18C-141 (44) 23 CRABAPPLE LANE-680 BRIDGE RD BP-2017-0299
GIS 9: COMMONWEALTH OF MASSACHUSETTS
Map- Block: 18C- 141 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Categorv: KITCHEN RENO BUILDING PERMIT
Permit# BP-2017-0299
Project# JS-2017-000501
Est. Cost: $10000.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: MARK BONDE 67758
Lot Size(sq. ft.): 1497897.72 Owner: LATHROP COMMUNITY INC
Zoning: Applicant: MARK BONDE
AT: 23 CRABAPPLE LANE - 680 BRIDGE RD
Applicant Address: Phone: Insurance:
205 PARK ST (413) 535-9529 0 WC
EASTHAMPTONMA01027 ISSUED ON:9/7/2016 0:00:00
TO PERFORM THE FOLLOWING WORK: OPEN KITCHEN WALL AND HEADER AND
REMODEL KITCHEN
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 ft 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 9/7/2016 0:00:00 $65.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck-Building Commissioner
File u BP-2017-0299
APPLICANT/CONTACT PERSON MARK SONDE
ADDRESS/PHONE 205 PARK ST EASTHAMPTON (413)535-9529 O
PROPERTY LOCATION 23 CRABAPPLE LANE-680 BRIDGE RD
MAP I8C PARCEL 141 001 7.ONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMPT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid —r-- • I f s
Bujldinp Permit Filled out
Fee Paid
Tvpeof Construction: OPEN KITCHEN WALL AND HEADER AND IIEMODEL KITCHEN
New Cons ctiofl
Non Structural interior renovatipns
Addition to Existing
Accessory Stmcn re
Building Plans Included:
Owners Statement or License 67758
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
_,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
Signature of Building Official 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.
Department use only
City of Northampton Status of Permit
b Atm Department tmt. r aisetilsetwy Rayne •
212 Main Street Seserrseptic Ara l:aty
Roam 100 watldfwep Avai t gty
Northampton, MA 01060 Two sets at Structural Plans
phone 413-587-1240 Fax 413-587-1272 PIoVSile Plans
Omer specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 /mpg:
TMs section to be complemd by office
1p90 B11211>c--E - -. Map lot Unit
r p€ tp TZ�1.1 y-PPLE 10--64 14 A Zone OverMy Dler,rct
Gm St.District Ca DIWId
SECTION 2-PROPERTY OWNER9IP/AUTHOWZED AGENT
2.1 Owner of R1rprd:
‘1.41.141Z-OP IVYJnu►Ju1N 'L1[ ICY) ssrY-c lmile t I ETbN
Name(Print/ Curren McTnghiAen:
ep
y3s-Gszy
Telephone
Stratum
32 AtehretAtd AOS:
I-IA-a-k 10100,JDE -2.e5 ?Ara_ ST -.) goal-HA-1u Crryt11
Name Win) ^ Curets Wang Address;
/ ' I &ON • ] r dkil� ,-I 0 53c- 5 51
Sigreeae ` Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Extirpated Cost(Oaken)to be Official Use Only
corrrplalad by petrel applicant
1. Building (a)&klding Pe mit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Bulsdng Permit Fee
4. Mechanical(HVAC)
e Fie Protection /
B. Tote1=(1 +2+3+4+5) r b OS — Check Number (�St/5- ti{i's
This Section For Official Use Only
Dole
Building Remit Number Issued:
Signature:
Bulking Co.niSneclrepedr of mean ttrw
Stt' _ 6 ZOiy ; I
DEPT.OF BUILDNG INSPECTIONS
NOPY.tAM7IC\.MA CIC!., 1
SECTION S-CONSTRUCTION SERVICES
S t Llgtogd Cottathnian Stlpervfabf: Not Applicable ❑
NameolucenaaHcJ m: St C •
License Number
Address Expiration Date
Signature Telephone
t RenialonJlHoma imnrovanent Cotttracmr. Not Applicable 0
uta. 1. - c. n ► .'5.�:
g2filpgailigi a Registration Number
_ r _ f S *5—, --17
A.dress Expiration Date
• se L.. . '` v" t _ Telephone ;13 Cel-tri.
SECTION 14 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MAL v.152,§25C(6))
Workers Compensation Insurance affidavit must be comp/mad and submitted with this app cation, Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes O- - No 0
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owneroccuaied 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 sets
as supervisor.CMR'/SS. Sixth Edition Section 1e3.3.5.1.
DefWtiea of Homeowner Person(s)who own a parcel of land on which hetshe resides or intends to reside,on which there
is,or is intended to be,a one or neo family dwelling,attached or detached structures accessory to such use and/or farm
structures.A Denten whose/minds more than one home in a two-vear aerial shah not be considered a homeowner.
Such"homeowner"shalt submit to the Building Official,on a form acceptable to the Building Official that height shall bE
resvonsibk(or all such work performed wader the buntline Hermit.
As acting f:orrerreettert Spoervisor your presence on the job site win 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, You 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
ECEIVED
err
�nr an0.n:—6 2016 Ijjl
NU:NAPECnUNS
NUR-HAMPTON MA OIC6p
SECTION 5-DESCRIPTION OF PROPOSED WORK(check a1 audlnbN)
New Nouse ❑ Addition ❑ Wdeoeme ndowe Alv.Non(e) [Dr RooR'y 0
Or Goon lJ
Accessory Bldg 0 Deoolllbn 0 New Signs Fa Dens ® Siding Ill Omer(CI
Brief • .:.• •;... of Proposed OnEN {Gr'ttsa,L WP
._„__
Wo -_ �_ __
rt' �—_ __.___-�_[__. et)
Alteration of vesting bedroom Yes t/No Adding new bedroom Yes ✓No
Attached Nenelre Renovating unfinished basement Yes ✓ 1f'o
Plana Attached Roll -Sheet
ea. If New house and or addition to editing housing. complete the following:
a. Used building:One Fatuity Two Family Other
b. Number of rooms in each fainly unit Number of Bathrooms
c. Is there a garage attached?
d. Proposed Squan footage of new construction. Dimensions
e. Number of donee?
( Method of heating? Fireplaces or Woodsloves Number of each
g. Energy Conservation Compliance. Masscnedc Energy Compliance Conn attached?
h. Type of construction
i. 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 Zanirg regulations? Yea`No.
I. Septic Tank_ City Sewer Private well_ Cly water Supply
SECTION 7a.OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLES FOR BUILDING PERMIT
'priQ, F -
Ni'N' ( IZ es Owner of the subject
hereby authorize NA AeK •e -aE
toed . behalf,in aft retells!, au
to wort bwrirnd by this building permit application
I `l l: Y
-. ,gwl,A Dee • _
1, Msek. fs. es OwnerlAuthoriad
Agent hereby Hider,that the statements and information on the foregoing eppfic ation are true and accurate,to the best of my knowledge
and bel1ef. RECEIVED
Signed under IM pails and pennies of perjury. l
Molest r ,kn� —62016 I
Print Name ( ,,r
�n�._ r / r> ¶511 bEV Or&NIFT:3WIA^, tis
Iy t SNR C M1AAY J t N OFBkr nit
SIWWan ' 0 IAgelt Dale
Sectlin 4. ZONING Al Information uu t es Conpleted. Permit Can Be Dried Due To Incomplete Information
Existing Propceed Required by Zoning
This column to be filled in by
Building Rparmlml
Lot Size
Frontage
Setbacks Front.
Side L R L.:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage 4
(t rt aims mints hide&pared
parting)
S of Parking Spacxa
FM
(volume&Uration)
A. HasaPermit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 0 YES 0
IF YES,date issued:
IF YES: Was t it recorded at the Registry of Deeds?
NO DONT KNOW O YES 0
IF YES: enter Bode Page and/or Document A
B. Does the site contain a brook, body of water or wetlands? NO ICIK-ootrr mow O YES 0
IF YES, has a permit teen or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES 0 NO V e
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO G<
IF YES, describe size, type and location;
E. Will the construction aclivity disturb( ring,grading, on,or filling)over s erre or is it part of a common plan
that will disturb over I acre? YEE NO (J
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
The Commonwealth of Massachusetts
Depanmenf ofIndustrial Accidents
Ian —:`F Office of Investigations
r; , 600 Washington Street
j'li - Boston, MA 02111
•///� rvrvrr.mussgovfdr'u
Workers' Compensation Insurance Affidavit BuUders/Contractors/Eleclricians/Plumbers
Applicant Information Please Print Legibly
Name(Bllmegeorgau re owbdisahnl): Ronde Construction
At:Wrens: 205 Park Street �...
City/State/Zip: Easthampton,MA 01027 Phone*: 413-529-2176
Are you an employer?Check the appropriate box: Type of project(required):
1.0 1 am a employer with 2 4. D I am a general contractor and I 6. ❑New rarrsrmctioa
employee(full aad/a put_ihne • have hired the sub-contractors
2.❑ f am a sole papthmut a puma-
These
013 die attached slices 7. Q"12emodeting
Thcat sub-contractors have
ship and have no employees 8. 0 Dmolition
for mem ci employees and have workers'
waking any capacity. cow_ insurance) 9. 0 Building addition
[No workers' camp. insurance
required.) - 5.❑ We area corporation and in 10.0 Etocnical repairs or additions
3.❑ I am a homeowner doing all work olruers have exerused their 11.0 Plumbing repairs or additions
myself.No waken'comp. • right of exemption per MGL li❑Roof repairs
innrnas requuedj r c. 152,§B4),and we hive no
employees.No workers' 130 Other
comp.insurance required.)
'way applicant M thanks t t II me ho PI as de mono Saw beaog Pith viorlxn'mrf®tw pricy i.bawoui
'Iamb ma,aye morin this amdarit ixeaUing Serif;doer.W omit and In hits outside enaadaa roar whirl.eaarta.it indicating ode.
'Cuaacma rho Sete dri4 In roe enrhd m tddidnai art booing the oars Olde nal cwrmmar rM aloe Main error owe entities Ilan
=Mom: Yat elaeoaocfm base etpbna,day tag pima bad Yoram'curry.poloy mita.
—
I am an employer that it providing workers'rnpenredon insurance for my employes Below it the policy and job site
information.
Insurance Travelers'Insurance
ance company Name:
Policy#or Self-ms.Lic.ih. 3B985388UB poen mak. 3/13/20 ry
Jub Site Address: .._,City/Smo-l2ip: 015W
Attach a eopy of the workers'compensation policy declaration page(chowlag the polity number and expiration date),
Failure to secure coverage as required undo Sectiou 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
6ne up to 51500.00 and/or ore-bur imprisonment,as well as civil peruldes in the Form of a STOP WORK ORDER and a fine
of up to 5250.00 a day against the violator. Be advised that•copy of this statement may be forwarded to the Office of
Investi• .'ons the DLA for:2- , coven:e verification. _ _
I dr hereby ' under LIZ pains wad penalties ofperjary that rhe information provided above h true and correct.
Sie+ragsc r 0t — Dae: ^5_[ sm
Phox q 413-529-2176
r j , use only. Do not write in this arca,w be completed by coy or town offscL2LrI
City or Towo: Permit/license 1/ j
Issuing Authority(circle one):
1.Board ofItealth 2.Building Department 3.Cllyfrown Clerk 4.Electrical Inspector 5,Plumbing Inspector
6.Other
Contact Person: Phones:
" - ./¢s ole,a,K 971.E
/� - 4/
City of Northampton
Building Department
Plan Review
. - 212 Main Street
Northampton, MA 01060
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