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John Symanski
One Cottage Street #32
License No. 1ti_nyl Replacement Windows Easthampton, MA 01027
Constr. Sup.032590 Vinyl Siding/Shutters Tel (413)527-1149
I1.LC. no. 101291 Door Replacement/General Repairs Fax(413) 527-1812
No Job 7bo Small
7/18/98
Warren Currie Jr.
351 Brookside Circle
Florence, MA 01062
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John Symanski One Cottage Street #32
License No. Vinyl Replacement Windows Easthampton, MA 01027
Constr. Sup.032590 04 Vthyl Siding/Shutters Tel (413)527-1149
H.I.C. No. 101291 Door Replacement/General Repairs Pax(413)527-1812
No Job 7bo Small
JULY 17, 1998
Anthony
The home owner at 351 brookside Circle Florence have
decided to go ahead with the project of enclosing there deck.
I will be digging out the old piers and pouring new ones.
Enclosed is a drawing of new piers, I will call you when the
piers are dug.
THANK YOU
JOHN SYMANSKI
JUL 190
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 584-6726 Alterations
NORTHAMPTON, MASS. J ne 22, 1998 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 351 Brookside Circle Florence, Mass. Lot No.
2. Owner's name Warren E Currie Jr. Address 351 Brookside Circle
3. Builder's name John Symanski Addressl Cottage St.#32 Easthampton.Ma01027
Mass.Construction Supervisor's License No. 032590 Expiration Date 0 7/14 9 9
4. Addition
5. Alteration Enclose deck t
6. New Porch t
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof Gable roof / FIBERGLASS SHINGLES
13. Siding house Vinyl Siding
14. Estimated cost:- $10, 000. 00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�� ature of responsible appicani
Remarks Enclose existing dew to be used as enclosed porch,
Install Patio Door in house wall.
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m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION MSURANCE AFFIDAVIT
John Symanski H.I.C. 101291 Constr.Sup. 032590
(li censerJpezm�tire)
with a principal place of businesshcsidence at:
1 Cottage St. Easthampton,MA 01 027 (phone#)( 41 3 ) —527-1 1 49
., (stre..a/c�ty/stairlap)
do hereby certify, under the pains and penalties of perjury, that.
( ) I am an employer providing the followiog wor -r-r's compensation coverage for my
employees woriarlg on this job:
(Lnsu=C'-' Cotn_paay) (Policy Number) (Expiration Daly)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Cont CW[) (Lnsli-anc� CompuyiPolicf NumDcr) (Expiration Date)
(Name of Colin,CIO[) (Iaa=cz: Company/PoLicy Number) (Expiration Date)
(Name of Connactor) (I .suraacz Compaay/Policy Numb-zs) (Expim600 Date)
(Name of Contractor) (LDSWauce Compauy/Policy Number) (Expiration Date)
(atiacti a.dditioml:beet dncc--y w inc}udc infrxmsti oa pstii g to nil«<vh"ndan)
( I arm a sole proprietor and have no one worming for me.
( ) X am a home owner performing all the work myself
NOTE:please be aware thxi wbira homcotivxrs wbo cruproy parsons w do %*�cmal:rx ioa cr repair work on x dwelling of
not more than thteo unity is Mich the homoosvncr resido qc oo tbo pounds appeutca+n.ih_rdn ere oot malty oocaukrcd to be
cmpioyrrn updcr Iho twckct'a seiim Aa(GL152,=l(5))�appdca6on by a homeowner far a lian3c a Parma may c-i�.bo
1egi1 a--of an cmployoe under tbo Woci-odx Comp.oi ioa Act"
I uu&r'tand d.&a°pPy of tb'6 a-Lcmcsst may bo forwarded to rho Dcpactmco2 of Iodsu(zi e Amy pflioo of In uu for tbo
covaxgc vcrificatioo and that 5bim to soc=coves-AV umdcr soaion 25A of MOL 152 can,lrxd to tbo'won of aiminal pcnaltia
ooaiu>ing 9;L-foc of up to S Qoo.00 andlor ixn� of up to.one year and avil pcalti a in the form of a Stop Work Ordcc.snd a ,
5no of 5160:00'L diy t6inA uric
For.d�uuo-1Y
"r :Wes LI CLII).1tX,CC -Lbt
� +� �dlaisacllusctla I
Jf iA' f DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR U'Y 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
( Please Print)
DATE: June 22 , 1998
JOB LOCATION :
(Map) ( Parcel ) ( subdivision)
HOKEOWNER:Warren E Currie Jr. 351 Brookside Cir. Florence,MA 01062
(Name & Address )
584-6726 586-8100 _
( Home Phone ) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) fami 1 ies and to allow such
homeowner to engage an individual for hire who does not possess a `
license , provided that the owner acts as supervisor . CMR780 Section 109. 1 . 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 ��ork performed under the buiidinq
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 "hoLen " certifie s responsibility
for compliance with the Buildin Co fit of North -'ton
Ordinances , State and Long Law Sta of Mas a usetts
General Laws Annotat d.
HOMEOWNER SIGNA
BUILDING PERMIT #
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 co?— to be filled in
by the Bai2ding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height 1 5 ' -0" 141 -611
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkingi
# of `Parking Spaces
f of Loading Docks
Fill:
4 volume--& location)
13 . Certification: I hereby certify that the 'nfor ation o 'n d erei
is true a d accurate to the best of my owle ge.
.1
D� E: C� APPLICANT's SIGNATU
NOTE: Issuan ® of a zoning permit does not relieve an A loanre &W—den to oomply wit4,7a11
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applloable permit granting authorities,
FILE #
w • �
AN 2511998
File No.
-9-Za 3 2 t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Warren E Currie Jr.
Address: 351 Brookside Circle Telephone: 584-6726
2. Owner of Property: Warren E Currie Jr.
Address: 351 Brookside Circle Telephone: 584-6726
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: Same
Parcel Id: Zoning Map#� Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTME T)
5. Existing Use of Structure/Property
Deck
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Enclose existing deck to be used as enclosed porch.
7. Attached Plans: X 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 KN0V%' 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�_ 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)
Reference No: BP-1999-0082
Department: ...................................
Building, Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
Building- Renovation REC-1999-0001.34
.........................................................................................
Paid By: Pa.id..i.n.Full..0.n:..........
John Synianski Thu Jun 25,1998
.........................................................................................
.................
Received By: .Check No:...................
Linda Lapointe 2640
.........................................................................................
..........................•......•.••.
DEPARTMENT'S COPY Amount: $40.00
...........................
I)EIIARTMEN"I' FILE: COPY 351 BROOKSIDE CIR
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own pen-nits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
22 Jul, 1998 BP-1999-0082 963721 $40.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
5003 29 279 001 351 BROOKSIDE CIR URA 17380.44
Contractor: License Type: Insurance:
John Symanski CSL
Address: License No.: Insurance No.:
I Cottage Street 032590
Li!n State: Zip Code: Phone:
EASTHAMPTON MA 01027 (413) 527-1149
Pro*ect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0118 alteration-addition $10,000.00
Description of Work:
Ensloce existing deck
GeoTIVISS 1997 Des Lauriers&Associates,Inc. Signature:
FIL # ►'f fa
-��
"'2PLI&NT7CONTACT PEF ON:
ADDRESS/P.HONE:
PROPER LOCATION: L / �2� ir .Cr(R `It�C�✓L�C'�Z � .
.MAP PARCEL: 2? ZONE_ /
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM Ell LED OITT
Fee Pnid
g ui1 rim Permit Filled mit ✓
Remndeling Interinr
Arresr, ry 'Strnrture
_Riiildina Plan,, Tnr
O
3 Sete ' / --
V
T�OLLOW1`NG ACTION HAS BEEN TAKEN ON THIS AP ICATIW
Approved as presentedfbased 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-Bd of Health Well Wat otability-Bd Health
!Permit from servation oinmiss' a
Signature of Buil ector D to
NOTE:Issuance of at zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
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