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24B-072 (3) 80 BARRETT ST BP-2019-0428 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24B-072 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2019-0428 Proiect# JS-2019-000689 Est. Cost: $38000.00 Fee: $266.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MARK LANTZ 102169 Lot Size(sq. ft.): Owner: ASTER ASSOCIATES Zoning: Applicant. MARK LANTZ AT. 80 BARRETT ST Applicant Address: Phone: Insurance: 180 PLEASANT ST#200 (413) 529-0200 () WC EASTHAMPTONMA01027 ISSUED ON:10/12/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-AIR SEAL ATTIC FLATS, INSTALL PROPA VENTS, VENT OUT BATH FANSD ADD CELLULOSE TO 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 Signature: FeeType: Date Paid: Amount: Building 10/12/2018 0:00:00 $266.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Q Version l.7 Commercial Buildin Permit May 15,2000 w o fpatrnent Use N z City of Northampton Status of Pemt rn o Building Department CurbCtit/Drlrn a�y!?mit I g 212 Main Street Se%w,/$e*AvWity n i Room 100 wawNftfi x4 CD 0o Northampton, MA 01060 Two. +s of 61 lar Plan W z phone 413-587-1240 Fax 413-587-1272 Plot0te ONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 6 p.- I /Q , ciz 1.1 Property Address: 11..This section to be completed by office Map Lot 0?;1nit Zone Overlay District _ Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 5 z 'V�S5O' t P-v &A 0 3 04uKI Name(Print) Current Mailing Address: 0,J1001 0 LA (3 103 Signature A/' `' Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Old . � 3- Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION CATS Item Esti ed Cost(Dollars)to be Official Use Only cornleted bv Dermit applicant 1. Building J �4 (a)Building Permit Fee a Q 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number ,3 This Section For Official Use Only Building Permit Number Date Issued Sign re: ro/yl(e Building Commissioner/inspector of Buildings Date Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other AS�Aqk(p YJ- Brief Description Enter a brief description here.VNN51) �V e c�t A 'p ) (. ON Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): _ Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(so 15t 1 at 2nd 2nd 3 3`d rd 4 t 4th Total Area(so Total Proposed New Construction(so Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone[-] Municipal ❑ On site disposal system[-] Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear _ Building Height Bldg.Square Footage % Open Space Footage % (Lot 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 Q DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained © , Date Issued: C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): --- - Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not ApplicablI Company Name: \ Responsible In Charge of Construction Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize Caz �- Qr��Sr1'�� 'to act on my behalf, in all matters relative to work authorized by this building permit application. Signa0re 6f Owner Date I, e)� .� \ 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 pen (ties of perjury. Print N c Signature of Owner/Ag Date SECTION 12-CONSTRUCTION SAVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: R�< �^-A w S I License Number Qz�( 1`�SQ e�e�5�► vN OVOa) VIA roll -6- Addre§s,,4, Expiration Date Zve-111 n/ 413 sa - 0"o Signature Telephone SECTION 13-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 No City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, 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. Address of the work: Nt � The debris will be transported by: ��' �g� W�� bc. �wwA � 5 t -.')cagy The debris will be received by: Building permit number: Name of Permit Applicant f�1�OV trTZ A) ®r,111 Date Signature of Permit A plicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations t; 1 Congress Street,Suite 100 ' Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Ind ividual): 2 y -�Jm{„ �( V)L1_ Address:_ A"JO1) City/State/Zip: �(,4kaN__SAPhone#: Are you an employer?Check the s propriate box: Type of project(required): 1.R I am a employer with 7 4. ❑ I am a general contractor and i 6. New construction ❑ employees(full and/or Bart-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself o right of exemption per MGL y [N workers' comp. 12.[3Roof repairs insurance required.] c. 152, §1(4),and we have no \ employees. [No workers' 13.®Other comp. insurance required.] \ *Any applicant that checks box#1 must also till out the section below showing their 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. 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. If the sub-contractors have employees.they must provide their workers'comp.policy number, I am an employer that is providing workers'compensation Insurance for my employees. Below is the polky and Job site information. Insurance Company Name: C D 11 _/1 j�%2X,)6'n Policy#or Self-ins. Lic. #:y(a ` `I s 3 .3 - U Expiration Date: Job Site Address: &N� g� City/State/ZipU6"�N rA ` Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce the paints,annd naldes of perjurthat the information provided above is true and correct. Signatur C r Phone#• 3 ` — Official 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 S.Plumbing Inspector 6.Other Contact Person: Phone#: _UCENTER FOR U :, 4 EcoTechnology- we make green make sense- Multi-Family Energy Efficiency Program Work Order Contractor to complete work: Cozy Home Performance Multi-family customer/owner: Aster Fields Address of Multi-Family Facility: 80 Barrett St Northampton, MA 01060 Number of units at Facility: 46 Number of buildings at Facility: 4 Sponsoring Utility: National Grid Efficiency Measures to be Performed National Customer Location Quantity Proposed Total Cost Grid* Cost Main Attics 12976 R32 BI Cellulose $20,761.60 $18,685.44 $2,076.16 Hatches (est #) 12 Insulate/Wstrip $500.52 $450.47 $50.05 Attic 120 Airsealing $10,080.00 $10,080.00 $0.00 Bath fans 30 Vent bath fan to roof $3,876.30 $0.00 $3,876.30 Attic Eaves 798 Install propavents $2,793.00 $0.00 $2,793.00 $38,011.42 $29,215.91 $8,795.51 Contaq, Ric McGinn 413-210-2038 propertymanager@asterfields.org X WMam ,�� 7/9/18 CET Work Order Authorization Signature Authorization Date William Lafley—Center for EcoTechnology 320 Riverside Dr Northampton,MA 01062 413-695-2730/bill.lafley@cetonline.org