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23D-002 (6)
43 NONOTUCK ST BP-1999-0722 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-002 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-0722 Project# JS-1999-1325 Est.Cost: $16000.00 Fee: $64.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: L—'-/ Barron & Jacobs 030739 Lot Size(sq.ft.): 36938.88 Owner: HARDING MARY JACKSON Zoning:URB Applicant: Barron & Jacobs AT: 43 NONOTUCK ST Applicant Address: Phone: Insurance: 241 King St (413) 586-8998 Workers Compensation NORTHAMPTON 01060 ISSUED ON:2/26/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE EXIST WINDOWS & BASEWALL ON ENCLOSED PORCH 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: 0 K � ��_ Q c THIS PERMIT MAY BE REVOKED BY THE CITY OF RTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. C-r ific. - •f • cu• .nc � '�'' i nature: g Fee Type: Receipt No: Date Paid: Check No: Amount: Building 2/26/1999 0:00:00 $64.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-1999-0722 APPLICANT/CONTACT PERSON Barron&Jacobs ADDRESS/PHONE 241 King St (413)586-8998 PROPERTY LOCATION 43 NONOTUCK ST MAP 23D PARCEL 002 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permiq F'llefi Fee Paid Typeof Construction: REPLACE EXIST WINDOWS&BASEWALL ON ENCLOSED PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 030739 3 sets 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 ': ission Signature o :uilding 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. `l' FEB 2 31999 Li i g File No./-1 l 7d- r)FRI OF Pt"'"' 'Fil.' ! /'�` J1.J ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: iii AA/Z.ko N ';;) 44--e---0•6_5 Address: 2 41 k/Al G $ r Nv ar' ' 'rn4 Telephone: y 0 6 ` i?? 0 2. Owner of Property: MAR./ 14-14/2.0/14 G Address: 4 3 NUhl Cdr(-1L-(<' Telephone: S 26, ( dU 7 3. Status of Applicant: Owner Contract Purchaser Lessee ✓ Other(explain): (0 14 7,2,e, rz 4. Job Location: 4 3 N oNo rL << Parcel Id: Zoning Map# d`3 +) Parcel# ;L.. District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property IZZ S %!9 6,..t tf/-( 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): RCM°VC fxtS r L4)/i"9acA/S 1 B,-sE t 4-L ? //J$Tfr_.. L !y F(-ti L-4)1 i- ou.ai_5" f 64 s 4-4-L c 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO X DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) 10. Do any signs exist on the property? YES NO X IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col= to be filled in by the BuiSding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the information co. - 'ned herein is true and accurate to the best of my knowledge. DATE: APPLICANT'S SIGNATURE ,(Z i' NOTE: Issuance of a zoning permit does not relieve an applicant's bur to comply with .all zoning requirements and obtain all required permits from the Board pi eaith, Conservation Commission, Department of Public Works and other applicable permi -ranting authorities. FILE # .�1tiANp2 — "�a %ti B }3larRC[inactts i '. r .. t .. L' -'-D�EP4tTMENT OF BUILDING INSPECTIONS T--_-;-11-- --- ' t$ . I 4 111111 # 21,2: min Street • Municipal Building _ �, • • : FFR 2 3 I9 ..) Northampton, Mass. 01060 `w -r°?WORKER'S-CIO ENSATION INSURANCE AFFIDAVIT I, CFC /L /, ,1.1-t.ae5 6Mj.'o".( R ,j 4C o 6 S (lictaue/permiree) with a principal place of business/residence at: Z4( /1/Al4 5r Ha,e_rio/nierC2 Al.1 /z1 f3 (phone#) 1/3 536 Y7P8 (st-e:(/city/sta e./ p) do hereby certify, under the pains and penalties of perjury, that: (Jr I am an employer providing the following worker's compensation coverage for my employees working on this job: C`//J e'2(o/40z et ti4NCE Nf)-rrch/ N Iivx , 0036, 'Z 6 3- l-T 9 (Insurance Cotrzpaay) (Policy Number) (Expiration Dare) (✓f 1 am a sole proprietor, general contra or or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: Di(H,14o f LczrelC TfA-vcLc`2.5 -/C•4g$sZwp$-F1Z 9-I -?? (Name of Contractor) (anima=Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attack add:5onal sheet if necessary to echo&information pernitirg to all oaetrutors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself NOTE:please be assn that col;re hccn:owners w5o employ pazors to do rt. ■■-axtyy.,wrst:viceion or tzpa.a work on a dwelling of not more than three units in with the booseowoer•resides a on the grounds appurtarant tbecdo are not generally considered to be employers under the worker's carmensation Act(GL152.4s 1(5)),application by a homeowner for a lion=a permit may evidence the legal etats of an aazoployer under the Worker's Compensation Act. 1 uadmstand that a copy of his mtonact may be(emended to tree Depertracrct of lodustrial Aceideat'Of'Soe of Imuaooe for the coverage verification and that alit=to team coverage(under section 25A of MOL 132 as lead to the imposition of criminal penalties comic of a fix*Cup to S1,500.00 and/or of up to one year and civil pesaltles in the form of a Stop Worts Order and a I. fine of 5100.00 a city against me For departmeda1 use only , e , Permit Number _aiiiiiiii — Z 'Z3-SC Maps Lot# Si nature of Li•-.• - i'crmittce '_ - MM:101:I1y CERTIFICATE OF LIABILITY INSURANCE D03�498"Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE • Insurance Professionals of NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 19 MaIn Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Sturbridge MA 01566 COMPANY A CyberComp/Reliance Nation NSURED COMPANY Barron & Jacobs Associates B 241 King Street COMPANY Northampton MA 01060 C COMPANY 0 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR LIC DATE (MMIDDIYY) DATE (MM(DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGG S CLAIMS MADE OCCUR PERSONAL&ADV INJURY S OWNERS d CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one lire) $ . MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ �_ANY AUTO ALL OWNED AUTOS BODILY INJURY _~ SCHEDULED AUTOS Per person) $ HIRED AUTOS BODILY INJURY NON•OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ —ANY AUTO OTHER THAN AUTO ONLY: $ ^s EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ • WORKERS COMPENSATION AND X L S(A1U• 0TH• ' EMPLOYERS'LIABILITY TORY LIMITS I ER A NNX6003626 03/01/98 03/01/99 EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ X INCL EL DISEASE •POLICY LIMIT $ 500,000 PARTNEPS;EXEOUTIVE — OFFICERS ARE: EXCL EL DISEASE•EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS;LOCATIONSrVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHA L IMPOSE 0 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS A -NTS EPRESENT IVES, AUTHORIZED REPRES TWE i William J, Szafa p,44.1r5,/,,, ''17- 0Ir- 44. ACORD 25-S (1/95) sl ©(AC D CORPO TI 1 1988 SLG - - I cc cc c ■--4 I 2 C ,....> ":% ,c L- — ,-- 2 L.,..,, -,:f; L.L1 I- = <C ,....., r-, - ••-■ Ce c r-, r-, co> 0 2 A = • , ,-,-, g - ,c, r. C:, •-•-• L.L.1•.-' • CC •.-■ ....., f, Y1 '', a ':„` ct 8 = fitugolar 7 i 4 ILIIIIIII.„111111111411iNlik ''C 'C "Iii:r4 :11111 1 r- v., ,1111111111111111111111111111 y sorimoir. i 1 V Z. , SS 7 C ;<- }--C C c cmC C C (I' cr c ., I---, c- cc r-, cc', 1-.1 (::cc E (7, (f u.. co L. C CC . . .• C") )--■ , (... 4-- Q. < cc 1 Cr: r, cf", CC -4O - I ,,:_ c, c..-, a; a cr., cz. ..: (2, a CO C Li Z C V I-- C I- Cr C z (._ Z C 4- 2: <3: i- a. 4: Li,:- I-- <7. 1-1 C.) 0 U) U- C 0 \c, 0 <-4 Z 7 2, 17.- 0: 0 . W ,--, _C c ...L C -C 0 C 0 0_ 0C (1) < C., C C 0 4 :: Cf 4-., C a cc ¢ cr, a a: c C.) (... C H CI C.. Z 4-- (3.) Z C, 1-7, (I) C ..... )-- CC Li <-4 L.. .) C '''' H < . 7) CI 11.1 7 1:-.-, sc 4.: Z s... - C - Z .-I cc O (C b .-. )- IC a. 4- a a ,- .s.: cc; c_ c:' 0.. a 0 -■ ,_. A r 1 IIIIIMINI111111';''': 1-- 4- 1 o x C N Z 94 216111-4 .. 11110 Z c a IIIITIounuolilliM11111111,11.0"1111 ." .7- a H *_ L/ /vV V/ V ..v.. vv . v..... v...... .._ _ _! - - - - - - , - ... .. - -7.:::47:11117-f---4c 1;77 DEPARTMENT OF PUBLIC SAFETY 130942 t tom;° ONE ASHBURTON PLACE, RM 1301 \; BOSTON;HMA 02108--1618 CONSTRUCTION SUPERVISOR LICENSE ;l. , x", Number: Expires: Birth fate:: .F CS 030739 09/20/1999 09120/1g41 Restricted To. 00 ° * �.I ' ,, SEP 19 CECIL R JACOBS `* r = ..a s � 1-,' .a ,) , 4.'.. 1 ;, ' ' 241 KING ST jj}}�LA �i� © 1�..4z X30 NORTHAMPTON, MA 01060 Keep top for receipt and change of address notification. 1 .., ." DEPARTMENT OF PUBLIC SAFETY 1 j 411%.ii6 '1 CONSTRUCTION'SUPERVISOR LICENSE Numtier �+ Expires: Blrthdate: i ' 1 CS . ° { 830,fB9 .09�f 2t/1999 69/29/1941 j _ -- '- Restricted t 99 "2-4,..,....v..4 </ CECII Rs,JACOBS.', I 241 KING Si j 'C NORTHAMPTON, MA 81A61 �! '!: -v XI MI c. XI "CI _. i 7 ;i p •ti -v m 3 0 0 � `1 c o — r .1 Z m e pi JJ Q: O -1 C/, Z Z m a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations =f NORTHAMPTON, MASS. 2. Z3 19 79' Additions APPLICATION FOR PERMIT TO ALTER Repair '� Garage 1. Location 43 /kl0 K 0 1-l-( C-j< Lot No. 2. Owner's name I1/4/1I4 I�y (14' '9 /At CI Address 4 3 NUN 0 71(Ck 1L-G'72-1/■ c 3. Builder's name B 94 nl I -T 4: 0/3 S Address 24 1 /G//NNG $T 1NI0.2T/1- 1mT'i4 Mass.Construction Supervisor's License No. L) .3 O ,7 3 f Expiration Date ? 2 O - c7 4. Addition 5. Alteration ReMCVL"- CXI i, /94-5t 1.,),4LC. _1 to//✓/ors'u.)S " /%fSTa7•CL /V4-;14-1 i./..'//✓i9dLJS 18, cI w,c 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heatin OM / E4TE O ) 11. Distance to lot lines .,r--�" 12. Type of roof EX( 5 T/N G. $i#i /-i _,voP To /2("---141,1//q 13. Siding house 14. 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