Loading...
43-068 (4) BP-2002-0020 GIS#: COMMONWEALTH OF MASSACHUSETTS i> -0i6 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: vinyl sidinP BUILDING PERMIT Permit# BP-2002-0020 Project# JS-2002-0025 Est.Cost:$6000.00 Fee:$100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 18643.68 Owner: ACUS ED Zoning: SR Applicant: ACUS ED AT: 80 DUNPHY DR Applicant Address: Phone: Insurance: 80 DUNPHY DR (413) 587-0975 O FLORENCEMA01062 ISSUED ON:7/9/0I 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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 7/9/01 0:00:00 5157 $100.00 212 Math Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo p�2 'I : Northampton E C 5 Q VIS • e Department Main Street L - 9 r om loo JUL ort I - pton, MA 01060 nhnnP 41R- •7.1240 Fax 413.587.1272 DEPT OF BUILDING INSPECTIONS APPLICATION TO COINSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 .SITE INFORMATION 1.1 Property Address: g�T is sect Jb.' o S tji a =t$ Eta-ems c� f+ - - - SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: n ea ' X eieS tO 2'i ✓f 4y P/4 , KOr.en.IL Name Pri A Current Mailing Address: (�..�i Telephones Q,,_ ©/o 7-3„ Signature C/ 2.2 Authorized Agent: Name(Print) Current Mailing Address; Signature Telephone SECTION.3:ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 0,4/ (a).Building Permit Fee rs aCO° , kn,.,..a4 .,� s 44, 2. Electrical (b)Estl'mated tot §3t ? i•' ;s, XRT' •Cebstructlon • = 6))' ^=: . 3. Plumbing Butl`4" Perrot -: �. ktti a-3 '^i t� 4. Mechanical(HVAC) 5. Fire Protection . 6. Total =(1 + 2+ 3 +4+ 5) :Check Number t:'rtx" ThisSettion (/ ior[Officialtse Only. .. -)+" ., tt BuddidPgrm�t,Number:, z=Date Issued= ,. z � '1':?. Si: .... xs e Fe: .Sanding;'2griftpi,'ssionerIlnspector 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&1 ninon) 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: • SECTION'S-DESGR(PTION'OF PROPOSED WORK(check all.applicable) New House 0 Addition 0 Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 Demolition❑ New Signs [ I Decks [ ] Siding 6A1 Other[ I 3rief Description of Proposed Work: 3/72//v C> ✓.J—,-- Alteration of existing bedroom Yes PC No Adding new bedroom Yes h No Attached Narrative❑ Renovating unfinished basement Yes X No Plans Attached Roll o - Sheet❑ sl ' i2'2tl i cel-cis it..irwtaiti h'aSU3rET1NStitigt t0U51Df¢';'®Ca111GlRaaRE fdl : a. Use of building: One Family >Li— Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? Nv d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Lt/esTtr C.. Fireplaces or Woodstoves /"U Number of each 0 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 Ye) k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank X- City Sewer Private well City water Supply SECtiQ*S74 WNERy4UTHORIZATION-TO BECOMPLETED WHEN OWNERSA E TOR 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. Signature of Owner ,I Date 1, H/ /'T 5 , 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. F� ile< s Print Name /f/ /l Signature of OOwwnnner/Ag`/e/nt Date 2- 09-07 • SECTION 840175TRUCTION SERVICES' 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: License Number Address Expiration Date Signature Telephone ,`t+ t7x. =/.5r ..3Not Applicable 0 !/1 . S . lil/%/'7r7oc J 1— Si0,1t/ & Company Name Registration Number ge/ 6hra ✓ qH-o Address Expiration Date A- //f%'A/ M,o- . 001i3p Telephoneige0q997377 SECTION 10-WORKERS;COMPENSATION INSURANCEAFFIDAVIT c.152 §25C($t 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 0 No ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 fano 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 Loc Z ng Laws and State of Massachusetts General Laws Annotated. Homeowner Signature G- —�� .. _ .. c iS—nntvu>dP rO So arm.. u K 101 OLIN ilmrad Apo wn l op.ev 01 c al dT'0°001S)owg •pare oia'O Zow•pa tna)pm nni.md(:.I9 Pus n"14 m o dnjo cmo 4wa njpr.1:6WCIiol dnjo 5ercrjo8mn.mm omm0 lrormanjo w!9 odz mPnImo LSI'IONA VLt 1101101n n4 a9'uxor.anm.otnorrj*-WI FL m!t PO''a9.nnm 'P'°l>x^^o41 I°`^DO.nsiery I..'nqv.gl°:vgn"a°C^<p m PT"..-.+l°9 A.m w-' tt'1,11Q.<Jm.114 F^v+`eV^n 1 )V mmma&[aa'FV fnn a=;m+',Volta?°'a r ono,„ „o„rp.`Vwhwnai»ws°9=raj 111-11/411.11011 1141 m.n°t°Wc'((S)IwtcI 17)0Y naa—_.( `y4Yv.7?"4"-"n cnAoiln xl ci W"b:.co nR:vaaa'I:cc..°uvyl Fnw 8t'pc°t^O a'a ce»otpw sotq°m n t rtc::.aG1 1-71414.11111 M )n 9:.-lla..p. 0 vao,naLaJ atc.T=11..M1111/111111111:1 op m mrnxd Aon d®oq,vvyavaccxxxvq o'yn T 1.14,%7 al"•>Id".moN .1TOS w 3jJ0n\ am 114 Snmllo}jad Jaumo awoq>.m Z ( ) aw loci Support auo ou aneq poe if/Y.)u(1ojd alos e am 1 ( ) (1141p-41:140 go nt.,OM1VT+d oamjrnu� .sa °j'a.:1470'497 Praa) CvvYlni w� -.� (='te6 uaonnncLL1) (''a4arcnN AogodjAln.S[c:oj m..lnsxQ (jotoenaoSo aga.(4) (Died 0angnds3) (rxgartN Ogod/.COEAmoD otnnmtro (rouenaoj So amtNJ (orq uonna.'1) (r?amN +.Dgoatcm_drnco muemszq) (lo1sauuoJ)o (arca]) -(nap papacap t=run'N `.>noaiium<M1UI {f cnuentsul) (:o "e =.a am,) iangod not sso:>dOo7 SI)awu ' ;MAI 000j am ana( oqm mo(aq ca1sn sjoL LEU09 aL11 pang anuj 012 (aco .)I1d. :aaxoawoq Jo Iv^1a9rgoo (elauaS *:(1,P dojd aIOS t um I"#(.01 (Th uoomlaal) (1>y1-m,.Nj ;10(Pit) (AL ZO ^-::Gucuvt) (ToI sup uo Sucre), S9a_A0(((llip .4u JOJ aSa:anoj UOn=suadmO;t Spayjonl Sarmopo) alp SurpinoJd jadoidma ❑c eat ] ( ) raga `sa(ntjad p sanyeuad port sin-ed a;() noun gajay o(a (dup nt,A/(io/tains) (' )toga) L(r aagaplSalfcxflrnq 10 aJFqO ied,ara z ma„ (nj)im+✓J/»sRZc g) L1(a);(11.(LP :4?NV'SBSM7 NOLLVSN(}1J]kOJ S.H1DI2IONa 090 to ssuyu 'uo1dulnH1JoN 8mppna (vdolnny1 13aJ18 OioyY gtg S,'t01tn"AcIStti 03,(1011(10 JO 11]]3.1.I.1Va3Q RRR /it nava r✓ -_ 1 ((ujrttttnt((_rol ja it?Id S ve