Loading...
18C-141 (45) 680 BRIDGE RD-57 FIRETHORN BP-2017-0938 GIS ft: COMMONWEALTH OF MASSACHUSETTS Map:Block: 'Sc- 141 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2017-0938 Project# JS-2017-001600 Est.Cost: $11000.00 Fee: $72.00 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: 680 BRIDGE RD - 57 FIRETHORN Applicant Address: Phone: Insurance: 205 PARK ST (413) 535-9529 0 WC EASTHAM PTO N MA01027 ISSUED ON:2/10/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:CHANGE UNINSULATED 3 SEASON ROOM INTO INSULATED LIVING SPACE 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 2/10/2017 0:00:00 572.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0938 APPLICANT/CONTACT PERSON MARK BONDE ADDRESS/PHONE 205 PARK ST EASTHAMPTON (413)535-9529 0 PROPERTY LOCATION 680 BRIDGE RD-57 FIRETHORN MAP 18C PARCEL 141 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paidill r2 Building Permit Filled out Fee Paid Typeof Construction: CHANGE UNINSULATED 3 SEASON ROOM INTO INSULATED LIVING SPACE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 67758 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQRMATION PRESENTED: V 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 Demoliti•• s ela or ,410/ a -/O_ij Sfr rBui ding 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 orgy City of Northampton Status of Penh: 1. o Building Department Curb Cut/Driveway Permit 212 Main Street Sever/Septic Availability Room 100 Water/Weil Aiy Northampton, MA 01060 Two Sets of Structural Plans -------" �' phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Speciy APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Prosody Address: .I-ASHRC'p Q,MMONrt 57 ht 2E tHD ^iG Map Lot Unit ` Zone Overlay District t`,}&cn-iMj mese.District CB o4Met SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 21 Owner of Record: L.p , Ii . is �)'Y1 --eai SSE t l Bt2ooG L_pt Nam Print) CMMIS • I Mitt Current Mailing Address. r hlt3 i3 3�tf �C • elephone 5 re 2.2 Authorized Agent: 1114 ACK rKitW Los Sr?Ala E4bnwiPiw Name(Print) Current Mailing Address. t c�•� t rr _`v `-13 Sjg.6- c3sJ24 Signature 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 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection �q 6. Total=(1 +2+3+4+5) t tiNNr)0?) Check Number 4)/a3. , This Section For Official Use Only Date Building Permit Number Issued: Signature: Budding Commissionertlnspector of Buihdngs Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L. R. L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) It of Parking Spaces Fill: (volume&Location) A. Has a Special Pemtit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO a- DONT KNOW O YES O IF YES, has a permit been 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 O NO lJ' 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 ©— IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition Replacement Windows Alteration(s) — Roofing Or Doors Accessory Bldg. Demolition New Signs ( I Decks [ I Siding f ] Other GA-- Brief Brief Description of Proposed _... Work:CNIAMt f_ t NI05 w.1E2 3 :501/444 4.1 T ti . TM ro h4u1A'r a, Lr kl4N o- r;PAGE;CLEO; 4494T WitJtav5, peasers rapt Nc–. Alteration of existing bedroom Yes„No Adding new bedroom Yes V No Attached Narrative Renovating unfinished basement Yes Plans Attached Roil -Sheet ga.If New house and or addition to existing housing.complete 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 construction._ 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 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, r.Ir.r.S 44.I+iZ as Owner of the subject property hereb authorize t-lOe /cµSTE''Lt{0 IL) to n my behalf, in matters relative to work authorized by this building permit application. Signature of Owner Date N4A21<:-FV,t"I V r ,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. Ipak earaWE Print Name f 2- 9- i 7 Signatu of 0 er/Agentate SECTION 8-CONSTRUCTION SERVICES J )},1 Licensed Construction Supervisor: Not Applicable p^�'—/ Name ea Ucntea Felder Lkt. \c l.tt}F .. Li. tat • t t a License Number ins }�'- ek 4T —rcusemPTnL qA tGEtz22Q 1-2-1s Address E,fletion Date • ‘linkfLerk. ' rn t&Q 413 574-717. Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable El rS �F t }ttcra )(tic)si 15902.2 fS ee-r Company Name Regisira ion Number a.crs tPS< tr. •gni-1-4 sArres.1 I4A (ter—"Z.-1"7 Address Expiration Date Telephone 413 5-29'vih 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.. (9� No ❑ 11. - Home Owner 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 dots not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.11 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 borne 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 building 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,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 ,_., 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: 57 -f roc I Noykl LME The debris will be transported by: A_Tv tr IJATIUE trcrWC r )AJr. The debris will be received by: VAt V6`f tEw .ic.- Building permit number Name of Permit Applicant 1-11114-12.A* ` t- r Z `1-11 ` a--it =7""<,F' Date Signature of Permit Applicant Z\ The Commonwealth of Massachusetts ra— Department of Industrial Accidents =r � Office of Investigations �;'�I—= I Congress Street,Suite 100 ..3/4 .entBoston,MA 02114-2017 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly • Name (Business/Organization4ndividual): junc s Address: ,>20 5 2k �%. City/State/"zip: eaz„-1citdprom , title CND 2.7 , Phone#: 1113_ 'Z9 7.17 is Are you an employer?Check the appropriate box: Typeof project 1. ant a employer with Z- 4. [] I am a general contractor and 1 (required): employees (full and/or part-time).` have hired the subcontractors 6. 0.N,�e�w construction 2.0 1 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 working for me in any capacity. employees and have workers' [No workers' comp, insurance comp. insurance.[ 9. 0 Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing 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 employees. [No workers' 13.0 Other-. comp. insurance required.] *Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such. teonhactors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. U 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: 'i cosyet-f 25 4--119 5. _ Policy#or Self-ins. Lic.k 313 O{ ic5 $`3 U r Expiration Date: 3 - 13 - I7' 1 Job Site Address: S7 Y't 2$fll4m ^>_J [.Ana E I „_. City/State/Lip:��rt;a s•rrmiy. 'MPDIO4 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 the pains and penalties of perjury that the information provided above is true and correct. Sitature 41,. % ! t.s..n ............ DateZ 7-17 ...... Phone#: t-I13 cz9- Zi7f„ ........... ......... 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): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone k: RA G ;N,SO4E6 ff Kw/cis-v-4 C V/Y evC6m3-c y 0 /I Y7 s. Ow s ! E(l )ty of Northampton — luilding Department Plan Review 212 Main Street “•nhhampton. MA 01060 INSULATE WALLS R-2 D L \ EXISTING GARAGE �\ ` INSULATE CEILING 2 J \ RIGED INSULATION ON FLOOR \ 8'X12' EXISTING AIR SEAL FLOOR AND CEILING LIVING ROOM 2X6 WALL STUDS - 1 1 ANDERSEN WINDOWS .28 U FACTOR 7 \ 1/2" SHEETROCK ANDERSEN SLIDER •28 U FACTOR VAPOR BARRIER 1/2" PLYWOOD HOUSE WRAP BONDE CONSTUCTIDN / LATHROP COMMUNITIES 413 535-9529 j 57 t-k' r (Hock) 4-Ank-