proposed 4 L 7� r 7
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
a. Use of building: One Family y Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms 3
c. Is there a garage attached? y
d. Proposed Square footage of new construction. � Dimensions 3 X
e. Number of stories? 2
f. Method of heating? `�S ° r 4 Fireplaces or Woodstoves ` �i Number of each l
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction 1 z'><6
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade /
k. Will building conform to the Building and Zoning regulations? _ Yes No.
I. Septic Tank City Sewer �_ Private well City water Supply _
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS 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.
Signature of Owner Date
I. as Owner /Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under e p ' nd penalties of perjury.
Signature of Owner /Agent Date
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor Not Applicable ❑
Name of License Holder
/V PX-t- �4- 7L'C --
License Number
1-4 S e1V CS
Address ' Expiration Date
Signature Telephone
9Rgiistemdlo +:lirprorltnrrGilttr Not Applicable Cl
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c.1S2, § 25C(&)).
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...... ❑
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner Person (s) who own 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 homeowner
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
The Commonwealth of Afassachusetts
Department of Industrial Accidents "
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass govIiha
Workers' Compensation Insurance Affidavit:. Builders/ Contractors /Electricians/PIumb.ers
Applicant Information Please Print Lezgibly
Name ( Business /Orgmizadon/ln&viduao
- Address:
City/Statemp: Phone. #:
Are you an employer ?.Check the appropriate'box: T e of project r
4.. I ara a general contractor and I yP P 1 ( e1� �
1. Q I am a employer with 6. M New construction
employees (M and/or part time).* have hired the sub- contractors listed 2_[] I am a sole proprietor or partner -. on the:attacheii sheet 7• Q.itemodeling
ship �d have rn eniloyees .. These sub-contractors have. .8. ❑Demolition
wo for me is as et�Ioyees es-and workers'
rkiag y c apacity.
9 13 C Mg addition
[NO VV/9T1CC15''' Cpn7p: IDS1ranm - . CS3II�. mctttanrr —•-
r ecL 5. El. we ate a corporation and its 10.0 Electrical repairs or additions
officers havrGercised tr 11. Plumb
hei' r airs or additions
3. I am a homeowner doing 0 work r ? eP
myself [No workers' comp. right of exempttori per MGL 12.
c: 152 1 (4y, and�we have no �' Roof airs
insurance regpired ] t 13.0 Otha
employees: [No workers'
comp. insurance regtuzed },
*Any applicant Shat checks -box #l-must,also M out the section bclowshowing dzir*od=s' eorapeasatiao policy formation:
f Homeowners who submit this affidavit,indicatlng they are doing all work and then hire outside contractors must subaut anew affidavit indicating such.
:Couttacaors that check this box mostattached an additional sheet showing the ==of the sub�cnntraciors and sale wheel= ornot4Xne-e t"', have
employees. If the sub- contr2aws have employees, they must provide tbeir workers' comp..policy number.
f am an employer the& isproviding workers' compensation hazwmrce for my employees Below is thepo&7 and job - site
information.
Insurance Company Name
Policy # or Self-ins. Lic. #: Expiration Date: .
Job Site Address: C" Sta r
m/' telZip: -
Attach acopy of the workers' compensation policy declaration page (showing the pghcy namber and -expiration date).
Failure . ta secure coverage . as required t &5i Secttoa - 25A: of MG a 152 oaa lead_to fhe imposnton ofc � penalties of a
fine up to $1,500.00 and/or one -Year imprisonmemr; as well as civil .penalties in the form of a STOP N 0(? Q1tD£R and a fne
of up to $250.00 a -day against tiie violator, Be advised that a copy of tins statement may be forwar to t3ic,0ffi of
Investseations of&e - 'DTA for „7srrranr i „ ff
c covera>e wcnfication: _
�nr
I do lcereby,certify ir e parrs and pmah*s of per�tcry# hat the information provtded ov it •o aadcar
X Si tore:
i/
Phone 0: 2 2 1 `7.4 0
"Official use only. Do not write in this area, tb be completed by eery or town `affXW
`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 #:
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner". as, " Person(s)
who owns a parcel on which he/she resides or intends 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."
The building department for the City of Northampton wants person(s) who. seek to use
the honre owner exemption, _to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes. and
regulations. The inspection process requires that the.building department be called to
inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection The
building department requires these inspections before the work is concealed, failure. to
secure these insuections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas)-the
homeowner will. be responsible to make sure that the trades hired secure their proper
ermits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can D1uLAY the project until such time as the proper permits and inspections are
.made
/` -- understand the above.
.(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued tome.
Date
Address of work
location
July 6, 2011
Andrey Korchevskiy
235 Woodland Way
Russell, MA 01071
Subject Property:
62 Chestnut Avenue Ext. — Unit #9
Leeds, MA 01053
Mr. Korchevskiy,
The plans for the Single Family Residential Building dated 3 -1 -96 have been approved as noted;
1. Individual items will be reviewed on site for verification of code compliance.
2. Structure must conform to 780 CMR 8 th addition 1 and 2 family building codes.
3. Energy components must meet stretch energy code requirements. (appendix 115AA) A copy of
the initial HERS rating is required as well as a copy of the final HERS rating with blower door and
duct blast testing results.
4. There must be a continuous air barrier behind all fireplaces, tubs, and showers on exterior walls
before fixture installation.
5. Note additional anchor bolts may be required to meet braced wall requirements.
6. Deck rail post must be bolted through the deck framing.
7. Dampened make up air is required for wood burning fireplaces.
8. Must be a smoke and CO within 10' of bedrooms, at the bottom of stairs leading to a finished
level, and for each 1200 SQFT. Smokes in each bedroom and heat detector in attached garages.
9. All engineered products must be provided with stamped engineering and shall be installed per
engineering drawings and notes.
10. Manufactures requirements must be followed for all intake and exhaust locations (separation
distances).
11. HVAC heat loss calculation per Manual J room by room.
12. HVAC equipment energy specifications.
13. HVAC contractor must obtain a sheet metal permit, the application must include a line drawing
of the supplies, returns, damper locations, and CFM flow at all registers.
14. The joist in the sunken Great Room require smaller spacing 12 OC or larger members 2 x 12.
15. Braced wall details for the garage line required, what will be done?
16. Manufacturing engineering for roof truss and LVLs.
17. List of which options are being used this building. Ext wall studs, siding, foundation, carrying
beam, 91,1 component
Charles Miller
Assistant Commissioner of Buildings
N H Z
ii N� 8 W :3 R
W.]/ nuu yuinonsr iw ilwni �- W W
ul
x cn
LLJ
® U
iQ O N Q
S N e y p 4 p i + a w� s
/n z Z.
5 0
q ^ y y Y
51 y �°� eA��� L �� � 2 o K � � i 3 �^ 38 •8 °
jig
�7 =� mrY•at eii.eY � W�
d_. ri.m' w 19Yri a EXTENSION 8
re.ri• i f ��7 _ '6
«` y r u 21c �.�� TNU yy
1. 64 �t �� ®� CNES uE T
9
11 �.. J` t AVEN b�
a `, O ea
M � ,wi• � � 9 Ilk ! R ell
CHESTNU
W CHESTNUT n
'._ O 1 Co O �� w1 � a � g 1q
list'
362 0' W
]oio' I W
K
I e].ro' xo2r3'2ew W
� I YES'°°°
vise 1]
� wu✓i0� lei. iAOe I
7 I
r 1�� {1 J
1
i0.'e•
I�Z� Iri.er• 1
SM'i ]],OI
rrie
iyN M ! IONM rMOE0 �q/ I
eope
>E r h 4�
h "gill
���� eorirnt '
0 0 0
— Ne0'1!']IY i]100'
— .J arc a r2wnwe+mi
-- - - - - -- r��ewiea GROPE AVENUE
--- - -- — — -
p)g roles ill
gggg w q �� y i = 11 VI a !ur! Muur x � I I �
F• F 7 3 �E�� �+
g °
oi'eu yS
— 1N.Ir.OWI �yi
---------------- _. - - -- ----- - - - -_. __ - - - - --
er pre 'KI loos 33S — —
rr nr xw —_--_ —___________ —_—_ —___ —_— _.— _�___________— .__— .___—__
fl ] �QgY 1py 1 �� 5 8 $ �y
•— — _ .und �9Y]rA rtr — — — — — — — — — — .— •— — — PI F �F B
CX e57 ' 4o e FAT ()^l`'Y" 7
Chubb
A UTC Fire & Security Company
32 Char Drive
Westfield, MA 01085
Tel 413 - 568-4709 Fax 413 -562 -7298 Chubb
www.chubbfs.com
MA SC #5864, CT FRP#0040818 -F1 A UTC Fire & Security Company
RI FPM#374, MA FA #607C, RI FA#9065
CT EL,C #105916 -L5
June 16, 2011 Andr e Korchevskiiy - Woodland Wa t\J4,-
235 y
Russell MA 01071
Attn: Andre Korchevskiiy
Re: Beaver Brook Condominium
Subject: Automatic Fire Sprinkler Quotation
Dear Andre,
Chubb, a UTC Fire & Security Company offers a full line of fire protection services. Installation and repairs of fire
sprinkler & fire alarm systems, tenant fit -outs, design build projects, NFPA inspections and 24 -hour emergency
service are all provided by Chubb. These services are available throughout the Southern New England region.
We are pleased to offer our quotation in the amount of $7000.00 (Seven Thousand Dollars) to install the automatic
fire sprinkler system at the above referenced project.
A. Our quotation is based on the following scope of work:
1. Plans & Spec's as per Home Design Alternatives Dated 3/1/96
2. Adequate water supply
3. Residential sprinklers installed throughout.
5. Plans to be reviewed by local authority having jurisdiction.
6. All work and material will be in accordance with NFPA 13D, 2002 edition
7. Installing white concealed sprinklers first floor and brass pendent sprinkler on exposed steel pipe in the
basement.
8. Adequate heat in all areas containing sprinkler pipe.
9. The piping for the first floor will be installed above the bottom cord of the attic trusses. Your
insulation contractor will be responsible to cover the piping to allow the heat from below to radiate up
and protect the piping from freezing.
B. INCLUSIONS:
1. Permit fees
2. Comprehensive general liability insurance
3. Shop drawings
4. Water flow & tamper switches (wiring by others)
5. Hydraulic calculations
6. Approvals from the authority having jurisdiction.
C. Exclusions:
a. Insulation
b. Utility or alarm company fees
c. Fire watch
Page I of 5
d. Control wiring
e. Electrical wiring or alarm connections to a central monitoring station
f. Painting
g. Cutting or patching
h. Hose racks/ cabinets
i. Fire extinguishers
j. Sprinkler protection in any other area
k. Premium portion of overtime labor
1. Bond premium (available upon request)
m. Fireproofing/ firestopping
n. Excavation, backfill, dewatering or shoring
o. Thrust blocks
p. Equipment handling of underground pipe and fittings
q. Concrete work
r. Testing and flushing of underground piping installed by others
s. Fire pump
t. Exterior piping
u. Backflow Preventer
v. Cutting of ceilings to accommodate sprinklers
w. Seismic bracing
x. Structural load bearing analysis
Chubb Fire & Security, LLC. operates an open shop. We have figured this project at our usual rates for mechanics
and will perform the work with our own people. This quotation is contingent upon a satisfactory credit check of the
General Contractor, Owner, and/or the project funding. Due to the uncertainty of material prices we will be unable
to honor this quotation after ten (10) days.
SALES AND SERVICE AGREEMENT GENERAL TERMS AND CONDITIONS
THE FOLLOWING TERMS AND CONDITIONS WILL GOVERN ALL TRANSACTIONS BETWEEN CUSTOMER AND SELLER FOR THE
GOODS AND SERVICES THAT ARE THE SUBJECT OF THIS AGREEMENT. THESE TERMS AND CONDITIONS ARE INCORPORATED
BY REFERENCE INTO ANY PURCHASE ORDER ISSUED BY CUSTOMER AS IF EXPRESSLY SET FORTH THEREIN. ANY
ADDITIONAL OR DIFFERENT TERMS OR CONDITIONS CONTAINED IN CUSTOMER'S PURCHASE ORDER OR IN ANY OTHER
DOCUMENT SHALL BE DEEMED OBJECTED TO BY Seller AND SHALL BE OF NO FORCE OR EFFECT.
THE PARTIES EXPRESSLY AGREE THAT MONITORING SERVICES ARE SPECIFICALLY EXCLUDED FROM THE SCOPE OF THIS
AGREEMENT.
1. PAYMENT: The Customer will promptly pay invoices within thirty (30) days of invoice date. Should a payment become thirty (30) days
or more delinquent, Seller may stop all work under this Agreement without notice and /or cancel this Agreement, and the entire
Agreement amount shall become due and payable immediately upon demand. A finance charge will be added to past due accounts at
the rate of one and one -half percent (1.5 %) per month, or at the highest legal rate, whichever is less. Any standard goods that are either
received at the Seller warehouse, or delivered to the Customer site, that are later canceled or returned by Customer are subject to a fifteen
percent (15 %) restocking fee. Any custom orders are subject to a one hundred percent (100 %) restocking fee.
2. TAXES: The Customer shall be responsible for all taxes applicable to the work and/or materials hereunder.
3. WORK HOURS: Seller will perform all work during normal business hours: Monday through Friday, 7:00 a.m. to 3:30 p.m. Any requests for
work to be performed outside normal business hours will be billed at Seller premium rates in effect at the time the work is performed.
4. INSTALLATION /SITE CONDITIONS: Seller will arrange for installation of the equipment in accordance with specifications, drawings and
instructions provided by Customer, which specifications and drawings are considered a part of this Agreement. Customer shall provide
Seller a safe working environment and unencumbered access to all areas where work is to be performed. Customer acknowledges that
Seller's service personnel have been instructed not to perform any work in hazardous locations until working conditions have been made
safe, as determined in the service personnel's sole discretion, and it is the responsibility of the Customer to take any measures
necessary to eliminate such hazards before the work may proceed. Customer shall provide reasonably adequate lighting, heating,
ventilation and other working conditions to permit safe and proper installation. Suitable foundations, wall openings, curbing holes, pits,
tunnels, culvert piping, grouting, surrounding masonry and concrete, canopies and architectural enclosures, and sun screens shall be
constructed by others at Customer's cost. Customer shall also provide at its own expense the power and lighting that is required for proper
operation of the equipment. If, through no fault of Seller, Seller cannot proceed with the work within a reasonable time after delivery of the
equipment and /or Seller's arrival at the work site, Customer shall pay Seller's actual expenses, including, but not limited to, additional service
fees and any storage fees incurred by Seller in waiting to proceed or in returning to Customer's premises to perform the work. Customer
shall notify Seller of any cancellations forty -eight (48) hours in advance of any scheduled service call. Failure to so notify will result in an
additional service fee charged to Customer. Customer shall secure and pay for any required building permits and governmental fees,
licenses, and inspection necessary for the proper execution and completion of the installation of the equipment which are legally required at
the time that the installation is done. Customer shall give all notices and comply with all laws, ordinances, rules, regulations and lawful orders
of any public authority bearing on the performance of the work. In the event that Seller is required, in connection with the installation of the
Page 2 of 5
equipment, to do additional work either because Customer did not prepare the job site, or because the drawings, wiring, or other work done
by Customer or for Customer by others, was not properly represented in the drawing supplied to Seller, Seller shall have the option of doing
the additional work required to complete the job, and will charge Customer at Seller's current prevailing rates for such work, or, of
abandoning the installation and being paid in full by Customer upon demand therefore. Any additional amounts so charged shall be due
within ten (10) days of receipt of invoice by Customer. Customer represents to Seller that it has an interest in the real estate on which the
equipment is to be installed and that has the authority to and hereby authorizes Seller to do the work as provided in this Agreement. Further,
Customer warrants that the job site at which the installation work to be done hereunder, complies with all applicable safety and work rules,
OSHA regulations, and other governmental and contractual requirements as to working conditions.
5. TIME AND MATERIALS SERVICE WORK: In the event that Seller is asked by Customer to perform service work on a time and
materials basis during the term of this Agreement, and such wok is outside the scope of work contemplated herein, the Customer
understands and agrees that any such time and materials work will be performed by Seller pursuant to the terms and conditions
contained herein.
6. WARRANTIES:
INSPECTION WARRANTY - Seller makes no warranty, express or implied, in connection with any inspections services provided hereunder.
SERVICES WARRANTY - For all other services, including those provided on a time and materials basis, and excluding inspection services,
Seller warrants that the services provided hereunder will be performed in accordance with generally accepted industry standards and
practices. In the event that any services fail to comply with the foregoing standard within one (1) year from the date services are
completed, Seller will re- perform the non - complying services at no additional charge.
PRODUCTS/ REPLACEMENT PARTS WARRANTY - Any equipment or replacement parts provided by the Seller will be warranted for a
period of one (1) year from the date the equipment or replacement parts are installed by Seller. In no event shall Seller have any
obligation to make repairs, replacements or corrections required, in whole or in part, as the result of (i) normal wear and tear, (ii)
accident, disaster or other event beyond the reasonable control or fault of Seller, (iii) misuse, fault or negligence of or by Customer, (iv)
use of the equipment or replacement parts in a manner for which they were not designed, (v) causes external to the equipment or
replacement parts such as, but not limited to, water damage, power failure or electrical power surges or (vi) use of the equipment or
replacement parts supplied by the Seller in combination with equipment or software not supplied by the Seller. Any installation,
maintenance, repair, service, relocation or alteration to or of, or other tampering with the equipment or replacement parts performed by
any person or entity other than Seller without Seller's prior written approval, or any use of replacement parts not supplied by Seller, shall
immediately void and cancel all warranties with respect to the affected products.
THE FOREGOING WARRANTIES ARE THE SOLE AND EXCLUSIVE WARRANTIES GIVEN BY SELLER IN CONNECTION WITH
THE SERVICES PERFORMED AND PRODUCTS PROVIDED HEREUNDER, AND ARE IN LIEU OF ALL OTHER WARRANTIES OF
ANY KIND, WHETHER EXPRESS OR IMPLIED, ORAL OR WRITTEN, WHICH ARE HEREBY DISCLAIMED AND EXCLUDED BY
SELLER, INCLUDING WITHOUT LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE OR USE.
7. INDEMNIFICATION: Seller agrees to indemnify the Customer for losses due to bodily injury, or property damage to the extent caused by
Sellers negligent acts or omissions, or the negligent acts or omissions of its employees, agents and subcontractors during the
performance of this contract, but not to the extent caused by others.
8. INSURANCE: Seller agrees to maintain the following insurance during the term of the Agreement with limits not exceeding the stated
amounts: (a) Comprehensive General Liability insurance covering bodily injury and property damage with a limit of $1,000,000 per
occurrence and $2,000,000 general aggregate, (b) Statutory workers' compensation and employer's liability insurance for a limit of
$1,000,000 per occurrence, (c) Automobile liability covering bodily injury and property damage with a combined single limit of $1,000,000
per occurrence and (d) Excess/Umbrella Liability Insurance with a limit of $1,000,000 per occurrence and $2,000,000 general aggregate.
If Seller is performing services on Customer's site, Customer will be named as additional insured under the Commercial General Liability
policy only with respect to liability arising out of bodily injury or property damage but only to the extent resulting from the negligent acts or
omissions of Seller or its willful misconduct arising out of the ongoing performance of its obligations under the contract. Seller does not
otherwise name parties as additional insured or agree to waive its rights to subrogation. Seller does not provide copies of its policies,
certified or otherwise nor does it provide endorsements.
9. FORCE MAJEURE: Seller shall not be liable for any failure to perform or delays in installing or repairing equipment or systems, or for any
interruption of any service to be performed hereunder, or in the performance of an obligation hereunder as a result of an event beyond its
reasonable control, including, but not limited to, strikes, industrial disputes, fire, flood, acts of God, war, vandalism, riot, national
emergency, acts of terrorism, embargoes or restraints, supplier default, supplier default, extreme weather or traffic conditions, order or
other act of any governmental agency, and shall not be required to supply any service to the Customer while interruption of such service
due to any such cause shall continue. Service charges shall cease until service is resumed.
10. WAIVER OF CONSEQUENTIAL DAMAGES: NOTWITHSTANDING ANYTHING ELSE IN THIS AGREEMENT, NEITHER PARTY
SHALL BE LIABLE FOR ANY INDIRECT, LIQUIDATED, CONSEQUENTIAL, SPECIAL OR ECONOMIC LOSS, COST LIABILITY,
DAMAGE OR EXPENSES HOWSOEVER ARISING, WHETHER OR NOT FORESEEABLE AND WHETHER OR NOT DUE TO
NEGLIGENCE OF EITHER PARTY IN PART OR IN WHOLE.
11. LIMITATION OF LIABILITY: Notwithstanding anything to the contrary herein and to the extent permitted by law, the aggregate liability of
Seller to the Customer, whether in contract, tot (including negligence), or otherwise will be limited to one (1) times the contract value,
provided however the foregoing does not limit the liability of Seller for any injury to, or death of a person, caused by the gross negligence
of Seller.
12. ENVIRONMENTAL: Customer agrees and acknowledges that Customer shall be solely responsible for all costs, expenses, damages,
fines, penalties, claims, and liabilities associated with or incurred in connection with hazardous materials or substances upon, beneath,
about, or inside Customer's equipment or property, and Customer shall be solely responsible for reporting the presence of said
Page 3 of 5
hazardous materials or substances to the proper governmental authorities. Customer further agrees and acknowledges that title to,
ownership of, and legal responsibility and liability for any and all such hazardous materials and substances at all times shall remain with
Customer and that Customer shall be solely responsible for the removal, handling, and disposal of all hazardous materials in accordance
with all applicable governmental regulations.
13. EXPORT COMPLIANCE: Customer hereby represents and warrants that it will comply with the requirements of all applicable export laws
and regulations, including but not limited to the U.S. Export Administration Regulations, in the performance of this Agreement and the
treatment of Confidential Information herein. It is understood that countries outside the US may restrict the import or use of strong
encryption products and may restrict exports, and Customer agrees that Customer shall be solely responsible for compliance with any
such import or use restriction. Customer agrees to indemnify and hold harmless Seller from any costs, penalties, or other losses caused
by, or related to, any violation or breach of the representations and warranties in this provision. This provision shall survive any
termination or expiration of this Agreement.
14. FEDERAL ACQUISITION REGULATIONS: The components, equipment and services proposed by Seller are commercial items as
defined by the Federal Acquisition Regulations ( "FAR ") and the prices in any resulting contract and in any change proposal are based on
Seller's standard commercial accounting policies and practices which do not consider any special requirements of U.S. Government cost
principles and do not meet the requirements of Part 31 of the FAR or any similar procurement regulations. Seller agrees only to perform
a contract for the sale of a commercial item on a fixed -price basis. In addition, Seller will neither agree to submit or certify to any cost or
pricing data nor to any requirements to establish price reasonableness under FAR Part 15 or such similar regulations. In stating its
position, Seller refers to FAR Part 12 - "Acquisition of Commercial Items."
15. GENERAL: (a) This Agreement, and the Scope of Work, constitutes the entire Agreement between Customer and Seller and
supersedes all prior written and oral agreements in relation to the work contemplated under this Agreement. (b) No amendments,
modifications, or supplements to this Agreement shall be binding unless in writing and signed by both parties. It is agreed that for any
alteration to or deviation from this Agreement involving extra work, the cost of material or labor will become an extra charge (fixed -price
amount to be negotiated or on a time- and - material basis at Seller's prevailing rates then in effect) over the sum stated in this Agreement.
(c) Any rejection of goods for being nonconforming under the requirements of this contract must be made by the Customer by sending written
notification to Seller of the rejection within fifteen (15) days after their delivery. Such notification shall state the basis of the alleged
nonconformity of the goods and the description of that portion of the shipment being rejected. (d) This Agreement shall not be in effect or
binding upon Seller until signed by its duly authorized representative. (e) Customer may not assign its rights or delegate its duties hereunder
without the specific, written consent of Seller.
16. GOVERNING LAW: This Agreement shall be interpreted in and governed by the laws of the State in which the work is to be performed
including all matters of construction, validity, performance and enforcement. Attorneys' fees and other legal costs maybe assessed. This
Agreement may be executed in multiple counterparts, each of which shall be deemed an original and of equal force and effect.
17. COSTS AND ATTORNEYS' FEES: In the event that it shall become necessary for Seller to employ a collection agency or attorney to
collect unpaid charges or any other sums Customer may owe hereunder, Customer shall be liable to Seller for Seller's reasonable and
necessary costs of collection and attorneys' fees incurred in such collection activities. In the event of any other legal proceeding related to
this Agreement, the prevailing party in such proceeding shall be entitled to recover its costs and reasonable attorneys' fees from the other
party.
18. SEVERABILITY: If any term, covenant, condition or provision of this Agreement, or the application thereof to any circumstance, shall, at
any time or to any extent, be determined by a court of competent jurisdiction or an arbitrator to be invalid or unenforceable, the remainder of
this Agreement, or the application thereof to circumstances other than those as to which it is held invalid or unenforceable, shall not be
affected thereby and each term, condition or provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law.
19. SUBCONTRACTING: Seller shall have the right to subcontract, in whole or in part, any installations and /or services, including but not
limited to, monitoring services and /or limited warranty /extended limited warranty services which Seller may perform. Customer
acknowledges that this contract and particularly those paragraphs relating to Seller's limited liability, disclaimer of warranties, and third party
indemnification, inure to the benefit of, and are applicable to, any assignees and /or subcontractors with the same force and effect as they
bind customer to Seller.
20. NOTICES: All notices under this Agreement shall be in writing, signed, dated and sent by overnight courier or registered or certified
U.S. mail, postage prepaid, return receipt requested, to the parties at the addresses shown below. All changes of address must be in writing
and delivered as provided in this Section. Notices are deemed given when deposited, as described above, with the U.S. mail or in the
overnight receptacle.
Any such notice, if sent by the Customer to the Seller, shall be addressed as follows:
Page 4of5
SIGNATURES CONSTITUTE ACCEPTANCE OF THE TERMS AND CONDITIONS CONTAINED HEREIN
SELLER: Chubb, a UTC Fire &Spany
By: C
Printed Name: Brad Viola, Service Manager
AGREED:
CUSTOMER:
By:
Printed Name: / ! �� 7 Gfn�c ✓S c`�j
Page 5 of 5
y
DERARTMENT OF BUILDD\IG -INSPECTIONS q °�
INSPECTOR 212 Main Street 6 Municipal Building
Nord=ptm NLA, 01060
LOCATION c::
SQUARE FOOTAGE AMOUNT
BASEMENT @: 20 I/ 6"0 2 ; 3 L
/l60
1' FLOOR @.50
.' S25 247�m
2 FLR @ 30
FLOORS, FINISH ATTIC, GARAGE @.20
DECK/PORCHES @ :20
TOTAL.. � l � y s
0
10
'' JLS3H3
fR' a
t ��q
Y!
Ch
1 I Val
a 2. oo ',
Permit No. D10 -11
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 6/13/11
Check #: 8650
FEE: $250.00
THE BOARD OF PUBLIC WORKS
Driveway must be staked and house & lot number posted
The undersigned respectfully petitions your honorable body for: Installation of a new driveway
Permission to install a driveway at: 28 Evergreen Road, Lot #9, Florence, Beaver Brook
Estates
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All
Drainage shall be directed off the driveway surface to adjacent land and not on the existing
Roadway. Driveway surface to be paved as soon as possible if the grade of the proposed
Driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City
of Northampton in the event of a washout of this driveway. Code of Ordinances §350 -8 8
providing standards for private, individual driveways as amended by the City Council
on October 15, 2009, must be followed.
By: Gene Tacy /CDT Construction
Telephone: 585 -8677
nature: / cc
Proposed Location Inspection By: f� !/ �• .� ��V'l�
Gravel Base Grade Inspected By:
Final Approval:
THE BOARD OF PUBLIC WORKS voted that petition be granted.
Edward S. Huntley, P.E.
Director of Public Works
Cc: Building Inspector
Permit No. D 10 -11
Conditions: Driveway Permit
In lieu of plan approved by the City Engineer I agree to the following added conditions:
1. I will contact the Department of Public Works and have an inspector check and approve
the graded gravel base prior to paving to insure compliance with slope and location;
2. 1 further agree that if in the inspections, any of the permit conditions are not met that I
will at no expense to the City remove and replace the driveway as directed by the City
Engineer.
By:
Petitioner Signature
Name: Gene Tacy
Address: 158 North Maple Street
Florence, MA 01063
Note: The Public Works Department recommends that you provide a plan showing the
proposed driveway with grades and location in the future to avoid possible expense
which you will incur by not getting approval of actual plans in advance.
For Commercial and Industrial applicants, a plan showing the proposed driveway with
grades, location and Planning Board permits are required.
Cc: Building Inspector
rip o �co�
i
a �
j
-�2iv_
MUNICIPAL SEWER/ AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
587 -1570
A Department of Public Works Trench Permit and Sewer Entry Permit shall be required
prior to any construction or connection activity associated with this application.
Location: 28 Evergreen Road, Unit # 9, Beaver Brook Estates
Inquiry Made By: Andrey V. Korchevskiy 413 - 22 - 7402
Date of Inquiry: 6/1/11
Reason for Hook into City Sewer System
Request:
Municipal Sewer Main in Front of Location: Yes No
Municipal Storm Drain Available: 5'/2 deep Yes No
Size of Sewer Main: Material: Age:
Depth of Sewer Main:
Size of Service Connection:
Type of Service Connection:
Tie -in to Sanitary Main Tie -in to Sanitary Stub
Comments:
��� •
- 2 l U 416 -- 6 � c� L�19 Y Cs 1 %2
Note: If this availibility is for new construction this form must be hand delivered to Building
Inspector.
A corresponding "sewer entrance fee" shall be paid priorto making any connection to the municipal sewer
system. Arrangements of such installation shall be made with the Northampton Streets Department with a
minimum of 5 working days notification. All work shall conform to Northampton Streets Department
specifications.
)�4&
John Hall
Sewer Department
cc: Ned Huntley, Director DPW -
Louis Hasbrouck, Building Commissioner
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
587 -1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 28 Evergreen Road, Unit # 9 Beaverbrook
Inquiry Made By: Andrey V. Korchevskiy 413 - 221 -7402
Date of Inquiry: 6/1/11
Number of Type of Single Family Type of Private
Units: Unit(s): Accessory Apart. Ownership: Condo
Multi- family Rental
(Annli - ant to fill out the above)
Municipal Water Main in
Existing service to
Front of Location?
Yes: X No: site? Yes: X No
Size of Water Main: 8 Material: Ductile Iron Age: 2006
Approximate Static Street Flow Test Conducted: Yes: No:
Pressure: 40 If done attach results
Size of Service Connection 1
Suggested Meter Size: 3/499
Comments: The Water Department cannot guarantee adequate water pressure during peak demand
times at elevations above 320 feet.
• A corresponding water entrance fee shall be paid prior to making any connection to the municipal water
system.
rrange ents of such i lation shall be made with the Northampton Water Department with a minimum
!/ of 5 w ing da n fication.
/• Al ork all o fo Nort ton Water Department specifications.
David W. Sparks, Superintendent of Water Water Entry $200.00 Meter $150.00 Radio $100.00
cc: Ned Huntley, Director
cc: Louis Hasbrouck, Building Commissioner Note: If this availability is for a new construction
it must be hand delivered to the Building Inspector
' /� ��
ILK
Home Energy Rating Specifications Intake Form
The information on this form will be used by CET to create a Home Energy Rating and advise you on how to qualify
the home as ENERGY STW (or comply with the Massachusetts Stretch Code if applicable). Please fill out this
form to the best of your ability, missing or incomplete information may affect the accuracy of your preliminary
rating. Your final rating will be based on actual as -built specifications.
This form must be submitted with full -sized copies of the building plans, including:
❑ Plans: foundation, floor, and site plan indicating building compass orientation.
❑ Elevations indicating grade level for all sides of the building.
❑ Sections to clarify any cathedral /vaulted ceiling, floor level, and wall assembly details.
❑ Complete window schedule with rough opening dimensions.
❑ Indicate on plans all window sizes or include reference labels from window schedule.
Contact Inform
Applicant C ompany Name: Primary Contact: c 'Contact Phone; Email:
/v s ��' , CD ti S f - t�'cf c � i D M ; �,C/�✓l,e,/� . 11C�c 1�v 5 K � /. I 22 / � 7 S° D 2 ,ver.., PHA � �/ 6 ��, "fie C� �! 'c
Project Name & Address:
Project City: 1 Electric Service Natural Gas Service
C 5 ha S>< L�x�, ��� ��� ✓ `�� c �' Provider: Provider:
Number of Market Rate Units: Number of Low - Income Estimatgd Completion Date:
Units:
HVAC Contractor - Company: HVAC Contact: HVAC phone: HVAC E -mail:
HVAC contractor will be working on. ®heating system Elcooling system ❑domestic hot water
_ --
�r v ! k; 544 rLle %'�S £ __C€xYl� �� 3�S— 9�'3S
i Insulation S pecificatio ns
Insulation ! R -Value Total R- t Insulation Type* I Stud /Joist
Insulation Location Thickness I per inch of 1 Value of f Spacing (o.c.)
Insulation I O,$)siip �s
' ceilings (w/ attic above)
Sloped /cathedral ceilings � 4
� 16
Exterior frame walls*
3 1 16'
Rim /Band joists
L / , 6 2
— Floor over unconditioned basement�� --
Floor over garage � _ C2(
Ca ntilevered floo overhang — 0
F oundati on walls �C
Basement frame /walkout walls
Under -slab insulation Ins. width (feet)
i
Slab perimeter insulation ** Ins. depth (in)
• If foam insulation is used, specify type, such as: isocyanurate, expanded or extruded polystyrene, etc.
■ * If not using standard stick -frame construction please provide a wall section with your plans.
■ ** If any of the slab edge is exposed above grade, insulation is required. Please include a drawing detail.
Mail an entire set of plans and the Home Specification Form to:
Center for Ecological Technology ® 320 Riverside Drive, 1A * Florence, MA 01062
Please call 800- 369- 3333 x221 or email meganm @cetonline.org with any questions or for additional assistance.
Door and Window Specifications
Exterior Doors ®Insulated Steel Fiberglass []Wood ❑Other []storm
Windows ❑Clear Low E _ ❑Argon filled
Please attach a ( ❑ Wood #rame Vinyl frame ❑Other
window schedule ( -
with your plans. Manufacturer: NFRC whole -uni -Value NFRC whole -urn SHGC
t
Mech •- r
Heating Equipment Fuel Type: 1ENatural Gas ❑Oil ❑Propane ❑Electric ❑Other:
_.....— .._. _..
Furnace EJ Boiler ❑ Other:
Model Model: Model
Manufacturer Manufacturer: Manufacturer: 11 Rated output capacit Btu /hr or tons). ment Efficienc (AFUE, COP or HSPF):
AHRI reference # ❑Gas Fireplace - ❑vented or ❑unvented
Cooling Equipment Type of Equipment: Central A/C ❑Ground Source Heat Pump (Geothermal)
Rated output capacity (Btu /hr or tons): Make:
❑ NIA
Equipment Efficienc SEER or EER . Model:
AHRI reference # ❑ TXV valve ❑ EXV valve El none
Ground Source Heat Electric Resistance Backup Capacity (kW): Sensible Heat Fraction (SHF).
Pump additional specs _
If a vertical system - If a horizontal system -
N /A Number of wells: Number of Trenches:
Depth of wells: Trench Length:
Loop flow (gpm): Loop Flow (gpm):
Domestic Hot Water ❑Geothermal
Fuel Type: (Nat Gas ❑Oil ❑Electric ❑Other:
❑Desuperheater
Equipment Type:
❑Stand alone ❑Indirect fired instantaneous it ❑Other:
a e o u r or ons Make:
c or (E Model:
Ventilation System xhaust -only Mechanical Ventilation
(required) ❑Rated for continuous operation El Heat Recovery Ventilator (HRV or ERV)
❑ Low sone fan, sone rating: Sensible Recovery Efficiency:
❑ Type of control / timer:
Total Recovery Efficiency:
_ -.._ _ ..._. ....__ -._
Make: Model:
Appliance Info
(if known) Refrigerator. yes ❑ no El Dishwasher: yes ❑ no El
(must be ENERGY STAR if installed in MA) (must be ENERGY STAR if installed in MA)
Oven /Range: yes ❑ no ❑ Clothes Dryer: yes ❑ no ❑
Fuel Fuel
Ceiling Fans: yes ❑ no ❑
Please fill out Page 3 of this form if you will be installing solar hot water or photovoltaics.
Page 2 of 3 i_asi revised ii12110
Permit No. S19 -11
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING SEWER APPLICATION
A Department of Public Works Trench Permit shall be required
prior to any construction or connection activity associated with this application.
To the City of NORTHAMPTON, MASSACHUSETTS:
The un b eing the
�Owncr�����t�e property
(Owner, Owner's Agent)
located at 28 Evergreen Rd, Unit 9, Beaver , does hereby request a permit to install and
Brook
(Number) (Str
onnect a building sewer to serve the Residence [at said locatio
(Residence, Commercial Bldg., etc.)
1. The applicant and/or owner shall furnish upon request of the Superintendent the estimated
quantity and characteristics of waste to be discharged to the public sewer.
2. "Owner" shall mean the person holding title to the property served or to be served by the
building sewer.
3. The person or firm who will perform the proposed work is
Gene Tacy /CDT Const. T Florence, MA 01062
(Name) (Address)
4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit
"
In Consideration of the granting of this permit, the undersigned agrees:
1. To accept and abide by all provisions of the Code of Ordinances, City of Northampton,
Massachusetts, Sections 22 -41 through 22 -52, and all other pertinent ordinances or
regulations that may be adopted in the future.
2. To maintain the building sewer at no expense to the City.
3. To notify the Superintendent when the building sewer is ready for inspection and
connection to the public sewer, but before any portion of the work is covered.
\\Smb I \admin\Permits\S ewer Entry \Permits 2011 Sewer \S19 -11 28 Evergreen, Unit 9, Beaver
Brook.doc
T• �.- Co 33�
4. The City shall not be held liable for any open plumbing fixtures below street level.
5. The applicant and /or owner hereby agrees to pay to the City any sewer use assessments or
charges as may be established under city ordinance.
D SIGNED:
(Applicant)
Andrey Korchevskiy
235 Woodland Way, Russell, MA
1 (Address of Applicant)
413- 221 -7402
(Telephone No. of Applicant)
�500.00 ipection fee paid Check No. 171
Application approved and permit issued:
BATE �( /� �/ SIGNED:
(Director o f Publi s rks)
Code of Ordinances Section 22 -41 through 22 -52 available upon request.
Tie -in to sanitary main '2 . - - __j i service at street line $500.00 X
i n to storm drain $100.00
L - -- - - -
\ \Smb I \admin\Permits\S ewer Entry \Permits 2011 Sewer \519 -11 28 Evergreen, Unit 9, Beaver
Brook.doc
Vaw tv rx4
L
SEWER CONNECTION
INSPECTION REPORT
Northampton Sewer Department
125 Locust St.
Northampton, MA 01060
(413) 587 -1570
ate: 6/14/ e ngineering has taken ties to service
- - --
' Signature
--
T ype of Service - New X Rene Repair
I - i - PRIVATE
ipe: Size Material � �
ocat of I 28 Evergreen Road, Unit #9, B eaver Brook
(Street and Number)
�ermi Issued To: Andrey Korchevskiy
Contractor /Developer Insta I I inin — Gene Tacy /CDT Construction
Se rvice C onnection:
I
Florence, MA 01063
Telep No 413- 626 -3716
L --- -- -
�he ser vice connect a t this bo cat was insp by the undersigned on
(Date)
a t- and appro by: J
(Time) Sewer Supervisor
r --
have instructed � of that the
installati can be backfilled.
Measurements for all installation shall be listed on the back of this form. The information shall
be attached to the permit on file at the Public Works Department office.
\ \Smbl \admin \Permits \Sewer Entry \Permits 2011 Sewer \519 -11 28 Evergreen, Unit 9; Beaver
Brook.doc
d
Permit No. W26 -11
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION
A Department of Public Works Trench Permit shall be required
prior to any construction or connection activity associated with this application.
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the property
(Owner, Owner's Agent)
located at 28 Evergreen Rd, Unit #9, Beaver does hereby request a permit to install and
Brook Estates
(Number) (Street)
connect a 1" Water Service to the Residence at said location.
(Size) (Residence, Commercial Bldg., etc.)
1. "Owner" shall mean the person holding title to the property served or to be served by the
water service.
2. The person or firm who will perform the proposed work is
Gene Tacy /CDT Const. of Florence, MA
(Name) (Address)
3. Plans /sketch and specifications for the proposed water service shall be attached to permit.
In Consideration of the granting of this permit, the undersigned agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT FEE is $200.00.
3. Additional work performed by City forces from the water main to street line shall be paid at
the prevailing labor rates and cost of material.
Water Meters 5/8" $100.00
Water Meters 3 /4" X $150.00 Radio Read $100.00 X
Water Meters 1" $200.00
Water Meters 1.5" and above shall be purchased by the owners using city specs.
4. A fee of $100 for the Radio Read Fee with the purchase of a new meter.
5. The Water Superintendent shall be notified for water line inspection prior to backfill of
trench.
6?va.d 6,7U, 7��T
txi* cA-* 6 33P Z10-//
Permit No. W26 -11
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION
DATE: 6/14/11
(Applicant)
Name of Applicant: Andrey Korchevskiy
Address of Applicant: 235 Woodland Way, Russell, Ma
Telephone #: 413- 221 -7402
$ 200.00 Entry fee paid Check No. 171
$ 150.00 Meter fee paid Check No. 171
$ 100.00 Radio Read Fee paid Check No. 171
Application approved and permit issued:
DATE: SIGNED:
(Director o Pu is W s)
Fee Schedule:
Water Entry Permit Fee: $200.00 X
5/8" Meter Fee $100.00
3 /4 " Meter Fee $150.00 X
1" Meter Fee $200.00
Radio Read Fee: $100.00 X
\ \Smbl \admin \Permits \Water Application \Water Permit 2011 \W26 -11 28 Evergreen Rd, Unit #9,
Beaver Brook.doc
U
Permit No. W26 -11
WATER CONNECTION
INSPECTION REPORT
Northampton Sewer Department
237 Prospect Street
Northampton, MA 01060
(413) 587 -1570
Date: 6/14/11
Type of Service: New Lxl Renewal El Repair El
Pipe: Size 8" Material DI Age: 2006
Water Entry Fee Paid: Yes No N/A [
Meter Size 3 /4 " Fee Paid? Yes No [ N/A
Radio Read Fee: Paid? Yes
Location of Installation: 28 Evergreen Rd, Unit #9, Beaver Brook
Street and Number
Permit Issued To: Andrey V. Korchevskiy
Contractor /Developer Installing
Service Connection: Gene Tacy /CDT Construction
Telephone No.: 413 - 626 -3716
The service connection at this location was inspected by the undersigned on
Date
at and approved by
Time) Water Supermten ent
I have instructed of that the
installation can be backfilled.
Measurements for all installation shall be documented by the Water Department. The
information shall be on file at the Public Works Department office.
Proposal for HERS Rating and Stretch Code Services
Provided by the Center for EcoTechnology
Date: Thursday, June 30, 2011
Your // kp✓�c �, ��gr� # of units (1-4 units)
Name:
Home C41� S x o Square CC
O•^c�r �� �i4F ss A P�
Location: Wes ern, Massachusetts Footage
Home Energy Rating System (HERS) Analysis & Consultation ... ...........................$350 per unit
• Initial analysis /modeling of construction drawings and specifications provided by project team
to Center for EcoTechnology
• Pre - construction meeting at our office to review the results of the analysis with the builder,
subcontractor and /or architect
• Discussion of Energy Code Requirements and documentation for building code official from
preliminary Home Energy Rating
• Interactive feedback on reaching HERS Index goals (e.g., mechanical system alternatives; duct
configurations, insulation types and air sealing techniques)
• Feedback on qualifying the project to earn the $2,000 federal income tax credit for builders
Verification & Testing Services (2 site visits) ............................... ............:..............$600 per unit
• Onsite insulation inspection before drywall, including feedback on air sealing techniques for
increased building tightness
• Verification of compliance with the ENERGY STAR Thermal Bypass Checklist
• Air leakage testing with a blower door at final inspection
• Duct leakage testing if the home has a duct system
• Final HERS Index report and air leakage test results report
ExtraInspection (if needed) .................................................................. ............................... $75 /hr
• If a re- inspection or extra inspection is requested by the builder for any reason. , Hourly fee will
be charged for travel time to the site as well as time spent on site.
W
=��`� Center for EcoTechnology, 320 Riverside Drive 1A, Northampton, MA 01062
413 - 586 -7350 ext.242 / greenhome @cetonline.org / www.cetonfine.org
U " �� y E CENTER FOR
P 1 of 2 v052711 www.cetontine.org 9
Proposal for HERS Rating and Stretch Code Services, p. 2
Important Notes:
• Changes to specifications that occur after the initial analysis should be reported to Center for
EcoTechnology to ensure the accuracy of the final rating.
• Additional modeling beyond the initial analysis and final verified analysis are not included in the price
above. Additional modeling can be provided at a rate of $75 /hour.
• Normally, Center for EcoTechnology will be able to schedule a site visit if you request it four business
days in advance. It is the client's responsibility to call us at least 4 days before a test is needed to
schedule the site visit. Under unusual circumstances, we will have to reschedule a visit even though the
client has requested it four days in advance; we will advise the client as soon as possible if this should
be necessary. Visits may be scheduled on less than four days notice on occasion, but we will not be
able to do this on a regular basis.
• This proposal is valid for 90 days, if the project does not enroll during that time please request a new
proposal. These fees will be valid for services provided in the 2011 calendar year only; we reserve the
right to change our fees in 2012.
• Payment of HERS Analysis fee is required before analysis. All other fees will be invoiced to the client as
needed. Center for EcoTechnology's fees are non - refundable.
• This is a proposal for a typical home that has less than 4,00.0 sq ft of conditioned space. For other
projects that are pursuing ENERGY STAR certification, are larger, modular, have 5 or more units, or are
located outside of western Massachusetts, please request a new fee proposal.
• The client is responsible for installing code - compliant features in their buildings. Any advice given or
suggestions made by us, even if followed, do not guarantee compliance. Center for EcoTechnology
shall not under any circumstances be liable to any party for incidental or consequential damages, or for
any sums beyond the amount paid for our services.
• Center for EcoTechnology will provide client documentation of completed analysis and testing within 14
business days of the final inspection. If requested, we can often provide analysis and documentation
more quickly. Please inquire about the ability to provide documentation within 48 hours of inspection.
• It is the client's responsibility to provide documentation from analysis and inspections to the proper
building code official and schedule all other needed inspections with the code official.
• This Agreement constitutes the entire agreement between the parties with respect to its subject matter
and this Agreement supersedes all prior or contemporaneous agreements, representations, or
understandings, written or oral, explicit or implied, concerning the subject matter of this Agreement. This
Agreement may not be modified or amended except in a writing signed by a duly authorized
representative of each party; no other act, document, usage or custom will be deemed to amend or
modify this Agreement.
understand and agree to the terms and fees as described in this proposal.
Signature: Date: 6�_
Printed na4K. ��S(�t . V Phone: 22
NroR e �'LC
Mailing Address: 2 3 o .��p wG E- mai1:1 ems— 2h V; jq
City, State Zip: S S <.� /r4 0 10 -71 Fax:
W Center for EcoTechnology, 320 Riverside Drive 1A, Northampton, MA 01062
A , � CENTER FOR 413- 586 -7350 ext.2421 greenhome @cetonline.org / ww.cetonline.org
U �� E www.cetonline.org
EcoTechnology Page 2 of 2 v052711
www.cetonline.org
Proposal for HERS Rating and Stretch Code Services
Provided by the Center for EcoTechnology
Date: Thursday, June 30, 2011.
Your � p�2c�,�vsIL # of units (1-4 units)
Name:
Home C4 S� x o Squa
Location: °�`�' c� o re
rs ' Footage ,
Wes em, Massachusetts
Home Energy Rating System (HERS) Analysis & Consultation ... ...........................$350 per unit
• Initial analysis /modeling of construction drawings and specifications provided by project team
to Center for EcoTechnology
• Pre - construction meeting at our office to review the results of the analysis with the builder,
subcontractor and /or architect
• Discussion of Energy Code Requirements and documentation for building code official from
preliminary Home Energy Rating
Interactive feedback on reaching HERS Index goals (e.g., mechanical system alternatives; duct
configurations, insulation types and air sealing techniques)
• Feedback on qualifying the project to earn the $2,000 federal income tax credit for builders
Verification & Testing Services (2 site visits) ............................... ...........................$600 per unit
• Onsite insulation inspection before drywall, including feedback on air sealing techniques for
increased building tightness
• Verification of compliance with the ENERGY STAR Thermal Bypass Checklist
• Air leakage testing with a blower door at final inspection
• Duct leakage testing if the home has a duct system
• Final HERS Index report and air leakage test results report
Extra Inspection (if needed) .................................................................. ............................... $75 /hr
• If a re- inspection or extra inspection is requested by the builder for any reason; Hourly fee will
be charged for travel time to the site as well as time spent on' site.
Center for EcoTechnology, 320 Riverside Drive 1A, Northampton, MA 01062
I�„ 1 �` CENTER FOR 413 - 586 -7350 ext.242 / greenhome@cetonline.org / www.cetonline.org
U EcoTechnology Pa 1 of 2 v052711
www.cetonfine org
Charles Miller
From: Duane Nichols
Sent: Friday, July 01, 2011 12:12 PM
To: Charles Miller
Subject: RE: New Home on 62 Chestnut Ave. Ext
Chuck,
I am all set to issue the permit. It's pretty straight forward, a 13 D system. No conditions.
Duane
From: Charles Miller
Sent: Friday, July 01, 2011 10:46 AM
To: Duane Nichols
Subject: New Home on 62 Chestnut Ave. Ext
Hi Duane,
Attached is a contract for sprinklers for this new house at 62 Chestnut Ave. Ext, I need your permission to issue the
permit and any conditions you'll require.
Thanks
Charles Miller
City of Northampton
Assistant Building Commissioner
cmiller(o)northamptonma.gov
413- 587 -1420
1