11A-058 (4) HAYDENVILLERD BP-2001-0786
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Man:Block: IIA-058 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Cateeorv,vinyl siding BUILDING PERMIT
Permit BP-2001-0786
Proiectk JS-2001-1472
Est COSI: $1000.00
Fee, $50.00 PERMISSION IS HEREBY GRANTED TO.
Const Class, Contractor: License:
UseGrouo: Jeffrey Cranston
Lot Size(sq. ft.), 616374.00 Owner: 13RISSON PIERRE R&SUSAN H
Zoning:URA Applicant: Jeffrey Cranston
AT HAYDENVILLE RD
Applicant Address.- Phone: Insurance:
P O Box 307 (413) 268-3504
WILLIAMSBURGMA01096 ISSUED ON.•419/01 0:00:00
TO PERFORM THE FOLLOWING WORK INSTALL 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: Housed Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fircplace/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 sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 4/9/010:00:00 356 $50.00
212 Main Street,Phone(413)587-1240,Pax:(413)587-1272
Building Commissioner-Anthony Patillo
. ' :
' Versianl.7 Cortunercial Building Permit May 15,2000
C E0 �i Northampton
Department
ain Street
APA 6 2001 om 100
Nort iaml ton, MA 01060
DEPT Of OU 7.1 40 Fax 413587-1272
NORINAM7fON,MA 01060
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
{
1.1 Property Address:
/-{a��i.✓vrl/c KL �recls tE
2.1 wrier of ord: p
rt,cRE • SUC6 U^i.uo�✓ /S/ S✓F�scHi//A�� L�/i/I a..rr6 /a M/i
Name(;rint Current Mailing Address:
296 -4glJ
nIt6e Telephone
2.2 Authorized Anent: l '
S4; &A,!d s 4 16 90 l�z /�f.+ " G4� AI
7
Name t) Current Mailing Address:
�zbs slay
sig o
Item Estimated Cost(Dollars)to be 't t`' " :Off('s,l £ 1
completed bpermit applicant -S
1. Building of `(ej ',P{adlh'g t2dYltli(,Ee
0
2 Electrical
3. Plumbing
a
4. Mechanical(HVAC)
5. Fire Protection r
6. To13 +4+5) 10clo
n g
'¢ Vendonl.7 commercial Building Permit May 15,2000
C
Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
4d- Accessory Building[ ] Repairs [ ]
USE GROUP(Check as applicable) CONSTRUCTION TYPE
KFactory
ly ❑ A 1 ❑ A-2 ❑ A3 ❑ IA ❑
A-4 ❑ A 5 ❑ 1B ❑
s 2A ❑
onal ❑ 2B ❑
❑ F 1 ❑ F2 ❑ 2C ❑
zard ❑ 3A ❑
nal ❑ 1-1 ❑ 12 ❑ 13 ❑ 3B ❑tile ❑ 4 ❑
R Residential 10 R 1 ❑ R2 ❑ R3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S2 ❑ 5B ❑
U Utility ❑ Specify:
CM Mixed Use ❑ Specify:
S Special Use ❑ Specify:
.r S'. wpG,` - GbING RENO'V NS AUDI]1 /4
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
F,
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION
Floor Area per Floor(sf) 1A
is 2nd
2nd
3'd
4�
3r°
4a`
Total Area(SO Total Proposed New Construction(so
C
Total Height(ft)
Total Height ft -. .. ........ .
... ... .. . ..
' e Versionl.7 Commercial Building Permit May 15,2000
�7.Water Supply(M.G.L.c.40,§54) 17.1 Flood Zone Information: 17.3 Sewage Disposal System:
�ublic ❑ Private 0 Zone: Outside Flood Zone ❑ Municipal !]On site disposal System ❑
`` 8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be fillcd in by
Building Department
Lot Sim
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height '
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
arkin
#of Puking Spaces
C Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOWYES
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: 'Visn"r fish t'✓T'°'�T d &,k4A
C D. Are there any proposed changes to or additions of signs intended for the property?YES
No k—
IF YES, describe size, type and location:
Versionl.7 Commercial Building Permit May 15,2000
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant);
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
J)J 1j,NLcJ Cy' µ.-t Not Applicable ❑
Company Name:
�GF�.LLM f �NA�.n6i�M
Responsible In rge of Construction
d A&L7, sl,u .. at.A lLo9L
jAddres (
4)26835'aS/
Sign `- eiephone
Versiori Commercial Building Permit May 15,2000 _
Independent Structural Engineering Structural Peer Review Required Yes......❑ No......f,Y
as Owner of the subject property
hereby authorize �f f W n e�i�S • S,✓•..S to act on
mybehalf, ' tiers relative to work authorized by this building permit application.
4' -1-4-01
it awe of Owner 1 Date
1, � f , as Owner/Authorized Agent
hereby decl a that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
I
r th pains and penalties of perjury.
Si e of Owner/Agent Date
20.1 Licensed Construction Supervisor. Not Applicable O '
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
T,(M G C.
P41
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.......'Iff No...... ❑
C
C e GUiR of Xorfhanipfan
i e JR.....4..atr
e
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(licenscelpermitttt)
with a principal place of business/residence at: ./
b�—a (Ma &LIJ L (phone ', �- /
(ty/stawnp)
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following worker's compensation coverage for my
employees working on this job:
,G.F ans-ance Company) (Policy Number) (Expuation Date)
O I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/PoLicy Number) (F-xpimtioa Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Daze)
(Name of Contactor) (Instance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/PChoy Number) (Expiation Date)
(evam ....®lahttl Jve®uym wtlude ln(.tion pvdimvg bell mgeCq))
(ur I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
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Permit Number
lid O MapN Lot#
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