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32C-127 (4) y v = - o Q ca _ _ - o c Q � ° -7 r: v kr, � r ID 3 C � c c 1:1 o n o o c o D o c o ^ .w �' N N d' kr) V � 't 'r - In 7 U C • O SG,'� O � p p ': •: � C � � � v1 cn v1 cn vl o � b cv" N � O • " '� � O O � 0 0 0 O O � G � u. - U o n o 0 CL � � o 00 o0 0 °� °� oc� n n o° 5, Qy Y; y z U 00 ^ h oc G N i j O ii O Ln ' • Y N .t.. IC ,. � o ci'G 3 o y o00 °0 °o In o00o y y o + '6� a rn. o + a o + y o 0 o v a a o C ° o y 0 0 o a "' o y r� yE cc _-. O U U m .O ,y. � O G Cc, lu y y .� ,� O .U p �t 3 � •� 'O .�G, y rTi y , E o Q cd U � G•' 3 aNi cV � � "O G -� y G -d 7 cl� y y G cyi ai y o U Z ro .-- 'y. ¢.•� A ct cz cc 3 L) ai ti o tyn C^o cd ° cd of cC i- G y U rn "O b G O p G 110. G v w y bA cyi .° U G cv O O \O f 3 v i- ��• � � y � v� 3 N � Ry � c� o � � O � y G .-a _u °G M o -n o o -II � y 3 �� NHHH o K p O G o ._ •. wr. 4 -D D escrlpkor/Area 16 A,: 2Fr/B 1 -5Fr 864 sqfk 16 b: 2Fr 256 448 sqft C:1.5Fr 256 sgfk �12 D:lFr 28 2Fr 1 64 sgfk F4 8F48) 8 E: EFP 04 sgfk 1�E F: E FP fF 70 sgfk 7 G:EFP 27 sgfk H:OFP 2Fr/B 30 sgfk 36 (�6� 1� 36 I: rs fk 24 � r C 1 U LO MC N ' r � o N C) 00 00 LO N N N � � 1 C O N tr) C) (Y) LO r O N U `N M LO n N ©0 D C� N CO 1 N .r- M LO ILO SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Reaisterecl Home Improvement Contractor: Not Applicable Company Name Registration Number Address Expiration Date Telephone_ 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 -Rome,Owner Exemution 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 a e as c s e 1 Laws Annotated. Homeowner Signature SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors E] Accessory Bldg. Vx Demolition ❑ New Signs [O] Decks [M Siding[O] Other[0] Brief Description of Proposed If , Work: 10020%x0! 5 X14 fid -we:D Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. 0 New house and or addition to existina'! housing, complete the following: f 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, c/o lwor-4 ' - /L /17" as Owner of the subject property t hereby authorize .J19y JL`' t) lotJQ ,40/Tq to act on my behalf, in all matters relative to work authorized by this building permit application. Signature ot Owner Date 4,9-c� � � f,Q ��C�.,�j�/a �� ^jj�'li/��`'1 A� 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. Print Name D •fro Signature of er/ t Date 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 r _ m Setbacks Front Side L: 3 R:�1 'w Rear r /l� _ 47 Building Height ' 1p Z0 Bldg. Square Footage $p G7 0/0 G, Open Space Footage % (Lot area minus bldg&paved -71 X- parking) #of Parking Spaces �Or Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ki DON'T KNOW YES IF YES, date issued:'! IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES IF YES: enter Book Page; and/or Document#�l B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 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: j D. Are there any proposed changes to or additions of signs intended for the property? YES N0 jn 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 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Gtr-aftent."u alr City of Northampton Sta S cif P#hit " a Building DepartmenturttlCrivew Pert NS" 212 Main Street vertSeptic.Auattttllity s = Room 100 water lVitellAuai14btlr Northampton, MA 01060 Twftructur �ans' w pI��Y� 413-587-1240 Fax 413-587-1272 it 4 Sffe Ins APPLICATION TO CO.ATRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Pro a Address: Map Lot Unit DOG U Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: dal° Name(Print) Current Mailing Address: 11594r Sf e f Telephone Signature 2.2 Authorized Agent: G�Qa Name(Print) Current Mailing Address: • �/.3 �3� • 88d8 Signature j0p, Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 2 S� 6D (a)Building Permit Fee 0 2. Electrical (b)Estimated Total Cost of Construction from 6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =0 +2+3+4+5) •-2. heck Number Q This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2007-0352 APPLICANT/CONTACT PERSON REMAS LOCHARLES ADDRESS/PHONE 38 FRUIT ST NORTHAMPTON (413)584-2971 () PROPERTY LOCATION 38 FRUIT ST MAP 32C PARCEL 127 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 2440 44 r. _ Fee Paid Tyueof Construction: ERECT 8 X 10 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION 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 Stre Commission Signature of Building Offic al 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. 38 FRUIT ST BP-2007-0352 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 127 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-2007-0352 Project# JS-2007-000520 Est.Cost: $2500.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sa. ft.): 11107.80 Owner: REMAS LOCHARLES Zoning: URC Applicant: REMAS LOCHARLES AT: 38 FRUIT ST Applicant Address: Phone: Insurance: 38 FRUIT ST (413) 584-2971 () NORTHAMPTONMA01060 ISSUED ON:912912006 0:00:00 TO PERFORM THE FOLLOWING WORK.-ERECT 8 X 10 SHED 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: Driveway Final: 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: FeeType• Date Paid: Amount: Building 9/29/2006 0:00:00 $25.002108 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo