25A-155 (2) BP 2022-1023
29 WOODBINE AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25A-155-001 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-2022-1023 PERMISSION IS HEREBY GRANT D TO:
Project# NEW SINGLE FAMILY HOUSE Contractor: License:
Est. Cost: 400000 LUIS BUILDERS INC 085424
Const.Class: Exp.Date: 08/16/2024
Use Group: Owner: FENDER, CONSTANCE L.&HAIGL ,JUDITH S.
Lot Size (sq.ft.)
Zoning: URB Applicant: LUIS BUILDERS INC
Applicant Address Phone: Insurance:
37 WESTBROOK RD (413)246-0604 AWC-400-7026979
SOUTH HADLEY, MA 01075
ISSUED ON:10/13/2022
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I
• ' 10
I X► , '1 •
Fees Paid: $1,489.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
tc.FLI------
r.; The Commonwealth of Massachusetts FOR
E c- Board of Building Regulations and Standards
ts
O Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 6 0-- ��- 102.3 Date Applied:
ifttiaL .2 . li 14 ',1. ID 13 da
Building Official(Print Name) t Signature /D e
SECTION 1:SITE INFORMATION 1
1 e f 000e/AiC AI 1 2 p5A Assessors Map& Parcel Numbers
1.1 a Is this Van accepted street?yes 1✓ no Map Number Parcel umber
1.3 Zo i Information: 1.4 Dimensions: ,
0K sllu4 [IV
!o b
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
a a i 5 1.5 a 9
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Fl7 Zone Information: 1.8 Sewage isposal System:
Public Private❑ Zone: Outside Flood Zone? MunicipaldOn site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2. , Owner'of Recor
Name( nt) City,State,ZIP C F g Ma ,C
lug AtJ1 C- 4139234b5 b . sso .
No. and Streetp 3_ A, lephone 3-)L 8345 Etil Address CQ(d pQy •�s
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) `�
New Construction>1 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Additio 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: e O NS X N a(f Shu4 L E Fi4wi t Li It rn G
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ ` Mu 1. Building Permit Fee:$ Indicate how fee is determined:
*16 d��l ❑ Standard City/Town Application Fee
2.Electrical $
1 ❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 165`ODD 2. Other Fees: $
4.Mechanical (HVAC) $ b1 W V List:
$5. Mechanical (Fire
Suppression) b�,1 Total All Fees:
Check No.It M �[heck Amount: 1 �' sh
Amount:
6.Total Project Cost: $ 4bb I ppp 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) O 542+ '
( -Ali P. . 0/ .S License Number Expiration ate r �c c.
Name of CSL der f
3-7 1 i ein List CSL Type(see below)
No. d Street r Type Description
ii-A1\213/ m/� Unrestricted(Buildings up to 35,000 cu.ft.)
I' '�"1 �� ��5 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
�( n / WS Window and Siding
I tl a���1.�'f�V 7 L u,�• ��e�)iswers e SF I Insulationid
Telephone Burning Appliances
Telephone ��l address D Demolition
5.2 Registered Home Improvement Contractor(HIC) (5�1318 a.a v c
L O/V op // J�IA
W s J/v ( HIC Registration Number Expiration Date
HIC CoRegistrattme
l3pany 1 m I �/4 +I 3 �UI , GII��s�l./a�l rxYX� ,
and et Email addr s ?
1-11401& MA 0169 al)4b 0604 ,
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 5/ 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 b,Al Lcirgs , L k TS Btka.n L LC—
to act on my behalf,in all matters relative to work authorized by this building permit application.
* Gooittsni cE 1. FEN . eDt or �' (Ibi,
ZPrint Owner's Name(Electronic Signature) te
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.
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.) a bS'j (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) a(:5 S Habitable room count (D
Number of fireplaces 1 Number of bedrooms 3
Number of bathrooms 2 Number of half/baths 0
Type of heating system fp((RQ %'0r Alt Number of decks/,porches I
Type of cooling system et(NtflA ) Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:Corporation
Reais_ tT ration Expiration
154318 02/26/2023
LUIS BUILDERS INC.
•
DANNY P.LUIS f
37 WESTBROOK RD.
SOUTH HADLEY,MA 01075-2173 ""0r4! --
Undersecretary
L.
Commonwealth of Massachusetts \
Ilf Division of Professional Licensure
Board of Building Regulations and Standards
Construct bzY 6pervisor
CS-085424 Eacpires:08/16/2022
DANNY P LUIS f
37 WESTBROOK RD
SOUTH HADLEY MA 01075 .r
Commissioner d,4.!. K. YFnat;L.,
City of Northampton
Massachusetts /�/ r-- '<<
DEPARTMENT OF BUILDING INSPECTIONS f M
.. i 212 Main Street • Municipal Building C�
'�ne5'� ` • Northampton, MA 01060 ysty� c�``
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: o 41 e fi- i t ik 7_(1Dt- ilizezatptai . et-te
The debris will be transported by:
Name of Hauler: O( h-t f l u
Signature of Applicant: Date:
Home Energy Rating Certificate Rating Date: 2022-07-264
Projected Report Registry ID:
POWER HOUSE
Based on Plans
Ekotrope ID: PdaYaBGd `""`rCON6O11"`
HERS° Index Score: Annual Savings Home:
55 Your home's HERS score is a relative 29 Woodbine Ave
performance score.The lower the number, Northampton, MA 01060
the more energy efficient the home.To Builder:
learn more, visit www.hersindex.com 591
*Relative to an average U.S.home Luis Builders
Your Home's Estimated Energy Use: This home meets or exceeds the
Use [MBtu] Annual Cost criteria of the following:
Heating 77.5 $3,162
Cooling 0.9 $57
Hot Water 11.4 $464
Lights/Appliances 27.4 $1,789
Service Charges $84
Generation (e.g.Solar) 0.0 $0
Total: 117.2 $5,556
HERS Index Home Feature Summary: Rating Completed by:
More Energy Home Type: Single family detached
Model: N/A Energy Rater: Rachel Balon
1So RESNET ID: 1726523
Existing UO Community: N/A
Homes 130 Conditioned Floor Area: 4,076 ft2 Rating Company: Power House Energy Consulting
120 Number of Bedrooms: 3 PO Box 9571,North Amherst,MA 01059
Reference ���loo Primary Heating System: Furnace•Propane•96 AFUE 413-835-5162
Home PrimaryCoolingSystem: Air Conditioner••Electric••14 SEER
vo Y Rating Provider: Energy Raters of Massachusetts
go Primary Water Heating: Residential Water Heater•Propane•0.95 UEF 2 Woodlawn Street Amesbury,MA 01913
• 70 House Tightness: 3 ACH50 978-270-3911 . ,
'60- 55 Ventilation: 71 CFM•20 Watts
so
_,,,�♦o This Home Duct Leakage to Outside: 163 CFM @ 25Pa(4/100 ft2) _ de:HOS-136
_3n
Above Grade Walls: R-21 3 c^
,p ,
to Ceilin Attic,R-591T' *^"''*ro ---Window Type:— U Value:0.29-,SHGC:0.29 R���- '-B
Zero Energy - - - -- -- ah2n --- -Home Foundation Walls: R-10 Rachel Balon,Certified Energy Rater
�a .› Less Energy Framed Floor: R-30 Digitally signed:7/27/22 at 10:13 AM
0 e kot ro a Ekotrope RATER-Version3.2.4.2957
p The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This report does not constitute any warranty or guarantee.
,�► Stretch Code Specifications
Project Address 29 Woodbine Ave, Northampton, MA 01060
POWERHOUSE HERS Rater Rachel Balon
;NSUL r
111111111111Mr Insulation & Air Sealing
Slab Uninsulated
Foundation Walls R-10 fire rated foamboard
Garage Ceiling R-30 insulation
Blockers& Runners R-21 insulation
Exterior Walls R-21 insulation
Flat Ceilings R-60 loose cellulose (16"deep)
Bonus Room Slopes R-38 insulation
Windows & Glass Doors U-Factor= .29
Air Barrier&Air Sealing Details Maximum blower door test of 3 ACH50
Mechanical Equipment
Heating Equipment 96%AFUE Furnace W/ ECM
Cooling Equipment 14 SEER Central AC
Water Heater .95 UEF On-Demand
Ducts Some ductwork located outside of envelope
Ventilation System 2 continuous exhaust fans (Panasonic FV-0511VKSL2)
Projected Ventilation CFM 71
Lighting & Appliances
Lighting 100% LED Bulbs
Refrigerator Energy Star certified (if provided)
Dishwasher Energy Star certified (if provided)
Washer Energy Star certified (if provided)
Dryer Energy Star certified (if provided)
Projected Rating Results
Scenario HERS Index Score
All specifications used above, and 55
home built per plans
- S 3074'34"E 60.02.-- O
15.0' 15.0'
30.0'
8 o
n
n
N
proposed
z u .• foundation
n
t
.. .41E
a k• r00 EV 15.0'
15• .00 24.1'
cdcrece r
ya Iv.. N-32O4"26'-W f 0.00'
////////I������1�� -- -- sidewalk ______ -vs
approximate sewer line OD6 INE AVENUE
‘,1
opro' e gas line ei-Cie--"r.-
`
u`d e-T-r- "BUILDING PERMIT"
V v4 A' _/ FOR REFERENCE TO LOCUS SEE PLAN OF LAND IN
I/J,► JAMES K. MUNSKA&BARBARA A. MUNSKA, TRUSTEES
TAX MAP 25A, PARCEL 155 NORTHAMPTON, MASSACHUSETTS
BOOK 13518, PAGE 53 PREPARED FOR
PARCEL 2
LEGEND Pi1 ejc�,G ."°`
RANDALL SCALE: 1'=L20'U IS BUILDERS
AUGUST 15, 2022
o FOUND IRON PIN N HAROLD L. EATON AND ASSOCIATES, INC.
/3ZER REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
r'"'.n,,,,x, 413-584-7599 413-585-5976 (fax)
email - hleatonOool.com
0' 20' 40' 60'
The Commonwealth ealth of Massachusetts
' AN! Department of Industrial Accidents
_110= 1 Congress Street,Suite 101)
'w }; Boston, MA 02114-2017
www. A
mass. ov/dia
—t41
Workers'Compensation lasurance Aftidai it:Builder lu,nbcr.
TO RE FILED WITIl T11E:PERMITTING AUTIIUIRITE.
ADDIlcant Information Please Print l:c„,iblw
Name(Business!(kpaniratian/bdiviaial): LjcAi J Oat I c(ea3 f Cj
Address: 3 7 was r '> . _
city/stat : 1 gc/`j #: 2‘,D`
Are Inca as eespayeet Cheek the appropriate aim Type of project(regdi I :
I.4l am a cneikiyer wish cveyrlLvveex jtitll aodturpart-tmicl_' 7. New O nstr c
20 1 am a auk pnrpriette or partnership and have no rempliyixs„u:king fornw in $. Remodeling
capacity_[Nowuutters'cunp.Ovum-max nano required.]
9. El Demolition
3. tam a honreownii doing all work myself:[No M inters'r:unvp.unrrvi t+ ce required-]
loci Building . .
40 J 1 ant a homeowner and will tic hieing contraauts to L-onduLt all Mork on my property. I a
ct h ill
ensure that all contractors either'hove vvurken at`compensation insurance or e rule 110 Electrical or or additions
proprictrrts with no employees.
12.0 Plumbing or additions
s I am a In.tiaral eontrackrr and I have hired the sine-cinattact*rs,listed on the attached shed_ 1 �RoofIl.Lwc Minx-u ltitrackon have employees and have wailers'ouvup.ntsurancc repairs
60 V�a arc a corporation and it otfice's have a l.:wased their right of exemption per M U_G Id. Other
154 ys,lj4}.and we have no employees.[No outliers coup-ins,uxnce required.].
'Any appliL-au that cheeks boa#1 must also fill out the section hair*,batwing thew workers'compensation policy uvirvnratirvn-
t Ilrrrinvwnen who.submit this at ohay it indicating they arc dump all work and than hue outside contractors muect srrtseut a new affidavit uoaicaiing
:Contractor,that cheek thin.lira roust attached an additional xhuxi showing the recce,of the sorb-cuuracuws and%laic whether ur not those unifies have
eattelnyccx If the_rut'creruractucx.have arcluyvxs.they most provide their worker.`coop-policy nurnlicx-
1 t as employer that i'providing workers'compensation insurance far my engIlopres. Below is the policy and job site
information. '` J�
Insurance Company Name: / I t /`^V r "r t L /� �y ,_
Policy#or Self-ins.Lie.#: G 460 7 0 07 La 1 7° j li on _ ( ^I
lob Site Address: WOOD /Al-
RI) City/State/Zip: MO /qiyl/' TU/J
Attach a copy of the workers'competsatiar policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
andfor one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine of up to S250.00 a
day ag.a'rnst the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
co er l2c t'crification.
I do h rr bt`certify rtif under the pains iii her-jury that the information provided shove Is talc and correct
fit!ttcttW e: �— Date_ • — — Z.
Phone#: �i3 Ico 6(O1-/
O)klal use only' Do not write in this area,to be c-omp/rtrd by city or town gfficial.
City or Taws: Permit/License#t
IsSui.gAuthorit_, !circle one!:
I.Board of Health 2.BuildinE Department 3.Chyffowa Clerk 4.Electrical Inspector 5.Plumbing Inspertnr
Other
Contact Pery011: Phone#:
/
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMATION PAGE
A.I.M. Mutual Insurance Company
54 Third Avenue, Burlington, Massachusetts 01803-0970
(800) 876-2765 NCCI NO 26158
POLICY NO. AWC-400-7026979-2022Ai
PRIOR NO. AWC 400-7026979-2021A
ITEM
1. The Insured: Luis Builders Inc
DBA:
Mailing address: 37 Westbrook Road FEIN:*****1074
South Hadley, MA 01075
Legal Entity Type: Corporation
Other workplaces not shown above:
2. The policy period is from 06/01/2022 to 06/01/2023 12:01 a.m. standard time at the insured's mailing address.
3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the
states listed here: MA
B. Employers'Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A.
The limits of liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident
Bodily Injury by Disease $ 1,000,000 policy limit
Bodily Injury by Disease $ 1,000,000 each employee
C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B
D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE
4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans.
All information required below is subject to verification and change by audit.
Classifications
Premium Basis Rates
Code Estimated Per$100 Estimated
No. Total Annual Of Annual
Remuneration Remuneration Premium
INTRA 000953904
INTER SEE CLASS CODE SCHEDULE
Minimum Premium $575 Total Estimated Annual Premium $2,726
Deposit Premium
GOV GOV P $2,817
STATE CLASS
MA I 5645 State Assessments/Surcharges
$2,184.00 x 4.1800%
$91
This policy, including all endorsements, is hereby countersigned by 05_/_13/20.22_
Authorized Signature Date
Service Office: Metras Insurance Agency Inc
54 Third Avenue 2030 Memorial Drive
Burlington MA 01803 Chicopee, MA 01020
WC 00 00 01 A(7-11)
Includes copyrighted material of the National Council on Compensation Insurance,
used with its permission.
A.I.M. Mutual Insurance Company
Insured: 7026979 Producer: 04515-001-001
Luis Builders Inc Metras Insurance Agency Inc
37 Westbrook Road 2030 Memorial Drive
South Hadley, MA 01075 Chicopee, MA 01020
Insured FEIN: ** ***1074 Issue Date: 05/13/2022
Policy Number: AWC-400-7026979-2022A Endorsement Effective Date: 06/01/2022
Policy Period: 06/01/2022 -06/01/2023 Endorsement Number:
ENDORSEMENT SCHEDULE
The forms listed below are included in this policy:
Form No. Form Description Applicable States Policy Effective Date
AIM-1A Dividend Classification Endorsement 06/01/2022
WC 00 00 00 C Policy Conditions 06/01/2022
WC 00 04 04 Pending Rate Change End. MA 06/01/2022
WC 00 04 14 Notification of Change in Ownership 06/01/2022
WC 00 03 08 Partners, Officers, & Others Excl Endorsement 06/01/2022
WC 00 03 13 Waiver of Our Right to Recover from Others-Specific 06/01/2022
WC 00 04 22 C MA TERRORISM RISK INSURANCE PROGRAM MA 06/01/2022
WC 00 04 25 Experience Rating Modication Factor Revision 06/01/2022
WC 20 03 01 MA Limits of Liability Endorsement MA 06/01/2022
WC 20 03 02 A MA Assessment Charge MA 06/01/2022
WC 20 03 03 D MA Notice to Policy Holder Endorsement MA 06/01/2022
WC 20 03 06 B MA Limited Other States Insurance Endorsement MA 06/01/2022
WC 20 03 07 MA Assigned Risk Pool Eligibility Endorsement MA 06/01/2022
WC 20 04 05 MA Premium Due Date Endorsement MA 06/01/2022
WC 20 04 01 MA Pending Premium Change Endorsement MA 06/01/2022
WC 20 06 01 A MA Cancellation Endorsement MA 06/01/2022
WC 20 06 04 MA Policy Definition Endorsement MA 06/01/2022
Insured EndorsementSch(04/11)
A.I.M. Mutual Insurance Company
Insured: 7026979 Producer: 04515-001-001
Luis Builders Inc Metras Insurance Agency Inc
37 Westbrook Road 2030 Memorial Drive
South Hadley, MA 01075 Chicopee, MA 01020
Insured FEIN: **-***1074 Issue Date: 05/13/2022
Policy Number: AWC-400-7026979-2022A Endorsement Effective Date: 06/01/2022
Policy Period: 06/01/2022-06/01/2023 Endorsement Number:
CLASSIFICATION CODE SCHEDULE
Policy Unit: 001 Unit State Code: MA
Policy Unit Name: Luis Builders Inc Billing Plan:Annual
Classification Class Payroll Rate Estimated
Description Code No. Amount Per$100 Premium
LANDSCAPE GARDENING& DRIVERS 0042 If any 3.14 0
PLUMBING NOC& DRIVERS 5183 If any 2.82 0
ELECTRICAL WIRING-WITHIN 5190 If any 2.05 0
CONCRETE OR CEMENT WORK- 5221 If any 6.12 0
CARPENTRY NOC 5403 If any 7.77 0
CARPENTRY- INSTALLATION OF 5437 10,161 3.84 390
WALLBOARD INSTALLATION -WITHIN 5445 If any 5.60 0
PAINTING OR PAPER HANGING NOC & 5474 If any 3.71 0
ROOFING NOC & YARD EMPLOYEES, 5545 If any 37.71 0
CARPENTRY- DETACHED ONE OR 5645 30,069 6.35 1,909
EXCAVATION & DRIVERS 6217 If any 3.96 0
TELEPHONE OR TELEGRAPH CO:ALL 7600 If any 3.18 0
Manual Premium 2,299
Waiver Endorsement Premium 127
Excess Employers Liability 2.00% 46
EEL Minimum Premium Adjustment 29
Premium Subject to Exp Mod 2,501
Merit Modifier 0.95 (125)
Standard Premium 2,376
Expense Constant 338
Terrorism Act Surcharge 12
Total Estimated Premium 2,726
DIA ASSESSMENT 4.18% 91
Total Estimated Premium & Surcharge(s) 2,817
Insured ClassCodeSch(04/11)
.
A.I.M. Mutual Insurance Company
Insured: 7026979 Producer: 04515-001-001
Luis Builders Inc Metras Insurance Agency Inc
37 Westbrook Road 2030 Memorial Drive
South Hadley, MA 01075 Chicopee, MA 01020
Insured FEIN: **-***1074 Issue Date: 05/13/2022
Policy Number: AWC-400-7026979-2022A Endorsement Effective Date: 06/01/2022
Policy Period: 06/01/2022-06/01/2023 Endorsement Number:
POLICY RATING SUMMARY BY STATE
Massachusetts
Manual Premium 2,299
Waiver Endorsement Premium 127
Excess Employers Liability 2.00% 46
EEL Minimum Premium Adjustment 29
Premium Subject to Exp Mod 2,501
Merit Modifier 0.95 (125)
Standard Premium 2,376
Expense Constant 338
Terrorism Act Surcharge 12
Total Estimated Premium 2,726
DIA ASSESSMENT 4.18% 91
Total Estimated Premium & Surcharge(s) 2,817
Total Estimated Premium &Surcharge(s) $2,817
Insured RatingSum(01/12)
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Erika Deady NEW RESIDENCE- LEFT & RIGHT SCALE @ 2 SHEET NUMBER
ED FENDER DATE
45 Brookfield6
St Ludlow MA I3 29 WOODBINE STREET JDLyt
413.348.8566 NORTHAMPTON MA ELEVATIONS 2022
i
I I toAu.rip..roeveeros me
Kw.Wet rrix10 I
O
own rose TM,tt to
women To se our-,p FOUNDATION NOTE5
now coPeoarrer.....ca -FOUNDATIONS TO BEAR A MINIMUM OF 24'BELOW FINISH
er.en.evr GRADE
No.eorne. -ALL ANCHOR BOLTS TO BE 5/8'DIA X 100 3T O/G UNO.
30 SEE SHEAR PLANS FOR MOLD DOWN DETAILS
-ALL REINFORCING STEEL SHALL BE ASTM A3/5,GRADE/O
O -ALL REINFORCING STEEL TO OVERLAP A MINIMUM OF 24
L �..� _ _.—_ FOR SPLICES FOR*A BARS IL BE'FOR 55 BARS
•:r .... 7 -PROVIDE CORNER BARS TO MATCH CONTINUOUS STEEL
-MINIMUM ALLOWABLE CONCRETE COMPRESSIVE
STRENGTH SHALL BE 3,000 PSI(DESIGNED A52,500 P51)AT
26 DAYS.MAXIMUM AGGREGATE 512E 15 1'.MAXIMUM AIR
ENTRAINMENT IS 3%.CEMENT SHOULD BE TYPE 1 OR2
-SOIL BEARING CAPACITY ASSUMED TO BE 2,000 PSP-IF
SOIL CONDITIONS VARY PROM THIS,THE PROJECT
` ENGINEER MUST BE NOTIFIED.ALL FOOTINGS MUST REAP
i "........... ON UNDISTURBED SOL.ALL SLOPES MUST BE STABILIZED
-ADJACENT GROUND SURFACES SHALL BE SLOPED AWAY
FROM STRUCTURE DRAINAGE OF SURROUNDING AREA
+
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NOTE: CONTRACTOR RESPONSIBLE
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— I - _WOODBINE AVENUE
"BUILDING PERMIT"
FOR REFERENCE TO LOCUS SEE PLAN OF LAND IN
JAMES K. MU TAX MAP 25A,1PARCEL 155 A, TRUSTEES NORTHAMPTON, MASSACHUSETTS
BOOK 13518,PAGE 53 PREPARED FOR
- PARCEL 2 /
-,, LUIS BUILDERS
LEGEND
fr`"
SCALE: 1"=20' AUGUST 18, 2022
i RANDALL
0 FOUND IRON PIN E. HAROLD L. EATON AND ASSOCIATES, INC.
IZER REGISTERED PROFESSIONAL LAND SURVEYORS
135032 235 RUSSELL STREET - HADLEY - MASSACHUSETTS
413-584-7599 413-585-5976 (fox)
email - hleatonCaol.com
0' 20' 40' 60'
Home Energy Rating Certificate Rating Date: 2023-12-084
Final Report Registry ID: 841657650 ;,,,, it HOUSE
MUSH carwu11+r.
Ekotrope ID: PdaYaBGd
HERS° Index Score: Annual Savings* Home:
Your home's HERS score is a relative 29 Woodbine Ave
5 performance score.The lower the number, Northampton, MA 01060
the more energy efficient the home.To $ 7,784Builder:
learn more, visit www.hersindex.com 'Relative to an average U.S.home Luis Builders
Your Home's Estimated Energy Use: This home meets or exceeds the
Use(MBtu] Annual Cost criteria of the following:
Heating 77.8 $3,260 2018 International Energy Conservation Code
Cooling 0.9 $61
Hot Water 10.2 $424
Lights/Appliances 25.5 $1,761
Service Charges $84
Generation(e.g.Solar) 0.0 $0
Total: 114.3 $5,590
HERS Index Home Feature Summary: Rating Completed by:
Moro Energy Home Type: Single family detached
:u: Model: N/A
Energy Rater: Elijah Feldman
RESNET ID: 4725669
Exusrmg 4o Community: N/A
HOn1e5 10 RatingCompany: Power House EnergyConsulting
Conditioned Floor Area: 4,159 ft2 P Y
�� Number of Bedrooms: 3 PO Box 9571,North Amherst,MA 01059
Reference i100 Primary Heating System: Furnace•Propane•96 AFUE 413-835-5162
Home Hom
vo Primary Cooling System: Air Conditioner•Electric•14.3 5EER2 Rating Provider: Energy Raters of Massachusetts
so Primary Water Heating: Residential Water Heater•Propane•0.95 UEF 2 Woodlawn Street Amesbury,MA 01913
ro House Tightness: 1067.3 CFM50(1.76 ACHSO) 978 270 3911 ��•..,
so• — 50 Ventilation: 82 CFM•19 Watts•Exhaust Only •' " 's
aO Thus Home Duct Leakage to Outside: 10 CFM @ 25Pa(0.24/100 ft2)
so Above Grade Walls: R-21 '��
20 Ceiling: Attic,R-49 (tt jah retd 2a ..,
Zero Energy C Window Type: U-Value:0.3,SHGC:0.29 1
Foundation Walls: R 10 li
Elijah Feldman,Certified Energy Rater
p. ""`""" Digitally signed: 12/11/23 at 10:46 AM
Framed Floor: R-30
ekotro a EkotropeRATER VersioiI:3.1.4.3293
P The Energy Rating Disclosure for this home is available from the Approved Rating Provider.
This report does not constitute any warranty or guarantee.
RESNET HOME ENERGY RATING
Standard Disclosure
For home(s) located at:29 Woodbine Ave, Northampton, MA
Check the applicable disclosure(s):
lei.The Rater or the Rater's employer is receiving a fee for providing the rating on this home.
Ei2.In addition to the rating,the Rater or the Rater's employer has also provided the following consulting services for this
home:
._1 A. Mechanical system design
uB. Moisture control or indoor air quality consulting
DC. Performance testing and/or commissioning other than required for the rating itself
hit D.Training for sales or construction personnel
E.Other(specify)
3.The Rater or the Rater's employer is:
A.The seller of this home or their agent
B.The mortgagor for some portion of the financed payments on this home
sec.An employee,contractor, or consultant of the electric and/or natural gas utility serving this home
4.The Rater or Rater's employer is a supplier or installer of products, which may include:
Products Installed in this home by OR is in the business of
HVAC systems Rater Employer Rater uEmployer
Thermal insulation systems uRater EEmployer uRater Employer
Air sealing of envelope or duct systems uRater uEmployer uRater Employer
Energy efficient appliances uRater EEmployer Dater Employer
Construction(builder,developer,construction contractor,etc) uRater uEmployer Rater Employer
Other(specify): L Rater uEmployer uRater uEmployer
C 5.This home has been verified under the provisions of Chapter 6,Section 603 "Technical Requirements for Sampling"of
the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network
(RESNET).Rater Certification#:4725669
Name: Elijah Feldman Signature: ftr<J<<s� re/'f,i m
Organization: Power House Energy Consulting Digitally signed: 12/11/23 at 10:46 AM
I attest that the above information is true and correct to the best of my knowledge.As a Rater or Rating Provider I
abide by the rating quality control provisions of the Mortgage Industry NationalHome Energy Rating Standard as set
forth by the Residential Energy Services Network(RESNET).The national rating quality control provisions of the rating
standard are contained in Chapter One 102.1.4.6 of the standard and are posted at
https://standards.resnet.us
The Home Energy Rating Standard Disclosure for this home is available from the rating provider.
RESNET Form 03001-2 -Amended March 20, 2017
IECC 2018 Label
29 Woodbine Ave
Ekotrope RATER-Version:3.2.4.3293
HERS' Index Score:50
Building Envelope Specs
Ceiling:R-49
Above Grade Walls:R-21
Foundation Walls:R-10
Exposed Floor:R-30
Slab:R-0
Infiltration: 1067.3 CFM50(1.76 ACH50)
Duct Insulation:Supply:R8,Return:R8
Duct Lkg to Outdoors: 10 CFM 25Pa(0.24/ 100 ft2)
Window&Door Specs
U-Value:0.3. SHGC:0.29
Door:R-5
Mechanical Equipment Specs
Heating:Furnace•Propane•96 AFUE
Cooling:Air Conditioner•Electric• 14.3 SEER2
Hot Water:Residential Water Heater•Propane•0.95
UEF
Average Mechanical Ventilation:82 CFM
Builder or,
Si•nature:
Air Leakage Report
Property Organization Inspection Status
29 Woodbine Ave Power House Energy Consul 2023-12-08 EIowrR HMS::
1,4 a(,Y(("Sl'111M,
Northampton,MA 01060 Elijah Feldman Rater ID(RTIN):4725669
RESNET Registered
PHEC-2581 29 Woodbine Ave Builder (Confirmed)
confirmed Luis Builders
General Information
Conditioned Floor Area[ft2] 4,158.5
Infiltration Volume[ft3] 36,330.9
Number of Bedrooms 3
Air Leakage
Measured Infiltration 1067.3 CFM50(1.76 ACH50)
ACH50(Calculated) 1.76
ELA[sq.in.](Calculated) 58.70
ELA per 100 s.f.Shell Area(Calculated) 0.622
CFM50(Calculated) 1,067
CFM50/s.f.Shell Area(Calculated) 0.113
Duct Leakage
System 1
Leakage to Outdoors 10 CFM @ 25Pa(0.24/100 ft2)
Total Leakage Test Type Post-Construction
Total Leakage[CFM @ 25 Pa] 146.0
Total Leakage[CFM25/100 s.f.] 3.5
Total Leakage[CFM25/CFA] 0.035
Mechanical Ventilation
Rate[CFM] 82 CFM
Hours per day 24.0
Fan Power 19 Watts
Recovery Efficiency% 0.0
Runs at least once every 3 hrs? false
Average Rate[CFM] 82.0 CFM
2010 ASHRAE 62.2 Req.Cont.Ventilation 71.6
2013 ASHRAE 62.2 Req.Cont.Ventilation 118.7
2016 ASHRAE 62.2 Req.Cont.Ventilation 146.3
Ekotrope RATER-Version 3.2.43293
All results are based on data entered by Ekotrope users.Ekotrope disclaims all liability for the information shown on this report.