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29-515 (18) BP-2023-1683 31 TARA CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-515-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1683 PERMISSION IS HEREBY GRANTED TO: Project# BATH RENO 2023 Contractor: License: Est. Cost: 6000 Const.Class: Exp.Date: Use Group: Owner: DANZIGER GEORGE &MELENA BONNELLO Lot Size (sq.ft.) Zoning: WSP Applicant: DANZIGER GEORGE & MELENA BONNELLO Applicant Address Phone: Insurance: 31 TARA CIR FLORENCE, MA 01062 ISSUED ON: 11/29/2023 TO PERFORM THE FOLLOWING WORK: BATH RENO 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (� QT 10 • r yb d' °'I . ! ' I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massa•uilt. s c�� t" Board of Building Regulations and ds FOR ..4;�' Massachusetts State Building Code, 7: ` .4' CIPALITY .. .r 2 % USE Building Permit Application To Construct,Repair,Ren•r.o r Dem ' a ised Mar 2011 One-or Two-Family Dwelling '�o This Section For Official Use Only ys' r Buildi Permit Number: a? �,../ aS Date Applied: li,,,� s-s /, / Z9-Z, 3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 4 1.2 Assessors Map&Parcel Numbers 3/ --r"A RA C I PC« 1.la Is this an accepted street?yes •/ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Reci rd: s �-0ev r U�n i er rL(� ° C AIC �D4 D !O(2-- Name(Print) [ee J13d,v�t<s City,State,ZIl'` 3 I T-4AA L CG6 4/r3 2 is.,c g Ala.r� 1 . ���-/Ala L I .cv Y No.and Street Telephone d Err it Addresk SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: 13.,,FA(v a ✓'✓No C.J l\ C....4.4. k(4 5 �°l' 2 (', k 4unt2 %2 i-Nit �Meuo. S,il , rapt ze 40t SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3 OJ o 1. Building Permit Fee: $ Indicate how fee is determined: I 0 Standard City/Town Application Fee 2. Electrical $ / I 0 Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2�Jv 2. Other Fees: $ 4. Mechanical (HVAC) $ List: ;�(5.Mechanical (Fire $ Total All Fees: $ "{ Suppression) 4 Check No ( Check Amount: 6. Total Project Cost: $ 6 (575-0 0 Paid in Full 0 Outstanding Balance Due: City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS $ if 212 Main Street • Municipal Building Northampton, MA 01060 ,fP PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS,ROOFS,RENOVATIONS,ROOF MOUNTED SOLAR,ETC. s 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work(Digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate(new /replacement windows). 7. Home owner's License Exemption Form (if applicable). 8. Note any Special Permit requirements(if applicable). I 9. Energy Code—all new construction (Gut/Rehab) requires a HERS Rater Affidavit 10. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS _ Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6: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 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Gcor an I/721( L3 Print Owner's�r Authorized A ent' Name(Electronic Signature) If Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost': ... ct\,... The Commonwealth of Afassachusetts ....._.......... Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 www.m ass.go r/dia 0)kers Conipensittion Insurance AMdavit: Duilders/C.ontrattors/EkctriciansiPlumhers. 111 HI.FILED WITII THE PERAIIITING AUTHORITY. .Annlicant Information Please Print Leeibli Name(Business,Organizatiowlndiirkluall: Address: - , Cit-. 'State/Zip: Phone #: Aft yuu an unipfirs:E?t hick lin appropriate bilkt: Ty pe of project(required): 10 l arn a employer with etopitiyves gull anitr part-timeI.• 7. 0 New construction 2.0 1 4111 it.4.3k proprietor or partnership and have nu employers working for me m 8. fl Remodeling n.i capacity.(Nu workers'comp.in.surance required.] 3: I AM a honsoowner tiving ill wink myself.[No is:oriels'comp,anurance onpisred_i' 9. 0 Demolition 10 E3 Building addition t 0 I am a humarwitcs and v.ill b. hiring 4.-km:rm.-tors to conduct ell work on my properly.. 1 nil! ' misure that all einitnieturs either him c workers'compoisation insurance or am sole 11.0 Electrical repairs or additions proprietors with nu employees„ 12.0 Plumbing repairs or additions 1.,.0 I am a L....metal cuntractur and 1 ha.e hued the sub-cuntractors listed on the attakkied Arm The, 131:Roof repairs e sub-cumraekns!Inc employees arid have workers'eon".insununn„; i4.0 Other at]We are a curing-sum and its officers have cseal their night ore:unions,'per 141161 c 152,§I tit,and we have no employees.(No workers'comp.insurance re:guava] . 'Any apptiont that davits has.3 mint alvu fill uut the acetion bchnir showing their workers'ourripernatnin r...31.ii.-1, inivrination Illorneowarrs who submit tins affala‘rt indicating they are doing all work and then hire outsidc•cuntrackits mint submit a new affidavit',nib:alias sueh. :Contractors that check this box mud attacked an adddaal ihkii.9beN ins the aline of the ittis-cOnfracrAti.am!..talc Odieltrcr,in not those inutit..a hsve einpluiici if the‘uh-cornractors ha ,r.!Hu:,CVY,Lilt-,must provide their workers°wrap.policy number I um an employer that is providing workers'compensation insurance for my employees. Below is the policy and Joh site information. Insurance Company Name: _ Policy#or Self-ins. Lie. #: Expiration Date: RIPNIIIIIIIIIIIIt 3 i TA AA C"(ACC:Z. City/State:1411: Ftt)A eN6e Lx4/1 cp to 6-)-- Attach a copy oldie workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under NIGL c. 152,*25A is a criminal s iolation punishable by a fine up to SI.500.00 anit'or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Insestigations of the DIA for insurance co cragc ,,crilkation. 1 do hereby certify an r the pains and penalties of perjury that the information provided above is true am!correct. suenature: g-c._ '1) y -----•?L.5(t___. Date: //(2 912-02- Phone.#: Official use only. Do not write in this area.to be completed by city or town officint City or Town: PeriatiCLieense# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Tow n Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other • Contact Person: Phone#: .. ._._ -..,, City of Northampton a1'P`f %.fie Massachusetts a" .-: 7 ( ) DEPARTMENT OF BUILDING INSPECTIONS �, k-�, , 212 Main Street • Municipal Building JJtt " Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: t/CL((5 The debris will be transported by: Name of Hauler: b D ni Q 0wA eC _ Signature of Applicant: Date: // 2 q 2-0)-3 City of Northampton Massachusetts ..,,t, ''' ''4' , 9 i' cs . k ,Zo DEPARTMENT OF BUILDING INSPECTIONS 7i l •" '.� +` 212 Main Street • Municipal Building `', ,, - Northampton, MA 01060 B4,,Y�O°�,- HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, '--1 (th /� sert full legal name), born (insert month, day, year), hereby depose and state the following: j 05 6 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this 2- It day of "EO' ' ,20.23. . /LI D(Signature) #33 Tara 1st Floor Bathroom - proposed Floor to 48" x 34" Delta Shower 80" high Kit Acrylic Direct on Studs 2x4 wall 16" deep shelf unit above sink height Removeable access skirt 16" : 16" under sink Sink wall hurNg & brac ?d to Baseboard floor hydronic radiator Window Sill 44" from 48" floor Elongated Toilet 19" ADA Door 13" 33/4" #33 Tara 1st Floor Bathroom -as is 59" finish wall to wall Hot 1.5" Supply drain Cold through Pipes up the wall through floor Baseboard hydronic radiator 901/2 finish wall to wall 48" Window Sill 44" from floor Round Toilet . 15" high 193/4 13" p r