18C-101 (8) BP-2022-1072
31 GLEASON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
18C-101-001 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-2022-1072 PERMISSIONISHEREBYGRANT S TO:
Project# 2022 WINDOWS Contractor: License:
Est. Cost: 4140 STEVEN ZUCCHINO 021356
Const.Class: Exp.Date:08/31/2023
Use Group: Owner: K VAZQUEZ JUAN M&JUDY
Lot Size (sq.ft.)
Zoning: URB Applicant: STEVEN ZUCCHINO
Applicant Address Phone: Insurance:
70 GLEASON RD 413-575-2258
NORTHAMPTON, MA 01060
ISSUED ON:09/01/2022
TO PERFORM THE FOLLOWING WORK:
INSTALL 2 NEW WINDOWS ON NON-BEARING GABLE END WALL
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:
4, • V • - TIT
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
i
I.1 j
f�'.4. o The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
I' • o -0= Massachusetts State Building Code, 780 CMR MUNICIPALITY
Vie, USE
•
„ gluilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 011
a One-or Two-Family Dwelling
7,1- ., This Section For Official Use Onl
BPeit Nuni. ,:134'-2022^l07'2_- Date Applied:
74L u►o 1 OSs / �2— 9-/'20Z7—
Building Official(Print Name) Signature Date
SECTION l:SITE INFORMATION
1.1 Property Address: n n 1.2 Assessors Map&Parcel Numbers
1.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
U(i213 . I l,W a-cre--
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 0 Zone: — Outside Zone? Municipal❑ On site disposal system 0
Check if yes❑
''// SECTION 2: PROPERTY OWNERSHIP' M /
2.1 OwnerG' �k�• V Al W0 C� �. 1 / 0106
del r 6,�^Q 0
Name(Print) City,State,ZIP
31 &kk.e.54'.. at, . SEC- Gi 01
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building CI Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition ❑
Demolition 0 Accessory Bldg. CI Number of Units Other ❑ Specify: .- /Jew u/1 tiolOvtdc
Brief Description of Proposed Work': 1_,1 d.I tu.o new 4✓ik ou-, iih 1wi1 -bcur,-6 Vise_
Nrt tp/a1I . —
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item (Labor and Materials) Official Use Only
1.Building $ Li/110 ,U O 1. Building Permit Fee: $ Indicate how fee is deterniined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire d
$
Suppression Total All Fees:$ CP 5 � —
.— v
Check No.O/OS Check Amount: /5 C- Cash Amount:
6.Total Project Cost: $ Li t,8,Jo 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
S'�^p1J�, r9 Z �� C'S- oa i 3 S-� o'�C lit�a-�
V C-f i W'0 License Number Expiration Date
Name of CSL Holder
1-u �cA$T� n • List CSL Type(see below)
No.and Street Type Description
NO r \h t* h C 0 I 0 1v0 U Unrestricted(Buildings up to 35,000 cy.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,tit'
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
H13- c7S .2_0 cc - ti I hrsulation
Telephone Email address D Demolition
5.2 Registered Home I provement Contractor(HIC)
S � 2vcc,�ti'^b 10�`9 1 07//I' 10.3
HIC Company Name or Registrant Name HIC Registration Number Expiration ion Date
aqt,t,- 1 it
S " SLJe .Z.&cc ,?- Co' to .ne,f
No. d ()too
Email address
rSet w''�QQ 411)'SIC-9 -S(1
City/Town,Stag,ZITS 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 .1, 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 Sjt ii ti 2k/C-Cr'1 t hit)
to act on my behalf,in all matters relative to/work authorized by this building permit application.
J Vc1M 4' 2. V2_Z 5;41 y Vet 2.` iU0-7- Q b''342.41-1 -
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 knowledge and understanding.
c1inL c.A.A v C� I but 01"�a12•0d--)—
Print Owner's or Authorized Agent's Name(Electronic Signature) 11 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 poj 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 porcll)
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 YARD SIDE YARD
FRONT SETBACK,
FRONTAGE
City of Northampton
Massachusetts �4rd ice- <<.
(4 ' A
�:
�t le- I .4$ b„ DEPARTMENT OF BUILDING INSPECTIONS y ��;
" w 212 Main Street • Municipal Building �k ,tea
,. r' Northampton, LA 01060 ss ;-)����
F +
CONSTRUCTIONAFFIDAVIT
DEBRIS
(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 disp sed 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: V (( -v I&_c_yc ( 1 lz
The debris will be transported by:
Name of Hauler: Self 5 teiVeit, 2vc-C-1'a i 6t-o
Signature of Applicant: e�� ),(AAA_-g,-:... Date: 0c'301}14:3-
The Commonwealth of Massachusetts
i Department of Industrial
ii um weal,ma. 1 Congress Street,Suite 100
r Boston,MA 02114-2017
td?. wow,mass.gov/dia
%1 or kers'Compensation Insurance Aflidas it:Builders/Contractors/Ekctrlcians/Piumbera.
t'O HE FILED WITH'1"111:PERMt'ITINC AUTHORITY.
A i ht In, 1 ,tie S I.. i.... .i..,; ,,.,
Li(Business Organization, Waa
l): il`i. U ti^ _ _2"-c 1 4 Address: 70 (Il'i 5-� RP' ______
City/State/Zip: 00 r 41 ha ' f 1 A Pie; : I-J 3- 57 S._? 5 g
Are yeas an erapk er`Check the appro that
Type of project(required):
I lam a employer with onple des(full and oe part-time I.' 7. New construction
2 I am a sot¢proprietor or peertnenahnp and have nu cutployis working tin me in
Remodeling
any, capacity.[Nu workers'comp.Insurance n wred.l
@—� 9. 0Demolition
'L..J l ant a homeowner doing all work myx-It.No workers'cum, arouran t rcquue,l.)'
4.0 tam a hme'o wooer anti will t+c to mg cxmtru1uaskm conduct all work on my poverty.. t will 10 Building addition
entsunc that all contr-"a.9ura either hawe workers"enlropensatiun insurance or are sole i I.f J Electrical repairs or additions
proprietors w ith no employees.
12.0 Plumbing repairs or additions
Sin I am a gn s e:al contractor and I hate hired the sah.entatacturt listed on the anadicd sheer. 110 repairs
nese siii.e.uatisctors Marc ensployees and have workers'comp.insurance., '
6.0 We are a cooperation and its officers have exercised then tight of a ten liven per?Kit-C. 1 Othri' �{m J 1. p jt- P'r tl1/
1S2..i I(4),and we have no employees.(Vo workers':imp.insaaaame required.] IA#i b ern W S
*Any applicant that checks boa#1 must also till out the wnrion below showing their workers'compensation policy information.
Homeowners who submit this,affidavit indicating they are doing all work and then hire outside contractors moo submit a new affidavit indicating such.
kbetr ctors that ehee'k this tman must a eked an additional sheet showing the name of the subcontractors and state whether or not those entities have
ertiployecs. It the sub-coonttracturs have:ernployc .a mot.must J w c their orker,'clomp.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:
Policy =or Self ins.Lie.#: Expiration Date:
Job Site Address: City+'Stare/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expo tion date).
Failure to secure coverage as required under MOL c.152,*25A is a criminal violation punishable by a tine up $1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a tine of up $250.00 a
day against the esw atur-A copy of this statement may be forwarded to the Office of fro,estigations of the DIA insurance
coverage veriticattom.
I do hereby e'er f.under the pains and penalties of perjury that the information provided abate is true and correct.
rt
Sir lure ,�(�ti Dint. 0.41 30( --.)'"
Phone -: (1 - S 7 5 -EJ,9-a- ct`
Official use trnli Do not write in tlris urea.to be completed by'city or town official_
City or Toys n: Permit.License A
Issuing:Authority (circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector
6.Other
Contact Person: Phone#:
Paradigm Window Solutions Customer(Sell)
Vigni 56 Milliken Street Phone: (877) 994-6369
QUOTATION
Portland, Maine 04013 www.paradigmwindows.com
4'meov.Sr.'.uti,,i Fo,
Creation Date
6/13/2022
BILL TO: SHIP TO:
Phone: Fax: Phone: Fax:
Thank you for choosing Paradigm Window Solutions!
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
ZUCCHINO GLEASON
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
ringerj@rkmiles.com 784268
•
Lineltem# Description Net Price Quantity Extended Price
1-1 $327.90 2 S655.80
C Olt mist Room: Product: 8300 Series,Geo Picture,NC
Casing: 58.1875"x 19.4375"
RO: 54.5"x 16.5"
TTT Overall Size:54"x 16"
us ,
TTT Unit Size:54"x 16" to.
Performance Level:Standard, d�
Glass Options:Double Glazed,LowE,Argon,Annealed,SS 0
/4 IG Thickn s 0S ft
RO
Vinyl Color: White
Grids: Contour GBG,Colonial,5W I H,Not Applicable,Surround(ExtTrim):
Brickmouid wlSill Nose,Unpainted
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
SETUP: $0.00
LABOR: $0.00
CUSTOMER SIGNATURE DATE FREIGHT: - $0.00
DEPOSIT: ($0.00)
BALANCE: $655.80
We appreciate the opportunity to provide you with this quote! SALES TAX: $0.00
SUB-TOTAL: $655.80
TOTAL: 1 $655.80
Last Update: 6/13/2022 3:00:44 PM Page 1 Of 1 Printed: 6/13/2022 3:00:48 PM