24D-217 (4) BP-2024-0004
7 PERKINS AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-217-001 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-2024-0004 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 5200 J P GEORGE AND SON INC 099372
Const.Class: Exp.Date: 02/11/2025
Use Group: Owner: TOUSEY JOYCE A
Lot Size (sq.ft.)
Zoning: URC Applicant: J P GEORGE AND SON INC
Applicant Address Phone: Insurance:
64 HAYWOOD ST (413)774-3604 4220066477
GREENFIELD, MA 01301
ISSUED ON: 01/03/2024
TO PERFORM THE FOLLOWING WORK:
INSULATION AND 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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
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.Seer t^ 1pI L. 1-3* F�- utr.. ft
r"--------clr" —1 The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
° v i j' Massachusetts State Building Code,780 CMR MUNICIPALITY
rn
c _ USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
o �' One-or Two-Family Dwelling
This Section For Official Use Only
`,2,
o CI .fi' Dnikt ng 'Nwnber:..III- ,t (X 2'f .. I Date lied:
L_I____L____,(d__________ _____IZZ_______,__,__:_,L. /-3-zo-zq.
_. u *, Name
)Official(Print. Signature lbate
SECTION 1:SITE INFORMATION •
1.1 Property Address;i 0 �/ 1.2 Assessors Map&Parcel Numbers
Pr-
'7 ' /t1' S /1&4e rf'hi: n'' /
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 0 Private 0 — Click if yesfl Municipal Cl On site disposal system Cl
• .SECTION 2 PROPERTY OWNERSTIP', -
2.1 ,owner'of Record:,f0y(f TOtkst. L1 (/(/)--fI'r1r,,IEI4, ^ MA OEO&>
Name(Pint) / City,State,ZIP // 1
7 Per k rnS A11-( 5//3 3 g7c / (-' tv GI J(' /0 fir:i tC/1.7
No.and Street Telephone ,J Email dress G/
SECTION 3:DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Construction Cl Existing Building Cl Owner-Occupied 0 Repairs(s) Cl 1 Alterations) 0 Addition 0
Demolition Cl Accessory Bldg.Cl Number of Units Other Cl Specify:
Brief Description of Propo ed Wore: /' • , / C y i c : •,'u1/' 7
0.'+ rC, i
SECTION 4:ESTIMATED CONSTRUCTION COSTS.
Estimated Costs:
Item (Labor and Materials) Official �
1.Building $ 5^2 L) 6 1. Building Permit Fee:$ ._ Indicate hen,fee is determined:
2.Electrical $ Cl Standard.City/Town Application Fee
0.Total Project:Cost3(Item 6)x tnaltipliec x
3.Plumbing $ 2. Other Pees: $
4.Mechanical (HVAC) $ List
5.Mechanical (Fire •
Suppression) $ Total All Fees i/IC,�1 -) Check No. 1 A° k •
Amount: t_(— Cash'Amount:
6.Total Project Cost: $
Q Paid in'Full D Outstanding Balance Due:, - ,
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor(7etsfce__
License(CSL) OIL 6614 37 +� 07-`1-a$
' o e44 Lice77nse Number O` Expiration Date
Name of CSL Holder 4,15P-IX.
Vi wood 1frk List CSL Type(see below)
No.and Street Type Description
e_\d tit k 0 ,30 i v Unrestricted(Buildings up to 35.000 cu.ft.)
Gce. IR Restricted 1&2 Family Dwelling
City/Town,S .te,Z I' M Masonry
A , RC Roofing Covering
' WS Window and Siding
SF Solid Fuel Burning Appliances
613) 5511616 • i a•e�I�� k•cor1 I Insulation
`Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) /5-/ / &EI i�J Q ..a•s
�O b
UT. Cs'e c 4...Son +T. itL• HIC Registration Number Expiration Date
HIC Companyjiame or HIC Re istran ame
64 o,yw t J cP mfe e. tV014 epviioeK•�w1
No..and Street Email address
e .41Ae.1d C4ti3) 53 i t o7 6
City/Town.State,ZIP Telephone
SECTION 6:WO RS' O SATION 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 it No ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR t �
APPLIES- FOR
BUILDING PERMIT
V I,as Owner of the subject property,hereby authorize 4 -Q► 1 Gee)
to act on my behalf, in all matters relative to work authorized by this buil mg permit applica ton.
fa ( -e aS( 5ee- -Asked la/as/3 3
Print Owder's NameTO
ectronic Sig is e) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest wider the pains and penalties of perjury that all of the information
contained in this application is true an ac urat to the best f in owledge and understanding.
JJs,e�d, Ceice k . , jD %3
Print Owners or Authorized Agalt's a(E tronic Signatur 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"
�. The Commonwealth of Massachusetts
4w....
_ Department of Industrial Accidents
9 �' Office of Investigations
'1
fi /� Lafayette City Center
T
t, 2 Avenue de Lafayette, Boston, MA 02111-1750
'2.-.e, WWW.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Auulicant Information Please Print Legibly
Name (Business/Organization/Individual):JP George & Son Inc _
Address:64 Haywood St
City/State/Zip:Greenfield, MA 01301 Phone#:423-774-3604
Are you an employer? Check the appropriate box:
contractor and I Type of project(required):
1.0 I am a employer with 5 4. ❑ I am a general
employees (full and/or part-time).* have hired the sub-contractors 6 ❑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. ❑ Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.: g [2] Building addition
required.] 5. [] 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.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no INSULATION
employees. [No workers' all Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill 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.
tContractors 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:Arbella
Policy#or Self-ins. Lic. #:4220066477 Expiration Date:8-1-2025
n ,
Job Site Address: 7 h'rt'h 5 A Lt City/State/Zip:, %/f i,rh1pfo.') 4 4D i p6C
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 certify under t e ,i. and penalties of perjury that the information provided above is true and correct.
fro
Signature: r "I/c Date: /.2/;Jam/?3
Phone#:
413-774-3604
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(check one):
10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5E'9umbing
Inspector 6.0Other
Contact Person: Phone#:
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THE COMMONWEALTH OF MASSACHUSETTS U v
Office of Consumer Affairs and Business Regulation , l
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration ,
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y
fi
Type: Corporation ;-
JP GEORGE&SON INC .K` • � ' . ' Registration: 156686 v +: a°'
64 HAYWOOD ST
.� Expiration: 07/24/2025 $ o
GREENFIELD, MA 01301 "':: .• = e
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x 4,,s El i;
" Update Address and Return Card. g c E z a e 1
C y • V y N t
5 ip
C m a N O s h
THE COMMONWEALTH OF MASSACHUSETTS C N.E
Office of Consumer Affairs&Business Regulation Registration valid for individual use onlybefore the O ° Qi�`� t i
ii c
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: ,4ci p-
TYPE:Corporation Office of Consumer Affairs and Business Regulation o-I-1 g�
Registration Expiration 1000 Washington Street -Suite 710 in 3
156686 4,, 07/2412025 Boston,MA 02118 (..1Vtv
to1
JP GEORGE&SON INC x i
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JOSEPH P.GEORGE ',s r cr- �N F A.
, � ' cR-14
64 NAYWOOD ST - ,a .1, s� '`GREENFIELD, MA 0130i .9 . •
Undersecretary Not vail wit ut signature
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V
COMMONWEALTH OF MASSACHUSETTS
DEBRIS DISPOSAL AFFIDAVIT
Town ofArMe. T.---ion, 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
7 P2rh,'s AN ,A/0 fl/Jcilli /d 1 '4
CONSTRUCTION SITE ADDRESS
LI;u-0,1/1, P
�/ 6rd
SIdNATURE OF PERMIT APPLICANT
i)/�4-/33
DATE
rAik
mass save
Savvvas througN energy effrti etc°!
PERMIT AUTHORIZATION FORM
I, Joyce Tousey owner of the property located at:
(Owner's Name)
7 Perkins Avenue Northampton
(Property Street Address) (City)
hereby authorize the Mass Save Home Energy Services Program assigned Participating
Contractor to act on my behalf and obtain a building permit to perform insulation and/or
weatherization 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.
Owner' gn re
Date
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor
to the above referenced project:
Participating Contractor Date
From: Facilitated Services(Abode Energy Management)
Sent: Thu 11/30/2023 2:08 PM
To: Project CoordinatorsMA;facilitatedservices@abodeern.com
Subject: Facilitated Services: Electrical Roadblock Cleared for Joyce Tousey
Attachments: Jeff-Ledoux.pdf
Hello,
The Electrical roadblock has been cleared for the customer below via the Eversource Mass Save®
Facilitated Services Program. The completed Electrical PWBI Form is attached to this email. Please let us
know if you have any questions or need additional support with this project.
Joyce Tousey
7 Perkins Ave
MA,01060
Project ID: 550008
Best.
Abode Energy Management- Facilitated Services Team
facilitatedsei-vicesgabodeem.corn
339-707-0918
AbodeEM.com
Mass Save@ Facilitated Services: Electrical Pre-Weatherization
CUSTOMER INFORMATION
Customer Name Joyce Tousey Client#or Site ID: 550008
Site Address: 7 Perkins Ave City: Northampton State: MA ZIP: 01060
Phone Number: (413) 387-5221 Email: jatouseyl@gmail.com
ELECTRICAL BARRIERS
(To be filled out by the licensed contractor)
Roadblocks identified at home energy assessment:
K&T wiring Recessed lights
Knob and Tube Wiring
To determine if there is any active knob and tube wiring,the contractor will evaluate the following areas where eligible Mass Save®
weatherization recommendations have been made.
ri Attic Floor Attic Wall Attic Slope Exterior Wall ei Basement
I have performed my inspection and determined there is no active knob and tube wiring in the areas selected below:
Attic Floor Attic Wall Attic Slope Exterior Wall Basement
Recessed Lighting IC Sign-Off
The contractor will evaluate the number of recessed lights in the following areas identified by the Home Energy Specialist
Company Name: Ron Desellier, Electrician
Contractor Name: ronald r desellier License Number. 39916e
Contractor Signature Date: Thursday,November 30,
2023
My signature confirms that I have performed my inspection of the electrical systems listed above and have corrected any barriers as
indicated. My signature also confirms that I have read and agree to the Terms and Conditions outlined when submitting this form.
a ode