24B-062 WAP Work Order: Job Number: 13-507
Window&Door Replacements I
32-36 in Steel pre-hung 0 $640.50 $0.00
replacement door w/lite
32-36 in Wood pre-hung 0 $609.00 $0.00
replacement door w/lite
Basement window replacement 0 $250.00 $0.00
(awning/hopper)
Basement window replacement 0 $250.00 $0.00
with a frame
CDC Windows 2 0 $357.43 $0.00
Other 0 $0.00 $0.00
Prime window replacement w/low-e 0 $350.00 $0.00
to 73 ui
Prime window replacement w/low-e 0 $350.00 $0.00
to 74-83 ui
Prime window replacement w/low-e 0 $350.00 $0.00
to 84-93 ui
Prime window replacement w/low-e 0 $350.00 $0.00
to 94-101 ui
Replacement Grids(per window) 0 $42.00 $0.00
Replacement window per 12/29/10 0 $350.00 $0.00
Tech Manual revision
Sliding door replacement per WAP- 0 $1,100. $0.00
IM-2011-009 00
Sliding exterior door replacement 0 $1,100. $0.00
per WAP-IM-2011-009 00
zCDC Door 0 $490.00 $0.00
zCDC Window Replacement 1 0 $312.00 $0.00
Windows
Deadlights 0 $0.00 $0.00
Glass replacement per ui over 64 0 $1.50 $0.00
Glass replacement to 64 ui -. i I.00
Other $60.00 $120.00 I ry and repair windows 2 work
Side Press Lock 0 $9.50 $0.00
Storm Windows 0 $0.00 $0.00
Page 6
WAP Work Order: Job Number: 13-507
Other 0 $0.00 $0.00
Replace Clothes Dryer Transition 0 $40.00 $0.00
Duct only
Seal ducts with mastic or butyl 0 $65.00 $0.00
backed tape
Weatherstrip(Q-lon or equal)& 0 $33.50 $0.00
R-30 attic hatch
Weatherstrip(Q-lon or equal)attic 0 $31.50 $0.00
hatch
Other
Other 0 1$0.00 $0.00 I I
Permit
Building permit 0 $1.00 $0.00
Other $0.00
Wall Insulation
Bay Window insulate above*below 0 $100.00 $0.00
-your option as to method and
Brick/Stucco(dense pack) 0 $2.89 $0.00
Double nailed asbestos/aluminum 0 $2.31 $0.00
(dense pack)
Drill finish patch plaster(dense 0 $1.90 $0.00
pack)
Drill rough plaster patch or finish 0 $1.82 $0.00
wood plug(dense pack)
Other 0 $0.00 $0.00
Single nailed asbestos/asphalt 0 $2.21 $0.00
(dense pack)
Spray Foam Walls-CDC ONLY 0 $1.12 $0.00
Test drill 4 sides 0 $60.00 $0.00
Vinyl over asbestos(dense pack) 0 $231 $0.00
Window Weight Voids(pair) 0 $12.00 $0.00
Wood clapboard/shakes/shings or 0 $1.79 $0.00
vinyl(dense pack)
Page 5
WAP Work Order: Job Number: 13-507
Clothes dryer vent including 0 $89.00 $0.00
Exhaust Duct
Gutter Replacement(includes down 0 $6.50 $0.00
spouts)
Knob&Tube Inspection,fuses, 0 $175.00 $0.00
wiring
Other 0 $0.00 $0.00
Vent ldt/bath fan 0 $89.00 $0.00
Misc Insulation
2"Foam Board on Door 0 $54.00 $0.00
Domestic water pipe wrap 0 $2.63 $0.00
Duct insulation R-5 0 $3.10 $0.00
Hydronic pipe insulation 1.25-1.5 0 $3.68 $0.00
in.copper pipe R-5
Hydronic pipe insulation to 1 in. 0 $3.41 $0.00
copper pipe R-5
Other 0 $0.00 $0.00
Steampipe insulation 3 in.iron pipe 0 $7.61 $0.00
R-5
Steampipe insulation to 1.5-2 in. 0 $635 $0.00
iron pipe R-5
Steampipe insulation up to 1.25 in. 0 $5.51 $0.00
iron pipe R-5
Misc Measures
Attic sealing with two-part f 0 I$75.00 $0. I
Basement sealing with t o-part 3 $75.00 $225.00
foam
Blower door set-up with pre ost 1 $45.00 $45.00 1
tests
CO alarm(DOE2013 only) 0 :ammo(IMP
Cut/close attic-kneewall access 0 $78.75 $0.00
Cut/fmish attic-kneewall access 0 $105.00 $0.00
Interior Air Sealing&Caulking 0 $60.00 $0.00
Labor only charge 0 $60.00 $0.00
Page 4
WAP Work Order: Job Number: 13-507
Belly repairs-foam board 0 $2.00 $0.00
Belly repairs-labor 0 $60.00 $0.00
Crawispace overhead insulation 4 ft 0 $1.87 $0.00
high or less R-19
Crawispace overhead insulation 4 ft 0 $1.96 $0.00
high or less R-30
Garage ceiling cavity filled with 0 $2.10 $0.00
blown cellulose
Other 0 $0.00 $0.00
Perimeter 2 in.foam board 0 $2.50 $0.00
Perimeter Wrap R-5 reinforced foil 0 $1.91 $0.00
or vinyl faced ductwrap
Sill insulation Unfaced R-19 0 i 00
Sill two-part foam w/r'erglass batt 154 I$2.20 I$338.80 l pull back and foam use new insulation
unfaced
Doors
28-32 in interior solid core door 0 $315.00 $0.00
Automatic Sweep 0 $23.00 $0.00
Basement/outside door-door only 0 $367.50 $0.00
Basement/outside door-w/jambs 0 $435.75 $0.00
Fixed Sweep 0 $15.75 $0.00
Lockset/Schlage or equal 0 $73.00 $0.00
Other 0 $0.00 $0.00
R-5 Ductwrap or R-max on door 0 $51.00 $0.00
Repair Striker Plate(WMECO 0 $8.75 $0.00
only)
Repair/Refit Door 0 $52.00 $0.00
Slide Bolt 0 $9.25 $0.00
Weatherstrip s/Q-lon or equal 0 $45.50 $0.00
Health&Safety
Basement window w/framing- 0 I$250.00 I$0.00 I I
building code compliance(non-
Page 3
•
WAP Work Order: Job Number: 13-507
R-30 restricted-slopes/floored fill 0 $1.48 $0.00
w/cellulose
R-30 unrestricted-settled cellulose 0 $1.37 $0.00
R-38 unrestricted-settled cellulose 0 $1.47 $0.00
R-49 unrestricted-settled cellulose 0 $1.61 $0.00
Reinforced poly/R-20 cellulose open 0 $1.84 $0.00
rafters
Reinforced poly/R-30 cellulose open 0 $2.05 $0.00
rafters
Site Built pull down stair insulation 0 $180.00 $0.00
2 in foam box
Thermodome or Magnetic pull 0 $180.00 $0.00
down stairway box
Attic Ventilation
1/2 Window Gable Vent 0 $118.00 $0.00
Other 0 $0.00 $0.00
Propa Vent 0 $4.00 $0.00
Rectangular gable vent 2 $92.00 $184.00
Rectangular soffit vent 0
Ridge vent 0 $23.00 $0.00
Roof vent 135(1 sq ft NFV)large 0 $95.00 $0.00
Roof vent 865(.4 sq ft NFV)small 0 $80.00 $0.00
Stack Vent 0 $152.00 $0.00
Turbine Vent 0 $168.00 $0.00
Varipitch vent 0 $114.00 $0.00
Basement Insulation
6 ml poly on ground 0 $0.75 $0.00
Basement overhead insulation R19 0 $1.58 $0.00
Fiberglass
Basement overhead insulation R30 0 $1.82 $0.00
Fiberglass
Page 2
WAP Work Order
Community Action of the Franklin,Hampshire and North Job Number: 13-507
Quabbin Regions,Inc. Work Order Date:11/18/2013
P.O.Box 1432 Ownership: Owner
Greenfield,MA 01302
Phone:413-774-2310
Eastern Weatherization Auditor:Joseph Rosenburg
PO Box 249 Email:josenburg@communityaction.us
Montague MA 01351 Cell:413-325-3229
Email:easternweatherization @yahoo.com Phone:413-376-1135
Phone:413-772-9950
Cell:413-426-8768
Cecilia Vera Bay State Gas $1,864.82
58 Bradford St Total $1,864.82
Northampton MA 01060
413-584-1199
Safety Issue(s):Lead Paint Possible
Additional Contractor Instructions:
Authorized Actual
Measure Description Qty Price Total Qty Total Comments
Attic Insulation
Attic stairs-fill with cellulose 0 $135.00 $0.00
Attic/Kneewall Floor Transition 0 $2.52 $0.00
Dense Pack w/cellulose
Kneewalls R-12 cellulose behind 0 $1.73 $0.00
permeable membrane
Other 0 $0.00 $0.00
R-10-12 restricted-slopes/floored 0 $1.30 $0.00
fill w/cellulose
R-10-12 unrestricted-settled 0 $1.21 $0.00
cellulose
R-11 FGB in open rafters/walls/ 0 $1.31 $0.00
kneewalls
R-18-20 restricted-slopes/floored 0 - •2
fill w/cellulose
R-18-20 unrestricted-settl $1.29 $952.02
cellulose
R-19 FGB in open rafters/walls/ 0 $1.47 $0.00
kneewalls
Page 1
DRIVECISIXERSE
DM 5•11 M
PATRICK G °:
79 CENTER ST .•
MONTAGUE,MA .. • g.• r, �,
01351 a r4
- CSSL-100236 4'
PATRICK G S ITH
79 CENTER ST.
Montague MA 01351
04/05/2014
Office of�C sumelua•s&i i mss K gn(o e
e a n
HOME IMPROVEMENT CONTRACTOR
Registration: 134741 Type:
Expiration: 1/11/2014 DBA
EA TERN WEATHERIZATION
PATRICK SMITH
•
79 CENTER ST
MONTAGUE,MA 01351
Undersecretary
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1 BERM TIE.1.4.WIRATOI DATE THMEOF,MICE ma.BE DELIVE:?.Z.D
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SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: E;' Not Applicable £
Name of License Holder: � AT 1 L x I eG O IN License Number
Patrick G Smith IOU 3
Address go, A ie.2fl Expiration Date
Montague MA
Signatu, Teli\e
y�3 Z/26 767
9.Registered Home Improvement Contractor:.' Not Applicable £
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� `x ,� � RegistratioVumb r/
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Company Name E y 7Y
Address Expiratio Dat
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes No £
11 Home Owner.,Aempt on
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.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House [] Addition El Replacement Windows Alteration(s) n Roofing ❑
Or Doors 0
Accessory Bldg. Cl Demolition ❑ New Signs [O j Decks [p Siding[0] Otherp*�
Brief Descripti f Proposed �DD / yc �}�(—/I
Work: Wept//4 l/'it-477p./ "0" c<f/ c4Y /ti5k/4 /40v i9-77 1�"6dq, � JP� /7✓'�70
Alteration of existing bedroom Yes JJ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa If-.New house and or addition to`ezisfinq.housinc, complete the following:
a. Use of building:One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
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, C?C /// �/��� , as Owner of the subject
property "'
hereby authorize �/t,/ '( i4_ 9,'f riA
to act on my b half,in all matters relative to work authorized by this building permit apps ation.
a /3
Signature of Owner Date
A/ c? lam( 4/47--X , as Owner/•( thorize•
(...Ale by declare that the statements and information on the foregoing application are true and accurate,to the best o m' •wledge
and belief.
Signed under and penalties of perjury.
Print Nam,/ ,y /
Sign. re of Owner/Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size H U
Frontage .— 1 !—.— i "°— _
i _1
Setbacks Front [___.l I }
Side L:EI R:= L:E R:I I I I
Rear = I I t '._._."'
Building Height I---1 a a { 1
Bldg.Square Footage 1---1 r-----1 % 1-1 = 1 a -
Open Space Footage % !
(Lot area minus bldg&paved I —I L _1 L_.."...,—_I = 1 i
parking)
#of Parking Spaces = = i
Fill: .,...,,.�__..._..._,�_w.._..�..�..�.._._.. .,,.__...�....�_ _...�....� .....__.... � .......... ...�_r.._...�........�.._...,. `.
(volume&Location) ii `
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW Q YES Q
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW Q YES 0 ___
IF YES: enter Book — �I Page and/or Document#1! —_
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
i
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
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 Q
I
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 Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION r • ::••••••••.":
MERERAGEBEigilliThigT§ettibit*
1.1 Property Address:
F 5 r oil ed 5
4/0 r-7-4 et Arra,t, /HA 01060
2thiglankgainzoormovdmopftit,4,:a7".. .:...,.,:f.:, :,::::::„:7.,!,..::..
-Elm St DistrIct CB District -
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT• .
5-8 9 5-
2.1 Owner of Record: /3 0"."
cei1/e'
Aid r rh
Name(Print) Current Mailing Address:
,GZeof— Telephone 177 3 - u r
Signature
2.2 Au orized Acier_it: —
S'or/r4 Itel4
Name(Prin
• Current Mailing Address:77.?/•/(0, //c' 04 01 7
'/L3 r z(
Signat re Telephone
•SECTION 3-ESTIMATED CONSTRUCTION COSTS„
Item Estimated Cost(Dollars)to be • :• • Official Use Only
completed by permit 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) 3-trf Z Check Number 4,Tht,
• • • • •• _ This Section For Official Use Only • , •
Date
Building Permit Number: • • Issued:
Signature: .
Building Commisonerffrispector'of Buildings : . Date
File#BP-2014-0673
APPLICANT/CONTACT PERSON PATRICK SMITH
ADDRESS/PHONE P 0 BOX 249 MONTAGUE (413)426-8768 Q
PROPERTY LOCATION 58 BRADFORD ST
MAP 24B PARCEL 062 001 ZONE GI(112)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Mr A.53-
Fee Paid
Typeof Construction: INSTALL ATTIC&WALL INSULATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 100236
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION 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
D-• of '. - ay
Signature of Building Official 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.
58 BRADFORD ST BP-2014-0673
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24B-062 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: INSULATION BUILDING PERMIT
Permit# BP-2014-0673
Project# JS-2014-001148
Est.Cost: $1864.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PATRICK SMITH 100236
Lot Size(sq. ft.): 11804.76 Owner: VERA CECILIA A
Zoning: GI(112)/ Applicant: PATRICK SMITH
AT: 58 BRADFORD ST
Applicant Address: Phone: Insurance:
P 0 BOX 249 (413) 426-8768 () WC
MONTAGUEMA01351 ISSUED ON:12/5/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL ATTIC & WALL INSULATION
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 12/5/2013 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner