31A-155 (9) 55 MAYNARD RD BP-2016-1216
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Blgck: 31A- 155 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRAC'T'ORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Qateeory: INSULATION BUILDING PERMIT
Permit# BP-2016-1216
Project# JS-2016-002094
Est. Cost: $5267.00
_Fee:$55.00 PERMISSION IS HEREBY GRANTED TO:
Const.class: Contractor: License:
Use Group: CO-OP POWER INC 097409
Lot Size(so.P.): 7492.32 Owner: DILORENZO JOANN GLADING d LISE GLADING DILORENZO
Zoning URBt100 / Applicant: CO-OP POWER INC
AT: 55 MAYNARD RD
Applicant Address: Phone: Insurance:
296 NONOTUCK ST (413)772-8898 O WC
FLORENCEMA01062 ISSUED ONi1/4/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL INSULATION
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meier:
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:
FeeTvpe: Date Paid: Amount:
Building 1/4/2017 0:00:00 $55.00
212 Main Street,Phone(413)587-1240, fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File ti BP-2016-1216
APPLICANT/CONTACT PERSON CO-OP POWER INC
ADDRESS/PHONE 296 NONOTUCK ST FLORENCE01062(413)772-8898 0
PROPERTY LOCATION 55 MAYNARD RD
MAP 3IAPARCEL 155 001 ZONE URB(I001/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT "Pr ,+ f,
Fee Paid (N
BB itdjne Permit Filled out
Fee Paid
Tvpeof Construction_INSTALL INSULATION
New Construction
Non Structural interior renovations
Addition to Existing
_ Acc ssory Structure
BuildingPlans Included:
Owned Statement or License 051087
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
toirjcproved 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
Arra ,,teel fcl
SigWofBuilsing • teial Date
Nota: 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.
....Department uea;bnly
City of Northampton std of Perm
Building Department ,y-
212 Main Street $e er A ,
Room 100 WaR a1IAAvailability
Northampton, MA 01060 Tw.*$els ofsmleturat Plans
phone 413-587-1240 Fax 413-587-1272 Plo$8e Ppti
Ef�ersPec�SJr' ....
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
a(d gCetA Map Lot Unit
ss ( ,�e .
°
Zone Overlay District
EMI St District CB District
SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: L��
Use Glading 55 Maynard Road Nor4LGu j q-ft- ( 'k 0104 -0
Name(Pont) Current Mailing Address: 4I3-575-5693
Telephone
Signature
2.2 Authorized Agent:
Cr)—nQ Pr)(Jet; Wi
Je n,✓ 3'I Co Mann otuesP-- SI- Sit q fibre.,ci M1
N. e(Prim1J Current Mailing Address:
4/13 - 99a - 384S' D 10G0 a
Signatur Telephone
SECTION'. • STIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 5,267 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
z-- Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection
6. Total=(1 +2+3+4+5) 5,267 Check Number 7sy 5��'
This Section For Official Use Only t
Building Permit Number Date
issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
Thfscolumn to be fillet in by
Building Department
Lot Size ____.. .._ . _._.
Frontage _... .
Setbacks Front S
Side I.: —i R: L.:. R:.. _..
Rear
Building Height
Bldg Square Footage % I
Open Space Footage %
Qui area minus bldg&paved _ , ..
parking)
@ of Parking Spaces
Fill:
(volume@Location} _
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW O YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW O YES 0
IF YES: enter Book Page, and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW lJ YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES O NO ® 1D. On'-I- Kr) Ott>
IF YES, describe size,type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size,type and location:
E. Will the construction activity disturb(clearing,grading,/e�xcavation,or filling)over 1 acre or is it part of a common plan
V
that will disturb over 1 acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is requited.
SECTION 5-DESCRIPTION OF PROPOSED WORK(Check all applicable)
New House fl Addition 1 Replacement Windows Alteration(s) D Roofing pi
Or Doors Cl
Accessory Bldg. ❑ Demolition 0 New Signs (a] Decks [❑ Siding(❑j Other HZ]
Brief Description of Proposed
Work: rerfrarari Air s®rntnnn.
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
ea.If New house and or addition to existing housing,complete the following:
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 100 yr. Floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No
I. 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
_ C (lam J0,9 ,as Owner of the subject
property /0 �(� --t—
hereby authorize (to e`(`O(,t)1 4M C
to act on my behalf, in all matt rs relative to work thorized by this building permit application.
Signature of Owner Date / /
I, ( U—Op ,1�1. aQ�� L w J /FIll r\ 1`•` i L3 grit ` ,as Owner/Authorized
AgenThereby declare that the statements and inform.rot on th foregoing application are true a accurate,to the best of my knowledge
and belief.
Sign under theins nd penalties of perjury.
Print Name
\\lz
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
&1 Licensed Construction Supervisor: Not Applicable ❑�^
Name of License Hold {*
a(: J-T , `7-P r1 l`� ` 1"'i� C s E - Th 5-
license Num.:r
1.-.11. A h ( a • 3 •1 �I ---
Address Expirab.n Oat-
Signature
arSignature ; Telephone
re.. x,. tt. 4 . .sue t. . • . ..•17 Not Applicable 0
\-0e •
Company N ale / Registration Number
Address Expiration Date
(iV t
• ,- _ _ �t t -i .^ 1 Telephone t v -• a
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 A No ❑ �__
11. -Home-Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 suuctures accessory to such use and/or farm
structures.rl person who constructs more than one home in a two-year period shall not be considered a hom wner.
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 muter 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 )52(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 - _
. The Commonwealth of Massachusetts
n
Department of Industrial Accidents
Gr ]� .
�; I Congress Street,Suite 100
3 tf Boston,MA 02114-2017
m www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(BusinessiOrganization/lodividual) CO-Op Power
Address: 296 Nonotuck St.Suite 4
City/State/Zip: Florence, MA 01062 phone#: 413-772-8898
Are you an employer?Check the appropriate box: Type of project(required):
tpIamaemployer with 20 employees(full androrpan-timei 7. 0 Newcnnstruction
2.01am a sole proptietor or partnership and have no enlployeev wanting for me In 8, ❑Remodeling
any capacity_[No workers'comp,insurance regviredi �j
3.0 l am a homeowner doingall works if. No workers cosrequired.] 9, I-11)0mal1ilQn
ran [ p.insurance
4.Di am a homeowner and will be hiring10 Building addition
contractors tocaMnct all weak on nay MtaP`n?' Iuiit
ensure that all contactors either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing,repairs or additions
50 Iam a general contractor and I have hired the subcontractors listed on lheam+ched sheet. 13 Roof repairs
These sub-contractors have employees and have workers comp.insurance. 3.0Roof
6❑We am a corporation and its officers have exercised their right of exemption per MGL c. 4.0OYhei
152.41(4),and we have no employees.[No workers'comp,insurance required.]
*Any applicant that checks box trI mot also fill ow the section below showing their workers compensation policy information.
s Homeowners who submit this affidavit indicating they am 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. lime sub-mntanon have anpivyces,theymust provide their works'comp.policy numb r.
7 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name; HDI Ceding America Insurance Company
Policy#or Self-ins,Lie.k: EWGCC000187715 Expiration Date: 11/08/2016
lab Site Address: 53 1rxrl/Lrd {Cd City/State/ZiPX' i .' , a iti 0604 0
Attach a copy of the workers'co ensation policy declaration page(showing the policy number and expiratio i date).
Failure to secure coverage as required under MOLc. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify sand I e ' s and penalties of perjury that the information provided above is true and correct.
Sin#tree' T' \ � _..... Daic: " l'
Phone#:
Official use only. Do not write in this urea,to be completed by city or town official.
. City or Town: PermitlLicense# '
Issuing Authority(circle one):
I I.Board of Health 2.Building Department 3.CilyiTown Clerk 4.Electrical Inspector 5.Plumbing Inspector i
6.Other
' Contact Person: Phone#:
6 / 4/ / / 0
Federal Na05-6405626
RISE RISE Engineering RI Contractor Registration No 8186
MA Contractor Registration No 120979
A division of Thi4haeb EngineeringCTContractor Registration No820120
ENGINEERING 60 Sh a wmut 42,Canton,MA 0202 I
CONTRACT
339-S02.6335X-7409 FAX 339.602-634R
Page 1
PROGRAM
This A!»1Kr A aarepWD IM0 BETIKEN IOU
CMA-HES waarseara Nm ERE SORER FORMANAS
DOOMED RSV
marwan la V cosm cwST r ap6ml
Use Glading r (413)575-5693 03/292016 414418 00003
emanon
tion anon
55 Maynard Road -u D r5 Maynard Road
norma an.Snit VP err,mnstm
Northampton,MA 01060 onhampton,MA 01060
•
JOB DESCRIPTION
BARRIER:A Blower Dow Tat will not be conducted at your home.due to the rescue of asbestos.
$0.00
AIR SEALING:Provide Wow and materials to seal mens of your hone against wasteful.atom air lakage, This wok will be
performed in concert with the use of special tools and diagnostic lass to assure that your home will be kfl with a hsthM level of
ate ccrlwrge and indoor air quality.Materials to be used w seal your bone can include caulks.fawns and other products. Pmnary
area for sealing include ab Icakago to allies,basements,attached garages and other unhealed areas(windows arc not generally
addressed.) This will requite(8)working hours.Areduction in cubic fen per minute(dm)of air infiltration will cum.but the actual
eumberMetm is not 6,wrwrb.ed.
Al the completion ofthe wmtheriznion work,and at no additional cot to the homeowner,n final blower door mrd/or combustion
safrtysalysiis will be cwNactcd by shesuhrnnt act%toe stee the safety of the indoor air quality.
$680.00
AIR SEALING ADDER: (4)working Mats.
$340.00
AIR SEALING ADDER: (4)walking hen
$340.00
ATTIC FLAT:Provide tabor and metaleb to install a)i'layer ofR-38 Class I CetlMase added to(13Msgnme feet Mopes attic
spa e.
$2.071.72
FIX EXISTING INSULATION:SIM the vapor brinier.flip,or re-position(1372)square fed of in the alk arca
$343.00
ATTIC ACCESS:Provide labor and materials to iundmc the lock of(1)enic hatch with r rigid Thmmas board.Weatherstrip the
minim.
560.00
VENr1LATlON:Provide labor and materials to install ventilation chutes in(80)infer bays to maintain air flow.
$160.00
WALLS:Famish and install blown in Class I Cellulose to(2184)square fat of shingle and/or clapboard exterior walla.The brat of
the upper course etyma wood siding neat to drill holes into the wall slacking behind.The hole am Ren phggedand the wood
siding is reinstalled using stainless steel finish nails.Touch-up painting,if needed.will be the customer's responsibility. Invoicing will
occur upon completion of installation.Homeowner ha received a copy of the EPA's Renovate Right lead-Safe inforomtion guide
=Seining the potential ride ofthe lead heard exposure hum the srnthcrizetion work Poly performed.Yam simulate is your
aeknowcagemml of receipt and agement to proceed,
$404040
BASEMENT CEILING:Provide labra and materials 10 install(144)Iinns fat of R-19 unlaced fiberglass insulation to the perimeter
of1M Imminent coiling at the house sill
$252.00
RISE Engineering will apply all applicable,eligible incentives to this contract. You will only be billed the Net amount. Currently.
for eligible measures,Columbia Gas offers 73%incentive.not to exceed$2.000 per calendar)xa,and an iaccmivc of 100%for the
Air Scaling measures up to the first$680 mid an additional$340 ifsavinps arejustified by the auditor.
Federal ID:0-0gls526
RISE RISE Engineering RIC Contractor
a so-mlonNo
MA Contractor Reghha00n No 120979
A division nil-Welsch Engineering CT Contractor RplsMpgon N062040
ENGINEERING' 60 Shawmut a2,Canton,MA 02021
33 9-50 24 335 x-'+109 £:i\33a-5024345 CONTRACT
Page 2
PROGRAM
tin tarifa= BEMEDI
CMA-HES oaro iwwuru "eu
oncaam'SSW
nalooan MM oaTE aa.rr wmamm.
Lise Giading (413)575-5693 03/29/2016 414478 00003
amrea VOW sumo
55 Maynard Road 55 Maynard Road
sewn arc.nur.8w oum altnaaca _
Northampton,MA 01060 Northampton,MA 01060
JOB DESCRIPTION
For the smayaod hath of poor homes indoor Kir qufy.as will be cmlhatctg a btonv dela diagnostic of the available air now in
your hone both before the wore is bosun.and after the weatherized®work a complete.We will also conduct a full assessment of
the ambmtion safely ofywr heating system sad wart heater.This para value ofS90 and is at no cost toys . Tam nsoaaMc
weethcizeian incenei9C is$3.110.
s9000
WECEIIVIE
.. h.,,,,.., ;.into
Total: $8,377.12
Program Incentive: $3,110.00
Customer Total: $5,267.12
WEAGREE11M MY TO FYRNisH SEANCES-COMPLETE N ACCORONKg Valle MOVE SPEOInCRTIOa FOR WE SUM OF
"'Five Thousand Two Hundred Sixty-Seven&121100 Dollars $5,267.12
OM.MM.P clma foe MNSMAtIV*SE Fxpnp4.aa,P6lAC'S TIMM Miallil as II nu."MW1 . .
MssnasuacartwYmn�armuEwR*a OFTmraamKmrc.amunm.wxn m=orn. •. _ . ...
/ DO NOT SIGN THIS CONTRACT IF THERE ARE ANY
411,
Ne m
neaaa�ra.mrar w,... m ..
CErr
WNOTW. ..r' DA,Ea. PP
AE 7 ( .iI/ ,
Accnacx OF CONTRACT.na Mwn.na s,ann®tanw um tot trios roe
30 Dan. uareamn To In arm ME=Ear ACCEPTED.YOU u¢nvmm®TO DO WE WORK
AS WEcam.•AVaenr it ee M.OE At OUTLAW ABOVE
RISE60 Shawmut Road, Unit 2 i Canton,MA 02021 i 339502-6335
ENGINEERING' www.RISEengineering.com
OWNER AUTHORIZATION FORM
Li. 9e- Gl d`( coc
(Owners Name) ,
owner of the property located at:
Ai I'A
(Property Addres
P . ,arvr� oo� ) 4 ooC-.)0
(Property Address)
)�
hereby apthorize Co—OP
j O Etre-A°
(Subcontractor)
an authorized subcontractor for RISE Engineering,to act on my behafif to ..
permit and to perform work on my property.This form is on • • .� • .
1 2016
ty�- 1 1
Owner's
.I
Date
City of Northampton Mail - Re: Building Permit question Page 1 of 1
j/�^}-
l/
QIN le @Northampton
Linda Lapointe<IIapointe@northamptonma.gov>
Re: Building Permit question
1 message
Michele DeTour<michele@cooppower.coop> Wed, Apr 20, 2016 at 2:53 PM
To: Linda Lapointe <Ilapointe@northamptonma.gov>
Thank you so much. Attached you will find the person who will be the licensed contractor. If there's
anything else you need let me know.
Michele DeTour
‘1:5—
v �i�CGA_�fl Lfw,✓
Co-op Power, Inc 7 �'"^^""'�
Administrator/Bookkeeper
296 Nonotuck St. Ste. 4
Florence, MA 01062
413-349-4970
On Wed, Apr 20, 2016 at 1:04 PM, Linda Lapointe<Ilapointe@northamptonma.gov> wrote:
Just send me the information and I'll change it.
On Wed, Apr 20, 2016 at 12:44 PM, Michele DeTour<michele@cooppower.coop>wrote:
Hi Linda,
I'm not sure if you are the person that can answer this question so here goes. We just sent an
application to you on 4/14116 for Use Glading. Our CSL person has given his resignation and we need the
permits changed to a different license. Do I have to re-submit a new application or can I just send you the
information?
Michele DeTour
Co-op Power, Inc
Administrator/Bookkeeper
296 Nonotuck St. Ste. 4
Florence, MA 01062
413-349-4970
HIC and CS Licenses LD Leah Daniels.pdf
592K
https://mail.google.com/mail/u/0/?ui=2&i k=542 a2dd03 a&view=pt&search=inbox&th=154... 4/21/2016
�l he (/ Il-1%f/vire .i?wee? (�n��G�(:%J(}�(�iCIJL'(/7J
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 165217
Type: Supplement Card
CO-OP POWER, INC. Expiration. 1127/2018
LEAH DANIELS
15A WEST ST - -- --
WEST HATFIELD, MA 01088
Update Address and return card.Mark reason for change.
. .A 3 23m fig n Address Renewal Employment Lost Card
. . /7d / (4 b..::/7.
rtee of(o canter Affairs&Rusinesc Regunumn License or registration valid for individul use only
a-IfOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
Registration: 165217 Type: IU Park Plaza-Suite 5170
Expiration: 12112018 Supplement Card Boston,MA 02116
CO-OP POWER,INC.
LEAH DANIELS /
15AWEST ST s.n-^ ;"' - 6'/"Jr � — -
WEST HATFIELD,MA01088 undersecretary //� Not‘alid without signature
Massactusetis Department of Public Safety
TYBoard of Building Regulations and Standards
License. C5-097409
Construction Supervisor .
1.
LEAH M DANIELS - '.
12 MARCELLA ST
ROXBURY MA 02119
N-• Expiration.
Commissioner 05/18/2017