46-049 (7) BP-2023-1573
107 ISLAND RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
46-049-001 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-2023-1573 PERMISSION IS HEREBY GRANTED TO:
Project# deck&porch 2023 Contractor: License:
Est. Cost: 12000 BURL BELISARIO 100030
Const.Class: Exp.Date: 10/23/2025
Use Group: Owner: ELIA TALA
Lot Size (sq.ft.)
Zoning: SC Applicant: BUR1S GENERATION HI &GC
Applicant Address Phone: Insurance:
31 EXETER ST (41 3)222-2914
EASTHAMPTON, MA 01027
ISSUED ON: 11/15/2023
TO PERFORM THE FOLLOWING WORK:
REBUILD DECK, PORCH REPAIRS
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: 51:AM
1
4
Fees Paid: $231.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buldinc Commissioner
The Commonwealth of Massachusetts . 4,
I- .. Board of Building Regulations and Sta ..rds *Op AhA,41 6 '
TY
Massachusetts State Building Code, 780 CsMks,. �ti
Building Permit Application To Construct,Repair,Renovate ►.' ?):,,. 'sh a 'vise'Mar ill
One-or Two-Family Dwelling t77r q
This Section For Official Use Only 4''q'A�eT
Building Permit Number: :.1)—?3- 1✓� 2j Date Applied: °so'',s
6v,,-) a's `/ 1l-ly-ZOZ3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 P�perty A$dr7s: d ',/� 4 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes 4/- 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 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 er'of ecord:
icy Do ri cO I U ire EA q skulk)g?D o 1 11 H o lD C 0
ePrint) City,State,ZIP
o Z Sion d Pd 4(7 - 515./1 2 l f dr�l 11 (.5) l J10 0. cok
o.and Street Telephone Email Addre s
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction❑ Existing Building 8' Owner-Occupied d Repairs(s) Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of Proposed Work2: Hy i)/7i_12y— l(I r_a t t O.. i , [5➢C , 11,c
(lil56:0j ` o
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ , 2-o ?) 0 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{: r
Check No.` 11 Check Amo 1 Cash Amount:
6.Total Project Cost: $ + ) D Q a El Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
Construction Supe isor License(CSL)
� a
pir ion(( ,jt k. ((V't Boa- v 30
License Number e
Name of CSI,Hold r ` '
/ x e List CSL Type(see below) V
No and Street Type Description
���� {{�)��l �-�J /� �� U Unrestricted(Buildings up to 35,000 cu.ft.)
(2 ( 1 G V R Restricted 1&2 Family Dwelling
City/Town,State,Zly M Masonry
RC Roofing Covering
WS Window and Siding
( / ! SF Solid Fuel Burning Appliances
1-(( Z ?/ Z'�A( 6,tl sw^t)nICJ 4I'r C� fll�/o„Cc?, I Insulation
Telephone Email address / D Demolition
5 Registered Home Improvement Contractor(HIC) LJ q 3f/`. �
(,Q r 113 6 c'/1 p lidL Gvi �I � (_ HIC Registration Number Expiration Date
C Company Name or Re rant Name i �"
/ E )C(� Y c �J E, (( S,;l'r c,., ►JCI Yr�r-' ci by o.ce,,e ,
oi,,dstr t / (' (t LI /I 1H �`'Z j 2(S 2 i 1 y� Email addrei
6 ei
City/Town,State,Z Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT IDAVIT(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-' 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 66 ( ciAr L. 6Lte-i
to act on my behalf;in all matters relative to work authorized by this building permit application.
1P ba ✓1 le/1( 2 5
t er's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under e ins and penalties of perjury that all of the information
confined in this application is true and accur e bes f my knowledge and understanding.
De 11-,,kr Lo c.0-./' :,,,'//
Print Owner's or Authorized Agent's N !ectro ' igna 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.) (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"
The Contmonweulth of Massachusetts
�p—= Department of Industrial Accidents
1 Congress Street,Suite 100
Boston.MA 02114-2017
www.mass.gor/dia
)1 takers'( oulpensaf Insurance aflidasit:Builder%'("on tractors 1 lee(ririaus Plulimbers.
i(l HE 1:11.1:1)IA 1111 111E PERIII l-(1\(Al 111ORI 11.
Applicant Information u Please Print Email",
ilrh
Name IliU.ttx^+s.()ry tnvall./t1 lEt.tltr i�tJ,u9H:/ �" ( l5 -_--- 1�:e. _Cu/ ---.1--.' 6�-
Address: 31 6 e l e r j.
C ity State Lip: -as m /to ? 11,4 di°1Plwne#: Lei 3- 222'2(// /
.arc wr an empluyre,(btek Hie appropriate Ina.
Type of project(rrqmirrd):
atn a employ LT with enriloy.e.Ihull;either prat-time,.' ]. O New ce ii,tructirm
A1 am a NA AC pinprick*or Frtacmhip and have no employee,winknra Mr nu:in 11. O Remodeling
auly capacity'_I.tvo winters'romp.rt.uran e requited.]
j I am a hen ieowawr doing all%orl iii -lt.(\o workers,'clog...insurarl..reyuired_I
9. ID l)cniolttitm
10® Building addition
11.❑I am a 6,I111.AM:I and wi11 cesar..tttna k.c-srtaluct all work on my pnloony_ I trill
:ut>ur.that all conliactor.Ldha have wingers'cons Airtathri nY.nr ince.or:MC*AC 1 l.. Elecirical rcpalts or additions
pikin k:10t,svlth rx..tnl.le.N.reti..
12.0 Plumbing repairs or additions
<O I am a t 7w-ral cordliack4r.ttwd I have bleed the Niii r.rltraclon h.t.d Oil the attaciliod abed_ 13.0 Roof repairs
l tar,.'ash-eourneklt:.fuse 01114t.yee,and hate wnrLeis ilrnp.IINuraticc.
r^�
14.0 other
t•.D We'an a coiporarinn and db othcera lave cYL.zc>.cd Abele right of exemption per M(iL c.
152. id 11.and we luxe no eTnphyce..IN.s worker,'atop.town:ince.requind.i
'Ant;applicant that checks I-,n ttl mud a1,1t till out the Inchon below,I t u ing their werktr.'compossabost pone.itfnnmttlnn.. _J
{I l..nwr.w tw'/.'11I1C1.ldrlrtlt dn%Janke.It maw Any they are tkrtap all wank and then kre tmh oJc mantractoiri totted stilled a new alitdaszi rtrlt.-.drua swat
.(enntl:ttilvr,that attvk tht,hiss must attached an additional%held,h.Mn ulr the name of dtr Nod.-confratims and,date whether or not dro,c alti1ic Imre
eniplooe.s. It clue sole-contiaclora tune enpdt,_.ec,they Lutist rt&ide then winker.'troop.poke%%number..
am an employer that is providing workers'compensation insurance for my employees'. Below is the policy and jab site
information.
Insurance. ('ottlpany Name:__ —
Policy#or Self--ins_Lie_#: 1:xpuation Date:
Job Site Address: _ City lisle Lip:
Attach a copy of the workers*compensation policy declaration page(showing the policy number and rtpiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a line up to$1.500.1N1
and tir one-year roll►ris►nine .as well as civil penalties in the limn of a STOP WORK ORDER and a tine of up to S250.(10 a
day against the violator_A esl of this statement may be forks aided to the Office of investigations of title DIA for insurance
Coverage vcriticatt /
I do hereby ter* ' der the'rains id',rookies of perjury that the information provided above is Meee and correct_
Signature Date: ///7/Z
phone : u 13 2.7 7 — 24 I u
Official use only. Do not icriSC in this area.to he completed by city°or UMW official
('its or Tossn: Prrniit,il.kense kY
issuing Authority(circle one):
I.Board of lIcalth 2.Building Urpartment 3.( Clerk 4.Electrical Inspector 5.Plumbing Impactor
6.Other
Contact Person: Phone#:
City of Northampton
4'•'" 1 Massachusetts xt} '<<
-I i `y►' DEPAR2 NT OF BIIILDING INSPECTIONS y x
' 212 Main Street • Municipal Building � �
r ,—.4? Northampton, MA 01060 '51'W 1,0°4s'
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: y 3 4 �;c,��l yld)i ') 1 1�,(�
y � NnYIGIfilid)71
Y ((e e� C I (41 .)
The debris will be transported by:
Name of Hauler: t '� , I" sta pvii
Signature of Applicant: ----- -- Date: /// /2- r5
Isi "4f� No�thwnpton Kevin Ross <kross@northamptonma.gov>
107IslandRd
belisario burl <belisarioburi@yahoo.com> Mon, Nov 13, 2023 at 3:33 PM
To: Kevin Ross <kross@northamptonma.gov>
Front porch: new 8' concrete footings,joists sistering, porch leveling, roof support posts are going to stay, front main steps
replacement, bottom and top porch floors and rails replacement, porch side steps replaced.
Also Im adding a drawing for rear deck repair, its already started previously.
[Quoted text hidden]
107lsland.pdf
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