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23A-189 130 SOUTH MAIN ST BP-2011-0310 GIs #: COMMONWEALTH OF MASSACHUSETTS rx a :Block: 23A -'189 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2011 -0310 Project # JS- 2011- 000508 Est. Cost: $2343.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PAUL SCHMIDT 103635 Lot Size(sq. ft.): 22869.00 Owner: GILLIS TIMOTHY F & CATHERINE M SWIFT Zoning: URB(100)/ Applicant: PAUL SCHMIDT AT. 130 SOUTH MAIN ST Applicant Address: Phone: Insurance: 24 CHESTNUT ST (413) 247 -5739 WC HATFIELDMA01038 ISSUED ON :101812010 0:00:00 TO PERFORM THE FOLLOWING WORK.- INSTALL ATTIC INSULATION 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: FeeType: Date Paid: Amount: Building 10/8/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner File # BP- 2011 -0310 APPLICANT /CONTACT PERSON PAUL SCHMIDT ADDRESS/PHONE 24 CHESTNUT ST HATFIELD (413) 247 -5739 PROPERTY LOCATION 130 SOUTH MAIN ST MAP 23A PARCEL 189 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ATTIC INSULATION New Construction Non Structural interior renovations Addition to Existin Accessory Structure Building Plans Included: Owner/ Statement or License 103635 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 Permit DPW Storm Water Management Demolition Delay 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. Department use only City of Northampton Status of Permit: Building Department Curb CutlDriveway Permit 212 Main Street Sewer/Septic Availability D 100 Water/Well Availability No rt hampton, MA 01060 Two Sets of Structural Plans phone,413= 587 -240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This section to be completed by office Map Lot Unit ' 3 o / �) ! Sr Zone Overlay District t/' 0 � Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: At IP4 U1 Name (Print) Current Mailing Address: c Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building - t 3 (a) Building Permit Fee "I 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Z 3 Check Number 0 This Section For Official Use Onl Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete 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 p arkin g) # of Parking Spaces Fill: volume & Location A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ® DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW YES O 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 30 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: E. Will the construction activity disturb (clearing, grading, ex anon, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding [[3] Other [El Brief Description of Proposed Work: :�-,5,) jzi A aa Alteration of existing bedroom Yes >_ No Adding new bedroom � [ Yes ( �G No LOA IDgli Attached Narrative Renovating unfinished basement Yes X No )OA 0_): A � j Plans Attached Roll - Sheet t 1 sa. If New house and or addition to existing housing, complete the following: C 6 �fi 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. Masscheck 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 1 1k t l as Owner of the subject property �, Q (� hereby authorize W Jo p � � / t L11 J C I PA to act on my behalf, in all matters relative to work authorized by this building permit app ication. Signature of Owner Date I, �� U I 'J G)q M )j 6CL 4e /6_) as Owner /Authorized Agent hereby declare that the statements and information on the fo going app cation are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name V Signature 9f Owner /Agent Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor (1 Not A ❑ Name of License Holder 1/ L J �s I (/ 3� License Number Address Expirati n Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Comp Name Registration Number' Address Expir tion Dat Telephone 7 7-z- 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...... ❑ 11. - Home Owner Exemption L. The current exemption or "homeowners" was extended include clu e Owner- occup:C � . ....na _ and to allow such homeowner to engage an individual for hire who does not possess a as supervisor. CMR 780, Sixth Edition Section 108 .3.5.1. Definition of Homeowner Person (s) who own a par"" �.. _, .. _....._. _ r responsible for all such :.�:::: � _`_� :.: ' - -,. ,• . Also be adviscu Ulm wuu --v L.: N .,.,:e for person(s) _ .__________ ._._ ___.___.____.., ___.__ ____ �.__.... ___.___ _....._ .___,_ .... »._ ....._- ...,,,...,•....,,.,..w ......,.. u uuv.o . ru.vw.Wl� Marc - Dept of Public Safet. Board of ft"fip Rqplafloft and Standards Conte Superviw Lk*VM Lioense. CS 1098 tw 00 PALL SCHL 24 CHESTNUT ST HATFEW. MA 01038 GrAW3 1096 c Office of Consumer Affairs and Business Regulation Y 10 Park Plaza - Suite 5270 Boston, Massachusetts 02116 Home Improvement Eg Apctor Registration Regibb 165217 -- -- _ - Type. Callon 1121=2 Trt 2WW >_ CO-OP POWER, INC. PAUL SCHMIDT 324 WELLS ST GREENFIELD, MA 01301 Update Address aad rotary card. Mario reasawfor ahaage. 0 Address E] Rawwal C] Lmoqniw a Lost Card DPS W a SW04 6-wewe ot6ec afc wtra&s do a R�datioa Ir a or reg�ndiea YaW for indi ww we only HOME i11PRDVEIIENT CONi'RACi1DR befiore the eiprratien dates lPfoand retara to - Otiict of Coaster Affairs and B Regnhin �- -166217 10 Parr Plan - Sane 5170 Expiratiow : 172112012 Tr# 292796 ' B"ton, MA 02116 T�.> - - Cerpawfion _ CO-OP P0WERM4C:�: PAUL SCHWU 324 W ELLS ST Z - GREEPVIELD. 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Shelburne NA 01370 -9737 BURARERS AFFORDW COVERAGE NAIC S sew vmUmmkLundmmzk AUSCiAMM Ins Co Co-op Pourer, Tme WLjm&Bmrtfbrd Insuraaee Group 324 Neils St esU MC: PO Buz 688 or Greenfi d bit 01301 e COVERAGES THE POI KMES OF d0 K2: LISTED BBOVV HAVE WBi ISSUED TO THE MIS NAMED ABOVE FORTHE POU Y PERIOD YiDICJ► M NOTWMWANDINKi ANY tT. TEW OR CONDMON OF ANY CONTRACT OR OILER DOCUMBU WRH RESPECT TO WHCH THIS (SITE LW BE WSM OR MAY PERTAM. THE NM AFFORDED BY THE POLCES DE,SCFWM 1 18 SU BJWTTO ALL 71E YES. DCLUMNS AND OOI Offl M OFSUCH POUCELAGGREGATE LUM SHOWN MY HIKE BEBI REDUCED BY PAD CLMMS. eae om lOLY.7NI�0! LaNii eammLcaAautY ion s 1,00 COMMERCAL 0849VL UORMY malmo l mw mmom — s 100,000 A X a ar8wm F oomm smm W8/2009 11/8/2010 mwew em s 000 P6ISomamwKo Y s 1 084DWASORDOM s 2,000,000 l G8CLJ XVA!G 7ELWrM4%=PEt PRODUM -CCU OPA86 i 2, 000,000 S PoLX;Y LOC AirraroeaeLueL"Y i 1,000,000 Awm" lrlMEta/C mLovmmmRm 00 NAM s • A NrNDAUnne I A NDNOWNEDAnDS 11 /8/2009 11/08/2010 F- 0014 i eAIVIMU KM NO M.Y- EAAOCOM s AWPAM .m at,#= ecr 1101 gm"Lvd m DMOOaaAMM s DEDUCTME s RETernon s s g woa®es oowea�sAnoN ors MY ® 6 11/01/2009 11/01/2010 ELEM NAOIOD' i 500000 pe..t w ° F s 500000 r ambeww 500000 an ER fMfCAtlP7tONOPOlHtl ►�DNeItoCM1;mmumcm AGMEV loan lNrISPECM.PM IK Ciartifiaate issued stbJect to the teas, conditions, amcLusiaos, and andamsements attaabed tbambo. Opematiaos vsueal to altexnattve solar aaerw mescumoss. Wastesa Yeas Bleetzlo Co as added as addit4aot3 asesad. CERnFICA TEHOLVElt CANCBIATION s�ou�nANroFinaaeoleeencne ®ravrs�s eaa�acat�eEParE�eapwAtwN Western Me". Elea Comp-any u aesem. me sas a naMme vmL meAVOa r0 vm l DAYS Customer Service Center wrTO f�eta�t�n�NOtneewvrr .tioiNerfPAr�oOOSOiiw L P 0 Boz 2010 Spriag£ield, NA 01090-2010 No asueirnoN os unmucr aF ANr ao uPON na aeU�, r�s iris ort ACOM 25 PMWDt) O 19M MM ACORD t 0 IIORATION. Ai AqW fesefvsd IN8020 pmm) The ACORD mmn Dad logo we ngiftrsd Raub of ACORD Gary Crider Electric 9 Railroad Station Rd. Northfield, MAO 1360 413- 498 -4419 August 17, 2010 Jim Vann Natta 403 South Mountain Rd Northfield, MA 01360 Dear Jim, In regards to Job # 10 -62: Location: 130 South Main St., Florence, MA All knob & tube wiring has been removed and new wiring according to electrical code �j has been installed. This was completed on 8/10/2010. 9 Gary Crider Electric d p 1 P I I 7 s S ! X