38A-062 (11) 180 EARLE ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1945
Map:Block:Lot:38A-062-
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
Permit# BP-2021-1945 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION Contractor: License:
Est. Cost: 10000 PARADIGM ENERGY SERVICES 106193
Const.Class: Exp.Date:08/21/2024
Use Group: Owner: HAP INC
Lot Size (sq.ft.)
Zoning: URC Applicant: PARADIGM ENERGY SERVICES
Applicant Address Phone: Insurance:
105 MADISON AVE (603)300-8556 WC038371777
ARLINGTON, MA 02474
ISSUED ON:09/27/2021
TO PERFORM THE FOLLOWING WORK:
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:
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.
Signature:
,2 cs-
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEiv RCEI F
Er
AUG -9 202 the Commonwealth of Masac usgfs 2 3 2021
�- Office of Public Safety and Ins Ho
e ; T OF Massachusetts State Building Code( 0 CMR)-OF SUII. t C�
' NOgrHq iLDI� rt - ' • it •.pplication for any Building other than a One� rbn �jjr{ 4Di llin
"P1QN osro oinsn
��' °t NS (This Section For Official Use Only)
Building Permit Numbe60 I :4 Date Applied: Building Official:
_ SECTION 1:LOCATION
180 Earle St North Hampton 01060
No.and Street City/Town Zip Code Name of Building(if applicable)
Assessors Map# Block#and/or Lot #
SECTION 2:PROPOSED WORK
Edition of MA State Code used 8th If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other 0 Specify: Insulation
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No CI
Is an Independent Structural Engineering Peer Review required? Yes 0 No MI
Brief Description of Proposed Work: Attic air sealing and open blow cellulose to R-49
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 2 2
Total Area(sq.ft.)and Total Height(ft) 1000C 10000
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ 1-4❑ M: Mercantile 0 R: Residential R-ID R-2® R-3 0 R-4 0
S: Storage S-1 0 S-2❑ U: Utility 0 Special Use 0 and please describe below:
Special Use Description
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA El IB ❑ IIA ❑ JIB IIIA ❑ IMB ❑ IV VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal:
A trench will not be Licensed Disposal Site 0
Public 3 Check if outside Flood Zone 0 Indicate municipal® required m or trench or specify:
Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 55 Sixth Rd Woburn Ma
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable El Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No® Yes 0 No
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): R-2 Type of Construction: I
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Wayfinders 1780 Main St, Springfield, MA 01103
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information
Melissa Property Manager 413)426-1969 _ _
Tide Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0.
Otherwise provide construction control forms see section 107 in the code as re•uired.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Adam Orszulak (603_300 _3556 adam@paradigm-esco.com 106193
Name(Registrant) Telephone No. e-mail address Registration Number
169 M St South Boston Ma 02127 Insulation 08/21/2024
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Paradigm Energy Services
Company Name
Mike Hogan 159679
Name of Person Responsible for Construction License No. and Type if Applicable
105 Madison Ave Arlington Ma Ma 02474
Street Address City/Town State Zip
(603)300- 8556 - - mike@paradigm-esco.com
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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
Is a signed Affidavit submitted with this application? Yes D No D
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor
Item and Materials) Total Construction Cost(from Item 6)=$ 10,000
1.Building $ 10,000 Building Permit Fee=Total Construction st x 6.50( rt here
2.Electrical $ appropriate municipal factor =$ $ 5.0
3.Plumbing $ 4...
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipa p 7_. •
5.Mechanical (Other) $ `?"7
Enclose check payable to North Hampton /0
6.Total Cost $ 10,000 (contact municipality)and write check number here a a(((''-11
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the best of my knowledge and understanding.
Adam Orszulak WX Ops Manager 603 _300 -8556 7.14.21
Please print and sign name Tide Telephone No. Date
169 M St Boston Ma 02127 adam@paradigm-esco.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: ��., \;I .1 AA__ i ' )�
Name to
City of Northampton
SAS .. sic
Massachusetts �� �-- '
DEPARTMENT OF BUILDING INSPECTIONS S, U
47
212 Main Street • Municipal Buildings1CD
Northampton, MA 01060 slh, \1
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: 55 Sixth Rd Woburn Ma.01801
The debris will be transported by:
Name of Hauler: Paradigm Energy Services
Signature of Applicant: AMEN= Date: 7/14/21
The Commonwealth of Massachusetts
Department of IndustrialAccidents
r y .
Ry 1 Congress Street,Suite 100
• Boston, MA 02114-2017
., s'wut moss.gorldia
-" V urkers'compensation Insurance.tffidas it:Buildersi'('untractur inI:Iectriciansd'Plumbrrs.
10 Bk k11.1 1) II H 1 HE t'I.R1411-1lM._►i 111(111111.
Applicant Information Please Print Ixeibh
Name(Rusine st(ksaouratiamindividual). Paradigm Energy Service
Address: 2 Richdale Ave
City/Slate/Zip: Somerville Ma. 02145 Phone#: (603)30-8556
Are y en_.player?On&re sppmpriate ttaaa: Type of project(required):
t.3(am a employer*kb 20 eitpioyers lfedl and.4 part-.tease l-• 7. ❑New construction
2E1 1 ant a sole proprietor or inattentttp and has.:no employ res worint_L• tier me is H. 0 Remodeling
any capacity.[No x.urkery.rota"_ittrlriarc► r►-rpnntt_)
9. ❑ Demolition
10 I JUL a Ik,athawwrner doing all work myself.(No%others comp.insurance required_]'
tea I am a homeowner anti will he tinting c,.ntract r*to conduct all work on my property. I win 10 a Building addition
a'a1 late that all euntrachi s either hate wtwl ats`cewrqcansata•twt unrurnnar Of am tan 1 i.0 Electrical repairs or addition,.
prtpnnettas v nth no rtnplur aas. 12.0 Plumbing,repairs or additions
t�Il coms:titt,r and w Wrx d I lute hired the b-auntrac listed on the attached net.
am a genera 13.12Rex*t repairs
these sub ztnnttattors lease employees and ha% wt,rkers'etwnp 1aa urante.- _
b.❑we art.a corporatism aid its t.tlFwaa teTt_x-ti v,haws el then right t.t e.tnn>a,1rv:�nt per Mot.e'. 14.❑081e1
1'3`.ti 144).and nee have no employees.[No vimien.'comp.insurance tayuhnd.)
*Any applieatt that checks boy 4.1 must also Sill out the sectrun below show mg then-work:is'compensation policy 7.ntiarrrt:ntiawt..
*Ikroltliw hers who,ut+nut this Afars it Indicating they are cluing all work and then hire outside contractors most siting a new allitlas nt izttlteali ng such.
:contractors that eheck this but must attached an akhtionat sheet show mg the mum of the sub-etnmraetwas and state whether err or not those titian. Itaic
.oyecs. It the subs.uatractrws hose e'nr{aluyecs.they must pruyide then workers`comp.policy number..
I am an employer that is providing,corkers'compensation insurance for my employees. Belosi is the policy and job site
information.
Insurance Company Name: New Hampshire Ins Co
Policy#or Self-ins.Lic.1C: WC 038371777 MA Expiration Date: 7/1/22
Job Site Address. 180 Earle St City!Statc:Zip: North Hampton Ma
Attach a copy of the workers"compensation policy declaration page(showing the policy number and expiration 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 the pain s and penalties of perjury t t e in/rnrma►ion provided above Is true and correct.
Signature: Date: 7/14/21
Phone (603)30-8556
Official use only. Da not at rite in this area.to be completed by city or town official
( its or Limn: Permit/License t
Issuing:luthorit) (circle one):
I. Board of Ilealth 2. Building Department 3.('it):-tossn Clerk 4. Electrical Inspector 5. Pluntbint Inspector
6. Other
( ontact Tenon: Phone#:
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor Specialty
7 , P
CSSL - 106193 = Expires : 0812112024
4 Lr" ram.
ADAM R ORSZULAK -' - ."--. *1 .ii:...,
- -
169 M STREET APT 2 C �.,
SOUTH BOSTON MA 02127 = l -� - '
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0/SS.% 110 ` , ,
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Commissionerf'.