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16B-001 (22) 20 BRIDGE RD UNIT 23 COMMONWEALTH OF MASSACHUSETTS BP-2021-1800 Map:Block:Lot: 16B-001- 023 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-2021-1800 PERMISSION IS HEREBY GRANTED TO: . Project# Contractor: License: Est. Cost: 23000 ANTHONY BILOTTA Const.Class: Exp.Date: Use Group: Owner: KATZ BRADLEY J and CAROL C Lot Size(sq.ft.) Zoning: RI/URA Applicant: ANTHONY BILOTTA Applicant Address Phone: Insurance: PO BOX 321 (413)244-8601 BOP100728336 EAST OTIS,MA 01029 ISSUED ON:08/27/2021 TO PERFORM THE FOLLOWING WORK: FINISH ROOM OVER GARAGE 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: .>9 (41):)str Fees Paid: $150.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED liA ,G 2 6 he Commonwealth of Massachusetts 2021 B rd of Building Regulations and Standards MUNICIPALITYFFO IV1 Ma sachusetts State Building Code, 780 CMR USE r)FP r_r,.F _BU1LD 14t Permit4piication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 NORTHAMPTON MA 0060 --- J One-or Two-Family Dwelling This,✓Sect�'.gn For Official Use Only Building Permit Number: 6 P-a 1' I '(.(1 Date Applied: I,I , If I ,9, Ill I •4 Building Official(Print Name) Signature I -ae SECTION 1:SITE INFORMATION 1.1 operty Address: 1.2 Assesso Map&Parcel Numbers 1.1 a Is this an accepted street?yes )( no Map lum 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 Private❑ Zone: — Outside Flood Zone? Check if yes❑ Municipal 1i(On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Rec rd: r- X t3 fan re,t_ 7 v F.6A_Fk,c_s2_ U\A 745 0106 Z Name(Print) City,State,ZIP 20 ?(nd . K-4 2 4-13. -t Z 3c-\ i-z m ). No.and Street U Telephone Email Address U Cc-r- SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied y( Repairs(s) 0 Alteration(s), Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work': r ek 454_ C Cfj'GI I RD OM 0 U a r 6-c-' a 5 t, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ i K 300 1. Building Permit Fee:$16]2,()Indicate how fee is determined: ✓ 0 Standard City/Town Application Fee 2.Electrical $ 3 500 ❑Total Project Costa(Item 6)x multiplier p t,-sib x a ?t3b 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ 000 00 List: 5.Mechanical (Fire $ Suppression) Total All Fees:i a`jZ,00 Check No.90/ -1Check Am unt: f` 6.Total Project Cost: $ 23 f cco 0 Paid in Full ❑Ou • nce Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ta 117.3 a/1W-*o. .3 / ,4441v do�4l License Number Expiration Date Name of CSL Holder l«P? E O/-rS /)e a List CSL Type(see below) LI No.and Street /C Ty Description �iS `�4 Of -R/ Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 egistered Home Im rovement Contractor(HIC) N"" 'd l itei °�tef HIC Registration Number piration Date HIC l��aname or C Re�strant Name !! s Kogee q b(26 go 7v.a C.yta.=!,cavt No.and Street 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 JZf 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 pro ,hereby authorize •4144 v IV 6 f/ to act ?my behalf," l s relative to work authorized by this building permit application. e / n 4" S 2©2 Print Owner's Name(Electronic Sign ) 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. AHLOty jrJ6 Y/X5— �.00f Print Owner's or Aathorized 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.) (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 0 H�.MP 6 'ems ti S`S d.._Sfr Massachusetts �4? ''f. * t { ar I DEPARTMENT OF BUILDING INSPECTIONS a° �. " h, 212 Main Street • Municipal Building I., cDb k''k Northampton, MA 01060 '�sbjy ���`\ 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: At-/€:5 N Recy cir,:ty /6 a," ,s°4 The debris will be transported by: Name of Hauler: 054 / `, Signature of Applicant: ,�` `eri :` / Date: g/y�o2f R-- q t5)(6.4 iiq R t S nsv(c4 v iJw► t�-a i z� ( Focus. ov,, N)..c.-k o-F fcne.e., • G✓at(S R,a 1 Gw6 Lie &x.-L L$ Ce Clec cv 4-0 Code. AAG o- 3r✓D picot c 7 Pe U.ci D kv.-tick iti y,v ci 0 cos 11-4 i c T r%)SSeS Oc- 1� 0 'l U./ 3 fy c�.Ctu as -ee' f �4b clO0c • E/ Oct-4k u.\recad„ycw�sLec 8/27/2021 20210827_090607.jpg r . 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