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38B-030 (2) BP-2023-1301 18 LASELL AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-030-001 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-2023-1301 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 15000 J P GEORGE AND SON INC 099372 Const.Class: Exp.Date: 02/11/2025 Use Group: Owner: MARSTALL ROBERT T Lot Size (sq.ft.) Zoning: URB Applicant: MARSTALL ROBERT T Applicant Address Phone: Insurance: 116 PLEASANT ST APT 420 EASTHAMPTON, MA 01027 ISSUED ON: 09/20/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATI ON 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: rfizAk_, .>2 . ck , it Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner I r--1-. C V __� 4t,'/I T i(1/0 &, The Commonwealth of Massachusetts SEP ,iicl. Board of Building Regulations and Standards ' OR Massachusetts State Building Code,7801CMR Of iTY .4_,o rF,r ,,,y,. BuildingPermit Application To Construct, Repair,Redo O gi Ns , d Ma•2011 • �� p � � rON p,�q )1p oONs One-or Two-Family Dwelling .--- This Section For Official Use Only Ea gPcnmitNumber: .. 6 •1.3 - J3,01 . i Date Applied: _ . Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION . • 1.1 P operty dress: l+ 1.2 Assessors Map&Parcel Numbers I X Las eu 4 ✓�i -t%mptv� Airy 1.1 a Is this an accepted street?yes no _ Map Number Parcel Number ______ 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public© Private 0 Check if y:sEr- ,Municipal CI On site disposal system 0 -- ':--- . . _ — • •.SECTION ii. PROPISIRTY OWNERSHIP', . • 2.1 Owner'of Record: -4--_________(--------- Name(Print) City,State,ZIP No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK?(check aft that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 1Addition ClDemolition CIAccessory Bldg.C{ Number of Units Other ® Specify: //2.541,/ 4it", Brief Description of Propos Work: %1-P d• ' (v��s s Pu 'T� 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 `��U C��� CI Standard City/Town Application Fee 2.Electrical $ f3 Tot&Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ ' 4.Mechanical (HVAC) $ List: ' . 5.Mechanical (Fire Suppression) $ Total All Fe :1•, . . Check No.t' Check Anion Cash'Amotm 6.Total Project Cost: $ /$, 000 0 Paid in Full . 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 051 aii 37^ Z� VI &e ,f qe_ License Number p� Expiration Date Name of CSL Holder v WS �•� f Jr �X�dd ek List CSL Type(see below) No.and StreetType Description (, ee-n e.\d t'/4t k U Unrestricted(Buildings up to 35,000 Cu.ft.) 1 R Restricted 1&2 Family Dwelling City/Town, tate, IP M Masonry • RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances (siU3)5311616 as Na-01 K.•60% I Insulation Telephone l� Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) is-G/ 8b „�•s • (.7€0(V. 450h i'mtA[.• HIC Registration Number Expiration Date HIC Cornea y me or HIC Re i tranjlame No.�,�n__dIISStreet j S Qso,' j(1 Aiyag)h e0v4401,K.°� Vvwn,State., C41) 531076 Email address City/Town,State,ZIP Telephone SECTION 6:WO RS'CO ENSATION 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 ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR FOR� / BUILDING PERMIT I,as Owner of the subject property.hereby authorize Os _ 1 ` o to act on my behalf,in all matters relative t work authorized by this buil mg permit applica ton. fl-a/ rJAa S E OK, ea 9 ' //;3 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 true and ac ura - to e t my knowledge and understanding. lose. 4 P 6corrig ,/ 4 9' // Print Owner's or Authorized Agent's me( : troni Sign 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" ->k The Commonwealth of Massachusetts _._.. Department of Industrial Accidents c- _ Office of Investigations !— Lafayette City Center `� 2 Avenue de Lafayette,Boston,l 02111-1750 7:----War. www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name Business! ization/Individuai .. of A r., L t.71�i ..^ s•;:.- 3 l� fir, Address: 601 HU,.,y L cisr 4 t l r ti CitvlStatel7,ip: c {'s'1 i r=. , %? k Phone#: 1• ; 7 i I - 04 0C/ Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or parttime).* have hired the sub-contractors 6. 0 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in any capacity. employees and have workers' insurances 9. ❑Building addition [No workers' comp.comp.insurance required_] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Numbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]° C. 152,§1(4),and we have no i • , employees.(No workers' 13.0 Other i f' )4atic?('t comp.insurance required.] °Any,applicant that checks box if 1 trust also fill out the section below showing their workers'compensation policy information. '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 policy and job site information. Insurance Company Name: .4 tf' !s;1,I c 72 Policy#or Self-ins. GLie.#: -2,2l�?Li+otc "•17 7 Expiration Date: "4 r ,oa,/ Job Site Address:/d/f2ieJ/,4D.L City/State/Zip: WOO 60 Attach a copy of the workers'compensation policy declaration page(showing the policy number and apiration 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 certl under the pins and penalties of perjury that the information provided above is true and correct. Signature: . Till ' Date: ',II`D3 Phone#: G 13 7 ` J Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(ch k one): !❑Board of Health 20 Building Department 31:3City/Town Clerk 413 Electrical Inspector salumbing inspector 6.0Other Contact Person: Phone#: DocuSign Envelope ID:06AD630D-96B5-47C6-B615-6A209764BEEA RISE ENGINEERING OWNER AUTHORIZATION FORM Robert Marstall (Owner's Name) owner of the property located at: 18 Lasell Avenue (Property Address) Northampton, MA 01060 (Property Address) C hereby authorize Jr Det9SO4 (Subcontracto' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. It is the homeowner's responsibility to close out this permit by contacting their municipality at the completion of this work. /-D � K , DocuSiigneedby,: t AN6 11/2/2020 1 4:12 PM EST Date RISE Engineering, a Division of Thielsch Engineering, Inc. 60 Shawmut Road Unit 2 I Canton, MA 02021 339-502-6335 www.RISEengineering.corn t4:i COMMONWEALTH OF MASSACHUSETTS DEBRIS DISPOSAL AFFIDAVIT Town of , Massachusetts IN ACCORDANCE WITH THE PROVISIONS OF MGL Chapter 40, Section 54, A CONDITION OF BUILDING PERMIT NUMBER IS THAT THE DEBRIS RESULTING FROM THIS WORK SHALL BE DISPOSED OF IN A PROPERLY LICENSED SOLID WASTE DISPOSAL FACILITY AS DEFINED BY MGL Chapter 111, Section 150A. Brattleboro Salvage 437 Vernon St. Brattleboro, VT DISPOSAL/DUMPSTER FIRM /1 /i(i.sti/AX ArAe-154.^ A0 CONSTRUCTION SITE ADDRESS 2y' PU4a SIGNATURE 0 PERMIT APPLICANT r N 23 DATE 0 g c a , y iiF -,e t" ' _. ' 6 �m L . J O O 5 iii, = A LL z 0 co =tu THE COMMONWEALTH OF MASSACHUSETTS ,lip v Office of Consumer Affairs and Business Regulation U 1000 Washington Street - Suite 710 Boston, Massachusetts.;£12118 Home Improvement Contr at " egistration 1 t f:. k `;Type: Corporation Li fa c & i. ;. f teg tion: 156686 iR S g JP GEORGE&SON INCE °^ b �'w 64 HAYWOOD ST Ex�i tion: 07/24/2025 @ e e d GREENFIELD, MA 01301 _„' t, I. a Ay '�}4 «ate I.g e . �i C Update Address and Return Card. c2 •_C8 t u g w v, 0 • p N•g C C C THE COMMONWEALTH OF MASSACHUSETTS 0 c end T ' : i Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the <°T N a a to HOME IMPROVEMENT CONTRACTOR expiration date. if found return to: a.1. .9.6 ' TYPE:Corporation Office of Consumer Affairs and Business Regulation u N y 1 m t Registration Expiration 1000 Washington Street -Suite 710 w v U i 156886 07/24/2025 Boston,MA 02118 ie a N i JP GEORGE&SON INC I \i\C--- JOSEPH P.GEORGE riZ (per 64HAYWOODSTslA'a1 ilk `v`• GREENFIELD,MA 01301 Undersecretary Not vali wit ut signature * � � w� �� ���������� � IN` 010E°� ��� �m l� uu ���� �w ������ ° ���� �� Data: December l' ZO3l ^� �-~~� `n *° ~ ~~ -~ ° Job Name/Location: 54D»omeroy Street, Easithamp0ocx, MA 01027 Attic knob and tube removal 483-527-3760 KAALic,#22437'A SteeYekott@Gma;|.com BILL TO BobK4arstaU l8LaseUAve. Northampton, K1A01O6O DESCRIPTION AMOUNT Eliminated knob and tube wiring |n attic flooring. Snake, cut in, re feed outlet in living room that was apart of the knob and tube wiring. Snake, cut in, re feed stair way light and switching in front hall. Provide new light at top of stairs, Snake, cut in, re feed porch light with new switch. Snake' cut in re feed Znd floor hall light with new switch. Install light fixture in hall. Install new pull chain light fixture in front bedroom, We cut back as much knob and tube we could reach. There is still some old knob and tube, and old BX wiring in floor of attic. However it is all discontinued, cut at both ends, Pulling all the floor boards wasn't cost effective, Snake, cut in, new porch outlet for 2nd' Floor porch. Total Due: $I'350,08 OTHER COMMENTS - 1.)Total payment(s due within 3Odays, Jj There will beaL5% late fee added for any late payments, 3j We accept cash or checks, 4l Please noake checks payable toStee\e'sElectrical Service, Inc 5) |f you have any questions, please let usknow! Thank �°� business! 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