18C-141 (51) 680 BRIDGE RD-6 ASPEN LN BP-2019-0035
GIs k: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18C- 141 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cacgorv' Porch Enclosure BUILDING PERMIT
Permit# BP-2019-0035
Project JS-2019-000030
Est Cost $15000.00
Fee' $98.00 PERMISSION IS HEREBY GRANTED TO.-
Const.
O:const.Class: Contractor: License:
Use Group: MARK BONDE 67758
Lot size(sa.ft.): 1497897.72 Owner: LATHROP COMMUNITY INC
tonin : Applicant.- MARK BONDE
AT. 680 BRIDGE RD - 6 ASPEN LN
Applicant Address: Phone: Insurance:
205 PARK ST (413) 535-9529 n WC
EASTHAMPTONMAD1027 ISSUED ON:7/9/2018 0:00.00
TO PERFORM THE FOLLOWING WORK:FRAME AND INSULATE 8X12 PORCH AND
REPLACE KITCH CABINETS
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 7/9/2018 0:00:00 598.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-0035
APPLICANT/CONTACT PERSON MARK BONDE
ADDRESS/PHONE 205 PARK ST EASTHAMPTON (413)535-9529 Q
PROPERTY LOCATION 680 BRIDGE RD-6 ASPEN LN
MAP 18C PARCEL 141 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T eofConstruction: FRAME AND INSULATE 8X1 OR D REPLACE KITCH CABINETS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine Plans Included,
Owner/Statement or License 67758
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF(NYMATION PRESENTED:
_Approved_Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate ProjeM: 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
Dem ition Delay
k-Signaturrof Building Offrci Date
Note: Issuance of a Zonin 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:
Building Department Curb Cut/Ddvewsy Permit
212 Main Street Sewer/Sejubc AvaNebildy
Room 100 Waterl Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413587-1272 Plovsite Plans
Other Speciry
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION b(J. j q-3 j
1.7 ProoerN Atldreea:
This section to becompleted byofgce
��
{o QS� +–A WE Map C LotUnit
.Ion"PV- ...\,0A, Zone Overlay District
�Y F'��^" am at District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner o1 Record:
14yT141 .p?F ( vnn Mty} tT19 (Db a66SF-cr
Name(Print Currentiling MaAdtlrese
NI
kj Telephone
Bigs
2.2 Authortaetl Anent:0 ^
PCCA<— tV 7G „70S 1'ADL S.. , �ftiS�f-IIkNP'RvS
Name(Prw)n Current Mailing Acidness.
nr� h��6 Ods Telephone 72G-Zil to
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Oficial Use Only
completed by pennit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Feen// 7
4. Mechanical(HVAC) [ (/
5.Fire Protection
6. Total=(1 +2+3+4+5) Z"J Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Nnu
Buiklirg Co wooner/Inspector of Buildings R E C E
Da e
JUL - 6 2018
L
rnmi,Un,",O° 115rPFc,TiONS
Section 4. ZONING All Information Mus[Be Completed.Permit Can Be Dented Due To Incomplete Informatlon
Existing Proposed Required by Zoning
This column to be filled in by
Building Deparm ent
Lot Size
Forma e
Setbacks Front
Side L R: L' R:
Rear
Building Height
Bldg Square Footage
Open Space Footage
(Int sme minus bldg&paved
#of Parking Spaces
Fill:
vomme&lncaVioo
A. Has a Speciat Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O/ YES O
IF YES, date issued:
IF YES: Was the permit recorded at theRegist of Deeds?
NO O DONT KNOW Er YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO &�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 (D
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 a
IF YES, describe stze, type and location:
E. VMI the construction activity disturb(clearing,grading,�e��x�c/avatyi n,or filling)over t acre or is it part of a common plan
that wit disturb over 1 acre? YES O NO V
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Atltlition ❑ Replacement Windows Alteratlon(s) C] Roofing 1:1oo
Or Drs ❑
Accessory Bldg. ❑ Demolition ❑ New Signs 0:0 Decks [❑ Siding qJ Other[Eg�
Brief Des�r1 lion of Pmposed_ t 1
Work: kpZ4 1 -r Ya�Su�tut� �oae11 `(— �LE(ax�cF t< Tu rrJ 0413 5,
Alteration of existing bedroomYes ✓No Adding new bedroom Yes �Nc
Attached Narrative Renovating unfinished basement Yes �No
Plans Attached Roll -Sheet
Ga.If New house and or addition to ex[stina hous[na, complete the follow[na:
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?
I. Method of heating? Fireplaces or Woodstoves Number of each_
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 fl.of wetlands?_Yes _No. Is construction within I00 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
I, LX74fc�vr- C.rmm t,r.,tTY ,as Omer of the subject
property
hereby authorize D�
to act on fters relative to work authorized by this building permit application.
S 1� Date
I, h1p2-k J�N as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are We and accurate,to the best of my knowledge
and belief.
Signed under
r^the
�1 pains andp'g0�)Ides of perjury.
1�nekDw,9E
PrintName
� -LA :7- 4- tK
Snpnature d porn 1,lgent pate
SECTION 8-CONSTRUCTION SERVICES
8,1 Licensed Construction Supervisor: Not Applicable ❑
Name of Llcanw Holder: W NEP rV 7 E �.�) - r l( �_
License Number
k - 7. -ZO
Address Expiration Date
�� � �IJ,t�� 4
Si9natJre' � Telephone
9.Reolatered Hm
oe Improvement Contractor: Not Applicable ❑
]�- n1�117E 11 Com`? Z�
Company Name Registration Number
�
nr� - rzac isn4�Pl �- I - Iq
Addres's 6eplretion Date
Telephone y1353E-—Its e
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provitle this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... R,�— 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 does not possess a license,provided that the owner nets
as supervisor.CMR 780, Sixth Edition Section 1083.5.1.
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 stmctures accessory to such use and/or farm
structures. Aperson who constructs more than one home in a two-year period shaft not be ocresidered a h con .
Such-homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that bei shall be
responsible for all each work performed under the building permit.
As acting Construction Supervisor your presence on thejob 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 persons)
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,Spate and Weal Zoning Laws and Slate 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: ASvy-�nl L j,4 . I\10 21� i m v- t3
The debris will be transported by: -z-- D.)4;t C*,\
The debris will be received by:
Building permit number:
Name of Permit Applicant IN C' LU
Date Signature of Permit Applicant
INSULATE WALLS R-21 EXISTING GARAGE
INSULATE CEILING R-4
RIGED INSULATION ON FLOOR--,,,,
AIR SEAL FLOOR AND CEILIN 8'X12' EXISTING
2X6 WALL STUDS LIVING ROOM
RIDGED INSULATION FOUNDATION
WINDOWS .28 U FACTO
1/2" SHEETROCK
SLIDER .28 U FACTO
VAPOR BARRIER
OUSE WRAP
1/2' PLYWOO
BONDE CONSTUCTION / 6 ASPEN LANE, LATHROP COMMUNITIES 413 535-9529
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
1 Congress Street,Suite 100
Boston,MA 02114-2017
u,p www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeild
Name (Business/OrgmimtioMndividaal):
Address: ('}C)S
Ci /State/Zi : FA5'rHAfAFT?)tJ 4OloZ7Phone#: L41 sZ 9 217 L
Am yo employer? Check the appropriate box: Type of project(required):
L ly'1 am a employer with Z— 4. ❑ 1 am a general contractor and I
employees (full and/or part-time).* have hired the subcontractors 6. ❑/New construction
213m I aa sole proprietor or partner- listed on the attached sheet. 7. G- modeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' g ®Building addition
[No workers' comp. insurance comp. insurance.t
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, §l(4),and we have no
employees. [No workers' 13.[1 Other
comp. insurance required.]
'My applicant Nal checks box#1 most also fill out the sectors below showing their workers'compensation policy information.
T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such.
tContractors that check this box most attached an additioml sheet showing the name of the subcontractors and state whether or not those entities have
employees If the subcontractors have employees,they most provide their workers'comp.policy number.
I am an employer that u providing workers'compensation insurance for my employees. Below is the policy and job site
information. _
Insurance Company Name: 1 24ax1 CI.CfZ 4 sKl`p _
Policy#or Self-ins. Lic. 4: UQiLAKtr,'j SCCA Expiration Date:
Job Site Address: L2 A,,ym Lrl. lu City/State/Zip:Nu�yp,fy pT'QA',. 461(,'9
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration l ate).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fore up to$1,500.00 and/or one-year hmprisonmenL 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 herebytend �]a r the'na��a\aLa�d/pTeln�allttiieees7of perjury that the information providedrlabotv�e is true and correct.
Si Lure 11 l o! ,penalties
s-F� Date I - l'-
Phone# t-�4 SZS-27.6
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 S.Ph indmig Inspector
6.Other
Contact Person: Phone#: