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38B-115 (3) z 'C T : C C • ts7 z ^n X) . _ 3 C Z n y ._ F - ' r∎ it E r7 o F .; 7,v.'5 , > -..i -, r V 1 Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations v NORTHAMPTON, MASS. 19 Additions �"!��?r Repair ar ,; ilk FOR PERMIT TO ALTER Garage 1. Location Lot No. 2. Owner's name . ' - Address 3. Builder's name - Address Mass. Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No. of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof , 13. Siding house 14. Estimated cost- , - , The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ./' — — Lgnature of responsible app, ant Remarks 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: ,■• (Lot area minus bldg &paved parking) # pf - Parking Spaces rl " Loading Docks Fill: -( vol -ume - -& location) 13. Certification: I hereby certify that the information contained herein r is true and accurate to the best of my knowledge. DATE: 6.4 f APPLICANT'S SIGNATURE NOTE: SS n oe of a zo ng permit does not relieve an pi cant's rd n to comply wi all zoning uirements and obtain all required permits from the Board of Health, Con on Commission, Department of Public Works and other applicable permit granting authorities. FIT, F. # , [2 i `3 ;II AN 1 1996 File No. • 6 ZONING PERMIT APPLICATION (f10.2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: 2. Owner of Property: Address: Telephone: - 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain): 4. Street Address: Parcel Id: Zoning Map# L) Parcel# District(s):,/- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitNariance/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 # 9. 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: (FORM CONTINUES ON OTHER SIDE) FILE # g 6 0 7 9 3 Q 4J I Ja' I , T /C-QI T . CT PERSON: / l / J:� - 4 1111 t • " (f T (�r'1 ' -C �?< . k! -G'� C } 1 r i - 4L.,<--G ? �! /C� [: y9 -✓ / c -Y u.p ✓rr r�1_. f _ PROPERTY LOCATION: A - MAP PARCEL: ZONE ( '11IiS SECTION FOR OFFICIAL USE ONLY: PERNIIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7ONTNC FORM FIT .I. ET) OUT Fee Paid Rnilding Permit Mfr nit 1.-/-- Fee Pain ( 'i a '��� — Type of Construuction• New C'nnstrnctinn . \/5 (,,J, /,4,ad ez )' " Remodeling Interior .).1 `. �' vzTz' z( :_ o ` z Addition to Existing Accessory Strnstnre c71 4 `z'3 Rnilding Plans Tnclnded• ��/ Owner /Occupant Statement nr-/T ieense ft) l(/ 2 �( ✓" 1 Sets of Plans / Plot Plan T G A LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: / Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w /ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w /ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval -Bd of Health Well Water Potability -Bd Health Permit from Conservation Co •s ,I ion Signature of Building Insp: /'r Date NOTE: Issuance of a zoning permit does not relieve an applioent's burden to oomply with ail zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioeble permit granting authorities. g 2• t -'= .0 : City of Northampton REQUIRED INSPECTIONS a `� � ���..' 1 , f'' g 1. Footings and Walls . =3'i 74r�(el ■ BUILDING DEPARTMENT 2. Structural Components in Place ` 3. Complete Building* No. 205 Office of the Building Inspector Zoning Form No. 960793 Date 4/2/96 Fee $40.00 Check # 1087 Page, 38 B Parcel 115 , Zone URB Section 127 ❑ Yes © No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Alan Shumway before Building Inspections strip, install 1/2" plywood, shingles, single ply has permission to P p �' 9 rubber membrane Inspection on Site — Foundations on flat roof. situated on 152 South St. - Christian Campe Inspection of Plumbing —Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing — Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish of this permit. Expires six months from date of issuance, if not started. Building Inspection —Rough Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection — Finish Smoke Detectors (Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS ACE • N 'REMISES Certificate of Occupancy ` = II � % ._ __ __ - Building Inspector SECTION 5- DESCRIPTION OF-PROPOSED WORK (checkcall applicable) New House ❑ Addition n , Replacement Windows Alteration(s) I I Roofing Or Doors ❑ Yrt' Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [E] Siding [D] Other [D] Wor Description of Propo�ed . [e2 ��� (9cri p e s7 0 - {eS s ,� y/ Work: l l. �'S* S �L "�iP.°1 f� y — K �( Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative - Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a fVNei ho'�s an r �o t ist� feriiTusi�q�+ orrrp Re he t ou i q: 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 - !OWNERAUTHORIZATION TO;BECOMpLETED -WHEN OWNERS AGENT ', OR; CONTRACTOR:APPLIES FOR; BthLDING • , 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 I - -- -- - -� -- -°�' - - - -- f � , as Owne horiz e �� hereby declare that the statements and ivtformation on the foregoing application are true and accurate, to the best nowledge elief. Signed under the pains and penalties of perjury. ' )46-77 S 6e- 1p Print Name // Signature of Owner /Agent" Date , 3 - - • - .• • - i' -.Y . a c .7+kM:t • ,�.k= • I. ,:. ° �.F ao� � $ ((�i 7Q DC $IlQI? ' `-tom -\ 9 Witt %►; . JIas,sc4asdt, . • f ,= . ' DEPARTMENT OF BUII.DI G INSPECTIONS a 4 � 1_1= • . • . 212' Main Street ' Municipal • Building ___— • Northampton, Mass. 01060 �� WORKER'S COM.'ENSATION INSW A.NCE AF1?JDAVTT I, ,-r n i J 200 ,?<%70.,_ L54f it./.7 • of a malt - ) r. with a principal place of business/residence at: • • e :15 5 ,f %j,5 @tt ,57' • 1 Pr:Si hone #) ,5 f (strect/city /stn thip) do hereby Certify, under the pains and penalties of perjury, that; ' ( ) 1 am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) 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) (Lnsuranc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Coutpany/Poticy Number) (Expiration Date) • (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional Abo . ifnooasary to include information pertaining to all counted-on) X 1 ani a sole pr-•rietor and have no one working forme. ( ) 1 am a home owner performing all the work myself. t NOTE: pleaac be asrare that whi.lo bomcownen who anploy persona to do • -n •+n•, me udioo•or rcpn:c work no a dwelling of cot moo* than throe w}ita is which the bomoosrocrresides or oa the rrouab appurtenant thereto arc oat Cc ally coo: ideod to be aaploycrs under tbo wocknex compcasasioa Ad (GL152 1(5)) application by a bomoownct fora liceox a permit may evidence tba l egal status of an employee uodac the Workoda Co•pomatioa Ad. • I uoda,t*ad that a copy of thia ctatemans may b4 fecmrd.d to the Department of Industrial Axidoo& OfSas of Isour`°o• for Ibs . oavazge vaificatioa,nd that allure to wort oovcnso under souioa 25A of MOL 152 as kad to did' imposition of txi mina! pwallic s • : a . coating of a (me tf ttp to S 1 00.00 wd'or impcisoamcat of tip to ox ysar and civil pcoaltia is the form era Stop Work Order and a .. lino 0( 5100.00 a day p i t tat: - / i > • For depatmeablusemly G Pcrmit Number Map:J ' . ,Lot 0 • _________ • . _ .. . 4: S igaahuc of Li - • c> ntittoa tra - _ . • • r , 1 C C ity of Northampton i ii'' ' ' "r' , �:', Building Department ' ' .i,f r -- a, r,v) 212 Main Street �t R 2 , P _ '' , ;_ Room 100 : '. Northampton, MA 01060 ..- , r .i �% ° :° , � e 1� � i. phone 4'1`3. 587.1240 Fax 413-587 7 1. 7 � �x�r��df� ��� ra i�a�`�� i s s" �`� a �5t 5 _- --r $ i ti Wi a ,,, r. z' a e`� � �; y, wkJ U %`...�... • r° : APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE. INFORMATION 1.1 Property Address: ', ,v ' 4 a ', ," � ot u ; , „� a � /.S (56 S7_ k 4 4 , �; �a E 6 z £"� i, 1' ;it -1, ' ax ` A v ` ` o nce$ ' 6 I I� 7 l / 2TT T6 �, 1n 7t0 fr� ' r - �� n , AEA ,,, k I t f � " _ , '' .es�� ,»+ r.,,C,„ '�° , . Vi e. _ __ -- : . .. SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: /� f 7 a ii C . r fl`• /..,'" ,5G ,57` /�fcrici> q / 970 Name Print) Current Mailing Address: I a — r Yjf Atilt : m Telephone 2.2 Authorized Agent: ,�/ 7 0/ 5/7 G/ir& f'' L7 . / L�'er' S a/ e l " t�t'/`�t Name (Print) Current Mailing Address: Signat•re Telephone ` j SECTION 3 - ESTIMATE!. CONSTRUCTION CO Iteim -:. Est Cost (Dollars) to be I Offl iai Use Only 1 completed by permit applicant 1 mg i Prt • . 6��de' (a) building Permit Fee 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) Check. Number __ This Section For. Official U se only Building Permit Number: Date Issued: Signature: ____________1 j Building Commissioner/Inspector of Buildings Date 152 SOUTH ST BP- 2005 -0915 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B - 115 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2005 -0915 Project # JS- 2005 -1277 Est. Cost: $5655.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SHUMWAY ROOFING 103721 Lot Size(sq. ft.): 17075.52 Owner: CAMPE CHRISTIAN Zoning: URB Applicant: SHUMWAY ROOFING AT: 152 SOUTH ST Applicant Address: Phone: Insurance: 625 EAST PLEASANT ST (413) 549 -9658 AMHERSTMA01002 ISSUED ON:3/30/05 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE WEST SECTION OF ROOF 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 3/30/05 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo J `NSPE c,1pR IMPORTANT — Applir ' 1. AT LLOC ATION) 2. a r OCATION 0'40.) a rn n z C o a A .4 s to z \ OF BETWEEN ,L9 t 1 1 / 4 1 j %� Z Z < BUILDING i Fl h r" r r SUBDIVISION RI C II. TYPE AND COST OF BUILDING . a rn rn A. TYPE OF IMPROVEMENT ` \.�' 0 i + I New building / ' � IO ,45Q 2 I ' Addition (II residential, ent 6 g of new housing units add- o" t`' n - in Part D, 13) a �¢ e n V, o { 3 j Alteration (See 2 above) \ � \ • o , 4 ( .J Repair, replacement J 4\o°`..c. e ` 0 • 5 I. 1 Wrecking (II multifamil ° • enter number of units ,s 5 „° %. L ° . Part D, 13) 'd 4.) 0> •e o a e " k � 4," ,6c. ° "' • o - k " 6 ri Moving (relocation) • 7 H Foundation only $' ��00`,,o 0' k d 1' 0� g . o • t F \o c b pk (k. G B. OWNERSHIP C b � O O� � e.rz' ? 8 Privote (individu ��G�U e b ��� 5 •' nonprofit institu `�- � '' 4 I�' , >° th , •• W o f k '> y ,• • 3 [._,J local governm� °ems, ' ...� ' Q p , � c J \ p , N o e b ` 0 0 h 0 4, t° Q C. COST mo o° -1 y ‹O we Q Q Q- �' y 10. Cost of im cy J e c c ¢` ,`r v. 4';'''' J �roe °oF To be in ,tk' a `ry` z�roo�c in the a 4y` ,4 .. •, o a. Electk `o _,,o C. b. Plc Q �. �� `.Z sT v ° / ' • c. HO 4 d. -1 :.:<" o � p' III. SELF k� (O" o > ti V \ tir �e E. PRI �� � � " 30 l� t O \ � G C y 'Q �• G ° off N DEPT. O BUILDING INSPECTIONS BUILDING z_ 4/ f, =:1 212 Main Street <a N orthampton, MA 01060 PERMIT 38B - 115 VALIDATION DATE Jenne 7 19 PERMIT NO. APPLICANT Christian Campe ADDRESS 15L SOu ree Mier (NO.) (STREET) ICONTR'S LICENSEI PERMIT TO Repair /Replacement ^ ) STORY Workshop DWELL OF UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 152 South Street ZONING DISTRICT URti (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for insulating, new windows (larger size), sheetrocking, interior floor ' add ) /2 bath (sink & tiolet) AREA OR 4 VOLUME ESTIMATED COST $ (CUBIC /SQUARE FEET) OWNER SaflIP ac Applicant _ ADDRESS SRmP a App 1 i cant I S WHITE - FILE COPY . GREEN - FIELn C O Y • C qk R RY gAA `'C q,� a 4,/ , �►; ' U, 8p � p p c0101 • FFM/ ssess p© o, P s C A !, t ^ DEPT: 6F BUILDING INSPECTIONS BUILDING .. ' ' ' ` ; ' , �t 212 Main Street $ d ok, _.-,> Northampton, MA 01060 PERMIT ,..,.,u - y i_: VALIDATION DATE II III+= i 19 PE RMIT NO . APPLICANT Christian i, uip'' ADDRESS i ),.' l (NO.) (STREET) (CONTR'S LICENSE) Workshop NUMBER OF PERMIT TO, Repair/Replacement (� ) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) e ZONING U AT (LOCATION) South Street DISTRICT (NO.) (STREET) BETWEEN AND )CROSS STREET) ICROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ;.� } (TYPE) REMARKS: Permit for or insu1atino, new windows (larger size), sheetrocking, interior Floor 01 add Y2 bath (sir & tiolet) AREA OR 16,300.00 PER 1,.% MIT i„ VOLUME ESTIMATED COST FEE (CUBIC /SQUARE FEET) OWNER 1airP as ,tp plic:,an BUILDf r ADSS stime as Applicant's i cant � s BY � li DRE ' WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY e:-