25C-064 (7) BP-2023-1237
274 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-064-001 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-2023-1237 PERMISSION IS HEREBY GRANTED TO:
RENO MUDROOM/ADD DECK
Project# 2023 Contractor: License:
Est. Cost: 7500 JONATHAN TOSCH 116108
Const.Class: Exp.Date: 10/08/2024
Use Group: Owner: PRYOR, RYAN E. &WEIDMAN, LAILYE M.
Lot Size (sq.ft.)
Zoning: URB Applicant: JONATHAN TOSCH
Applicant Address Phone: Insurance:
312 AMHERST RD (630)902-1627 WC5-33S-B22DGV-012
PELHAM, MA 01002
ISSUED ON: 09/08/2023
TO PERFORM THE FOLLOWING WORK:
REPAIRS TO MUDROOM, NEW DECK WITH STAIRS
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:
TArtycL a
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
Z—O
File #BP-2023-1237
APPLICANT/CONTACT PERSON:JONATHAN TOSCH
312 AMHERST RD PELHAM, MA 01002(630)902-1627
PROPERTY LOCATION 274 BRIDGE ST
MAP:LOT 25C-064-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $65.00
Type of Construction: REPAIRS TO MUDROOM, NEW DECK WITH STAIRS
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
XApproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
s. , C:Tibbk ' (i) a3
Sigi`ature of Building Official / Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission, Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
Sep k�
The Commonwealth of Massa t use Q
!.:tt , Board of Building Regulations and nig B? FO;
Massachusetts State Building Code, 780 ei. ;q o,v I/SE LITY
Building Permit Application To Construct, Repair, Renovate € IL.- .;$ ' h a Revi ed Mar 2011
One- or Two-Family Dwelling '907i%on<9
This Section For Official Use Only
Building Permit Number: 30...1,'3^ (y3 7 Date Applied:
r/ I Z. ► i>t: /dy?3
Building O ial(Prin Name) Signature 'SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assess rs Map& Parcel Numbers
27f Q2/O4s� sr z QrC-U 4— ®ol
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zonin Information: 1.4 Property Dimensions:
VP,V 26/11if 1.--- 574 0 se-- &Q
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
NA, ni ea— /5 Q at- NA- pm-
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public lie Private❑ Check if yes!: Municipal%On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Re ord:
184111 IAVoIt- GAiGyp- w&/,0AM( NO2704401 ; /on 0 Mk
Name(Print) City,State,ZIP
/7,- f h/d at sr 496 GIs 017/
No.and Street Telephone Email Address
SECCTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction II-Existing Building 0 Owner-Occupied 0 Repairs(s) Lit Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: ju-NifiQ., 70 /W VIP 1141,v FOVbVAj//IV-C V 6W `O07/iI
A-fr P 117 h"i Pitt AM-120V 40 1V W /2'(8" d eo, JV/Yw .2
S I F d74-1,2-4.—
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 7SH.- I. Building Permit Fee: $ —Indicate how fee is determined:
2. Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost' (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S_
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Feesit-
Check No.`A I Check Amount: Cash Amount:
6.Total Project Cost: $ 7511H 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) I io r !Dod/nV
J ((t/A1d'fF lU 7$c /I — License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
A'l/I f 1 7 -
No.and Street Type Description
p�lilfjM/ Al tO1--... U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC RoofingCovering
WS and Siding
SF Solid Fuel Burning Appliances
G?O 702/627 doN(.T01'fi0- a/spw I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
70 sew HIC Registration Number xpi ation Date
HIC Company Name or HIC Registrant Name
A / W #0& Jo D•7o /k. Gam.
No.and Street ig 0l00 63 /4 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 inc No . 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,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 t best of my knowledge and understanding.
61101-atii-nr de.0T�2.a
Print Owner's or Authorized Agent's Name(Electroni 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.govidps
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
SETBACK PLAN
25c- DO- #1/
MAP: LOT:
LOT SIZE: 5.7�4 £
REAR LOT DIMENSION:
REAR YARD /v
41-
SIDE YARD i� SIDE YARD �'r
FRONT SETBACK
FRONTAGE r
City of Northampton
i Massachusetts
tt
DEPARTMENT OF BUILDING INSPECTIONS
. r. � :..L � y": .4
�x 212 Main Street • Municipal Building J4 Cb
`� `,' Northampton, MA 01060 ss°
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: ((4-tf'> e-y���/P�
The debris will be transported by:
Name of Hauler:
Signature of Applicant: )\--- Date: Ofi.3-_
The Commonwealth of Massachusetts
n
a ---t. t, Department of Industrial Accidents
=_. 1- 1 Congress Street,Suite 100
';',4„, ly.' Boston, MA 02114-2017
.1 www.mass.gov/dia
`'Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ( O t e4- Ctivsitwe`f,ON Ll-c-
Address: 1l . i¢4/1 Cd 7 /2 a__
City/State/Zip: A e t 41 , At 4 e,Go-4 2, Phone #: 6 2 0 fez_ /` 2 7
Are you an employer?Check the appropriate box: Type of project(required):
1.�am a employer with 6 employees(full and/or part-time).* 7. Q N w construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling
any capacity.[No workers'comp.insurance required.]
3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. El Demolition
10 ❑ Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.El I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 p
Roof repairs
These sub-contractors have employees and have workers'comp.insurance?
6❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.['Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.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: t/'2T'1 frii L *
Policy#or Self-ins.Lic.#: WC/r-33S-82.2,.0&V- 0/3 Expiration Date: 0 X7gA Q
Job Site Address: V¢ Vh.to 4 E S7 City/State/Zip: IV0l11/14 M/P$fr, It- 0/fIii—
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL 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 fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify u r the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date: 0 07/2.3
Phone#: 6/0 ?d2 _ lY
1
Official use only. Do not write in this 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.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
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Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement'Contractor Registration
Type: Individual
Registration: 202809
JONATHAN TOSCH .t � = ma's Expiration: 08/11/2023
312 AMHERST ROAD
PELHAM,MA 01002 1
1
wt
T y q4,
:4 tq v•ti Update Address and Return Card.
SCA 1 0 20M-05117
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:individual before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
20.2BQ9. -08M-1,2023---- 1000 Washington Street •Suite 710
JONATHAN TOSCH Boston,MA 02118
i+j .F ,J 1,. pOf 20'2.c
JONATHAN $OSU R. # 1 2
312 AMHERSTi2OAQ t / i ��,,r,,.{4-(<.cGf0,4
PELHAM,MA 01002 Not valid without signature
.v,,. ; Undersecretary
•
Commonwealth of Massachusetts
` Division of Occupational Licensure
Board of Building R ulationsr and Standards
Cons tonS�isar
CS-116108 :* Kit ires 10/08/2024
t
JONATHAN %TOSOW.ij, ,,,
312 AMHERST ROAD .aaa O .
AMHERST Miit,01002 ^ x yy
w
'VUL1t. d:l J I
Commissioner & a K. L7frnclea..
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs . Business Regulation
1000 Washingt Suite 710
Bosto -s. —0 --- 4. 118
Home Im•ro' . -,.....--e 'station
1111
rtr * V Type. Individual
e• ation: 202809
JONATHAN TOSCH E kiiation: 08/11/2025
312 AMHERST ROAD
PELHAM, MA 01002
N‘
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affas,&Business Regulation Registration valid for individual use only before the
HOME IMPROVE 'INTRACTOR expiration date. If found return to:
XYP Office of Consumer Affairs and Business Regulation
""
Re.i-t liation 1000 Washington Street -Suite 710
e; t74.ille pit Boston,MA 02118
JONATHAN TOSCH .;'_ =,
f
IONATHAN R.TOSCH' fis .
312 AMHERST ROAD +� ''
'ELHAM,MA 01002
Undersecretary Not valid without signature