37-090 (2) 319 ROCKY HILL RD BP-2019-1128
GIs#: COMMONWEALTH OF MASSACHUSETTS
MUjIt9ck:37-090 CITY OF NORTHAMPTON
Lov-00 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category,New Single Family House BUILDING PERMIT
Permit# BP-2019-1128
Proiect# JS-2019-001834
Est.Cost:$347335.00
Fee;$904.60 PERMISSION IS HEREBY GRANTED TO:
const.Class: Contractor: License:
Use Grouo: CHARLES BADO 059327
Lot Size(sp.ft.): 628570.80 Owner: THEBERGE RENE& SUSAN
Zoning, Applicant: CHARLES GADO
AT: 319 ROCKY HILL RD
Applicant Address: Phone: Insurance:
494 GREENFIELD RD (413) 824-2318
DEERFIELDMA01342 7SSUEDOMI/26120190:00:00
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: Fitt Department Fireplace/Chimney:
Rough: Q& 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: AmoDgt:
Building 4/26/20190:00:00 $904.60
212 Main Street,Phone(413)587.1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-1128 P n
APPLICANT/CONTACT PERSON CHARLES BARO 1_'
ADDRESS/PFIONE 494 GREENFB3LD RD DEERFIELD (413)8242318
PROPERTY LOCATION 319 ROCKY HILL RD
MAP 37 PARCEL 090 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATI IS
ENCLOS REQUIRED DATE
ZONINGFORM FILLED
Fee Paid
Buildimz Permit Filled
Fee P '
Tvueof Construction: NEW SINGLE ILY HOUSE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 059327
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
_Other 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
6�! y Z6 -264)q
Si tare of Bbtrdmg Official Date
Note:Issuance of 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.
Department use only
City of Northam on Stales of erre
/ Building Departm nt cum cu nve y Permit
f 212 Main St APA 1 2 a&nS tkA ilabildy
Room 100 waterAN IIA lability
Northampton, MA 06 FpT�pc eUILDINr - Sf S ctural Plans
phone 4l&587-1240 Fax 13 ppp"MPION
Other Speerfy
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION P'C od- Ro ns
1.1 Prooerhr Address: Q.o CXy (41Lt- /ty}, -t This section to be completed by office
Map 3 T Lot q0 Unit
Zone Owriay District
Elm St.District Ca DbWet
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZEDRGENT
2.1 Owner of Recwd:
(�12-r 6..S tJS cs-t -nlY S r �-�- PrcesPC�T 5. .an-r.sp 35
Name(Pnnu Currant Mailing Address: � _
yla- 8 Iz2
Telephone
Signature
2.2 Authorized Agent:
C laacL.��S i�2cn'�o 41 zyeLM..lhr� 2J . �cdcr=nlu\ of 7,4Z
Name(Prim)/ Current Mailing Address:
'113 Bur 2318
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed b1 ermitapplicant
1. Building 42 Ivr '16Z (a)Building Permit Fee
2. Electrical 20 sz.3 (b)Estimated
limConseiTotal onrrom (6)
3.
3. Plumbing ZQt Building Permit Fee /�
4. Mechanical(HVAC) 351 90f
1goyl/d
5. Fire Protection (_LJ
6. Total=(1 +2+3+4+5) Check Number cloy
This Section For Official Use Only
Building Permit Numbs Date
Issued:
Signature: q -14
Building Commiselonerllnspector of Buildings Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING At Information Must Be Completed.Permit can Ile Denied Due To Incormai to Information
Existing Proposed Required by Zoning
This column to h food in by
Building Department
Lot Sim 61-9868 sa.tr. _..
Frontage 2C
Setbacks Front 318
Side 1-:51 R: 6a L._......... R: _
Rear Vzo' —
Building Height '-
Bldg.Square Footage 5 r- _ _ %
Open Space Footage %
(LotareaminabldgS,pavN Luer ISI _ F
.
paroino)
#of Parking Spaces 2'
Fill:
voNnm&L.s moo
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O 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 Book 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 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
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
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 aver 1 acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION i DESCRIPTION OF PROPOSED WORK Icheck all applicablel
New House d Addition ❑ Replacement Windows I Altaradon(s) Roofing
Or Doors 0
Accessory Bldg. IJ Demolition ❑ New Signs j01 Decks IQ Siding[O] Other[Q
Brief Descnption of Proposed
Work: ^rts' �vJt4-u"Jl .
Alteration of existing bedroom_Yes_No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement _Yes No
Plans Attached Rall -Sheet
w. If New house and or addition to existing housing. Complete the following:
a. Use of building One Family / Two Family Other
b. Number of roams in each family unit (3 Number of Bathrooms
c Is there a garage attached? H b
d. Proposed Square footage of new construction. 52 Dimensions S ax Pr_asa
e. Numberofstaries?
t Method of heating? �irar PwtP Fireplaces or Woodstoves j Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction V
i. Is construction within 100 ft.of wetlands?_Yes X 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? I Yes No.
I. Septic Tank V' City Sewer Private well City water Supply
SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I. Kc"6 T�h{ e kfl6 as Owner of the subject
property
h au e G ��l-(5 3 A;t c
I act If, all matters relative to work authorized by this building permit application.
1
Signa e fownar IOete
I. C(+''�ALL'� , 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 /i' N+il/ � r 1�✓`^' �/ I f r I h]I q
C L
Signature of Owner/Agent Data
e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder', GkW40.0.'S Yeo GS -0 SJ323-
License Number
/42yueAjFrrcl,) a, �rr:lsiria) 17 ), o13`fl. ll/OG�T-o!�
Add. F�raeon Date
li(3 62_4 2_3 e
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address E)pwation Date
Telephone
SECTION 70.WORKERS'COMPENSATION INSURANCE AFFIDAVIT JIi c.752,§25C(8))
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 ermit.
Signed Affidavit Attached Yes....... H No...... ❑
City of Northampton
�rJ tr Massachusetts
ra9.1B1 or BMWING INSP=roKs
>f 212 win 8tswt • a4niciPal auilair�g fi�
aar ton, rw 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 most be registered as a Home Improvement Contractor("HIC").
M.C.L.Chapter 142A requires that the"reconstruction, alteration,renovation,repair, modemi2atron, conversion,
improvement,removal, demolition, or construction of an addition to anypre-existlng owneraccupied building containing
at least one but not more than/our dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:Lf the homeowner has contracted with a corporation or LLC that entity must be registered
Type of Work: Est.Cost:
Address of Work:
Date of permit Application:
1 hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
—Job under S 1,000.00
_Owner obtaining own permit(explain):
_Building not owner-occupied
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 RESPONSIBH.ITES 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,l hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
, t
City of Northampton
Massachusetts
� c
L
OEPARTILNT OF BUILDING INSPECTIONS p'
212 Nein Straat a Municipal Building
Norfd ton, Ma 01060 \a
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 I IO.R5.1.3.1
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
i
Massachusetts
e
s
zarw� or aozaarxc zasnecrzoas
212 win 9t:«t •Muviciwl Nildinq `�i\ 'c+
sorua tcn, M. 01060 '
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, 554, 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:
311 Kor,.cy2J .
(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:
pCLL' Insraa-mt
(Company Name and Address)
Signature of Permit 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.
(� C
�•` The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street,Suite 700
Boston, MA 02714-2017
www.mass gov/dia
Wil.rken'Compersation Insurance Affidavit:Builders/Contrmtors/Eleetricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business OrgmizatioMrdividua0: CN'ta'IiCS Ti, o
Address: e{gyJS /}2t9-�BN FI L�L� /[,J
City/State/Zip: ,-',r,ic2nL�\ Ma- o13HZ Phone#: 1413- e2'4 - 231B
Are'.an employer`C6edc am appropdaw bozo Type of roj act(required):
L0 I arrtim,00ym with employ.rfidl ariftrpm-tumf 7. Newconstmetion
2.�amasolc MMewrorpmmershipmdhavememploy woriwg fume in g, ❑Remodeling
my caDaeaY.INo wmken'wrap.immune, na, rN.]
14J 1 an a homcvwn,r doing all wink myself(No wakas'cram 9. ❑Demolition
p.vammcc m(nirN.]
4.❑lamalmmwwnermdwillbeham metorsweoM tanwmkmm 10❑Building addition
ensg con Yrm sale Y. 1wal
methal all mnvacmrs eithar have workers enngmaetion imuemce or aR sol, Il.❑Electrical repairs or additions
proprietors wait no employ«s.
12.E]Plumbing repairs or additions
s.Ell inn a gm-comacuzcwraodlhaeee,an have wenn.,eornsmdonmeanmhea sheet. 13 Roof repairs
These subwmuwn have employee.atW have workers'romp.insummce.:
6.❑We area owcratim and asoff have emmueduaarightofscmpuan per MGL c. 14.❑Other
152,§1(4),and we have no employes(No worts'comp.immm«"amend
•Any applicant that W bm
nt cheeox#1 intent also fill out the seetion below showing thehwnroinscomempenf in
ion policy inion.
1 Homeowners who submit this andavit indicting they am doing all work amt men hire outside contractors must submit a new affidavit indicating such.
Rbno-actors then check mil box must ana,hed on addifioned sheet showing the mone of the subcomme.art state whether or not thow entities have
empluYen. If the sub-canmcwrs knee employ«s,they must provide their workers cum'.W tory u sumer.
I am an employer that is providing workers'compensadon insurance for my employees Below is Me policy andjob 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,p25A 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 of a 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.
I do hereby certify under th/el�°'my
andpejuddes of perjury that the information provided o e is true and rorrece
Sienaturel 7 V`�l/ `� Date' 'T Il �rl
Phone#: 4173 B24 23(8
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: PermitfLicense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another 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
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a 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 another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant 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 of a 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)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements ofthis chapter have been presented to 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-contrzetor(s)morels),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to tarty workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned 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 a 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 permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"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 to the
applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit mus[be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to 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 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
Information and Instructions
Massachusetts Genital Laws chapter 152 requires all employers to provide workers compensation for their employees.
Pursuant to this statute,an employer is defined as"...every person in the service of another under my contract of hire,
express or implied,oral or wrimm"
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or my two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a 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 mother who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant 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 of a 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)states"Neither the commonwealth nor my of its political subdivisions shall
enter into my contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to 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 your insurance company's name,address and phone number along with a certificate of insurance.
Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members
or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy
is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of
insurance coverage. Also be sure ro sign and date the affidavit. The affidavit should be returned to the city or town
that the application for the permit or license is being requested,not the Department of Industrial Accidents. Shouldyou
have my 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 permitilicense number which will be used as a reference number.In addition,an applicant that
must submit multiple permit/license applications in my given year,need only submit one affidavit indicating current
policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town
may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit
most be filled out each year.When:a home owner or citizen is obtaining a license or permit not related to any business
or commercial venture(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this
affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street
Boston, MA 02114-2017
Tel.#617-727-4900 ext. 7406 or 1-877-NIASSAFE
Fax#617-727-7749
www.mass.gov/dia
Fmm Revised 02-23-15
Home Energy Rating Certificate Rating Date: 2018-11-08 46
Projected Report Registry ID: Unregistered
1 p Ekotrope ID: ILVEg762
HERS' Index Score: Annual Savings Home:
Your homes HERS sc., is a relative Rocky •.
, Northampton, MA
performance score.Th:I.Wer the number, 0.
the more energy efficient the home.To 14learn more,visit www.hersindex.com 'Relahveto an average J S.home Charles$ 3,653
. .
Your Home's Estimated Energy Use: This home meets or exceeds the
Use [Metu7 Annual Cost criteria of the following:
Heating 19.6 $854 20 15 International Energy Conservation Code
Cooling 0.7 $31
Hot Water 2.3 $102
Lights/Appliances 15.2 $663
Service Charges $0
Generation(e.g.Solar) 27.1 -$1,184
Total: 37.8 5666
Home Feature summary: Rating Completed by:
...0 Home Type Sirglefamllydetached Energy Raterlared Woods
Conditioned Floor Area: 1b24 s4 h RESNET IDJ824901
0."'es
Mha,e Number of Bedrooms 2 Primary Heatlng System: Air Source Heal Pump. Raging Ctlmpany:Pover House Energy Consultingtric•12.5 HSPF 429 West St Suite 105,Amherst,MA
Primary Cooling system: Air Source Heat Pump.0 boric.261 AER
adew a r44 primary Water Heating: Water Heater.Read,335 Energy Factor
House Tightness 2KH50 Raging Vrovider.Energy Raters of Massachusetts r1
ventilation: 60D CFM.20.0 Watts 2Woodlavn5t,et Arnesbury,MAO1913
Pun WakaBe to ouldde 0CFM25 9782763911 . 1,
Above Grade Walls: R-26
Gelling: Vaulted Roof,R-60
Window Type -Value:0.18,SHGC:0.35
p,opy,Fy p Foundation WealR0.-13 J w
erns,. a renes...
M.r land Woogned.IM11E8 at S Rater
Digitally signed.122&'18at SD9 PM
TitV of Nort4anyton
S� r St
,i ma88at4a8Ptt8 ttc
3
DEPARTMENT OF BUILDING INSPECTIONS n
d eac'
212 Mein Street . Municipal Building �^
Northampton, MA 01060
Fee Calculator for Residential Properties
Location
Square Footage Amount
Basement @ .20 5�3 3 I1(-4
1ST Floor @ .50
2nd Floor @ .50
% Floors, Finish Attic, Garage @ .20
Deck / Porches @ .20 3O 2
Total : o • 60