Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
25-065 (6)
101 RIVERBANK RD BP-2021-0971 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25-065 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-2021-0971 Project# JS-2021-001668 Est.Cost: $11621.00 Fee:$78.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CLEAN TECH CONSTRUCTION LLC . 106150 Lot Size(sq. ft.): 12501.72 Owner: CHETHAM MARY Zoning: Applicant: CLEAN TECH CONSTRUCTION LLC AT: 101 RIVERBANK RD Applicant Address: Phone: Insurance: 190 FEDERAL AVE (617) 271-0768 WC QUINCYMA02169 ISSUED ON:3/8/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSULATION/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 Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF N I.RTH• MPTO UP PT VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I` , Certificate of Occupancy Signature: ' FeeType: Date Paid: Amount: Building 3/8/2021 0:00:00 $78.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 44 peep K+-T -FI 011vtr �K CAt.cen 8-ZI - us-f-r H5 tit; The Commonwealth of Massachusetts r Board of Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR MUNICIPAI'ITY USE iiilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 _= One-or Two-Family Dwelling CD Thi Section For Official Use Only Building Pern mbeer: ?P' 0?1 7'7/ Date Applied: Buil ' Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Propel-Ay.Add 1.2 Assessors Map&Parcel Numbers 1,G l ft-1✓�Q, n Its l.la Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 r'of Record: Name(Print) City,State,ZIP c 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) 0 Addition ❑ Demolition El Accessory Bldg.❑ Number of Units Other L3 Specify. Brief Description of Proposed Work': SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials) Official Use Only 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees_ h$ Check No, Check Amount Cash Amount 6.Total Project Cost: $ � (Ps I 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) License Number Expiration Date Name of CSL-Holder List CSL Type(see below) Ad ress Type Description �� 711-J 7 U Unrestricted(up to 35,000 Cu.FL) R Restricted 1&2 Family Dwelling Signature M Masonry Only RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number A ,A24,L T7atirt Expiration Date Signature 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 L No 0 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 to act on my behalf;in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION I, ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. NG�-717BItiel L Signature of Owner or Authorized Kgent Date (Signed under the pains and penalties of perjury) NOTES: 1. 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 guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq.Ft.) (including garage,finished basement/attics,decks or porch) Gross living area(Sq.Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ' City of Northampton pMassachusetts DEPARTMENT OF BUILDING INSPECTIONS A; t 212 Main Street • Municipal Building çj OF Northampton, MA 01060 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: The debris will be transported by: Name of Hauler: Signature of Applicant: /-9caziW exec( Date: Kr/1/4"140741,0-eadi0-/_/ 701U4e,4) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 196071 CLEAN TECH CONSTRUCTION Expiration: 06/27/2021 190 FEDERAL AVE QUINCY, MA 02169 Update Address and Return Card. 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 196071 06/27/2021 1000 Washington Street Suite 710 LEAN TECH CONSTRUCTION Boston, MA 02118 VILLIAM DAVIDSON - 90 FEDERAL AVE lUINCY, MA 02169 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr::c::c CSSL-106150 Expires: 05/24/2022 PATRICK E MCDONOUGH 105 MARSHHAWK WAY MARSHFIELD MA 02050 Commissioner I11 _— _ - The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress.Street,Suite 100 Boston,MA 02114-2017 -- ' >rlrll:nutss.gotvdia 11 otters'Compensation Insurance Aflidayit:Builders/Contractors/Electricians/Plumbers. TO 13F_FILED Valli TIIF:PERMITTING,%tTHOI(ITV. Annticant Information Please Print Legibly Name Mustiness:r lrganieation Individual): Clean Tech Construction Address: 190 Federal Ave Citv(Stateatp: Quincy,MA 02169 Phone#: 617-271-0768 Are you an enipb,er?( ava{:the appropriate h oz: Type•of project(required): 1531 am.a Cosh:,g C wins . 6 ill/Vi5n-5.•5•..,MN and.-a part-tine,- 7. ❑Nen-construction _01..it a Isle 1s511-1m5x Cr lvnhtetsl1p.131.1 lure h5•etni l.sees te,*..i_:_ f.rei'11e K. El Remodeling any capacity acity l*o workers'c n{ In tanner rx•5ntncd ' )_ ❑lkin tlition •al.mraIminesmmer tom 113 work sin el) rs.oworkers.cumq, Ire mll4. cigar 11. io Q Building addition - ID)xr-:a tl .rC51Lc a aint.sill I tien i.cantramhx.Io.cric,14 aAl ce ,^rc p,,,i,r` ;x:e1 et raile alit ail a tnramon:either;tare trot er t,coons: at:on ve c..c:e or are s,le i i.0 El•ctrieal repairs or additions pr5>j'.1s' rs ss;'ttl I IS'ethl llO':eC: t 2_0Plumbing repairs or additions ?o1 El:4:. 1 r 44. :n.;1'mire Mire{the rs listest n the.1;15.ie.,?lee, 1'Ilesc miii-contracioni h are employees WOI dVe worker:: carry•.untuanee. 13 ORtxtf•ti`paiii tit;,.c i4.®1Hher insulation :C„Dike C a ci%1,1'.#211:11t.1135.s.' IR35 hill a enercU:a ❑idonr _hi of ei.e'n931n1 p''r 1 52_;1 r..1.an.i we tar:e 310 employee, (\u a'otkes'chip msenet:co r 515141 .1 `.ley applicant Ih ai cheek,km-,I,nt-I:ds:•ti?!..5,7 tiiv s'tat c?ny'?:..,•,I:to their a-.niam 'ccvnten5.11i.41 pOl-30r nt+.sntatictl Iknneemmers min;sodnmt this affaim a indicating they are i.,tt .us work orstthen.ime;mita e comni;tor.n111:a Sotntel?.a TWA atti<Lts 11 m11e3lItrs.i, ,,'c'INrn:lors deal check this l•av nntst anaclied aft a,t.iitettsl.heel,Inncin:•I e n•me of the nut'-o'ttt.c,,••,:alai.+ate••.hi 1 •r;r tr:•111r,e enot,•;i,.r. employes it the sell.-ro:xr.tc.I n.limea1d''.:. {.. -. I am an emplo_t•er that is providing worker, 5vnllflrrlLnion insuronce.for air empini'ees. Below•is the po/ire one/job site information. Insurance Company N.imc: TRAVELERS INSURANCE Policy:i or SC1l=ins.I,ic.:.6HUB4N6013080 . Expiration Date: 9/18/2021 Jo,Site_Address: 48 GROVE ST _ —City si:ito zip: GREAT BARRINGTON MA 01230 .lttach a copy of the workers'compensation policy declaration irate(showing the policy number and expiration date). Failure to secure coverage as required under NIGI.c. i52_c-5_\is a criminal violation punishable by a line up to SI.500.00 and or one-rear imprisonment as n ell as civil penalties in the form of a STOP R'ORK ORDFR and a tine of up to S250.00 a day against the violator.A copy of this statement may to fi,rnanled to the(Mete of Investigations oldie DI:1 for insurance coverage.verification. I do hereby cc fl•under the pa' s and penalties of perjure that the orfaramiinn provided above is true and correct. Signature:/" / d/Zd Date: 3/3/2021 Phone:. 617-512-1509 j ( vial use with•. Do not write in this area.to he completed hit city or tong official ('iti'or Town: Penult/License Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citv4Tonn Clerk a.Electrical Inspector •.Plumhlna Inspector ' 6.Other ('ontact Person: Phone=`: ArcDATE(MM/DDlYYYY) )l?r) CERTIFICATE OF LIABILITY INSURANCE 3(MMID THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE Tobman,Molignano&Weiner Ins Agency (cam,No,Extl: 617-471-1123 (A/CC,No). 617-773-2474 21 McGrath Highway,Suite 303 E-MAIL Quincy,MA 02169 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL It INSURER A: Norfolk&Dedham Mutual INSURED INSURER B: Traveler's Indemnity Co of America Clean Tech Construction LLC INSURER C: 190 Federal Ave Quincy,MA 02169 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLBUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DO/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea 100,000 occurrence) $ MED EXP(Any one person) $ 500,000 A PO12011894 09/18/20 09/18/21 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWTOSNEDONLY AUTOS X SCHEDULED 91972894A 09/16/20 09/16/21 BODILY INJURY(Per accident) $ AU X HIRED X NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY AUTOS ONLY (Per accident) $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB ,CLAIMS-MADE U20003464A 09/18/20 09/18/21 AGGREGATE $ 1,000,000 BED RETENTIONS _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? /A 6HUB4N60130820 9/18/20 g/18/21 - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes_describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION GREAT BARRINGTON BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED R ENTATIVE I _ ©1 -2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:4EE01242-5540-4082-A78B-8E012D09AA81 Permit Authorization • mass save Form Site ID: 4055572 Customer: REBECCA CHETHAM Celia Chetham/Rebecca Chetham I, , owner of the property located at: (Owner's Name,printed) 101 Riverbank Rd 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. oausigned by: Owner's Signature: �a O */Witta 0�,t, b 29FAE26F24984B5... Date: 9/21/2020 I 7:30 PM EDT FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: CLEAN TECH CONSTRUCTION 9/21/2020 Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 z = __= _ DocuSign Envelope ID:4EE01242-5540-4082-A78B-8E012D09AA81 CONTRACT CLEAResult 50 Washington Street, Customer Name:REBECCA CHETHAM Westborough,MA,01581 Email:oda@aol.com Phone:617-513-3479 Premise Address:101 Riverbank Rd,Northampton,MA 01060 Mailing Address:101 RIVERBANK RD,Northampton,MA 01060 Project ID:4055572 Date:Sept.1,2020 Applicable Customer Required Actions: Notes: • Storage Removal In order to insulate the attic floor,storage,rafter particle • Other board/tiles,and rafter insulation must be removed before work is performed. If it is not removed,exerior walls and basement can still be insulated. 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. Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Door Sweep(with AS hrs) 5 each $126.55 $0.00 Exterior Door Weather Stripping(with AS hrs) 5 each $150.35 $0.00 Sheathing Access 1 each $40.02 $0.00 Damming 8 each $19.12 $0.00 Ridge Vent(Inft) 34 each $1,057.40 $0.00 Gable Vent(12"x18")Aluminum 2 each $229.28 $0.00 Attic Floor-6"Dense Pack Cellulose 972 SF $2,420.28 $0.00 Kneewall Wall-4"Dense Pack Cellulose 130 SF $328.90 $0.00 Attic Floor-8"Dense Pack Cellulose 42 SF $119.70 $0.00 Walls-Vinyl-4"Dense Pack Cellulose 2360 SF $6,254.00 $0.00 Rim Joist-2"Thermal Barrier Polyiso 126 SF $602.28 $0.00 Door-2"Thermal Barrier Polyiso 2 each $180.88 $0.00 Total: $11,621.34 Program Incentive: -$11,621.34 Customer Total: $0.00 Page 1 of 4 DocuSign Envelope ID:4EE01242-5540-4082-A78B-8E012D09AA81 Payment Customer agrees to pay Contractor for the Work,the Customer Share of the Contract Price as follows:Payment#1:$0.00 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:$0.00 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$11,621.34. 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. 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 signing of this agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. DocuSpned by: CC/RC �Tq/21/2020 � 7:30 PM EDT t 1�a �,(i , ,A ((,p�(J ill/AlM Customer Signatutt9FAE26F24964e5 Date Indicate your selected IIC here,if applicable Initial here if you want the Program to assign a Participating Contractor Ketri,vl. Cote- 10-06-2020 K e v i n Cote CLEAResult Signature Date Name of CLEAResult Representative Page 2 of 4 City of Northampton Massachusetts } f DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 Property Address: 101 RIVERBANK RD Contractor Name: CLEAN TECH CONSTRUCTION Address: 190 FEDERAL AV City, State: QUINCY MA 02169 Phone: 617-512-1509 Property Owner Name: REBECCA CHETHAM Address: 101 RIVERBANK RD City, State: NORTHAMPTON MA 01060 I, PATRICK MCDONOUGH (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor sigpature Date 3/8/2021