Loading...
25C-184 &IMAH �al� wal I z ;AY, (f c I st �7oo.c IOU . 1 L V,7J 15+' 7L= IA) NS �oa� �Q �� Qraf a 0 0 n - O 2 � a f-C e A) �Zo o Z Baa,oaM /0 /7/ x /ee wc� love n � d Pa fi Ry Jaek LaForte 10 Highland Avenue,Northampton, MA 01060 Tel.& Fax(413)586-3332 May 13, 2001 Kitchen Improvements 10 Highland Avenue, Northampton, MA Kitchen improvements to the 1 st floor apartment essentially include: new cabinets, new sink, additional electical outlets, and new kitchen appliances. The old double hung window will be removed and replaced with a casement window. A pass through opening will made on the wall between the kitchen and dining room. X02 t v j o4.tNwxrTO ae f�><saarhnsrtla e DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORTER'S COMPENSATION INSURANCE AF MAVIT 1, (liceusee/permittee) with a principal place of business/residence at: (phone#) (street/City/!;t 2ip) do hereby certify, under the pains and penalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees wonting on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) 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) (Laurance Compau-fiPolicy Numbcr) (Expiration Date) ., (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (lnnlranc-- Compauy/Policy Number) (Expiration Date) (Name of Contractor) (I sumnc-- Company/Policy Number) (Expiration Date) (attach additional slsccl ifnccz , to includc i:Sormation pertaining to all cocttractora) O I sole proprietor and have no one working for Inc. W-1 am a ro a home owner performing all the work myself NOTE:ptcs be aware that w�iilc homcowixra who crnplay pazon s to cio ra ntcauicc ccr�on or rtpau work on a dwct g of not mccc than throo units in wtidt the bc,w -ucr raider or on tho grouxs zpputtcnnai thescto arc oo(Cala-ally considcmd to be —Tloym under the wuri a's ccarpc=ation Act(GL152,s 1(5)),npplittticn try a homcowva for a license or permif may cvi&acc the legal status of an employer under the Woricee,Compensation Act. I undentsad tivd a copy of this aatcmcut may bo forwnnied to tbo Dc;)nr�of In&L-d id Ac i6—ts'Offioo of Inai—for the coverage vmi£cation and that failure to scarce covawp unda'scaion 25A of b1GL 152 can Icad to tha iurposiiion of criminal penalties oomisting of a fine of up to 51,500.00 and/or imprisonsxxrA of up to one yrar and civil p=aths in the form of a stop Work Ordc and a fins of S 100.00 a day tgtiwa mc- For dcputmcrstal trso orstY �c Permit Ntuntxr � �3 O Z �?p;{ Lot# Signature of LiccnsecJPerm-ittce DaEe ' w SECTION 8'-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone ... v Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(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...... ❑ 111.'If PERMIT®caner Exem �i'a�n 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 6111;1-Z-14 �e� — r � , SECTION 5=DESCRIPTION OF PObObSED WORK(check all apalicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) I� Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: kt'h Ae,.0 *--rMProVe Af Q /V-7"— / Alteration of existing bedroom Yes�o Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes __4ZNo Plans Attached Roll 0 - Sheet❑ sa, tf Nevin house-and"or adilitlon"to existing housing,-,care pletdTthe 611'bWlln : 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 CONTRACTOR APPLIES FOR BUILDING';,PERMIT as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner 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 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 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: y , i D. ' City of Northampton Building Department G�ur 1 3 "'^11? 2.12"Main Street � e ► RPom 100 Northam' ton, MA 01060 ets a t?EIIC'; J Bone 413-58-7�40 Fax 413-587.1272 ?(ot/Sle !',a=, OtierS ect APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: Th�sfsection to becompleted bbf tce VQ Q Me "Iv /P'Y'�- Ma � Lot /VL,f j1 �i s�{��N y / �j d fy�d ZoneOverlaDistrtcz Elm St'District` CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: IV Name(Print) Current Mai ' g Address: <J-a--'C'4 AU Telephone Signature 2.2 Authorized Agent: Name(Print) 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 0 a. 2. Electrical a, _ (b) Estimated Total Cost of v0 D©z) Construction from 6 3. Plumbing ® Q Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number a v"' This Section For Official Use Only Building Permit Number: l Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2002-0981 APPLICANT/CONTACT PERSON LAFORTE JACK T ADDRESS/PHONE 10 HIGHLAND AVE (413)586-3332 Q PROPERTY LOCATION 10 HIGHLAND AVE MAP 25C PARCEL 184 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 7 7017 T_ypeof Construction: KITCHEN UPGRADE New Construction Non Structural interior renovations Addition to Existing Accesso_ry Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Co ion /7s- 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. v. BP-2002-0981 IS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON 4{* Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2002-0981 Project# JS-2002-1589 Est.Cost: $7000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot Size(sq.ft.): 5401.44 Owner: LAFORTE JACK T Zoning.URC Applicant: LAFORTE JACK T AT: 10 HIGHLAND AVE Applicant Address: Phone: Insurance: 10 HIGHLAND AVE (413) 586-3332 (� NORTHAMPTON MA01060 ISSUED ON.5115102 0:00:00 TO PERFORM THE FOLLOWING WORK.-KITCHEN UPGRADE 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/15/02 0:00:00 1700 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo