Loading...
24A-104 _ {- - ~ T---� - - EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 -NOTE - SURVEYOR. THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY • AND DOES NOT CONSTITUTE A PROPERTY SURVEY MORTGAGE LOAN INSPECTION PLAT - /41Y. �� oF ss � NORTHAMPTON, MASSACHUtETTS RANDALL ,A\ PREPARED FOR E. `�' ROBERT A. & SUSAN G. CORASH #35032 j SCALE: 1"=40' JULY 25, 2002 ° SURvE� � HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADI FY - MASSACHt ISFTTS . -NOTE- . , THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS • NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED 8.... tom,. � x.� �w�� .. Is., --...�„ Ili ( S;-.cz„ -, ---Km. o._. -_ -` ��- ao Z -- -e. Zel. _._ . L 4 -S Mac, -.- 1..• -- c <<.L -�S a /...< en A T — gicmAL5ZD Moot r aw` 1 . 11 , N 6\ ■ bCo . Cc' - L C , '\ \.._� C ""7.. TO: BANKNORTH, N.A. & CONNECTICUT ATTORNEYS TITLE INSURNACE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF . I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THt= (Pft IN1l AS SHOWN e�in THAT THE Rt (11 f�INC,S ARt= 1= NTIRF I Y WIT I Tf 1F I !1T 1 1Na C )\ s d The Commonwealth of Massachusetts Department of industrial Accidents — Office of Investigations 600 Washington Street _ - = .y Boston, MA 02111 www.mass.govfdia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers A . • licant Information Please Print 1.e: iblv Name (Business/Organization /Individual): - . h Address: / y Aja,kk /7Y vet Sii-l'P City /State/Zip: � j(' 0 0i Phone. #: V/ 3 - 0� �s o Are you an employer? Check the appropriate box: 4. lam a general contractor and l Type of project (required ); O 4 1. I am a employer with ❑ 6 6 employees (full and/or part - time).* have hired the subcontractors ❑ construction 2.0 I at:t a sole proprietor or partner- listed out the attached shat 7. ®Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for ten in say mployees and have workers' Y enY•, insurance.: ecL) S. 9. 13 Building addition workers' � ff [No rs' comp. insurance ' 10.0 Electrical repairs or additions W e are a corporation and its 3. Q I am a homeowner doing all work officers have eaacised theca 11.0 numbin repairs or additions myself [•o workers' comp. right Of exemption per MGL 12.0 Roof repairs insurance ] t c.15241(4), and we have no employees, (No workers' 13.0 Other comp• insurance tegtrired-? • •Any ipptiemmt that cheeks box VI mwtalao ttl oa<the section below showing their wawa' eonpatsetiaa policy isithematios. t Homeowners who submit dais, affidavit indicating they are doing all work sad then beneath-We emmactas asst submit a sew affidavit indicating such. IComtrsatoes teat duck this box snot attached IA additional sheet .bowing the .wane at the aabvsaaactass sad afire whether err not those entities have employees. It the suhYontnetl s have employees, they asst provide their woeioets` wrap. polieyumober. I end an employer tlsat is providing workers' compeisetiort lasursutee for any employees Below w the polity acrd job sire information. • Insurance Cotnpany Name: l et" IC 45 jrt_ CA.� c e Policy # or Self- ins. r Lic. #: CR? g �1 5'S r Expiration Data: .8:/06 /aQ�.z Job Site Address: 9 ���Pa�zz., f 57 • Cit Li-1 ec, / G'!d(J Attach a copy of the workers' compensation polity declaration page (showing the poky Dumber and expiration date). Failure.m secure *Ovate: as required under Section 2SA ofMGL c. 152 can lead to the -imposition of criminal penalties of a fine up to 51,50000 and/or =blew imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the: violator. Be advised that a ropyofthis matemcni inay be forwarded to the Office of Invee€eations elite DIA for insurance coverage verification. I do Bendy tett& Ike ptLsswmd pe tattles of pedury auk t the laferlsetiost pre.Wded ebeve is true arid correct. • > : a ' : Phone #: Off • are only. r not write In Oh area, to -„ - - ally or town gffic az City or Town: • Permitiitetase # . Issuing Authority (ante one): i. Board of aealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other s Contact Perron: . Phone #: SECTION 8.1 Licensed Construction Supervisor / Not Applicable ❑ Name of License Holder: ��' La. M 41 7 (5 936/50 / License Number A l( /flat- /14 . QIe4'4 � � Address Expi tion to /tLi y/3 ;0 V` 9W Signa Telephone �.� � . ..P ��� - d' Not Applicable ❑ Z,74 1 206ZI - g.1J 1 r. c /S /le 3 Company Name Registration Number it)e, S.ezor X 7/ cPe/ 2_ Address / , [1 Expiration Date /0D/1/4 tL..,73 4 M4 e /6p / O Telephone SECTION4O- 1liW KE ' 1 EkSA AV1T(M.G L. 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 ❑ R .".....e. -. Fsa......._ x.mw......a:..6: ...au,.mG..e..w. .V.a�..+d.... The current exemption for "homeowners" was extended to include Owner - occupied Dwellines 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 buildine 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 SECTION 5- DESCRIPTION OF PROPOSE /MA( (check all aaDlirabie) New House ❑ Addition Ef Replacement Windows Alteration(s) ED Roofing El Or Doors El Accessory Bldg. ❑ Demolition El New Signs [D] Decks [[] Siding [D] Other [D] Brief Description of Proposed e'(` -c P4f -c4-- / / Work: gi. lei ct ex y�4 ed c< net, LK vi roe) ir4li ice d..) 4 `� (>4„ Alteration of existing bedroom Yes * Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes ✓No Plans Attached Roll - Sheet a 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. Dimen 'ons s e. Number of stories? f. Method of heating? Fi = • laces or oodstoves Number of each g. Energy Conservation Compliance. asscheck 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 g - , e k. Will building conform to the Building and Zoning - gulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a OWNER A ORiZAT1O TO BECOMPLETED WHEN OWNERS AGENT OR coNTFuTork APPLE Tait °']JNG PERMIT I, PA BL 0 C . )I6 &ES 1 4 at, d ✓v[ 4/z, G 0 E - 6 LA. S S , as Owner of the subject property , hereby authorize 3 11 fV `. 0/ �! e to a behalf, in all matters relative to / � authorized by this building permit application. CV/ S / 0 — 2z — /i Signature of Own Date I, ,� /, 1 v`k vj (1 , as Owner /Authorized Agent hereby declare that the s tements a d 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. J ditL ,Avv - i 7 Print Name / �� &' Signature of Owner/ gent Date 1 Section 4. ZONING AU Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning , This colum to filled in by i Building Depar tr► ent Lot Size I i_____ —__. Frontage _ $L m 1i 1 Setbacks Front 1 I 1 1 Side L:I i R: L:17 Rd I Fal € (} Rear - - Building Height Bldg. Square Footage 1 # _ ` % F-1 i I 1 r i Open Space Footage %= (Lot area minus bldg & paved i , i i A parking) L 1 r i , , # of Parking Spaces � Fill: (volume & Location) I f A. Has a Sp: is • - mit /Variance /Findin ever be is ued for /on the site? NO 0 DONT KNOW ' YES 0 IF YES, date issued:] ,/ IF YES: Was the permit recorded . the Registry of Deeds? NO 0 DONT , OW ® YES IF YES: enter Book P age and /or Document # B. Does the site contain a bro , body of water or wetlands? NO O DONT KNOW 0 YES IF YES, has a permit b. -n or need to be obtained from the Conservation Commission? Needs to be obtain ® Obtained ® , Date Issued:' ,J C. Do any signs exist • the property? YES 0 NO IF YES, describ s ize, type and location: 1 _ 3 D. Are there any ptoposed changes to or additions of signs intended for the property ? YES ® NO IF YES, describe size, type and location: I f L.. __ E. Will the construction activity disturb (clearing, grading, excavation, 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. RECEIVED City of Northampto Bui lding Department � OCT Z 4 201 2 12 Main Street Room 100 Nort hampton, MA 01060 ... „” .° "mh o 413 587 -1240 Fax413- 587 -1272 _ ti;� rT y ..d „�.«.....�..i _ Hwa..- .e.,.,. e .,.». m�...,.�...+wwioa..,..u.. ` Y d� APPLICATION TO CONSTRUCT, ALTER, REPAI RENO VATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 = SrTE INf=o MAT tN1 a s sx' ,s 1.1 Property Address L / °, t r .,- t �/ - � / 1 � ��� - fir . `'". s r *5� �1 °cow° / �r .,,, rf " � -. � W *P0',. ., P As#01 s - fie A , r 3 t. SECTION 2 - PRO PER't 1( R5 1€N2i E AGENT 2.1 Owner of Record: / , ( ,,, r ,,,„.1.. ss t ? 61 Y ; s © i / /Pam. -� 5-4 /oe- ,L Nam Tint) Current Mailing Address: ' , 4, Telephone gor Signat e 2.2 Authorized Agen �. �, /-‘1 n� icy �� s� Name (Print) Current Mailing Address: Signature Telephone SECTION 3 = 'ESTIMA < ! TJ C37t COSTS Item Estimated Cost (Dollars) to be r completed by permit applicant �,..,. . 1. Buildin OG((j (a)- S�"ert�art fee 2. Electrical (b)'-) s#[ tedct Totai C if CCO Ctiristrucctrott f tS , , � : 3. Plumbing Burfng fennftFee 4. Mechanical (HVAC) 5. Fire Protection 3 + 4 + 5)zJ GL G Check Nlurnker ,� 'g" 'f s Section For Offic °Use O n ,Date Building Permit Number Isred: Signature: ill Gommiss on rAnspector of B " ate r File # BP- 2012 -0408 1 j APPLICANT /CONTACT PERSON JOHN LANDRY ADDRESS/PHONE 104 NORTH ELM ST NORTHAMPTON (413) 204 -9880 A , \ PROPERTY LOCATION 409 PROSPECT ST MAP 24A PARCEL 104 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /e 4/ 7 9-�gi Fee Paid / Tvpeof Construction: REPLACE ENCLOSED PORCH W/MUDROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 093450 3 sets of Plans / Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 (" /s('`j 0i2;7(0 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. 409 PROSPECT ST BP- 2012 -0408 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24A - 104 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2012 -0408 Project # JS- 2012- 000653 Est. Cost: $48000.00 Fee: $288.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN LANDRY 093450 Lot Size(sq. ft.): 22912.56 Owner: YGLESIAS PABLO & MARGOT GLASS Zoning: URA(100)/ Applicant: JOHN LANDRY AT: 409 PROSPECT ST Applicant Address: Phone: Insurance: 104 NORTH ELM ST (413) 204 - 9880 WC NORTHAMPTONMAO1060 ISSUED ON:11 /1/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE ENCLOSED PORCH W /MUDROOM 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 11/1/2011 0:00:00 $288.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner