17C-325 43 OAK ST BP-2019-0991
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma8I k: 17C-325 CITY OF NORTHAMPTON
Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:New Single Family House BUILDING PERMIT
Pe�nr j1# BP-2019-0991
Prosect# JS-2019-001634
Est.Cost:x362875.00
Fee:$1296.00 PERMISSIONIS HEREBY GRANTED TO:
Const,Class: Contractor., License:
Use Grow: RICHARD KARSTEN 57696
Lot Size(w,ft.): Owner: SAVESON JOHN B&
Zoning, Applicant RICHARD KARSTEN
AT. 43 OAK ST
AvalicantAddress: Phone: Insurance:
PO BOX 624 (413)695-2964 WC
LEVERETTMA01054 ISSUED 0M3/15/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW SINGLE FAMILY HOUSE
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 Firephsce/Chlmmey:
Rough: M 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 Occuoanc9 Signature:
FeeTvpe: Date Paid: Amount:
Building 3/1520190:00:00 $1296.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
I
File#BP-2019-Ml
APPLICANT/CONTACT PERSON RICHARD KARSTEN
ADDRESS/PHONE PO BOX 694 LEVERETT (413)695-2964 [/
PROPERTY LOCATION 43 OAK ST I N ITI F V
MAP IIC PARCEL 325 ZONE S)
(se, r,
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICACHECKLIST
EN60SEDIRED DATE
ZONINGF FILLED OUT
Fee Paid
Building Permit Filled out
F e Paid
I'vpeof Construction NEW SINGLE FAMILY HOUSE
New Construction
Non Structural interior nmovations
Addition to Ezistine
Accessory Structure
Building Plans Included:
Owner/Statement or License 57696
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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
_Otter Permits Required:
_Curb Cm 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 pp
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,Deparlment
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.
Department use only
City of Northampton Status of Permit.
Building Department Cum Cut/Driveway Permit
212 Main Street Sower/Septic Availability
Room 100 WaterANell Availability
Northampton, MA 01060 Two Sets of Structural Plena
IQ phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Speclty
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE ON TWO FAMILY DWELLING
SECTION I -SITE INFORMATION
1.1 Property Address: This s�+e'ction to be completed by ofice
9 3 Qa 5� Maps Lot 6 AS Unit
,A Zone Overlay District
F/U✓INLC She Be.DWUW CO Meta l
SECTION 2-PROPERTY OWNERSHIIVAUTHORIZED ALERT
2.1 Owner of Record:
Jd�.H rJA✓ 54s, M' lS/,reA' /5;..�r T✓.rid. F/✓nl. .er
t) Current Mailing Address:
t/3- 695' SGSY
Telephone
Sign
2.2 Authorized Agent:
L�.iar � Ytgr {�„r lr.U, /5aX G.YQf .�!✓rri�/�9iJ
Name(Print) Current Maling Address:
9/.3- c%s-X foe*
6ignaNre Telephone
SECTION S.ESTIMATED CONSTIIUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 6 (a)Building Penni)Fee
2. Electrical (b)Estimated Total Cost of
OG Construction from(6)
3. Plumbing '�Z
Building Permit Fes
4. Mechanical(HVAC)
5. Fire Protection !w
6. Total=(1 +2+3+4+5) 3G S175 Check Number AD
This Section per Official Use Only
Building Permit Number. Dale
Issued:
Signature'.
Building Commesionerllnspecta of Bu ldings Dale
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Gl"i F"I lorz- 4&-A3 Fpm PE2M t r FEF )k
Section 4. ZONING All Information Must Be Completed.Permit Can Be Dented Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Stye 771U
Frontage (o r
Setbacks Front d.e f p r
Side L: R: 1, /Sr R: ySv
Rear Zip
Building Height
Bldg.Square Footage % a0§.b
Open Space Footage %
(tot area minus bldg&paved 5"A
hin
tl of Parking Spaces
1211-
T,d0 4'F/1'
volume ffi Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW O YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Bods Page and/or Document#
B. Does the site Contain a brook, body of water or wetlands? NO ® DONT KNOW O YES O
IF YES, has a permit been or Beed 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
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:
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 O NO Q
IF YES,then a Northampton Sic"Water Management Permit from the DPW is required,
SECTION&DESCRIPTION OF PROPOSED WORK Icheck all applicabil
New House Irl Addition ❑ Replacement Windows Alteration(s) 0 Roofing ❑
Or Doom O
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Deeks (p Siding(OI Other(C3�
Brief Description of Proposed //
Work: 4-/-h/ CL-d'trCe SfN
Alteration of existing bedroom_Vas_No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement _Yes No
Plans Attached Roll -Sheet
6e.If New house and or addition to existing housing, complete the following
a. Use of building.One Family V� Two Family Other
to Number of rooms in each family unit Number of Bathrooms Z
c. Is there a garage attached? /V 0
d. Proposed Square footage of new construction. ZO FlO Dimensions Z G X 4 6
e. Number of stories? 7
�� (
f. Method of beating? /11,-7 Fireplaces m WoDdstown /✓U Number of each 0
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? ✓
h. Type of construction 5 /
i. Is construction within 1001t.ofwetlands?_Yes ✓ No. is construction within 100 yr. floodplain—Yes v No
j. Depth of basement or cellar goon below finished grade
7
k. Will building conform to the Building and Zoning regulations? ✓ Yes_No.
I. Septic Tank_ City Sewer Private well_ City water Supply ✓
SECTION 7s-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l
I, r)/a rr SF✓e S Ga+ ,as Owner of the subject
property
hemb authorize /GF rG// ,rcf'f
d my behad,in all Dere relative to work authorized by this building imi application.
6 , u i9
Sip dO/e�n�e/r7 / o/ q/_ o to
I, (L� iG4 Fr • �' `s 5�iv't 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 the pains and penalties of perjury.
Print Name
Signature 0 OwnedPpent Data
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Suoemis//or. / Not Applicable ❑
Name of License Halder: RLGp p a rs�in 5r76gG
License Number
. 1 /3ox G,?4 5 -//- /q
Address Eipiration Dale
d/3- G1Y z�6L
Signature Teleph"
0.Reolatered'Hms O
aImorowment Contractor: Not Applicable
/
YIGrS�i.-r �orf.5 ✓aa a'Ia� /07175--1
Company Name Registration Number
Xe. /.for G24 'V-- 6 - l
Address EVirabon Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L a 152,$25q%)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this afltdludt will result
in the denial of the issuance of the building permit.
Si ned Affidavit Attached Yes._.... No—... ❑
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Sheet,Suite 100
Boston,MA 02114-1017
www.mass.govldia
Wivearkers'Corophassation Insurance Affidavit:Builders/Contractors/EleclricianOPlumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
A licant Information Please Print Le ibl
Name (Business/Organimtion/Iadividua0l !N aS I/H //r+
Address: I-•�/ ,, �/(sT, 14
City/State/Zip: Ache✓e!/r� //V o(dS$- PhoneM 4/S' 6�?'S" �1`19
Am yw emplars.CLeck the aulmpmle hmx: Type of Project(required):
L employer withemployea(fullandmpart-lime).' 7, sU' New construction
3.❑I ems sole proprielororparoership and have w cngloyea working formein g. ❑Remodeling
any capacity.[No workers'comp.insmmwe "Wred.l
3.❑I am a homeowner doing all-alk,myself[No workers'camp,insumms oriented.]t 1 ❑Deildingn
4.Elf sm a Iwmeowner and will be hiringuacmrs to conduct all work on twill
10❑Building addition
con my property.
arc donors mmrmmn eimer have wadcrs'minpcnsuion inmanm orarc cola I1.❑Electrical repairs or additions
pmpricaus with oo employees.
12.[]Plumbing repairs or additions
50 I ane general mmracse ad l have hired the aub.eonlrncos listed oa theauched west 13.C]Roofrepaim
These sub-com merea have employee send have workers comp.insurance.
6.❑We arc a corporation and in answers lave exercised their right of exemption per MGL a 14.❑Other
152,41(4),endure love m employers.INo woders comp-insumae reamircd.l
sAny applicant that checks box C must also rill out the section below showing their workers co,mpenmtion policy mfornulion.
'Homeowners who submit this saft"At indicating they am doing all work and then hire outside contractors met submit a new aaidavit ludlcaung such.
:Conmmm that cheek this has
mse aaehed m Withstand shat showing the woe of the subconitaemrs and stare whether or not those amnia have
employees. If We smbYnmvacmrs have employes,flay moat provide Weir workers comp.policy number.
I am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site
information. A /
Insurance Company Name://.NT�'• �HTire� —/.e�u✓.rH(G
Policy#or Self-ins.Lic.#: fWC-'fCV -702999P-Za1 VA Expiration Date: 1 97/- 2019
/f�I/rtaFMr��/H
Job Site Address: ALL LOCATIONS Ciry/StaullipF MA 01002
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil 5a.169 in the form of a STOP WORK ORDER and a fine ofup to 5250.00 a
day against the violator.A copy of this ent arry be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I da hereby certify under add penalties ofperjury that the inform rchan provided above is nue and correct.
Sminaterv. peek;
Pl M 411- re
Oficial use only. Do not write in this area,to be completed by eio,or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City?own Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachuseus General Laws chapter 152 requires all employers m provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service ofanother under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
ofthe foregoing engaged in ajoint enterprise,and including the legal representatives ofa deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of atmlher who employs persons to do maintenance,concoction or repair work on such dwelling house
or on the grounds or building apprammant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the Issuance or
renewal ofa license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)slates"Neither the commonwealth nor any of its political subdivisions stroll
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented m the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-conimctor(s)morels),address(es)and phone number(s)along with their cenificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required in carry workers'compensation insurance. If an LLC m LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted in the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should
be resumed to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permi0license number which will be used as a reference number. In addition,an applicant
that most submit multiple penniuficense applications in my given year,need only submit one affidavit indicating current
policy information(if necessary)and order"Job Site Address"the applicant should write"all locations in_(city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided tn the
applicant as proof that a valid affidavit is on file fm future permits or licenses. A new affidavit must be filled out each
year.When a home owner or citizen is obtaining a license or permit not related to my business or commercial venture
(i.e.a dog license or pemut to hum leaves etc.)said person is NOT required in complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street, Suite 100
Boston,MA 02114-2017
Tel.#617-727-4900 ext. 7406 or I-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 wWWnnass.gov/dia
City of Northampton
Ma ssachusetta
Tor arMENT OF BUILDING ZNS=rZONS
t
233 lyin siwt • Nunieip�l auilftw
North ,p ., Na 01060
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the"mcorwtructim, alteration, renovation, repair,modernization,conversion,
improvement, removal,demolition, or construction of an addib'on to anypre-existing owner- upied built ing containing
at least One but not more than fourdweging units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner Mas romroded with a corporation or LLC,that entity mast be registered
Type of Work: Ale,.,, OZe S,yMJle Est.Cost: 3G,�r DO D
AddressofWork: g.3 LFII 5.1 �!O✓<NG+• /!/r
Date of Permit Application:
1 hereby certify that:
Registration is not required for the following resson(s):
,Work excluded by law(explain): %"C r /_e...s{✓.+s 11/' r
—lob under$1,000.00
_Owner obtaining own permit(explain):
Building not owneroccupied
_Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITIES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
1 hereby apply for a building permit as the agent of the owner:
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
. _.
Massachusetts
c
ttPANTdATlT OF NOIMING INSPCTIONS �•
212 win $t t • ft , cipQ auilGiW
a0rth, ton, NA 01000
Massachusetts Residential Building Code
Section 110.115.1.2
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.
Section 110.115.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.R5,provided that if a homeowner engages a person(s)
for hire to do such work,then such homeowner shall act as supervisor.
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.
City of Northampton
Massachusetts
1 a Dio?" TIT OF BUILDING INSPECTIONS
212 Win Sta t *Municipal Builanq
Northa ton, MB 01060
Debris 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.
The debris from construction work being performed at: N
"IS 6O A STYlG4 1(DVCHC, V i�
(Please print house number and street name)
Is to be disposed of at:
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
[nU
mit Applicant or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
The Commonwealth of Massachusetts
Department oflndustrialAccidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.massgov/dia
ulk Workers'Compensation Insurance Affidavit;Builders/Contmctors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Levibiv
Name(Business/OrganizatioMndividual):
Address:
City/State/Zip: Phone#:
Amyouas employsr?Chceb de ii,ropriase boa: Type of project(required):
I.[:]l oma employer with employees(full aMlm part-time)• 7. E]New construction
3❑IamtssoIep pdd..,p.mhipmdhavema loyceswoAing fmngin g, ❑Remodeling
arty capacity.[No workers'comp.insurance required]
3.❑IamaMmeow rdoingallworkmyself[Nowokerscomp.insumnceregwred.]• 9. 00hemolition
40 amts homeowner and willM hiring rebactop to conduct all wok on my napery. Iwill 10❑Building addition
ore uatdlconaactors eitlmr have woken comcemationinsutmce ar are sole I1.❑Electrical repairs or additions
proprietors with nee employees.
12.[]Plumbing repairs or additions
5.❑I not agencies wnhector and h hove hired the subcontractors harborer deapschW sheet 13.❑Roofrep airs
These sob-contrectob have employees and have workers'comp.insurance 1
ti.❑We are a co.....n and e.officers have committed their right ofexemphom per MGL c. 14.[]Other
152,§I(4)end we have re employees.INo workers comp.insurance regwred.]
"Ar,applicam Nat checks box 91 must also fill ow the section below shown,their workerseompenumme policy mfimm damn
I Homecwnrm who submit this affidavit indicating they are doing all wok and then hire outside contractors must submit a new affidavit indicating such.
lConascton thm.hark this box must attached an additional sbee,showing the name of the subcotnr en.and vote whether or nor thea entities have
employees. If the sub-emtmuors have cm,lmee,they must provide the, workers camppolicy number.
I am an,employer that is providing workers'campensaaon insurance for my employees. Below is the poary and jab site
information
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may,be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under the pains and penahies of perjury that the informadon provided above is true and correct.
Signature: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town officiat
City or Town: PcrmitiLicense#
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#:
MEMBER REPORT PASSED
UPPER FLOOR,Floor: Flush Beam
2 pieces)13/4'z 91/2"2.0E Microllal LVL
Overall length:15 3"
j a
All lomtlons are hasita M from Me outsde face of tell suppod(a IM all end).All dimensions are a«IEMaaI.
Desi ,RtlYflis Altiallael- 'AaaWY Ral IDF lls '(lata) ) Sh4m:f4v
Member Ral(Ips) 1226 0 4" W W(4.00^) Passed(29%) 1.0 D+1.0 L(Al Spare) memlaw Tv—.nuzb Beam
aWldirg Uu:R htal
SM.ar(IM) 151301'3" 6318 Passed(24%) 1.00 1.0 D+1.0 L(M Spare) aulldias fade:la 2015
Maraent(Ft-lbs) 75%0 6'10" 11225 Pasad(64%) 1.00 1.0 D+1.0 L(NI Spare) Data,aaemaNlo;y Al
Lan Load DO.(in) 0.322 O 7.631W 0.369 Penal(L/550) 1.0 D+1.0 L(M Spare)
Total Load Deft.(in) 0.544 0 T 511/1V 0.238 Passed(L/325) 1.0 D+1.0 L(All Spore)
. Deft ,aunts:LL(VaW)aM R(UE40).
•Tcq Eye lel(Lu):Top cm-swn cge mW W tal at 15'E'We unless dehl othuhh se.
• So l.E63eshad,(I.):Bottom Pompespcn ud]e Must FAA,tr at 15'2"a/c uNes haBM Mreexlse,
aarla la/p IOMSIOAWPrLa(!s} _/9 __ —.__
Supports Talal Avarl. scall pad Flearua Taal
1-sM wau sw 5 so 4.00^ 1.50" 857 M 1745 1 UE"Wm PoiN V2
2 StWa1-5FF 3.50" 3.50" 1.50• MN ]la 137E Fl«lurg
.mm emrd Iz asumal m wry as Im/s aINnIM dlrecay aW,re A,e,»nA urere aniNaaHrg xagaM.
.SWrg 16nu1s xe unrN sn«Try nn Fvds xgAiM Nmyy a6we0mi mtl ma Nlllm!'s agAietl in Me mamba.Mag E6yreG. '�y�/i/h/�
Ba! Fber Use f�
Loads Laaea tedU-
Wall—,vara WN) (LW)
0 5MweyM(PLF) I IR•m 15'T WA 9.7
1 Ihani(PSF) Oro Ill(1,) t'4^ 15.0 40.0 Faesta l-uvly
.1
2 us'll-(PIF) 0m W IT(Tap) WA W.0
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shnI
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CONTRACTOR QUOTE PRINTEDON 01/21119 PAGE 1
QUOTE# Q1804060
� DATE QUOTED:01/21119
EN NEER NG 181 GOODWIN ST VALID UNTIL: 02104119
ORP RATIONPO BOX 51027 Job: SAVESON
INDIAN ORCHARD,MA 01151
MANUFACTURERS OF ROOF&FLOOR TRUSSES
Phone(413)613.@96 Fax(413)543.16Q Toll Free(800)"6-018) FLORENCE, MA
Quote To:Cowls Building Supply, Inc. Requested By: PETER VAN BUREN
125 Sunderland Road P.O. Box 9676
North Amherst, MA 01059 Quoted By: John Goodrich
Attn: PETER VAN BUREN
Phone:(413)-549-0001
ROOF TRUSSES LOAOING 1.11 Tcaacwacwmq c
cad Ix p. ROOF TRUSS SP ACING:24.01 N.O.C.(TYP.) LAYOUT 11
INFORMATION 135.0,20.0 0.0.10.0 1,15
PROFILE OTY PITCH TYPE SASE OIA LUMBER OVRHG ICA-
SHIPPING
PLY TOP EDT TRUSS ID SPAN SPAN top 6oi tnT RIGM HEIGHT I WEIGHT
CAMBER 01-04-00 01-04-00
19 800 8.00 si 28-00-00 26-00-00 2 X 4 2 X 0 10-03 06 123
GABLE 01-04-00 01-04-00
2 800 9,00 31GE 26-00-00 26-00-00 2%42X4 10-03-05 153
Trvv Englneeenq God mmW2l.d QEC)by TPI Camper 2(mullareneare romme,E omelesO,e OeslpnWMolal PIa1e
ConnMetl....oss dro, iseasetl Ey IDI Llnsa eng by
upon nquesi)rcgnJlexdenyla0 epaWle
.mmlulmn.race.ale.ey eennee etnerwl.e m wMmg ev TEC SUB-TOTAL
This pmtlun life Is Tues Englneeeng Cmpmrtir INTERPRETATION of plans and dravMgs as eupgleeto us. X
n bbimpnlry lsi.xen or lmglee 9y TEc forme aim W nI lmegmy able snueure b0owthetmnn seine Meas a1
TEc.pmaretmme amaun..awnrm. refreshed owrertowoers agent s solely responsible for vertfNng all WIDE LOAD/
elmm.lons.geometry,loads and load requirementsfor accuracy and Nilcompliance to conamnlon documents and snail
he rewonable mrnmming TEC messengers of any discrepancies, Times Engineering Comoeanon Is Nonesponsible for ESCORT FEE
field vemlearlon N dlmmsim.or special eondlnons.
ree eulmine onnnlow,ersigent1,beemposemmr enoNlnMng an am.wdlon details eeMhournam. reserves GRAND TOTAL
arana e,.hto' a n RC81 neoeamMm
ne,aonamon documelnpmaap
cors as ue0 as any Nice eMle
requirements am ensure mmne
sale ane pmpnlnyalle mn. No loading sMll he applied to boom once property and fully
lmlMed.Including al Nheeming,henpen,wall anchors,Island mebracing(as shorn on indlWdual shop gamble),and
terminate concern las requlmd by the mnstrumew comments). ImtallalonconinaorshAlM lone IndiWduallmse
shop cravens for all sbutlural requirements Mm sses,Intluemg but not Ilmptedlo hearing IocMons and regulnments,
pN No per nailing,liberal wM bracing,and puss spacing.
No IN.....opened to from;Erpineeeng 6ommalon may he can.dNled,or spread In any my ishrous first cmnaaing
TEC and receiving mannuenng documents alloMnp such,
*** THESE DRAWINGS HAVE BEEN REVIEWED AND ARE APPROVED AS AN ORDER **`
pproved By: Approval Date:
PO#: Requested Delivery Date.
i
�^ -Tea °^ PN SAVESON[FLORENCE,MA]
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Permit No. D 13-18
CITY OF NORTHAMPTON, MA
DRIVEWAY PERMIT
Date: 05/24/18 _
Check 8: 3944 _
FEE: $250.00
Proposed driveway must be staked and address and/or for number posted. Public Shade Trees
are protected by MGL Chapter 87. Do not cut, trim or remove any trees on City property.
The undersigned respectfully petitions The Department of Public Works for: A new Curb Cm
Permission to install a driveway at: 43 OAK ST.,FLORENCE
Fifteen(15)foot maximum width from street line to property 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. The first one hundred(100)feet of the driveway surface shall be paved as
soon as possible if the grade of the proposed driveway exceeds 3%at any point in the first one
hundred(100)feet. Homeowners will be held responsible for any costs to the City of
Northampton in the event of a washout of this driveway. City is not responsible for culverts
installed under driveways in City layout. Code of Ordinances §350-8.8 providing standards for
private,individual driveways as most recently amended,must be followed.
No excavation is authorized without a valid trench permit in addition to this permit.
By: JOHN B. SAVESON
Telephone: 413-586-3408 _
pturere' ,
/. Proposed Location Inspection By:
Gavel Base Grade Inspected By:
3 Final Approval: / Director of Public Works
Cc: Building Inspector
I
' � mr�wptito �r �✓)S 1S � ��rb
-Lx�
�p
-) Q4gd
MUNICIPAL SEWER AVAILABILITY APPLICATION
Northampton Streets Department
125 Locust Street
Northampton, MA 01060
413-587-1570
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: 43 OAK ST., FLORENCE
Date of Inquiry: 05/24/18
Inquirer with contact info: JOHN B. SAVESON
Reason for Request: NEW HOUSE CONSTRUCTION
Municipal Sewer Main in Front of Location: Yes X No
Size of Sewer Main: 8" Material: PVC Age: 1993
Depth of Sewer Main: 4.5 FT
Length of Sewer Main: N/A
Size of Service Connection: 6"
Type of Service Connection: PVC
Tie-in to Sanitary Main: Tie-in to Sanitary Stub: X
Tie-in to Private Sanitary: Tie-in to Existing Sanitary Service:
Comments:
City Requires 6" cleanout installed at City Property Line
Note:If this availability is for new construction,this form must be hand delivered to Building Inspector.
A corresponding"sewer entrance fee" shall be paid prior to 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 notificaiton. All work
shall conform to Northampton Streets Department specifications.
BRENDAN SHEA Date: 5/30/2018
Sewer Dept. Foreman
Sewer Entry$ 500.00
J
MUNICIPAL WATER AVAILABILITY APPLICATION
Northampton Water Department
237 Prospect St.
Northampton, MA 01060
413-587-1097
A Department of Public Works Trench Permit shall be required prior to any construction or
connection activity associated with this application.
Location: 43 OAK ST
Inquiry Made By: JOHN B.SAVESON 413-586-3408 1
(Name) ('telephone Number)
Date of Inquiry: 5/24/2018 Fire Line _ Irrigation_ Domestic X
Number of Units: 1 Type of Units: Type of Ownership:
Single Family X Private X
Apartments_ Condo
Muli-Family_ Rental—
Commercial Commercial 1
(Applicant to fill out the above)
Municipal Water Main in Front of Location: Yes No
Existing service to site? Yes_ No
T
Size of Water Main: O Material: D1 Age:—�_
Approximate Static Street Pressure: " 65 125 Fiow'rest Conducted: Yes_ No A— {
(If Bow test conducted attach results)
Size of Service Connection:
['p�[/' Suggested Meter Size:
Comments:The Water Department cannot guarantee adequate water pressure during
peak demand times at elevations above 320'
CAU— _.._. c" ,4
- A corresponding water enterance fee shall he paid prior to making any connection to the municipal
water system.
-Arrangement ofsuch installation shall be made with the Northampton Water Department within a
minimum of S working days notification.
All work shall conform to Northampton Water Department specifications.
(Water Superintendent) ([late)
Water Entry$ D-00 Fire Line$ Meter$ 130 Radio Read$ I 3
cc. City of North ton Building Dept./Commissioner
NOTE:If this availablitiy is for a new construction,it must he hanyi-delivered to the Building
Inspector
V� /
\q\ Permit No. 'W�3"4,,-1—,-8 �
Date Approved:�'I"'r //g
Exp. Date:
CITY OF NORTHA ON, MA
RESIDENTIAL OR COMMERCIAL BUIL G WATER ENTRY PERMIT
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
((honer,Owner's Agent)
located at 43 OAK ST ,does hereby request a permit to install and
(Number and Street)
connect a I" Water Service to the RESIDENCE at said location.
(Size) (Residence,Commercial Bldg.,etc.)
I. "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:
WILLIAM W. CLARK EXCAVATIN(,of 22 PRATT CORNER RD., SHUTESBURY, MA
(Name) (Address)
3. Plan/sketch and specifications for the proposed water service shall be attached to permit.
In Consideration of the granting of this permit, the undersigned agrees:
I. 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" $130.00
Water Meters 3/4" $140.00
Water Meters 1" $180.00
Radio Read N/A $135.00
**** Water Meters 1.5" and above shall be Purchased by the owners using City specs.****
4. A fee of$150.00 for the Radio Read Fee with the purchase of a new meter.
S. The Water Superintendent shall he notified for water line inspection prior to backfill of
trench. "� r /
a1�- $ L eYk4l5lf>, JNacf4,)eip /y17/✓d lea
J SEE ATTACHED UTILITY CONNECTION REQUIREMENTS
rrx.L J
1
Permit No. W34-18
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION
DATE: 6/62018 SIGNED: ��--
JOHN B. SAVESON
(Name of Applicant)
112 BLACK BIRCH TRAIL, FLORENCE,MA
(Address of Applicant)
413.586-3408
(Telephone No. of Applicant)
$ 200 Entry fee paid Check No. 3958
$ 130 Meter fee paid Check No. 3958
$ 135 Radio Read fee paid Check No. 3958
Application approved and permit issued:
DATE: -I SIGNED, _
vector partment of Public Works)
Fee Schedule:
Water Entry Permit Fee: $200.00
5/8" Meter Fee: $130.00
3/4" Meter Fee: $140.00
1" Meter Fee: $180.00
Radio Read Fee: $135.00
SEE ATTACHED UTILITY CONNECTION REQUIREMENTS
Permit No. W34-18
WATER CONNECTION
INSPECTION REPORT
Northampton Sewer Department
125 Locust St
Northampton, MA 01060
(413)587-1570
Date: 6/6/2018 Domestic: X Fire Line:_ Irrigation:_
Type of Service: New X Renewal_ Repair_
Pipe: Size 8" Material DI Age 1993
Water Entry Fee Paid: Yes X No N/A
Meter Fee Paid: Yes X No N/A Meter Size: 5/8"
Radio Read Fee Paid: Yes X No N/A
Check# 3958 Cash Money Order#
Location of Installation: 43 OAK ST 17C-325-001
(Number and Street) (Parcel 0)
Contractor/Developer Installing Service Connection WILLIAM W.CLARK EXCAVATING
(Name)
413-259-1411
(Telephone Number)
This service connection at this location was inspected by the undersigned on
(Date)
at and approved by:
(Time) (Water Superintendent)
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.
Copy to Supervisor: Date:
Copy to Utility Billing: Date:
SEE ATTACHED UTILITY fnnitucrnnar ecn-....�..�•--
CITY OF NORTHAMPTON,MASSACHUSETTS
DEPARTMENTOF PUBLIC WORKS
' 125 Locust Street Water F.ntryqIA)3Up—1
Norlhamplon,MA 01060 Date Approved: 7 -/-7 -/8'1�i
413.587-1570
Fax 413-587-1576 Revised Expiration Date: /0 /
(for City Use Only)
WATER CONNECTION/ENTRY PERMIT EXTENSION REQUEST
Pursuant to G.L.c. 82A and 520 CMR 14.00 et seq.(as amended)
This permit extension request must be fully completed prior to consideration.Submit completed
to Northampton Department of Public Works, 125 locust Street,Northampton,MA 01060.
This permit extension is issued under the provisions of M.G.L.c.82A,520 CMR 14.00 and applicable
sections of the Revised Ordinances of the City of Northampton,including,but not limited to,Section 325-3.
It is subject to all the same requirements and regulations that are required in the original permit and as
amended as conditions of this permit extension.
By signing this form,the applicant acknowledges that he/she has read and understands all the
information set forth in and referenced within this application package and that they agree to comply
in all respects with the requirements therein.
Issued Water Entry Permit Number
� lJ 3t{- 18 43 dam F
Name of Applicant Primary Phone fl
Jo c tr't l3-O&- 314'pI
Street dress Emergency Phone 4
(IZ 1'Jl�tle-�je✓eh �YAt
,C.,i.IY,/Town State Zip E a
t"WrEnlc. 1111i 0(0& ��avcso�G'�o•.rc csf /tom
Explanation of reason for request for permit extension.
(Projected Compl ton Date: /� ,�/
nor c-/' •,-rnl:yvJ —GL-fv.�- �Yfl nqi;
A 1' nt Signatures
u
We:
_,&9 1
For City Use—Do not write in this section
Conditions of Approval: If applicable(See Attached)
Permit Ap at
Director of Public Works
Permit No. S30-I8
Date Approved:
Exp. Date:
CITY OF NORTHAMPTON, MA
RESIDENTIAL OR COMMERCIAL BUILDING SEWER ENTRY PERMIT
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 43 OAK ST. ,does hereby request a permit to install and
(Number and Street)
connect a building sewer to serve the RESIDENCE: at said location.
(Residence,Commercial Bldg.,etc.)
I. 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:
WILLIAM W. CLARK EXCAVATIN(,of 22 PRATT CORNER RD., SHUTESBURY, MA
(Name) (Address) '.
4. plan and specifications for the proposed building sewer are attached hereunto as Exhibit "A".
In Consideration of the granting of this permit,the undersigned agrees:
L To accept and abide by all provisions of the Code of Ordinances, City of Northampton,
Massachusetts, Section 22-41 through 22-52,and all other pertinent ordinances nr
regulations that may be adopted in the future.
2. To maintain the building sewer at no expense to the City.
3. To notify the Superlintendent when the building sewer is ready for inspection and
connection to the public sewer, hot before any portion of the work is covered.
2o(73-b42--
Dl?,-I's
SEE ATTACHED UTILITY CONNECTION REQUIREMENTS
i
Permit No. S30-I8
4. The City shall not be held liable fnr any open plumbing Fixtures below street level.
5. The applicant and/or owner herby agrees m pay the City any sewer use assessments or
charges as may be esmblished under city ordinance.
6. City mluires 6" cleanout installed at City Property Line.. t
DATE: 6/6/2018 SIGNED:
JOHN B. SAVESON
(Name of Applicant)
112 BLACK BIRCFI TRAIL, FLORENCE, MA
(Address of Applicant)
413-586-3408
(Telephone No.of A pplicant)
Application approved and permit issued:
DATE: 4 — t q - t � SIGNED: _
(Director of the Departmcnt of Public Works)
Code of Ordinances Section 22-41 through 22-52 available upon request.
'fie-in to sanitary main $200.00
Tie-in to sanitary service at street line $500.00 X
Tie-in to existing PRIVATE line N/A
SEE ATTACHED UTILITY CONNECTION REQUIREMENTS
i
VARIES
6"PVC.PIPE.
A_•y6•WyE 1r vINCR ERR
INCREASSEE
" R
T
IF NEEDED
EERNCO
PVC. TEE WE aI __COUPLMC;
fi"RENO I (SIZE. VARIES)
EXIST SEWER
SERVICE
11 (SIZE VARIES)
-- 2 1{ MM. %OPE
I
�z
PLAN °
�_ R•Ca'
al
EXIST GROUND
OWE FOR CEEANOUTS WHICH TERMINATE
WITHIN PAVEMENT AREAS CONTRACTOR TO
SUPPLY 111E TOP OF A STANDARD WATER
GATE BOX TO PROVIDE ACCESS AHU 10
PROTECT EHE PIPE. REDUCE CLEANWi PIPE
SIZE FROM 6" TO A" M11RIN THE GALE BOX
TOP.
SL
A. GPVC.%PE,:
-- VARIES -- - k
-I INCREASER
If NEEDED:
+EWER MA !L I
(SIZE VARIES) FEHNW
CWP ING
.6•WyE L (S1 VAR ESS
-- 2 X MIN. SI.GPE
6•BENID
PVC. TEE WE
PROFILE EXIST SEWER SERVICE
TYPICAL 6PVC. SEWER SERVICE
NOT TO SCALE
SEE ATTACHED UTILITY CONNECTION REQUIREMENTS
� \ UPON APPROVAL
��� CITY OF NORTHAMPTON,MASSACHUSETTS SA7C T
130P, RTMFN'I'OF PUBLIC WORKS
a - 125 Locust hreet ' reach Permit Number: 2018-542
/ �'� ° (. Surthnniptun.SIA 010-611 / —
'y , / 413-5871570 Date Approved: ` " �Y -aaL
Fax 413-587-1578 Expiration
(for City Use Only)
EXCAVATIONITRENCH PERMIT
Pursuant to G.L.c. 82A and 520 CMR 14.00 ct seq.(as amended)
This permit must be fully completed prior to consideration. Submit completed form with permit fee to
Northampton Departmem of Public Works, 125 Locust Street,Northampton,MA 01060.
This permit is issued under the provisions of M.G.L.c.82A,520 CMR 14.00 and appiivable sections of the
Revised Ordinances of the City of Northampton,including,but not limited to,Section 285-21.
_Fee:5250 Check N: 3944 Date Issued: 06/06/18
Name of Applicant Primary Phone N
JOHN B. SAVESON 413-586-3408
Street Address Emergency Phone N
112 BLACK BIRCH TRAIL 413-695-3638
Citylfox'n State Zip Email
FLORENCE MA 01062 jsaveson@comcast.net
Name of Excavator Primary Phone N
WILLIAM W.CLARK EXCAVATING 413-259-1411
Street Address Emergency Phone N
22 PRATT CORNER RD. 413-626-6760
City/Town State Zip Emaii — - ----- ---
SHUTESBURY MA 01072 wwclarkexceveting(a)hotmail.com
Name of Property Owner(s) Primary Phone.N
JOHN B. SAVESON
Slow Address Emergency Phone N
43 OAK ST
Cily/fown State Zip Email --
FLORENCE MA 01062
Insurance Certificate N Policy Expiration Date
ON FILE
Name&Contact Information of Insurer
— -
2018-201-5732
1.3 1 S Pg.1H.EarYNONrmnCh aeWt
By signing this form,the applicant,owner and excavator all acknowledge and certify that
they are familiar with,or,before commencement of the work,will become fanfliur with,all
i laws and regulations applicable to work proposed,including OSf1A regulations,M.G.L.c.
82a,520 CMR 14.00 el seq.,and any applicable municipal ordinances,by-laws and
regulations,and they covenant and agree that all pork done under the permit issued for such
work will comply therewith in all respects and with the conditions set forth below.
The undersigned owner authorizes the applicant to apply for the permit and authorizes
persons du lv appointed by the municipality to enter upon the property to monitor and
inspect the work for conformity with the conditions attached hereto and the laws and
regulations governing such work for the duration oft he cons true tin n.
The undersigned applicant,owner and escorts tor agreejointly and severally to reimburse the
municipality for any costs and expenses incurred by the municipality in connection with this
permit and the work conducted thereunder,including bill not limited to enforcing the
requirements of state law' and conditions of this permit,inspections made to assure
compliance therewith,and measures taken by the municipality In protect the public where
the applicant,owner or excavator has failed to comply therewith,including police details and
other remedial measures deemed necessary by file municipality.
The undersigned applicant,owner and excavate,agree jointly and severally to defend,
indemnify, and hold linrmless the municipality and all of its agents and employees b»m ally
and all liability,causes or action,costs and expenses resulting front marising not of any
injury, death, loss or damage to any person or property during the work conducted under
this permit.
By signing(his form, Ilse applicant,owner suit excavator acknowledge flint they have read
and understand all the information set forth in and referenced within this application
package and that they agree to comply in all respects with tine requirements therein.
a ---- --- - - --
t1;nF
-__ lisle
Sllilzat9
FAcravala,
..._.—
Owner Signature(if different) Date
Pasco
e
To be completed schen avorovedep cost(Is o1c d u .
By signing below,the applicant acl nms'ledges and agrees to all the conditions of approvat stated belms
and validates this permit.
A mm - —� Date
For itv Use—Do not xvite in this section
Departmeenntt/Approvals/Co/m/m�eentt Other Referenced Pcrmtts
Water -/-slime.----.___.![(_D—F=a_--.
Server
Sweets
Condition olYnaJ:
Road Inst
Conditions of Approval
Control Density Fill Required Refer to Engineering for plans
Must install clean-nm(See Attached) Subject to 5-yr.pavement inoratnrian
Other requirements(See Attached) = Water/Sewer/Dain Entry Pemtii
Pee
$250 Permit Application Fee received((,.heck payable In the City of Northampton)
Fee Waived. Rcuson:
Permit Approval
I Public K -- -' --- ---- ------ -- Date
Po.torsa
Mathews Brothers Proud Supplier of. Customer
r „ 4r &�rr� O5 QUOTATION
Tel:
Fax:
Email:
BILL TO: SHIP TO:
QUOTE# STATUS CUSTOMER PO# DATE QUOTED
436678 None '_/13120199:58:10 AM
QUOTEDBY TERMS PROJECTNAME QUOTE NAME
Jacob Uzcl Rich Karsten M11urphy5aveson Residence
LINE# DESCRIPTION OTV NET PRICE EXTD. PRICE
100-1 1 $427.04 $427.04
Sanford Hills Triple Pane Awning
AW3636,Operating,Extruded White Interior,Extruded
White Exterior,Triple Pane Low-E/Clear/Clear w/Argon„ R i s•.,
White Handle& Lock,Fiberglass Mesh White Screen i \
Applied
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/ — —
Installation Screws
Unit 1:UFactor:0.2,SHG:0.22,VLT:0.38,CR:70
Energy Star Qualified(Northern)
Opening: 36.5'X 36.5"
O.S.M.: 36"X 36" Tag: A-Front,TV Room
LINE# DESCRIPTION OTY NETPRICE EXTD.PRICE
200-1 1 $1,193.93 $1,193.93
Sanford Hills Triple Pane Casement Mull
30 X 54 Unit Size Fixed,PG60;30 X 54 Unit Size Fixed,
PG60;30 X 54 Unit Size Right Operating,PG65,Special
Hinge,20.5 X 47.12 Clear Ocening,6.7 SQFT,No Window
Opening Control Device,White Handle&Lock,Fiberglass — —
Mesh White Screen Applied,Extruded White Interior,
Extruded White Exterior,Triple Pane Low-E/Clear/Clear
w/Argon
w/J-Channel Cover,No Exterior Cuing,w/Nailing Fin,w/
Installation Straps
Unit l:UFactor:0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Unit 2: UFactor:0.2,SHG:0.22, VLT:0.38,CR:69
Energy Star Qualified(Northem)
Unit 3:UFactor.0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northem)
Opening: 90.5"X 54.5"
O.S.M.: 90" X 54" Tag: B-Front,MBR
Page I Of 6
i
QUOTE# STATUS CUSTOMERP04 OAT QUOTED
436678 None '_-13^_0199:58:15 ,
0 AM
QUOTEDBY TERMS PROJECT NAME QUOTENAME
Jacob Uul Rich Karsten Murphy/Saveson Residence
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
300-1 1 $1,278.68 $1,278.68
Sanford Hills Triple Pane Casement Mull
30 X ;3 Unit Sin Fixed,Right 30 X 54 Unit Biu Fixed,
l
PG60;30 X 54 Unit Sim Right Operating,PG65,Special
Hinge,20.5 X 47.12 Clear Opening,6.7 SQFT,No Window
Opening Control Device,White Handle&Lock,Fiberglass
Mesh White Screen Applied,Extruded White Interior,
Extruded White Exterior,Triple Pane PassivGlas Plus w/
Argon
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Straps
Unit I:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 2:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 3:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Opening: 90.5' X 54.5"
O.S.M.: 90"X 54" Tag: C-Right,TV Room
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
400-1 1 $1,466.15 $1,466.15
Sanford Hills Triple Pane Casement Mull
36 X 66 Unit Size Left Operating,PG65,21.93 X 59.12 -®
Clear Opening,9 SQFT,No Window Opening Control x �r
Device,White Handle&Lock,Fiberglass Mesh White
Screen Applied;36 X 66 Unit Sin Fixed;36 X 66 Unit Sin
Fixed,Extruded White Interior,Extruded White Exterior,
Triple Pane PassivGlas Plus w/Argon,
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin
Unit 1:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 2:UFactor.0.19,SHG:0.35,VLT:0.43,CR: 72
Energy Star Qualified(Northern)
Unit 3: UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Opening: 108.5"X 66.5"
O.S.M.: 108"X 66" Tag: D-Right,Living Room
Page 2 Of 6
QUOTE# STATUS CUSTOMERPO# DATEQUOTED
436678 None 2/13/20199:58:10 AM
QUOTED BY TERMS PROJECT NAME QUOTENAME
Jacob Uzel Rich Karsten Murphy/Saveson Residence
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
500-1 1 $1,278.68 $1,278.68
Sanford Hills Triple Pane Casement Mull
30 X 54 Unit Size Fixed, t 30 X 54 Unit Size Fixed,
Right
PG60;30 X 54 Unit Size Right Operating,PG65,Special
Hinge,20.5 X 47.12 Clear Opening,6.7 SOFT,No Window
Opening Control Device,White Handle&Lock,Fiberglass
Mesh White Screen Applied,Extruded White Interior,
Extruded White Exterior,Triple Pane PassivGlas Plus w/
Argon
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Straps
Unit I:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northem)
Unit 2:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 3:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Opening: 90.5'X 54.5'
O.S.M.: 90" X 54" Tag: E- Right, Living Room/
Loo
LINE It DESCRIPTION OTY NET PRICE EXTD.PRICE
600-1 1 $1,042.43 $1,042.43
Sanford Hills Triple Pane Casement/Awning Picture Mull
36 X 36 Unit Sim;36 X 36 Unit Sim;36 X 36 Unit Sim,
Fixed,Extruded White Interior,Extruded White Exterior, ,§ =
Triple Pane PassivGlas Plus w/Argon,PG60,
w/YChannel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Stops
Unit I:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 2:UFactor:0.19,SHG:0.35,VLT:0.43,CR: 72
Energy Star Qualified(Northern)
Unit 3:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Opening: 108.5' X 36.5"
O.S.M.: 108"X 36" Tag: F-Right,Living Room/
Loft
Page 3 Of 6
QUOT # STATUS CUSTOMER PON DATE QUOTED
436678 None 2/1320199:58:10 AM
QUOTED BY TERMS PROJECT NAME QUOTENAME
Jacob Uzcl Rich Karsten Murphy/Savcson Residence
LINEN DESCRIPTION OTY NET PRICE EXTD.PRICE
700-1 1 $1,141.43 $1,141.43
Sanford Hills Triple Pane Awning Mull
36 X 36 Unit Size Operating, White Handle&Lock,
Fiberglass Mesh White Screen Applied;36 X 36 Unit Size :(rT,�
Fixed,PG60;36 X 36 Unit Size Fixed,PG60,Extruded ++
White Interior,Extruded White Exterior,Triple Pane IN
PassivGlas Plus w/Argon,
w/1-Channcl Cover,No Exterior Casing,w/Nailing Fin
Unit I:UFactor:0.19,SHG:0.35,VLT:0.43,CR:73
Energy Star Qualified(Northern)
Unit 2:UFactor:0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Unit 3:UFactor.0.19,SHG:0.35,VLT:0.43,CR:72
Energy Star Qualified(Northern)
Opening: 108.5"X 36.5"
O.S.M.: 108"X 36" Tag: G-Right,Basement
LINE It DESCRIPTION OTY NET PRICE EXTD.PRICE
800-1 1 $786.11 $786.11
Sanford Hills Triple Pane Casement Mull
30 X 48 Unit Size Fixed,P060;30 X 48 Unit Sim Right
Operating,PG65,Special Hinge,20.5 X 41.12 Clear
Opening,5.85 SOFT-No Window Opening Control Device,
White Handle&Lock,Fiberglass Mesh While Screen
Applied,Extruded White Interior,Extruded White Exterior, — n
Triple Pane Low-E/Clear/Clear w/Argon
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Straps
Unit I:UFactor:0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Unit 2:UFactor:0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Opening: 60.5" X 48.5"
O.S.M.: 60"X 48" Tag: H-Back,BR2
LINE# DESCRIPTION OTV NET PRICE EXTD.PRICE
900-1 1 $763.61 $763.61
Sanford Hills Triple Pane Casement Mull
30 X 48 Unit Size Left Operating,PG65,Special Hinge, - -
20.5 X 41.12 Clear Quentin,5.85 SOFT,No Window
Opening Control Device, White Handle&Lock,Fiberglass
Mesh While Screen Applied;30 X 48 Unit Size Fixed,
PG60,Extruded White Interior,Extruded White Exterior,
Triple Pane Low-E/Clear/Clear w/Argon
wd-Channel Cover,No Exterior Casing,w/Nailing Fin
Unit I:UFactor.0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Unit 2:UFactor:0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Opening: 60.5"X 48.5"
O.S.M.: 60" X 48" Tag: 1-Back,BR3
Page 4 Of 6
QUOTE# STATUS CUSTOMERPON DATEQIIOTED
436678 None 1 2/13/20199:58:10 AM
QUOTEDEY TERMS PROJECT NAME QUOTENAME
Jacob Uul Rich Karsten Murphy/Saveson Residence
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
1000-1 1 $362.98 $362.98
Sanford Hills Triple Pane Casement/Awning Picture
CS3054,Fixed,Extruded White Interior,Extruded White 10
Exterior,Triple Pane Low-E/Clear/Clear w/Argon,PG60,
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Straps
Unit I:UFacmo 0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Opening: 30.5" X 54.5'
O.S.M.: 30" X 54" Tag: J-Back,Dining
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
1100-1 1 $403.04 $403.04
Sanford Hills Triple Pane Casement I�
Extrude,Right Operating,ExtrudedWhite Interior,
Extruded White Exterior,Triple Pane
e Low-E/Clear/Clear „
w/Argon,PG65,Special Hinge,20.5 X 35.12 Clear
Opening,5 SOFT,No Window Opening Control Device,
White Handle&Lock,Fiberglass Mesh White Screen
Applied
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Screws
Unit I:UFactor.0.2,SHG:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Opening: 30.5"X 42.5"
O.S.M.: 30"X 42" Tag: K-Back,Kitchen
LINE DESCRIPTION OTY NETPRICE EXTD.PRICE
1200-1 1 $278.09 $278.09
Sanford Hills Triple Pane Casement/Awning Picture
C53030,Fixed,Extruded White Interior, r w/A d White I a
Exterior,Triple Pane Low-E/Clear/Clear w/Argon,PG60, B
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Straps
Unit I: UFactor:0.2,SHE:0.22,VLT:0.38,CR:69
Energy Star Qualified(Northern)
Opening: 30.5"X 30.5"
O.S.M.: 30"X 30" Tag: L-Left,Stairway
Page 5 Of 6
QUOTE# STATUS CUSTOMER PO# DATEQUOTED
436676 None 2113/20199:58:IO AM
QUOTEDBY TERMS PROJECT NAME QUOTENAME
Jacob Uzel Rich Karslcn Murphy/Saveson Residence
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
1300-1 1 $378.59 $378.59
Sanford Hills Triple Pane Awning
AW3030,Operating,Extruded While Interior,Extruded
White Exterior,Triple Pane tow-E/Clear/Clear w/Argon,
PG80„White Handle&Lock,Fiberglass Mesh White s
Screen Applied
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Screws
Unit I:UFactor:0.2,SHG:0.22,VLT:0.38,CR:70
Energy Star Qualified(Northern)
Opening: 30.5"X 30.5"
O.S.M.: 30" X 30" Tag: M- Left,Up Bath
LINE# DESCRIPTION OTY NET PRICE EXTD.PRICE
1400-1 1 $378.59 $378.59
Sanford Hills Triple Pane Awning
AW3030,Operating,Extruded White Interior,Extruded
White Exlerioq Triple Pane Low-E/Clear/Clear w/Argon, 0.
/
PG80„White Handle&Lock,Fiberglass Mesh White /
Screen Applied
w/J-Channel Cover,No Exterior Casing,w/Nailing Fin,w/
Installation Screws
Unit I:UFactor:0.2,SHG:0.22,VLT:0.38,CR:70
Energy Star Qualified(Northern)
Opening: 30.5"X 30.5"
O.S.M: 30" X 30" Tag: N-Left,3/4 Bath
All Prices are net. Quote is good for thirty days. Please review all quantities, SUB-TOTAL: $11,179.35
specifications,and information for accuracy.Special orders can not be returned for LABOR: $0.00
credit.Signature implies acceptance of these specifications.Your order will not be FREIGHT: $0.00
processed without authorized signature. SALES TAX: $698.71
Thank you for all of your efforts! TOTAL: $11,878.06
We appreciate the opportunity to provide you with this quote!
Page 6 Of 6
L J CENTER FOR
U EcoTechnology°
we make green make sense
ENERGY EFFICIENCY PLAN
Project Address: 43 Oak St, Florence, MA
Conditioned Floor Area 2,023 W
Volume 26,124 fts
Building Type Tingle family detached
Bedrooms 3
Assumptions for Preliminary Home Energy Rating
CET has completed a Preliminary Home Energy Rating based on the construction plans you have provided. Any
energy features not listed below are assumed to meet the prescriptive requirements of the IECC 2015.
Building Envelope Specifications Used in Analysis
Foundation Walls R-15 interior sealed class A foam board
Basement Slab R-10 foam board under slab and at slab edge
Rim & Band Joists 7.5"dense-packed cellulose R-26.25
10.5"dense-packed cellulose(R-36.75) in double-2x4 stud walls; All
Exterior Walls cavities fully enclosed by air barrier on top&both sides; Sheathing
seams, edges, and penetrations taped or otherwise sealed; Bottom of
sheathing sealed to top of foundation wall; Interior smart vapor retarder
East, West, North Windows U-value= 0.20, SHGC=0.23-.30
South Windows U-value= 0.18, SHGC=0.37-.49
Exterior Doors(opaque areas R-7.14/U-0.14
Flat Ceilings 18" loose-blown cellulose R-67
Vaulted Ceilings 17"dense- ack cellulose (R-59); Sealed save wind baffles
Attic Hatches R-30 foam board, fully gasketed; Framed edge dam to height of
surrounding insulation
Blower Door Test 1.0 ACH50 or better lower
Rater Field Checklist, sections 2&4 Meet all Checklist Requirements as verified by a HERS rater at pre-
drywall and final inspection
Plumbing& Mechanical Systems Specifications Used In Analysis
Heating & Cooling Equipment 10.3 HSPF, 20 SEER ductless multi-split heat pump
Basis:Fujitsu AOU36RLXFZH outdoor unit
Water Heating Equipment 80 gal electric heat pump water heater, 3.1 Energy Factor
Domestic Hot Water Pipes 30 feet horizontal distance from water heater to farthest fixture;
All hot water pipes insulated to R-3
DuctLeakage N/A
Adjustable speed heat recovery ventilator, 73%Sensible Recovery
Whole House Ventilation Efficiency and 32 watts at 83 CFM continuous ventilation; Return air
ducted directly from 2 bathrooms
Basis:Broan HRV160ECM
Lighting & Appliances Specifications Used In Analysis
Lighting 100% LED
Refrigerator
Dishwasher, Washer& Dryer ENERGY STAR certified
ENERGY EFFICIENCY PLAN
Preliminary Home Energy Rating Results
Based on the assumptions described above, we have calculated the following Preliminary Home Energy Rating results.
Preliminary HERS Index: 40
Estimated Mass Save Rebate: $4,300'
Note that Confirmed Home Energy Rating results may vary from the Preliminary Home Energy Rating results due to
changes in building plans, energy features installed in the home, RESNET standards, software changes, and other
factors.
-=Mass Save Residential New Construction requirements and incentive amounts can change at any time without
notice at the discretion of program sponsors. We anticipate, but do not guarantee, that current program requirements
and incentive amounts will apply to this project as long as it is completed and inspected by November 30, 2019.
Preliminary Rater:John Saveson
Date:March 11,2019
Job A
Page 2 of 2-The Center for EmIreahnology-Tel(413)5867350 ext.242-Fax(413)586-7351-areenhome0oetonline.om