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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 lr1✓ 'O 1=+1 f}FFit7tiot7' .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#: I f, a § a i1y `A / . i. as Mieiaaillt, 0., ...ii 0a i - . y � M - � .0 'fi s .. MJ5:0 y �7} IE o W co .DrO . n " 12 `' elW a - j cW to Em c o � Jd•CD E 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 , • 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 1 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 xP*, ' j } 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 k I 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