23D-002 (9) 43 NONOTUCK ST BP-2008-0375
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D-002 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-0375
Project# JS-2008-000539
Est. Cost: $7500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Craig Marney 057159
Lot Size(sq. ft.): 36938.88 Owner: HARDING MARY JACKSON
Zoning: i. RB Applicant: Craig Marney
AT: 43 NONOTUCK ST
Applicant Address: Phone: insurance:
P O Box 128 (413) 586-5512
LEEDSMA01053 ISSUED ON:10/10/2007 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE WALL & INSTALL NEW WINDOW IN
EXTERIOR WALL
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:/f 7.c House# Foundation:
y"/"‘ Driveway Final:
Final: Final: ///9-10r�
,gJA Rough Frame: iy(< Jt'/I o' 1 1,
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Pin
Final: Smoke: Final: 0/('' ) / ,G ,07 „A
THIS PERMIT MAY BE REVOKED BY THE CI 0 OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGU TIONS.
u. s
Certificate of Occupancy 4 Si nature:
FeeType: Date Pai : Amount:
Building 10/10/2007 0:00:00 $50.004770
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
File#BP-2008-0375
APPLICANT/CONTACT PERSON Craig Marney
ADDRESS/PHONE P 0 Box 128 LEEDS (413) 586-5512
PROPERTY LOCATION 43 NONOTUCK ST
MAP 23D PARCEL 002 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
��� �Fee Paid
Typeof Construction: REMOVE WALL&INSTALL NEW WINDOW IN EXTERIOR WALL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 057159
3 sets of Plans/Plot Plan
THE FOLLOWING 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 Commissi
/e �i di.L�
Signature of Building 0 icial 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.
Department use only
City of Northampton Status of Permit:
�(°` "Quitding Department Curb Cut/Driveway Permit
(n ft ij ,\/ lc, i :212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
_
C[ i)hl7tld 413-57-1240 Fax 413-587-1272 Plot/Site Plans
L
Other Specify
APPUCATIOrI TO;.CONMTRUC1,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
Map Lot Unit
/,/aN 6 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
fACIA
Name(Print)
0 Current Mailing Address: i
'A Signature J 6-I C C 7
2.2 Authorized Agent:
a _. _ _ .���■.___-_°_ - Pe.?/go / I ke4A1A, C/O5 •
Name(•rint) Current Mailing Address:
3) STe-S.5-
Signature Telephone(
SECTION 3 ESTI 4,/- D CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
dd•
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) _ 7<-era Q _ Check Number in 10 #.5'6
This Section For Official Use Only /
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
a
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
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 0 DONT KNOW 0 YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW Q YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors D
Accessory Bldg. ❑ Demolition �❑ New Signs [D] Decks [[� J� Siding[D] Other[0]
Brief Descriptioqq of Proposed/ ,i` �o�CFo6. #1/0 '• I.:
w� //14'1#44167; �a T[' /41d /4a$AL" .v(14)
Work: j./•..dow /Ad l /+
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house 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. 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-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, / IAO lie d rte ,as Owner of the subject
property /J
hereby authorize (1 c i(• [ /�!PA'et•
to act on my behalf, in all matters'relative to Ork authorized by this building permit application.
-AZ P^ p �Vim- f 0 CA o bi-u -7
Signature of Owne ate
4,03/11d/064.16.i
,as Owner/Authorized
Agent hereby declare that the statinents 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.
400/1/i 2. /
Print Na e /
Signature 60 er/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction SupOrvisor. Not Applicable ❑
Name of License Holder: ( 045- h t ie�,J '-7/%5-47�
/ License Nu ber
Pb. & j- ,9 29e4 //4 0,04y ,/ 4
Addre� Expiration Date -
CCC Ar) s6 -C��a
Signtue Telephone
9.Registered me Improvement Contractor: Not Applicable ❑
jlir Company Name / Registration Number
/-741/Cc/I id �,/,�..,,s1,.,.„ A, o)09e
� �
Address Expiration D to
Telephone 4.r ''. 6 S SA
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.
Signed Affidavit Attached Yes ' No ❑
11. - Home Owner 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
A}., (yif� O1 CI #Ifal)1}�fon t �
r � �j•f �Icaaarhncrlla' � l`_
• "'tom DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street Municipal iiuildin .
P G
Northampton, Mass. 01060 ''
r
WORJCEIt'S COMPENSATION. 1Th?SURA. CE AI FD)A\IT ... _.__.
I &,02.,5, __ /� (liccn.s_xlpermittec) --
'a //$' 2ee4 /IA,D)o -.(phone:) dtl,CS9 -
(str=t/c i ty/suidzi p)
do hereby certify, under the pains and penalties of perjury, that .
( ) I -an an employer providing the following xi'orkcr's compensation coverage for my ,
eluployces tvorlang on this job:
•
(Lnszirnc Company) • (Policy Nu.rn cr) (r..xpir_-cion Dais) •
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the followvio2 worker's compen_tadon policies:
•
(Name of Contractor) (In.uranc,:_ Company/Policy Num`'t:) (Y pinntScn Datc)--
(Name of Coo traclor) (t swans Compao rPo!.iee Number) (Expiration Dale) .
(Name of Contractor) (Insurance Company/Policy Numkt) (Ex-airdon Date)
(Name of Contractor) (InsuranC Company/Policy Numb:.:) - (Expiration Date).
(anada eddrorall:'son if Dones+ty to aneiur inform..doo peru.ining to.1I oom ze.o:a) .
1
am a sole proprietor and have no one working for me.
( ) I am,a home owner performing all the work myself.
NOTE:plea be earue thn wt 3e bomew.ven wbo employ pea soon to Sa=. •.••..•,^•• o , .,ao C.rt,-nc work a,,.dwelling of
not mote rasa ttsoe=its in whie5 the bomoowoc m=ulct or oo the rounch appurtenant tbeeo are not cteacaRy oeer:doad to be
employ=uncle the wockda ashen Ara(GL1512.a I(S)),e.ppliaeioo by.homeowner fore tiea+c or permit tray evide oc the
- legal n..,,of ea espIoyx under dso Wortoh Coo pan:at-on Act.
I unda+ucd dta a copy anal.m L one may b.forwvd.d to abet Dop nmeor of lndaatrial Asodcca'Otr,o.of taew.00•for tb•
coverage vtriBanioo and thet r_ihae to secure boverage taoder section 25A of MOL 132 ao lid to the isaxisitioa of mminal Pcosltia
coccisiaa of a fine of up to S1,100.00 and/or eapriaoomcnt of up to one yccr tad dvi1 pccoXio in tSc form or.Slop Wort Order and a
tiro of 5100.00 a day afainst me
For dep.tn.1 we only Permit Number
_ ✓J 'Sr ra 7 Map"_._ Lot
"Signature of crtniucc to ...... --
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Job Name 67 A 4,,,
_...) PELLA WINDOWS & DOORS mo.........
Location D1 -749,- DON SCHABACKER
‘ro*
Phone: (413)736-9239
Date Fax: (413)736-3390
Cell Phone: (413) 563-0586 ...■
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