23C-071 (10) 67 WILLOW ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1967
Map:Block:Lot:23C-071-
001 CITY OF NORTHAMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1967 PERMISSIONIS HEREBY GRANTED TO:
Project# WINDOWS Contractor: License:
Est. Cost: 9980 STEVEN ZUCCHINO 021356
Const.Class: Exp.Date:08/31/2023
SILVER ELIZABETH A&MARY VIRGINIA LEE
Use Group: Owner: BADGETT
Lot Size (sq.ft.)
Zoning: WSP Applicant: STEVEN ZUCCHINO
Applicant Address Phone: Insurance:
70 GLEASON RD 413-575-2258
NORTHAMPTON, MA 01060
ISSUED ON:09/29/2021
TO PERFORM THE FOLLOWING WORK:
INSTALL 14 REPLACEMENT WINDOWS
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.
Signature: 'I g
)
• › 1 •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
RECEIVED
I
I
I SEP 2 B 2021
sz, The Commonwealth of Massachusetts FOR
ft..a� ,,, B d of Building Regulations and Standards MUNICIPALITY
O�1r,i.ILDINC INSPECTIONS M ssachusetts State Building Code, USE 780 CMR
�- __ MPTON,MA 01060
But mg pplication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
��JJ / ySection For Official Use Only
Building Permit Number: (24 4PIl J Date A plied:
ebUr,t.s C.ss 7'0$074
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Addressi 7 , / 1-- 1.2 Assessors Map&Parcel Numbers be
E7 W i���W I Y
1.1a Is this an accepted street?yes A no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
r� , 11 bei6 v
56. ats;da-A
Zoning District Proposed Use Lot Area(sqTM'ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided e wed Provided Required Provided
4
1.6 Water Supply:(M.G.L c.40,§54J . , . . information: 1.8 Sewage Disposal System:
Public CI Private 0 Zo utside Flood Zone? Municipal❑ On site disposal system 0
it.. k if yes❑
SE TION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
E I i 3.4.$ 1. S;Iwr/Lee- (SRC. of MrfivtifM , 11A4 0I06-L
Name(Print) City,State,ZIP
A7 Ix/..l(tiw SAYed 531 - l`i 37
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) ❑ Addition 0
Demolition 0 Accessory Bldg.❑ Number of Units Other 0 Specify RepLe.,w,. '4/0k116v5
Brief Description of Propose j,Wpprle:
U- FAcTo12 a 2"7
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 9 Ct �'0 ,0 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ` ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees: $
q Check No. Check Amount: Cash Amount:
q
6.Total Project Cost: $ I 1 go•op 0 Paid in Full 0 Outstanding Balance Due:
h (.,S'
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-ON0si 3 /
e
j M2/cc It License Number Expiration Date Name of CSL Holder U
List CSL Type(see below)
.70 (de- s-s.N. R�
No.and Street Type Description
411 '"^per M A 0 060 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
41l3- S7S- 2.3.5b *tie .?-mac. ;eGo'"`Nce.1f.n I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 00191:71 o- / ,0 _3
HIC Registration Number Expir ion Date
HIC Company N e or HIC Be'agiistr me
V� ` 54h�
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.4 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 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 54'2.UeM 2.1X-C1.1 E.
to act on my behalf,in all matters relative to work authorized by this building permit application.
tiI;Ie. 1, sjive_ f
Print Owner's Name(Electronic Sit-, ) 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/ i is true and accurate to the best of my knowledge and understanding.
Sf fl 2vCc.1i' 0 /1:1
'Print Owner's or Authorized Agent's Name(Electronic Signature) 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"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARDr\ 1\ SIDE YARD
FRONT SETBACK
FRONTAGE
City of Northampton
Massachusetts . '<<
( '. DEPARTMENT OF BUILDING INSPECTIONS
'k '. 212 Main Street do Municipal Building yJti cs�
� P1 Y Northampton, MA 01060 sf'th ;;10
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: VAtiky tQ c-yc (1116
The debris will be transported by:
Name of Hauler: Q '''N 7-uCC 41 t.�b
1/
Signature of Applicant: � , 1 Date: 01 110-2-1
4
The Commonwealth of Massachusetts
=. � r Department of Industrial Accidents
I. MOM: I Congress Street,Suite 100
Boston.MI 02114-2017
www.mass.goi/din
urkers'Compensation insurance:tRdas it:ltuildertiC.ntrrctorslElectrici*ns'Plumhers.
ID HE FILED V1 Till IRE PERMITTING AI'Tl1OKITY.
.1ntahcaut Information , �� // Please Print I.eiilals
Name itduanc�.[,areantiauon lndnrduatt: Sft r 2-0Jc."C t '
Address:-_0--- e,..ct S r-. ,t--rf
c sty St atc'Zip: {-L,Affe,. tilt 01060 Phone#: �{i 3-5.75- 6'
Are:sou as etrlrlryeu?Cirrk ibr apprl,prliree bet:
Type of project(required):
1.0 ham a implorer with entp.krwec•.(full and+ap rt-titre►.' 7. NCVI tUtutruitlon
- am a.ok praprirke ur pwlnt-r yip and have no employes wurkuv tor toe in *. O Remodeling
m}c-apsaeity.[No workers etanp.insurance n-ntturid.l
9. ❑ IXrnalition
I am a homeowner na cluing all work myself.INu wltkcas.comp-,amine'required.]
4.0 I am a honmowno and will he knit:atir-.rdun to conduct all wank on my p ro ie1t. 1 will
100 Building addition
ensure that all contractor,either have*Aitken;compensation ucwrutce or an:side 11 CI Electrical repairs or additions
ptuprk t4wi with no onp.k.1'ccs.
12.0 Plumbing repairs or additions
SO I am a pelletal contractor and!bav a hued the stab-crmttnek n h.ted tm 11a attache sheet.
13.0 ROof repairs
These onto-crmtworkers'xs hove eopiuYcc,and have workers'comp.era+warrcc.'
6E3 We r pr e a eaatrrahou and it's Officers hat c catat:iscd then nght of exemption per%K L c. 14.❑Q[Iltl
132,;1(4),and we hose no employees. No nutters'camp.insurance required.'
•An'applicant that checks box:rl must also till out the.ectwtr below%bon*their w true. c1.*nglcn.atrun policy information.
f I krrtruwnen who submit tin,Mink/in inmirl'attrn7r dues arc drnng ail work and then One totsttk contractors tntr,t submit a new amtdav It nadtcaltnw sax:ht.
:Conuneksn that slaa.-.this bus must attached an adahuonal sheet showing the Lane of the.nts-contracturs.and Rate whKolier of nut limy.:tattrllc,hate
cuiploycc^s_ It the stet.-euntractars have cnttla:ccs.rites must provide their workeas"onnp-policy maoher.
I am as employer that is providing wariers"compensation insurance fur my employees. Below is the policy and jab site
information.
ln,Ltiancc('ontpany Value:
Policy#or Self-inn.toil.tit Expiration Date:
lab Site Address: Cityl'State Zip:
Attach a copy of the workers'compensation policy declaration page(shooing the policy number and expiration date).
Failure to secure coverage as required under NIGL c. 152,425A is a criminal t'ciliation punishable by a tine up to S1.5((1.00
aniiior one-year imprisonment,as well as ciyit penalties in the blur of a STOP WORK ORDER and a fine of up to S250.00 a
day against the violator.A copy of this statement ntay be forwarded to the Office ut Inc esttgattons of the DIA for insurance
coverage verification.
I do hereby ce 'y nder the pains and penalties of perjury that the information provided above is true and correct
Signature: `i Date: ufi 3- 7f 3-0�(
Phone r: L((1� Sj S— �.- . r
Official use only. Do not write in this area.to be completed by city or town official.
(ity or Toren: Permit/license##
Issuing Authority (circle one):
1.Board of health 2.Building Department 3.('ityiiuwn Clerk 4.Electrical Inspector S.Plumbing Inspector
6.(Mier
('onised Person: Phone#:
09/16/2021 Steven Zucchino
70 Gleason Road
Northampton, MA 01060
413-575-2258
Const. Supervisor Lic.# 21356
HIC# 100199
steve.zucci@comcast.net
Elizabeth Silver and Lee Badgett
Willow Street
Florence , MA 01062
Cost of installing 14 double hung"Paradigm"vinyl replacement windows.
14 white Paradigm vinyl doublehung windows with full
Vista Vu screens. $5520.00
Replacement trim and jamb extensions for two window
and other misc. materials. 320.00
Project related debris removal 150.00
Provide all project related permits and inspections 150.00
Cost of labor to complete installation 3840.00
Total cost of project- $9980.00
Not included- any painting, staining or clear coating.
$5000.00 in advance.
$4980.00 upon completion.
f`1
Steven Zucchino Elizabeth Silver Lee Badgett
HOME IMPROVEMENT CONTRACTOR
TYPE:Individual
Registration Expiration
100199 07/18/2023
STEVEN M.ZUCCHINO
STEVEN M.ZUCCHINO
70 GLEASON RD
NORHTHAMPTON.MA 01060 co
Undersecretary
1
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
ConstruCt t15 i> tipprvisor
CS-021356 Expires: 08/31/2023
STEVEN M ZUCCHINO
70 GLEASON RD
NORTHAMPTON MA
�e.
Commissioner daea i tf nc a,