18C-101 (5) 31 GLEASON RD BP-2016-1253
GIs#: COMMONWEALTH OF MASSACHUSETTS
MapBlock: 18C- 101 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2016-1253
Project# JS-2016-002155
Est. Cost: $5100.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEVEN ZUCCHINO 021356
Lot Size(sq. ft.): 7143.84 Owner: VAZQUEZ JUAN M&JUDY K
Zoning: URB(100)/ Applicant: STEVEN ZUCCHINO
AT. 31 GLEASON RD
Applicant Address: Phone: Insurance:
70 Gleason Road (413) 584-3878
NORTHAM PTONMA01 060 ISSUED ON:4/29/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE FRONT STEPS W/PORCH
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 4/29/2016 0:00:00 $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
o _
File#BP-2016-1253
APPLICANT/CONTACT PERSON STEVEN ZUCCHINO 1 � w
ADDRESS/PHONE 70 Gleason Road NORTHAMPTON01060(413)584-3878
PROPERTY LOCATION 31 GLEASON RD
MAP 18C PARCEL 101 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid o2 3
Building Permit Filled out
Fee Paid
Typeof Construction: REPLACE FRONT STEPS W/PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
BuildinIZ Plans Included:
Owner/Statement or License 021356
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
IV" Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR_ Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health _Well Water Potability Board of Health
Permit from Conservation Commission _Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
Sig ure of Building fficial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning& Development for more information.
' s 'Department use onl
"'`t" "a ►-- of Northampton Status ofL?ermrt �_' "'�
r
Bui ing Department ctrta Cut/priueway'Perrntt
lnr, .y 2 2 Main Street Sewer/septicAvaifaF�itrty
�NTf Room 100 Water/ Ve1CAva�lablhty
ort mpton, MA 01060 11
DET7 F
phone 413-5 7-1240 Fax 413-587-1272 P[of/Site PCans
_.._ _' OtfierSpec�fy '- 3 11 r
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
/, f Map: Lot' Unit
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
ify"`t ry NG jLCr-q ( ,2�°ye Z 31 Oeois°`� ///JJ►►
`o4d
Name(Print) Current Mailing Address:
gnature .
2.2 Authorized Agent:
t"by-1 all'0 ^7 n 94,,i fiaf kVJilhr11A A
Name(Pri Current Mailing Address:
Sys_ ;151
Signat a Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
jo
2. Electrical (b)Estimated Total Cost of
�ff Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) _ �� Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature: _
Building Commissioner/Inspector'of Buildings Date
^ .
Section 4. ZONING AR Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
11iis column to be filled in by
Building Department
Lot Size
Setbacks Front
Rear
Building Height
Bldg.Square Footage F 71
,
Open Space Footage %
(Lot area minus bldg&paved FX-
#of Parking Spaces
(volume&Location)
A. Has aSpecial Perm /Variance/Rnding ever been issuedkn/on the site?
NO �~��� DON7KNOYY YES
IF YES, dateissued:/ �
IF YES: Was the permit recorded at the Registry of Deeds?
NO �~��
/ DON7KN0YY 0 YES C)
IF YES: enter Book Page and/or Document# |
L______-_`__�
�� ��
B. Does the site contain a brook, body ofwater or wetlands? NO �&/ DONT KNOW �~� YES �~�
IF YES, has permit been or need to be obtained from the Conservation Commission?
Needs tobeobtained /~� Obtained �~� Date
! '
\_� �~/ ' ' i
��
C. Do any signs exist on the property? YES v�� NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,gradingexcavation,urfilling)over 1acre orisitpart ofacommon plan
�hu(nvi||disbdbover1acva? YES > NO K�A
' ^�, `~�
|FYES,then oNorthampton Storm Water Management Permit from the DPW iorequired.
^ ''
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [ ] Siding [0] Other[0]
Brief D cription of Prop sed �J // ,.��fJ -
Work:J<ea..s•.. c2�C i 1?,.1 C_a'K c<<{�. (11.4 ('[tpi 1'1 1 e t lk+_ 1W A I/VI A f c
Alteration of existing bedroom Yes_ No Adding new bedroom Yes _No
Attached Narrative X Renovating unfinished basement Yes No
Plans Attached Roll -Sheet �(
6a. If Mew house and:or addition to existing hou�inq, compiete the following:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new const r ction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
1. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR,BUILDING PERMIT
IO`,h <Nc �uYi� �Cy Z�VQ Z. as Owner of the subject
prope y !,
hereby authorizePIJ�'h
to act on my behalf, in II matters relative to work authorized by this building permit application.
f
Si ature of ner Date
2ucc III" as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
'Signed under the pains and penalties of perjury.
.0vEc_C ;wC)
Print Na
kk� L0111t. l'l )-Jl
Signa re of Owner A e t Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable £
Name of License Holder: J 2LIKr) CS"- 090T, -
License Number
to ,L, 31/;JI 7
Address L Expiration Date
Signa ure Telephone
9 Registered Home'ImpFovemerit Contractor Not Applicable £
00
Company Name Registration Number
5ei
Address Expiration Oate
Telephone
SECTION 10-WORKERS'COMPENSATION 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...... £
11. -.Home Owne11-Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the buildinLy permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,von may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature.
The Commonwealth of Massachusetts
Department of Industrial Accidents
J.
Office of Investigations
600 Washington Street
Boston, MA 02111
4 ,.• www.naass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
Address:
City/State/Zip: Phone #: //3- 1�7S- ),)[ST
Are you an employer? Check thg appropriate box: Type of project (required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. E] New construction
2.1X I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. E] Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.❑ 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
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners 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:
Policy#or Self-ins. Lie. #: Expiration Date:
Job Site Address: City/State/Zip:
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 certifyptider the pains andpenalties ofperjury that the information provided above is true and correct.
Si ature: Date: 02 14ic
Phone#:
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
City of Northampton
�,{ ,• k y, S S.. s/C.
Massachusetts
.✓`t Y DEPARTMENT OF BUXLDING INSPECTIONS
212 Main Street • Municipal Building
y Northampton, MA 01060
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioners
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
he/she resides or intends to be, a one or two family dwelling, attached or detached structures
accessory to such use and/or farm structures. A person who constructs more than one home in a two-
year period shall not be considered a home owner."
The building department for the City of Northampton wants any person(s)who seek to use the home
owner exemption, to act as their own construction supervisor, to be aware that by doing so you
become responsible for compliance with state building codes and regulations. The inspection
process requires that the building department be called to inspect work at various stages, which include
foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection
(before work is concealed), insulation inspection (if required) and a final building inspection _
The building department requires these inspections before the work is concealed, failure to secure
these inspections can result in failure to obtain a certificate of occupancy until the work can be
inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be
responsible to make sure that the trades hired secure their proper permits in conjunction to the building
permit issued, and that they get their required inspections. Failure of the individual trades to secure
the permits and inspections as required can DELAY the project until such time as the proper permits
and inspections are made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
t
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:
The debris will be transported by: _ SffV-,, 2vcc- 41 ►'b
The debris will be received by- ae k
Building permit number:
Name of Permit Applicant j610A,, Z(Icc_
Date Signature of Permit Applicant
4/24/2016 Steven Zucchino
70 Gleason Road
Northampton, MA 01060
413-575-2258
Const. Supervisor Lic.#21356
HIC# 100199
steve.zucci@comcast.net
Juan and Judy Vazquez
31 Gleason Road
Northampton, MA 01060
586-6707
Proposed project-
Remove and dispose of existing concrete steps from the front of the house.
Build 15'x 5'4" new open porch where concrete steps had existed as per attached plans.
Build 4'x4' landing to tie new porch to existing walkway as per attached plans.
Build 1' wide plant shelf around the new porch perimeter on the north and west side
at an elevation equal to the new landings height as per attached plans.
New construction to be made entirely of southern yellow pine pressure treated lumber.
Remove all construction related debris.
Provide for all permitting and related inspections.
No painting, staining, clear coating or landscaping is included.
Permitting and plans- 150.00
Debris removal- 100.00
Materials- 1000.00
Labor- 3850.00
Total cost- $5100.00
Payment schedule-
In advance of permitting- $1500.00
Upon completion- $3600.00
Juan Vazq , Ju y Va46e
Ste)(e)Zucchino
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