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Sala Consultant
L J DEPT G INSPECTIONS
Case NORTHAMPTON,MA 01060
[_J N 1
DEPT F Bul�D�
f BUIL_I�N
Ha id 137 Da.. Road OR
? y?wn' Northampton,Massachusetts 01060
Services Ph— 413-584-7700
Fax 413-S94-7706
N,k"d4dy —Casellandyman.com
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A � r E ;3ltsanchncclta -
DEPARTMENT OF BUILDING INSPPCTIONS
212 Alain Street ' Municipal Building
Northampton, Mass. 01060
worucLfz�S COMPENSATION INSURANCE AF111J)-�V
(l i ins:Jl>crmi t1c.j -
vvlth a pi-Mcipal pla of business/residence t
! 3 ��►_• a --- /& ,o4 /�•�11-
do hereby certify, under the pains and penalties
(✓�I ar] an enapio)�er prov)din� iol my� u
Lrlil)IOVCCS V 'OI :i1lf� oil lily )O)h /
Atl 77 30 2-
I aII] a sole proul-Ctot, g'cilclai GoIlt7cCiOI of iCo`:E,(C (C'-'-Iie Oi?e) c-U };cVe fill CO
the c0;?I7aclors !iSie:-' beiOvw Cti i]o '12'vc' ilie O;IG'`. ti'Oi.l: : G ' :i) Ili?:]0'. t CilC1CS
(tJaIl)C of(_O'. CiC: t,ifi_l Il..,. .1 i1,...il l:C'
(Namc of COtiiTaclOr) (bLalfancc Da1c)
-------- ---- --
(Name of Contractor) pi,,Lion Date)
----- --------
(i"ame of Contractor) (Insulan Comlx-y/?ohcy Ntuniru) (L�pirzdon Date)
(ee�.di>dliUOai1 v'sccr ifnccc�ur, to �x!u ��fon�snoo pertn:rsrir,w�iJ c—=aCn:�)
O I am a sole proprietor and have no one working for me_
O I am a home owner performing all the wort; :nyseff
NOTE:ptc sc be-trip tlul v?!]c bomco�wbo mil cy pc-.ors Lo Gc a c ^coo c rcp ac .o k oa i d". U ns of
not ma"than ltaoo units in wfrith the bomno-ncr r sides or oa the gou:� zpvd tmv-threw a c not genes-lly oors:dacd to be
e W oycrs undo tJx wudkrt ohm s cn Act(GL152,n t(5)�nppl-umlicn by a bomcioava far e lip oc permit may evrdcuoc t6c
Ieg�l rtnnic of m omployx under di Worked,Compms.t_ioa Mt
I uadcrstind dvd a copy of this ctatcmcns may bo focwnrded to tho Dopartmcat of InduzriaJ/wades OfIffioo of lrsr"`s°`°for the
eovcxge YcriTicriioa and thu f_iltuc to&ccure oovcrbEc under Saxioa 25A of MGL 152 rsn Irad to tho imposition of cimmal pcaAL is
coaiisting of a pine of up to S 1500.00 and/or impriwnrna of up to ooc}ca tnd avd penahia in dr form of a Stop Work Order and e
fim c(S 100-00►day tg&wnl me
For dc;:v,izr��.l uac only
Permit Number
Sinabtrc of LiarrsccJPct�niUc,-- D�F
EC7i0N$-CONSTRUCTION SERVICES
1 Licensed Construction SuDervisor. Not Applicable ❑
P C Ize,r
Name of License Holder
License Number
Address Expiration Date
ell-
Signature Telephone
M
Not Applicable ❑
W
Company Name Registration Number
`�
13-7
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§2SC(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.
igned Affidavit Attached Yes....... ❑ No...... ❑
YP
V g,`45I,�>"5,1�w" RN��',
am
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 buildini!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
w
T 5- S IPTIO 0 RO SE chec I lic ble
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks Siding[ ] Other [ ]
g`x(Zo b lC w s1A6 car l cl'C"v sl; ivy `� ass oar' ih ar
Brief Description of Proposed Work: Z;9" J e(
L1' P X t S Z`11�I CA :.v.K Q i'v
Alteration of existing bedroom Yes C No Adding new bedroom Yes .' No
Attached Narrative❑ Renovating unfinished basement Yes _ No
Plans Attached Roll ❑ - Sheet;V
6 > fl1
"t oil
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. Mascheck Energy Compliance form attached?
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
as Owner of the subject property
hereby authorize S C n ✓i to act on
my behalf, in all matters relative to work au orized by this building permit application.
Signature of Owner Date
I, ��-e, C 4,,,X �� /� ••.-� as Owne uthorized Age
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
igned under the pains and penalties of peerjury.
ic%.c/`d[ »—
Print Name
`
ignature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
2, 7 s jam, Fr-
Lot Size ! y0 f A
Frontage Vig
Setbacks Front
Side L:Z / R: L:/Z' G R:
Rear
ira �'G D
Building Height
Bldg. Square Footage j
Open Space Footage %
(Lot area minus bldg&paved Z�{Z 9�
azkin • rj vecl
#of Parking Spaces Z—
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 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#
B. 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:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property?YES _
No X
IF YES, describe size, type and location:
N mpton
Ertment
212 treet
of o 0
JUN ort mpt n, A 01060
phone 0 F x 413.587.1272
DFCT 0 BUILDING M Ns APOlO�
PIP UAWAPI APPL N TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address. This s�fan to b� �iipleted;bjt offl
Ikltip Lot,
i^ 7�i•, T %� Qne O�►taey� Ict
Eim 5t:Dstwlct %.,:..,CFA bistrict .
SECTION 2-PROPERTY OWNERSHIP7AUTHORIZED AGENT
2.1 Owner of Reword:
Name(Prin Current Mailing Address:
�-� Telephone
Signature
2.2 Authorized Agent:
l:c X ., at '.--�'6i /s /3 7-4 O-K-7..-) lee( Na i�i t...,,o�.. .•�
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3- ESTIMATED CON5TRUGTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 23, cc(
OOD (a)Building Permit Fee
, po
2. Electrical 2 ®C'�� (b) Estimated Total Cost of
Z. 000 . o v Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) Q 00 . 00 Check Number
his Section For Official Use Only
Building Permit Number: Date Issued:
Signature..
Building Commissioner/Inspector of Buildings Date
File#BP-2001-1057
APPLICANT/CONTACT PERSON CASE HANDYMAN SERVICES INK BLACK,INC
ADDRESS/PHONE 137 DAMON RD SUITE C1 (413)584-7700
PROPERTY LOCATION 344 BRIDGE ST
MAP 25A PARCEL 101 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 Pahl
LTeof Construction: CONSTRUCT 26 X 20 DECK W/SLAB FOR HOT TUB REPLACE WINDOW WITH
SLIDER
New Construction
_ Non Structural interior renovations
_ Addition to Existing
_ Accessory Structure
Building Plans Included•
Owner/Statement or License 073454
3 sets of Plans/Plot Plan
THE LLOWING 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 Conservatio ommission Permit from CB Architecture Committee
Z L�
Signature of Buildin fficial 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.
ST
BP-2001-1057
GIS#: COMMONWEALTH OF MASSACHUSETTS
�:25A_ 101 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Deck Addition BUILDING PERMIT
Permit# BP-2001-1057
Project# JS-2001-1870
Est.Cost: $25000.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: CASE HANDYMAN SERVICES INK BLACK, INC 073454
Lot Size(s_lc.ft.): 29185.20 Owner: CAPERS RAYMOND L JR&PHYLLIS
Zoning.URB Applicant.• CASE HANDYMAN SERVICES IN
BLACK, INC
AT. 344 BRIDGE ST
Applicant Address: Phone: Insurance:
137 DAMON RD SUITE C1 (413) 584-7700
Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:6/21/01 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 26 X 20 DECK W/SLAB FOR HOT
TUB, REPLACE WINDOW WITH SLIDER
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:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/21/010:00:00 406 $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo