18C-141 60 GOLDEN CHAIN LANE-680 BRIDGE RD BP-2019-0036
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mau:BIOCk: 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)
Cmeaorv: Porch Enclosure BUILDING PERMIT
Permit# BP-2019-0036
Proiect4 JS-2019-000048
Est Cosr.$L5000.00
Fee:$98.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MARKBONDE 67758
Lot Size(su. ft.): 1497897.72 Owner: LATHROP COMMUNITY INC
Zoning:_ Applicant: MARK BONDE
AT: 60 GOLDEN CHAIN LANE - 680 BRIDGE RD
Applicant Address: Phone: Insurance:
205 PARK ST (413) 535-9529 O WC
EASTHAMPTONMA01027 ISSUED ON.71WO18 0:00:00
TO PERFORM THE FOLLOWING WORK.-FRAME & INSULATE 8X17 REAR PORCH AND
NEW 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 Occuoancv Signature:
FeeTvpe: Date Paid: Amount:
Building 7/9/20180:00:00 $98.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File 4 BP-2019-0036
APPLICANT/CONTACT PERSON MARK BONDE
ADDRESS/PHONE 205 PARK ST EASTHAMPTON (413)535-9529 Q
PROPERTY LOCATION 60 GOLDEN CHAIN LANE-680 BRIDGE RD
MAP 18C PARCEL 141 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
EN D REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin2 Permit Filled out
Fee Paid
Tvoeof Construction: FRAME& INSULATE,' ARP CH AND NEW KITCH CABINETS
New Construction
Non Structural interior renovations
Addition to Existing
Accessom Structure
B ldine Plans Included:
Owner/Statement or License 67758
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO,JIMATION PRESENTED:
proved_Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Spercat 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 Stoma Water Management
Demolition Delay
Si re of�ldin trial Dat /
Note: Issuance of oning permit doesnot 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 Shue of Permit:
Building Department Curb Cu"wevary Permit
212 Main Street Sev er/Septic Avallabi lty
Room 100 WeterMell Availeblky
Northampton, MA 01060 Tvo Seo of Stucmrel Plans
phone 413587-1240 Far 413-567-1272 plot/Site Plans-
Other Specity
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 PImmdv Arltlroaa: 1 The section W be complai byoMm
CO CZ'OL�eN Cmpaf� Wva Map GOC Lot 1'41 Unit
1\,OT�HAMS i aof qA- Zone Overlay Dleblel
Elm SL Dbbkl CB Divinc
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
21 Owner M Record:
IDo 3.s5 Tr r k t o niF Fqs anPm
Name Curtent Msling Atltlress:
V - 5513 S{(Q 1
elepM1.e
SlgnaWre
2.2 As, odant:
d A e
A2.� �.1 a05 t�nOJc Gji �4S•i{A111�1ZYJfA1N.
Noma Pnp1 Cunant Maling Atltlrese:
Si(g`o-/as alu �- 413 7Z9- 211
elephwe
SECTION S-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)a be Official Use Only
completed bpermit applicant
I. Building (a)Building Perritt Fee
2. Electrical (b)Estimated Total Cost of
Construction from 8
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) I U
5.Fire Protection
6. Total=(1 +2+1+4+5) Check Number
This Stolon For Official Use Only
Building Permit Number: Date
Issued'
Signer
Building Com onerfinspector or Build., % Date
JUL - 6 2018
DEPT OF BUEDING INSPECTION!
NOHTHAMPTON,MA01080
Section 4. ZONING All Inf road.Must Be Completed.Pemnt Can Be Denied Due To Irmcmpk[e Informants,
Existing Proposed Required by Zoning
This column to Is,filled in by
Building Ibpamnent
too si e
Frontage
Setbacks Front
So& L R: L R'
Rea
Building Height
Bldg.Square Footage
Open Space Footage T
put area.....bldg a paved
ricin
#of Parking Spam
Fill.
(,dome a laatton
A. Has a Special Permit/Variance/Finding e r been issued for/on the site?
NO O DONT KNOW YES O
IF YES,date issued:
IF YES: Was the permit recorded at the�Regist!yPf Deeds?
NOW ( �y
NO O DONT KYES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Qi--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
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,grad'ng,aboso5bar,or filling)over 1 acre or is it part of a common plan
thatmil 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 esikeblel
New House ❑ Adcl ❑ Replacement WIndma, ANereHonlsl � Reeling
w Donn ❑
Accessory Bldg. ❑ Demolition ❑ New Signs M Decks [❑ SMing1�[ Other[q
Brief Description of Proposed „� 5riu]7 (SCA? 2 N �- ry ELS �r j-
Work: Zfl6MF `sd lNS t Ll c
Alteration of existing bedroom_Yes� Adding new bedroom Yes L N
Attached NarrativeRecovering unfinished basement Ves L�o
Plans Affached Roll -Sheet
ga.M Now house and or addition to exlatlna houslna eolnolate the followina
a. Use of building:One Family Two Fam y Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is Mere a garage attached?
J. 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 adached?
h. Type of construction
I. Is construction within 100 fl.of wet ands?_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 Me Building and Zoning regulations? Yes No.
I. Septic Tank_ CrtySewer Private well City water Supply_
SECTION7a-OWNER AUTHOR17ATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, L.AF%AQciPV, t—t/aA aq�T!-!ITa as Owner of Me subject
property
hereby authoriz O
to as on a f,in all matters relative to work authorized by this building permit application.
amoreof Dere
I, t1,12kn N Ti F as Owner/Authorized
declare hat M
Agent hereby e statements and information on the foregoing application are we and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
"AVLk nnvJF
Pnnt N,... --�
Signature of OwnerlAgert pate
SECTION 8-CONSTRUCTION SERVICES
8.1 Ijmmsad ConabucNon Superylaor: Not Applicable ❑
Noma of Lna.w Xoleu:__�-�p.P FZ �U�II. f>: _G3 — 6LQT7543
License Number
Add. - Expiration Date
LA 1 2 5 24 - 2.4-1 L
Ssn re ` Telephone
0.Raplateted Noma Imornv.rrr/nt Cpmreetw: Not Applicable ❑
Ft>rsis,i, tea l nm-v-rq Cil r,t, I r(p�2Z�
Company Name Regisirabon Number
265 :PP10 Zi Cv— I — ! �1
Address 1 Expiration Date
�'1�S11-IQAa Q�7`t\? f� Telephone lli3 "Qti 9
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L a 152,§25C(8))
Workers Compensation Insurance affidavd st be completed and submitted with this application.Failure to provide this affidavit will resuit
in the denial of Me issuance of the buildin small.
Signed Affidavit Attached Yes....... Z No...... ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-oxupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage ao individual for hire who does act possess a license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108351.
DeRniUon of Homeowner Person(s)who own a parcel of land on which he/she resides or intends to reside,on which Mere
is,or is intended to be,a ooe or two family dwelling,attached or detached sYmciures accessory to such use and,or farm
structures.A person wtV,C0110fixichs mom than am home In a[ period hall not be considinnid a h
Such"hommwuer"shall submit to the Building Official,on a form acceptable to the Building Official,that helshe shall be
responsible for all such work performed under the building remit,
As acting Co lstrurllon Supervisor your presence on the job site will he required from time to time,during and upon
completion of the work for winch this permit is issued.
Also be advised that with reference to Clingier 152(Workers'Compensation) and Chapter 153(Lability of Employers to
Employees for injuries not resulting in Deadd of the Massachusetts General laws Annotated,you may be liable for persons)
you hire to perform work for you under this pemdl.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local 7gftmg 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: (Ln CnL:tE_" C�403 Lf`4 IJot�stAMf >J
The debris will be transported by: �+ap$ /bti ctZo CTt at:,
The debris will be received by: r.lf.-
Building permit number:
Name of Permit Applicant MNg^-- o Neter
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of IndmarialAccidents
Office of Investigations
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.m"s.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Infmwation Please Print Lceibly
Name(Business/Organirationn /ndividual): ao"3YE C 'n r,4 hT(7,1 c:T't a tJ
Address: a.0 S -T-krr k 5r-•
City/State/ZipCity/State/Zip 1EA5r Fl 0, rJ "'t'Phone#: ZQ -Z -7
Are yo n employer?Check the appropriate box:
Type ofPreJect(required).
1.W am a employer with rZL 4. ❑ I am a general contractor and I
employees(full and/or part-time).« have hired the sub-contractors 6. [3 New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. modeling
ship and have no employees These sub-wrmactors have g, ®Demolition
working for me in any capacity employees and have workers'
[No workers' wrap. insurance comp. insuranrz.t 9. Building addition
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.[3 Plumbing repairs or additions
myself o workers' cora right of exemption per MGL
Y [N P 12f]Roof repairs
insurance required.] t em ploy employees.
[ o workend we rs'
no
employees. [No workers' 13.❑Other
comp. insurance required.]
*My applicant that checks box#1 mastalso fill out the section below showing Uxa workers'cwnpeaeatiovpolicy infonvation.
t Honmwners who submit Nis affidavaindicating thry are doing all work and then hue outside contractors must submit a new afiiduvit indmaing such.
[Contractors Notch kthisboxmustatnchedmadNoonalshcetshowingdsenameofthesubconisaclmaandstatewhetherornot Noseentitieshave
employees. If the sub-contrectors brave employces,Nry mora provide Neu workers camp tra4y number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site
information.
n
Insurance Company Name: 2A.N fr—L�Tl: ,1 f.i S _
Policy#or Self-ins. Lie, #: U `$ U T6�2 3 S UA Expiration Date'
Job Site Address: /on City/state/zip: �J)<,pSH11 MP-rts1 nr/ f4AO106O
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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Ido hereby cenify under the pains acrd petmldes of perjury that the information provided above is true annd coarct.
Simature: -4 A . J DateL4 —1 Cp
Phone
Qfflcial use only. Do not write in this area,m 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#:
INSULATE WALLS R-21 EXISTING GARAGE
INSULATE CEILING R-4
RIGED INSULATION ON FLO❑
AIR SEAL FLOOR AND CEILIN 81X12' 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 / 60 GOLDENCHAIN LANE, LATHROP COMMUNITIES 413 535-9529