48-027 BP r 022-0824
66 RIDGE VIEW RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
48-027-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0824 PERMISSION IS HEREBY GRANTE I TO:
Project# 2022 new single family Contractor: License:
Est. Cost: 1394152 SOVEREIGN BUILDERS INC 060176
Const.Class: Exp.Date:01/19/2023
Use Group: Owner: S ARMSTRONG KIPP S & PATRICIA
Lot Size (sq.ft.)
Zoning: RR Applicant: SOVEREIGN BUILDERS INC
Applicant Address Phone: Insurance:
710 SOUTHAMPTON RD 413-527-8001 CMQ8013720
WESTFIELD, MA 01085
ISSUED ON:07/22/2022
TO PERFORM THE FOLLOWING WORK:
NEW SINGLE FAMILY HOUSE WITH INGROUND POOL AND POOL HOUSE -FOUNDATION ONLY
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 VIOL: TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
.>2
Fees Paid: $200.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
NEE.0 E a ?Lk! Z -ow
File #BP-2022-0824
APPLICANT/CONTACT PERSON:SOVEREIGN BUILDERS INC
710 SOUTHAMPTON RD WESTFIELD, MA 01085 413-527-8001
PROPERTY LOCATION 66 RIDGE VIEW RD
MAP:LOT 48-027-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $200.00
Type of Construction: NEW SINGLE FAMILY HOUSE WITH INGROUND POOL AND POOL HOUSE -
FOUNDATION ONLY
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included: ` /
Owner/ Statement or License \ //
3 sets of Plans/Plot Plan
TH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ORMATION PRESENTED:
I
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 Perm it 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
rig i rt i 1, NI 6 It; t-pa/ag_
Si:r ature of Building Official i. 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.
,)Led db,"a//dlaizs
Cc1V
Commonwealth of Massachusetts
3✓o/ and f Building Regulations and Standards FOR
�� assa husetts State Building Code, 780 CMR MUSE LITY
o oop8u. uilding Per t Ap lication To Construct,Repair, Renovate Or Demolish a Revised Mar d.011
Rryq�O,NG�Nsp One-or Two-Family Dwelling
nN Mq oio6rONs This Section For Official Use Only
Building Permit Number. Cr ,Z2.. D .'1 Date Applied:
I ipX 1 I,
Building Official(Print Name) Signature Dat
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
66 Ridge View Rd Book 8604 Page 156 48-027-001
1.1a Is this an accepted street?yes_X_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
RR kesidential 74923.2 Sq Ft 85' (Cul de sac reduce 20% = 68')
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
40 200+ 20 20.50 30 32
1.6 Water Supply: (M.G.L c. 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 2 Zone: Outside Flood Zone?
_ Municipal 0 On site disposal system 12
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sovereign Builders Inc Westhampton, MA,01085
Name(Print) City,State,ZIP
710 Southampton Road (413)977-6608 tcellurakilsovereignbuilders.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 12 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 1 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify:
Brief Description o orkt:Building a cons i.I .f inglet`sto�-y J�or appr mat s ar
feet, including a 1040 S Ced y y-.r- .0 ho+�tub, Soar foot p ou e.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $1,205,368 1. 1. Building Permit Fee: $ Indicate how fee is determined:
(, ' Y 0 Standard City/Town Application Fee
2. Electrical $66,600 COQ
�j Y 0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $40,000 OCO 0 L� 2. Other Fees: $
4.Mechanical (HVAC) $63,58. Q h 1 List:
5.Mechanical (Fire $19,200
W� �",5
Suppression) Total All Fee
Check NoA I) Check Amount: Od Cash Amount:
6.Total Project Cost: $1,394,152 4L v0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-060176 01-19-2023
Todd G Cellura License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
135 Souithampton RD
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
Westhampton MA 01027 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
(413)977-6608 tcellura%sovereignbuilders.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
Sovereign Builders Inc 158240 05-29-2024
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
710 Southampton Road tcellura !sovereignbuilders.com
No.and Street Email address
Westhampton.MA (413)977-6608
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 la No 0
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 Satu .. w Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARA H
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.
Print Owner's or Authorized Agent's Name(Electronic Signature)
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.) 6546 (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 4926 Habitable room count 8
Number of fireplaces 1 Number of bedrooms 5
Number of bathrooms 5 Number of half/baths 3
Type of heating system Electric Number of decks/porches 2
Type of cooling system Electric Enclosed 1 Open 1
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
y Massachusetts '<<
i. e P DEPARTMENT OF BUILDING INSPECTIONS y l 1
212 Main Street + Municipal Building vy+, ry Ct.
. Northampton, MA 01060 'rJ- . 4.
'
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: Casella Waste Systems Chico•ee MA
The debris will be transported by:
Name of Hauler: Associated Wrecking _
Signature of Applicant: !e [tee ;4z,. Date: 06-29-2022
The Commonwealth of Massachusetts
`'mot Department of industrial Accidents
lam.
� jR� I Congress Street,Suite 100
=' I _`_ 4, Boston, MA 02114-2017
• { www.mass.gor/dia
's%otikers'Compensation Insurance Affidavit: Builders/UontractorlEkctrricianarPlnrnhe
TO BE FILED WITH THE PERMUTING At IDIOM Ps.
A 1 lieant Information Please ' _z ,
Name Husirtess,Organizatinniincinfidnaly Sovereign Builders inc
Address: 710 Southampton Road
City/State/Zip: Westfield, MA, 01085 Phunc :_(418) 977-6608
Are yea an employer'Cheek the appropriate bas:
Type of project(required):
[. 1 Mt a employer with employees(full an. or part-time"►.•
7_)4 New cunstructur
271 I an a sole proprietor or partnership and have no employees working for me in 8. J Remodeling
any capacity.[Nu workers'camp.insurance required.]
9. D Demolition
30 I am a humoow ner doing all work myself.[No workers'comp,insurance n:yuvnl.J
l0 D Building addi i 1 n
40 I am a iwnxvwner and w ill be hiring contractors to conduct all work on my property- I will
ensure that all contracture either have workers'cortrpetrsaUun Insurance or are sole i 1.0 Electrical ' I or additions
prupnetun with no ernpluyees.
12.0 Plumbing repo'. : or additions
14 I am a general contractor and I have hired the sub-contractors listed on the attached sheet.
[hese sub-eontractons have employees and have workers'comp.Insurance. l3 ROM repairs
6.0 We are a corporation and its officers have exercised their of-exemption o exemptnun per SAIL c. 14.D Other
132,Jf1(4L and we have no employees.[No workers'comp.insurance required_[
*Any applicant that cheeks Lox sI must also fill out the section below showing their workers'compensation policy information_
Homers ncrs w ho submit this Aida l it mdcatmg they are doing all work and then hire outside contractors must submit a new atfrdav It indicating such-
IC'untractors that cheek this Lot must attached an additional sheet showing the name of the sub-contractors and stare whether or not those entities have
ltflplayecs. It the sub-contractors have employees.they must provide their workers'comp.policy number.
-I ea an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
lt/ermation.
Insurance Company Name: AIM MUTUAL
Policy#or Self-ins.Lie.#:_WMZ-800-8007724-2022A Expiration Date:07- 1-
lob Site Address: 66 Ridge View Rd City/State:Zip:Northampt0n,MA 01 62
Attach a copy of the workers"compensation policy declaration page(showing the policy number and a don date).
Failure to secure coverage as required under MO,L 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 fee of up $250.00 a
day against the violator.A copy of this statement may be foray aided to the Orrice of Investigations of the DIA f insurance
coverage verification.
I do hereby certify under the pains and penalties of perjuty that the information provided above is true and correct
*mature: / ��CQC�6l' - - Date: 07-07-2022
Phone#: (413)977-6608
Official use only Do not write in this area.to be completed by city or town official
('its or Touts: Permit/License#
Issuing Authority (circle one):
I. Huard of Health 2.Building Department 3.(ity'/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
C'untact Person: Phone#: