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32A-142 (15) BP-2023-1610 48 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-142-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1610 PERMISSION IS HEREBY GRANTED TO: Project# 2023 MIMSPLIT Contractor: License: Est. Cost: 16601 GREEN COLLAR LLC 108817 Const.Class: Exp.Date: 08/31/2024 Use Group: Owner: MODY TUSHAR Lot Size (sq.ft.) Zoning: CB Applicant: GREEN COLLAR LLC Applicant Address Phone: Insurance: 570 NEWTON ST (413)532-1817 WMZ-800-8008323 SOUTH HADLEY, MA 01075 ISSUED ON: 11/27/2023 TO PERFORM THE FOLLOWING WORK: MIMSPLIT COMPRESSOR 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: Fees Paid: $112.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner M CV O N The Commonwealth of Massachusetts ,r-,:l f, Department of Public Safety z -;-,,,....1 Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number:J-3"/G/0 Date Applied: Building Official: SECTION 1:LOCATION 48 Main St Northampton , MA 01060 No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify:Heat Pumps Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 2 Is an Independent Structural Engineering Peer Review required? Yes 0 No 2 Brief Description of Proposed Work:Install Daikin 2-4 Zone Mini Split Condensor-1 unit Install Daikin 18000 BTU High Wall Evaporator-2 units SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) T Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 ❑ A-4 0 A-5 0 I B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2 0 I-3 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 0 IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: A trench will not be Licensed Disposal Site❑ Public 0 Check if outside Flood Zone 2 Indicate municipal 2 Repubulic waste Private 0 or indentify Zone: or on site system ID 2 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 2 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 2 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner David Haughey 48 Main St Northampton , MA 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 406.671 .6177 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: . - Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Green Collar,LLC 413-532-1817_ info@greencollarma.com 181415 Name(Registrant) Telephone No. e-mail address Registration Number 570 Newton St South Hadley Ma 01075 /31/25 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Green Collar,LLC Company Name Robert Calhoun CS-108817-U Name of Person Responsible for Construction License No. and Type if Applicable 570 Newton St South Hadley Ma 01075 Street Address City/Town State Zip 413-532-1817 - - info@greencollarma.com Telephone No.(business) Telephone No. (cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ . 3.Plumbing $ 4.Mechanical (HVAC) $16,601 Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $16,601 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Robert Calhoun Siativit CaMhaan Owner 413-532-1817 Please print and sign name Title Telephone No. Date 570 Newton St South Hadley ma 01075 info@gTeencollarma.com Street Address City/Town State Zip Email Address 19Municipal Inspector to fill out this section upon application approval: ),5tt36 .1 Name Date e n x:.. ;; ..>,a .: ...��. _ ..; ';.. � ..;„„ s�;�•��.�. ,�._::e=tee za=:`.:I swan/"-.� its€I[FK „i, L Via: . R ,f. ;am r;.'„,a ':, y %sue/%: ,,x 3 0 .. ;,otic:.4.i ., ::,•;u rev.. , e ,. _...iC'x'� x , M°y n�'�\�' y-4,44._:'_4_ ,.444..Ae\7sri�',°4...w•?04"."44.444 .. .s , . :, 1.-'. , • • • 1 ; 44444. • .N ,-v.:, ` ¶ A g to pus. oY Y � �& y r ✓ f V e �A, 0. I I i`- E , r 33. ''1.1,'-1---':1';,' ---vs'1""l'I-1,71,,,——1!:'i a f /\ - ... ,°s it I )-11 '''') °,:t):47'I7' r EE [L GREEN COLLAR Permit Authorization Form David Haughey (Owner's Name) Owner of the property located at: 48 Main St (Property Address) Northampton, MA (Property Address) Here by authorize Green Collar, a certified Mass Save Independent Insulation Contractor, to act on my behalf to obtain a building permit and to perform work on my property. 7.47 (Owner's Signature) 10/19/23 (Date) 351 Newton St.Unit B South Hadley,MA 01075 Phone:413.532. 1817 Email: support@greencollarma.com Commonwealth of Massachusetts — DlviSion of Occupational Licensure Board of Building Regulations and Standards Constg t:ft ktwvisor CS-108817 Fspires.0812317024 ROBERT CALHOUN 8 UPPER RIVER RD SOUTH HADLEY MA 01075 • Commissioner THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC GREEN COLLAR LLC. Registration: 181415 5/0 NEWTON ST Expiration: 03/31/2025 SOUTH HADLEY,MA 01075 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:LLC Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 181415 03/31/2025 Boston.MA 02118 GREEN COLLAR LLC. ROBERT CALHOUN .:P dlext ealhaun 570 NEWTON ST 14 ,1.of 6fw/• SOUTH HADLEY,MA 01075 Undersecretary Not valid without signature r ne commonweaun of ivlassucnuseus Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Green Collar, LLC Address: 570 Newton St City/State/Zip: South Hadley, MA 01075 Phone #: 413 532 1817 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with 15 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 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 working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.© OtherInsulation/Weatherization comp. insurance required.] *Any applicant that checks box#1 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. tContractors 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: A.I.M Mutual Insurance Company Policy#or Self-ins. Lic.#:WMZ-800-8008323-2023A(1) Expiration Date:_9/23/24 Job Site Address: 48 Main St City/State/Zip: Northampton, MA 01060 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 $250.00 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 under the pains and penalties of'pei jury that the information provided above is true and correct. Signature: Date: 10/23/23 Phone#: 413 532 1817 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#: National Vinyl LLC. Customer 7 Coburn Street Phone: 413-420-0548 QUOTATION Chicopee, MA 01013 Fax: 413-420-0560 DATE CREATED www.nvpwindows.com SHIP TO: 10/25/2023 Green Collar LLC QUOTE EXPIRES BILL TO: 3110 14 Bridge Street Quote Not Green Collar LLC South Hadley MA 01075 ShippingZone 570 Newton St. CALL AHEAD 413-800-5007 Phone: 413-532-1817 Local South Hadley MA 01075 Mobile413-800-5007 Daryl Delivery Date Fax: Email: daryl©greencollarma.com 10/25/2023 Sales Person WMASS QUOTE# STATUS CUSTOMER PO# ORDER DATE 349727 None G-AMajkowski Quote Not Ordered QUOTED BY TERMS SHIP VIA PROJECT NAME dgauvin 2% 10 Net 30 Delivered on NVP Truck 333 Florence Rd. Lineltem# Description 100-1 Qty: 2 Green Collar LLC Northwind III, Double Hung, Double Hung, 19.5 x Make Size 48.125 19.5"X 48.125" Frame Width = 19.5, Frame Height = 48.125, Sash Rough Opening Split = Even 19.75"X Flanker Frame Width = 48.625" Replacement, RO Deduction = -1/4" x -1/2", Thermal Vic; ' b.r Comment/Room: Sash co 4 Color = White o None Assigned I _ Lock Options = Single Lock, Standard, White Sash Reinforcement = Lock and Keeper Rail Only, Composite Half Screen, Fiberglass Unit 1: Glazing Type = Triple Insul Dual Low E, Low f--- 19.5` E Softcoat, Gas FIll = Argon RO "7' ` Unit 1 Lower Glass, 1 Upper Glass: Glass Strength = Single Strength Clear Opening Width = 14. 024, Clear Opening Height = 17.5625, Clear Opening Area = 1.710392 Unit 1 : Unit CPD Number = NVP-K-14-00744-00001, Unit U-Factor = 0.2, Unit SHGC = 0.24, Unit VT = 0.39, Unit CR = 72, Air Infiltration Rating = < 0.3 cfm/ft2, Meets Energy Star = Yes Unit 1 Lower Glass, 1 Upper Glass: CPD Number = NVP-K-14-00744-00001, U-Factor = 0.2, CR = 72, SHGC = 0.24, VT = 0.39, AL = -1 Head Expander = Yes, 4 Sides Foam Wrap Page 1 Of 1 Purchase Order 37 Thurber Blvd Suite 101 energysource Smithfield,RI 02917 Date P.O. No. 8/25/2023 32336 888-490-7555 Vendor Ship To GREEN COLLAR LLC Ana Bandeira Chocolates Heat Pump 570 Newton St. ATTN:David Haughey South Hadley,MA 01033 48 Main St. Northampton,MA 01060 406-671-6177 Class Terms Net 30 Item Description Qty Rate Amount Permit Fee PERMIT FEE 1 0.00 0.00 Local city/town permit pulled Labor Daikin 4MXL36WVJU 2-4 Zone Mini Split Condenser 1 0.00 0.00 36,000 BTU Price includes: all permitting,wiring, ground stand or wall bracket,and pressure test and triple evacuation of system during setup. Line set,line hide,wiring of indoor units to be included separately on proposed indoor evaporator pricing. AHRI 210722666 Cooling Capacity-36,000 BTU I EER- 11.7 I SEER- 21.7IHSPF-11 Labor Daikin FTXS18WVJU9 18,000 BTU High Wall 2 0.00 0.00 Evaporator Install wall hung evaporator. Price includes all piping, wiring,and line hide associated with the installation for this zone of heating/cooling. Labor Exterior Service Outlet 1 0.00 0.00 Install electrical outlet adjacent to condenser in order to perform service and comply with local electrical code. Labor Airzone Aidoo Wifi Controller 2 0.00 0.00 Install Airzone Aido Wifi Controller Miscellaneous Total Labor 16,601 1.00 16,601.00 2165 Total $16,601.00