Loading...
32C-182 (15) DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: 15� V � Map X32 t, Parcel 1162 Received in Building Department: Referred from Building Department: / " Action Taken/ Northampton Historical Commission Action Taken Bv: Entire Commission Sub-Committee of the Commission Commission Designee/ Staff Date Action Taken: I " " D��h�4e Determination Made: Property has been determined not to be Significant according to Ordinance definition. �-- No further action will be taken. Demolition Q Permit may be issued. Property has been determined to be Significant �1 according to the Ordinance definition and a Public Hearing has been/will be scheduled. Demolition Permit may not be issued at this time. Public Hearing has been held, Property was determined Significant but not Preferably Preserved. No further action will be taken/ 4 Demolition Permit may be issued. Photo documentation may be required. Public Hearing has been held. Properly has 7 (JG been deemed to be Preferably Preserved. The demolition review period has been initiated. No QJ demolition permit may be issued until the Historic Commission approves an alternative plan or the twelve month period concludes. IL ' Alternate plan has been approved/ delay terminated. a �Q Demolition may or may not be approved as part of plan. Twelve month time period has expired, demolition permit m be issued. Referred by: Date Q 1�A A Picture Album from my PCS Vision Camera Page 2 of 2 Send and receive Pictures and Videos through Picture Mai[SM.For more information go to www.sprint-.corn/pict remail. Win A Spook-tacular , Picture Store Share from Picture Mail Trip! Oder Ninh and cl-s to CEhA Digital Photo Your fun,scary or cute J ,+jai'. Halwuaen Photos make you a wriner. Learn rrore Learn rnere Learn more r, _ ©2005 Sprint. All rights rese powered by 11/8/2005 o¢•ttu�spTo Grit FT TITZ �jaIIt�T L1IY i �835AC�ITSfttS �n - DEPAaTMENT OF BUILDD\TG INSPECTIONS /= INSPECTOR 212 Main Street * Municipal Building '>o 1y 5 ` Northampton,MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as has/her construction sup< ,• sor. The state defines "Homeowner" as, "person(s) who owns a parcel on which he/she resides or intends to be,a one or-ti o afi y - 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 home owner." The building deparflm.forthe-City of N rrhampton-wants-any person(s)-who-seekty use the home owner exemption, to act as their own construction supervisor,to be aware that by doing so you become responsible for compliance with-state building codes and fegulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings(before backfiIl), sonotube holes (before noun a rough buildin4 inspection(before work is concealed) insulation inspection(if required) and a final building inspection.The building department requires these inspections before the work is concealed,.failure to secure these inspections can result in failure to obtain a certificate of occupancv until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing&gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections.Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner/resident's signature requesting zemption) I will call to schedule all required building inspections necessary for the building permit -- issued-to me. Date al a 6 f. Address of work / location SECTION4 CODS-TRUCTtONF SERVICES 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone 93z ester Efiemw roveniest Not Applicable ❑ Comoanv Name Registration Num er Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSAI16N INSU"'MCE.AFF,11 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...... ❑ RE EUS' .7011 D 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 1083.5.1. 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-vear 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,S and Local Zoning Laws tate of Massachusetts General Laws Annotated: omeowner Signature I-V'P14 r SECTION 5-,DESCRIPTION OF PROPOSED W.ORK(check alVaaplicable) New House ❑ Addition ❑:., Replacement Windows Alteration(s) Roofing Or Doors D Accessory Bldg. ❑ Demolition Lr1 New Signs [p] Decks Siding[O] Other[O] Brief Description of Proposed 1e• �Qf �4 e Work: Alteration of existing bedroom Yes No Adding new bedroom Yes _ No Attached Narrative Renovating unfinished basement Yes *---"No Plans Attached Roll -Sheet sa.=(��Iern��o€rse�rti�,aFYadct>=ata�eac�s��nar;�st�c� �otx�efef���far[fa��ng• 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 ACkTHORIZATION=TO BE"GOMECETED`WHEN . OWNERS:AGENT:OR"CONTRACTOR APOL'ie&Fbte6UILDIM PERMIT I, as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature f Owner Date I, 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. Pri ame I-I'til ure of Owner/Agent D 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 % z €-- Open Space Footage % (Lot area minus bldg&paved ' parking) #of Parking Spaces Fill: !i (volume-&Location) A. Has a Speci 1 Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued:` IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES 0 IF YES: enter Book : Page; and/or Document# B. Does the site contain a brook, body of water or wetlands? NO &DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there an proposed changes to or additions of signs intended for the property? YES NO ..y P P ._9.- _ 9 P P y IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex ation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 1 -- ---� i y of Nort0a ppton atr of er Bui 1,De part l; nt Cam..krt e 212 Main Street serer e sack W ^^m 1-00 ater�el �ra n SIMON No"f�`�tarr> t�n, fi? ? j Ews© r�ucttrPlai g phone 4't�3=887-124fl--Fax-4-1 =t272 l s►t >a � w� {r''`'te.` "�.� aT-^'wi�» � .a•�!�'+'R':T- F�"�3 .�„�rKU.""` 3Y +u u APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SEGTIOIV 9.=SITE INFORM XION: ` 1.1 Property Address: r Thrs sectrorr to be comppetecFb}raftiee 7 1/ / Overfa�Disfncf A/OrT�l'y �Jbh Oy' zoneK r x EInr-S�U�stnct � "CB-��strtc� SECTION Z PROPERTY OWNERSHIP/AUTH.ORIZED AGENT 2.1 Owner'�o`/fRecord: bsoe �2/4.tr�r •� •SZ�aflrl;�,�/ 1 F�c�; (s tp , At .'VC 'l&j 04 lfr 1 6 -�'� �ettf ?7Y / IC4Ja•It.�.TT• �/o ����I�r�t o/6{rC Name P' ` y Current Maiiing�Add -, ` q� A Telephoned''' ((�, Signature .2 ` 9�0Q �e�•t° • (J !"r O�� 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION.3 ESTIMATES 60NSTRUCTfON COS-TS. Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building -(a)-Building Permit Fee 2. Electrical (bj.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) Check Number 4Z �- 1 d r This'Sectid FoK Official'Use Only Date Building PermitNdmber -;Issued: Signature: Building.Commissioner/Inspector of Buildings Date ' r File#BP-2006-0491 eA APPLICANT/CONTACT PERSON SZLOSEK STEFFIE&PATRICK& �C���✓�/� ADDRESS/PHONE 376 PLEASANT ST NORTHAMPTON ay7-q/vo PROPERTY LOCATION 378 PLEASANT ST MAP 32C PARCEL 182 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid i_ ` Typeof Construction: DEMOLISH ATTACHED GARAGE New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P SENTED: 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* �.X, f..\ Received&Recorded at Registry of Deeds Proof Enclosed I Other Permits Required: �� ,1, 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 mmission v '04nNt d Signature of Building 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. File#BP-2006-0491 APPLICANT/CONTACT PERSON SZLOSEK STEFFIE&PATRICK& Aa­� ADDRESS/PHONE 376 PLEASANT ST NORTHAMPTON 7 ! /Q O-Z) PROPERTY LOCATION 378 PLEASANT ST MAP 32C PARCEL 182 001 ZONE GB 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: DEMOLISH ATTACHED GARAGE New Construction Non Structural interior renovations Addition to Existin¢ Accesso1y Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9KMATION 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 Perrot With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance*_ J,i4/¢j/ re ►�►+r� ✓ 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 et Commission _ amp Signature of Building 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. 378 PLEASANT ST BP-2006-0491 GIs#: COMMONWEALTH OF MASSACHUSETTS Map.-Block: 32C- 182 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category BUILDING PERMIT Permit# BP-2006-0491 Project# JS-2006-0713 Est. Cost: Fee: $15.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 7361.64 Owner: SZLOSEK STEFFIE&PATRICK& Zoning: GB Applicant: SZLOSEK STEFFIE & PATRICK & AT. 378 PLEASANT ST Applicant Address: Phone: Insurance: 376 PLEASANT ST NORTHAMPTONMA01060 ISSUED ON:11 11512005 0:00:00 TO PERFORM THE FOLLOWING WORK.-DEMOLISH ATTACHED GARAGE 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 11/15/2005 0:00:00 $15.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo