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25C-144 (6) 10. Do any signs exist on the property? IF YES,describe size, type and to I F YES X NO Main entrance and wood park signs located throughout Are there any proposed changes to or additions of signs intended for the property? YES X { NO IF YES, describe size,type and location: Garden House identification sign with smaller __ rlirPrrinnal �igge and handicap parking signs ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Bulling De artnient 12. Certification: I hereby certify that the information coninin is true an ace rate o the best of my knowledge. G 13 aouse at ok Inc. Date: J o O o Applicant's Signature Et ere President- PI NOTE: Issuance of a zoning permit does not relieve an appli s burden to comy th all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. EXISTING PROPOSED REQUIRED BY ZONING Lot Size 112 acres no change Frontage 5,676 ft. total no change Setbacks Front 70' 68' Side L• J R: L• 15' R• 400± L• 15' R• 400± Rear 200+ 200+ Building Height to 20' no change Building Square Footage 34,995 SF total 1,460 SF additional % Open Space: pot area minus building&paved 98.5% 98.4% arkin #of Parking Spaces 900± 30 additional spac s #of Loading Docks N/A 1 loading area Fill: (volume& location) N/A 12. Certification: I hereby certify that the information coninin is true an ace rate o the best of my knowledge. G 13 aouse at ok Inc. Date: J o O o Applicant's Signature Et ere President- PI NOTE: Issuance of a zoning permit does not relieve an appli s burden to comy th all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. File No. ZONING PERMIT APPLICATION 010.2) Please type or print all information and return this form to the Buildin�Yz,spector's Office avith the $10. filing fee (check or money order) payable to the City ofNgrtltpto7 j 1. Name of Applicant: Garden House at Look Park, Inc. Address: 300 N. Main Street, Florence, MA 01062 �- _____j __ _ _Telephone_ '584—'5457" ' ' 2. Owner of Property: Trustees of Frank Newhall Look Memorial Park Address: 300 N. Main Street , Florence, MA 01062 Telephone: 584-5457 Su�sidia 3. Status of Applicant: Owner XX ontract Nrchaser Lessee Other(explain) 4. Job Location: Area to north of Main Park entrance at Pool House Parcel Id: Zoning Map# Parcel# District(s): In Elm Street District In Central Business District (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Park and recreation 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Renovation and addition to existing pool house; new parking area and walks; brick terrace with tent area landscaping and drainage (overall plan) 7. Attached Plans: Sketch Plan Site Plan X Engineered/Surveyed Plans 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X 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# work site Does the site contain a brook,body of water or wetlands? NO X DON'T KNOW YES X overall 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) r File#MP-2001-0005 APPLICANT/CONTACT PERSON GARDEN HOUSE AT LOOK PARK INC— ED ETHEREDGE 584-1600 ADDRESS/PHONE 300 NORTH MAIN ST (413) 584-5457 () PROPERTY LOCATION 300 NORTH MAIN ST- LOOK PARK MAP 16A PARCEL 002 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid T_ypeof Construction: RENOVATION &ADDITION TO EXISTING POOL HOUSE•NEW PARKING AREA& WALKS•BRICK TERR W/TENT AREA,LANDSCAPING & DRAINAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approyed as presented/based on information presented. Denied as presented: _ Special Pepnit and/or Site Plan Required under: § 6.2 1b. 11 PLANNING BOARD ZONING BOARD _Received& Recorded at Registry of Deeds Proof Enclosed ° Finding Required under: 5 _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 Conseervation Cbmmission Permit from CB Architecture Committee Sign re of Buildi4gbfficial 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. oho '� Cris. laf �daxnt�ran _ 9 ; $TaasxChuscll, DEPARTMENT OP BUILDING INSPECnons 212'Main Street ' Municipal•Building Northampton, Macs. 01060 WORTCER'S C01 )2ENSATTON INSURANCE AFMAAVIT • (1lccuscrlpermittcc) - • with a principal place of business/residence at: Aaj? 0—/ s000- �� (phonett) (sts>wt/ci ty/staic/a p) do hereby certify, under the pains and penalties of perjury, that: ( an employer providing the following workers compensation coverage for my employees working on this job: (Insurance Comga.uy) (Policy Number) irat3on Dale) ( ) 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 Contractor) (In;u =Company/Policy Numbcr) (Expiration Datc) (Name of Contactor) (Innuana Company/Poucy Number) '(Expimdon Date) (Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (►tlscb additiocu!shoe{ifneoessary to inchsde inrocmati oe pesbi¢iag b all oodradota) ( ) I ard a sole proprietor and have no one worsting forme. ( ) I am a home owner performing all the work myself. NOTE:please be ewer c tivd wtzi]o homoowucn wbo employ paw to doe• ,, oocs7uctioo or tcpoir wocic ou dwcllin�or not mocv thin thtoe unite is w4zie�tb•e bomoawvcr rvides or oa the rtoua�'s spputtcaaot tbeccto an oot y�cacral2y 000sidcrvd to be employers under 64%Ywk='�c Powpcmdlca Act(GL132,u 1(5)).appUmsots br.bommwn�r for a lioctbe a permii may cvidcaoc tba legal gi-f- of as employe uadorthe Worlrvla Compematioa Act, I uodesstand that a 007Y or' 6 ahl em A WAY be roemrd-d to Offiw orlaaur.00.roc t5. oovcngevaifieatiAa rssd tlsat failure to eoeuce coveca=o t,�dcr soczieo?SA oCb(OL 132 eaa kad to tbd imposition of aimiasl peaallies • :} ' oomistit:g aCa•fix t�('trp W S I�00.00 aodlcr impcisoemcaL oCup to oce Tor and oivt7 pcaaltia in the foem oCa Stop WodC Order and a fWA*C5100.00 achy against tae: •. • Foe dcpattmoo6J tw Doty Permit Ntunber W/ Ol/ Z m3pl Lot 0 '`'�� �.b;.,_t•:--+tea_._..• '\ CSj3'' _ - r � SECTION 8-CONSTRUCTION SERVICES Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : j� �"S (/�'Ef/.! 61ugg2e License Number- Z-9164 I C 7'- (5� ,�,r iy/a z- Address Expiration ate Sign re Telephone Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION ll)-WORKERS'COMPENSATION-INSURAC�CEAfF1DAVIT(M.G L..c. 152,, ,25C(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. Signed 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 Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 'CTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ) Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: keen Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative o Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 6a. 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 A?4 as Owner of the subject property hereby authorize �1.� to act on my behalf, in all matters relative to work aut orized'by this building per t application. Signature of Owner Date p as Owner uthori�omy� hereby declare that the statemen and informa n n the foregoing application are true and accurate, to the es knowledge and belief. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date G pr/ I Q �.r M 4'b Northa pton Buildi ,e rt ent et om 100 orthampton, 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.IN.FORMATIQN' 1.1 Property Address: , a r. SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT; 2.1 Owner of Record: jd�a / 2 4 Name(Print) Current Mailing Adddr�ess- / Telephone Signature' ? 2.2 Authorized Agent: Name(Print) Current Mailing Address: v Sign ure Telephone SECTjQN 3' ESTI ATED O S RUCTIQ QSTS 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 from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 +4 + 5) Check;Number �- .�Thls.Sectlonl F6r Official.Use;.zOnl Building Permit Number: Date Issued:. Signature: Building Cornmissionerflnspector of 8u11dings Date 37 ORCHARD ST BP-2000-1205 P"4"plS#: COMMONWEALTH OF MASSACHUSETTS Maap.Block:25C-144 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2000-1205 Project# JS-2000-2099 Est.Cost:$1615.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Groin Alan Shumway 013908 Lot Size(sq.ft.): 8712.00 Owner: LUCEY JOHN J Zoning:URB Applicant. Alan Shumway AT. 37 ORCHARD ST Applicant Address: Phone: Insurance: 625 EAST PLEASANT ST (413) 549-9658 Workers Compensation AMHERSTMA01002 ISSUED ON.6129100 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & SHINGLE REAR PORCH ROOF 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 SiLynature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/29/00 0:00:00 2419 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo t[ ' x- 1 9 2000 1 y%00 To: City of Northampton Building Dept. From: James Ross, JDR Builders Re: Permit Application for 37 Orchard St The scope of work associated with this permit application Is as follows: Work is confined to the front porch area of the premise. Due to severe deterration of the supporting DR members of the second floor porch all damaged floor joists and the supporting girder will be replaced with new materials. The second floor porch floor will be replaced as BUILDERS well as the columns and roof. The second floor porch will then be securely attached to the main house. All materials have been sized according to CMR 780. James Ross Builders•236 Haydenuille Rd.,Whately,MA 01093•(413)247.7634•Email;jd @jdrbuilders,com �YtwrpT 0 0 _�- A� ?e Crii� Of -Iortijamploll PON �lcssarhncctle —: DEPARTMEIJT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Afass. 01060 WOMCER'S CO'i�'LPLNSATION INSURANCE AFFMAVIT V19th a principal place of businesshesidence at: 4^4,0. # D/y (phone')?4L 7 /l 3 do hereby ccrdfj-, under the pains and penalties of perjury, that ( ) I :rn an employer providin- the following work=er's comocns::10;1 cover-e for Ind employees wor{dng on this job (incur-----3c-- Cori=v) (Pelic: ? umirr) -- (r:pincior, Date) ( ) I am a sole proprietor, general contractor or homeowner (elide one) 2-nd have hired the contractors listed below who hive the foUowing workers cocDDensadon policies: (Name of Confmc or) (Inn mnc;. CornpanyiIiGUC, Numb:-) Date) (Name of Contractor) -- ( ris-,i ancc ComoanvfPoi1cv Ntu�crr) (Expi-Mition Date) (Name of Contractor) (Insurance Compan)•/Potiq• Numbzr) (Bpi-moon Date) (Name of Contractor) (iasuranc;c� Company/Policy NumbJ) Data) (mach�.di;;oc�.l c'kd ifnc�c:.��-to ��.-.��sc�infortnLioa pertuain�to.11 Xl am a sole proprietor and have no one worlaog for me. ( ) I am a home oNvrler performing all the work myself. NOTE:plc be eMrc o e ut^_Jc hcar.a,"ubo curploy peso o w OD r-.=cn_� rc-,-a-ork on a 6-1-1—Z of ont more t�-.n LL-rn-_tmitr in%,-"Cb the lxon»m.+vcr rr do or oa the p-o.tart_,zppurtn the- �T ax G�:lly occtid�—cd w t� co loyc-3 un',c t_hc—ocji c�=o ,s=lim Aa(GLI52n 1(5)�appticibon try>hcmcoww fe:e l _a po-mit nay the 1cgJ naa,c of an c5ploycr undo di wok—,,Comp o Ad r—&--t..nd di4>ooyy of thi.rtsr.®mt m..y bo forwnnrnd to tbo DotxirtuvsY:of lixh.rricl Am&.&Ofr—of lnn�for tbo covcrx&c verirelioo aid Uu • mvcrn�harder-c6on 15A of 1.1GL 152 c n lad W the a^.inositiao oferiminat peoarl I:3 8 of a fine of w S 1_500.00 end a Viso of up w ooc yc:r Lod a�iJ prn,ltio in do fo m or a Stem wok Ordcr end e o(S 100.00 a d_y■ cy Foc u.c only �n � PCTIIl)t Nt1I1]bC7 -- 4y/]� 1\'t.'lp:: --- Lot ~ Si[�naturn f Liccr>_sccAIcn7uctcc —TS e Version 1.7 Commercial Building Permit May 15,2000 I }N J '1`RC fURA�.:PEER ftYlE1AI. ?8fJMft'1ifl ) dependent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ 'SUCTION,21',-OWNER AUTHORIZATION -1013E CO PLE'T'E© WHEN t}W1 FJ A J=NT R Ct I fiRA TCMf t APPLES 1#1 BUI11,,PMG ERMIT P "Jo � Luce-c� as Owner of the subject property I, hereby authorize -Scows Q- 53 S 1B)q "T.D9-- g iL bEf2S to act on my behalf, in a I matters relative to work authorized by this building permit application. (o 2a Signature of 45wner 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. Signed under the pains and penalties of perjury. Print Name Signature of Owner/Agent Date EGT#tN.12 CCtNS.TR[I.GTJON3SEItV# JS 101 Licensed Construction Supervisor: Not Applicable ❑ -� sS Name of License Holder: �� PrV►n�� 0-74 I05 �!_ License Number n(p D� 0I!1 Af) t�✓fh'r�l.�, ✓N p/�1 Expiratio ��—Z ddr N�t 1,3 03 4`1 ire Telephone CYI Q 2—C 5IwCTION 43 W0kKERS'COKPt"SATION.INSURANCE AFFIDAVIT(M.01',', c: +152, 6G(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. Signed Affidavit Attached Yes....... No...... ❑ Versionl.7 Commercial Building Permit May 15,2000 SECTION' 9- PROFESSIONAL DESIGN Aj40 CONSTRUCTCON SERVIC>:S -FdR:BtlILDINGS At+l�ll�;"5'fRLICTII�RE� UBJ1, TO cNSTfICTIN1NTfCL PURSUANT`,TQ 7811 CMR 1Y6(CONTAINING 'MC1FtE TFIAN S§, t? F ° NCI.�DS "SI�A# 1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number gnature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor j V Q E71 Not Applicable ❑ Company Name: Responsible In Charge of Construction 3 Z Co UI c_C E LJ h4T��Y�p• I t(� ddres O!05 3 -76>34 Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 ;,7.Water S}�pply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: blic SY Private ❑ Zone: Outside Flood Zone ❑ Municipal 70n site disposal system ❑ 8. NORTHAMPTON ZONING 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 & 211Z, S't 0►+'L�L3'S � Bldg.Square Footage % Open Space Footage % / (Lot area minus bldg&paved g,rkfv►u! 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 X 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_ Nom IF YES, describe size, type and location: Version 1.7 Commercial Building Permit May 15,2000 ]0 CO UCn'I 10k Sv I Ffl !.I QJ CT :h SS THAN 35,000- 13]C F � 0�`1FQI:OD SPACE Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building[ ] Repairs X ZC Af 71 M ttW 1A AmT n'r tvC-' 5>ESGTII N !U -WAN Ga,NS'I,R11 C7#i-N"'1YPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H Hi h Hazard ❑ 3A ❑ Institutional ❑ 1.1 ❑ 1.2 ❑ 1.3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B U Utility ❑ Specify: Amok Mixed Use ❑ Specify: S Special Use ❑ Specify: Of?IU1 ?Li 7 ;THIS. ECTION)F E IST►1018 )!1„'pll G'UI p 1�G(31NG REI 01fATl'(3NS,A{ l l`I IONS-AI�1D101 ' H ING'E I1 I USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTIQN,6 3U1 O NG:,I�IIEfO HT AND AREA' BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION4Y Floor Area per Floor(sf) ' St f1(90 i 15t ,© Z,' ` 4 f 2nd 3rd K� rd 4th ✓ r y 3 F 4thy Total Area(sf) y Total Proposed New Construction(sf) � X10i+h+ 'L f otal Height(ft) L 7'L SZdt* — � � Total Height ft .................... �` Version l.7 Commercial Building Permit May 15,2000 ` Clt"of Northampton ' ? 2a ¢wilding Department �N 9 ; 42 Main Street Room 100 �rtrhampton, MA 01060 phone 413-587-1240 Fax 413.587.1272 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANG USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A TWO FAMILY DWELLING SIFCTI3f+1.1-::'SITS€NFt3�MATCON U••r Xi /�^ l� / 1.1 Property Address: / y (Z D S 1 _ E ?� , ' ,d d S'ECTION°2 PROPER7TY 4WN R5HiF►/AUTFIORIZE©AGENT 2.1 Owner of Record: _T o W LUC -1 3-7 D a s-t Name(Print) Current Mailing Address: 4e4 4a-�� Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SIC',�,+D1V 3•ES'tr�IaTED CONSTRUCTION-'CITS Item Estimated Cost(Dollars)to be Official Use Only, completed by ermit applicant 1. Building {,;�i-- (a)wilding Permit Fee 2. Electrical (b)Estimated Total-C©st of Construction from.; 6 3. Plumbing Bu€td€ng Penn€#des 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) j Check Number .Tiiits'.�e.+c#€� k"ur Ufff�€a€ l�s�a„t�n1 Building Permft Numb r f pate Issued, Signature: Building Commissionerfinspector of Buildings Date File#BP-2000-1157 APPLICANT/CONTACT PERSON JDR BUILDERS ADDRESS/PHONE 236 HAYDENVILLE RD (413)665-7587 PROPERTY LOCATION 37 ORCHARD ST MAP 25C PARCEL 144 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 Paid Typeof Construction REPAI 2ND FLOOR ROOF,JOISTS&GIRDERS New Construction Non Structural interior renovations Addition to Existina Accessory Structure Building Plans Included• Owner/Statement or License 074105 3 sets of Plans/Plot Plan THE LOWING 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 Conservation Co n Permit from CB Architecture Committee l� L oc�a 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. rt•. 37 ORCHARD ST BP-2000-1157 p**;G1S#: COMMONWEALTH OF MASSACHUSETTS MV:Block:25C- 144 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-1157 Project# JS-2000-2041 Est.Cost:$7217.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JDR BUILDERS 074105 Lot Size(sq.ft.): 8712.00 Owner: LUCEY JOHN J Zoning:URB Applicant. JDR BUILDERS AT. 37 ORCHARD ST Applicant Address: Phone: Insurance: 236 HAYDENVILLE RD (413)665-7587 WHATELYMA01093-0066 ISSUED ON:6128100 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPAIR 2ND FLOOR ROOF,JOISTS & GIRDERS 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 6/28/00 0:00:00 370 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo k gyms NMI �v f 4 g 3 look A _ _ 3 e .n { }v >4y�t xX'^ { Y 37 ORCHARD ST BP-2000-1157 GIs#: COMMONWEALTH OF MASSACHUSETTS aM D:Block:25C 144 CITY OF T40RTHAM PTON Lot:-00i Permit: Bui{dina !Qatggga:Non structural interior Mgyations BUILDING P E IT Permit# BE-209-1 Pwject#' J%290-2641 Est.Cost:$717. Fee:$50.00 PERMISSION IS HEREBY GRANTED TD: gq.nst.Clash Contractor: License: Use Grout: JDR BUILDERS 074105 Lox Sizets_c.ft.) 8712.00 (?caner: LUCEY JOHN J zorun gRUcant:_JDR BUILDERS AT.-,32 ORCHALRD ST And t Address: Phone. Insurance: 236 HA3MENIV`ILIJE RIP (413)`665-7587 WHATELYMA01093-0066 ISSU ED QN:tIf2'8f411 k:UU:tl1 TO PERFORM THE FOLL007NG WORK.-REPAIR 2ND FLOOR ROOF,JOISTS & GIRDERS F ST THIN EW S M1 X M M THE STREET Inspector ofPlumbfng inspector,of-Wiring D.P.W. Inspector of Buildings , Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final- Final: Rough Frame: O Gas fie Departmlat ,: ?ireplace/Chimney: Rough: Oil: Insulation: Final SMoke Final: d .. ,(�. ..•. i.as .. THIS PERMIT MAY BE REVOKED BY THE CI OF NORT ON UPON VIOLATIDN OF ANY OF ITS RULES AND REGULATIONS. .,, Ile iii of cc i ature: ee> : Revel t N0: Daft Paid: Check o: Amount Building 6/28/000:00:00 370' $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo