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35-063 (7)
BP-2022-1109 909 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-063-001 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 Pennit# BP-2022-1109 PERMISSION IS HEREBY GRANTED TO: Project# 2022 DOOR&INSULATION Contractor: License: Est. Cost: 5206.34 POTENTIAL ENERGY LLC 106184 Const.Class: Exp.Date: 04/27/2023 Use Group: Owner: J MAKOFSKY PHILIP E&REBECC 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: 01/09/2023 TO PERFORM THE FOLLOWING WORK: INSTALL DOOR, INSULATION/WEATHERIZATION 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 VI LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I e, • • .5. 1 • 1 • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner �� _ —1 tici u i4G8 v' " The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR aMassachusetts State Building Code, 780 CMR MUNICIPALITY ift USE t Burg Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 L._ F One-or Two-Family Dwelling `� c`Ln a L This Section For Official Use Only "wilding Permit 1!,4unber 8P 2022—i I C) 1 Date Applied: _3 w 1 40/2,, q-26 afieZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 9 o q Q c. Rd, 35 - - k 1.1 a Is this an accepted street?yes / no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ' CO S P Si le- Marc%%,2s 03Q5 0 Zoning District Propobid Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided MIA- Alift N 1a OA- nJ 1A- NIA 1.6 Water upply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Private 0 Zone: _ Outside Floo�ne? Municipal i On site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP1 2.1,Owner'of Record: mb\c.o-s10.( liac ) rnA CICcoa_ Name( ) City,State, goq '.lac 'Rd- y13-sti.-lung -c•Abev_C e aceCa.c4,CCL.4.c No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 'I( Repairs(s) 0 Alteration(s) el Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1 Other 134pecify: '1(1.SC,Acr4;o[1, Brief Description of Proposed Work2:'yDcc p'.'''�I2rn•C.,\ el' ty•&-%Ct) �S o tk-C e.\'%c1pr(g" F. . p .Vn cc'3 t� (5(.0)&4-, ,kc, \;m l b'c svi Go ecoA 1 J ' icnc.c.c\ la Li-� i e V-`c r c- S © PA\tip l'el, 1.CJ�• SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ S'a 0(0•34 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $Suppression) Total All Fees: $_� Jl Check No.`r L-7 Check Amount: i Cash Amount: 6. Total Project Cost: $ S'abto''3y 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) • CSF4 - lu(,►l'( AJ Cie tots w .t tt' License Number Expiration Date Name of CSL Holder a 4 yt� List CSL Type(see below) t. No.and Street Type Description c- t{ Unrestricted(Buildings up to 35,000 cu.ft.) �1 +rr�4131'1 Cl 0.(1d' Restricted 1&2 Family Dwelling City/Town,Stdt6,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Wan--67"")-40441.1 '.AtvQ chAf lcA I Insulation Telephone Email ad s D Demolition 5.2 Registered Home Improvement Contractor(HIC) 2O1'-I -O. 1`12Z '-( t.121 j PO-icratGA HIC Registration Number Expiration Date HIC Company Name or Hegistrant Name S9• Star�e Zis. &a_u�e1s No.and Street � Email itd et NeALLMM s.ni___ �o(,o . 411 -7 S c-oZ7J City/Town,State, IP 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 Issu-annce of the building permit. Signed Affidavit Attached? Yes la No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 9efkrA:AA to act on my behalf,in all matters relative to work authorized by this building permit application. t 7 , k 9 a- as Print Owner's N e(Electro c Signature) Datc 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 applicati is true a ate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. 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 not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) crittitsk &Jt3 S{- (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) ,q 20 Habitable room count 7 Number of fireplaces (� Number of bedrooms y Number of bathrooms ► Number of half/baths I Type of heating system C,cQl Number of decks/porches Type of cooling system s'`cre,.. Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton a NAM o a -- �, x Massachusetts 4� _ (C. -� , 9 i DEPARTMENT OF BUILDING INSPECTIONS 9 S hi �. �` 212 Main Street • Municipal Building J6 �'.a: 4� Northampton, MA 01060 '�sbh, 3,7�'� 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: AO cS 7 tketal n - S9 7 Sou*mcx,1 SA-. PlciSo,ate•Ci a'o The debris will be transported by: Name of Hauler: ra)N-ec,1/40A net-Ti . r it Signature of Applicant: Date: ?-2-zi. -40ft Permit Authorization mass save Form Site ID: 4529538 Customer: PHILIP MAKOFSKY l� Philip Makofsky , owner of the property located at: (owner's Name,printed) 909 Ryan Rd Northampton, MA 01062 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: Phi Nlakofsky Date: 08 / 10 / 2022 •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••,••••••••• FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Aer\lc Cam` \ N ,(s 9-)- Participating Coyntractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 Far Office Use Orly Page 6 of 6 The Commonwealth of Massachusetts I`......... fl, Department of Industrial Accidents i'IM— 5 1 Congress Street,Suite 100 S, _'rii: Boston, MA 02114-2017 i) www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lenibly Name(Business/Organization/Individual): ?04e 7.kaJ &t tJt tic LJl f Address: \ 4. S4,ie. at(v '-Dtaor to TJ City/State/Zip: Neti -lac\k4„;\ LT U Lo Ca_ Phone#: y 13-7)g Y-Oa)3 Arc v an employer?Check the appropriate box: Type of project(required): I. I m a employer with it employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.(No workers'comp.insurance required.]' 9. El Demolition 10❑ Building additioth 4.1=I i am a homeowner and will be hiring contractors to conduct all work on my property. i will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑' of repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14. Other.tom Ci OC1 152,§I(4),and we have no employees.(No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing thcir 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. tContractors 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. 1 I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Assoc.Insurance Company Name: A cAed 'f -tiNcj c'_!u.(#.0 1 Policy#or Self-ins.Lic.#: 1)C 9Og342- L_ Expiration Date: $la4 f Job Site Address: q Dq y GfN kC9 - City/State/Zip:Ajpt- to . f)10(4,1..., Attach a copy of the workers'compensation policy declaration page(showing the policy number and xpiration date). Failure to secure coverage as required under MGL c. 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 under he pains 'nd enalties of perjury that the information provided above is true and correct. Signature: ��� Date: aLt(z.o2Z Phone#: 1 ji3 --)-tfY'-(v-);S (soo-6,.;v'Y43a1- Ofcial 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 Professional Licensure Board of Building Regulations and Standards Construction Supervisor'1 & 2 F4r•11!y CSFA-106184 Expires:0442712023 NICHOLAS ALEXANDER MEISTER 344 ANDREWS ST SOUTHINGTON CT 06489 t I)1ti4,"•1.1L� Commissioner 1t bi&nu THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration -f Type: LLC Registration: 192284 POTENTIAL ENERGY LLC • _ Expiration: 06/21/2024 1 HARTFORD SQUARE BOX 2-E NEW BRITAIN, CT 06052 .,/` 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 192284 06/21/2024 Boston.MA 02118 POTENTIAL ENERGY LLC NICHOLAS MEISTER 1 HARTFORD SQUARE DOOR 65 SUITE y' npci 216 pO" NEW BRITAIN.CT 06052 Undersecretary Not valid without signature H� - , City of Northampton AlfMassachusetts �`� ''' e`c • AZ ( l' ,/ DEPARTMENT OF BUILDING INSPECTIONS yJ K� 7 * 212 Main Street • Municipal Building 64. �• -.• 4 Northampton, MA 01060 sMh' %. . Property Address: Qo q 'Rya,,, ri- occt Contractor Name: (Ver di Enecy ,U N Address: 1 �0► ' `fox ,9.Ts.- Ste; allo City, State: A.)e_,J �, Ar cam' t. L oS-a Phone: `I% 3 — 7°,K -oa- 3 Property Owner Name: CNN',\;) (`n�kaFSky Address: g6et 2yatn --c,cd City, State: Nat-U„U' MA- 0 I 1)(,2 I, rt, c,.l €p ,ct,e_ (contractor) attest and affirm that the building I intend to insulate does not have atiy'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 //.. .... .4-: -:)._ Date CLEAResult CONTRACT CLEAResult 41 Brigham St., Customer Name:PHILIP MAKOFSKY Marlborough,MA,01752 Email:filbek@comcast.net Phone:413-586-1403 Premise Address:909 Ryan Rd,Northampton,MA 01062 Mailing Address:909 RYAN RD,Florence,MA 01062 Project ID:4529538 Date:Aug.9,2022 Applicable Customer Required Actions: Notes: • Other Homeowner is responsible for removal of existing insulation from the basement ceiling prior to weatherization. Job Description Contractor will perform or cause to be performed the following work on these'Premises"in a professional manner and in accordance with the terms of this Contract, including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference. Measure Description Location Quantity Unit Total Cost Custpmer Cost Door-2"Thermal Barrier Polyiso 1 each $90.44 $0.00 Basement Ceiling-6"Fiberglass Batting 960 SF $2,390.40 $0.00 Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $925.80 $0.00 Propavent 60 each $249.60 $0.00 Damming 30 each $71.70 $0.00 Attic Floor-5"Open Blow Cellulose 960 SF $1,478.40 $0.00 Total $5,206.34 Program Incentive: -$5,206.34 Customer Total: $0.00 Payment Customer agrees to pay Contractor for the Work,the Customer Share of the Contract Price as follows: Payment#1:1.111 as a Deposit payable to CLEAResult upon signing the Contract(not to exceed 1/3 of the total retail costs).Mail check&contract to CLEAResult,41 Brigham St., ,Marlborough, MA,01752.Final Payment: as the final payment for the Work shall be payable to the Home Performance Contractor(HPC)or Independent Installation Contractor(IIC)upon satisfactory completion of the Work.Customer Page 1 of 4 Document Ref:SGF4P-EPNCG-PCYAC-9XJT8 Page 1 of 6 OJ€w 7 understands that he/she will not be required to pay the Utility Incentive Share of the Contract price in the amount of-. Changes to individual line items and/or previous incentives may increase or decrease the size of the Utility Incentive Share. Dispute Resolution The IIC and Customer hereby mutually agree in advance that in the event that the IIC has a dispute concerning this Contract,the IIC may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Customer shall be required to submit to such arbitration as provided in M.G.L.c 142A. You may cancel this agreement if it has been signed by a party at a place other than an address of the seller,provided you notify the seller in writing by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the sigrjrhof �ag�er�¢of iOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. P �ryy((UU,,((77AA ��`"'�,UU/l�� I�r 08/ 10/2022 �� Customer Signature Date Indicate your selected IIC here,if applicable Initial here if you want the Program to assign a k)Mtt, Participating Kevi n Cote Contractor 8/9/2022 CLEAResult Signature Date Name of CLEAResult Representative Page 2 of 4 Document Ref:SGF4P-EPNCG-PCYAC-9XJT8 Page 2 of 6 RCS PLANVIEW DIAGRAM 'r - _ - 3 )_s 3 - - ---"-- Home Phone: UStomer: 1 e i�yC( Work Phone: ( ) Address: K ; Town:. — Cell Phone: ( L /3 )-�� I - 0� . Any limitations for accesscesS by large trge truu ck? No Yes If yes,describe: -----_---"— Yes If yes,describe: Any specific directions or landmarks? No --- ///�1111 f/r � J7/ IILI ,_ Reviewed bySite ID: G379 Energy Spealtf 01 f �et5 ",-/ JOC T P 5ct��Y�r4 CL ,11"� 1 � �� �- Sec 1 10 hc5 L73501T cei/1-th �d �I (1) '�� 1 `J S 60 Pn J�7)1'►1n 1 -it , \ 10 � o � Kt n J � p • 69nr ,- 0 r3 5- /1irkc5a /9-w ii z - . 1 . ... ,,..., .._... .. _ .. . . ..._, ., . „ . ,, , ..,., _ ., . cz...76) ,. , E.: , (..3 0- 0 . . vip -), 6 (._.s i 10 cc5 II' C]�© .`fit C]k-n - r or Office Use Only I Fence(s) --T Insert Radiators ___--- __ 1 Pocket Doom — L Neighbor Proximity S S•ffit G=Gable "-"� Ladder _- . _ R=Roof Bushes -- T T tangle -- 0_Vents Note Inside Square X=Access CDE=Continuous Drip Edge _-__-__— - Exisung ConditionsCS Continuous Soffit—__ T__ Temp Unless N ited Otherwise RV=Ridge Vent W Wall S=Sheathing For Access _.-------------.-'---- C=Ceiling M o 12"Mushr••m----- Install 0=New Access Note in Circle R=$ Roof S=Soffit G=Gable __..._--- ij=Vents Note in Triangle 2200-10-1J1f a M1111.111111111111"Illl!111.M'ilrtllC-- 76/ Y-LI--C2-1 LI 2'6 0 L U �G E Recommended Ventilation Calculation Recommended -----_._- Ventilation Calculation-,-_ - AIR SEALING WORK HOURS Air Sealing Work Hour 710 t 1'd c ',)cOJCalculation 1-t "I'O--- 1210— --- 6gWork Hours 4 _- ��� E�rry 30J• 1101-140• 1401- 1700 ' 1:'�al - '�100 _ <500 1 800 • 801 110 I Hers Attic Sq.Footage ----__ � htult�t>Ir Chimney L3F �— himney or BF =1 Hour Exceptional AFL Hours ' Primarily Floored Attics ��hurnW�, =bNJWi Prefab/Modular Hours No Chimney=4 Hours t�)II= 4 Houn Exceptional KW Hours __X<20feet=1Hour 20 ft<X<40 ft=2 Hours RJ,150 ft=2 Hours __-- RJ<150ft=1Hour l Rim Joist Only Hours „a l Area,'.p00 sq ft=2Hours — BMT Ceiling Only Hours Ceiling Area<2,000 so ft= I Hour k. Hours"` NOTE:You MUST be IN U, ILN RJ or Basement Ceiling to specify RJ or BMT Ceiling ONLY Air Sealing toss Batt Insulati. >6"Loose Insulation —"" Truss Construction QT�O Multipliers >6"Mix Batt&Loose Insulation 714147- For Office Use Oudy