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17B-014 (5) • BP-2022-0542 379 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17B-014-001 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-2022-0542 PERMISSIONIS HEREBY GRANTED TO: Project# DECK Contractor: License: Est. Cost: 35810 ANTHONY BILOTTA 076173 Const.Class: Exp.Date:02/16/2023 Use Group: Owner: VOLPE DARLENE M Lot Size (sq.ft.) Zoning: URA Applicant: ANTHONY BILOTTA Applicant Address Phone: Insurance: PO BOX 321 (413)244-8601 EAST OTIS, MA 01029 ISSUED ON:05/20/2022 TO PERFORM THE FOLLO WING WORK: REPLACE OLD 16X12 DECK WITH NEW 16X14 DECK 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: - Fees Paid: $234.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File #BP-2022-0542 z,"OK APPLICANT/CONTACT PERSON:ANTHONY BILOTTA PO BOX 321 EAST OTIS, MA 01029(413)244-8601 PROPERTY LOCATION 379 BRIDGE RD MAP:LOT 17B-014-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED R EQUI R E ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $234.00 /� J Type of Construction: REPLACE OLD I6X12 DECK WITH NEW 16X14 DECK New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 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 SpecialPermit 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 s 19 aa Sigpature of Building Official 1 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. MAY 1B T e C mclnwealth of Massachusetts Boar of ilding Regulations and Standards FOR N OF BUILDING s chu tts State Building Code,780 CMR MUNICIPALITY ORTHIMPTON INSPECT INS , • USE Applica 'on To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 -One-or Two-Family Dwelling This Section For Official Use Only _ Building Permit Number: I ?2 —Sy.., Date Applied: A. , -/9.0/9A, Building Official(Print Name) Signature Cf9f133 Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assesso ap& Parcel numb rs 371 Bric e Road 17 0lc 1.1 a Is this an accepted street?yes X. no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public la Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: vz\0 -et/ Ce viva s$ ON ( u Name(Print) City,State,ZIP bCV (5 VC) (10 .336Sy9� No.and Street 3 -1 4A.-)71-- c, 0 c_ Telephone Email Address SECTION 3:DESCRITION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Rep ia.c t ,extSkiby tb xIa 0 e&lc w c44 ry e-c✓ /4,C fell 04eAC ,. w %44.. 7,*(- war* Ccreyr ,e,'clusure. and NPR., Roof' -11 ed i {-e, kOus'e SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $35 3 0 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee `�00'chi) 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: $ Suppression) Check No. Check Amou t: 2 sh Amount: 6.Total Project Cost: $ 3 S �I O. 0 6 0 Paid in Full 0 Outs di rg ce Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ()1& ('73 C.S. a/«l3 44,.?LL)n Bolo �4 License Number Expiration Date Name of CSL Kolder (1 List CSL Type(see below) C No.and Street Type Description t OAS O��a Q U Unrestricted(Buildings up to 35,000 cu.ft.) /�-; 7� R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances • I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) d 0 o ftcy a/14,3 el 1-A n/iy �r LO HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name /1L7 E. ()IFS /20 Ut.66 'l07Ya)y/ylucl. cam No.and Street Email address F O 'c old 0/Oa-9 113 -.?pry- k&o/ 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 No O 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 AlAid4y keg to act on my behalf,in all tters relative to work authorized by this building permit application. c3c,_ Print Owner's Name(E onic Signature) / Date SECTION 7b:OWNER1 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. 444.0fly 8,10 6fQ 5//0Z 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" AI' � ill�i�i;,i~�L!i.�. ►i�A/��.,�.�..I.II . � ,�e��♦Ij♦Iri .� ♦♦j �i'I:1 P�``i�l�''##A '''Il �y�I .�•�•�•♦•♦4 . ♦���j�l�♦�♦�j��♦i♦I♦ilrr.��e ♦♦� .4 :0 •i�►••••♦ ♦♦ Wi •I II ♦ ♦0,S,II 9� � I� 'p�i,'��•�7 � .;Fis,�. ♦ �R►y•♦♦f�iQIII♦!l1�1�rj♦i♦Yos,,♦#- . rI "� I i��1►�_ i1: 41. A •♦,i•.., cif•♦•�+11j♦N•!♦IIfI�i ♦III♦�',�♦ r 67Il�•o• �1i♦�I ♦ • ���♦ �I ♦ IIrI I r♦I �, i I►♦tt. d►�'►`jr R*1♦s••1�iI1 I♦I�1�I��i i• ♦ ♦II♦�♦I♦I♦ I 4f /j♦I r♦ ,* lit s�e-.�I-11�•..." 1Ii,. *y$ ,p** ♦♦ ♦I 1Ir♦Ii ! lj♦•,# I i� j I ✓ . ♦,�I* . Ii ' 7f0..i/�IIi .i• ���1�� ♦� �I�I��# I��#I#• % 1 � M1} F I,�it I ITT ,! , .-. I t II 00 S �s h i -r iiJ f t i. + L t -}50d 01x0) 1-'M I 3did 1-07 )pui Jo agn+ tiuo5i,e1 X vv)-7)a9 01Xe at JI -...te_-- i - l it a .i.= IIIIIIL r II --:7° -/9 I - ---------------4 'a $ r94 cwiSoe � P110AMON,vus NN-110 W. / gggsm ` ` __'--____ --Igang _- --_-_'-_ / | | | ' < \ | \ . } l | � . / ' ^ ! ( � ' � | i [ ` /r _ ' X i SmrtYa llye a1(f1Jj_ t VP -r gi CAT?) /J X'e 1,CrrAvA vc�aJ2 _ J1 M J a�1 rt s2d•' ”S 3.0OY AA COI a7 °d 4 +.1-3-05 l/AAtn sd>p awn JY f{ L•+a c jc1os c,.1,ra-? RK`e S-w+roa9 e1X-e ald'JL SeS9 vOShcv`A►S r'► tsod d)x) cv172d Q )wL J'/S "pa ld SAX e CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD \\tif SIDE YARD a SIVE YARD i 5cfee"•Po \ti e ,SO RoC,,La FRONT SETBACK FRONTAGE _.___..... The Commonwealth of.Massachusetts Department of Industrial Accidents 1 Congress Street.Suite 100 Boston. MA 0114-2017 w)vw.mass.gvt/dia 1lurker.'Compensation Insurance Allida%it:Builders,Contractom.Electricians:Plumbers, It)HI.FILED!1I Ill I Ilt.PE:RIII I'1l1t:At THOM I I. Annticant Information Please Print l.etiibl% Name 413usitu.;;•Urtanirrlwn Individuals: ,/ V !'LGI)/ 8t o t Address: // ,7 ,2.s.1 O7%S RI) c ity st.{tc L1p: 663 nor O/O -1 Phoile- 4// —02get— r.f60i Are 2.uu an entptrixer:'l'ht`k the apprupruttc Wit: I.s pe of project(required): l.❑I alrl a:Inplcrra uilkl earpluyecs I l all end ut part-tar a l.• 7 25 Nt\t construction .......2L ant a auk prupnctor or pnnrrerrhtp and ha\e nu emplox ev>working for rue on tt. 0 Re tnodelrni fly cat:mit}.[No uutl: .'comp.iostnanee rcy aired.1 9. Q Demolition "!.. 1 eat a 114ILIWY/114.7 doing all work ntyx11.1tru Ncrrteth'am•{I. auxuance rv41111 J 1 fa 2 Building addition is I ant a Loanw n\rl7 and,t e M 1II hang,cxrntruelort to cunLlurl all\.ark un I11 pitrlx I 1 y I ;1 �J ensure that all erratruelors eithei ttatt:Y.<rrken coir tfllI'ulatlt insurance or are sole 1 I 0 Electrical repairs or additions propnetotf ugh nu L'Inplll\ees. I2.J Plunibrnl rt.-pairs or additions SO I ant a ecncral contractor and I luxe hind the sub-cuntr;tctom Itsbed on Lis:;touched sheet. �—� l hose sub-cuntrrcturs luxe employees and hat a VIoikers'eoinl,.utsurance.• I3) 1Roo repairs 14.0 Othe1 4,0 we are u coapurauun and its i lftecn haveexLaetscd then right ul exam-goon pet Mret.e 11,.,ll•L.and we It as no cn11Ju.:cs.Iva•,turLcrs'ernnp.io,utanee required.' '.kni applicant that ricks l\rA.1 taunt shot lilt out the xenon Ltiu i'hobs'mg then',kW kcT.'tuntpcnsanun'whey a to:minim +Homeowner.who subinil Bus ail idutit indocaling the are&.nrtL all a utk and then hue uut,ide;r t1ra.+tor,.must,uhntrt a new of fielat it ma k.alrng such Contractors!Jut cheek this blot mull attached an aJ;huunal sheet shiw.mg the n:une of the sulrernitr.w•lort and.tic N hotter in not those calorie,have einpluti'cc. II t u sub-e unlrmctru•s hr,'c(mild;act,.the Inuit pro..id,:their V.orLint. .\rinp.pttla:4 mtmLkr. 1 am an employer that is providing workers'compensation institutive for my empluyees. Below is the policy end}oh site information. Insurance Company Vance: _._ _— Polley li or Self-ins. Lit. ti: Expiration Date: Job Site Address: Ctty''Statt:.Zip: . Attach a copy of the Workers'conkpen!tatiou polio} declaration page(shos%ing the policy number and expiration date). Failure to secure co%erage its required under MC;L c. 152. ,?SA is a criminal vtolaton punishable by a line up to SI.500.00 arid:or one.-'}car imprisonment.its Well as civil penalties in the form ola STOP WORK ORI)LR and a tine ot'up itt S250.4i)a d:tt against the tiolatur_A copy of this stale71143nE lilay be forwarded to the Office of lmestigatiuns of the DIA I.ir insurance coterape vertlitatiun. 1 do hereby ct/2thr)CI mer the/ruins rind t.a iu ltie.s 4perjure that the in firrmation provided abovei.i true road correct. SrSnaturi: � Dal:: 5/la /tom 1 Official use only. Do not write in thi.area.to be cumlrlkted by city or town official_ f it% or Town: Per row License ti issuing Authority (circle one): 1. Board of Health 2.Building Department 3.CO[Lasso Clerk 4.Electrical Inspector 5. Plumbing inspector (1.oilier ('lour:let Person: Phone 4): ACaRDe CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 05/06/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Chris Hess NAME: Southwick Insurance Agency HONE Est): 746-2822 FAX No): (413)746-2901 562 College Hwy AooRIEss: chess@southwickinsagency.com INSURER(S)AFFORDING COVERAGE NAIC C Southwick MA 01077 INSURER A: Preferred Mutual 15024 INSURED INSURER B: Anthony Bilotta INSURER C: Po box 321 INSURER 0: INSURER E: East Otis MA 01029 INSURER F: COVERAGES CERTIFICATE NUMBER: Ct225603929 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL I:- POLICY EFF POLICVEXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMlDD/YYYY) (MM1DDl(YYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A BOP0100728336 02/02/2022 02/02/2023 PERSONAL sADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2.000,000 X POLICY PRO PRODUCTS-COMP/OPAGG S JECT LOC 2.000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accdent) ANY AUTO BODILY INJURY(Per person) S OWNED— SCHEDULED BODILY INJURY(Per accitlenIl $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY ^ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE i E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED N I A (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Northampton Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main St AUTHORIZED REPRESENTATIVE //� Northampton MA 01060 2-'.-— I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD City of Northampton ,v. ., ,.. , Massachusetts Lk-: tZ DEPARTMENT OF BUILDING INSPECTIONS �. ' R�x p' '` 212 Main Street •• Municipal Building yJ� �a� �a ¢ Northampton, MA 01060 ss'Nh, ?,mac\' 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: all,, g.„ c- G/11 J' 1 The debris will be transported by: Name of Hauler: /lJi? 5.-en ilk-55 f gtco,-, _ Signature of Applicant: Date: _