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17C-006 (4) T �I T � o v m 3 c Zm CC) Z RS et > r, r Z M� ^� m r A p Q Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. o D ?°(C� Alterations X a NORTHAMPTON, MASS. �Jlf�� 19_L Additions APPLICATION FOR PERMIT 'TO ALTER Repair �y Garage 1. Location 1 Ckr. cat-�( �r , ,L/�� Lot No. 2. Owner's name I A:2 IUF RLEi Sftr Address � 6A!-ti ST ,4(—GNc-Gl MA 3. Builder's name w1�ml SUr41EASt ! Address 15 100,3 4At d M N Mass.Construction Supervisor's License No. 0 Y Y 9 't IbC 1A Expiration Date d 4. Addition 5. Alteration P-C-M DPeCIN(r N(1` - D,�oDl9n fib c��a-t NEW Pte- StT 6. New Porch 7. Is existing building to be demolished?1f D 8. Repair after the fire IV a / / 9. Garage No No.of cars NA Size/A 10. Method of heating dpl /I Mir- �jelSt//1f tI�SC�b D 11. Distance to lot lines/U(�ilf iu©�- W � PONE 0111MA/ eK 5( INf { 4T or 12. Type of roof NJ��'C 13. Siding house N Ir`,r 14. Estimated cosL The undersigne certifies that a ve statements are true to the best of his, her !A�� knowledge belief. Signature of responsible app,lcant Remarks 105n uiNfr NEW COUJV -(oeS IA1 E:11Sl1AI V WN : IN51'""/k'uvw- RW Cobh—� Ulf ft�a ti DEPARTMENT OF PUBLIC SAFETY 802623 i ONE ASHBURTON PLACE, RM 1301 t BOSTON, MA 4) 108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: -- CS 048994 07/30/2000 07/30/1954 Restricted To: 00 BRUCE E CLEARE JR 207 CHESTNUT PLAIN RD POBX 18 WHATELY, MA 01093 _ +�`ra Keep top for receipt and change of address notification. - ✓lie IJamamaxu�ea`�z a�✓C�a�:ac�iu::eC�i . i DEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number Expires: Birthdate: CS 148994 17/31/2011 #7/31/1954 s - - Restricted To: 11 BRUCE E;,CLEARE JR f i x eTttsi 217 CHESTNUT PLAIN RD POBX 18 WHATELY, MA 11193 _ {� , �•G. 16 1 �36 O�SttARPJO 4 B :asacltnsctla f m DEPARTMENT OF BUIIDING INSPECTIONS 212 Main Street f Municipal Building ' 1y ,�♦ Northampton, Mass. 01060 WORE ER'S COMPENSATION INSURANCE A e A= Wright Builders , Inc. (lic�nsc^Jpermitt�) with a principal place of business/residence at: 115 Industrial Drive , Northampton 413-586-8287 bone") (stzrr.,t/c�h,/stairla p) do hereby cer--L fy, under the pains and penalties of perjury, aiai: I am an employer providing the following %vorrker's compensation coverage for my employees worming on this job: Travelers Insurance Company UB346R2936 3- 1-99 ansusan=Coaxp=y) (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 workers compensation policies: (Name of Contractor) Qnsaran=Corupany/Poficy Number) (Expimtion Date) (Name of Contractor) Omsutan=CompanyRoticy Number) (Expiration Date) (Name of Contractor) (Lasurancz—Compaay/Policy Numbu) (Expiration Daic) (Name of Contractor) (Insuran=Company/Policy Number) (Expiration Date) (,",',,additioail sboct ifnaccaaryto io k infvrmiaon paniaiag to err oo�on) ( ) I am a sole proprietor and have no one working for me. ( ) I am ahome owner performing all the work myself. NOTE:pica--be aw7re thst whilo bomoowoen who aaplay pazo=to do caaia!-^• eaasruefioa•or repair work oo a d—aiag of not mote Ch.=tbrw train is wlaicb for bomoowocr r=d=or oa the grou06 rPpeuteauj tbacto arc oot gcocm ty eoandaed to be aaploy=uoder tbo Act(GL152,=1(5)),&PPU=SOtj 6y a bomoowncr fen a Gocaoe oe pczmd may evidcnoc the 1cpi st3hra of an=ptoyec uodoctho workoea compomatioa Act I uodcnsaad thA x copy of"mr—nd may be roiwwdod to tho Dopermxur ofIndussial Aoai4.&<)Moa of lazurfooe for for y oovcmgc vcrificatioa and that failure to so=rc coverap uoda zcdioa 25A of MoL 152 cm tczd to tbd imposifion of a imiasl pcnalbcs coa u3to3 g of a•fine of up to S 1.500.00 aodfoe iapruo=cc:t of up to ooe year snd cva pcmLW 3 in the foe=oCa Stop work Ocda and a firm oC5100.00 a day against mo, J Signed z 23 day of i 1997 For �oc►y Permit Number Maps Lot>Y Signat uu of Lic=sc&P=n-itt= P.@3 MAY-@1-93 I1 :00 AM r... t , CITY OF NORTHAMPTON BUILDING PERMIT CHECKLIST All 1&? Family Projects The following items are to be considered MINIMUM information to be submitted with ALL pemlit applications A. Scaled dra viugs&details sLill be mubnnittui with each application proposing construction, rCCVnstruct%on,addition.,alteration,or repair 17nc building official play waive the rc;quitcrtncnts for filing plans when work is of a minor nature[ 1 B. Sealed drawin"s R details shalt indicat4 & desoibc all proposed work, including lucation, size,grade of materials &equipment to be.used. C. PLOT PLAN,properly address;anal; &lot nuinbcr, zoning district & overlays (such as wetlands) j } Show\\ell:utci s4ptic locations(if applicable) [ [ Locationn of lot tines,dimensions of lot, frontage[ ] Location&dscnunsions of public=erricnts,public utility casements, railroad night of ways and established zoning setback requirements. 1 Locations&dimensions or primary and accessory buildings&structtmres ( ] D. FLOOR PLANS,flour Plan of cacti floor and irtteamlate k Wls mmncluding baselnl:nts, crawlspaces,tc mecs,porches garar;4s, c arpol ts,and decks,showing cxistinl;wndition and proposed unutructi<�n.`'V I3unc:nsiorns,location;&matcrials of >tjnclaiians, footings, columws &piers (including reinforcing when required) [ ] Direction,diinc;osWas,splcutg&grade of all trinung (floors, roofs, walls,partitions[ [ ] Loci un or all walls,partitions, windows,stairs&doors` Lcrc ation&dcscriptiun of all cluancal equipment and alarut devices [ ] Locations &type vf all heating and air conditioning(HViNC)equipment. [ ) HVAC schcinawz(where required check:with building inspector)1 ) EXTi;:10011 ELEVATIONS,Front, rear&side elevations including foundation and finish grades. [ ] Location&dimensions of windows&doors. [ ] Description of exterior cladding or siding material. [ ) Show exterior stair locations&dimensions_ [ j Show chinincy and vent locations[ ] DETAILS&SECTIONS Sections through exterior walls showing derails of construction from footing to the highest point of dnc building_ [ J Sections through fireplaces&chimneys (show clearances)j J Location&details of any roof trusses,glue-lam,or engineered lumber (include connection details and Massachusetts professionals stamp on specification sheet) [ ] Exterior envelorrc cnerey requirements: Uo-of walls,roof-ceiling&floors..Olt.R value of walls/rooflfloor,also percent of window area to wall area.I J Jep ly P`Jb 1450 NC .006 P.01 10. Do any signs wrist on the property? YES NO_4X__ IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: M1 , 21. ALL INF0PU#G 'IOX MUST BE COMPLETED, or P AN BE DENIED DDB To .. LACK of nwoRMATIozf- At f— A(&M/ U1OfL� CAN W JTr6,A) L-�jSTiN(r rb0TPje_,0r 6P H-WSC. � UI Required Existing Proposed By Zoning Lot size Frontage Setbacks front i -side L: R: L: R: -rear Building height Bldg Square footage %Open Space: (Lot area minus bldg + &paved parking) I ,fit 'Parking Spaces # _of Loading Docks Fill: =(vo1-rime--& 2ocatiEon) f 23. Certification: I hereby' certify that the information 'cont 7e herein IS=noe ac to to the:best of my knMoonfe •:� APPLICANT s SIGNATURE ,. NOTEt a xoninE permi t does not refieve an den to oo m tagnlnQ rsquirsmsnls and obtain ail required pj�r'wi!l�rF tt`�l �,ti Commission, Department of Pubito Works and other from the 9oard o! Health,,Conoeevetlon..:, ppiloable permit graotlnp.tittttfioritiis: : Vila, -F.= # CITY OF NORTHAMPTON TEL No .1-415-52fb-3(1b oep 17,7V Is+ •'+o i.u .vv.j I .vi Elle No. �//� C / 7 t ZONING PERMIT APPLICATION (§10. 2) PLEASE TYPE OR PP DTT ALL INFORMATION 1. Name of Applicant: W -l"1 �U io e,,P—s INC-" Address:, � �S�f-1A _. b9• , /V l I Viy Telephone: b • �2� t 2. Owner of Property:..... / � Address: Z 7 t'iiD�L -N Telephone: 5K1°` 7 3. Status of Applicant: Owner Contract Purchaser Lessee _ er(explain):_ �G 4. Job Location: CC I cle i Parcel(d: Zoning Map# Parcel# District(s): J (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property R,UiN 6. Desch Son of Proposed Use/W9rklPro'ect/0ccupa on: se additional sheets if necessary): N6W bit � Gi oSErj f AM_Abm!Ulu IV&W t i Sti Ate l,) , 1 N S-MVA N( MEW W-`�D f W6 N l HTyv L T. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermiWariance/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 DONT KNOW YES IF YES: enter Book Page and/or, Document# 9. Does the site contain a brook,body of water or wetlands? NO _ DONT KNOW_ YES 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) File#BP-1999-0171 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 115 Industrial Drive (413)586-8287 PROPERTY LOCATION 24 LAKE ST MAP 17C PARCEL 006 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT r Fee Paid Buildina Permit Filled out Fee Paid Type of Construction: New Construction y lc- Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Occuuant Statement or License# 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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 Well Water Potability Board of Health r h iiR ermit o�. 06 lo.. P Signature of Building al Date or- 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. Reference No: BP-1999-0171 Department: ................................... Building, Electrical & Mechanical Permits Fee Receipt No: New Wiring REC-1999-000348 P al d.6y: i"n'...Full...On: Wright..Builders Iders....................................................... Wed Aug 12,1998 .......... ..... .. ........ .. . ...... .•.•.. Received By: .Check. . .No:................... Linda Lapointe 21.16 ....................................................................................... ...................................... DEPARTMENT'S COPY Amount: $56.00 ........................... DEPARTMENT FILE COPY 24 LAKE s'r CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: BP-1999-0171 $56.00 GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size: 1643 17C 006 001 24 LAKE ST URB 9539.64 Contractor: License Type: Insurance: Wright Builders CSL Workers Compensation Address: License No.: Insurance No.: 115 Industrial Drive 048994 UB346R2936 City: State: Zip Code: Phone: NORTHAMPTON MA 01060 (413) 586-8287 Proiect No: Category of Work: Const. Class: Cost Estimate: JS-1999-0294 Non structural interior renovati $13,304.00 Description of Work: ADD 2ND FLR BATH &REMODEL KITCHEN GeoTIVISO 1997 Des Lauriers&Associates,Inc. Signature: �* - 9 City of Northampton Buildin g Department .,�,., ���� � } Office of the Building Inspector Permit No: BP-1999-0171 Date issued 14-Aug-1998 Fee $56.00 M11p 17C Block 006 Lot 001 Zone URB Section 116 � Yes ❑ No BUI.-LDING PERMIT This certifies that Wright Builders CSI.048994 has permission to ADD 2ND FLR BATH&REMODEL KITCHEN Inspection on site -Foundations Over❑ at 24 LAKE STy/ � provided that the person accepting this permit shall in every respect Inspection of Plumbing- Rough Over❑ conform to the terms of the application on file in this office, and to the provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing-Finish� Over❑ Maintenance and Inspection of BuildinEs in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Gas Inspection Over❑ of this permit, Expires six months froir date of issuance,if not started. Inspection of Wiring Service Over❑ Inspection of Wiring-Rough ��/�y� Over❑ Note: A certificate of occupancy will be issued by this office upon return of this card by the Plumbing, Wiring awl Building Inspectors. Inspection of Wiring-Firdsh l �� X91 ver Building Inspection-Rouh ver❑ *Plumbing and Electrical Inspections required before �p / Building Inspections Insulation Inspection UI r❑ Building Inspection - Finish 0 6, Over ❑ Smoke Detectors (Fire Department) This card must be d on We visible from ''ublic way Certificate of Occupancy ' si