23C-100 (3) 214 WARNER ST BP-2002-0571
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23C- 100 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0571
Project# JS-2002-0888
Est. Cost: $8000.00
Fee: $50.00 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 - Unit 2 (413) 584-1224 Workers
Compensation
NORTHAM PTON MA01060 ISSUED ON:12/10/01 0:00:00
TO PERFORM THE FOLLOWING WORK:ADD TO EXISTING DECK & ADD RAILINGS
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: W O I A-S eK I�_-//-o /
Driveway Final: ,�
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: OK f--/-op i
THIS PERMIT MAY BE REVOKED BY THE C Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND IO
5_5. i7o-Paie +-'c")1-4-
Certificate of Occupancy / Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/10/01 0:00:00 9870 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0571
APPLICANT/CONTACT PERSON Robert Reckman
ADDRESS/PHONE 36 Service Center-Unit 2 (413)584-1224
PROPERTY LOCATION 214 WARNER ST
MAP 23C PARCEL 100 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Q� _
Fee Paid O �� ��
Typeof Construction: ADD TO EXISTING DECK&ADD RAILINGS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 009498
3 sets of Plans/Plot Plan
THE FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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
Signature of Building Officia f 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.
Mar 06 00 10: OOa p, 2
... -. , - ---a, 4 ''." 'R3 a w !"axe, T,i ' i c": -;:,...L.:41
Northampton k , Ti r N. 13';,r r Y .- „•
111 l g Department i , k x rx . ,iti x , . �.� kj
DEC - 6 2°:'''" 12Mamsteet
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DEPT, T 4i�.,�at9�4�13-5.7- 940 Fax 413.58 7-1272 r" �•: � 1t' ��,� �� ���.,�, �
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION'1.SITE INFORMATION
:'' Irisct ti,,c be completed by prce
,1.1 Property Addre
�/7 �t ,E MaP tot $
, as
� 2ptle i.:4"....,., �, ; t'l i prstnct. ' if
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, Elm st t 4t - . _,`ca A:stict .....
SECTION 2, PROPERTY OWNERSHIP/AUTHORIZED AGENT
2 • , r-r of Record:
)� / //
Il 1i7 f '
� � . ---,r/VI A).214..-e/ 5�- _
Marne(Fri. e Current Mailing Address:„iier
!!fir Telephone
Signature
Z.2 Authorized Agen •,
_ I)/ I `) _ cj� SS,'z i c e r!e/ Y��o -
Name(Print) — Current Mailing Address
Signature Te:ephone
■
SECT1•N.. • IM'T ,':: z .T: •iI N.CO T
Item - Estimated Cost(Dollars)to be I Official Use Only
completed by permit applicant
1. Budding
/7�� (a)Building Permit Fee
u
2. Electrical �s (b)Estimated Total Cost of
_ uF.> U Construction,from(6)
3. Plumbing Building Permit'Fee
4. Mechanical(HVAC)
5, Fire Protection /�---
6. Total =(1 +2+ 3 +4 + 5) oC� > Check Number �� 5b
This Section For Official Use Only
Byild,ing Permit.Number: 0(2/ 6 / Date Issued;
Signature:
Building Corrir+iiSs loner!inspector of Buiidings Date
Mar 00 00 10: 01a p, 3
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
LLot Size
Frontage �.
Setbacks Front
Side L: R: L: R:
Rear
Building Heigh.
Bldg. Square Footage °,a '
Open Space Footage °,e
(Lot area minus bidg&pa\cd
parking) — -- -
IS of Parking Spates
Fill:
_volume&Location) _
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 1," YES—
IF YES, date issued:___
IF YES: Wes the permit recorded at the Registry of Deeds?
NO DON'T KNOW t/ YES
IF YES: enter Book
/Z// Page and/or Document #
J1/9C121
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 L� _
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;
Mar 06 00 10: 02a p, 4
SECTIONS-DESCRIPTION OF PROPOSED WORK(Check all appllcb]
New House ❑ Addition ❑ Replacement Windows Alteration(s)❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs I ] Decks `1.r Siding[ ] Other[ ]
Brief Description of Proposed Work: kid tt 'XA.Sh;l „ C / 122/7 ,E' d/,/ TA//40
Alteration of existing bedroom Yes No Acding new bedroom Yes V No
A:tacked Narrative❑ / Renovating unfinished basement Yes fr//No
Plans Attached Roll D• Sheet
610111!1.all' l,SVMA titrki`i,la:bX St.i'lltiitlUtidg,;7tO OladAtteff_tiniti1111 :
a. Use of building: One Family V Two Fami y- Other
b. Number of rooms in each family unit: Number of ?athrooms
c. !s there a garage attached? J
d. Proposed Square footage of new construction. //1 CA Dimensions /1 X /// 2 Z /77,24.. /(9-
e Number of stories?
----- /o�vs ,ct,�)
f. Method of heatirg? r"irep!aces or Woodstoves Number of each
g Energy Conservat on Compliance. me,.3che;:k Energy Compliance form attached?
h. Type cf construction
i. Is construction within NO ft. of wetlands? '(es Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k Will building conform to the 'r_uilding and Zoning regulations? Yes No .
I. Septic Tank City Sewer Pr'ate wel! City water Supply
SECTION 7a OWNER AUTHORIZATION •TO Bt:COMPLETED WHEN
OWNERS AGENT(OR•CONTRACTOR APPLIES FOR-iB.UILDING PERMIT
1, 6/) /v/- Eft , as Owner of the subject p'operty
hereby authorize /30,1 c' c1.!'1 to act— o p on
my behalf in all matters . tive to work authorized by This bui ding permit application.
/% ± f 2 l 1 csf
Signature of Owner Date
L)O/f C/n `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 and r the pans and penalties of perjury.
d l�Je
Print Name
/2/6{U/ _
Signature of Owner/Agent Date
Mar 00 00 10: 03a p.5
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction_Su er isor: Not Applicable ❑
Name at License_Holder G/� 4aLinc?I)
License Number
£PIt! L?<r21 . 107 . a/2/002
Address Expiration Date
Signature Telephone
_ i.;...f 1t. xis•rs!?. ?�'9i1', ®k<..s,tr-°.i3Y 't'�yaT, ' .3..mv=.'�ry r..';i;,a., r}.:SOlsc 31l3a.. .' f-'�+'a Not A.ppl lCable ❑
Company Name Regis/ anon Number
3& �zi t; ir;r� ✓ 7 t o/O
Address Expiration Date
Te ephore c 7 /,;2.)1
} SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152, § 25C(6))
Workers Compensation Insurance affidavit mist be completed and submitted with tfis application. Failure tc provide this affidavit
will result in the denial of the issuance of the budding permit._
Signed Affidavit Attached !es,...... ❑ No...... O —7/e7/66-(4/-7--',C'7r"/6-(4/- '
er ,t ` fib
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 laud 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 faritt
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_ `_
MORTGAGE LOAN INSPECTION /re4-./
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DEC - 6 2001
I DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01050
1Z\VC i S1v�. lLK 1VC
I hereby report that the premises shown on this plan is not located within a Flood
Hazard Area as shown on Department of H.U.D. Federal Insurance Administration Maps,
Community Number 250167-0002A
Identificatio• Late
TO THE OWNER: III &
ertta a NTS Bank nr Savin g s H. Robert Burger
AND THE Ann M. Burger
__ wyprs Tirlp Tnc>>ranrp Cr, -nn1 LOCATION:
214 Warner Street
To the best of my knowledge, informa- Northampton, "ass. 01060
tion and belief, I hereby report that I AI saeo uIs it CV ID CI AeenI•IATee lull'!