24B-072 (4) 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 042A)
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(sg.ft.): Q?wner: CENTER FOR ECOTECHNOLOGY
Zonine Applicant: MARK LANTZ
AT. 80 BARRETT ST
Applicant Address: Phone: Insurance:
180 PLEASANT ST#200 (413) 529-0200 () WC
EASTHAMPTONMA01027 ISSUED ON:10/1212018 0:00:00
TO PERFORM THE FOLLOWING WOR.K: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: Fare DeRartmegt Fireplace/Chimney:
Rough: Insulation:
Final: amok&: 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
Vcr.sion1 7 t'onrmerciad Building Permit Ata � 15,2000
...
Department use only
City of Northampton Status of Permit:
Building Department Curti CuVDriveway Permit
212 Main street Sewer/Septic availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Piovsite Plana-
Other Specify.
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION i -SITE INFORMATION r
."........._
1.1 PpopeLty Address
This section to be completed by office
Map Lot Unit
torte Overlay District
Min St,District Ce District
SE=CTION 2-PROPERTY OWNERSHIPfAUTHORiZED AGENT
2.11 Oar of Record:
Name(Print) Current MaWng Address-
, 403
Signature Telephone
2 Authorized Agent:
Name(r'wll) Current ki.ailirtj address. '
Signature Telephen.s
SECTION 3-ESTIMATED gp 'i`fRUCTION COSTS
i?arr Estimated Cost iDollarsl to be official Use Only
completed b erre it a licant
1, Building ding ia,Building Permit Fee
2, Electrical (b)Estimated Total Cost of
_ Construction from Fi
3, Plumbing Building Permit Fee
4_ Mechanical(HVAC)
1 Firs; Proiert€=.a=
2 +2 .a Check Number
This section For Official Use Only
Building Permit Number Cate
issued
Signaturee
1
i
r3uilding Commissionerlinspeetor of Buildings Date
......._._.._._.._,... .._ _...... .....w,"..."..�.......�.i. "..�...., m..,..,_ _........_.d.
Vcrsioa 1,7 Commercial Building Pcrinit '&o 13,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11}
--Independent Structural Engineering Structural Peer Review Required —Yes 0 No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
> as Owner of the subject properly
hereby authorize_-- paµ
........... to
act an my behalf, in all inatters,relative to work authorized by this
1 . building p rm1 appfication.
r. J4,
of owiltf Dale
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.
fined under the pains and penalties of perjury
Print Name
Z,
..........
SIVriahire of Owneri Daie,
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable
N of Ocense Holo_e C�)S L
License Nuniber
Expiration D
pnatizre Telephone
SECTION 13-WORKERS"COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6))
....................... __ __ I
Workers Compensation Insurance affidavit most be completed and submitted with flhis application Fa0ure to provide this affidavit will result
rte e r,enial of the iSsuance,,,J,he bwdainq perm"!
� t�graaAft�,,,,-_,,Ar�acneol Yes No
OL-D
I----
80 BART2E T ST 13P-2019-0428
Wit-� � `OMMONWEALTH OF MASSACHUSETTS
Mgn: tock.24B-072 CITY OF NORTHAMPTON
L%--1-0-9-0 PI.RSONS CONTRACTING WITH UNREGISTERED ONTR C"T OR a
permit. &ildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c,14 A)
Cat-egory:INSIjLATION BU LDT" G PERMIT
permit# BP-2019-0426
� 5 �
PERMISSIONIS HEREBY GRANTED TO r
CQ01z " Contractor: License:
w-, MARK LANTZ 102169
I�Qt�e� Wit r ASIER A�SOCJ&LES
zsitt -' jgpJkoA0 M6RK,LANIZ
L60 B RIMTT
tib r s:
Phone,- kg tr rtce
1,80 PLEASANT ST#200 4I 529-0290-0 we
EAS"THAMPTONMA01027 ISS ALD QN#I012 0 8 0—:00:00
TO PERFORAf THE FOLLOWING WORK.-AIR SEAL ATTIC FLATS, INSTALL PROPA
VENTS, VENT OUT BATH FANSO ADD CELLULOSE SE TO ATTR
PQS SIS A 0 IT IS �JSJ E I" E SLAP', T
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground. Service: Meter;
Footings:
Rough: Rough: mouse Foundation:
Driveway Final:
Final: Final:
Rough Frame.
Gas F !rt,,,,m Fireplace/Chimney-
Rough- Insulation:
�stls smokz Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTRAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certifiggig alaniture.;:
—DAte # AM2kafi
Building„ 10/12/20190:0::00 S266,00
t2.Main Street,Thane(413)597-1240,Fax:(413) 87-1272
Louis Hasbrouck-Building Commissioner
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: $266.0 PE"ISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: MARK LANTZ 102169
Lot Size(sg. ft.): Owner. CENTER FOR ECOTECHNOLOGY
Zoning: Applicant.- MARK LANTZ
AT. 80 BARRETT ST
Applicant Address: Phone: Insurance:
180 PLEASANT ST#200 -.. (413)529-0200 WC
EASTHAMPTONMA01027 ISSUED QN.-]011212018 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
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
Project# 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(sg.ft.): Owner: CENTER FOR ECOTECHNOLOGY
Zoning. Applicant.- MARK LANTZ
AT: 80 BARRETT ST
Applicant Address: Phone: Insurance:
180 PLEASANT ST#200 - (413) 529-0200 0 WC
EASTHAMPTONMA01027 ISSUED ON.1011212018 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 Occugancy 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