24A-043 (5) 175 JACKSON ST COMMONWEALTH OF MASSACHUSETTS BP-2021-0713
Map:Block:Lot:24A-043-
001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-0713 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2021-001183 Contractor: License:
Est. Cost: 191200.00 KAREN LAVERDIERE 055344
Const.Class: Exp.Date:08/29/2022
Use Group: Owner: LAVERDIERE KAREN S
Lot Size (sq.ft.)
Zoning: URB Applicant: KAREN LAVERDIERE
Applicant Address hone: Insurance:
21 FAIRFIELD AVE (413)537-4788 UB 5N251953-20
HAYDENVILLE, MA 01039
ISSUED ON:09/22/2021
TO PERFORM THE FOLLOWING WORK:
4 BAY GARAGE WITH APARTMENT ABOVE
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 NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
•
.
0
Fees Paid: $758.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
i
il_ CI
ISEP 2 The Commonwealth of Massachusetts
9tioar�l of Building Regulations and Standards FOR
Massachu etts State Building Code, 780 CMR MUNICIPALITY
✓`� _�,r USE
Building Perit-Al4plic ion To Construct, Repair,Renovate Or Demolish a Revised Mar 2011
S ne-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number A) I " 71-j Date Applied:
!..! i lif r , T. *I
Building Official(Print Name) i Signature 1 1 Ddte
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
1 -7 5 ms��-0^ sk-- 29 A — 093
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions: 1
v 12:B 'Res; 4I, A14s, yot (,,,.z o sr I z8 .9
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
10r > 1 0 ' is l 7 1 c r 201 )' 20t
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage DisposalDi System:
Public II Private El _ Outside Flood Zo}e? Municipal Q'On site disposal system ❑
Check if yeslllY i
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:tr- •
en 8 . l.a\J�,r'6 1 c_c-e. },ol a.cn V i t t IM A 01031
Name(Print) City, State,Z
21 Fa`„f-tcA cl Ave. tII3-537 -V79B li4fenlaVK 1 mu41 .co ."
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 0
Demolition 0 Accessory Bldg. 0 Number of Units 2 ] Other 0 Specify:
Brief Description of Proposed Work':
l ca C- 1 Q r.c' (.,0 i +w O ea p a Ci- wl..n Q b O Ne
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ I g 5 t O p a 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ 1 b Q O ElStandard City/Town Application Fee
i 0 Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 1 s 1 O O 0 2. Other Fees: $
4. Mechanical (HVAC) $ I 1 i 5-0 Q List:
5.Mechanical (Fire $ --
Suppression) Total All Fees: $
Check No.30 f Check Amount:662 Cash Amount:
6.Total Project Cost: $.2301 500 0 Paid in Full 0 Outstanding Balance Due:
4
City of Northampton
Viz, -., s
_ Massachusetts f:..z
c.
, DEPARTMENT OF BUILDING INSPECTIONS t
212 Main Street • Municipal Building
fir,--,, Northampton, MA 01060 sr'IV ..,�`� .
•
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 &2 FAMILY DWELLING,ADDITIONS, POOLS,DECKS,ACCESSORY STRUCTURES,
FENCES,GROUND MOUNTED SOLAR,ETC.
/1. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specification of proposed work(digital and hard copy).
3. Site Plan with location of proposed structure(s)and setbacks.
4. Construction Debris Affidavit filled out and signed by applicant.
// 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
V.6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
0 Energy Conservation Compliance Certificate new/replacement windows).
..2' Home Owner's License-Exemption Form filled out and signed by homeowner(if applicable).
.9! Note any Conservation and/or Special Permit requirements (if applicable).
),Of Driveway Permit(if applicable).
V 11. Proof of Water and Sewer entry fees paid(if applicable). r'A r p
12. Trench Permit-public land by DPW/Private land by Building Dept. P A A 0
13. Stretch Energy Code—all new construction will require a HERS Rater Affidavit to be submitted with
permit application before issuance of permit.;
.,,
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor Lice
K se(CSL) g Ss-a y i 8 I a I z Z
�ram]. d
' o..ren S . €1 d- License Number Expiration ate
Name of CSL Holder •
at
,`P e,,\ AveList CSL Type(see below) (A..
and Street 1` 1`�V Type Description
}Iraq 1�i lit ,M A 01631
I b ?Ct U Unrestricted(Buildings up to 35,000 Cu.ft.)
City/Town,State,ZIP ( r r 1 c� ! _ R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
y Is's3 7— Li79 8 SF Solid Fuel Burning Appliances .
KartrAaJ 19 &1 rhal l. I Insulation
Telephone Email address Cdin D Demolition t
5.2 Registered Home Improyement Contractor(HIC) r 4°8 !� I 1 f 7/ 2-Z.2-Z..2r 10t S• ��erai e'K- HI IC Registration Number Expiration Date
HIC Cympany Name or HIC Re 'strant N e
( Act.m e. o S ,a rerl 1&V 9`fi 0 01 n^o l 1 •
No.a treet . / l^-537—y 7 it n Email address GOM
City/Town,State,ZIP d Telephone a
SECTION 6:WORKERS'COMPENSATION INSURANCE AFIIIDAVIT(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 .... V No .0
SECTION 7a:OWNER AUTHORIZATION To BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APjLIES 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.
r
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
s .L.A..... 1°"1-- 11z\ 74 -
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
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 can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor 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
•
SETBACK PLAN
• MAP: LOT:
LOT SIZE:
4 h
REAR LOT DIMENSION:
REAR YARD
a'1 qe/
•
b ,, lay
S
e
SIDE YARD SIDE v
tf41a�
FRONT SETBACK
FRONTAGE
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
' ,.� +` 212 Main Street • Municipal Building
sxe
Northampton, MA 01060 1`+`
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:
i
Location of Facility: O 11P-e_cicA _
1
The debris will be transported by:
Name of Hauler: A11/00-47- I
Signature of Applicant: • Date: \ \ \
The Commonwealth of Massachusetts
....a011. 1. 1.. Department of Industrial Accidents
I Congress Street,Suite 100
Boston,MA 0114-2017
WWW•mass.gov/dia
Workers'Compensation Insurance Affidav it:BuildersiContractorsiElectricians/Plunibers.
TO SE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Pleas Print 1-02ibb
Nat= ansinmsAlr.$(arhilthoniniiivichtal): ic et ren S La2,\I e_r e-Ce—.
Address:
City/State/Zip: V\iocAl VA 141 A Phone#: 5717 S
Are you rin employer?Check Me appruprarte bet: Type of project(requi,
tJ
I.Varn a earritnyer with 0'2••employees(fun andior purt-urne 7.. ( <ew construction
I ath a A.A.:pruprietor ur partnership and haw empiu-yeei,working fur FEW in 8_ ci Remodeling
arty clpataty.(No'iaaniura'Ciattp.mulitrance rawer-ed.]
9. El Demolition
30 L1171 3 IturnetaWatet doing all*task myself.(No wit/kers'eonv irriuranLe
10 CI Building addition
4.C313in tionitywrier and*ill lir hiring ..-odursetorx to conduct all work on iri!„.property. I will
ensure that all cowtractors other have workers'L-errspen>lition insuruince or are sole 111:1 Electrical repairs or additions
prcrpnehars A ith no employees.
12.0 Plumbing repairs or additions
If/Firma a niacin contractor and I have hind the Ath-contractors hated cm the attached Ikwri
comp I 3.0 Roof repairs
These 0.th-conimetors rose employer%and Me.re .insurance);
14.0 Other
60 We are a corporalton and its officer,have'data-used then nght ot etemptaun per MU_c.
-t 1..ind we haw nu oriployers.[Nu atoriciaa'comp.inmolince required_
'An:c applicant that chola box=I mui.311/1liii out the Action beluA shim ing their A ut compensation policy information,
HOFFILNAWEWEN who iutnrati this affccht indicannu they are doing all work and then bur,,ttesitir caantractori moat ubmal a new atlitlas1/4 it indicating such.
Cormacturs that chock this boa must atrarlaeti an nidanonal sheet showing the name of the mits.,:untractora and Aatc !lather or not those oil.1 lc,have
ciriplci:ceic-s if the Lb contractor,ka,e mt ce,.they must pro,ide thi.-ir iiiker," ur1p r..lIL ricaninct
I am an employer that is providing worAer.s compensation insurance/Or my employees. Below is tire polio'am!jab.she
information.
Insurance Company Name: PITY\\`'‘1--ci 4- a. s . / \C PC4 14s
•
Policy#or Self-ins.Lk.#: 0t3—SP4 Z6 S 3 — 2-0 Expiration Date: U ) 2.6 2.62
yYI
Job Site Address: k ait.CACS 12-1% 4S4*-, City.'StatoZip:
Attach a copy of the worker compenwarion policy declaration page(showing the policy number and ekpiration date).
Failure to secure cos erage as required under MGL c. 152,§25A is a criminal violation punishable by a tine up to SI,500.(Xl
andior one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to$250.00 a
day against the violator of this statement may be forvvarded to the Ottke of Ins estigations at the DIA for insurance
coverage vet-die-an oil.
I via hereby certify iimler the pain',and pelleltrit'A raj perjury that the information provided above iN true and correct.
Sture: (' •
Dat.' \ 2—\
Phonetj —S-7.3 -7 ----
IOfficiall use only. Du not write in this area,to be completed hy city or town official
Cite or Town: Permit/License
Issuing Authority(circle one):
t, I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone.4:
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Constructiblti"Stvisor
CS-055344 Ire$:08/2912022
KAREN S LAVERDIERE
21 FAIRFIELD AVE i O
HAYDENVILLE MA 01039
�UISS'�d�
Commissioner cat nti
.7 Y....,,yem eolii/, (/. //";-)6,7:4;.ii
Office of Consumer Afair4&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:Individual
Registration Exoiration
160841 09/07/2022
KAREN S.LAVERDIERE
KAREN S.LAVERDIERE
21 FAIRFIELD AVE.
HAYDENVILLE,MA 01039 Undersecretary
NC a CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY)
»mann9n
TIFICATE 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:It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to
the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
AMHERST INSURANCE AGENCY PHONE FAX
PO BOX 48 (A/C,No,Ext): (A/C,No):
EMAIL
AMHERST,MA 01004 ADDRESS:
24N7P INSURERS)AFFORDING COVERAGE NAIC#
INSURED •INSURER A: ACE AMERICAN INSURANCE COMPANY
LAVERDIERE,KAREN INSURER B:
INSURER C:
INSURER 0:
21 FAIRFIELD AVENUEINSURER E:
HAYDENVILLE,MA 01039 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTFY THAT THE POUCES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCES. UMTS SHOWN!MY HAVE BEEN REDUCED BY
PAID CLAMS.
MR ADD SUB POUCY EFF DATE POLICY EXP DATE
LTR TYPE OF INSURANCE L R POLICY NUMBER (I+SDDIYYYY) (I DDIYYYY) LMTS
GENERAL LIABILITY EACH OCCURRENCE
- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
II
CLAIMS MADE El OCCUR
PREMISES(Ea occurrence)
IIIMED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENII AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE $
. POLICY El PROJECT❑LOC PRODUCTS-COMP/OP AGG $
AUTOMOBILE LIABILITY COMBINED SINGLE $
- ANY AUTO LIMIT(Ea accident)
- ALL OWNED AUTOS BODILY INJURY $
- SCHEDULE AUTOS (Per person)
- HIRED AUTOS BODILY INJURY $
(Per accident)
- NON-OWNED AUTOS PROPERTY DAMAGE $
MI (Per accident)
si
on UMBRELLA LIAB EI OCCUR EACH OCCURRENCE $
- EXCESS LIAR CLAIMS-MADE AGGREGATE $
- DEDUCTIBLE $
- RETENTION $ $
A WORKER'S COMPENSATION AND x WC STATUTORY OTHER
EMPLOYER'S LIABILITY Y/N UB-5N251953-20 1126/2020 11/26/2021 LIMITS
ANY PROPERITOR/PARTNER/EXECUTIVEID
N/A E.L.EACH ACCIDENT $ 100,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONBILOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITW.1S
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR LAVERDIERE,KAREN_
CERTIFICATE HOLDER CANCELLATION
TOWN OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
210 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL DEU
IN ACCORDANCE WITH THE POLICY PRO
AUTHORIZED REPRESENTATIVE
Krnp TU A!,4DTnAr rt,IA Winn
ft
gmemememommni i
Home Energy Rating Certificate Rating Date: 2021-09-02 HIS &
ProjectedRegistry ID: HERS
Report
Ekotrope ID: 6LA4p4A2
HERS® Index Score: Annual Savings Home:
Your home's HERS score is a relative 175 Jackson St '
3 performance score.The lower the number, 1 861 Northampton, MA 0 I U6U
the more energy efficient the home.To Builder:
learn more, visit www.hersindex.com *Relative to an average U.S.home Karan LaVerdiere
Your Home's Estimated Energy Use: This home meets or exceeds the
Use (MBtu] Annual Cost criteria of the following:
Heating 2.6 $170 2018 International Energy Conservation Code
Cooling 0.2 $16
Hot Water 1.3 $81
Lights/Appliances 9.5 $614
Service Charges $84
Generation (e.g.Solar) 0.0 $0
Total: 13.7 $964
HERS Index Home Feature Summary: Rating Completed by:
Mom rne.gy Home Type: Apartment,end unit
;w Model: N/A Energy Rater: Adin Maynard
RESNET ID: 9463452
Existing iO Community: NIA
Moores ' ' ;v, : Rating Company: HIS&HERS Energy Efficiency
°`I ;M Conditioned Floor Area: 536 ft
4 57R Adams Rd.Williamsburg,MA 01039
uo Number of Bedrooms: 1 4136588784
Reference lE 90100
Home Primary Heating System: Air Source Heat Pump•Electric•3.6 COP
NI Primary Cooling System: Air Source Heat Pump•Electric•18 SEER
Rating Provider: Energy Raters of Massachusetts
ao IN ,, Primary Water Heating: Residential Water Heater•Electric•3.55 Energy Factor 2 Woodlawn Street Amesbury,MA 01913978-270-3911
House Tightness: 2.8 ACH50 �'�
MM 50 Ventilation: 25 CFM•11 Watts
40 Ant
...ION ib .
1 Duct Leakage to Outside: Forced Air Ductless
10
i m This Home Above Grade Walls: R-20
Zero Ener 10 Ceiling: Attic,R-54 �lJ%2�i%!,e^Y�/
Home 0 Window Type: U-Value:0.28,SHGC:0.28 Adin Maynard,Certified Energy Rater
'1W `es Energy Foundation Walls: N/A Digitally signed:9/6/21 at 10:13 PM
1 ekotrope TheEkotrope RATER-Version:3.2.4.2739
Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This r-•ort does not constitute an warran or•uarantee.
r L
2018 IECC R-406 Projected Energy Rating Index
Report
Property Organization Energy Rating Index Information
Builder:Karan LaVerdiere Company:HIS & HERS Energy Efficiency Projected Rating
Address: Phone:4136588784 Rating No:
175 Jackson St Unit 4, Northampton, MA Rater:Adin Maynard Rater ID (RTIN):9463452
01060 Date Rated:2021-09-02
Estimated Annual Energy Consumption*
Rated Home Calculated Energy Use Rated Home Cost($/yr)
(MBtu)
Heating 2.6 $170
Cooling 0.2 $16
Water Heating 1.3 ! $81
Lights &Appliances 9.5 $ $614
Photovoltaics 0.0 $0
Total 13.7 $964,
'Based o";star,dar='.1 ope'a'.na(OnditionS
ERI with PV:48
ERI without PV:48
Annual Estimates
Electric (kWh):4,002.0 CO2 Emissions (Tons):2.6
Natural Gas(Therms):0.0
Maximum Energy Rating Index:61 This Home's Energy Rating Index:48 PASS
This home MEETS the Energy Rating Index Score requirement of 2018 IECC R-406 for Climate Zone 5. It
MEETS all of the requirements verified by Ekotrope. Mandatory requirements are summarized on the 2nd page
of this report, some of which are not verified by Ekotrope.
Name: Adin Maynard Signature:
Organization: HIS & HERS Energy Efficiency Digitally signed: 9/6/21 at 10:13 PM
Rating Provider Data and Seal
Mp¢tcACf
Company:Energy Raters of Massachusetts rf�_• —a'Y �'
Address:2 Woodlawn Street Amesbury, MA 01913 ftr *1
Phone #:978-270-3911 's ++ . in x
Fax#: 'I I /.
To determine if a provider is properly accredited go to:www.resnet.us/professional/programslsearchdirectory
(Projected. Confirmation required.)
Climate Zone 5 Mandatory Requirements
Provision Number Topic Compliance Decision
2009 IECC Table Building thermal envelope minimum insulation levels and PASS
402.1.1 or 402.1.3 maximum fenestration U-factor and SHGC
R401.3 Post a permanent certificate listing the level of efficiencies Certificate required for CO
installed in the house
R402.4.1.2 Envelope air leakage maximum leakage rate FAIL
R402.4.1 /Table Comply with air sealing and insulation requirements in Table Checklist required for CO
R402.4.1.1 R402.4.1.1
R402.4.4 Rooms containing fuel-burning appliances PASS*
R402.5 Maximum fenestration U-factor and SHGC (U-Factor) PASS
(SHGC) PASS
R403.1.2 Heat pump controls PASS*
R406.2 Ducts outside of conditioned space to be insulated to a PASS*
minimum of R-6.
R403.3.2 Duct sealing on all ducts PASS*
R403.3.3 Duct testing for ducts in unconditioned space PASS*
R403.3.5 Building cavities not used as ducts. PASS'
R403.5.1 Heated water circulation and temperature maintenance PASS*
systems comply
R403.5.3 Hot water pipe insulated to R-3 FAIL
R403.6 Mechanical ventilation meeting the requirements of the IRC PASS'
or IMC. Outdoor air and exhaust dampers installed
R403.7 ACCA Manual J and S conducted for all heating and cooling ACCA forms required for
systems. permit
R403.8 Systems serving multiple dwelling units to meet the PASS*
mechanical requirements of IECC commercial code
R403.9 Snow melt and ice system controls installed where applicable PASS"
R403.10 Pools and permanent spa energy consumption meet PASS*
requirements for heaters, time clocks and covers
R403.11 Portable spas meet the requirements of APSP-14. , PASS*
R404.1 High efficacy lights installed in 90% of permanently installed PASS
fixtures.
This is a projected rating.These items must eventually be field-verified by the Rater, Field Inspector, Code Inspector,or Builder.
Building Specification Summary HIS
Property Organization Inspection Status HERS
175 Jackson St Unit 4 HIS & HERS Energy Effici. Results are projected
Northampton, MA 01060 Adin Maynard
4136588784
Laverdiere Garage residence unit 4
Laverdiere Unit 4 prelim Builder
Karan LaVerdiere
Building Information Rating
Conditioned Area [ft2] 536.00 HERS Index 38
Conditioned Volume[fti 4,824.00 HERS Index w/o PV 38
Thermal Boundary Area[ft'J 1,906.00
Number Of Bedrooms 1
Housing Type Apartment, end unit
Building Shell „Li
Ceiling w/Attic R55, 16"cell, truss 2x4 U-0.018 Windows (largest)I U-Value: 0.28. SHGC: 0.28
Vaulted Ceiling None Window/Wall Ratio 10.08
Above Grade Walls R21 FG2 6-16; U-0.061 Infiltration 12.8 ACH50
Found. Walls None Duct Lkg to Outside I Forced Air Ductless
Framed Floors 16" ijoist FG batts R38+R21 mmnl; R-58 Total Duct Leakage I Untested
Slabs None
Mechanical Systems
Heating Air Source Heat Pump • Electric• 3.6 COP
Cooling Air Source Heat Pump• Electric• 18 SEER
Water Heating Residential Water Heater• Electric • 3.55 Energy Factor
Programmable Thermostat Yes
Ventilation System 25 CFM• 11 Watts
Lights and Appliances
Percent Interior LED 100% Clothes Dryer Fuel Electric
Percent Exterior LED 100% Clothes Dryer CEF 3.0
Refrigerator(kWh/yr) 650.0 Clothes Washer LER(kWh/yr) 152.0
Dishwasher Efficiency 350 kWh Clothes Washer Capacity 4.2
Ceiling Fan None Range/Oven Fuel Electric
Ekotrope RATER-Version 3.2.4.2739
All results are based on data entered by Ekotrope users Ekotrope disclaims all liability for the information shown on this report.
Home Energy Rating Certificate Rating Date: 2021-09-02 HIS P
ProjectedRegistry ID: HERS
Report
Ekotrope ID: DLzakZo2
HERS® Index Score: Annual Savings Home:
Your home's HERS score is a relative 175 Jackson St 'init. 3
3 performance score.The lower the number, 1 861 Northampton, MA 01060
the more energy efficient the home.To Builder:
learn more, visit www.hersindex.com *Relative to an average U.S.home Karen LaVerdiere
Your Home's Estimated Energy Use: This home meets or exceeds the
Use [MBtu] Annual Cost criteria of the following:
Heating 2.6 $168
Cooling 0.3 $17
Hot Water 1.3 $81
Lights/Appliances 9.5 $614
Service Charges $84
Generation (e.g.Solar) 0.0 $0
Total: 13.6 $964
HERS Index Home Feature Summary: Rating Completed by:
40> --. Home Type: Apartment,end unit
:so Model: N/A Energy Rater: Adin Maynard
RESNET ID: 9463452
Existing ,�o Community: N/A
Homes 130 j Rating Company: HIS&HERS Energy Efficiency
m Conditioned Floor Area: 536 ft
iv) Number of Bedrooms: 1 S7R Adams Rd.Williamsburg,MA 01039
4136588784
Reference
Home 100 Primary Heating System: Air Source Heat Pump•Electric•3.6 COP
°O Primary Cooling System: Air Source Heat Pump•Electric•18 SEER Rating Provider: Energy Raters of Massachusetts
so 2 Woodlawn Street Amesbury,MA 01913
,o Primary Water Heating: Residential Water Heater•Electric•3.55 Energy Factor 978 270 3911
•o House Tightness: 2.8 ACH50 7 \
50 Ventilation: 25 CFM•11 Watts
Duct Leakage to Outside: Forced Air Ductless ,. �'" " •
This Home
20 Above Grade Walls: R-20 '`
Zero Energy Ceiling: Attic,R-54 iJ/ iZ
Home 0 Window Type: U-Value:0.29,SHGC:0.32 Adin Maynard,Certified Energy Rater
Allifr Less Enfvyy Digitally signed:9/6/21 at 10:19 PM
z,.,YsMC Foundation Walls: N/A g y g
ekotrope TheEkotrope RATER-Version:3.2.4.2739
Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This re••rt does not constitute an warran or•uarantee.
1
2018 IECC R-406 Projected Energy Rating Index
Report
Property Organization Energy Rating Index Information
Builder:Karen LaVerdiere Company:HIS & HERS Energy Efficiency Projected Rating
Address: Phone:4136588784 Rating No:
175 Jackson St Unit 3, Northampton. MA Rater:Adin Maynard Rater ID (RTIN):9463452
01060 Date Rated:2021-09-02
Estimated Annual Energy Consumption*
Rated Home Calculated Energy Use Rated Home Cost($/yr)
(MBtu)
Heating 2.6 $168 ^w
Cooling 0.3 $17
Water Heating 1.3 $81
Lights &Appliances 9.5 $614
Photovoltaics 0.0 $0
•
Total 13.6 $964
'Based on standard operating conditions
ERI with PV:48
ERI without PV:48
Annual Estimates
Electric(kWh):3,998.0 CO2 Emissions (Tons):2.6
Natural Gas(Therms):0.0
Maximum Energy Rating Index:61 This Home's Energy Rating Index:48 PASS
This home MEETS the Energy Rating Index Score requirement of 2018 IECC R-406 for Climate Zone 5. It DOES
NOT MEET all of the requirements verified by Ekotrope. Mandatory requirements are summarized on the 2nd
page of this report, some of which are not verified by Ekotrope.
Name: Adin Maynard Signature:
Organization: HIS &HERS Energy Efficiency Digitally signed: 9/6/21 at 10:19 PM
Rating Provider Data and Seal
Company:Energy Raters of Massachusetts
Address:2 Woodlawn Street Amesbury, MA 01913 'it 2 ;�'4
Phone#:978-270-3911 Ma UUI
Fax#:
eli3OrrA .
To determine if a provider is properly accredited go to:www.resnet.us/professional/programs/search_directory
•
(Projected. Confirmation required.)
Climate Zone 5 Mandatory Requirements
Provision Number Topic Compliance Decision
2009 IECC Table Building thermal envelope minimum insulation levels and PASS
402.1.1 or 402.1.3 maximum fenestration U-factor and SHGC
R401.3 Post a permanent certificate listing the level of efficiencies Certificate required for CO
installed in the house
R402.4.1.2 Envelope air leakage maximum leakage rate FAIL
R402.4.1 /Table Comply with air sealing and insulation requirements in Table Checklist required for CO
R402.4.1.1 R402.4.1.1
R402.4.4 Rooms containing fuel-burning appliances FAIL'
R402.5 Maximum fenestration U-factor and SHGC (U-Factor) PASS
(SHGC) PASS
R403.1.2 Heat pump controls FAIL*
R406.2 Ducts outside of conditioned space to be insulated to a FAIL*
minimum of R-6.
R403.3.2 Duct sealing on all ducts FAIL*
R403.3.3 ; Duct testing for ducts in unconditioned space FAIL*
R403.3.5 ; Building cavities not used as ducts. FAIL*
R403.5.1 Heated water circulation and temperature maintenance FAIL*
systems comply
R403.5.3 1 Hot water pipe insulated to R-3 FAIL
R403.6 Mechanical ventilation meeting the requirements of the IRC FAIL*
or IMC. Outdoor air and exhaust dampers installed
R403.7 ACCA Manual J and S conducted for all heating and cooling ACCA forms required for
systems. permit
R403.8 Systems serving multiple dwelling units to meet the FAIL'
mechanical requirements of IECC commercial code
R403.9 Snow melt and ice system controls installed where applicable FAIL*
R403.10 Pools and permanent spa energy consumption meet FAIL*
requirements for heaters, time clocks and covers
R403.11 Portable spas meet the requirements of APSP-14. FAIL*
R404.1 High efficacy lights installed in 90% of permanently installed PASS
fixtures.
This is a projected rating.These items must eventually be field-verified by the Rater, Field Inspector, Code Inspector,or Builder.
Building Specification Summary HIS
Property Organization Inspection Status HERS
175 Jackson St Unit 3 HIS & HERS Energy Effici, Results are projected
Northampton, MA 01060 Adin Maynard
4136588784
Laverdiere Garage residence unit 3
Laverdiere Unit 3 prelim Builder
Karen LaVerdiere
Building Information Rating
Conditioned Area[ftI 536.00 HERS Index 38
Conditioned Volume [ft'] 4,824.00 HERS Index w/o PV 38
Thermal Boundary Area [ft2I 1,906.00
Number Of Bedrooms 1
Housing Type Apartment, end unit
Building Shell
}
Ceiling w/Attic R55, 16"cell, truss 2x4 *Cm: U-0.018 Windows(largest)I U-Value: 0.29, SHGC: 0.32
Vaulted Ceiling None Window/Wall Ratio 10.10
Above Grade Walls R21 FG2 6-16: U-0.061 Infiltration 12.8 ACH50
Found. Walls None Duct Lkg to Outside I Forced Air Ductless
Framed Floors 16" ijoist FG batts R38+R21 mmnl: R-58 Total Duct Leakage I Untested
Slabs None
Mechanical Systems
Heating Air Source Heat Pump • Electric•3.6 COP
Cooling Air Source Heat Pump • Electric• 18 SEER
Water Heating Residential Water Heater• Electric • 3.55 Energy Factor
Programmable Thermostat Yes
Ventilation System 25 CFM• 11 Watts
Lights and Appliances
Percent Interior LED 100% Clothes Dryer Fuel Electric
Percent Exterior LED 100% Clothes Dryer CEF 3.0
Refrigerator(kWh/yr) 650.0 Clothes Washer LER (kWh/yr) 152.0
Dishwasher Efficiency 350 kWh Clothes Washer Capacity 4.2
Ceiling Fan None Range/Oven Fuel Electric
Ekotrope RATER-Version 3.2.4.2739
All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report.
• Paradigm Window Solutions Customer(Sell)
paradi 56 Milliken Street Phone: (877) 994-6369 QUOTATION
■ Portland, Maine 04013 rm
www. aradi windows.com
r
Window Solutions For Lite
Creation Date
9/10/2021
BILL TO: SHIP TO:
Phone: Fax: Phone: Fax:
Thank you for choosing Paradigm Window Solutions!
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
KAREN 175 GARAGE
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
ringerj@rkmiles.com 755182
Lineltem# Description Net Price Quantity Extended Price
1-1 $378.53 6 $2,271.18
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 32.5"x 54.5"
TTT Overall Size:32"x 54"
TIT Unit Size:32"x 54"
Sash Split: Equal
Performance Level: Standard,
Glass Options: Double Glazed,LowE,Argon,Annealed,SS 0
CC
3/4"IG Thickness,Clear Opening:26.625"x 21.585",3.991Sq ft - -
Ratings: U-Factor=0.27, SHGC=0.28, VT=0.53 f
Vinyl Color: White
Locks: Standard,Double g —.
Hardware: White, - RO- 2.5" -
Screen: Half Screen,Extruded-Fiberglass,
Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides,Wall Depth:
6.5625,
Last Update: 9/10/2021 4:39:22 PM Page 1 Of 3 Printed: 9/10/2021 5:21:16 PM
. QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
KAREN 175 GARAGE
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
ringerj@rkmiles.com 755182
LineItem# Description Net Price Quantity Extended Price
2-1 $318.23 2 $636.46
Comment/Room: Product: 8300 Series,Double Slider,NC
RO: 32.5"x 36.5" -_- a - --- -
TTT Overall Size:32"x 36"
TTT Unit Size: 32"x 36" in
XX,Sash Split: Equal ca
Performance Level: Standard,
Glass Options:Double Glazed,LowE,Argon,Annealed,SS
3/4"IG Thickness,Clear Opening: 10.4375"x 31.25",2.265Sq ft IX I
j
Ratings:U-Factor=0.28, SHGC=0.28, VT=0.52
Vinyl Color: White 1
Locks: Standard,Double "
Hardware: White, RO
Screen: Half Screen,Extruded-Fiberglass,
Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides,Wall Depth:
6.5625,
LineItem# Description Net Price Quantity Extended Price
3-1 $351.06 2 $702.12
Comment/Room: Product: 8300 Series,Double Hung,NC
RO:24.5"x 32.5"
TTT Overall Size:24"x 32"
TTT Unit Size:24"x 32" iA -`
Sash Split:Equal C'1
Performance Level: Standard, V
Glass Options:Double Glazed,LowE,Argon,Tempered,DS
3/4"IG Thickness,Clear Opening: 18.625"x 10.585", 1.369Sq ft ' I'
Ratings:U-Factor=0.28, SHGC=0.28, VT=0.52
Vinyl Color: White
Locks: Standard,Single
Hardware: White, - 4
Screen: Half Screen,Extruded-Fiberglass,
Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides,Wall Depth:
6.5625,
Last Update: 9/10/2021 4:39:22 PM Page 2 Of 3 Printed: 9/10/2021 5:21:16 PM
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
KAREN 175 GARAGE
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
ringerj@rkmiles.com 755182
LineItem# Description Net Price Quantity Extended Price
4-1 $798.94 1 $798.94
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 64.5"x 54.5"
TTT Overall Size:64"x 54"
TTT Unit Size:32"x 54" � 1
in
Double HungIDouble Hung,Combo Fixed Type:Standard
Sash Split: Equal
Mulls: 0 Degree,Vertical,Performance Level: Standard, ce
Glass Options:Double Glazed,LowE,Argon,Annealed,DS
3/4"IG Thickness,Clear Opening:26.625"x 21.585",3.991 Sq ft
Ratings:U-Factor=0.27, SHGC=0.28, VT=0.52 — 32" 64" 32"
Vinyl Color: White RO-64.5"
Locks: Standard,Double
Hardware: White,
Screen: Half Screen,Extruded-Fiberglass,
Surround(Jambs/Receivers): Extension Jambs,Primed,4 Sides,Wall Depth:
6.5625,
LineItem# Description Net Price Quantity Extended Price
5-1 $1,434.62 1 $1,434.62
Comment/Room: Product: 8300 Series,Double Sliding Door,NC
RO: 72"x 80" --
TTT Overall Size:71.5"x 79.5"
TTT Unit Size: 71.5"x 79.5"
XO,Performance Level: Standard,
Glass Options:Double Glazed,LowE,Argon,Tempered,DS _z>
1"IG Thickness,Clear Opening:26.9375"x 75.5", 14.123Sq ft
Ratings:U-Factor=0.3, SHGC=0.26, VT=0.49
Vinyl Color: White
Hardware: White,Keyed Hardware,
Screen: Patio Door Screen,Fiberglass,
Surround(Jambs/Receivers): Extension Jambs,Primed,3 Sides,Wall Depth: 71 5"
6.5625,
SETUP: $0.00
LABOR: $0.00
CUSTOMER SIGNATURE DATE FREIGHT: $0.00
DEPOSIT: ($0.00)
3
We appreciate the opportunity toprovideyou with this quote! BALANCE: $ $365.21
PP PP � SALES TAX: $365.21
SUB-TOTAL: $5,843.32
TOTAL: 56,208.53
Last Update: 9/10/2021 4:39:22 PM Page 3 Of 3 Printed: 9/10/2021 5:21:16 PM
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