Loading...
16A-020-108 (2) MI(WAY V1LLAG BP-2002-0984 GIS #: COMMONWEALTH OF MASSACHUSETTS .J4 CITY OF NORTHAMPTON Lot: -008 Permit: Building Category: Non structural interior renovations BUILDING PERMIT Permit # BP- 2002 -0984 Project # JS- 2002 -1592 Est. Cost: $6000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): Owner: REGE LALITA Zoning: URA/WSP /WP Applicant: REGE LALITA AT: 108 FAIRWAY VILLAGE Applicant Address: Phone: Insurance: 108 FAIRWAY VILLAGE (413) 584 - 0344 () LEEDSMA01053 ISSUED ON:5/23/02 0:00:00 TO PERFORM THE FOLLOWING WORK:FINISH BASEMENT INTO FAMILY ROOM 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. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/17/02 0:00:00 321 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo File # BP- 2002 -0984 APPLICANT /CONTACT PERSON REGE LALITA ADDRESS/PHONE 108 FAIRWAY VILLAGE (413) 584 -0344 0 PROPERTY LOCATION 108 FAIRWAY VILLAGE MAP 16A PARCEL 020 008 ZONE URA/WSP/WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid j6 Tvpeof Construction: FINISH BASEMENT INTO FAMILY ROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO)tMATION PRESENTED: Approved 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 L 00 _ Signature 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. �---- "ty c orthampton 5 ' �: ��, ��� ..:: jr g Department t�ilrb (�u ® 1 . ` Sep rl 212 Main Street MAY 200 ° Ram 100 W 4 _ 5 a - . Northampt n, MA 01060 T m' is e s i s i s , 4. 12 0 Fax 413-587-1272 Plot /Sit P � ‘ , & ;, Other�Speci �,� � � .� '„,1„:,,, � 'r',." fir° APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1- SITE INFORMATION I This section §to becompleted by offtce; 1.1 Property Address: 3 Y �� 1 t ✓ W Ol I i P L ot i on � � / • ¢�` isr�ct� 7 , v��° �^ j Zone ,' f � � � � J' I � 0105 Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of i g FaerviC.ly v i v- k a 1■1 V, R E (1 E- Current Mailing Address: Name (Print) I�l `' t, Telephone , 1 3 n 5 + 0 3 t j � Signature 2S o 2.2 Authorized Agent: Current Mailing Address: Name (Print) Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant D c 1. Building (a) Building Permit Fee (b) Estimated Total Cost of v' „ C & D 2. Electrical Construction from (6) l; I Building Permit Fee 3. Plumbing 4. Mechanical (HVAC) 5. Fire Protection (3) ( ' 6. Total = (1 +2 +3 +4 +5) Check Number This Section For Official Use Only I Building Permit Number: 9eir 1 Date Issued: Signature: Date Building Commissioner /Inspector of Buildings Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW YES IF YES, date issued: _ IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: 1 SECTION 5-DESCRIPTION PROPOSED °(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: " C(ti I Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative ❑ Renovating unfinished basement ✓Yes No Plans Attached Roll ❑ - Sheet ❑ sa lfi1Ne Of o ise a id or additibittolat tilit is in g,acomp1ete/th - 6It llow n' : a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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. Signature of Owner Date a V: , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. . ✓ Signed under the pains and penalties of perjury. B ALL iA E Print Name !k ✓ �- 5 - la- 0 2 Signature of Owner /Agent J Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone - Ereg s erearFi e.. mprove iWlfCo t atto 1i„ ; - „ ;k, ' , �, n, 't Mk Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10 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 ❑ No ❑ omeiOw n The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature Ifs v IRe • Building Inspector City of Northampton Northampton, MA My husband and a friend will be doing the major portion of the work to renovate the unfinished basement into one family room. They will use 2" X 4" studding and '/2" Sheet Rock for the walls. R -13 insulation will be used where necessary. They will install a drop ceiling. We will hire a licensed electrician to do the electrical work consisting of 7 outlets, 6 ceiling fixtures and 3 baseboard electrical heating units. I z C � - 40A 74- 1 773 /‘-./r...._./r oe.....5. — ..„.4. _ csir-(06) v, ///4 0.6„Le.t.) ,- frt A - t---- . •-, . , E C E : rh) ,, I MAY 1 7 2002 l'.. tir 7,76.4 Kcilolis -... 14OR1HAMPTON, MA 010EG 0 -6) , ,. 1 . • i '.., ) I , c i 1 C ,L 1..7 r I ....., . (1 1 A597.5k en _ _ - - - ---------- -- -- 71----: .1— _ 3 1 2 " 7 4 3 4 - v-/...v ,v, j 04 .