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32C-150 121 FLORIDA AVE BP-2016-1303 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 150 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv: INSULATION BUILDING PERMIT Permit# BP-2016-1303 Project# JS-2016-002245 Est. Cost: $1710.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sg. ft.): 12109.68 Owner: PARADISO JOHN C&SHARON DESMOND PARADISO zoning: URC(100)/ Applicant: AMERICAN INSTALLATIONS LLC AT. 121 FLORIDA AVE Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON.•5/10/2016 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL ATTIC/BASEMENT INSULATION 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: 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 5/10/2016 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2016-1303 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY01075 (413)552-0200 PROPERTY LOCATION 121 FLORIDA AVE MAP 32C PARCEL 150 001 ZONE URC(100) 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: INSTALL ATTIC/BASEMENT INSULATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate 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 n Si re of Building t5fficial 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. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. t , ;E)epartriient use. City of Northampton status of hermit P��loNs Ning Department Curb Cutll3nveway Perndt �? us aioso 212 Main Street ticAvailabflrtl► oE0 1 Room 100 1tVeterNUeN'Avaflatyility Northampton, MA 01060 Tvuo Sets'at Stnictiirat Plar phone 413-587-1240 Fax 413-587-11272 PlotlSite Mans Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit. 121 Florida Avenue Northampton,MA 01060 zone Overlaylllstrict Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sharon&John Paradiso 121 Florida Avenue Northampton,MA 01060 Name(Print) Current Melling Address: (413) 221-5669 See attached Telephone Signature 2.2 Authorized Agent: American Installations 130 College St., Ste 100 South Hadley,MA 01075 Name(Print) Current Mailing Address: American Installations 413-552-0200 Signature Telephone SECTION 3-ESTIMATED�ONSTRUCIION COSTS Item Estimated Cost(Dollars)to be Offlcial Use Only coo leted b permit a flcant 1. Building 1710.00 (a)Building Permit l=ee 2. Electrical (b)Estimated Total Cost of Construction from 6 3, Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fre Protection 6. Total= 1+2+3+4+6) 1 10. Check Number This Section For Official Use Only Building Permit Number. Dsti ed. Signature: Building Commissionedlnspector of Buildings Dale r. L Section 4. ZONING 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 t ��—� �� ...... _Frontage Setbacks Front Side L=1L-= Rear Building Height �- Bldg.Square Footage C� �—� % Open Space Footage (Lot area minus bldg&paved vaddnk) #of Niking Spaces Fill: volume&Location A. Has a Special PermitNariance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES,date issued:, IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book # ( PageL_ I and/or Document#i - B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO 0 IF YES,describe size, type and location: I D. Are there any proposed changes to or additions of signs intended for the property? YES O NO 0 IF YES, describe size,type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-DESCRIPTION OF PROPOSED WORK check all aaplicablel New Nouse ❑ Addition ❑ Replacement Windows Aiteration(s) ❑ Roofing ❑ Or Doors D Accessary Bldg. ❑ Demolition ❑ New Signs,, [C3] Decks t::] Siding jp] Other j& Brief Description of ropased ut p rent insulation and air sealin thrau ho Wank: Atttc and base g ,.� g Alteration of existing bedroom Yes No Addingnew bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.if New house and or addition to ex sttnc�Niusina:.comatete the:folidw na; a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c, Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction I. Is construction within 100 ft.of wetlands? Yes No. Is construction within 900 yr. floodplain Yes No J. Depth of basement or caner floor below finished grade k. Win building conform to the Building and Zoning regulations? Yes No. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Sharon&John Paradiso ,as Owner of the subject property hereby authorize American Installations to act on my behalf,in all matters relative to work authorized by this building permit application. See attached 4/29/2016 Signature of Owner Date I. American Installations ,as Owner/Authorized Agent hereby declare 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. American Installations Print Name American Installations 4/29/2016 Signature of Owner/ ent Date s SECTION 8-CONSTRUCTION SERVICES 8.1 licensed Construction Supervisor: Not Applicable ❑ Name of Lkense�Holder Wesley K. Couture 106178 Ucense Number 130 College St., Ste 100 South Hadley,MA 01075 9129117 Address Expiration Date 413-552-0200 Signature Telephone 6 Registered Hone rruir vement Cor►tractor: _ Not Applicable ❑ Wesley Couture 175982 Company Name Registration Number American Installations 6127117 Address Expiration Date 130 College St., Ste 100 South Hadley,MA 01075 Telephone 413-552-0200 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I.c.132,§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....... ITS No...... ❑ 11. Home Owner Exemption The current exemption for"homeowners"was extended to include Qwner-occupied Dwelling 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 snpervtsor.CMR 7$0. Sixth Edition Section 108.x.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 h2pe in a two veer period shall nol be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official.that he/s a shall be responsible for all such work performed under the boding 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 a4ability 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 t 1 _ www.AmericanInstallations.com PAIMMA #' BBB iOR Licensed&Insured MA CSL#:106178 MA Registration#175982 American Installations 130 College Street Suite 100,South Hadley,MA 01075•Office:(413).552-0200 Fax:(413)SS2-0202•Email:support@Americanlnstallations.com Paradiso,John&Sharon 3/23/2016 (tasty (fiml (Date) 121 Florida Ave. Northarri ton MA 01060 (adore::) (crty) (state) (ZiPJ 413.221.5669 (Hamel (Cell) (Email) 431364 16-0599 Rite IDI Uob AI Quantity Unit Unit Cost Total Air Sealing AIRSEALING 16 Iman hour 1 $ 85.00 $ 510.00 Total Air Sealing $ 510.00 Total Air Sealing Incentive $ 510.00 Weatherization FLAT-6"OPEN R-21 452 sgft $ 1.26 $ 569.52 DAMMING R-38 25 linear ft $ 2.05 $ 51.25 HATCH SEAL&INSULATE 1 each $ 60.00 $ 60.00 CRAWLSPACE WALL R10 RIGID INSL 120 sqft $ 3.70 $ 444.00 DOOR WEATHERSTRIPPING W/SWEEP 1 each $ 75.00 $ 75.00 Total Incentivized Weatherization $ 1,199.77 Total Project $ 1,709.77 Total Utility Contribution $ 1,409.83 Total Customer Contribution $ 299.94 WARRANTY:American Installations,LLC will provide the above stated homeowner with a 2 year workmanship warranty. American Installations,LLC hereby proposes to furnish all material and labor to complete thejabove scope of work in accordance with the above specifications and all local and state building regulations for the Total Contract Value as stated herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and TOTAL CONTRACT VALUE_ $ 299.94 conditions are satisfactory and are hereby accepted.You are authorized to do work as specified.Payment will be 1/3 down prior to Down Payment= $ 99.00 ZI 3/23/2016 start of work,and balance due upon Completion. PAID Balance Due Upon Completion= $ 200.94 Signature � Date Paradiso,John&Sharon _- 3/23/2016 Property-.r F—) P rty Ow Date Craig A.Dragovich 3/23/2016 Repre mati,,(Print) Representative Si,) Date THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE IINTI RE AGREEMENT BY THE PARTIES INVOLVED.THIS AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS,LLC HEREINAFTER REFERRED TO AS'WMPANY-,AND THE CUSTOMER(S)NAMED ABOVE,HEREINAFTER REFERRED TO AS'CJ ENT",AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF THE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCAL JURISDICTIONS. City of Northampton Massachusetts a; DEPARTMENT OF BUILDING INSPECTIONS y`•; 212 Main street • Municipal Building Northampton, MA 010601y"�p�^ Property Address: 121 Florida Avenue Northampton,MA 01060 Contractor Name: Wesley Couture Address: 130 College Street City, State: South Hadley,MA Phone: (413) 221-5669 Property Owner Name: Sharon&John Paradiso Address: 121 Florida Avenue City, State: Northampton,MA 01060 1, Wesley Couture (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 1 have provided the property owner with a copy of this affidavit. Contractor signature Date 4/29/2016