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32A-193 (7) 3/9/2021 City of Northampton Mail-MasSave Partner-Potential Energy,LLC-Retract Permit d } t . City of Kim Carson <kcarson@northamptonma. ov> l X Northampton • MasSave Partner - Potential Energy, LLC- Retract Permit 1 message Main Email Tue, Mar 9, 2021 at 11 :20 <info@potentialenergyus.com> AM To: Kim Carson <kcarson©northamptonma.gov> Hello, We would like to retract and cancel our building permit for 36 Phillips Place. During pre-inspection we found that we could not insulate her crawlspace as proposed by CLEAresult due to low clearance. Please let me know if you have any questions. Thanks, Aundrea Aundrea Hargrove I Program Manager r t potential HomeEner r energy Checkup.com il 817 Willams St. PO Box 60942 Longmeadow, MA 01106 T: 844-564-SAVE I 0: 413-798-0273 I F: 413-314-2222 PotentialEnergyUS.com HomeEnergyCheckup.com https://mail.google.com/mail/u/0?ik=28605c8627&view=pt&search=all&permthid=thread-f%3A1693772000308832824&simpl=msg-f%3A16937720003... 1/2 _ .._.�--- N K-4-TRFFiD4uti ............... f CALLto ..4--SPo w i oeClca" LRl1 1- l l-Zt 7 , BAN 1 1IL, 2021 1 The Lommonwealth of Massachusetts FOR . Bdard of Building Regulations and Standa 4dsIft, MUNICIPALITY of rt,�i n,,,,. �Vlssachusetts State Building Code, 78�C ✓ USE �RTH4.tr,,,N�'1.. \ �Btriln ermit Application To Construct,R-.air N-no irate • Demolish a Revised Mar 2011 One-or Two-Family D l •Il n1 This Sec ion Fo : ` se Onl Building Permit Number: L#' !QI' 7 Y D. • •pplied: Building Official(Print Name) \ Sign. e Date SECT 1 j/ E ORMATION 1.1 Property Address: Assessors Map&Parcel Numbers 1(0 Ph 1 1%;Q S V1- 3 a ,--x Cl- cN. \ -V A -Ag--yoni •1.1 a Is this an accepted street?yes, n ' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: . a 1 Ackel5 'd Ft' Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) '\I Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L 40, 54 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: _ Outsi de-Flood Zone? Municipal 0 eilirsitidisposal system ❑ ^/ eck if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: MCA,-N P L..ec)- cPC At}c'} rRe'Rxi_M4 into too Name(Print) City,State,ZIP 3(a Pti \v.Qs Pr. Li 1.1.246-3•J0i7 n,wale.eWet' Q vk by ,o No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s)4 1 Addition 0 Demolition 0 AccessoryBldg. 0 Number of Units Other ®'Specify: i SC.ti a-; gt1 � on Brief Description of Proposed Work2: C(1 a ) .n 1Sk --`2" ►hasw,w parriv Q �yi.5 o t (5JL)SP CcoLj\t4cQ ra\t nri --(e'' C Pik_ .A.1,�y 51k) sF C-c�i ', i..t,e5 --Z,, -Ill -1 13 +e f p s y�S e, C,\ •►c ?'` �hem�c\`IIc�,�t,Qc P .: SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ,"'-1 s-• aJD,_ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: f (} 3- Check No.).CI 'heck Amount: l.' 6.Total Project Cost: $ 41 c c' 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES • 5.1 Construction Supervisor License(CSL) IA);C\dn\ciS M�;S-tec License Number Expiration Date Name of CSL Holder List CSL Type(see below) 3414 Ar,de S Sk gQ No.and Street Type Description �J U Unrestricted(Buildings up to 35,000 cu.ft.) r +ti 4 t Q Restricted I&2 Family Dwelling City/Town.Mate.ZIP M Masonry RC' Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 4 -0243 1ri ,0-..ytr"r2cv\icaenely Ccort.‘ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) I-IIC Registration Number Expiration Date 1-hI2 Company Name ore Registrant Name No.and Street S � Email a ress It1�1 '/cam -c;,N, CC- a6os,9— 1g - 748-ogA-3 City/Town,State,ZIP Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.,152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize f o-}-tc c,& �p{qy f(4C o act on my behalf,in all matters relative to work authorized by this building permit application. S•ee �� ,-ct r �1 e t,1/t 2 1 k 'Li 'rint Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION II y entering my name bellow,I hereby attest under the pains and penalties of perjury that all of the information CI ontained in this application is true and accurate to the best of my knowledge and understanding. int Owner's or Authorized Agent's Name(Electronic ignature) Date NOTES: i An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or ggoranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.uov/oca Information on the Construction Supervisor License can be found at www.mass.gov'dns . ! When substantial work is planned,provide the information below: T tal floor area(sq. ft.) 2t '4 Sp' (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) 2(,y(, 5 r Habitable room count 10 Number of fireplaces Number of bedrooms 4 Number of bathrooms r)_ Number of half/baths () Type of heating system ( ;1 k-00.,ker Number of decks/porches a Type of cooling system A)o Enclosed i Open 1 31. "Total Project Square Footage"may be substituted for"Total Project--Cost" 1 DocuSign Envelope ID:AlAFAA60-A415-45B0-BD44-FBE2EAC2F1BD CLEAResult CONTRACT CLEAResult 50 Washington Street, Customer Name:MARIE WAECHTER Westborough,MA,01581 Email:mwaechter@wgby.org Phone:413-246-3707 Premise Address:36 Phillips PI,Northampton,MA 01060 Mailing Address:36 PHILLIPS PL APT 1,Northampton,MA 01060 Project ID:4058308 Date:Sept.8,2020 Job Description Contractor will perform or cause to be performed the following work on these"Premises"in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference. �y Meast U t + " ^ :}` n ,+,x �� +r° •> 0* Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Exterior Door Weather Stripping(with AS hrs) 3 each $90.21 $0.00 Door Sweep(with AS hrs) 3 each $75.93 $0.00 Rim Joist-2"Thermal Barrier Polyiso 92 SF $439.76 $0.00 Crawlspace Ceiling-6"Fiberglass Batting 536 SF $1,404.32 $0.00 Crawlspace Ceiling-2"Thermal Barrier Polyiso 536 SF $2,562.08 $0.00 Door-2"Thermal Barrier Polyiso 1 each $90.44 $0.00 Total: $4,755.32 Program Incentive: -$4,755.32 Customer Total: $0.00 Payment Customer agrees to pay Contractor for the Work,the Customer Share of the Contract Price as follows:Payment#1: as a Deposit payable to CLEAResult upon signing the Contract(not to exceed 1/3 of the total retail costs). Mail check&contract to CLEAResult,50 Washington Street, ,Westborough,MA,01581. Final Payment:MI as the final payment for the Work shall be payable to the Home Performance Contractor(HPC)or Independent Installation Contractor(IIC) upon satisfactory completion of the Work.Customer understands that he/she will not be required to pay the Utility Incentive Share of the Contract price in the amount of-. Changes to individual line items and/or previous incentives may increase or decrease the size of the Utility Incentive Share. Dispute Resolution The IIC and Customer hereby mutually agree in advance that in the event that the IIC has a dispute concerning this Contract,the IIC may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Customer shall be required to submit to such arbitration as provided in M.G.L.c 142A. Page 1 of 4 DocuSign Envelope ID:A1AFAA60-A415-45B0-BD44-FBE2EAC2FIBD You may cancel this agreement if it has been signed by a party at a place other than an address of the seller,provided you notify the seller in writing by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the sign)ng j reement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. �us rl,j4 t, - -' ,-•_ 9/20/2020 1 2:03 PM CDT AkVJ Customer Signature Date Indicate your selected IIC here,if applicable Initial here if you want the Program to assign a Participating CIA Contractor �� 9j21/2O2O Kevin Cote CLEAResult Signature Date Name of CLEAResult Representative Page 2 of 4 DocuSign Envelope ID:AlAFAA60-A415-45B0-BD44-FBE2EAC2F1BD Art, Permit Authorization mass save Form S,rvant;;through ortiao Iet< Site ID: 4057654 Customer: MARIE WAECHTER Marie waechter I, , owner of the property located at: (Owner's Name,printed) 36 Phillips PI Northampton, MA 01060 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. , ADo-c'uhSigned by:: 1A ,II I^ Owner's Signature: �.Ro2n»SCFF3wu3 9/20/2020 1 2:03 PM CDT Date: FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Potential Energy, LLC 1/6/2021 Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 For Office Use Only Rev. 102015 RCS PLANVIEW DIAGRAM i Cus merto .tea r�e W O.ec 1-+tt( Home Phone ( ) Address. 3‘ Per I IF5— 19l4CL Work Phone ( ) ..._ Town WO a.rn pill IN _ Cell Phone ( IfC3 )- Viip . 3707 Any Innitarions CO.lMce I by WO*Mal'' No_„ ,_,,., Yes x yet oettnbe wc _ .4...�..._._ Any so .H<mini twin,.of Iardn'Mtisa NO X..._._ ye%_ _ �..�. If ywe 'Ottt4,, Site ID, o 5 CJ e,ft 1 3 08 Energy Specialist S ►Ci-t� 1 Ravilw�d by: I v I .t .f.D door . r Z' (,'I b 4 L" 4A)5 tz, C ti w l �,t.W I I ---• 536 Q .0 Zi, ebb Fir 27' -- 92_ Q (- ,rSeelI R — Iho St.-- ,L sweat to 3 L1ot%r5 (rn�.•) o•IrcA e. ,•d, be ) 4940 Sill opt\y 6.3 e•uv,h 6r -Ft __. No 6(o .r Doc( -to 1H , I cnrt„U` It, —r1/--- ago For Office Use Only ( � Bushes Ladder Neighbor Proximity 1_ Pocket Doors T 1 Instil RadiatorsFences)) Existing Conditions x=Access ❑=Vents Note!nude Square R=Pool S a Soffit G a Gable RV*Ridge Vent CS=Continuous Soffit CDt = Drip p Edge T e Triangle Install 0=New Access Note in Circle C m Ceiling W•Wall S=Sheathing Temp Unless Noted Otherwise 0=Vents Note in Triangle P= A'Pool S = Soffit G= Gable M s 12"Mushroom For Access 2200-10.1/1S 1 C.my, �(7,d X 14 ) + CI 6 X 1(a 531. ei i I i 3 i i _. .�_w._.. _ .* ,. W_ - ..,.__ __y 1 Recommended Ventilation Calculation 1- Recommended I- Vicentri,dinn Cat(ulnt(on AIR SEALING WORK HOURS Air Sealing Work Hour ' h r m� Calculation ki Work Hours A 6 8 W 12 14 16 02) Attic Sq.Footage <SOO S01-800 80)-1100 1101- 1400 1401-1/00 1701-2000 2001-2300 Every 300 t'xceptional AFL Hours Primarily Floored Attics Chimney or BF = 1 Hour Multiple Cl'urnney/BF a 2 Hour'. Prefab/Modular Hours NO Criminc'y-4 Hours I Chimney a 6 Hours Exceptional KW Hours X<. 20 tci't - I Hour .. 20 It K x x .10 ft = 2 Hours X>.10 ft®4 Hours Pine Joist Only Hours RJ c 150 ft a 1 Hour RJ>150 It =2 Hours BMT Ceiling Only Hours C.*I riq Area<2000. sq ft-I Hour Ceiling Area>2.000 sq II 2 Hoofs "NOTE:You MUST be INSULATING RJ or Basement Ceiling to specify RJ or BMT Ceiling ONLY Air Sealing Hours—' Q >G'Loose Insulation Batt lrssuklition a Fiutl4tilic±ri. _. _., _ Cross B........,....,.,..w.._..»....,.,, —_— 0�e G-Mix Bali&Loose Insulation truss Construction For Office Use Only (DWie Ceowvinanwecta o/PAtoo Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC POTENTIAL ENERGY LLC Registration: 192284 1 HARTFORD SQUARE Expiration: 06/21/2022 BOX 2-E NEW BRITAIN,CT 06052 Update Address and Return Card. SCA I C 20M-0511 III II/Ir l/I/r!'II/�A 747.i.i(/!'Ael.i/1/' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 192284' . 06/21/2022 1000 Washington Street -Suite 710 POTENTIAL ENERGY LLC Boston,MA 02118 NICHOLAS MEISTER 1 HARTFORD SQUARE DOOR 65 SUITE 216 Undersecretary Not valid without signature NEW BRITAIN,CT 06052 Commonwealth of Massachusetts censure l Division of Professional ons and Standards l Board of Budding Reg Constructiort,S>apet'`1t 1 & 2 Family CSFA 106184 Expires:04127/2021 NICHOLAS ALEXACIDElti MEISTER" 344 ANDREWS ST SOUTHINGTO1511 CT 06189 Commissioner A,AA u- " -- City of Northampton r4y,e.y.,,,,,4,..„� s�_ j Massachusetts c DEPARTMENT OF BUILDING INSPECTIONS \''� 212 Main Street • Municipal Building CDC --A Northampton, MA 01060 ��''!,,Y .+,�v1`� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: \-v:-_,1 -uy,R, _ c,r\cl. LujcA,'- ci , t ,, �T The debris will be transported by: Name of Hauler: Qc�Fe c\ E n tEI LLC ./CSignature of Applicant: Date: 1 iLc, (z.:.;z The Commonwealth of Massachusetts Department of Industrial Accidents 1!• L Office of Investigations 600 Washington Street . . -T:3': Boston,MA 02111 "'•.'.+ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusinessIOrganization/Individual):_ E.nr 6y Address: \ ��c).- �; Selo cy� Sc }e 1L '-"Dc>Tc- l0S eroc,r`,s-z City/State/Zip: ,C c(c c . Phone#: `I 13 -- -1 S B' Are you an employer?Check the appropriate bor: Type of project(required): 1.RI I am a employer with 4. 0 I am a general contractor and I 6. 0 New construction employees(full and/or part-time)." have hired the sub-contractors listed on the attached sheet. 7. ❑Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub contractors have 8. 0 Demolition workingfor me in an capacity. employees and have workers' Y P t 9. Building addition [No workers,'comp.insurance comp.insurance- 10- Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ p 3.❑ I am a homeowner doing all work officers have exercised their 1 I.0 Plumbing repairs or additions myself.]No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp. insurance required.] _ *Ally applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 5Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: S SLC, 4 11 \n S t t r(cs(P Sec,: P, Policy#or Self-ins. Lie.#: l�C� �{t �c�_g Expiration Date: Job Site Address: 3 co �k • City/State/Zip:/State/Zi t. - � Olt�(�,L,— Y P� ��t7 �\n4..�7 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un' • the+p p' 'es of perjury that the information 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 official City or Town: Permit/License# 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#: