17A-176 (2) BP-2024-0249
29 HOWES ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-176-001 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-2024-0249 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2024 Contractor: License:
Est. Cost: 2343 HB SANTOS CORP 118463
Const.Class: Exp.Date: 08/29/2026
Use Group: •
Owner: E COHEN NANCY
Lot Size(sq.ft.)
Zoning: URB Applicant: HB SANTOS CORP
Applicant Address Phone: Insurance:
30 PROSPECT ST#2 WCMA000373901
WEYMOUTH, MA 02188
ISSUED ON: 03/07/2024
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATHERI ZATI ON
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:
(:as: 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:
,^444 iStoistaipm.a.
Fees Paid: S65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
1
A.-, i-rxii prp4JL___I__
i 1-EtL -
1 � ��Dep�W
ORY�^Mplo�., City of Northa(npto �� ,
4,,,, „.. ", 4 Building Departme t MAR �' '
I ' + * 212 Main tree 6 202d , INSULATION
i 40 K Room�00
NorthamptonA
, u
--, phone 413-587-1240 ax-4 $ ,.. ,,,4 NsPc ---4 OIVL.I y,
APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
1.1 PropertyAddress: This section to be completed by office
2 (�"\ GL)e,S C ` ( Q\ Map Lot Unit
c-\ 0\ -e2n c_C. \ mr'N V\0(1)2 Zone Overlay District
Elm St,District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
O (Th C`_ \ CO'Cc \ 2C\ k\CCuc S SC . c cY—rrc ‘`(r'i 1 0\Ol27
Name(Print) Currr n`Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
Luis C. Dos Santos/H Sant C Corp. 3Q Prpspect Street#2 Weymouth.MA 02188
Name( rint, Current Mailing Address:
rn
(5081 840-8338
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 Building % 2C)D�( 2, ` (�+\^ (a)Building Permit Fee
2. Electrical `�._" `1 " (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) (fi
5. Fire Protection
6. Total=(1 +2+3+4+5) 52349) '6\G Check Number I' )7
�This Section For Official Use Only
Building Permit Number. 6,a- ,a.V 2 C7 9 Bate
Issued
Signature: (/u-tA d I ' - -k_ 2/ 71` (
Building Q Toner/Inspector o#4eiletintjg Date
nn
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 4-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0 !,,
Name of License Holder: Luis Claudio Dos Santos C S` \\�`/�rt P3
License Number
100 Mediterranean Drive#22 Weymouth,MA 02188 2C\\2O2 LD
Addr¢sp } Expiration\Date 1
'/\.) w���i ��y� f t/Yv (50E4.840-R33R
Signature Telephone
8.Registered Home Improvement Contractor: Not Applicable 0
HB Santos Corp. 2( J\CV5
Company Name Registration Number 30 Prospect Street#2 Weymouth,MA 02188 cc\ \L\\202 5
Address Expiration to
hbsantoscorp@gmail.com Telephone (97R)4nR-rni7
SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit. _
Signed Affidavit Attached Yes No ❑
Brief Description of Proposed Work NOTE: INSULATION ONL Y
� � c \rS '\ o\(- C\\v S-C C,\\n9
I, �L�\ �� C • d �J . > (\r\ S , as Owner/Authorized
Agent hereby d Clare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Lv\ S C . 7)nS S m S
P tName
i 1►� c \Cj2`22A
Signature of Owner/Agent Date
car C\ C_O\ v `C' , as Owner of the subject
property hereby authorize LL) S C. \��S . n.YC S
to act on my behalf, in all matters relative to work authorized by this building permit application.
0`)D\02\2v24\
Signature of Owner Date
The Commonwealth of Massachusetts
I* 7 i_ 1 Department of Industrial Accidents
f =`` 1= 1 Congress Street,Suite 100
" VS=
�,�s Boston,MA 02114-2017
,,„:044Ywww mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Anolicant Information �1' '�7� Please Print Legibls
Name(Business/Organization/Individual): rC Z S Q` v S C�\(
Address: e). 0 ?x cDS s `C* S- `e f_* * 2
City/State/Zip:J c 00*\ MIR 02\SS Phone#:( bB'AQ- g3'5g
Are you an employer?Check the appropriate box:
Type of project(required):
I.�1 am a employer with 3 employees(full and/or part-time)." 7. 0 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling
any capacity.[No workers'comp.insurance required.]
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]
9. El Demolition
10❑Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]3. ROOF repairs
These sub-contractors have employees and have workers'comp.insurance.: ;� \�
14. Other or)6.❑We are a corporation and its officers have exercised their right of exemption per MGL c.
152,§I(4),and we have no employees.[No workers'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.
:Contractors 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 numb',
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
Information.
Insurance Company Name. C�\fl�(1 t�� �, ��V ,�, \k UYO``(1 C_ j t(�C\-01
Policy#or Self-ins.Lic.#: rOcsk 06 fJ`1j ' � Expiration Date: c\\dip`20 25
2G �Job Site Address: t }\JJ-P c� �\S AN-e< ' City/State/Zip:c-\QY ec'c.e NCQPr O\O(o 2
Attach a copy of the workers'compensation 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
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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby 4rtifj un the p in+and/rwialties of pet-pill.that the information provided above is true and correct.
is J p')'p2\2U 2A
Signature: _- - U<ttc:
Phone#: �v b \C) 8(3(�1
Official use only. Ito 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#:
City of Northampton
0 Maaaachuaatta }4` �`'� .
DEPART)dE'NT OF BUILDING INSPECTIONS T
fi 212 Main Street •Municipal Building ,
Northampton, MA 01060 °•f' A
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
2 \ S Sa • -\()Y e`CY•.(' \mom c\( LQZ
(Please print house number and street name)
Is to be disposed of at:
\C U\CUM 'SZ-PC\_ C\\ \(1 C , \ \ -CdA--S� S . )VO�.�fio`n , m 1
(PWase print name and location cility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
.‘ )10;yt.__)
Signature of Permit Applicant or Owner Date
If, for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
„,,,,��� City of Northampton
w Massachusetts ~ `
flt
DEPARTMENT OF BUILDING INSPECTIONS 2
212 Main Straat • Municipal Building JI.
Northampton, M11 01060 �� :�'`'
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 2 1/4''cW-C S SA v--e-e.-'
Contractor
Name: \'C;I SOQCY -0S COYper.
Address: f O V`CO-Sp-9 C-k SA-('C'C� *\ 2
City, State: Q0-e._\_\YY)CjL3�'�l‘\('C rP OCa.\C6 B
Phone: (Sd� pp
> CJAC)” B ( 3p
Property Owner
Name: C9.r C' r.CD\C1-e `C)
Address: 2. \ A S c -e,e-
City, State: �\c --e'c' c e. \ 'c(1\ 0\ 0 `Q 2
I, ' % S('3,r1 )S CO'( , (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 signature 1).4A ) elitier)
Date 0r))\ 02\2026\
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Nancy Cohen (413) 519-0556 01/17/2024 490495 61604
SERVICE STREET BILLING STREET PROPOSED BY:
29 Howes Street 29 Howes Street Jeff Ledoux
SERVICE CITY.STATE.ZIP BILLING CITY,STATE,ZIP Program
Florence, MA 01062 Florence, MA 01062 EGMA-HES Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE 75%
For eligible weatherization measures, Eversource is offering an
incentive of 75%for insulation measures and 100%for the air seating
measures, both with no limit. You are eligible to apply for the 0% Heat
Loan to finance your co-pay, applications must be submitted before
the weatherization work begins.
KNOB&TUBE WIRING SIGN-OFF -FSC
The wiring in the areas weatherization work is proposed will be
reviewed by a licensed electrician to determine if there is any existing
live knob&tube wiring.
HOME AIR SEALING 6 $639.54 $639.54
Seal areas of your home against wasteful, excessive air leakage.
Materials to be used to seal your home can include caulks, foams
and other products. Primary areas for sealing include air leakage to
attics, basements, attached garages and other unheated areas
(windows are not generally addressed.)
WEATHERSTRIP DOOR 2 $72.64 $72.64
Provide labor and materials to install Q-lon weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 2 $59.32 $59.32
Provide labor and materials to install a doorsweep to restrict air
leakage.
ATTIC DAMMING 68 $189.04 $141.78 $47.26
Provide labor and materials to install an approved damming material
in the attic
ATTIC FLAT-8"OPEN R-30 CELLULOSE 576 $1,238.40 $928.80 $309.60
Provide labor and materials to install an 8"layer of R-30 Class I
Cellulose to open attic space.
VENTILATION CHUTES 24 $112.32 $84.24 $28.08
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow from the soffit ventilation.
INSULATED BATH EXHAUST HOSE 4 INCH 1 $32.23 $24.17 $8.06
Provide labor and materials to install an insulated 4"exhaust hose to
existing bathroom fan(s).
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOMER PHONE DATE CUENT S WORK ORDER
Nancy Cohen (413) 519-0556 01/17/2024 490495 61604
SERVICE STREET SLUNG STREET PROPOSED BY:
29 Howes Street 29 Howes Street Jeff Ledoux
SERVICE CITY,STATE,ZIP SLUNG CITY,STATE,ZIP Program
Florence, MA 01062 Florence, MA 01062 EGMA-HES Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
PREPARE YOUR HOME
Homeowner is responsible for the removal of any items stored in the 1'R (initials)
areas where the weatherization measures will be installed. The
workers will need the space cleared to safely bring their tools and
materials into these work areas.
If you have any questions or specific concerns, please bring them to
the attention of your subcontractor when they call to schedule your
work.
Total: $2,343.49
Program Incentive: $1,960.49
Client Total: $393.00
I.DESCRIPTION OF WORK TO BE PERFORMED
Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract:
II.PAYMENT
Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion
of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous
incentives may increase or decrease the size of the Program Incentive Share.
Jef AWour Alma/ Cohaf
RISE Representative Client Signature
02-01-2024
Printed Name Date of Acceptance
mass save
Savings through energy efficiency
PERMIT AUTHORIZATION FORM
1, Nancy Cohen owner of the property located at:
(Owner's Name)
29 Howes Street Florence
(Property Street Address) (City)
hereby authorize the Mass Save® Home Energy Services Program assigned Participating
Contractor to act on my behalf and obtain a building permit to perform insulation and/or
weatherization work on my property.
This form is only valid with a signed contract. The permit will be secured by the
subcontractor, at no additional cost.
Nauci Co-ha
Owner's Sig ature
02-01-2024
Date
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor
to the above referenced project:
HB Santos Corp. 03/01/7024
Participating Contractor Date
RISE Client# 490495
Work Order# 61604
RISE Rep: Jeff Ledoux Name: Nancy Cohen
DESCRIPTION Qty Notes
1 KNOB&TUBE WIRING SIGN-OFF-FSC 1
2 HOME AIR SEALING 6 Some air sealing present some
3 WEATHERSTRIP DOOR 2 missing
4 DOOR SWEEP 2
5 ATTIC DAMMING 68
6 ATTIC FLAT-8"OPEN R-30 CELLULOSE 576
7 VENTILATION CHUTES 24
8 INSULATED BATH EXHAUST HOSE 4 INCH 1
9 PREPARE YOUR HOME 1
6
6
6
6
3,4
6 6 24
6
6
6
2111
24