31B-020 (3) 8 ALDRICH ST BP-2019-0057
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man:Block: 3 1 B-020 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeory�INSULATION BUILDING PERMIT
Permit# BP-2019-0057
Project JS-2019-000086
Est.Cost $2500.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group JOHN PERRIER 105319
Lot Size(sp. ft.): 5662.80 Owner: RICE RACHEL
Zoning:URC(100)/ Applicant. JOHN PERRIER
AT. 8 ALDRICH ST
Applicant Address: Phone: Insurance:
18 BROADWAY POND RD (860) 930-7794 WC
STAFFORD SPRINGSCT06076 ISSUED ON.•711 612 018 0:00:00
TO PERFORM THE FOLLOWING WORK.ADD R-49 INSULATION 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 Occupancy Sienature:
Fec ype: Date Paid: Amount:
Building 7/16/20180:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
-- 7CJ rap (A 37
The Commonwealth of Massachusetts
n Board of Building Regulations and Standards FOR
M Massachusetts State Building Code,780 CMR MUNICIPALITY
z _ USE
9 e ilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
m One-or 7NP F=dy Dwelling
Q J This Section For Official Use only
G m mg arm N Date Applied:
uilding0 / Prinl emeJ Si but Dale
SECTION t:SITE INFORMATION
LI pProperlyy Address: 1.2 Asseaso ngA,Pareel Numbers
l0 FNrI PICA - 3 / fC�� d
L la Is this an accepted strew yes no Map Number Per-001 Number
1.3 Zaoing Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 8) Frontage(8)
1.5 Building Setbacks(11)
Front Yard Side Yards Rear Yard
Rcquimd Provided Required Provided Required Provided
L6 Water Supply:(M,O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ private❑ Zone: _ Outside Flood Zone? l Municipa13 On site es
Check it es❑ disposed syskm ❑
p rQ SECTION 2: PROPERTY O�W(NERSHW'
2.1 �Qf'�1P`I of lr I' / Ib17 rD�l) M /I— aL�
Name print City 5 e,ZIP
N6. �fphone �
end Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied E3 Repahs(s) ❑ Alt=don(s) ❑ 1 Addition ❑
Demolition ❑ 1 Accessory Bldg.❑ 1 NumbcrofUnits_ j Other ❑ Speclty:
Brief Description of Proposed Work':
To Add/Achieve R49 Cellulase Insulation in Attic for weatherizetion pugisies
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: - Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee:$_Indicate how fee is determined;
2. Electrical $ ❑Standard City/Town Application Fee
❑Total Project Case(Item 6)x multiplier_x_
3. Plumbing S 2, OtherFees: S
4. Mechanical (HVAC) S List
5. Mechanical (Fire $ Total All Fees:
Suporcssion)
Check No. Check Amounr. Cash Amount:_
6. Total Project Cost__,
$ ❑paid in Full ❑Outstmding Balance Due:
NEGH
28 Spellman rd
Please Submit Stafford Springs,Ct
Permits to: 06076
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
John Perrier 105719 12-12-2019
License Number Expiration Data
Nemo of CSL Holder
List CSL Type(see below)_I
IS Bradway Pond rd
Type Description
No.end Street U Untortcled(Bildblits on ta 75,000 cu.ft.
R ResMeted 1&2 Family Dwelling
Cityffown,Some,ZIP M Meson
ry
RC Roofing Covering
Stafford Springs Ct 06076 WE Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
4112442003_jperrier9W76&sboo.com
D Demolition
Telephone Emil address
5.2 Registered Home Improvement Contractor(HIC)
H1C Company Name or HIC Registrant Name 173021 5-21-2010
HIC Regislradon Number Expiration Date
John Perrier
No.and Smcet jperrier06076Qya600.com
10 B.adway Pond rd Email address
Suttord Springs,Ct.06076
Ci ?own Stale ZIP Telephone 413-2442607
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G-L.c.152.515C(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..........0 No...........❑
SECTION 79:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize New England Green Homo to act on my behalf,in all matters
relative to work authorized by this building permit application
RAd90J JSP U— 071 /2018
Print Owner's Name Electronic Sl more Dole
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,/hereby attest under the pains and penalties of perjury that all of the inforramom
contained In this application is true and accuraw to the best of my knowledge and understanding.
John Perrier
Of/") /2018
Print Owner's or AuthorizedAgent's Name Electronic Signature) Date
NOTES:
I. An(honer who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(nm registered in the Home improvement Contractor(HIC)Program),will W 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 mats eov/dos
2. When substantial work is planned,provide the information below:
Tata!floor groes(sq. B.) (including garage,finished basementlattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fueplaco Nurnbero ofbedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Protect Square Footage"may be substituted for"Total Project Com"
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HOME IMPROVEME
-f¢ Registration 17302• , ,. ° i
i Explration r-
jOHNPERRIEEt
JOHN PERRIRRr
18-BRADVMAYP
t,sens
t3iw af`Pio(esstonal L:censilre
, Bo-ard dYBu(ldtng Re'c},LIIai16nS and Standards
Constriction Sup4m* sor SpeclOty
GS'SLr105?19 't�� Eicprrss: :1,$J1.2f�Di,9
JOHN APER RtER
1B BROAD W A I,PQND R1
STAFFORD SRRlNGS C7"'6078
Commissionef .. �/"
Permit Authorization
MVKN
mass saw Form
Site ID:3413176 Customer. Rachel Rice
L Act"� Fl•�.,�-¢ ,ownerofthe propwWlocated at
to.n4s a.aecnned)
10 ALDRICH ST NORTHAMPTON, MA 01060
Inwarvm *A&1251 IOM
harabyaudwrias the Mass Save Home Ewa Svvkm Program assigned PaDdpaft Contractor fisted
below to anon my behalf and obtain a buildinil permit to perfarm ImWadon and(urweattaaitalign
work on my property.
Owner's9ptaaue: , Lu g '
T
FOR OFRCE usE ONLY
We have assgrred the folk,wing Masssave Home Energy SeMms ParddpaU%Cwtracwr tothe
above referenced project
Partidpatingtorruaceur Date
Name: New England Green Homes
Phone:413.2442003
Email:lynnfordnegh@gmaii.com
reroaeaua.Onry
Rev.102015
City of Northampton
/ th,., t-':'j•J Fri
Massaahu98tts
* � 1
� 11EPA8Td4;eT OF 80ILOI80 IEBPECTIONa
212 MLn SG eat Municipal suild n
9ordwm n, M 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 4o, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
S
(Pleau7nthouse number and street name)
Is to be disposed of at:
n04 App' fiCoPl-e-
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
n6 6
(Company Name and Address)
igp ure of Per d plicant or Owner Date
If, for any reason, the debrs will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.