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08-054 262 COLES MEADOW RD BP-2020-0635 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:08-054 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category:ADDITION&RENOVATION BUILDING PERMIT Permit# BP-2020-0635 P_roiect# JS-2020-001077 Est.Cost: $97000.00 Fee: $630.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BRAMUCCI CONSTRUCTION 110834 Lot Size(sq.ft.): 45433.08 Owner: BARKER FAMILY TRUST Zoning: RI(100)/RR(100)/ Applicant. BRAMUCCI CONSTRUCTION AT: 262 COLES MEADOW RD Applicant Address: Phone: Insurance: 17 MT WARNER RD (413) 221-3942 WC HADLEYMA01035 ISSUED ON.12/5/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENO HOUSE, ADD ATTACHED GARAGE AND FRONT PORCH 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 Occupancy Signature: FeeType: Date Paid: Amount: Building 12/5/2019 0:00:00 $630.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File# BP-2020-0635 APPLICANT/CONTACT PERSON BRAMUCCI CONSTRUCTION ADDRESS/PHONE 17 MT WARNER RD HADLEY (413)221-3942 PROPERTY LOCATION 262 COLES MEADOW RD MAP 08 PARCEL 054 001 ZONE RIO 00)/RR(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST LOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: RENO HOUSE,ADD A'TT<HED GARAGE AND FRONT PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 110834 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: V 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 Wk I ' D 9 Si 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. 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 Z(oZ CQLCS AL41D0W Rt. Map Lot 0- Unit N op,7H A m P T o IQ IMA 01035 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: RARKC-R FArY) ILA -t•F2v55 21-1 CODES MCAnotvr 0A. rJoP HAmP•t-5k� Name(Print) Current Mailing Address: All • 250 • q(oz� Telephone tur 2.2 Authorized Auent: aRL1MJCC1 /7 MrwqQ1/ER RA ,�1aacG� rrA 0io3s Name(Print) Current Mailing Address: -413 3992 Signatu Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1-7S, 000 • 00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of $Soo . 00 Construction from 6 3. Plumbing 97500. 00 Building Permit Fee Q© 3 01 4. Mechanical (HVAC) 6000- DO 5. Fire Protection 6. Total= (1 +2 +3+4 +5) 97000 . 00 Check Number This Section For Official Use Only BuildingPermit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date SRAMOCCI C01\157Roc-rl0n/ @ 6 M C0r>'? EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) __._ _•.; '�""".. ,..". � � ,:_ .R.,:n. ....r.n.�,...;..!•.IPww.w,wtir.+acwnJr,;,.+uwaA•+a��w •-P.-r�.aar.arm«,,,.+,F.It.;,+,�r�r . w ^` '< Q ,. ...._-_.�..... .......«._ __._ _ ..._ ......_.-.�.•.' ..� ,..-ter.._ ...,, 1 tr JJJ''' Fi t ((( 1 { ti,'.;�+c ..•.e�a. .+ ...:,.�. ,.wl s•1ln� •t ,4� ••. .. r YAIIt+9► - �...w.n�ww� ..w.'M��.1.�"'ti•w...•.-ww.�••a�.'.as ,us .w�.�w•.• .w�FM�*'�cw.•va�eW.r,-r } „¢i • ., j u ._. ,:,,k.f 6Yr.!!•Js+c7� :.+N, ,� Y - -I`. s .. E" f ;:w C,`P�„!C?i.4 a 'tsk4i: :��5.,,',fJ1A�.1, ':ts''t�' ', �•f.;�+,����r)��,,, - Y 4 ' Ay >' ' v `t4.lCr C: ''t:3.<<3f tt`.t ...'' Eat•�"Yii :?[:, t.,otZ F ']' Cah:s`t fit' f 10 L oi# l.+►, WA�oARf''n 4;: . f� ~.i Q:,�� .♦< t.� ._ � �,l• ��.p.Vii.. \`.. � �� Z, [�:' �.�•:{ y'-PSA. .. ....y � J � 4� .M - ( •-�� .ir. � , I ,1R`�f- .+. . .if'".A.. R`��.U 'iy'`, .L �.� 1 i.:T<: .. i �r•�ft'; �}{�'.;�t � -� a ?,... ...,, z. .��. ..i,"4:�r. �Iy7 - ... ...._ ...... .... .w.r_..-.F,... ..,.:.s..rr... ..«....u.J..w_•F.+....,_,......_...+Y►. ,.•..y...-..... ..w.w..r-.•w_�.-r_.....-,_......... .A.-..-...�Aw.:..w i".« .+4-.i. ,.-vr._.. ......_....w.. ._.�._._ A 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 Frouta e Setbacks Front 30 .36 Side L: 6 3 R: (9 d I.: 53 R:�-.(o 0 Rear 9 0 9 D 13uilding Height i( /(o 13ldg. Square Footage /ZOO % 1980 Open Space Footage % (Lot area minus bldg&paved parking) 4 ot'llarking 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 O 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 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. Will the construction activity disturb(clearing, grading, ex avation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O 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 21 Replacement Windows Alteration(s) F71 Roofing Er fj Or Doors Accessory Bldg. F7Demolition L�1= New Signs [p] Decks [E� Siding R3� Other[a Brief Work Description of Proposed n. no �1 ,(f� ,I .[r, -� ZC� Alteration of existing bedroom _Yes No Adding new bedroom Yes D_No Attached Narrative Renovating unfinished basement K —Yes No Plans Attached Roll -Sheet sa. 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? YW5 d. Proposed Square footage of new construction. Dimensions e. Number of stories? I f. Method of heating? 4o7 AIRZ Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of constructiony00oD Pe-AMC- 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 con/form to the Building and Zoning regulations? Yes No . I. Septic Tank ✓ City Sewer Private well City water Supply v/ SECTION 7a -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, foe SAIPK&K C 8A/ZI_Ea F4)r»I Ly 1WLr_A5) as Owner of the subject property 1 hereby authorize RicIL Bac,rAU c OI / BRAmUCC I c o 0 5-raVCT 10 to act on my behalf, in all matters relative to work authorized by this building permit application. 11-14-19 S tun;of Owner Date I, 1Z�cl/A2D T�tAMUcC l 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. 1Zic4/42D SRAn-x<cl caNS7-kJGT/oil/) Print Name - �� 11. 14 . 19 Signature o gent _ �__ Date SECTION 8-CONSTRUCTION SERVICES—7 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: ZC.VAQp 22AM oGcl C S - t/ 093 4 License Number 1-7 iMT• V4 A a N D . �J9- 3 - 2020 Address Expiration Date Signa Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ isQ4m n e c I C ed5TRue-r10A/ I S 0 c/0,5 Company Name Registration Number 1:7 wile W Are n1 E12 2V G/Q V rX 1-9 610 3s- S - /7 -Z/ Address Expiration Date Telephone 413 Z21 -39#Z. 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...... ❑ « x i 7� 1�)J.;:s,x i:!t },J� . ;«r ;,p, .r'�''3►Ji` •r �-«i ., f«e>ic.+«gi�S" -��`' :M�i.J;{"+Sic. Fy !' ,4h''. 'y(�'�aJ' :. `'..: {�i ;.`'S'hf��' i '''tRJ .�«i�''i ►� "!;� s�a..,��,,a sJ ,�, 4.t�� Mt `.JE:�r; a.;i�Y1►ysr".'i�,q�dlt ..�`J1���'3't��tftliti�"� a +�".�"► �:��.,�f. � � ---r-..-....u........ c x .n. i '�.'� 'C.air. �•z-:{y r..4� A.�,i,+.r.. �4.•?'iy...» .,w,.. ...,r-. ,�.. ��, - —.w. ' ��R. 1.6' YrY7''� Jw b}►�,Tf�4�7J4Ja'4iJ} f„ �'iP .��sA;... y 1 �^.C�; ,J��.. .Mi("�i i, �' " T r _t s. i f� . :'� ..Sx*,. j. '..1..r �,t�� •1� M,ri 7v♦ r.A .J• �y� City of Northampton Massachusetts wf � j/' ��• DEPARDRNT OF BUILDING INSPECTIONS y. 212 Main Street a Municipal Building vd•., Ca 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 TypeofWork: Al)piTlonf / RENo Est.Cost: 197, 000 • 00 Address of Work: 1(0 2 c o 1.r5 r1 Ea A n W 2p• No eTjI A m P-ro �/ r✓!A 010 o Date of Permit Application: 11. 14. 1 q 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: 11. 14 • iq BRAmuCC I conls-rQuC-rio fJ 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 e .«„w «.r,*,..,.�.:....,,�,,.....,...”..,...............».M.MI..:........,,...v.,.,o,f.. �.r._.»,.. ....r::w.�.....,.,..,�.,.-.....�.�.,.y;:..r..'.,.•....��+...,.�yi...,M.�w-... :.......•.,�..._rw-,....._... .,.-,..w..... e ' •, •ifC;J� .. •ia .. gal � ,} ,r}�� . .�t; (.'e ,*..yYr r:, !� ',_.is1�:71 xr:•�t•.. r {,l:"ei• , . �),{ E.e. .r„ 4 i }* �x �� .r' 1" `,, ..c}.�_".1' L.r". i3' s ;r tsz s'?�a.�. .��'. rt�`+. �3`'+J�4:�.�', f..t `�vYr'' !"t�'F,i�EiPr 3•s'i'yyi.�i�Pwqb r:;4.. k • +.1•'' y{:.1s�i4 1'DF,.f• 4 +�''; ,1:'1P1;�"r3�`_i'; ! . t �^'�u. fP"'°'�.'s''(iS i PK' .t+�?'�¢),IJt`t�����,1.!'_�-4,.'kli. '..t�„� �'�.•#�: ;'� v, ' ! iX, rs1? .►i;}r .g'St d/t ar ` , r.)0. /�a : S ;, ' $r#.r1�. ( ; �,}�! r:-^$.,4.�+r.x'r���t� {' g� s'K ,✓if& s` t'�k..x'°+:! >` '�. tr 1,1 �,#�'� �r.{ • a t, a j `� .e 1 ._. . . .S. „-rY}r�Y .�., rr%;�^'�` •� �f;'ititi,�t,y,, t .. •�• t�'t}S '�� '•k.� i�i' �t.+;«. -.._�.R. _ .. _�t':r� . . "!4` i, ., .t✓ ,.. ��, >` ��3+5 _ - er1.p,i•, k *..:ki.r is>a k.! v , ..4J. ratba5.gsK_c,Ts jJ,• Pi ±�yqi,!, r 1•'`,A i4` ''4�'. .?' ., ��� EI :�. •144 r,+. �h Si i k :r `S'., 1 KStt.k . ,; +i ,tin.-a;i 9 ”. SSL •i eM ,it'.,+ i;.}Y Ri',yp �. `r .} Nr.• t _ i q 1 i;`. 4.,•_ .t?yt .k" ;'yl a ,. ��"'��,i• ., •� .�o e�� � 1?.F_t'4'">c,ik,`"'jt,Sy?�' ktltJ. est ,�'�'►` $ fJik.'s;>�,�,f"1�•f 1` G, r�,' ,:,F" c.. ,;,k:�k':',{.ICr ;, � ..'15g!< .:'•J tc+i. i",' .•�a1.i.s.,�,SS;`:rS r"°.'Un•,'• �k' .r. ;.3 A flj_(!';ia, +'iy 1+' ; X, }' ..;fl,;.':iA, ,(«.tk,l el t" {#, ^I s 'ice+'{ k'3.�1�..�<•P'16''; �, ',"" i." .`J,i - } .-`t 11? .t '4M? ti y ::'Z,.0 City of Northampton �„rr�arirlf: 5�5••"�' sic e Massachusetts DEPARTMENT OF BUILDING INSPECTIONS y�• y� 212 Main Street •Municipal Building Northampton, MA 01060 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: 2(,2 cot-et, MGADoN QD - n10RTOAyn?T0&J (Please print house number and street name) Is to be disposed of at: VAS LE_ / RscgC LI N6, / 234 &AsTdA rn ProN YoA 01027 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) `27 /4•/ Sign mit scant or r 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. � ?f ;e ti` ,� ';t5fi,,j'x!�td' �1r"'. ;" kj� �;+ ..'):; :d,2 a;'�.t �E,}e►}' .i;�€c t�11A, r� (npC�.�2t,:'.. .,.x, of, lY 'a i:;,, .6.x.4 A �+ ,•si #•'S A P'' *a i i - G+: y ;•, ;.E ;���'rr'5l">4'' ..E :,�f,.t„F1� � '•.Y�'f�) %��'F 4.+, )h� k• a�j. `4: � , i�. t{ �:'��:1 � 'L N;e 4w.r2. '�i:.'�� tP I.�'.�£y •'`' � � �- p nj-:u : J°i ATI ,� �"�j,r✓L 4?i�P: E.f tial x IL or - t,. ;. �k�'Je!(�ti tf.. ..�'= {�'. :�.r-�t, P � ��-'j.. '.,{{�� � S !'g ��'� � 7�'��.1)(.:11•'vr��..��g .`'�� ..,� �'+� �;.�i` }� 3-.°t.'" �-y},c".s','i..�' x z 4 r ( ri 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 Let?ibly Name (Business/Organization/Individual):$RAyntcr_i coNsTRvcTt0� Address:t-r Mir. waanll=P. n. City/State/Zip:JADI..rzq 01A 010$5 Phone#: 413- 2zl • 37 A 2 Are you an employer?Check the appropriate box: Type of project(required): 1.©I am a employer with .3 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.[]l am a homeowner doing all work myself[No workers'comp.insurance required.]i 10 Q 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.Q Electrical repairs or additions proprietors with no employees. 12.Q 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.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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: �gRo�eD t1NDEK1.+RtT�S Policy#or Self-ins.Lic.#: (oS(o o U 8- I K 7 04 74 - 3- 18 Expiration Date: 11. 1& - I? Job Site Address: 2 V 2 c o L is 3 M EA Dn w RD. City/State/Zip: ^loR'Ta11 rnmAI ww o lo&o 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 t/ d per�altie of erjury that the information provided above is true and correct. Signature: Date: 1 • 1 Q• Phone#: 113-221 - 32 12 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#: