Loading...
25A-046 (62) 51 BATES ST BP-2020-0480 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A-046 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2020-0480 Proiect# JS-2020-00081$ Est.Cost: $9600.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE ENERGY STORE 106082 Lot Size(sg. ft.): 71307.72 Owner: NORTHAMPTON MONTESSORI SOCIETY Zoning: I(101)/ Applicant. THE ENERGY STORE AT. 51 BATES ST Applicant Address: Phone: Insurance: 3 SIMM LANE WC NEWTONCT06470lI ISSUED ON:10/16/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSULATION AND WEATHERIZATION 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 D artment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smok . Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy sig-nature: FeeType: Date Paid: Amount: Building 10/1/2019 0:00:00 $100.00 1212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner r-• Version 1.7 Commercial Buildin Permit lay 15,2000 ~\ Department use only ity o Northampton Status of Permit: OCT S Uild" g Department Curb Cut/Driveway Permit 2019 21 Main Street Sewer/Septic Availability - Room 100 Water/Well Availability ort ampton, MA 01060 s� Two Sets of Structural Plans °^ Mi6 0 13- 87-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING ffSECN 1 SITE INFORMATION AaD� perty Address: This section to be cV�by office � Map � Lot Unit Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by Permit applicant 1. Building (a)Building Permit Fee 2. Electrical I lC may, (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection �f 6. Total=(1 +2+3+4+5) "-,k Check Number ` This Section For Official Use Only Buil ing P it Numb Date Issued Si ature: Building Commissioner/Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing[I Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: ?<> k IC)" �Q,H'�4�GC�L �0 ��i —�}>�-meq q4,��+ R\3-Ce\\kA --tc,) WOv'%k tt11 SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A E3B Business C3A-41:1A-5 ❑ 113 ❑ 2A ElE Educational 1:126 I ❑ F Factory C3F-11:1F-2 E3 213 ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 1 at 1st 2nd 2nd 3rd 3rd 4th 4th Total Area(so Total Proposed New Construction(so Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone Municipal❑ p 0 On site disposal system[] Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Si ze eFronta e Setbacks Front Side L: R: L: R: Rear Building Height Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved _parking) #of Parking S aces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW " YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW L(D— YES Q 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 Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone P Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not A I' Company Name. pp icable ❑ Responsible In Charge of Construction 1`7 r3 :� Address o y aysre Telephone Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorizeL-LC__ to act on my behalf,in aal^lttl matters relative to work authorized by this building permit application. q �u ku Signature of Owner Date I, as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES F:Nameof d Construction Supervisor: Not Applicable ❑ se Holder: V-7)ezk'e� -P. �- {A �F `` N t "1 ` }`7 License Number w t Address Expiration Date Signaturet Telephone SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 0 No 413 586 7047 MONTESSORI SCHOOL 04:06:55 p.m. 10-11-2019 212 THE ^90%: Permit Authorization Form o (Owner's NamePlynted) 1NITer of the property located at: RA(Property Address) ' 1 city) Hereby authorize Energy PRZ, LLC, dba The Energy Store to act on my behalf and obtain a building permit to perform Insulation and/or Weatherization work on MY property. O+jmr's Signature: -411 l'n Head 0 F S f Date: M11o______ The Energy Stare 888-840.6641 Th"nergystnrexam Newtown,Cr I Easthampton,MA 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: The debris will be transported by: tela l The debris will be received by: Building permit number: Name of Permit Applicant _� ��, - �;3e� Date Signature of Permit Applicant TI IIS CMZMCATE IS ISSUED ASA MATTER OF INFORN1ATiON ONLYANI3 CONFERS NO RIGHTS UPON THE CLitTIPIt'dYPE HOLDER IMS Ci:RRFICATEDOES NOTAFFIRNI)ATNELYORNEGATNELYAMMM,EXTSMOft ALTERTHECOVERAGEAFFORDEDMY� . UCES BELOW.THIS Ct-�v',-mcATEOFINSURANCEDOES NOT CONMT1VTEAC0N-oiRACTBETWEEN 8HEISSUINSMSURERM, REPRESIaNTAXM OR PRODUCER,AND THE CERTIFICATE HOLDER. WORM: I€the certificate holder is an ADDMIDNALWSURED,the polley(les)mimthaveADDMOIVALMSUREDFroSIonsorbeendoredd: Ir'S UFROGARON IS WANED,subject to the terms and condifions of t he,polley,=rttaln peflcies;nay raquira an andwswnea`L A slatemerft oa this certificate does not confer rights to the certificate holder In Heu of such endomement(s). c N cr tODUCER ItAME rown&-Brown of Newyork,Inc. PHONE (814?33T--1833 aI'c,mo Atc Ne�►- !33 V'/estcriestarAvenue A= t�...: aerf3,entrsLdbbh%MWem Uite N-136 INSURER(9)AFFORDINSCOVERRM MOD sYY 106Q? Homeland Insurance Company of NF-'Wycdc � 'hire Plains INSUREAA: 27154 9URE0 tNsoREBg: Ai--S>zeciattY insurance ComparrY StarNetInsuranceComPany ! 40D45 Energy PRZ LLC Oba The Energy Store INSURERC- 29459 3SIDImLana Suite IC iNSUWRD: TivmCityFireInsurance Company INSURERS= I Newtown CT 06470 178URFRP: OVERAGES CER 1r.ICE:`s E NUMBER: 1920 Renetived WC REWSIO14 NU)mm- TH)SIS'tOCEWIFYTHATTHEPOUCIESOFiNSUPMNCEL15TEDBELOWHAVEBEENiSSUED iOTHEtNSUREDNWAEDABOVEFORIHEPOt)CYPF32 TQAS 1N01CATE0.NOTWLTHSTANfliNGANYRE4�UlREMII4T,rERh10RCONDrrtONOFANYCONSRACTTOR07HEROOCUMEnTrUUriilF2ESPFCTEE: ERM CERTIFICATE MAYBE ISSUED OR MAYPERTAIN,THE INSURANCEAFFORDED BYTHE POLICIES DESCRIBED HEREIN iS SUBJECT'OALLTHET s' EXCLUSIONSAND COND)TIONS OFSUCH POLICIES-LIMITS SHOWN NIAYHAVE BEEN REDUCED SY PAID CLAIMS. dR TYPEOFINSURANCE iHsn wtm POUCYNlIF11B6Z FOIJC I73� FOUa I?(P E1fSrt5 n �S '1,000,000 COMMERC►RLGENBRALUA9111TY EACH OCCURRENCE 0 MA rtE� 10D,DOO CLAIMS-MADE 0;7 OCCUR PREr4ISE5 Ea�� n1 S nsEO Ern rAry ar>a carsaN �s 1D,00D t Y 79300908'!0000 0312712019 03/2712020 pEc0�&ADV¢v'JURrr 'S 1.000.000 I GENERA!-AGGrtEGAT s 2,ODO.000 GEN'LAGGREGATEUMITAPPUESPER 2,000,000 r POLICY dECOT LOC PRODUCTS-CO}!Et!d C,cz �S ) S ) OTHER: COMBINED SINGLELIMIT S 1.000;0110 1 -::=9 AUTOMOBILE UABILnV aixidertr SODILYIWSURY(PerP 1 S ANYAUTO -- s 3 OWNEo SCNmutID 7930090820000 03!2712019 0312712020 eOpILYtNltIRYtPern�de�i s r AUTOSONLY MAUMS_7e EPROPIOTYDAIrtAGE S HIRED AUTOECKY ALR S�ONLYY ddent �S S 5 0110,0011 UM13RC-LLAUAS � OCCUR EACHOCOURRENCE � EXCESS LIAB 7930090830000 03/27/2019 0312AGGREGATE 712020 s 5.000,01111 CLARAS-ME S DED RETENTIONS SP�I7LIFF � woRmRS CDh1PEn sAinora ANDE4IPLOYEP.S'UABILTiY VINEACS 1,000,0011 ANY PROFRIErORIPARWERr=ECL1MVE EL H ACCIDENT OFRCERlMEMBER X-GLUDED7 vtA HNUWC013i379 Dd11512019 0411$/2020 El DISEASE-EA�PL�EI: S 1,000,OOD I (Mondamnl in NH) 1000.000 Ityee dosafte=der EJLDISEASE-POLIGYumn' s ONS"60 T10N OFOPaMC NSMO-W Polution liability 16SBAAB2188 0312712019 03IZ712GZO Each ConEl ion 1.000.000 3 ESCRiPTTONOFOPMMONSlLACATiONSIVEMLES(ACORDIM.AddMormlRemmisSchelinle,mayhuaHaehudifinemspme.is tqulredj - �GRsI('I�I-lB) CANGELLAMON a SHOULD At1)Y OFTHEABOVE Dt cmBeD POLIcSS 8E CANCEL!-m BEFORE i THE M)RAMONDATE TE71321_OF,NOTtGB1MLLBEDEi3VEFtEI�Ii4 - Praofoflnmance x ACCORDANCEWMITHE POLTCYPROUIS(ONS- V AUntaRaEO REPREE1�73VE ! ©1988-2095 ACORD F0MRAi ION.All sights resevec. 3,10ol A 25(2096103) a lie A1CORD name and logo are M9151tared marks Of ACORD Office of tGonstinief- Aftciirs and Business Riaguiation One AshlDurton Place •-• Su to '130`9 1' ' Boston, it assaohusefts 02108 Horne Improvdilliont Contrador Registration Tyle: U,C "rl-Ir-�.niEt,c�r STORE, LLC Registration: '17B3J2 ' 3 SIMM LANE 5TE '!G Expira•Ilon; 011109/2020 NEWTOWM, CT 044.70 Updalm Address and Return Card, Office of Consumer Affairs A SUsiness Magulation 1101WE OMPROVI=Mr-M COM-1 IR ACT01-n, Registration valid Vor individual use only WV E'. I..LC bef-ove the expivadon date. IG found return to., PeglstraCl®q ,Eu lraklo n OffiCo 4f Co67SLIrrier!hairs and I]eosihess Regoilat,ion 178332 "6410912020 One Ash[am 'coin Place-Smite 'IS 01 TME-ENERGY STORE, lrl_C Boston, MA'02'108 " ROBERT NEAL \16��.�.[�.L'4'. 3 SIMM LANE STE 'IC L.' -- �------- NEWTOWN, CT 06470 Undersecretary Not��Ad `Nl�laa Ut. 90Tjnak1rG aOR]peajsIZ&fMI7 N eek S'Ed--cloo 42— �jll qconfractorsf lice M- 62M)FMal3ers a7, I P-1.4 3 , _7TY- D ICH _pE 12U rna Sie—zgj mora,LLC 3 Sf mrz-,-I aniz� nAc)iiin -0 1,G 064-70 h o-77 a--ffi- C-1 ly!-Sralaf Ztl): Bl Typeof project(-teD-zJred)- OU On LIMPlover""hLOt Arev 47[an a snota;o I IIIIflL_2j_-RI3ICr!2aS(fait astdrornor-"Me)- 7- t I Remodeling ZQ and bave-nocrudloyms worl�L�fix-Mciia any cumv- 1 i 1-0 BuRdingaddi'don ,s 211 W0Tk(),I TIY FDP=EY-1 will aivi oradditions Plumbing YePaifs ciradditiozz S.7 T ain gveral couTramomid I Rave hired;1irsub-con-amla-miisied M-1 Tba 13-C]RoI3FrePa!IS I-.- 'Other Vueatherizgdoil— Z 6. L,a ra a carp D rafta ri and iES of f—icers halfe C:,',e-ccd imir fgbi v-exerap Dn parM01, i93 :gI(i),andt:chacean Ta-kyortarf CDnip-1D.-aranc-'2iluircd.1 ...... =Anynppli�arlr.flint Kfl 0 car S-crIlarz balar--shrawmencir wzinrers- nLw V7 Minico TLZSUC17- omaownt:js Iha saVralt ibis aWdavrfE indicating thw,,.va dafatw A ivarkand-zhen Yv-, a ,CtIn—, Ctors fnatenml-thIsTiv rnusL a=.died nn adifonni sh- fhan CM M ail_ail Ensurance COMPaTLY Nam gn toyn G T)hradan:LDSb-ate: U—%' f2J-AL)-:LU P0 I ic�v-4 0 irL lob SfieAddress CjVrSlaIeIZi-P: Itr-nmrTars7 COI 3olfqv decia:aL-m page(skow- the PORY-n Bm be to 31501)00 Fail ure io Eacare Mreraga 2s:eauirad under ba-CL c.1352,§25A is a crirdnal VI-olatiORTUdIsbabie by a lineup and/or ane-year iMPriEGM,er1r,as?veli as divil penalties in zb a Fortsa fine d a STOP WORT ORDERand 0fup,0S?-50.00a e,D, day against d I e,'L110 I a ME.A G 0 PY of this Statm en t may ba fo rv.ra rd a d to rhe 01 HIC a Di ITMes liga'd a n-5 Of tb A ibrinsurance GUVe,ragd VP-Lifidiffiii-­ de d'?T;D Si, 888-BAC-6641 OBICS. 0 11-veoniv. Do not 11-Tuair dd-sc-re,-,to hEeonp7wed 1w c!4,ortawrz offlcFGL city ar T awn= F SuInr-.1uti.arity(chicle one): N Roar'd QjITTIr--ith 2.tL101 6-Gtl!Pj- Com app-rsoy,- 9 Mass Save Material and Installation Standard Version 2.0 APPENDIX 16.3 KNOB & TUBE WIRING During the Energy Survey of your home, indications of"knob and tube" wiring were found. This old style of wiring involves individual wires that are run through walls and ceilings in a house., with ceramic"knobs" and "tubes'to prevent contact with wood framing. The knob and tube wiring that has been noted may or may not appear to be active. Even if the observed wiring appears to be inactive, there may still be active knob and tube circuits hidden inside walls or other inaccessible areas of the house. Program guidelines require that}jou have the home checked by a licensed electrician and certified as being free of all active knob & tube wiring, before insulation and/or air sealing work can be done. Your electrician should fill out and submit a copy of this document to Program Designee in order to verify the absence or inactivity of the knob and tube wiring in the areas of your home where we are proposing insulation to be installed. Due to the liability involved in signing such a form, we suggest you show or describe this form to your electrician before hiring him to inspect your home to be sure he/she is willing to sign it. Your home could benefit from insulation and/or air sealing in the: Attic x 0n1v after this certification is received by Program Designee can a Walls N Contract be issued for energy saving insulation and/or air sealing work. { Basement ! Electrician's Certification (This form is invalid when any qualifications or alterations are added.) Company Name&Address Romeo L. Beaulieu &Sons, Inc 6 Open Square Way, Holyoke. MA 01040 Electrician's Name Paul Beaulieu License# A3923 I have performed an inspection of the wiring at the home of: Montessori School of Northampton at 51 Bates Street in Northampton, MA (Owner's Name) (Street Address) (City) Upon completion of my inspection I have found that there is no active knob and tube wiring in the area(s) noted below. Attic F1 Walis x I Basement Electrician's Signature Date 9-17-2019 September 29, 2016 30