Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
29-448
ad' lap Ja 591 BURTS PIT RD BP-2001-0165 GIS#: COMMONWEALTH OF MASSACHUSETTS Iap:Block:29-478 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: Deck Addition BUILDING PERMIT Permit# BP-2001-0165 Project# JS-2000-1676 Est.Cost: $700.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq. ft.): 79714.80 Owner: BRIN JOSEPH V JR&GABRIELE T Zoning: SR Applicant: BRIN JOSEPH V JR & GABRIELE T AT: 591 BURTS PIT RD Applicant Address: Phone: Insurance: 591 BURTS PIT RD (413) 585-0761 0 FLORENCEMA01 062 ISSUED ON:8/17/00 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 10 X 12 DET DECK OFF ABOVE GROUND POOL Ambn 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: ew Building 8/17/00 0:00:00 528 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo II •, ... File#BP-2001-0165 APPLICANT/CONTACT PERSON BRIN JOSEPH V JR&GABRIELE T Palk ADDRESS/PHONE 591 BURTS PIT RD (413)585-0761 () PROPERTY LOCATION 591 BURTS PIT RD MAP 29 PARCEL 478 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid A 2K 055-0 Typeof Construction: CONSTRUCT 10 X 12 DET DECK OFF ABOVE GROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THEF 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 Board of Health Well Water Potability Board of Health Permit from Conservation Co •' : Permit from CB Architecture Committee i Signature of Building Official Dat J Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning jogik t requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. s City of Northampton was,o€P . te : k Building Department k, it w _ °r .14:4A4 . '' :. . : { 212 Main Street rfa .y• : ', ._. Room 100 . 1 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 y. 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 Z4.1ric Map i q Lot Unit I2Io n HA 00 /6 Zone Overlay District �% Elm St. District CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /0.5-0 Ph V. ti 5 / � trf3 i+ J . me(Print) Current Mailing Address: — _ i. _ Telephone �(/ Sign. .e 335- mp 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 4 100 ( © 0 (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) ''I 7oa, Check Number p?g 00 — Section For Official Use Only _ riQuilding Permit Number: BPo/1IS Date Issued: . . .. ........ Signature: Building Commissioner/Inspector of Buildings Date ,s 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 GGZ/ ' a O/ 6Y Frontage /075 ✓� Setbacks Front t Side L: R: L: 6`0 R: JJO / Q Rear 336/ / Building Height a C Bldg. Square Footage //pp. % 0, /) /5— Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces teak Fill: (volume&Location) A. Has a Special Permit/Varianc- ' • e er been issued for/ n the site? NO DON'T KN % YES ,44111 pd U IF YES, date issued: I (l/ )Old IF YES: Was the permit recorded at the Registr f 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: • New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ J Decks Siding[ ] Other[ ] Brief Description of Proposed Work: / X & • 0 Alteration of existing bedroom Yes )( No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes 2- No Plans Attached Roll ❑ - Sheet❑ :ta 1 . : a. Use of b 'ng : One Family Two Family Other b. Number of rooms i :,ch family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new cons • tion. Dimensions _ e. Number of stories? f. Method of heating? -.laces or Woodstoves Number of each g. Energy Conservation Compliance. Masche Energy Compliance form attached? Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction w •'n 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 wafer Supply_ SECTION 7a•'OWNER AUTHORIZATION-TO BE;COMPLTTED WHEN OW RS,AGENT OR CONTRACTOR APPLIES FO BUILDING PERMIT I, 7' igsJJ� 0&____ _ as Owner of the subject property hereby authorize '— — to act on my behalf, in all matters relative to w. :. orized by this building permit application. Signature of Owner Date J6,, efis v, Ert as Owner/Authorized Agent hereby declare that tKe statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. jgned under the pains and penalties of per' y. 3 h VI 111n -- _ Print Name t ,"/.S=—i 0 Signature—of 0, Agent Date ! �. r ;;, �,� F w SS-CONSTRUCTION SERVICES Licensed Colstruction Supervisor: Not Applicable ❑ Name of License - . • License Number Address • Expiration Date Signature Telephone �d xS�%'ra1 P2'{a3 H,r` ro Yltt� .- 1L ,.µ.. , � Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone • SECTION 10 WORKERS'COMPENSATION INSURANCE;AFFIDAVIT(MA L.c 152,§25 (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. ned Affidavit Attached Yes ❑ No ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings 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 Officialjhat 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 ;53 (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 �i Pak 4#1*' II1*56 ti 11.11 . • „R w �'CllA1f p�, • S� F� ` ► ��'�E Crif of Northampton 1 %. e ,61.,.<chnecu = • a is )r• —i DEPARTMENT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building '-- Northampton, Mass. 01060 RR t`` O WOR1 IER'S COMPENSATION [NSURANCE AFI LDAV1`1' I ---- Job 17 V. 11' 4 -- — ” (li xvscrJpermi ttce) with a prwcipal place of businessiresidence at: 6 ( 'LAI 1g 17;i— g 1 (ô ',r(oairio /"t`I(phone') J , �6'// (st=/ci ty/statcfzi p) 0)0t,Q._ do hereby certify, under the pains and penalties of perjury, MI ( ) I am an employer providing the following worker's compensation coverage for my employees woriOng on tins job_ (InsurLo cc Coop y) (Polk: Number) (_;pirouo n Date) ( ) I am a sole proprietor, general contractor or honseow-ner (ci c<e one) and have hired _.e contractors listed below who have the following worker's comoensadon policies: (Name of Con.tracto", (Insttrancc Company/?otici Numbc ) C..x71rnt:on Dalc) +t. (Name of Contractor) (1nrasancc Company 7 ' Numcrr) (Extr :ion Date) (Name of Contractor) (I-asur'anc?Company/Potic} Number) rion Date) (Name of Contractor) (Insurance Couiparry/Policy Number) Ex�irlfaon Date) (eaat 3.6d1.6 OC.1 chect if ne c,e-s.r■ to o c!u<iafocm i oa pertniains to all ax7-nt'�:-) I am a sole proprietor and have no one worlang for me. I am a home owner performing all the work myself. NOTE:III ---54 tx.w-trc thzz wi.tdc hoaxowocra wbo axipicry pczotn to CIO r,r,.,- o ca--�.--.:c.Joo ti.,uu worx co,d'svil",il of cot coact t h•0 t5r ,of unit,to which the hotnoot t cr raid,oc oc,the e ouads appar ttnam t -to e_*.Dot C rally s &t i w Sc carpi oye-3 undc the w xinn i o lie,Act(GLI 52n 1(5)).Tpplicai on try a hoavbaucs lc':l'e'a e cc Pcnna ru-y c\rdme:.he Icga1,tahu of an ocaployer under the Wori.olc Comaomatioc Ani- 1 uodQitend that o.copy of this air.rmcut may bo focwnrd.od to the Detxinmmc of tnau,triel Amde¢tl Ofltoo of trru,aoco for the elkcovcrazt vmf ctioo and nu(_drat to ieotrc covtt-n c under soetioa 25A of MGL 152 cut Iced to the im;iaseto t of criminal pceahic oomistmg of a Eat of tip to S 1,500.00 artdfoc tovrilocrcocat of up to one year jai aril pco.luo in c.-4 form of a Stop Work Order and lino of S 100.00 a day apun. rho_ V I For d�=rtn,wsl rsc Drily � _____ '16-;VO Pcrurl Number Map:; _ Lot , ......0.-- . gnatur.of Li. iseeiPcrnuttcc Lete . °IN 46 r. 401110 ASS d 4 • Aor T�ti �Z Q 4Z l u11I fQlt 1- .�, p. - _ es' $ � fi��►8 Jiasaachusctta - Ama. m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street e Municipal Building 6 = INSPECTOR �" mg'` Northampton,MA 01060 MUST INCLUDE: Site Plan/Plot Plan — Showing all buildings with square footage and distance to property lines : Framing Plan if applicable . Filing deadline is Wednesdays by noon dc' Reviewed every Thursday 41/41. ft toot e/97\\\I L /s s • Y+e , 11100 .