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32A-059 (6) BP-2022-0728 68 UNION ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-059-001 CITY OF NORTHAMPTON Permit: Demo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0728 PERMISSIONIS HEREBY GRANTED TO: Project# DEMO Contractor: License: Est.Cost: 200 KEVIN NETTO 001317 Const.Class: Exp.Date: 10/02/2023 Use Group: Owner: & NETTO KEVIN C&JOVITA B Lot Size (sq.ft.) & NETTO KEVIN C&JOVITA BKEVIN NETTO Zoning: URC Applicant: CONSTRUCTION INC Applicant Address Phone: Insurance: 90 SOUTHAMPTON RD WESTHAMPTON, MA 01027 90 Southampton Rd. (413)527-3168 WCC-500-5008057 WESTHAMPTON, MA 01027 ISSUED ON:06/21/2022 TO PERFORM THE FOLLOWING WORK: DEMO SHED 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. 1 Signature: I g l � • • I • Fees Paid: $30.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner gZ., The Commonwealth of Massachusetts Wt Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CM) EC E I\ / L122 AL1TY Building Permit Application To Construct, Repair, Renovat r De_ V molis a 'se2011 One-or Two-Family Dwelling This Section For Official Use?+Only' J�� 1 7 1Q Building Permit Number: &— >a "7).8 Date Applied L Bcri.O�— � 5 /�/� NORTHAMPTONLDING�Mg0E060 INSPECTIONS WEU l 1 l l� Building Official(Print Name) Signature SECTION 1:SITE INFORMATION 1.1 .wtyb 4N 1.2 Assessors Map& Parcel Number 1.1a Is this an accepted street?yes 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 0 Private CI Municipal Outside Flood Zone? Municipal❑ On site disposal system 0 Check ifycs❑ SECTION 2: PROPERTY OWNERSHIP' Owner'of Record: Name(Print) City,State,ZIP SV _a C!‘? ;N , %%3-Fs - b\'QS c ear1c No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 13 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': �,ct%p `a Kyp` .c'es vIN, tiW SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 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: $ ..yy�� Check No. 1.4q Check Amount: 10 Cash Amount: 6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelling 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) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address 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 0 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 to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) 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 is true and accurate to the best of my knowled a and understanding. ` At•A• 0 et NIZ:vhGI,N p 1110. Ago$• b`�a'a, Print Owner's or Authorized Agent's Name(Electronic Signal .e) Date N w TES: 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 ,, r i� Massachusetts A 1. f�%., p; 1 .' ,I R . DEPARTMENT OF BUILDING INSPECTIONS S{ '+ r+ /4' 212 Main Street • Municipal Building )j �a ''' Northampton, MA 01060 `rJ,yY v'% .Z. 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: NN \\ t .-\ �� The debris will be transported by: Na me of Hauler: \TI ,v\' C. . p C,C�'� yO'c ,5, ,. Signature of Applicant: j�. Date: b-NA-aa Jun. 16.2022 00:37 PAGE. 2/ 2 Commonwealth of Massachusetts 1.®� Division of Occupational Licdnsure Board of Building Re ulations and Standards Consi do lumeirvisor • q p i CS-001317 a '- spires: 1010212023 KEVIN C NEO � 1 r s • 00 SOUTHAMPTON I II, v k. WESTI1AMPiON • Commissioner c1/64/ lQ. Y 3 • Cobh �qo� \c $ -.c,aaQ, //?e r>(7/)//??,0—/w///.// (- / -1,r!'/PJ� 'C:%Y(,•(.ll'lT'/r�J' Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation KEVIN C.NETTO CONSTRUCTION,INC. Registration: 103945 90 SOUTHAMPTON RD. Expi ration: 07/09/2022 WESTHAMPTON,MA 01027 • Update Address and Return Card. SCA 1 0 20M-05/17( // ,��/' (('/l///i/'///!'/%���/' . ///;!/./.),,',,.�/.�z Office of Consumer Affai♦'s&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Corooration before the expiration date. If found return to: Reglatration Exulratlon Office of Consumer Affairs and Buainees Regulation 103945 07/09/2022 1000 Washington Street -Suite 710 KEVIN C.NETTO CONSTRUCTION,INC. Boston,MA 02118 46:;6". KEVIN C.NETTO ' ,-, �1 90 SOUTHAMPTON FilS, L(aGl�r< WESTHAMPTON,MA 01027 Undersecretary Not valid without signature Jun. 16.2022 00:37 PAGE. 1/ 2 The Commonwealth of Massachusetts Department of Industrial Accidents =tsjo 1 Congress Street,Suite 100 f= Boston,MA 02114-2017 www.mass.gov/dia 1l as kers'(btnpensation insurance Aulidasit:iuildersiContractors/Electriciana/plumbers. TO BE PILED Wfhll h11E PERM'IT1si[.Ali'rlH)KI I'1`. ttnnlicant lnformallott . . Please Print Legihls Name rliusitticsarUrgummtiondndi,iduall: Address: �C� --- — — City/State/Zip: Phone #: �►1- 1kg. a Are on.e a apIo er?(lbrrh thc.pprwri.tc hoss Type of project(required): I.21 I.nr a emtrto .T with arrtpk,ywcr(lull and'ur purt•tinul.r 7. D Nett/construction 20I am a.,k paupn¢rm tar partner,hip anJ hat.nu empltA vs wut.'rrb for raw in S. U Remodeling fry cato.ny,INo woriaern'comp.irruran., rryusrnd l 9. ©Demolition .1.I ant a hull net cluing,ar!/work any,lf'.1No ttutkos'conk.„r.urartce rvyuiral-f I()[�Building addition J.n I am a Lum..,wn.-r and kill hr,hiring cirri tctun to conduct aH wink on my ptoriurly. 1 will 4� art That all eururaetur5.itlwr lute wu ta,-, cunrpa-t,Jlion uhurarto:ua an-.rule I I,a Electrical repairs or additions plornetuas w ith nu atnpluyc.y. I2.D Plumbing repairs or additions 50 I am a g.ytt.tal c„nitrctur ua(I NA. huaJ Chi:sue- unurcrurz li,t.J on lbw attac(aoI.heel Ihcad sob auntracrur,have vinpluyc.�and Isere wuricrs'comp.inwurvrtce. 13, 11Zoof repairs 6.0 W.:are a.wtpuretrun and n.utfi:ernate h eE.Ye iseJ glum nght ul',urn rhino err Mtk c. (4.A Otf,rr- I S2,i 1t41,and w.1utsr nu.TtpIoyrex.INo kvrkeh't.'Wnp.tn,r -un.'."reyutn:d.) 'Any applicant that d ao—L bust a I ono ai,xr lilt out dw widion bvluw shun ink Ils.ir wtnkez+'compensaliton p.rlicy Iulbrn,aIiun. I1 atnvr, who s,>hsnit tlu.arliJar,(indicating tiny at doing all work and Own hire oursiJ.contractor mural suhmu a new aftiJnt it irtdiiulrtg such. !t'onua,;ton.that cheek thi..bark must alta•It.rd an aclditiuna!Am(rhuwing tin:name ache cue-cwuraclors;rnd%Ila(c w1n71ly to nail!how oil la hy.halm .o061yee3. It(IX sub-eutti .Ia s low 0,11,10).•vt.they Inuit provide their nalkan'.tamp.puhcy owner. I am an emplorar that is providing workers'compensation insurance for my employees. Below Is the policy and job site information. Insurance Company Name:.... ,66:),\ c`-1,,, \ Policy#or Self-ina.1.ic.0; Q ‘SZ:.)04.(ag:F.S1Expiration Date Job Site Address; U,c��D[�, tam �� C.'ity,Stale.lip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expi Lion date). Failure to secure coverage as required under)1GL e. 152.;a25A is a criminal violation punishable by a tine up to SI.500 00 and:or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator, A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage veritication, I do hereby ceril 'under the pains and, navies of perjury that the Information provided above is true and correct. Phone rr: ‘.111�J Official use only. Do not write in this area,to be completed by city or town offlelat City or Town: _ Permit/License t issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#: -