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ATain Street ' M1111,cillnl Builtliut;
Nrlrtltamptvn, Mass. 0I060 � r-•:„�
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a�:istiag of a 1nx of up to S I.Sf_�).(})e:1`c' i rui �::: of u+to ., year e:.j cia'il 1`"rultin m r 5 irl of+:• •. ; i}�,•;�:.?.
litho of Slo").00
I)crtnit N1t,�lir r
I �'DEW cSECTIONS SPK ble
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks Siding' Other [ ]
Brief Description of Proposed Work: v' .._ F�'�N,�- �n�'"� — ��02 •S►DIy1Qi = CGIVIV�
Alteration of existing bedroom Yes No Adding new bedroom Yes No IJ
Attached Narrative ❑ Renovating unfinished basement Yes :7;9 No
Plans Attached Roll ❑ - Sheet❑
sa` If�New�h"�d`us ardor a�c ftlition�toezistin�-�:fc►usin��<complete'the=nfollowi'n�:
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?
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 CONTRAC°TOR;APPLIES FOR BUILDING'PERMIT
✓� l'(����y� _ as Owner of the subject property
�e, 777 6Z /�4 Gr/0 to act or
hereby authorize V'��.-, � L_-._
my behalf, in all matters relative to work aut orized by this building permit application.
Signature of Owner Dat
as Owner/Authorized Agent
hereby declare that the staterkents 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.
i v-� -6 �� —
Print Name
Signature er en 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
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 DON'T KNOW YES
IF YES, date issued: _
IF YES: Was the permit recorded at the Registry of Deeds?
NO -A 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-
IF-YES, describe size, type and location:
City of Northampton
Building Department ai
212 Main Street r f
Room 100
Northampton, MA 01060
qne 413.57-1240 Fax 413-587-1272 Plo ;ite n
` Ot�ierSPec
I*_1 ICATION.TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Pro pert Address: This section to be completed §yi,6ffice
' Map ot � I tea; nw
-29'
i J RT A pTy" M Zone O�ertay District
Elm St District h CB Distract
SECTION'2- PROPERTY,OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
t i a'j4 a,, e.%,i C 5 l T-Atj
Name(Print) Current Mailing Address:
lz
!_(L_ 7, Telephone Signature
2.2 Authorized Agent:
Name(Print)T Current Mailing Address:
<gna u A Telephone
SECTION W- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by ermit applicant
1. Building 1 / d0 Q (a) Building Permit Fee
2. Eiecirical (b) i~stimated Total Cost of
_ Construction from 6
3. Plumbing kAJevkQ— Building Permit Fee
4. Mechanical (HVAC) `
5. Fire Protection V vw-v\A,
6. Total =(l + 2 + 3 + 4 + 5)— Check Number
This Section For Official Use Only
Building Permit Number: 7Fe issued:
Signature:
Building Commissioner/Inspector of Buildings Date,
f
51 DAY AVE BP-2005-0887
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A- 131 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2005-0887
Project# JS-2005-1230
Est. Cost: $10000.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Jeffrey Bott 053157
Lot Size(sq_ft.): 39683.16 Owner: MIHEVC NANCY T&DEBORAH KEHNE
Zoning. URB Applicant: Jeffrey Bott
AT. 51 DAY AVE
Applicant Address: Phone: Insurance:
32 Pine Street (413) 584-6251
FLORENCEMA01062 ISSUED ON:3123105 0:00:00
TO PERFORM THE FOLLOWING WORK.-RESURFACE FRONT PORCH, FLOOR,K SIDING &
CEILING
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 3/23/05 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
51 DAY AVE BP-2005-0887
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A- 131 CITY OF NORTHAMPTON
Lot: -001
Permit: BUU ft
Category: BUILDING PERMIT
Permit# BP-2005-0887
Project# JS-2005-1230
Est.Cost:$10000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groin: Jeffrey Batt 053157
Lot Si.ze(sg.ft.): 39683.16 Owner: MIHEVC NANCY T&DEBORAH KEHNE
Zoning.URB Applicant: Jeffrey Bott
AT: 51 DAY AVE
Applicant Address: Phone: Insurance:
32 Pine Street (413) 584-6251
FLORENCEMA01062 ISSUED ON:3123105 0:00:00
TO PERFORM THE FOLLOWING WORK.-RESURFACE FRONT PORCH, FLOORX SIDING &
CEILING
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: eK �"' D„ d�
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL OF
ANY OF ITS RULES AND REGULATIONS.
G%
Certificate of OccuPan Signature:
FeeType: Date Paid: Amount:
Building 3/23/05 0:00:00 $25.00
�1 r Phone(41 3)587-1240,Fax: (413)587-1272