51-019 (2) 16 GRANDVIEW sT LA t Q BP-2017-0027
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 51 -019 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2017-0027
Project# JS-2017-000043
Est. Cost: $j0465.00
Fee: $68.00 PERMISSION IS HEREBY GRANTED TO:
court class Contractor: License:
Use Group: STEVEN ZUCCHINO 021356
Lot Size(sq. ft.): 128066.40 Owner: STEEVES BARRY E&ROSEMARY T SCHMIDT
Zoning: Applicant: STEVEN ZUCCHINO
AT: 16 GRANDVIEW ST
Applicant Address: Phone: Insurance:
70 Gleason Road (413) 584-3878
NORTHAMPTONMA01060 ISSUED ON:7/13/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE EXISTING TUB & BUILD WALK IN
SHOWER IN ITS PLACE. INSTALL 36X18 WINDOW
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Numbing 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 7/13/2016 0:00:00 $68.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0027
APPLICANT/CONTACT PERSON STEVEN ZUCCHINO
ADDRESS/PHONE 70 Gleason Road NORTHAMPTON (413)584-3878
PROPERTY LOCATION 16 GRANDVIEW ST
MAP 51 PARCEL 019 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ra-00 '/- l0 6
Building Permit Filled out
Fee Paid
Tvoeof Construction: REMOVE EXISTING TUB& BUILD WALK IN SHOWER IN ITS PLACE. INSTALL
36X18 WINDOW
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 021356
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
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
�molition Delay
�� 7/3�,
ature of Building 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.
Hg
DepWMwt use onyptan
B s city at mDepaMentDepartment q b Q*Th,iwypsnt 212 Main Steet Se.erlSepecArMi pQ Room 100 RIa1mMNl Aye/kb/y Northampton,MA 01060 Two SabdSeuddPen phone 413-567-1240 Fax 413-567-1272 Plata le Plus
TPN TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR OEMOt H A ONE OR MO FAMILY DWELLING
' SECTION 1-SITE INFORMATION
1.1 Proowty Addrau: TMs section to be mnyYbd 4y Mks
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SECTION 2-PROPERTY OWNERSHIPIAUTHORRED AGENT
2.1 Owner of Record:
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Nene mOared Mating Address:
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them Estimated Cast(Dolens)to be Official Use Only
completed by Permit applicant
1. Buidi g I 6 I/10 •0 (a)Sulking Pernik Fee
2. Electrical ' (b)Estimated Tam Cost of
NA Censtrucrion from(6)
3. Plumbing 1560
arrdbp PenultFee
4. Mechanical(HVAC)
S.ra Protection NA
& ToIal=(1.2.3.4.5) 0/14 e) , no Cler*Nunbm00 7
V/8
TMs Section For Ofacial Use Only
Buidg Permit Number. Dale
aed:
Bitting Cmanttsftepamr of Bunny Dye
Section 4. ZONING Aa Information Mist Be Cletec Permit Can Be Denied Dae To Incomplete Information
Existing Proposed Required by Zoning
Tido coke to be filled in by
Build/4 Drpvrmmt
Lot Size
Frontage
Setbacks From
Side L: R L: R
Iter /
Building Height /\V/
BWg Square Footage •/r
Open Space Fooage %
(La au minas &pnea
peeking)
#of Parking Spaces
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A. Has a Special Permit/Variance/Finds : been issued for/on the site?
NO 0 DONT KNOW 0 YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of m • ?
NO 0 DONT KNOW O z 0
IF YES: enter Book Page and/or Document#
B. Does t site contain a brook, body wat or nds? NO • DONT KNOW 0 YES O
IF YES, .- a permit been or rom the C• - .tion Commission?
Needs to be •• -fined Obtained O , . ,. Issued:
C. Do any signs exist on • property? YES O NO 0
IF YES, describe size, type • location:
D. Are there any proposed changes to • additions of signs intended for the property? YES 0 NO 0
IF YES, describe size, type and locat • •
E. WWW the cansbtwtion activity disturb(clearing, •.. .:.. .,excavation.or Slag)over 1 are or is K pad of a common plan
that will disturb over 1 acne? YES 0 NO `'
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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SECTION S-CONSIRUCTIOM SERVICES
A7 Licensed Cotshuctlon Sandiest / Not Appiioeble ❑
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Registtion umber
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Adbess
Telephone
SECTION 10-WORKERS'COSWEtSATIOI INSURANCE AFFIDAVIT(MG.L.e.152,§75g61)
Wakes Compensation Insurance affidavit must be completed and submitted vdth this an,firatian.Felons b provide this affidavit wI result
in the denial of the issuance of the bolding penni.
Signal Affidavit Attached Yea ❑ No._... ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-waned Dwellings of one(I) 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 sets
as wpervber.CMR 733. Sixth Edition Sectio.13&33.1.
EIefnitkp 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 Oak or farm
smchues.A Owen who eowerwc a more than one home in a two-year period MO net be considered•homeowner.
Such'homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall bq
rgmadble for IOU such work performed ander the bedlam 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,von 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: /h C-yP-vntiv lew Lu nc_
The debris will be transported by: 5clt
The debris will be received by: f/a y IRec yc
Building permit number:
Name of Permit Applicant j44imin
Date Sig ure of Permit Applicant
The Commonwealth of Massachusetts
a e, _ Department oflndastrialAccidents
l+_-W,= l Office of Investigations
t e-_ 1 Congress Street,Suite 100
or ='affil— a Boston,MA 02114-2017
1,- If
Tat.--
wwwmass.govldia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
ADoIICant Information fp Please Print Legibly
Name(Business//Organi/zationilodivi�dual): eAki 1 2uccI h'o
esr
Address: -fO / /�lea s r.� Rai
City/State/Zip: ygh *Al Phone#: 11/3 57S` gas(
Are you an employer? the /appropriate box: Type ofproject
1.❑ I am a employer with 4. 0 I am a general contractor and I e (required):
employees(fall and/or part-time).* have hived the sub-contractors 6. 0 N construction
2.,1K I am a sole proprietor or partner- listed on the attached sheet. 7.ig 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. ❑Building addition
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all wok officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance ,] r c. 152,§1(4),and we have no
employees. [No workers' 13.0 Other
gyp.ire regairec-]
*Any applicant that checks box ttl must also fill oat the section below showing their workers'compensation policy information.
l Homeowners who submit this affidavit indicating they are doing all mak and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box mist attached m additional shea showing the name of the sub-contractors and state whether tuna those catkin have
employees. If the sub-entrances 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
iafonnatian.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
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 51,500.00 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 he
reby l Jd aim the and penalties of perjury that the information provided above is/true and correct.
Signature: 'del Date: 7ltiJ/4
Phone#: W!3— 575 -23.5(
Official use only. Do not write is tea ora,to be completed by city or town official.
City or Town: P /f3reme g
Issuing Authority(circle cowe):
1.Board of Health 2.Building Department 3.Cry/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
z .. . 3� o � :div- r'
Page 1 of 2
6/9/2016 Steven Zucchino
70 Gleason Road
Northampton,MA 01060
413-575-2258
Const. Supervisor Lic.#21356
HIC#100199
steve.zucci@comcast.net
Barry Steeves and Rosemary Schmidt
16 Grandview Lane
Northampton,MA 01060
Project cost for shower installation
Scope of work to be done-
Remove the existing tub/shower unit and one course of floor tile.
Install a new 36"wide x 18"tall fixed fiberglass window unit with hard corner window trim.
Build new walk in shower,as shown per plan,using Wedi system base and walls.
Tile shower area as shown in plans including a custom built tiled bench,stone shelf and curb.
Install project related trim and towel bars.
Provide blocking 36"above shower floor for future grab rail installation.
Handle all project related permitting and inspections.
Remove all project related construction debris.
AU materials needed to complete the project to be provided by the contractor except for
the stone shelf,stone shower curb,the,grout and bathroom hardware.
Plumbing and plumbing fixtures to be billed separately.
Painting and clear coating to be home owner's responsibility.
No electrical is needed or included for this project.
Wedi system materials- 2200.00
General materials- 250.00
Window unit- 300.00
Labor- 7450.00
Debris removal- 100.00
Permit and inspections- 150.00
Total- $10,450.00
Page 2 of 2
Payment Schedule
In advance- $3500.00
Window installed and framing complete- 3500.00
Project complete- 3450.00
Total- $10,450.00
/ _
Ba • Steeves n ( Rosemary Schmil)
j/itnik
Steven Zucchino
CITY OF NORTHAMPTON
BUILDING DEPARTMENT
These plans have been reviewed
And approved.
Date 7-/-3-/C
Signature Sed
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