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16C-007
BP-2024-0271 304 SPRING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16C-007-001 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-2024-0271 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 6079 POTENTIAL ENERGY LLC 106184 Const.Class: Exp.Date: 04/27/2025 Use Group: Owner: COOK JONATHAN T Lot Size (sq.ft.) Zoning: WSP Applicant: POTENTIAL ENERGY LLC Applicant Address Phone: Insurance: 1 HARTFORD SQ, SUITE 216 (413)798-0273 we 9083282 NEW BRITAIN,CT 06052 ISSUED ON: 04/04/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATI 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: 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: `,ga 01444 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner S , The Commonwealth of Massachuse W Board of Building Regulations and Stan rds MAR 2(�i�,l IC P LITY Massachusetts State Building Code, 780 M US , ^rf11H�Building Permit Application To Construct,Repair,Ren vateOr. tigkl d M r 2011 .rtn,n SF IONS One-or Two-Family Dwelling _N,MA),oso s �� % / This Section For Official Use Only Building Permit Number: it., --,A 5,--0/7/ Date Applied: 5 b roc- -. z 4.(('i 1 Z41 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers Scat S $A l lac-co'-tom( Jape-owl-OOt 1.1 a Is this an accepted street?yes./ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: I.Ag ce... 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 CA -, r\- t\\a,. c,\a., n\ (\\0... 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: _ Outside Flood Zone?. Check if yes r Municipal 1211 site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 301 cu\ CoD\L fiI o cen CL,f- 010 to 2._ Name(Print) City,State,ZIP 304 pri n .91-o e 4I'1- (0'2-giSr' pc‘CesolLi2QArftk No.and Strial Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied Lel Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units i Other GYSpecify: Brief Description of Proposed Work2: V4 o vet& A.,:- se.Qy \c c kv-,Q 41 C. c\ctrnct.;Ng $-©S4,t \--r slernos4 S;Vs Ai0 d 'or 92 sc; r e e -eat i h* Cav C 1; rw►s�l..ns i0 J IIS�-villy ( c c 4-Pr Sr4L sI4i0 — I i t'1� 1`ord 4.V i A asorn .. 9.-4q ca.t oN ., 70► s.c. UeA` - 1 doe Z)cl 'S-4,ezi) Z, si -6, 1d1R., R.kq eojl4b3/1.; t SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 6079.9? 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Costa (Item 6)x multiplier x 3.Plumbing $ 0 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5.Mechanical (Fire Suppression) $ D Total All Fees: $ Check No. heck Amount: (,Qi Cash Amount: 6. Total Project Cost: $ (, i 79. 9? 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES Construction Supervisor License(CSL) 106184 04/27/2025 Nicholas Meister License Number Expiration Date None of CSL Holder 344 Andrews Street List CSL Type(see below)_R No.and Street Type Description Southington,CT 06489 L Unrestricted(Buildings up to 35,000 cu.R.) Cit rwwn,Slate,ZIP Ar Restricted 18s2 Family Dwelling RC _Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 860-620-4433 nick@potentialenergyus.com - l insulation Telephone Email address D Demolition Si Registered Home Improvement Contractor(HIC) 192284 6/21/2024 Potential Energy,LLC ,�, HIC Registration Number Expiration Dale Hit artfoo rd NSquare Suutitei 21b Bo 2E info@potentialenergyus.com No.andNew Britain,CT 06052 413-798-0273 Email address City/raven,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 No Q SECTION 7s:OWNER AUTHORIZATION TO RE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize Potential Energy,LLC to act on my behalf,in all matters relative to work authorized by this building permit application. It Print wner'a Name(Electronic Signature) 'Dade 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 app' for is accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 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 gag have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at u tu•.stgws,;cr,oall Information on the Construction Supervisor license can be found at wo.,w.trtass.eov dns When substantial work is planned,provide the information below: Total floor area(sq.it.) r1-7 3 CCr (including garage,finished basement/attics,decks or porch) Gross living area(sq.fl.) 1 2(o l� S Habitable room count 4 Number of fireplaces 1 _ Number of bedrooms 3 Number of bathrooms 1 Number of half/baths 0 _ ®. Type of heating system . k JjCk Number of decks/porches a, Type of cooling system Enclosed Open a "Total Project Square Footage"may be substituted for"Total Project Cost" WEATHERIZATION CONTRACT EVERS=URCE CUIRToMIE11 PHONL DAD' C./1PNT• WORK ORMM Jonathan Cook (413)362-9195 01/19/2024 428370 61609 SERTDGE STR[E7 STRUNG STREET ewtletr0 D or 304 Spring Street 304 Spring Street Jeff Ledoux MRVICE COY.STATE,DP DOA IND CITY.MATE,7.W P•yp•1• Florence, MA 01062 Florence, MA 01062 EGMA-HES Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherizahon measures, Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing 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 weathenzation work begins KNOB&TUBE WIRING(Northhampton) We have identified that your home might have Knob&Tube wiring �.(Inivai,z present. The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form, signed by your licensed electrician.Work will not proceed with this work until we receive a copy of the form. HOME AIR SEALING 8 $852 72 $852 72 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 TRANSITIONS 10 $74.80 $74 80 Provide labor and materials to air seal the transitions of your home against wasteful,excess air leakage. WEATHERSTRIP DOOR 2 $72 64 $72.64 Provide labor and matenals to install 0-Ion weatherstripping to doors)to restrict air leakage DOOR SWEEP 2 $59.32 $59.32 Provide labor and matenals to install a doorsweep to restrict air leakage ATTIC DAMMING 50 $139 00 $104.25 $34.75 Provide labor and materials to install an approved damming material in the attic ATTIC FLAT-14"OPEN R-49 CELLULOSE 701 $1.941 77 $1 456.33 $485.44 Provide labor and materials to install a 14"layer of R-49 Class I Cellulose to open attic space SLOPE-6"DENSE R-19 CELLULOSE 165 $503 25 $377 44 S 125 81 Provide labor and materials to install a 6"layer of R-19 Class 1 Cellulose to sloped ceiling area. WEATHERIZATION CONTRACT EVERS=URCE cestosieft mow, (MIT CitaTYt a WORK DOM''at Jonathan Cook (413)362-9195 0111912024 428370 61609 t:ItavaCF'. +'.mv WI I11N;rr Prr r PRnPOSrn gv 304 Spring Street 304 Spring Street Jeff Ledoux S.ERYICE.CITY.9TATL,ZIP MI l l'il r'irY.'Start TIP Program Florence, MA 01062 Florence, MA 01062 EGMA-HES Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL RECESSED LIGHT COVERS 1 $56 89 $56 89 Install recessed light covers over existing recessed light fixtures Up to 6 at no cost HATCH -INSULATE RIGID BOARD i $53 96 540 47 $13 49 Provide labor and matenals to insulate the back of an attic hatch with 2"ngid insulation board at R-10 WALLS-VINYL SIDED 4' 596 $1.817 80 $1.363.35 S454.45 Install blown in Class I Cellulose to vinyl-sided exterior walls Homeowner has received a copy of the EPA's Renovate Right Lead- Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed Your signature is your acknowledgement of receipt and agreement to proceed BASEMENT SILLS-RIGID BOARD INSULATION 92 $507 84 $380.88 $126 96 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill PREPARE YOUR HOME Homeowner is responsible for the removal of any items stored in the areas where the weathenzation 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: $6,079.99 Program Incentive: $4,839.09 Client Total: $1,240,90 I.DESCRIPTION OF WORK TO 6E PERFORMED Cnntn.mor will perform or cause to be performed the above work at the Cient's Address in a professional manner and in accordance with the terms of this L:.re., tl.PAYMENT Client agrees to pay the Contractor for the Work,the Client Share of the Contract Lost is payable to the Independent lnstaiiation Contractor ii1C)noon satstacror'y completion of the Work.Chen*undetst orals that they will not be required to pay the Program incentive Share of the Caniracr cost Changes to the ux1 idual line items:anther prey s s incentives may iflt nor W or decrease the size of the Program Incentive Share. RISE Reprrscntative C4 n tower(' / / V Printed Fume Date at Acceptance r� ti mass save PERMIT AUTHORIZATION FORM I, Jonathan Cook owner of the property located at (Owner's Name) 304 Spring Street Florence (Property Street Address) (City) hereby authorize the Mass Saves 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. (//7/2eze.9/ Owner .t nature ate FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date RISE CST - BASIC triune 2023 CLIENT Cook,Jonathan CLIENT# 428370 pASS'✓'FAIL NO TESTS El TESTER JEFF LEDOUX DATE 1/19/2024 Fail Reason HVAC Equipment Type Fuel Venting Type Comments Heating system 1 B=Boiler Natural Gas Sealed Combustion Heating system 2 DHW C=Storage Tank Natural Gas Natural Draft AC Blower Door Testing Building Airflow Calculation: Volume:7.500 Occupants:1 Bedrooms: 3 Stories above grade: 2 15 44 Vent req Occupant: 60 BAS: 900 70%BAS: 630 Blower Door Start: Basement included in volume calculation: Yes_No ✓ Blower Door End: Blower Door Barrier: PERFORM AMBIENT CO MONITORING Zero your CO meter outdoors. Are CO detectors present in home? Yes Ambient CO in any part of home>9 ppm? No Any gas leaks detected? No CO CONCERN: If ambient CO is>=35 ppm,stop test,open windows,evacuate house with homeowner. PERFORM WORST CASE DEPRESURIZATION TEST If all appliances are sealed,skip depressurization and spillage. Set up home in'winter conditions':Turn all combustion appliances off,close and lock all exterior doors/windows.Close all CAZ doors,if any. Close all interior doors,except to rooms with exhaust fans or returns ducts. NOTE:Excess depresurization does not necessarily fail CST. ESTABLISH WORST CASE Establish baseline pressure. Press enter button after stabilizing to deduct baseline. Pressure(Pa) Turn ALL exhaust equipment ON. List exhaust appliances turned ON and quantities below. Record pressure _0.2 #Bath Fans 1 #Kitchen Fans 1 #Dryers 1 Central Vac Air handler and exhaust ON Record pressure If the air handler increases negative pressure(more negative)in the CAZ,leave it ON. Otherwise,turn the air handler OFF OPEN door to CAZ(if applicable) Record Pressure Record worst case depressurization number:Most Negative -0.2 If there is unsealed ductwork in CAZ with natural draft appliance,select Yes PERFORM SPILLAGE,DRAFT,AND CO TESTS Performed with CAZ in worst case.Monitor ambient CO throughout testing Record Outside Temp 27.0 Draft limit -2.075 Check for evidence of flame rollout,stop testing if Yes No Check for flame distortion on air handler start 1. Test smallest BTU appliance for spillage within 2 minutes of operation PASS Test smallest BTU appliance exhaust after Test smallest BTU appliance draft -4.9 5 minutes of operation. Draft limit pass/fail CO(0): 13 CO: 9 02: 6.7 2. Test next larger BTU appliance(if any)for spillage within 2 minutes Test next larger BTU appliance exhaust after of operation.Retest smallest BTU appliance for spillage 5 minutes of operation Test next larger BTU appliance draft CO(0): 55 CO: 31 02: 6 Draft limit pass/fail 3. Test additional larger BTU appliances(if any)in similar fashion,re-testing each preceding smaller BTU appliance for spillage 4. If an appliance fails for spillage,test for spillage in natural conditions(all exhaust off),alone(Pass/Fail) If an appliance fails in natural conditions,open window or door in CAZ to simulate makeup air,test for spillage oHwWCD-only spillage Review likely spillage causes with customer and direct to heating contractor. that passes under natural conditions means it is NOT 5. Test gas oven exhaust CO: 6.Test gas dryer exhaust. CO(0): CO: 02: a barrier to WZ.PASS. PASS: Below CO threshold AND passes spillage. FAIL: Over CO threshold OR fails spillage. Work may not proceed until system is serviced and problem corrected. CONCLUSIONS: Check appropriate result at top of this form.Discuss health and safety problems,concerns,recommendations,and resolutions. Turn off running water for DHW,check DHW temp. Make sure heating system is on/operating. Turn fuel switch on. Issue WZ Barrier,if appropriate. City of Northampton 0v1"1" Y01, , ,, Massachusetts +sus ,.. s;�e 14 w L 'I t ."4. N g' DEPARTMENT OF BUILDING INSPECTIONS a " 4 1t*r.,..°;.-V.:: 212 Main Street • Municipal Building yO ram -*' Northampton, MA 01060 'rsy ,^' W 31'J 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: b'q.7 S cc - SA- Ploclizcu.ate,,C_ Ou Lila- The debris will be transported by: Name of Hauler: 'Pokes,4a.. �,necvi t�C /y` Signature of Applicant: Date: ,31til2o2.y The Commonwealth of Massachusetts Department of Industrial Accidents �.;; �.� p` Office of Investigations f'e ej a.[�^ 600 Washington Street A1 -_,, a~ -7700 " Boston, MA 02111 -' 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business>Orgunization.Indi'idual): Potential Energy, TIC Address: 1 Ilartford Square Door 51 Unit 7 City/State/Zip: New Britain, CT 06052 Phone#: 413-798-0273 Are ou an employer?Check the appropriate box; Type of project(required): l. .1 i am a employer with 6 4. ❑ lam a general contractor and i employees(full and'or part-time).* have hired the sub-contractors 6, I]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7, ❑ 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.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 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.]+ c. 152, §1(4),and we have no insulation employees.[No workers' 13. Other comp. insurance required.] *Any applicant that checks box ii1 must also till out the section below showing their workers'compensation policy information. t Homeowners taho submit this affidavit indicating they arc 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 hate employees. If the sub-contractors have employees,they must pros idc their workers'comp,policy number. a I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Insurance Services Policy if or Self-ins. Lic.#: WC 9083282 Expiration Date: 8/24/2024 Job Site Address: 304 Spring Street City,�Statel7.ip: Florence, MA 01062 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 MGI,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 certrfyv under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 3/1/2024 Phone#: 413-798-0273 or 860-620-4433 _ __. Official use only. Do not write in this area,to be completed by city or town official. City or Town: North Adams 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#: RISE Client# 428370 AN EMPLOYEE OWNED COWAN Work Order# 61609 RISE Rep: Jeff Ledoux Name: Jonathan Cook DESCRIPTION Qty Notes 1 KNOB&TUBE WIRING(Northhampton) 1 2 HOME AIR SEALING 8 3 TRANSITIONS 10 4 WEATHERSTRIP DOOR 2 Front and back door 5 DOOR SWEEP 2 6 ATTIC DAMMING 50 7 ATTIC FLAT-14"OPEN R-49 CELLULOSE 701 8 SLOPE-6"DENSE R-19 CELLULOSE 165 9 RECESSED LIGHT COVERS 1 10 HATCH-INSULATE RIGID BOARD 1 11 WALLS VINYL SIDED 4" 596 Second floor only. Wall In back of house can be accessed from exterior porch. FGB on first floor 12 BASEMENT SILLS-RIGID BOARD INSULATION 92 13 PREPARE YOUR HOME 1 Area in attic front portion Inaccessible crawl 9 of house will need to be less then 10%of filled with cellulose.This footprint 8 will be more cost effective then RB cheek walls. Sqft b added to account for this extra depth. Exterior Porch f 8 7 ►�� 1st floor attic over kitchen 8 7 787 7 Test holes 7 7 20 8 7 8 6 Exterior Porch 26 ......� crry of Northampton Louis Hasbrouck<Iasbrouck@northamptonma.gov> Knob and Tube affidavit for 304 Spring Street Florence, MA Louis Hasbrouck<lhasbrouck@northamptonma.gov> Wed,Apr 3,2024 at 10:56 AM Draft To: Potential Energy<info@potentialenergyus.com> Hi, Can you send us a knob and tube wiring affidavit for the project at 304 Spring Street in Florence?We can't issue the insulation permit until we have that. Form attached.Thanks. Louis Hasbrouck Intermittent Building Inspector City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax Knob-tube affidavit w-header.doc -i 96K City of Northampton tMc . Massachusetts AtS�s ,. 1 14` DEPARTMENT OF BUILDING INSPECTIONS ' 4 212 Main Street • Municipal Building Northampton, MA 01060 'r `'' Property Address. , y ` -v �t •eit -`1.�►�.�;�, nnq Contractor Name: nG�f'c��rtf1� Eives , (ic Address: t 40.1 k-ktYctA _ s -at. Z. City, State: NeAj 0- �t Phone: -1/3 79k' Property Owner Name: 3 --0 1t\ C" Address: Sot r,��, K, , �•� , City, State: P rinti I, Ai P4tra e:i b -yyff contractor) attest and affirm that to the best of my knowledge the building I intend to insulate does nollave 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 Date Y -3 -z'.