23D-077 (7) 117 WARNER ST BP-2018-1290
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:23D-077 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv- INSULATION BUILDING PERMIT
Permit# BP-2018-1290
Project# JS-2018-002295
Est Cost $1700.0
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const,Class: Contractor: License.
Use Group JOHN PERRIER 105319
Lot Size(sp.ft.): 35501.40 Owner: ECK JUSTIN R&CHRISTINE D
zoning: URB(100) Applicant. JOHN PERRIER
AT: 117 WARNER ST
AppiicantAddress: Phone: Insurance:
18 BROADWAY POND RD (860) 930-7794 WC
STAFFORD SPRINGSCT06076 ISSUED ON.6/512018 0:00:00
TO PERFORM THE FOLLOWING WORK:R-49 CELLULOSE IN ATTIC
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 Occuoancv s enamre:
FeeTvpe: Date Paid: Amount:
Building 6/5/20180:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
o�
ao
The Commonwealth of Massachusetts
i Board of Building Regulations and Standards FOR
i c tFn Massachusetts State Building Code,780 CMR MIUSEALITY
> < Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
$� mM One-or Two-Family Dwelling
This Section For Oftw Use Only
Building-Pqbir4yinbor 6P-1 - 0- Date Applied:
folf//�
H ildi inial(Priv gnamre Dale
SECTION 1:SITE INFORMATION
1.1 Property Atlprens: L2 As o ap&Parcel No
�l / L41 � n a, ,l)- U
[.is Is this an accepted street?yes_ no Map Numbr Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq it) Fruntege(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ zone: _ Outside Flood Zone? Municipal❑ On site dispusel system ❑
Check if yesO
SECTION 2; PROPERTY OWNERSHIP'
2.1
e n wnerbf Record• T'
n Frlc. �/�y n
N Ciry,$rete,ZIP
�/� ?odLL✓Y� �/3- zyo�
No.and�Sirxt Telephone mail Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check a8 that apply)
New Construction❑ 1 Existing Building❑ 1 Owner-Occupied ❑ I Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other Cl Spec ly:
Brief Description of Proposed Wor :
To Add/Achieve R49 Cellulose Insulation in Attic for weatherization purposes
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Coats: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee:$_Indicate how feo is determined:
2.Electrical $ ❑Standard City/To"Application Fee
❑Total Project Cost'(Item 6)x multiplier_x
3.Plumbing $ 2. Other Fees: S
4.Mechanical (HVAC) S List:
5. Mechanical (Fire S
$ echani Total All Fees:
Check No. Check Amount:_Cash Amount:
6. Total Project Cost S / ❑paid in Full O Outstanding Balance Due:
NEGH
28 Spellman rd
Please Submit Stafford Springs,Cl
Permits to: 06076
Aerd &WoddAo4
�P~I w-c
SECTIONS: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
John Per1er 105319 12.12.2019
LlcameNumber Expiration Dale
Name ofCSL Holder
List CSL Type(see below) I.
18 Bradway Pond rd
Type Description
No.and Street U Unrestricted uild to 35,000 on.R.
R Restricted 1&2 Family Dwelling
chyfrown,State,ZIP M Meson
xy
RC Roofl Covnon
Stafford Springs Ct 06076 w5 window and Sidin
SF Solid Fuel Burning Appliances
I Insulation
9132442003_jperrkr06076�y'ahoo.com D Demolition
Telephone Email address
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Nerve or HIC Registrant Name 173021 8-27-2018
HICRegialowion Nomber Expiration Date
John Perrier
No.and Street jperrier06076@yahoo.com
IS Bradw y Pond rd Email address
Stafford Springs,Cl.06076
Ci (Town, State ZIP Telechato413244.2003
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I..c.In§2SC(6))
Workers Compensation Insurance affidavit must becompleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the be]iding permit.
Signed Affidavit Attached? Yes..........I No...........0
SECTION 79:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property, hereby authorize New England Green Roma to act on my bebal(in all matters
relative to work authorized by this building permit application.
osi �6i201e
Print Owner's Name Electronic S' name Darn
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below,l hereby attest under the pains and penalties of perjury that all of the information
contained in thin application is true and accurate m the best of my knowledge and understanding.
John Perrier
oar 3-6no1s
Print Owner's or Authorized is Name Electronic S' Date
NOTES:
L An Owner who obtains a building permit to do blather own work,or an owner who hires un unregistered contractor
(nm registered in the Home Improvement Contramor(HIC)Program),will jL 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 Royloca Infonmulon on the Construction Supervisor License can be Pound at www mass eov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.1) (including grange,finished bammentlattics,decks or porch)
Gross living area(sq.fi.) Habitable room count
Number offneplacesNumberofbedrooms
Number of bathrooms Number ofhall7baths
Type of beating system Numberof decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
w910 9
ta>.anti�a'�+a«�auttwwwat► �wcf•+�av�to'ss�nalr,+e�¢ eesl �a �
MwwhTAiwwa :o+oZmA6y
wwr4�+4✓ >�Pn'+�mtr+a+I�Mw.ar W+w+�M*ml�o
b
tb
wMMwpw wwpewplMlp�ad fWwN iti7WW WOWoil
VopveMwa"n W=fAq pi Vla*MP woWIDPAUI
p SVWO @*a OMMM+W K bo MUD*"SMp/dw jMp"K"sg '+anaA+w wm*�P*a0'OR1wd^}.
w0 f Vwm9tl11D71i1QM ddt4 Myo W W�I P!wPl�INP w 1W"w luwwwl+d°N ^+Mpw 070Uf'It a d^aU
*dY wpPwdt J"Now**Odoapgwwairoow"O YfG�SAF�Pwmswwdwnm amweawood
'two0 MoN�gngweY**Odom tl�wMaa foPMwlwP bqa Yapmodsoo,IIw71A0M Nilo ttw■gwPV
�
V, "Mos �+ - ow ovs401
OlCOJ{Qi6�9tQ Nbronv io#tf11ad
odoWldV !*WNh W*a"U'
MwWww4t+dwawrr 'n�paw of�VMwwww wnwr+wv.+NMwd AgpM�9wMo wwMw w wYI
vY�. lw•a�ae.mw. ,,�ry6�� aM�&q�+wgsv«RYawomrana&"twoam""unMAMOMPI IMP=Mmam"".M7PYCw.M1!O#pop wfYPwwMw YglwiYlllYpYY01y00�
vwlTP4�HORP.wspYgrlMMMaiMwoeMlMeYl9wof Ivi�MMlMow�M4WMMWAM�NNMIA�M^°1W°�01I�
'+�PYwgat+P+f YMrwYYwdwFY+�iY>R�#MasgwgweEC oMnw kiwi4eW wp+ve�NY.
[wm w j
wi TQC ,i ouaarpwtf71i[pwmbu+am^w!
opwku)ooap'cl 70�VwdMoptlmwcolomm •dmo,ow.POMofI]31w�
,.o�n,ownewaaQ'tt A+'pDwPmaoMWw�o �»in .M�Mw�v•®.t ❑•c
KOPP"A wtwtu Pnwglg Q•Ol meMvopawUJnO.moo [] •t Cpwmew
i' *w^
wuwlwt dww aMwx oril
loco
t dwtwAtow9plwmaidwo waWpwo o wm�
wwk4pa" wu
>NrrAtw�ut Vw'PtwpwpMlt .wlAwdJDJModoPGomPI�Y
owwMMt Q 'o ^D wmoowwgwY4lpwRRAX4 .4omtnw mmTptlmtoldw
�WgoW)woAdw.atz tpMaWwwwtwwaa•Mw I[I y ^WAw'la"*=j0.1
M9 ow&a4oAU Rom twtadw w WXWV
Pi Plwd b of m"y
wMmN w9 W%�19�N It�'"B1omAp
W4AwWA�I+ Nrq�4w�Aw4�g 4NgM0V wwarooq owptowwimory,l�w>Nob
LIOJti/IIdOYN'Wwr
oflow"W l
SIA Apo
7 (.larxw+grl�Q
�r CERTIFICATE OF UAIliLFrY WMRANCE
DmR aNnwoue r rAp w A rRirw a Oe.
aRRneAn eoe aw A�mwAAsmar a feeRmar Awe,ALAR ar aarl�mmeer Arams w t1r malrrR
AWN, lIN Oeb .VMWM F"R1RIANA 00A aw aRlefatfls•aoRrrRw Re1NRe1 7fe eww wrRrpy,A1NRa1®
wnrYNfAawQARRYR "e Atrivplln Naas.
a.rn.r..wrar.Awmoftdwb*A wrRrrwroMwrrR�iNrwri�wiwrrrrwrrwwkrNre+rrr
r4.r w.ur
No 11 OF AW _RVAD MM m
u.o.
brrlR
n w
U Mqp w
P,crw"a
ounva�netAa rArAN.niuva ^wR
mw.. ReaN rwaRmiw
m
nwrmu
arrnuwr+r
armor®aaeul mR"fN a w "flame
Rmam
m.M 1
warrrrvaw
y
A rrnm 1 "Illrmlm atMawM awt
faro our r
rrr�a �
A om.�w
% I� M" f.i1111
Rwrn mn+anT eflmrm
uran
nn r.
w .r
wrn.ra ri.r.nerr MrarMY..riArrWbnar,YirrrrwrYnahM
araAflall aOreaRalaa
70 A9ae axarernarrr,eorR rawwaawrr�ar
a mrAa1 An %o1rR � w araeA a
TAN1Nr Req Canwar .o00wAaoRMlan1/mauar raerrA
arranoaaowr.R. ,urarir6sM�+
N RNNrN.
ACgpllllMra) TMAOOIgAArrMNNaImMAeIRwAm OFAM
wpDYM�rwrW�MM+wawlWawau oY0OrrLL karrowma�r
p�wrarMn 71alAYYO11l0OCY0OYr1lala •
�r
■ mrre w +w ae a� i°rnil r�M1°ww 'Cr �enona�arorw
wmw4rmmmwrarrowew o WAMMamm -
yNY�ww MAww�warrrwr�IrA+tnmsN aflm��ramminou�reo�W�elro
mvwmvrqwmm
auww el/YLOw awraw TfRf
unaw
awrwro Mir
EMMMMMM
Ypla MYirra
l0
a nw
yMUN
ANIA1
amo❑rnrw.0
Lw�MWANA arias
r
Wmsp� y�y aAwlAO1 A
OITMLL IO IrrOrM ONO
YOpip4
isNOMNa
uwrrr
anaowoxrmreawAxaAw
Mimi
arw
an1�
rr.+�
rwrarr raawAr rwa ■r 'rnWIIII 11;
m ru
glwangrallNMMdr♦MN'IrN01Ya01�r�aMr �114a1rNIa'PMgWKIF-Ilm wINraa00eOa 4arpPrl
OWrNlIW rWA y�py�yy+�O�7y p� apaa�wuap sommm4000ROOM=
a�w.7ra71N~4YOW�rLL�xs�n"O RMONrONX&L&OOM . M04r1 aa'1 A MLLrr'K V w�f"0-1vowum in
arrrrrr
-+yy
OfOce o[ onau�mr'e A
tP
VIaMROVE
RO .G3
H7•'J'' G e'.
Expiration
' s+?� .. ..v�n'�•`' . . (+. a�'i° r .,,
'OHNYERRIER
JOHN P�hRl
�, 188RADVVf,�Yit? i
3
wwpl ft'Q+♦t*068si nal Licensilre
. 964rd of.8W0dmg RegAdshons and Slandafds
Constructioo S'OOrAsgr Speclaoy
CSSL=]05319 -�AA OS' AAM40 1-9
JOHN A PERRIERv`
IS BROADWO POND 946 '
STAFFORD'S*NGSGF"06078 `
Commissionef .
A
gra
� r
e
F �
6
k
t t
r
x� r
y 4 t,s
v Y''i�l�iJ qv
D
of the p_e 10 tqd at:
+4 r CE
[ 1•e t
h yF
5 �
} {
9
arN �
phalf and'obtB��n s puilding permit to
)ps'��p";Workonmyprop6rty.
rr ..
f
y�.
t tfS '
J
�� ry
G
1 ,
k '
vq �