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18C-141 (22) BP-2024-0314 Ego BRIDGE RD - 1 COMMONWEALTH OF MASSACHUSETTS SHALLOWBROOK LANE Map:Block:Lot: CITY OF NORTHAMPTON 18C-141-001 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-0314 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 184189 GREEN COLLAR LLC 108817 Const.Class: Exp.Date: 08/31/2024 Use Group: Owner: LATHROP COMMUNITY INC Lot Size (sq.ft.) Zoning: RI/RR/URB/WP Applicant: GREEN COLLAR LLC Applicant Address Phone: Insurance: 570 NEWTON ST (413)532-1817 WMZ-800-8008323 SOUTH HADLEY, MA 01075 ISSUED ON: 03/25/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION FOR THE COMMUNITY ROOM - 1 SHALLOWBROOK LANE 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: /e./P- Fees Paid: $1,295.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner �24 The Commonwealth of Massachusetts �' ` Department of Public Safety Massachusetts State Building Code(780 CMR) ` Permit Application for any Building other than a One-or Two-Family Dwelling `/ (This Section For Official Use Only) Building Permit Numberi. `. 3/Z Date Applied: Building Official: SECTION 1:LOCATION 1 Shall Wine.. k Y1ham)hn OIOLso Lcj* p Ganreo \ii 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 ❑ Addition❑ Demolition 0 (Please fill out and submit Appendix 2) \Change of Use 0 Change of Occupancy 0 Other L� Specify: \M 1 ZL3 C 1ub Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No Is an Independent Structural Engineering Peer Review required? Yes 0 No Brief Description of Pro osed Work. 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) ❑ 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.) VAPC I N IF1 Al/Pt Total Area(sq.ft.)and Total Height(ft.) 14) Irr N in- NO- Alit SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2❑ Nightclub 0 A-3 0 A-4 0 A-5 0 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-i❑ I-2❑ I-3❑ I-4❑ 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 ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV El VA El VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Licensed Disposal Site 0 Public In Check if outside Flood Zone`il Indicate municipal Ig i A trench will not be required or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicablek ] Is Structure within airport approach area? Is their review compl � or Consent to Build enclosed 0 Yes 0 or No 91 Yes 0 NoJ� sr 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 1 tu, k srOe,►,iorowt. 1.aiNe NO \amV nn ) W- Otbtoo _ 0 WO Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Pa01-- OC Ciriat 4V - - bysko - - Chaque ) \C p • Unt 1 .orc Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: E't\ Cai10x M0 f\ A .1'Ufl CCA" . $CUR { 1 0105 Name Street Address City/Town I State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Green Collar,LLC 413-532-1817 info@greencollarma.com 181415 Name Rgi�t esstrant) Telephone No. e-mail address Registration Number 570 N(ewfon St South Hadley Ma 01075 3/31/25 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Green Collar,LLC Company Name Robert Calhoun CS-108817-U Name of Person Responsible for Construction License No. and Type if Applicable 570 Newton St South Hadley Ma 01075 Street Address City/Town State Zip 413-532-1817 info@greencollarma.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes V No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 1 U 4 I \ R Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$44,45. 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ l DL1 I log (contact municipality)and write check number here G dG 7 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 Rallext Calhoun Owner 413-532-1817 Please print and sign name Title Telephone No. Date 570 Newton St South Hadley ma 01075 info@greencollarma.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ! / 3'25-Zo2 y Name Date The Commonwealth of Massachusetts g -..- .-r---r Department of Industrial Accidents �, -- Office of Investigations :; ' 600 Washington Street - = 1 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. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ 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 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.1X1 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. :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 number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and joh 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: I S ha MO br [}e. Lane. City/State/Zip: AjOrttamptzn1 A_I4 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 perjury that the information provided above is true and correct. Signature: Date: 3//S/o?q. 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#: ® Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re4ulations and Standards ""fi�t k! I Constlrrcr S\*rvisor CS-108817 isplres:08/23/2024 ROBERT CAtfHOUN 8 UPPER RIVER RD SOUTH HADLEY MA 01075 "r)I 1%,t l f Ca m;s;o wr .���: .a 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 Registration: 181415 GREEN COLLAR LLC. Expiration: 03/31/2025 570 NEWTON ST 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 „W(rfre'f2&throw:. 570 NEWTON ST ��(4,.,,,.A'Cf r'...(4,.k• SOUTH HADLEY,MA 01075 Undersecretary Not valid without signature GREEN 0 COLLAR Permit Authorization Form I, Chris Hague , (Owner's Name) Owner of the property located at: 1 Shallow Brook Lane (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. eua. 71/47cc. (Owner's Signature) 3/12/24 (Date) 351 Newton St.Unit B South Hadley,MA 01075 Phone:413.532. 1817 Email: support@greencollarma.com i WORK ORDER/INS Scope of Work FACILITY: LATHROP COMMUNITY NORTH LOCATION: 1 SHALLOWBROOK LN NORTHAMPTON MA 01060 PROPOSED INSTALLATION DATE (S): 8-10 weeks from signing of this contract CONTACT: CHRIS HAGUE—413.586.0006 -CHAGUE@LATHROP.KENDAL.ORG AUDITOR: Jim McGillicuddy Contact: 978-204-1271 PARKING: On site parking DESCRIPTION: 77 NEAR IDENTICAL TOWNHOUSES Townhouses heated by gas boiler in garage. Attic hatch located in garage. All townhouses are almost identical and each one has its own attic space. Air Sealing& Insulation: • Air Sealing: Seal open attic space,top plates,plumbing and wiring penetrations and other typical leakage points. (Approx. estimated 693 hour—9 hours per unit) • Combustion Safety Testing of gas-fired domestic hot water and heating systems to BPI Standards. Pre-and Post Testing Included. • Attic Insulation: o Furnish and install(8")blown cellulose to open attic space where 8"exists(Approx. estimated 80,850 sqft— 1,050 per unit) o Furnish and install 2"rigid foam insulation to vaulted ceiling wall on attic side(Approx. estimated 8,008 sqft— 104 per unit) • Weather Stripping and Door Sweeps: Furnish and install weather stripping and door sweeps for exterior building doors in common areas(Approx. estimated up to 2 per unit). • Bath Ventilation INSULATION:Furnish and install insulated exhaust hose that rises up to a roof mounted flapper kit(Approx.estimated 144) • Attic Damming Furnish and install fiberglass damming between garage and house in attic (Approx.estimated 1,540—20 ft per unit)