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17A-142 (5) GBCI: LEED AP Exam Preparation Page I of 2 Sign In LEED AP Directory YOU'.Account About GBC; Professional Credentials Resources Exam Registration --------------- LEED AP Exam Preparation Candidate Handbook LEED AP Exam Preparation LEED AP Exam Registration Effective January 1,2008 all questions on the LEED for New Construction exam track pertaining to Energy and Atmosphere Credit I will reference the LEED for New Construction v2.2,Third Edition Reference Guide. Download the current errata sheet. LEED for Existing Buildings Exam Track This exam track tests the candidate's knowledge of the LEED for Existing Buildings Rating System v2.0 and its application in practice.The LEED for Existing Buildings exam track provides a standard for professionals participating in the operation and maintenance of existing buildings who desire to implement sustainable practices and reduce the environmental impact of a building over its functional life cycle. Study Materials LEED for Existing Buildings Reference Guide v2.0 LEED Prniect Registration LEED Certification Process LEED Online http://www.gbci.org/DisplayPage.aspx?CMSPagelD=26& 2/7/2008 2/7/2,00$ 11:48 AM FROM: Fax 131air, Cutting --Smith/Enchanter TO: 587-1272 PAGE: 001 OF 002 AC OR CERTIFICATE OF LIABILITY INSURANCE 02/07J2a PRODUCER (423)549-4971 FAX (413)549-4974 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Blair Cutting 81 Smith ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR I Encharter Insurance Group ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. II 25 University Drive Amherst, MA 01002 i INSURERS AFFORDING COVERAGE i NAIC# INSURED Randall Roberts INSURERA. Peerless Insurance 24198 DBA: Randall Roberts General Cont INSURERB American International Co 41 HEMEMAY ROAD INSURER C LtVERETT, MA 01054 INSURER D: I r�FRE I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOlrE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOVYN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'L .gyp€ INF41RAIdS€ pOL NLiPABER POLICYEFFECTNE POLICY EXPIRATION LtM1TS TR GENERAL LIABILITY CCP8338117 09/29/2007 09/29/2008 EACH OCCURRENCE $ 1,000,00 COMMERCIAL GENERAL LIABILITY l I, DAMAGE RENTED[mac $ 50,00 CLAIMS MADE � OCCUR I l I MED EXP(Any one person) $ 5.00 PERSONAL&ADV INJURY $ 1,000.00 A GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATF LIMIT APPLIE6 PER (� PRODUCTS-COMP/0P AGG $ 2,000,000 P6LIC-Y LOC; JE T I (Ea OMOBiLE LIAB`L'Tf COMBINED SINGLE LIMIT accident) $ 1 °5TJ ALL OWNED AUTOS I � �. BODILY INJUkv �, i(Per person) $ SCHEDULED AUTOS HIRED AUTOS ( BODILY INJURY $ NON-OWNED AUTOS IFer accident)i � �. ❑ I i PROPERTY DAMAGE $ (Pei accident) GARAGE LIABILITY AUTO ONLY-EA ACC IDENT $ ANY AUTO I I I OTHER THAN EA A.CC $ Af RAJ ONLY AGG 1 $ EXCESSC A)MBRELLA LIABCrM�. EACH O CCUIKRFNCr,ATE �V $ I DEDUCTIBLE Is lRETENTION $ i I. $ WC6592584 10/19/2007 10/19/2008 WC STATU- OTH WORKERS COMPENSATION AND ToRY.0 TS- -_...ER. iEMPLOYERS'LIABILITY i I rEL.ERCH ACCIDENT $ 100,00 ANY PROPRIETORfPAR1NERIEXECUTIVF i OFFICER/MEMBER EXCLUDED? I I I F L DI EASF EA EMPLOYEE $ 100,000 t It yes.desc.s"_ ander l l SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ 500,00q OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Building Contractor CERTIFICATE HOLDER CANCELLALTION ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE TSS"UING INSURER VYTLL ENIGEAVOR TO MAIL CITY OF NORTHAMPTON 10 DAYS wRI FTEN NOTICE TD THe cmr.-FY'ATE HOLDER NAMED TO THE LEFT, Building dT ng Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY l Main Street D OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE -hi ` William Dowd Acct Exec. 03U + f ifua ACORD 25(2001/09) FAX: (413)587-1272 OACORD CORPORATION 1988 i CON Fro C) C7 e-c� Lvu, UGG9 qo Pro 0 l ✓SPFRT1vfENT OF BUILDEiNG LvSPECrIONS 12-lain Strut • Municipal E uildin_ iNSP CTCR arc Northampton, MA 01060 rTryN X- IIVlVJFS V7►l eLi\ iZIIA 1Y11 iiv: ia�.�� .v • . - . Fhomeowner."f Massachusetts allows the homeowner the might under 780CMR 108.3.4 to er construction sup . ' :or. The state defines "Homeowner" as, "Person(s) a parcel on which he/she resides or intends to be, a one or two family ttached or detached structures accessory to such use and/or farm structures. A constructs more than one home in a two-year period shall not be considered a I " The building:department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction s*,zpe:z:sor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process rewires that the build-ink department be called to inspect work at various stages, which include foundation/footings (before back-fill). sonotube holes (before pour) a rough building inspection:(before work is concealed). insulation inspection (if required)and-aT'inal_huildina.insnection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the-work,can-be-inspected- If the homeowner hires other trades to perform work(electrical, plumbing&gas) the homeowner will be responsible to make sure that the trades hired secure their proper Permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made L understand the above_ (Home owner Iresid n ' sign Lure re uesti zenipdon) I will call to schedule all e ui d ilding i pecti n ssary for the building permit issued to me. Date Address of work location r � ' Z'`s.. I"he Commonwealth of 1Vassachrtsetfs Jepa3-imer_,of Indust fat accidents Oil ice of f Invesrig a:ions - � 600 97ashington Streei Boston,:314 0?I�I www.mass.gov/dia Workers' Compensation Insurance A_ idaN-it: Builders,'Contractors/EIectricians/Plumbers ADplicant information Please Print Le6ibIti -Na-Me (Dusiness/Ctrganim on/Individual): Address: City/Statt/zip: Phone- R SECTION 8-CONSTRUCTION SERVICES isor: f/`J� Not Applicable ❑ Name of License Holder: �' License Number tit • ,� 2��vg Addres Expiration Date O Si r Telephone ontractor: Not Applicable ❑ A to yr� Com an Name Registration Number gc*,A u.,4 e4,*c- .44 Z 15" 6 Are ss (� � Expiration Date Telephone `/ ' - 95 SECTION 10-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...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-vear period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official.that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ T Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding [[:I] Other[p] Brief Description of Proposed �j �Work: Q' F" AV- Ir/e +titi' Gv 1L1K• J t Sri's.' Alteration of existing bedroom Yes No Adding new bedroom Yes No C, Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 1 P X12 la�� L✓t i'' sa. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Tw amity Other b. Number of rooms in each family unit: Number of Bathrooms CL Is there a garage attached? i d. Proposed Square footage of new construction. V Dimensions e. Number of stories? f. Method of heating? 6a C-7 Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck rgy Compliance form attached? h. Type of construction �,,�Om� tp04e- �j (C----'C' "-A'W T�"� i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building�>7rivate regulations? Yes No. I. Septic Tank City Sewer well City water Supply SECTION 7a--OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 - 1 G W as Owner of the subject property / hereby authorize to act on my behalf, in all matters relative to Spk author ed by this building permit application. Signature of Owner Date I Ir Ov^C14rV as 8wnef/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of m no dge and belief. Signed under the pains and pen altie f perjury. ---- O Print Name 06 Signature of A�VgentTy Date Section 4. ZONING I All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L:., R:. L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved narking) #of Parking Spaces Fill: (volume&Location) _. ___.r_ ... ... .__... .... ..., .... .._ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW 0 YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 9 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the cnnstn-irtion arttivity disturh(clearing, grading,excavation, or fi linq_ over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO 0 J IF YES, then a Northampton Storm Water Management Permit from the D W is required. I Department use only �-f City of Northampton Status of Permit: Building Department Curb Cut(Driveway Permit { 11A'V 2 9 2008 212 Main Street Sewer/Septic Availability 1 Room 100 Water/Well Availability BEPTOFB ' rthampton, MA 01060 Two Sets of Structural Plans N^aTFIJII -587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OFAMiCYirltFEf:LiN —, J j SECTION 1 -SITE INFORMATION ; This sectio to be completed by office 1.1 Property Address: DEPT OF®UiLAG INS. S t N^t?Ikc±arnu .. 4 $ ION �— ; y" � Map - u!U Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 6 2.2 Authorized A en •U 1- � Y1 14-cAer,74?_,ei Name(Print) Current Mailing Address: /" 7 Signature V Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 1 d (a)Building Permit Fee 2. Electrical �— (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 7 © r 0 0 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: _. _.__ 9.....-- - --- —P--— g Buildm Commissioner/fns ectororBw m s -° Date File#BP-2008-0671 APPLICANT/CONTACT PERSON RANDALL ROBERTS ADDRESS/PHONE 41 HEMENWAY RD LEVERETT (413)367-9385 PROPERTY LOCATION 201 CHESTNUT ST MAP 17A PARCEL 142 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REPAIR BEAM&REPLACE SIDING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 042573 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intennediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding_ _ Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. x Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. y BP-2008-0671 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catef;ory: BUILDING PERMIT Permit# BP-2008-0671 Project# JS-2008-001028 Est. Cost: $1500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: C'onst. Class: Contractor: License: Use Group: RANDALL ROBERTS 042573 Lot Size(sa. ft.): 25482.60 Owner: WIGHT NANCY B Zoning: Applicant: RANDALL ROBERTS AT. 201 CHESTNUT ST Applicant Address: Phone: Insurance: 41 HEMENWAY RD (413) 367-9385 WC LEVERETTMA01054 ISSUED ON:211212008 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR BEAM & REPLACE SIDING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Lnderground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 2/12/2008 0:00:00 $50.004819 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo