48-027 BP-2022-0824
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 PERMISSIONIS 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
MaINIMORMERIM
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:
• 11 . 11.:615,
Fees Paid: $200.00 4- IO'046,h 41 11 jyczti
212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
/ A931eNNN,
i , NO,
The Commonwealth of Maisach etts A' J , FOR Board of Building Regulations at l' to rds
`'
: VYI N Massachusetts State Building Code;�' A,0 / ' US ALITY
Building Permit Application To Construct,Repair,Ren 9��� emolish ' ised Mar 2011
One-or Two-Family Dwelling ' �PFCa
Q This Section For Official Use Only 1O19/otis
Building Permit Number: b r _..zZ_ ye),q Date Applied:
, , , i .2 .3' 1► C : 7 11
Building Official(Print Name) Signature 4 • to
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
1.1 a Is this an accepted street?yes_X_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
RR Residential 74923.2 Sq Ft 85'(Cul de sac reduce 20%= 6,8')
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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if ves❑
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 tcellura@sovereignbuilders.com
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) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units 1 Other 0 Specify:
Brief Description of Proposed Work2:Building a construction of a Single-story home of approximately 4,926 square
feet, including a 1040 Sq ft garage.Inground pool with year-round hot tub, 308 Square foot pool house. 1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $1,900,000 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $110,000 0 Standard City/Town Application Fee
0 Total Project Costa (Item 6)x multiplier x
3.Plumbing $100,000 2. Other Fees: $
4.Mechanical (HVAC) $140,000 List:
5.Mechanical (Fire 0
Suppression) $50,000 Total All Fees: $Q /,�/
Check No. .7 I Check Amoun :"I 1 V►✓`sCash Amount:
6.Total Project Cost: $2,300,000 0 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 tcellurana,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 tcelluraesovereignbuilders.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 . El 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 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.
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.) 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 Flectric Enclosed 1 Open 1
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
City of Northampton
Massachusetts '.
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municitttpal Building *
Northampton, MA 01060rl! o„S
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 Chicopee MA
The debris will be transported by:
Name of Hauler: Associated Wrecking
Signature of Applicant: Date: 06-29-2022
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD
FRONT SETBACK
FRONTAGE
`..s. The Commonwealth of Massachusetts
i Department of Industrial Accidents
1 Congress Street,Smite 100
Boston,MA 02114-2017
WWW.mass.govidia
n'orkers'Compensation Insurance Affidavit:Builders/ContractorsfElectricians/Plurobers.
TO BE PILED WITH 111E PERMEITING AUTHORITY.
Applicant Information Please Print Leen&
Name I kituantess Organtza lion.intits.hittL! Sovereign Builders inc ,. .
Address:_710 Southampton Road „ ... ... . . ,
City/State/Zip Westfield, MA, 01085 .. Phone#:_j413) 977-6608
Aft yea*it employee Cheek the appropruite hot: Type of project(required):
atm a critployer with cmpioyees ifull and or part-titne)..• 7. .7 NeW COrtfitrtieti
2[3 I tun a sole profit:elm ot peamerskup and have no eititpkryees working tot the tr. 8. 0 Remodeling
an cursacity.[No workers'camp.insurance rociaaretki
9. Ei Demolition
30 I am a&IMO...0'U IAL,doing all*cat nayaelf.[No vomit&i:thilfp,inturanue voquaod
10 Ej Building additio
4E3 Jam a ilociasiveaci and u ill he harm;ountriu3ors to conduct all work Ci$in property 1 at,if
ensure that all wiitracturs either haNE workers"corisiwn-,tition insurance or are sole I 1 43 Electrical repair or additions
proprietors with no empty yt.-4 .
12.1:1 Plumbing repaxr or additions
am a aznetal contractor and J have hired the utl-contrat:ton.laded on the attached siteet
... 13.0 of repairs
These suls-contracton.lease employees And haot workerA'comp.tnauraucei
14.Ej Other
ha We are a ougsuration and as otT have exercised their right of exemption pet MM.c.
151.t 1441.and we have no ia-mituyeelt.[No workers.c-onap.insurance remutelil
I
*Any appliereni that checks box r 3 mm.4 alw till out the aecteun t-...;,,,, . t.-,1:1..!they workers'compethatton pol lc!, utiormatoRL
+ii.onlook+kocr.who suintin this at1i4a4 it indicating they are doiRg a31 k.oik att,./dam hire outside contra-dm,.mint aubtrut a ock+,affkiiats it itufrostrrig k.is...E
:Contractor/.drat t boa ItILI 1,0t6.most attAthed an alltional%heti showing the name of the X111,--c01111-11e1X,aryl+ktat e k+,troller or not Thom..entaito.two:
otopkoyekTr, If th,,..,L.I.,,,,,rgractors Ittot.ctriplok,oes.titel, most Too ode tkuott workers'oaatirk Ton,...) takartivt
„..„. . „.„ .
1 am an employer that is providing worAers"compensation insurance for my employees. Below is the policy and job site
information.
111SUrartee Company Name: AIM MUTUAL _
Policy#or Self-ins.Lie.#:_WMZ-800-8007724-2022A Ex FIE-11110n Date:07-01-2023
Job Site Address: 66 Ridge View Rd citysukzir Northampton,MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy ili It miler and expiration date).
Failure to secure co r erage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to 51.500.00
and one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up o$250.00 a
i.
day against the violator. A copy of tins statement mOffice
ay be forwarded to the of Investigations of the DIA for insurance
L:o‘.-cr, ..?t: .erification.
Ida hereby certify under the pains find penalties ofperjury that the information provided above is true and t nrret I.
Sienature: 2;ce/Z Ca/40 Daft... 07-07-2022
PlIonc ds (413)977-6608
4
Official use only. Do not write in thiA area, to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3,Chy/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone*.:
-- ----- -- .
City of Northampton
Massachusetts ��
l*'/ ? i= y
;` 1.'1i: at DEPARTMENT OF BUILDING INSPECTIONS is
S` '�
z �.,' 212 Main Street •• Municipal Building Jb,
y Northampton, MA 01060 41i'" • �`.
Fee Calculator for New Residential Construction ONLY
Location : 66 Ridgeview Road
Square Footage Amount
Basement @ .20 5471 $1094.00
1ST Floor @ .50 6509 $3254.50
2nd Floor @ .50 0 0
1/2 Floors, Finish Attic, Garage @ .20 1038 $207.60
Deck / Porches @ .20 400 $80.00
Total : $4636. 10
0
17'11
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