23C-100 (2) 214 WARNER ST BP-2001-0674
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23C- 100 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PE RMI T
Permit# 8P-2001-0674
Project# JS-2001-1221
Est. Cost: $22500.00
Fee: $105.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Robert Reckman 009498
Lot Size(sq. ft.): 50094.00 Owner: BURGER H ROBERT III&ANN M
Zoning:URB Applicant: Robert Reckman
AT: 214 WARNER ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers
Compensation
NO RTHAM PTO N MA01060 ISSUED ON:2/6/01 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE KITCHEN CABINETS & COUNTERS
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:
Roug Rough• House# Foundation:
Final: Final: �pyY
Rough Frame:
. Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: or. 7 2,5
THIS PERMIT MAY BE REVOKED BY THE CIT OF NORTHAMPTON UPON VIOLA ON OF
ANY OF ITS RULES AND REGULATIONS.
j //�'
Certificate of Occupanc �° /" Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 2/6/01 0:00:00 9503 $105.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2001-0674
APPLICANT/CONTACT PERSON Robert Reckman
ADDRESS/PHONE 36 Service Center (413)584-1224
PROPERTY LOCATION 214 WARNER ST
MAP 23C PARCEL 100 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid x,103 A5"-
Tvpeof Construction: REPLACE KITCHEN CABINETS&COUNTERS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 009498
3 set of Plans/Plot Plan
TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation .e ission Permit from CB Architecture Committee
/' -.61. - _ Gib
Signature of Buildin_Official Dat•
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
,
%
a O.eparttnent use only
City of Northampton Status of Perrr.%fh ,, ,iz�t 7 '
Building Department Curb CYtl0rwev, X4LP.% i ,* �Q ��
2v1�2\Main Street Sewer/Septicvatl1bty
�—(�'cF ��-1 Rom 100 Water/Wehwa ��
l- Northa�rr on, MA 01060 Two$et cif1Stitit:ii g S �13
�i i, \ 4rv- x� , ;;;z: Yf x suit'�rL$s s 3- 5e�
�;,,� phori 58 2 0 Fax 413-587-1272 F?Iot SCte- eh a �
',` ., Eg Other SpeCI .. ,, U A..�?� a:O §/b x , ,,,,,,,,0,-,/,,, r. ,
\APP ICATIO ,H �T, A ER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
DE, OF 9 ON,MA 8°
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
2i 7 1 (2 c .c--c
Map Lot Unit
W(Z,e)..i t L , NI■Jot (�/ 0 40,2 Zone Overlay District
Elm St. District CB District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
RIel_c d—A.Ni-- t3• Q-6 el, 2'k c-tAt-R-1.3111.- rc , (F-c.o(1:::,..sc c
ame tint) Current M t g.Ad sE 4.62 `I
LA ; / Telephone JJ �a
Signature
2.2 Authorized Agent:
Q)6 c.. ECAC h-Ps. 3 l <�,►�ccr G ,wb(i brat
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 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
Building Permit Fee
3. Plumbing tSiUo
4. Mechanical (HVAC)
5. Fire Protection 1
6. Total =(1 + 2 + 3 +4 + 5) 22,.c. Check Number ( ��6-
n /
This Section For Official Use Only
Building Permit Number: �i iJ / 1 `1' Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
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 C 0(6 "Cti £5'''i'l'z t-e,1.. to 6 Q. v►-S 6
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/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 >6 YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOWS
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:
'CTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s)fad Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: 1a-az.1/4.A« k.tW c4404 l,A T1 dr efr s
Alteration of existing bedroom Yes No Adding new bedroom Yes 1� No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll o - Sheet./
6a. If New and or addition to existing housing, complete the following:
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. Mascheck Energy Compliance form attached?
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
I, A tJ aJ V sr?, c. , as Owner of the subject property
hereby authorize t Q ctr C V.AQ to act on
my b alf, in al matters relative to work authorized by this building permit application.
24i( bi-
Signature of Own - Date
CI 0 V (Z.c C-K VNL,...1 , as Owner/Authorized Agent
hereby declare that the statements and 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.
`1 u c3 SI cAde on.4,.,1 .
Print Name
Signature o Owner/Agent Date
0.
eECTION 8-CONSTRUCTION SERVICES
,..1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : d a `AECA. O O ct _` gat
License Number
3 6 S c Q-Ki (won vr`e -1» Sly( a2
Address Expiration Date
yi3-61'Y 2'-Y
Signature Telephone
€9.i12e'gistered`Hom improvement Contractors' Not Applicable
, r Applica ble ❑
c d CC2c( C YW•yJ l04- 1
62-
Company Name Registration Number
Address Expiration Date
3 6 S Telephone 3.- y f2.'k
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.
gned Affidavit Attached Yes ❑ No ❑ CZ-CZ T `c CU
e14 -1, omeYOwner Exemption
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 Official,that 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 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