Loading...
17C-060 (9) BP 022-1445 183 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-060-001 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-2022-1445 PERMISSION IS HEREBY GRANT 4 D TO: Project# INSULATION Contractor: License: Est.Cost: 4222 J P GEORGE AND SON INC 099372 Const.Class: Exp.Date: 02/11/2023 Use Group: Owner: CAROLINA ARAGON, Lot Size (sq.ft.) Zoning: URA Applicant: J P GEORGE AND SON INC Applicant Address Phone: Insurance: 64 HAYWOOD ST (413)774-3604 4220066477 GREENFIELD, MA 01301 ISSUED ON: 11/03/2022 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ' i • a Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 1 —RPCEIV17.0 I 19.21 The Commonwealth°Mused:netts r - - ---- .1: 16 i; Boat arBdiding R.egoistioris ad Standards ti 0 V 3' 202, I Wiassaelluselis State Banks Code,ISO CIO. .,3, .1 4,1'ALITY 1,•.i' Banding Permit Application To Construct,'Repair,Rettaltate.tek1)0061/116C1 One-or Two-Panzil y Dwelling This BeetiouPcc°Mortise:Only Buildin!,......_77________Pemlit'Nuritenht-41)-''.tif,-/ - 1 Date Aligeat • 4... . 0'13 WZZ • Building()Mal(2dntlialne) . - -Sigma= . Dem SE ON 1:fairm loviOkimmow 11 Prallerti-Alle"892 1st ChtbA , N 1.2 Assessors Map ec Pared Numbers \ Usk this an accepted street yes no Mal:Number Parcel:Namber L3 Zoning Informations 1.4 Prop Dimensions &Wag District ProposedUse Lot Area(sq ft) Frontage(ft) 1 1.5 Ito/Ming Sathacics(ft) Prort Yard Side Yards Rear Tad Required \ Provided Required Provided . Required P .•1,-•• • 1.6 Water Supply;(M.O.L c.4,154) 1.1 Mood Zone Informadien: LS Sewage Bispasel Publie 13 Private 1".1 Zane:_____ Outside Ploodlose? municipal/3 cal Ate disposal v -,,, II Check ityasti - • SECTION 2.: PROPERTY ONVITERSPOle - 2.1 Ownert°Mum-Ili: CCAro\ 1-1(,‘ Arrio IN NI OrtkarTko f‘s MAI Olo 1.4stae(Print) City,__ LP %I /) - 755- LictSo No.ma Street Telephone Enna Address SWOON 3:prALCEOPTION OF PROPOSED Wale(eheekoll that apply) New Construction CI Existbg Patiding I:3 Owner-Occupied II 1 Repairs(s) 0 Alteration(s) M 1_ , 4.a e,— Cl :-. Demolition • Cl Amenity Bldg.13 Number afrUnits 01ther 13 Specify: ________ BriefDescriptiott arpragosed Wore: .ALt- SQuil 01.4-ic c.f,t21 6.5,4 IN)e_fq A 4 0 IS' of cellulose ft, 0011) i4i.1104tIZIA an Ctkit— SECTION 4:ESTIIVIATM CONSTIZUC1.(0N•COWS Item Mehl Ose OnlY (Labor andllaterials) • 1.lidding $ 4 •ka;a.iciti 1. Building Permit Pee: -.- / 2 Electrical El Standard City/Town Application Tee . $ Ci Total Project Cost Meta 6)x multiplier z 3.Plumbing $ 2. Other Pees: $ 4.Mechanical (EVAC) $ List: 5.Mechanical (Ere s Suppression) Total All Pees:$ 1 Clr. 1..< CbeckNo.12 11,CimoirAmount ' "-Cash - ,.,i• 6.T°124?Me°Cast-. $ it)*. A1 cl LI a Paid in Full 1:1 Outmoding. ' Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CM_a9i 379. 4;.1 1-1).3 �Qs License Number Expiration Dated Name of CSL Holder W . p_(,� �co 1 1 e], List CSL Type(see below) J 4043A 1( , No.and Street Type Description Civet n e18 M ik 0 t3D i U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town, te,Z R Restricted 1&2 Family Dwellin \1440??..31.1A M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 60 $31106 Na.,eu ,k'com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) . Geoc Son /S6�?(t) aS-� �_ HIC Registration Number Ex iration Date HIC Co an}' e or HIC Re i tran ame t. WCYS' Rae, Soh °� K•�wl No. nd Street ,'v Email address C�e�-�n�'te-k� r,�,�,�,�C�(1) S'31 t o 7 6 City/Town, State,ZIP .�' -� ,. Telephone SECTION 6:WO RS'C MPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25 (6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure t provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ass_ ` 1 Geo( . to act on my behalf, in all matters relative to work authorized by this building permit applica ton. Crv'o1inA ©,, / See ui�4e4 1°13�laoa Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION 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 d ac ate th es f my knowledge and understanding. *t 10/3 3/3th?.'1 Print Owner's or Authorized g nt's N Electronic Si ture Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not 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.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ,rr. City of Northampton ". c .,,, Massachusetts i� c r t :i yrC:.,.:r‘J.,r,:ril• tr , -:,.. 14P DEPARTMENT OF BUILDING INSPECTIONS 212 Mafia Street • Municipal Building IN "t. ,,,,i, .fl Northampton, MA 01060 '1''.' Property Address: _ `v 3 C 51r 4 S . foor , /AA ,DIo 6t4 Contractor Name: Jo$ep1, &eoc /air), r^, Ge e ^tk Sim) If\C. Address: 0 fton‘twood S}re2} City, State: GrRf\c►e1A, MA oi301 Phone: C 1i3)-77t^ 360t Property Owner /' If ,0 Li (� A RA &o rJ Name: I•IF _� Address: it; C\€S 1kA ST City, State: tot iarh(A.Dfl 1 id t 010 b' I, JOSeON sari (contractor)attest and affirm that the building I intend o insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and th=t I have provided the property owner with a copy of this affidavit. Contractor signature \ 4 1\i'41,ga i/Laitt. Date 10(10/a0 . 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: Iq ClieStnvl ��. The debris will be transported by: If, Geor je c Sop , c The debris will be received by: b rrAt le6orO Building permit number: Name of Permit Applicant Uo erI G-e f?r e 1.0N:slat:a), kt4zicjiit • Date Signature of Permit Applicant • The CCi'ralta OMtrealik of rise's:Imes s w f Deportment of hec s^ c!Accidents I Congress Street,Sadie.1011 .3mseo,,MA 02114 2017 „„.0. l‘Ftros-.etl s' Compensation htserance Aft avit:BulldersiContractorsMiettriciansiPlumbers. "c.RUM M V ni THE nii:R142 a JNG HIS.Iati^S Y. Ise anti•littfor to n® lecse Pen ' 'sY,• Name(Business,'Organi2ation/Individual): Address: a ', �J-�' �r-6 j 1 :. City/State/Zip:, 1� 10471} 41 : `Ai %. -4 � Phone#: 6-1 ��� C! I C� Are you an employer?Check the appropriate bon: C`i CI Type of project( equir d): t a 1 am a employer with LI employees(ts jl},andIerpan-time}:' 7. 0 New construction �.�i am a sole proprietor or partnership and have no employees working for me in 8. (l Remodeling any capacity.[No workers'comp.insurance requited.] 3.0 I oar a homeowner doing all work myself.[No workers'comp,insurance required]'' 9. 0 Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or arc sole 11.0 Electrical repairs r additions proprietors with no employees. 12.0 Plumbing repairs r additions 5.0 I am a general contractor and i have hired the sub-conuactors listed on the attached sheet. 13.[]Roof repairs These sub-contractors have employees and have workers'comp.insurance.: . We are a corporation and its officers have exercised their right ofexem on14. Other , if 0 � rp g exemption per MGL c. 153.;1(4),and we have no employees.[No workers'camp.insurance required.) *Any applicant that cheeks box trl must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affdavf indicating they are doing all work and then hire outside contractors must submit a new affidavit indica such. +`t'ont uctors 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 airs an employer that is providing worker a compensation insurance for my employees. Below is the policy and job site information. Tb Insurance Company Name: —2 `'o _T a Policy 4or Self-iris.L�iic.#: =ate-'' rt)10 L 1 7 E;:piration Date: � ��1' Job Site Address D C�� n City/ iate/Zip J%rt`t\fie 0(�a © t C)C1 l Failure to secure coverage as required under MGT.c. 152,§25A is a criminal Violation punishable by a line 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 line of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. fi do hereby certify sin er the pains d nalties of perjury that the information provided above Ls true and correct. .71 Signature: �' 1 Date: 'fl'3 0 L 10)..a. Phone#: 1-f13 774 360tf tarj��eissi;ase only. Do riot write ear ulsia:areas,to be completed by city or town official. City or Town: T rsnit/Lieense'# issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Y n Clerk :•.Electrical inspector S.Plumbing inspector v.Other a.__.. eau : Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Board of Building Regulations and Standards Restricted to: ioCts rLtci 7'a Ciya CSSL-IC-Insulation Contractor x- - CSSL-WS-Windows and Siding CSSL-099372 spires:02/1112023 JOSEPH P GEORGE a 64 HAYWOOD'STREET GREENFIELD..' IA 0130t Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner p�tl, a f7 � For information about this license U Call(617)7273200 or visit www.mass.gov/dpl Registration valid for individual use only __�__ tion before the expiration date. If found return to: `l�ff � i of & n§sr a0ct Office of Consumer Affairs and Business Regulation HOME IMPROVEMENT CONTRACTOR 1000 Washington Street -Suite 710 TYPE:CorporaSon Boston,MA 02118 Registration Expiration 156686 07/24/2023 JP GEORGE&SON INC W.) 1 12 , l Not valid itho t Sig ature JOSEPH OODGEO ST r` G '/��,�f 64 HAYWOOD ST - GREENFIELD,MA 01301 Undersecretary Permit Authorization mass save Form Site ID: 4512131 Customer: CAROLINA ARAGON Carolina Aragon I, , owner of the property located at: (Owner's Name,printed) 183 Chestnut St Northampton, MA 01062 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: Caro-law Date: 06 / 19 / 2022 FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: J, , Gti3reje, ovxl soA) Inc. 10/30/aop, Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 For Offi:e J s e:�r I•: Document Ref:OTT5K-ZXDVR-VQQN9-ZYWAZ Page 7 of 7