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12C-106 53 RICK DR BP-2020-0394 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C- 106 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2020-0394 Project# JS-2020-000673 Est. Cost: $60000.00 Fee: $390.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MARK BONDE 67758 Lot Size(sq. ft.): 11107.80 Owner: MARK BONDE Zoning: RI(100)/URA(100)/WSP(100)/ Applicant: MARK BONDE AT: 53 RICK DR Applicant Address: Phone: (inti itrance: 205 PARK ST (413) 535-9529 O W(' EASTHAMPTONMA01027 ISSUED ON:913012019 0:00:00 TO PERFORM THE FOLLOWING WORK:WHOLE HOUSE RENO POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.Y.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 9/30/2019 0:00:00 $390.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-Q272 Louis Hasbrouck—Building Commissioner I File#BP-2020-0394 APPLICANT/CONTACT PERSON MARK BONDE ADDRESS/PHONE 205 PARK ST EASTHAMPTON (413)535-9529 Q PROPERTY LOCATION 53 RICK DR MAP 12C PARCEL 106 001 ZONE RI(100)/URA(100)/WSP(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: WHOLE HOUSE RENO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 67758 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 Demolition Delay &, J- 74V q 30 Si ature of Building Official IV 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. Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability S Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-12 d8W71272 Plot/Site Plans ITE _--"' r Specify APPLICATION TO CONSTRUCT, A TER, REPAIR, RENOVAT DEM LISH A ONE OR TWO FAMILY DWELLING EP 6 2019 SECTION 1 -SITE INFORMATION 1.1 Property Address: �EpT This section to be completed by office NORTHAM DTpN IMA o1=CTION$ 53 Rick Dr. i Lot Unit Zone Overlay District Elm St. District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Mark Bonde 205 Park St., Easthampton, MA 01027 Name(Print) Current Mailing Address: / 413 535-9529 p Telephone Signature 2.2 Authorized Agent: Mark Bonde 205 Park St., Easthampton MA 01027 Name(Print) Current Mailing Address: 413 535-9529 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 4. Mechanical (HVAC) v �0 5. Fire Protection 6. Total = 0 + 2 + 3+4+ 5) $60,000 Check Number This Section For Official Use Only BuildingPermit Number: Date Issued: Signature: , 1/20 )`7 Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) �:z�'d$ti� �'���;� f����l�i��r- �:x.ls:i=:�.4 >-!>r��i�t�l#t'��;� t�td'��+1�.1i"�"�,1Ct�� �•`' . .a...- r... ..Aw ,IM,!�•«.•w....as.�t.,t....'.......ocreY.�,i.m,I..... .u.c.xaY.e..a.,- r�1....r:.o,rn.Y:i...,.rn.,a.. w .. _ p �+YII{�L.�Raw,:t._1M�M`+#O.i.i-#-►M Yts.MXY'4Y4M11♦�eff!'Yt��''lll�.'."*�1WyMl>�YllWw��(:h'.w, .. . ... ,� \., �`' .�JtLlcc LiCI tk ZV � dltii , � � �'...; Y � * i_ t ..._ ._ t,�Ya,��)�._....,. _.�� ��r� 2Nj�ltla We, ..... - -- .• _ ."'"�+"" ..t.►-•t. •s- �•.,..•..».--...,, �' , ►�...___ . . _._,.__ .. .,... __.,..,.._. _ !.v_.:__ :.. _._. ._......�.,.,�__ _.....-.; 5 .. t A } r Nva..._._....,..__. t . _ __ __ [ !£' •�• ,: i i++t��iPt;(j}U�ty+ ;••Lh j_aW f pQeivi ._._ ... ... ......� F .04 af. .. . 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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 © DON'T KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DON'T KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DON'T 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 0 , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO Q 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 O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder. Mark Bonde CS-067758 License Number 205 Park St., Easthampton, MA 01027 1-2-20 Address Expiration Date 413 529-2176 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Bonde Construction 169228 Company Name Registration Number 205 Park St., Easthampton, MA 01027 6-1-21 Address Expiration Date Telephone413 529-2176 SECTION 10-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...... ❑ SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors E3 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [0] Other[[Z] Brief Descrip n of Propose Z U Work: �-{�L( X Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes 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 deck 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 1, Mark Bonde as Owner of the subject property hereby authorize Mark Bonde to act on my behalf, in all matters relative to work authorized by this building permit application. 2413'�' 9-22-19 Signature of Owner Date 1, Mark Bonde 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. Meee,,,ark Bonde Prinm ��II^ 9-22-19 Signature of Owner/Agent Date City of Northampton r Massachusetts ��2 .- '<< I . 'A' DEPARTMENT OF BUILDING INSPECTIONS M s 212 Main Street • Municipal Building Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work: Remodeling Est. Cost:$60,000 Address of Work: 53 Rick Dr., Florence, MA 01060 Date of Permit Application: 9-19-19 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 9-19-19 Mark Bonde 169228 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts r � G +L` -A N DEPARTMENT OF BUILDING INSPECTIONS S ` 212 Main Street •Municipal Building � Northampton, MA 01060 ssNn -YON ` Debris 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. The debris from construction work being performed at: 53 Rick Dr. Florence, MA (Please print house number and street name) Is to be disposed of at: Valley Recycling (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: Bonde Construction (Company Name and Address) Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. \ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Name (Business/Organization/Individual): Bonde Construction Address: 205 Park St. City/State/Zip: Easthampton, MA 01027 Phone#: 413529-2176 Are you an employer?Check the appropriate box: Type of project(required): LQ I am a employer with 2 employees(full and/or part-time).` 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ✓❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.E)I am a homeowner doing all work myself[No workers'comp.insurance required.]' 10❑ Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs Or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp.insurance? 14.❑✓ Other deck 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box 41 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: Travellers Policy#or Self-ins.Lic.#:U1341<05380A1842G Expiration Date: 3-3-20 Job Site Address:53 Rick Dr. City/State/Zip:Florence ,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 MGL c. 152, §25A is a criminal violation punishable by 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.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 andpenalties ofperjury that the information provided above is true and correct. Si nature• 4�L?eioe Date:9-19-19 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#: 6' PROPOSED 12'X16' DECK 1 ' 00 0 V KITCHEN O O 3' BEDROOM O BEDROOM BEDROOM Notes: LIVING Replace windows Install 5' slider Install new Cabinets Replace bath fixtures Install smoke detectors Upgrade electrical panel Paint interior and exterior Install floors in bath and Kitchen Install new gas fired Furnace Install 12'x16' deck on rear - 53 ear _53 Rick Dr./ Bonde 413 535-9529 / 8-23-19 3512" 18" 45' 24" 35 lrT 24" 30" 33" WDH36-W W3812LCM8 W1830-L ?'I ti QR24P 8o c s � 3813/16" 36" 471116" 26 3/4" 17 36" 12" 35 11116" 122 1/2" All dimensions and size designations Design drawings are provided Designed:09.14.19 must be verified on the site to fit job conditions for the fair use by the client or Printed:09.14.19 Client accepts these drawings as is and his agent in completing the can use them on its own risk. 0 project as listed within this contract Design: Mark B Drawing#: 1 Display settings 1/4"= 1' 6' PROPOSED 12'X16' DECK 1 2' 2x10 PT floor ,joist 3-2x10 PT bea x6 PT osts 10' sono tub P Notes: Replace windows Install 5' slider Install new Cabinets Replace bath fixtures Install smoke detectors Upgrade electrical panel Paint interior and exterior Install floors in bath and Kitchen Install new gas fired Furnace Install 12'x16' deck on rear- 53 ear_53 Rick Dr./ Bonde 413 535-9529 / 8-23-19