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25C-111 I -_. } T _ GJ! Sl`1�1 — Gy a h c,, �J t r eA S /S 6 I r �t .ryes � � ,, �► i f 2UUU 1, 4° `?EPT 9 BPHAING INSPECTIONS 'i �� .J { L y ro x t 3T1. HOME IMPROVEMENT CONTRACTC;; Registration 111417 Type - INDIVIDUAL Expiration 12/29/00 ANTHONY S D'AGOSTINO `4` Nf�THONY S. D'AGOSTINO ADMINISTRATOR 9 FORT HILL RD HAYDENVILLE MA 01039 .y)S:if() )4 ):tii.: ..;jil`� 'ti)v. .v.2v2...;:h) .v:' ':•. .. .<v, S-1< },.}}�Sft.� )<.•': ., .,. :',5:. 'J )th 4 ) )+ ... ._ - .� :�iae f'.r�a»tn�zo r2ci�2�l� o��.j!�.J1�xcLrtiasel�d BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 053713 t Birthdate: 07/13/1946 Expires: 07/13/2001 Tr.no: 371 Restricted To: 00 ll ANTHONY S DAGOSTINO _ 9 FORT HILL RDo-v HAYDENVILLE, MA 01039 Administrator 4114 p T Ilk �L Uc'. Tt� PT li - i i i �T 0 UTSlDFFIN1S � s 0n—S a �6 Ck art" 7 PIN� gA- x 10 PT Ga � �a �rrz�c-� 0 WS JF /-ej Sc'l�tG � D T 5 Y/I G t� D US[F 4 k E Q 4 E i s a q 57 4 � z,- a- I X �� j cl �XJ O4�tW-t O A� ti� Crri� of �\iort11a111}itoil DEPARTMENTT OP BUILDFXG INSPECTIONS 212 Main Strect ' Municipal Duilding Northampton, Mass. 010G0 Wo Rla, IZ'S C0'oUENSAn0N MSURA--N CE AFnD;IVIT 1, —�_�'_`, 14 V— --- V 51-'—1 -0 -- (llccuscclpcn]1 cc) �tll apt—islcipal place/ business/residefnce at: ` f/ (};hone-') - Z-6� 7 (stT�t/city/star c�z�p) do hereby certifj, under the pains and penalties of per'ury, Z.fial ( } I am all employer provid11 the following woFkcr s combens o;; cove:4gc for Inv tmplovcc:s woriang on uTis job. (Lnsur-� Corgi ter ) — (PC lic;Numirr) ---- (� ;pir uor, Datc) ( ) I am a sole proprietor, general contractor or homeowner (ciucie one) and Lave hired the contractors listed 'below who hzve the 'following worker's comDensaLon policies: (Name of Con!mcro.) (Itlsurancc Compa lyfi'(DGe, v`uin'�.r) -sptrluon Date) -- (Nalne of Coouaclor) --- Oilsurance ComoauvfPol c-,, Nu-QC-rF) r[ion Date) (Na me of Co=cio.) (Insuranc: CompaDyfPoUcy Numb-_r) (L\piruon Datc) (Nam of Concractcr) (Lnsura>, Comra-uy/Policy Numbs) (L-\pu-,,uoo Date) (a[Ia�h ad�i:iocil rxC iI❑c^c:i to cnc�vtL mformuZioc pcstuninS to ell XI am a Sole propnetor and have no one Working for me- ( ) I am a home owner performing all the wort, myself. NOTE:plc-- �be—zrc F,z,µ ]c hcarowv rz uto c nn lay peroca tq uD r•; c x c rau.or on.d`< E of aot more III=Lm=rtJ in u 'Cb ttx o<oa the cx to be ploycs and: be.•oi;d: i cu Art :_ppticsnoo by Uczrlv u {sm n_.y-1'3 oc tb' Ic6�l rta.au of an Plover under ti:o W—k-1,Compaoa,lio Act 1 undc:rUpd thn a cony of thu m.y be focw—id d to tba pc;,.o,tu,cz:1 of Of5 of Uza.u`o°°for t}m oovm-sc vcri[ct oo a-td th-,t f_iltae to tuurc covcrnsc nude soaUoo 15 A of MOL 151 cw k d to he u^�� m of M'Mind pcnslt ooalu:nz of a floc of u{t to S 1 X00.00 nnNCX calu-iwanx,�1 of up to ooc year Lo l aril[cn JO�d,c focm of n Swp W orb Ordcs end e fimOfS100.00 a. ayrFpn�m � For dm.rtn i�l ux only j �CYIILI Nl1tI7tX1 ,(gyp,. _--- Si�na o ccnscrJ}'crnut �Ce CT t�;$ co sTRU.CTIahI�„S�R1IlCE5 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: 0 ti '19 O QS- -37713 �� V ,r �� License Number -i Address r Expiration Date Signature Telephone Not Applicable ❑ t I-i r'7 Company Name Registration Number Address ' 2 � 00 C/G� Expiration Date Telephone T©N XO KER s co 2,r 95 { } 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. ' ned Affidavit Attached Yes....... 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 oning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature �` I � New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work• Y Alteration of existing bedroom Yes No Addin new bedroo Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑- Sheet❑ WIN 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? n 0 d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? lsr S Fireplaces or Woodstoves It\ J0— Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction i. Is construction within 100 ft. of wetlands? Yes _X 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 AUTHDFtI, ATt©N TI3E CQMPI�1:1"ED WHEN 0 Nik AGENT OR i0ONTRACT'OR AP, LIES FOR BUILDING PERMIT I L IL Lot Y , as Owner of the subject property hereby authorize to act on my beh f, in all matters re tive to work authorized by this building permit application. Signature of Owner V Date 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. ed undVrhe pains Tnalties of perjury. iru C, Lo ei- Print Name 41J�— &-v J— J : Signature of Owner/Agent ate � b �-�a pig- � fi Section 4. rk, 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 Q Building Department Lot Size Frontage Setbacks Front / o J' N r" Side LA-7 R: L:-17 R: 'Ir Rear c� loe ao Building Height "fildg.Square Footage ! % 6,CI 1 O Open Space Footage % ! (Lot area minus bldg&paved 3 parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO X DON'T KNOW YES r 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 here 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 p 212 Main Street Room 100 Northampton, MA 01060 phone 413-587.1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 Property Address: Y 4-6 6-r-tativ , 'v r z s � - '� 7 '`'d�vr -✓a� � r r a SECTION 2--PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lek') e- Lo S e-I 4 t Lra}j � A-> t-- me( rint) Current Mailing Address: I S -on Telephone Signature 2.2 Authorized Agent: hog v D"Ara6 itio Hi- fi, Hovdph v;Iles Name(Print4 Current Mailing Address: Signature Telephone -SECTION 3 - ESTIMATED,CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical (� (b) Estimated Total Cost of Construction'frotri fi 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4+ 5) Check Number This Section For Official.Use Only wilding Permit Number:_ Date Issued: Signature: Building Commissioner/Inspector of Buildings Date y File#BP-2000-1194 APPLICANT/CONTACT PERSON Anthony D'Agostino ADDRESS/PHONE 9 Fort Hill (413)268-3117 PROPERTY LOCATION 46 GRANT AVE MAP 25C PARCEL 111 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out Fee Paid Lypeof Construction: RtBUILD&ENLARGE EXISTING ROTTED DECK W/ROOF OVER New Construction Non Structural interior renovations Addition to Existing — Accessory Structure Building Plans Included: — Owner/Statement or License 053713 3 sets of Plans/Plot Plan THE ! LOWING H ACTION AS 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 Conservation Commission Permit from CB Architecture Committee 7-13- 00 . Signature of Building 00cial 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. 46 GRANT AVE BP-2000-1194 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C- 111 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-1194 Project# JS-2000-2086 Est.Cost: $3000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Anthony D'Agostino 053713 Lot Size(sg.1): 7579.44 Owner: LOISEL LAURIE Zoning.URB Applicant: Anthony D'Agostino AT: 46 GRANT AVE Applicant Address: Phone: Insurance: 9 Fort Hill (413) 268-3117 HAYDENVILLEMA01039 ISSUED ON.7113100 0:00:00 TO PERFORM THE FOLLOWING WORK.-REBUILD & ENLARGE EXISTING ROTTED DECK W/ROOF OVER 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: roll Building 7/13/00 0:00:00 4245 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo S 4 of i i 2 1 r y. r r .. 46 GRANT AVE BP-2000-1194 GIs#: COMMONWEALTH OF MASSACHUSETTS Map.Block:25C- 111 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-1194 Project# ' JS-2000-2086 Est.Cost:$3000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Anthony D'Agostino 053713 Lot Size(sq.ft.): 7579.44 Owner: LOISEL LAURIE zoning:URB Anylicant. Anthony D'Agostino AT. 46 GRANT AVE Applicant Address: Phone: Insurance: 9 Fort Hill (413)268-3117 HAYDENVILLEMA01039 ISSUED ON.-7113100 0.00:00 TO PERFORM THE FOLLOWING WORK.-REBUILD & ENLARGE EXISTING ROTTED DECK W/ROOF OVER 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 Deaartment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: ©/,- d�t�•d0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu anc ' at re 5" Fee T e: Recei t No: Date Paid: Check No: Amount: Building 7/13/00 0:00:00 4245 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo ME-10 rj a PI Ile Ak NOW t w t' .-a .. ,._Z ,--,-•--.,mow _. � __ w i ` y �- '` ( 6 '