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24D-248 (2) 56 CRESCENT ST BP-2019-0025 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:24D-248 CITY OF NORTHAMPTON Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: rNSULATION BUILDING PERMIT Permit# BP-2019-0025 Project JS-2019-000027 Est.Cost:$4000.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq.R.): 27137.88 Owner: RENNA&CHRIS PYE Zoning:URC(100)/ Applicant. AMERICAN INSTALLATIONS LLC AT. 56 CRESCENT ST Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON.,71312018 0:00:00 TO PERFORM THE FOLLOWING WORKATTIC AND BASEMENT INSULATION AND AIR SEALING THROUGHOUT 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 Occuoancv Signature: FeeTvoe: Date Paid: Amount: Building 7/3/2018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner -_;..__ _ I v Department use drily' City f No ampton Status of Permit: juild g D partment CurCut1Dm miay Pemd tJUL - 2 2021 Mai street scarsepticAvatiab&Hy o 100 WaterANell'AvatiebA0.y., Dray OF rw1 DING I to MA 01060 Two Sem of Sgudural Pleas Fax 413-587-1272 PIDUSM Plans OtirarSpedNy APPLICATION TO CONSTRUCT,ALTER,REPAIR RENOVATE OR DEMOLISH A ONE OR TWO FAMILY`✓tgDWEWNG SECTION 1-SITE INFORMATION - - t -.)6- 1.1 c)b1.1 Prooerr Address: This section to be completed byoRce 60 Crescent Street, Northampton MA 01060 Map Lot ayj. Unit. Zone Overlay District Elm St Dibbi CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Renna&Chris live 60 Crescent Street,Northampton MA 01060 Name(PdnU CucaM3)M8" Addnsa: (4[ See attached Telephone 5 31-9926 Signature 2.2 Authorized AaenL- American Installations 130 College St., Ste 100 South Hadley, MA 01075 Nene FMt) Cu mt MaRV Address: �t7�n a �-. edSUQ 413-552-0200 Sipnatue Talepbone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollen)to be ORidal Use Only completed by permitapplicant 1. Building 4,000.00 (a)Building Permit Fee 2. Electrical (b)Estimated Toni Cost of ConsWcilm from 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fin PmtactIon 6. Total= 1 +2+3+4+5) 4,000.00 Check Number / This Section For Official Use Only Building Permit Number. _ Date Issued: Signatine: W44 7- 3 �/ Bugtling Colmnisdonemnspecmrof BuY6ngs Dam Section 4. ZONING All Information Must Be Completed.Pennit Can Be Denied a To hxanplete Infarmatlon Eldsting Proposed RequiredbyZomng nis.1.to be filled u by BuiWioyDryortmeat Lotsize Frontage d -� Setbacks Frout Side L:= R:I_J L= R:= L— ear 1= Building Height U �- Bldg.Squaw Footage Open Space Footage U % O n #ofParking Spam FIC volume&L dm t A. Has a Spedal Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES,date issued 7 IF YES: Was the permit recorded at the Registry of Deeds? _ NO O DONT KNOW O YES O "� IF YES: enter Book t PageC__J and/or Document#` B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YFS O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES,describe size,type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES,describe size,type and location: 'I E. Will the construction ectifty disturb(dewing,grading,excavation,or filOng)over 1 acre or Is it part or a common plan that w®dlsturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management PermKlmm the DPW Is required. SECTION 5-DESCRIPTION OF PROPOSED WORK Icheck all applicable1 New House ❑ AddiUen ❑ Replacement windows Alterations) ❑ Roofing r_1Or Doors E3 Accessory Bldg. ❑ DemolRkm ❑ New Signs Docks [O Sli Other[ Brief Description of Proposed Work Attie and basement insulation and air scaling throughout AReration of edsting bedmom_Yes_No Adding naw bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Para Attached Roll -Sheet se.If New house arid or addition to O)CISUng housing complete the following, a. Use of building:One Family Two Famgy Other b. Number of rooms in each family unit: Number of Balhmoms c. Is them 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. Masecheck Energy Compliance form attached? h. Type of construction 1. Is construction within 100 R of wetlands?_Yes No. is consWcgon within 100 yr. floodplain_Yes_No J. Depth ofbesement or cellar floor below finished grade k. Will building cordons to the Building and Zoning regulations? Yes_No. I. Septic Tank_ qtySewer_ PriwitieweR Cllywater Suppry_ SECTION?a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Renna&Chris Pye as Ovmerafthe subject property herebyauthodze American Installations to act on my behalf,in all matters relative to work authorized by this building pemdl application. See attached 6/28/2018 Signstare of Dmwr pate I, American Installations as OwnsdAuthodzed 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 the pains and peva des of perjury. American Installations Point Name 6/28/2018 Signahsa al dAgant Data SECTIONS-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable 0 lifu x m : WesleyK. Couture 106178 License Number 130 ColleEe St.,Ste 100 South Hadley, MA 01075 9129119 A�dtl\reca Expiration Dale 413-552-0200 Sfpnan��� Telephone 9.Rentspred Home lmorovemelitContractor. _ Not Applicable 0 Wesley Couture 175982 Company Name Registration Number American Installations 6/26/19 Addmsa Expiragon pate 130 College SL, Ste 100 South Hadley, MA 01075 Teiaphoua413-552-0200 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,$2SC(S)) Workers Compensation Insurance affidavit mum be completed and submitted with this application.Failure to provide this affidavit will result in the dental of the issuance of the building permit. Signed AfidavlAttichad Yes...... BI No...... 0 11. -Home Owner E$em don The cmrentexemptionfor"homeowners"was extended to inoludeOwnertLMpiedDwellpea ofone(1) in two(2)families and mallow such homeowner to engage an individual forbire who does not possess,a license,provided thatthe owner acts assupervisor.CMR780. Sixth Edidou Section 10936.1. Definition of Homeowner:person(s)who owe a panel ofland on which he/she resides in intends to reside,on which there is,or is intended to be,a one or two family dwel)ng,attached in detached struchves accessory m such we and/or farm structures.A person who constructs more than one how in a two period shall not be copdde ed a hon Such"homeowner'shall submit to the Building Official,on a form acceptable in the Building 01Bcia4 that he/she shat be isereousVile for all each work performed under theWillies permit. As acting Coustractlon Supervtsoryompresence on the job doe will be required from time to time,during and upon completion ofthe work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compepeatinn) and Chapter 153(Liablityeffrmployers to Employees for injuries not resulting mDeath)ofthe,Massachusetts General Laws Annotated,we may be Home forpersop(s) you hire in perform work for you under this permit The undersigned"homeowner'ceni5m and assumes responsibility for compliance with the Stets Building Code,City of Northampton Ordinances,State and Local Zoning Laws aid State ofMassaclnselts General Laws Annotated Homeowner Signature City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 60 Crescent Street The debris will be transported by: American Installations The debris will be received by: Waste Management of NE - Chicopee Building permit number: Name of Permit Applicant American Installations 6/28/2018 \ags4_n_,n v. Cx ; U Date Signature of Permit Applicant City of Northampton Massachusetts F, FF3 DEFARITIERI' ar Bpr=B 1NST9=GB5 212 Ms" 8tu.6t 6 ILOS0iD61 suilG w i OC M—*N, tm, M 01060 Property Address: 60 Crescent Street Contractor Name: American Installations Address: 130 College Street Ste. 100 City, State: South Hadley, MA Phone: 43-552-0200 Property Owner Name: Renna&Chris Py Address: 60 Crescent Street City, State: Northampton,MA I, American Installations (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit Contractor signatur tJ.ra4xu Date 6/28/2018 _5.. !Mi www..1-ina.bemn1.wm BBB • Licensed&Insured American Installations MAReoprath IM982 130eaINaa SM1en wIh IW Eoom mmer MRpEoxs.pMu:NxxISStOxW Me Nlll SszL102•FrMn.wpWnFAnvlunMalbtlPM.wm Pye,Relay,&Chris 5/15/2018 60 Creacent St nw Northampton MA 913-1531-9926 Ina rennapyeftmail.com le.a 057022 w 18-1718 v . Quantity Unit Unit Cost +v Total Ale Sealing AIR SEALING 1 8 Iman hour $ 85.00 1$ 680.00 WEATHERST0.1P D00R&ADO SWEEP 0 each $ 80.00 $ 320.00 WEATHERSTRIP D000. 1 4 leach $ 58.00 $ 232.00 Air Sealing $ 1,232.0) Air Sealing lncmMV, $ (1,020.00) Air Selaing WX Balanre $ 212.00 Weathatuation CRAWISPACE WALL RIO RIGID BOARD 192 each $ 9.05 $ 777.60 BASEMENT-INSULATE BULKHEAD DOOR&INSULATE 1 each $ 110.00 $ 110.00 SHEATHINGACCES$ 7 each $ 35.00 $ 205.00 ATTIC DOOR-INSULATE&WS 3 each $ 110-00 $ 330.00 ATTIC PLAT-10"OPEN R-37 CELLULOSE 136 i $ 1.56 $ 212.16 ATTIC fl-AT-12"OPEN R-42 CELLULOSE AO s h $ 1i $ 67.20 KNEEWALL-2-RIGID BOARD 185 5 $ 3.85 $ 712.25 AM DAMMING-R-38 EIBERGIASS 44 "Ift $ 2.05 $ 90.20 SHEATHING ACCESS 1 each $ 35.00 $ 35.00 Air Sealing WX Balance 161U.ps.. $ 212.00 $ 212.00 REMOVE INSULATION 68 $ 0.75 $ 51.00 REMOVE INSULATION 58 $ 0.75 $ 43.50 Total Weatherizatipn $ 2,885.91 Weatherizatios Incentive $ 2,093.56 Total Project $ 3,905.91 Taal thnew Comributbn $ 3,113.56 Tamil Customer ConMbu0on $ 792.35 waaaum:.lmvwn InmMnwn..cwlll pmvlMmaabmm Nlei Mmwn,Mma3Vwrwv6rvn�Mpvamnh n Ina r a,w, allbol nM--"'g wsn"es ThtlfnlM."'.omlp MMn. ACCEP7AHCE OF PROPMA`lw abovep wes,werau.oMand TOTAL CONTRACT VALUE= $ 792.35 eoMmnn:a wenf.clwenaan FertLryattrpYa.I.-. eubedueumworbaopeub.4.paem.It.Mbel/adrwr P.orea Down Payment= $ 250.00 1 n.nnrwnn,.m wunu al»upon Comysen-, Balance Due Upon Completion= $ 542.35 5/15/18 `} 1 I 5/15/18 The Commonwealfh of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wrrw.mossgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant information Please Print Le 'bl Name uld im:ssAntlim aunrvindividuary: American Installations,LLC Address: 130 College Street,Suite 100 City/Stale/Zip: South Hadley, MA 01075 Phone#: 413-552-0200 Are you as employer?Check the appropriate box: Type of project(required): 1.❑x 1 am n employer with 46 _ 4. ❑ I am a general contractor and I 6. E]New construction employees(full and/or pan-Time).` have hired the sub-commctors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet= 7. Remodeling ship and have no employees These sub-contmctcrs have $. ❑ Demolition working for me in any capacity. workers'comp.insurance. 9, n Building addition [No workers'comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption Per MGL 1 I.L] Plumbing repairs or additions myself(No workers'comp. c. 152.§1(4),and we have no 12.❑ Roof repairs insurance required.I employees.]No workers' I3.®Other Insulation comp. insurance required.] `Any aMiunt that checks box#1 must also fid nm then,.a below showing their wokencoun,nsmion policy information. s T lomeowncn who submit thisatliduvh bulieming they ac doing all wok and asm hire consists contractors mol submit a new affidavit inducing such. Coutmcors Nm chmk Na box must attached an additional sheet showing the aame of the cub mutoatun and their wmkun'comp, nehuy informmion. I am an employer thus is providing workers'compemmion imurance for M employees Below is the policy and job site itterma ion. Insurance Company Name: Guard Insurance Companies Policy U or Self-ins./Li/e,#: AMWC897387 Expiration Date: 09/0114/- ' 2018 - b Job Site Address: G (0/1k t ,1' Ciry/SmtetZip:NWC- 0 ` MO 616(,6 Attach a copy of the workers'compensation policy dedarga ou page(showing the policy number and e�xpi"rdu shoda'te). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penahies of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage vmiftcalion. f de here hp ceynn'1 under she pains a/n,�td prnuhfes ofperjury that the Information provided �above �is true and correct. Siuna[ure 'Lcc' IAkA �. l _- Date: pfigne#: U 413-55 -0200 I T Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.Cityrrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ComronweaM of Massachusetts Construction aupawsor ®� Division of Nolessional Licensure Ulkabklae-Buedhw of any use group which contain Board of Building Regulations and Standards IessUr KIDS mMk OW(601 cubic melee)of enclosed Construction Supervisor - CS-106176 E;pires:09/29/2019 INEBLEYCOUTURE 210LATHRO 4Fr1EET �� {• SOUTH HROLEV MA 01075 7' rdlum b pressures a cumM reason arere Mosaclmeetls Seats SuslO ng Cade is cause for revocation of this 0cenm. For Inlo nallon about MIs acanee Commleslaner Car 1617)7274200 of visa www "4ppvldpl 0/cAvii"'d ail-Ai3 J'I Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02110 Home Improvement Contractor Registration Type: LLC AMERICAN INSTALLATIONS,LLC. Registration: 175962 130 COLLEGE STREET SURE 100 EExpiration: 08/26/2018 SOUTH HADLEY,MA 01075 Update Address and return sod. Mark reason for change. scAI o mmavll n Add:�- n a_net.l []Employment C)Loot Card -, OM.0 comunnrmin 6 Buunree Ragulsdon HOME IMPROVEMENT COHTR 011 Registration valid for Individual use only TYPE:LLC before Me expiration date, a found return to: 9p16tratgO F=Irad,n Office of Consumer Affairs and Walruses Regulation 175662 oerA 019 10 Perk Reza-Suite 6170 AMERICAN INSTALLATIONS,LLC. 6aalon,MA 02118 1W COLLEGE OL EGE SIRE WESLEYGEREET SUITE 100 SOUTH HADLEY,MA 01075 UntlOmeeretery fi t valid without signature A' ® DATE14/20 YYV) CERTIFICATE OF LIABILITY INSURANCE B/l4no17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder U an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to Me terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the ceMHicate holder in lieu of such endomemenl(s). PRD UCER N,SME:A T Linda Powers Webber S Grinnell PHONE (413)586-0111 gn:uulsss-9ae1 B North Ring Street Ap RE .IponeTH@weUherandgrinnell.coin INSURE S AFFORDING COVERAGE HAIGN Northampton tM 01060_ INSU..A to s Mutual Casualt INSURED INSURERB Berkshire Hattseray GDARD Ina. CO. American Installations, LLC m5ue3ac: Attn: Wes a Suzanne Couture IXSURERD: 130 College SCIBBt, Suite 100 INSURERE: South Hadley NA 01075 1 INSURERF: COVERAGES CERTIFICATE NUMBERMaeter Bzp 9-2018 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR (POLICY EFF PGUCYEUP LIMITS LIP TYPE OF INSURANCE POLICY NUMBER M O MW COMMERCIAL GENERAL LIABILrtY EACH OCCURRENCE y 1,000,000M ,0OO,OL10 A R ClAIM5MA0E1:1 OCCUR PREMISE Eere $ 500,000 (A 5n3535217 9/4/2017 9/1/2018 MED ENE ,ry one One persm) $ 10,000 PERSONAL a ADV INJURY $ 11000,000 GEN L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE E 2,000,000 R POLICY❑PRR LOC PRODUCTS-COMPpP AGG E 2,000,000 OTHER AUTOMOBILE 11A&M1YEe M exMeM IN L E LI M 11 E 11000,000 A ANY AUTO SOD LY NJURY(Por Polem) E ALL OVAEDSCHEDULED AUTOS R T. 523535217 9/4/2017 9/1/2018 BODILY INJURY(Po,ettitlOU nE R TY HIREDAUTOS y` AUUTOS EO PeOiaWRtlm1 AMI E PrJeaslc E 81000 A UMBRELEXLAB OCCIIq EACH OCCURRENCE $ 1 GOO 000 A E%CESS UAB CIAIMSMAOE AGGREGATE S 1 000 000 DEC y` I RETENTIONS 10,000 5J3535217 9/a/201] 9/a/2038 $ WORNERS COMPENSATION OTR. AND EMPLOYERS LIABILITY r STATUTE ER YO ANY PRCPRIETORPARTNEIRE%ECUTIYE enesbryln HEXCLUDED? NIA B E L.EACH ACCIDENT E 500000 GFFICEMe EMBER EXCLUDED? CKPLE0991] 9/1/201] 9/4/2018 EL DISEASEEAEMPLOYE $ 500,000 Ayes 08scnC8 U. OESLRI PTION OF OPERATIONS Eeb E.L.DISEASE.POLICY LIMIT $ 500,000 A CO®e¢cial Property SASS35217 9/4/201] 9/4/2018 tleduC4Ne$1 W0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,AEMIwI Ramous StMEJe,may be eWcIDW X PRm pace isoNN NI CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ld..c. Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE Kevin Joyce/LMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 rmunn