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)