32C-248 (4) 4HOLYOKE ST BP-2014-1103
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block: 32C-214 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-1103
Proiect# JS-2014-001880
Est. Cost:$4000.00
Fee:$50.00 PERMISSION IS HERE
Const.Class: Contractor:
Use Group: OLIVER ISELIN C
Lot Size(N. ft.): 3789.72 Owner: ALTSHULER DANA bl
Zoning: URC(100)/ Applicant: OLIVER ISELIN
AT.• 35 HOLYOKE S-1
�D
Applicant Address: Phone 5-5 36 Service Center (413) 584-12 jj 1
NORTHAMPTONMAO1060 ISSUED ON.4125120-14 0:00:Ot
TO PERFORM THE FOLLOWING WORK:R E I N F 0 F 3o�C
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 Frameg,Y.-�-1 ,
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVO T E CI Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE 7W
Certificate of Occupancy w si nature:
FeeTVpe: Date Paid: Amount:
Building 4/25/2014 0:00:00 $50.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
36 HOLYOKE ST BP-2014-1103
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map.-Block: 32C-248 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2014-1103
Project# JS-2014-001880
Est.Cost:$4000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: OLIVER ISELIN 039073
Lot Size(scp ft.): 4181.76 Owner: ALTSHULER DANA
Zonin,: URC(103)/ Applicant: OLIVER ISELIN
AT: 36 HOLYOKE ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:412512014 0:00:00
TO PERFORM THE FOLLOWING WORK:REINFORCE FLOOR JOISTS, REPAIR DRYWALL
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 REGU TIONSS.. ,
Certificate of Occu anc y l2 !i'{�` y Si nature:
FeeType: Date Paid: Amount:
Building 4/25/2014 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413);587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2014-1103
APPLICANT/CONTACT PERSON OLIVER ISELIN
ADDRESS/PHONE 36 Service Center NORTHAMPTON (413)584-1224
PROPERTY LOCATION 36 HOLYOKE ST
MAP 32C PARCEL 248 001 ZONE URC(103)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out Q i2a
Fee Paid
Typeof Construction: REINFORCE FLOOR JOISTS,REPAIR DRYWALL CEILING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building-Plans Included:
Owner/Statement or License 039073
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION 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 Street Commission Permit DPW Storm Water Management
Demolition Delay
A4xv 1z ay.4L
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.
OQ��wrnTO
z ec3� y —
R `E Grim of �o� tljallt}1toIJ �_ =
o DEPARTMENT OP BUILDINC INSPECTIOI:S = j
212 Main Street ' Municipal Building
Northampton, Mass. 01060
NVOIUCER'S CO\i U`ENSATION INSURANCE AMDAVIT
------- (li ccuscc�perrni flee)
%with a ptZncipai place of business residence at:
6 ► �
�' � � ' � 40"- (>=h J'Ty ! ZL�
do hereby certify, under the ppuis and penalties of pcqury, ?h t
l`) t a n an employer providing the following workers compensZ:ion covc:-2-e for Intl
eruplovices wort lag on LIIis)ob.
A Oto i
dv --� W /Y
(Inszu w Conr��) (P0Uc; Nuf-,Iirr) ;pirtior Dzic)
( ) I am a sole proprietor, general contractor or homeowner (cucie one) and have hired
the contractors listed belo\v vyho h2ve the follo%vU' P ',vorher's caDIPenS' hon policies:
O""gmc Oi Con?ncio") (InRr3nc,c. CoJmpanyimoire'{ Datc)
(Name of Coorrzcior) -- (Ins-drancc Comoaavi-PoLc), Ntincrr) (Ex PLmuon Date)
(Name of Coan-acior) (Instiranc Compan y/PoUcy N,,mbu) (Expirnon Date)
(Name of(Sntractor) (Insumnc�z Comrarry/Potief Numbs) ZxpLJ-Ii oo Date)
(eaae+r a.ddi;:oeal c'xG if ocY-i.:� to irw�uc�inforta,aoa per'"^�to a17 oon'r.�.o:�)
( ) I am a sole proprietor and have no one work-rig for me.
( ) I am a home ONvoer performing all the Nvork myself.
NOTE:plc k a rue +,,.Ii Jc bcG�O Dv n Hbo cmplay pczors to GD r-•� c=au.,orx d--LL'-.z or
¢ot a:oee tli-.;t`soe tmi'a in wh¢ ttx twrnoouver maid,oe oo the g.-De±s zppuxt,t^r_+tba� 2 trx ocr id-d to be
c; IOy—ttnC,: he—x -i aca C,ico Act(GL,I52�1(5)),nppticatio-o try a bornooa�a fc:c U=-v cc Pcnnrt t y t~c
lc9a1 r an c of an cxployo under dw WOA-, -! t5oa Act
�j 1 undc-stand di-i a copy of d i.a tL--d m y bo forwnrd>d to t}w pcp�of i s J J Mad e OfLoa of L- -.l oa for 0-
y eovense vrttjclioa annd Uu L1JtZc to soairc eovcTVse tattler socxjo¢15A of MOL.152 can lad to the,i,rxi 0;3 of criminal pen.+llin
ooalty'QE of a rio:of tip to S I-WOO and/or 6r10isoamcsf or up to out yw e.a3 ca NiJ pay.tLa in tic form of a Stop Wad,OrdQ a d a
rim ofS100.00.day xpirut 03,-
For dq;�-tn,==sJ u.c Drily
--� I'cTUti t N tun bcs
Lot ° --
Sipaturr of Liccitscc/I'crn ucc � �
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
i This column to be filled in by
" 'o C f'�� /a 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 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:
SEdTtt?W$,-EONS RC�CTION SER{%ICES
1 Licensed Construction Supervisor: / Not Applicable ❑
Name of License Holder:
r License Number
Address
L. I Expiration Date
✓✓ P
Signature Telephone
0
y
Not Applicable ❑
... � _. ri.�. " ,A �a... ,._ °.�.
Company Name N
P Y Registration umber
-F _ y -- ty
Address Expiration Date
Telephone
SE4 TI4N 10- MARKERS'CO MO NSATit7N t,NStJRANCEAFf1DAV1T'(M.G.L:c. 152,§25C{6j}'
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....... fr No...... ❑
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 and State of Massachusetts General Laws Annotated.
Homeowner Signature
"ECTI N S °
. D IPTI N'Of P OFISED:1Al0 K check:' I a lic ble
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: 2e <<,
Alteration of existing bedroom Yes No Adding new bedroom Yes —'No
Attached Narrative❑ Renovating unfinished basement Yes ✓No
Plans Attached Roll ❑ - Sheet❑
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
S ECTI{)N a,-.OWNER AQT,ORIZATION -TO BE COMPI:> TED WHEN
OVIINI::ItS AGE+1'C QR OOW` AC TO t APPLIES.FO BI�IL 1, 1?EI'tMIT
as Owner of the subject property
hereby authorize to act on
my behalf, in all matters_xelaty-�_to work authorized by this building permit application.
Signature of Owner Date
I,
as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate,to t e est of my
knowledge and belief.
Signed under t e pains and penaAes of perjury.
Print Name
Signature of Owner/ gent Date
_I
City of Northampton � s
Building Department
e.� 212 Main Street
APPLICATION Room 100
jot
Northampton, MA 01060 H
phone 413-587.1240 Fax 413-587-1272 TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECT IQN X SITE lNfO'RIWION'
1.1 Property Address: ercrsm ��� office
3 t}nit
SECra 2 °P' tQI�ETY"awn>ERirAl 'rrOrzD ANT
2.1 Owner of Record:
Name(Print) Current MaillnR Address:
e Telephone
oignat rue z— ---
2.2 Authorized Agent:
Name(Print Current Mailing Address:
---_. 3'y- 2.z y
Signature Telephone
SECTIQ 5TIMATED,0ONSTRUGTJON''=TS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building —� (a).B.Olding Permit'Fee
2. Electrical s (b) Estimated Total Costraf
Cons#ruction from. F ,
3. Plumbing l390ildin Ferrr)«ft Fed
4. Mechanical (HVAC)
5. Fire Protection ji
6. Total =(1 +2 + 3 +4+5) 10-17-0 Check Number
Tlii Sr~ctton..For Official UseOral
Buitdin Perrri it'Njumber.'. [date Issued:
Signatiure:
Building Cemniiissiorterllnspector pf Buildings _ Date'
File#BP-2014-1103
APPLICANT/CONTACT PERSON OLIVER ISELIN
ADDRESS/PHONE 36 Service Center NORTHAMPTON (413)584-1224
PROPERTY LOCATION 35 HOLYOKE ST
MAP 32C PARCEL 214 001 ZONE URC000)/
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: REINFORCE FLOOR JOISTS REPAIR DRYWALL CEILING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 039073
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
—LZKpRroved 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 Street Commission Permit DPW Storm Water Management
D ion Delay
aSignature mg facial 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.
35 HOLYOKE ST BP-2014-1103
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-214 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2014-1103
Project# JS-2014-001880
Est.Cost: $4000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: OLIVER ISELIN 039073
Lot Size(sq. ft.): 3789.72 Owner: ALTSHULER DANA
Zoning. URC(100)/ Applicant: OLIVER ISELIN
AT. 35 HOLYOKE ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:412512014 0:00:00
TOPERFORM THE FOLLOWING WORK.REINFORCE FLOOR JOISTS, REPAIR DRYWALL
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 Shmature:
FeeType: Date Paid: Amount:
Building 4/25/2014 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner