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18C-141 5°J GDL-b J CHIi�l L-AN& BP-2024-0110 680 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-141-001 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-2024-0110 PERMISSION IS HEREBY GRANTED TO: Project# 59 GOLDEN CHAIN 2024 RENO Contractor: License: Est. Cost: 30000 BONDE CONSTRUCTION 67758 Const.Class: Exp.Date: 01/02/2026 Use Group: Owner: LATHROP COMMUNITY INC Lot Size (sq.ft.) Zoning: RI/RR/URB/WP Applicant: BONDE CONSTRUCTION Applicant Address Phone: Insurance: 205 PARK ST 413-529-2176 UB4K0538A1842G EASTHAMPTON, MA 01027 ISSUED ON: 02/05/2024 TO PERFORM THE FOLLOWING WORK: KITCHEN AND 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: 14 • 1'' , yg . �'1 • Fees Paid: $195.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner /c4 1C:.d6 i L-Fr SC 'Z Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map «C lyl-00( Lot Unit 59 Golden Chain Lane Northampton, Ma 01060 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lathrop Community 100 Bassett Brook Dr. lelere( Current ailin A dress: fwit Telephone Signature 2.2 Authorized Agent: Mark Bonde 205 Park St. Easthampton, MA 01027 Name(Print) Current Mailing Address: itAkande 413 529-2176 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 co 4' 4. Mechanical (HVAC) !3a 5. Fire Protection 6. Total= (1 +2+ 3+4+ 5) 30000 Check Number � ? Q'36 This Section For Official Use Only Date a6 Building Permit Number:D-2,024-0i /0 Issued: ` Signature: /// �-- 2- 6- Z624 Building Commissioner/Inspector of Buildings 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) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW O YES CI IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO © DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ® , Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO 0 IF YES, describe size, type and location: E. Will 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 ® NO 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 ❑ Addition ❑ Replacement Windows Alteration(s) ❑x Roofing ❑ Or Doors CD Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding [El] Other[o] Brief Description of Proposed Work:Kitchen remodel, Bath remodel, add 4 windows in living room,convert covered porch to heated room. 0-1'act0t2,30 Pt 2. 1'41 12 e Z.-5-24 Alteration of existing bedroom Yes 7, No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes '4 No Plans Attached Roll -Sheet 6a. 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 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 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, Cats 44C.,&__ , as Owner of the subject property hereby authorize Mark Bonde �alf, i all matters relative to work authorized by this building permit application. ig 414 nature of Owner Date Mark Bonde I , 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. Mark Bonde Print Name sae 1-12-24 Signature of Owner/Agent Date SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ( 7 5 g i _ License Number Expiration Date Name of CSL Holder List CSL Type(see below) '3 o5 '- No.and Street Type Description �� Unrestricted(Buildings up to 35,000 Cu.ft.) (v{, ' A DI, ('7 i R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances m A I Insulation nnsulation Telephone Email a ess D Demolition 5.2 Registered Home Improvement Contractor(HIC) `bC1 1c3r7t\J V 2DCT1 HIC Registration Number Expiration e HIC Company Namepr,HIC Registrant Name V 5 \ 4 11(15562 C la urt t2.tvE-r No.and Street Effini address 1c.�=` ik►JIPtoA,V41610Z7 zjr3 3S S21 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 V No .❑ 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 t`\,t'2A'N._ )►..mE t • m • f,' all matters relative to work authorized by this building permit application. - Li ZLf nt Owner's Name(E ctronic 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. )4,4, I - t 7- a Li Print Owner's or Authorized Agent's Name(Electronic Sign 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.aov/dns 2. When substantial work is planned,provide the information below: Total floor afea(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" CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: . REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE The Commonwealth of Massachusetts Department of Industrial Accidents 18_;! t t Office of Investigations W ;:�la __ __ 1 Congress Street,Suite 100 "',?i Boston,MA 02114-2017 t www mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Bonde Construction Address: 205 Park St. City/State/Zip: Easthampton, MA 01027 _ Phone #: 413 529-2176 Are you an employer? Check the appropriate box: Type of project(required): 1.© I am a employer with 1 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. © Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P h 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If 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: Travelers Ins. Policy#or Self-ins. Lic. #: UB4K05380A1842G Expiration Date: 3 3 24 Job Site Address: 59 Golden Chain Lane City/State/Zip: Norhtampton, MA 01060 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. Signature: w.lC�o,,.le Date: 1-12-24 Phone#: 413-529-2176 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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: 59 Golden Chain Lane The debris will be transported by: Bonde Construction The debris will be received by: Valley recyling Building permit number: Name of Permit Applicant Mark Bonde 12- 12- 24 /41 L�cwde Date Signature of Permit Applicant KITCHEN: Remove Cabinets, tops and plumbing. Install new. I I BED 1 8'X10' KITCHEN --( - I 1 EXISTING GARAGE o BATH: Remove Tub, Toilet 90 PORCH: Vanity, Add PT floor joist Replace 16' oc all, O BATH Insulate with ridgi: insulation EXISTING Cover with 3/4' LIVING ROOM plywood Build 12' 2x6 wall, - install 2 dbl hung windows and 1- 6' slider, BED 2 8'X12' Cover with 1/2' Zip ply. LIVING ROOM: C❑VERD PORCH Insulate with R-21, Remove 2 existing windows. _ Air seal. New pocket door, Ref rame opening. 1/2'Sheetrock, Install 4 andersen 11 II 1- IF---II Vinyl siding, picture windows. Caulk, tape and foam. II I I III I I II B❑NDE C❑NSTRUCTI❑N / 59 GOLDEN CHAIN LANE, LATHROP COMMUNITIES 1-12-2024 413 535-9529