17C-053 (2) at�o
:M zi
lOC O s S___:• lo .,`�Oi�33•"- (30S)3;3 O CO•: (�Ga)39;-�,3^n
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_ - - -7
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 070998
B i rth d ate: 02120/1957
Expires: 02;20/2003 'r.no: 7227
Restricted To 1 G
ANDREW T MALONE
41 'WASHINGTON ST#2
NATICK, MA 01760 Administrator
If c�v -00 00 10
A.
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MIA E-:R iMFORMATiON
ONLY AND CONFERS NO RICH-M UPON 71•11Z CERTINCATff
HOLDER. THIS CERTIFICATE DOES NOT EXTEND OR
JP McKeon—, Insuran-a Agency, l,')C;. ALTER THE COVERAGE AFFORDED 2Y THE= POL.-UFS
Rc% Box 333 INSURERS A XORDIW;COVER-f.'
Anr) Arl-.)orjjll d8106-0333
Inc
Jp
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Otis St
kioi�,hboro IVIAD1532 I S li R p
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P DL alp, 000;0 KYE 1R070 IMM!Mvy HWUZ 17M n7minED 0"Mw MAW
�OLIC'Y EFP-�TiVf; FDL;CY i"O L"";
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------------- ----------
CANCELLATION'
=:-170?�/L �.E:77ZR:
);?t NION
DOE TMEMOR 72;!SZv!NZ5 TO
WE NAM_:)70-.XE So SMAU
tMFO NO ODLIGATM LtlZT',17r Dr ANY K.N:;L; :w 1�lt DR
:LTHZRMED nmums
ACORD 21S PIV)
OWNER' Jack & Helen Sim kin SHEET LOT
ADDRESS 28 Strawberry Hi I 1 17C 53
APPLICANT Joe Maj i,ke TEL. 527-9336 ZONE URA
ADDRESS 15 South St. , East' on DATE OF APPLICATION 11-6-86
ZONING APPLICATION APP. DATE FEE PLAN
BUILDING PERMIT ISSUED DATE November 6 1986 FEE $40.00 PLAN on file
#653 permit to make existin�ci breezway into addition to extra living space/dining & Living Rn
#894 - 9/26/96 - Construct a 12' X 16' tool shed $2n FJO 1D Qtr- /D'11 7�- taro
#BP-01-578 - 12/20/00 - Remodel 2 baths add central air-replace doors & add 2 windows$155
✓ S 11 Of
CITY OF NORTHAMPTON FINAL APPROVAL BY DATE
BUILDING INSPECTORS
i
. :r..:<i.:...x,:;,,:,+.Jts,„s...;.M
In accordance with the provisions of MUL c 40, S 54, a condition of building permit
Number is that debris resulting from this project will be disposed of
in a properly licensed solid waste disposal facility as defined by MUL e 111,8150 A
The debris will be disposed of in : Patio Rooms of Boston, 100 Otis Street Northboro
(Name and location of facility)
a `' ��/
(Signature of pen-nit applicant)
Date:-9'' �
la°'r1?S>flOiiu3?`5 Staf° B''liQi , C01° (%r' av—") �i°S 7i?V15I015 i0 °1S i° :^2` ?LS°s 8^td
::o:};s add: io-> rleet gy tillC' cy a a.�?s. ilia up J'e �a*aI CONSli'� R i' G AiiON
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tn....;J:ic-I t_P. 00;a d 'x!:10 S i0 an 15 !?� i1GL'$° (730 C'l��,
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1 SR�JJ C.C— ,- N-D El._iJ IG �.f_.._,i'�ti:._U ull'�J.-1-. _
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•
Solar-i1cat T III
° �laZcT2`7 f0 iii 1c ___.. _.mil X25 i:£i_iII`•� n,a IaIS/ St3I QLi2IIiliiY a"rl'1r
Adequate ventilation - O^'; Ji'' iY'til �bt 'S 1 fa, S
° AppliECd CIi2d.mg Systems
• $;1l2fi0R I'✓'F'Oi in L!00:-7, ;.' i:S, 21n a C•Cii'M�s
• 2 OSSIUF° SIIIiT•OOiII'2S021LIOI1 ie'!?i1 the inalF1 YIO SC`rig 3 <'aIl 2RCLlOi C 001 Or SiI'�°i
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a 2d1iims :O an
J_.._..,,.. 01:1 2 _..a. ..� t'1•`�21$< .-iJ-�`t°i _.,., �. .�°-3' �.1 :]°�t0� aC�_7 "wit`,j�C$ �-1flt � ,,.. .:35.-2�
^,•7
!7! ✓ n `.�'•htl ICA Dat a
i,,;^
Property Ow-ner-Must Complete and Sign This Section If Using A Builder
L Y
as 0-,7,-rer
Y 7-
ti,--) -Pnoms patio Roo-rns of'-Ann�i:ica) L �.ctt cm,
rn3r bth 1111 all rnatn"t--s d vt O DY :)ai,
n p :tit an cation.
Si `I e of -, Date
tJ of `1} Must C-Drnplete and This sec.-Jcm
as 0-,vn-_-,/-A.-u-Lho-:z-d
A---nt her-5o: d--c!a7ne-,hat rid state:m-n-is and 111-fo—m-nation on -Lh.- f077:-.'40ffi- a-Dplica-don 7'OT
(adGi-ess of job)
a rye and
c)
accurate, to tht btst o-my k-, o-�vlejg-and lb
Sinned under the pains and -D°naLies of-D�:7pd-rv.
nt ame
Sim
A t
, - Date
,
9,v,-LAYOUT FLANS WALL_ SEcnaI S
U15fING BUILDING
y i
,'I V, cJ 913.75" JF.75'
U C>
(friAX) (IvIAX)
01 (51
51 UP10 5IM"WALL(A) 5-11010 3I1)1-wALI (,C)
DM
57Y,751) 57"x7£T D
5 +t b WALL
A55EM6LY DETAILS
vi
=
A
ID10 1-,L00f 1UDS COPI I C:5 10WA_Lff
OPROOFPAFIER
903i", 5EF A OWAO f LOAD].NO TO 5CALC) (L1AX) I-ADLE FOP PANEL 511E5
{;±
M1C111AUM C_01'L 1.12 .
5fUP10I V01,1I WALL(13) -1R AN5OM(OPl'IOIJAL)
ALUM L 51 IDIIIG
ALLOWA�LL LIVL-- LOAD 1MLL P01 11-FT, FAME (WI1:11_10 --T,OK 51'Al) _ . DooPoizwuJDUlrrl --
O f'Sr I sir l�15F 50 f bf 5b(5f 6J I EX.
3 11G I IC �'HG 9 I IC 3 1-�( J I IC n, Nc i 1 J I lc{i I L- I EKED J_25
> - r � > i - c c 5 i c 9HPII IG DOOR ON i'11_I
L LPJ I I I J E I J,I I LP r i l F I -rl i EP3J 11 J I I I h; S'I'P,i l I 4" EPA I li I >I f I i l 5FC'I ION 1^/1 11-1 DO 1
TLS S (fA OK 5TUP10 CON�TKUCTION FLOO
4.WII1 LOA P5=20 615 FROG IU AL MLM3CP5✓I OL COMI P151 0. hn'u I
AP6KEVIAl1011� _
,
t
606316 ALIIMINUtyt XI kU5lON6 PPOVIDI:D Oi;80 Ldl I I L•XI'05URI"A,13,C D POOP
DM DOOP MULLION _I
6Y CPAFI Bit T MnIJUf ACl'UPING COMPANY. DCAD I OADS=5 I'S1 W IVIIJDOW TYPICAL 5(UDIO SECTION 5.
6.D00!:AND WIN501"/LOCA I'IOIJS n �atn,+'vru,rr,a
Z ALLOWALLE EOAljS APE DA5ED UPON" 1)00 IIAHD WINPOV,1 CA /M W10p01\mul.uolN c 1Lt y a NOf'f0,5CALL
air I E556K;OF 11 IF ULTIMATE LOAD/215 I I U Cl IAHNEI_ s I -OR TI IL LUAb A'f 5PAN/120. 7,GL A55 f NI_C WAL L5 AVE I Ic =NOIJI YCOMt3 FANEt-S OI I I PAC 101.- - ---"—"
TIC/EPSF "FCKS'1n Cl',AF"f-BILE 51RUC'IUPAL I N I L PCIIAIIGEABI-L WI1 II PAHE15. EPS=I'OLYS IYREIJE PAIJELh C
I'ANEL5 WI'11I ALIJMINUM 5KIN5 I3ONDED'f0 F3.VJIDTI 101 f3 NJAL1_MAY VAR`(PL"R i i=li II PFAAI_Ll'-E3POK1 1I T v ti Jc cs 1
r - - 3�' , ., J P V UP 24Ff, ALUM I1-STIFF EIJER ,..' CRAIG a- �...
Ir,,P.s 0 D' x 10'-2"
IiONIcYCOMB/POLY�IYfa.NE COPE_5(J 4 /z 1 00.14 1111 OW LAYOUT L 0 u s p <� �� _ URE
9.AU 11 FOI<1 CETIW-" IVIIIG 0/fl=OVEPI IAI,,IG
ANE)011 nCKNF55E5.. sr t J�n•�I °< --- 5(UDID LNCL05
PEALCP,115E ONLY, P5F=POLIIJDS/5G2.r00f � ,. cor I i ,Lir nYr+♦sdcrC I'd£" DWG No GENLKAL,,LAYOUT
ARJACENfPANEt5AR CONNLCILD,U5ING P=PANEL i1�, r �Rq, „pp." eut50-1Or10rhrg
VINYL CLEA 1'5 OP 115 rT=FEE f ` SCAT C:1 =50"
/t
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ALUM, 11/?.!12000
SII`'IPKI�1 E�CSIPr=^Nth
FIs L--'NGCG MA 0+0r-2
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• disc ti tSCv\jALL.)
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` ' yx�� POSTS w�GA W BASE: Pt.n7C S
D0�0 4 N G Aj l AXING V 5"fAti(Z
STAI P,
22 APFC-OK Ft6l0!', To G�ZA D I-
3E, RAI L NEI(,A-r
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mAX 13a%,usT(-n SP4(-&
FXTIO ENCLOSURE
j"j. 'PO4, 7, "1", aP
4
Vh j
it
If
II
Z'
ell
If
Y
If
I hereby report that the premises shown on this plan is not located within a Flood
Hazard Area as shown on Department of H.O.D. Fnder.-,il Insurance 1 AdMiTlist)-atjon Maps, OI
Conimun:i.ty Ni-imber 250167-0002--A
identificatipn Dat —Ap-r-T-1-3-71-978—
/Z
By:
TO TINc NORTHAMPTON CO-OPERATTVE SANK Iti 0 W PIER JACK W. & HELEN N. SI'ff1?KIN
WqD THE TITRST AMERICAN TITU2, INS. Co.-Oi\LY
2° STrAWBERRY HILL
To the best of my knowledge, intorma-
VLORENCE, MA
tion and belief, i hereby report tha-c 1
have examined the premises and that t!lis
inspection plat shows the improvement or i SURVEYORS-ENGMUNS.PLANNE-R�
8
improvements as located on the premises de-
I Z5 PLEASAN,'T STS ZEE T R 0. BOX 56
91 scribed, that the improvement or improve- NORTHAMPYON.,MASS AG HUISi=Tf-S OiCASO
ments are entirely within lot lines, and
that there are no encroachments upon the
,SCALE,
promises described by the improvement
or
improvements of any adjo'riny premise,, C
except as indicated. I further report that Nt I DXf E,
Dour'L
.there are no easements of record affecting
the tract shown hereon, except as noted.
-T
a-
YXIS aAT IS FOR 1D2ZNY',FiGA7NWQ OPJL" xo) DOES
mo co%nernywc- 'A PROK7 RIrY SURVIEV
r
0 -
� � j�asaacF[nsctta`
DEPARTMENT OF BUILDDIG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WOR=R`S COMPENSATION INSURANCE A.FEAAVIT
'H=Se 1pvm tt*
with a principal place of business/residence at:
do hereby certify, under the pains and penalties of perjury, that:
I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Jns1Ir'a o-_ Company) (Policy Nu.`nber) (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:
til=.
(Name of Contractor) (Insurance Coniq=f/Policy Number) (Expiration Date)
z
I (Naine of Contractor) (Insurance Compaay(Po?icy Number} (Expiration Daze)
(Name of Contzactor
X13 ) (InsZlranct Company/Poky Number) (Expiration Date)
(Name of Contractor) (Insurance ComDany/Paliq Numb,-_r) (Expiration Date)
(&barb add?dooil shce infar Da to alI a a7acio a)
( ) I am a sole proprietor and have no one work:ing for me.
"� ( ) I am a home owner performing all the work myself.
Y.
NOTE-please be aware that while homcow=3 who employ pc x- n to do ra m -L=oo or repair work on a dwelling of
not mxv than throe units m which the homeowner r=dec a oa the gouad,appurtensaitberez a=no(gmera4 ooasidcrcd to be
employertt tender the wozkc compcasatioa Act(GL152 m 1(5)�application by a hotnnowvx foz a liceme or Pefm mey V&-m x the
legal suers of an errrployec under the Workeez C,ompemaiion Aux.
I uad=rA=d that a copy of this cimt-1 may bo forwarded to tho Dcpartmmi of Industrial Arxidca Off oo of lu�for ths
coverage vcrificatioa and that allure to secure coverago tender scctioa 25A of MGL 152 can lead to the i"*osidm of crmm-i Pmahics
�osisLiag of a fine of to S 1 500.00 ttacVoc of tip to one year acid civil pe=<i a in the form of a Stop W crlr ordc and a
fitx of S 100.00 a day against mo.
For dcpazt=tsl tux oaty
Permit Number
P4 J Lot#
Signab re of LiccnserlPerrrzit#r ne
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10 STRUCTURAL PEER REVIEW 780 CMRI10 11}
Independent Structural Engineering Structural Peer Review Required Yes......❑ No ❑
SECTION 11 OWNER AUTHORIZATION TO BE COMPLETED'WHEN
OWNERS gGENT OR CONTRACTOR FO
APPLIES R BUILDING PERMIT .
�. �._. .
I. ' k C�-F =R— `�--Q – �` 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
t O 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 12 SERVICES
10.1 Licensed Construction Supervisor. Not Applicable ❑ "
Name of License Holder:� _ P l"x� _Q U Cf Ci C
License Number
Address Expiration Date
Signat Telephone
SECTION 13 -WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c._152, §25G(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...... ❑ r
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9 PROFESSIONAL DESIGN #ND CONSTRUCTION SERVICES FOR BUILDINGS AND STRUCTURES SUBJECT TO ,..;
CONSTRUCTiRN,CONTROL PORSUANT TO 780 CMR-1i0:: ONTA,I,NING,'MORE THAN,3:5,000,C F OF ENCLQSED SPACE), `
9.1 Registered Architect:
y Not Applicable ❑
Name(Registra
Registration Number
Address �c C_( 7 p
"[ Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name I Area of Responsibility
Address
Registration Number
Signature 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
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
CGS �3�SQ_5�7I C Not Applicable ❑ G
Company Name:
Responsible IN Charge of Construction
,/ 0 0 � t� SsD
Address /J
Signature Telephone
Rli%
J F A M E R I C A
A Greenhouse PorYourSouf.
100 Otis Street•Northboro,MA 01532• Phone(SOS)393 -0400• Fax (508)393-0340
The enclosed permit package is for the proposed building of a three-season sunroom
on a new wood deck. There will be no Electrical Work or Plumbing Work.
Included in this Permit package:
• Proof of Supervisor- License and Home remodeling i,irensee
• Proof of`NI'orkers Compensation Coverage
• Debris Removal Plan
• Homeowners Permission to represent them in securing this permit
• Signed consumer information form for Sunrooms
• Engineered Plans for the sunroom
• Deck Framing Plan with upgrades
• Plot Plan locating all set-backs and septic system
Thanlyou in advance for your assistance. Please call with any additional
information you need.
Best Rear ds,
Rose King
508-333-0400 ext. 223
1
O�T11AMp�O
Cliff of Nart4aiwpton
• • Z I.
I'1865AC1t It8ttt5
u"s 6 DEPARTMENT OF BUILDING INSPECTIONS
t
INSPECTOR 212 Main Street 9 Municipal Building
Northampton, MA 01060
FAX TRANSMITTAL
DATE
FAX TO TELEPHONE NUMBER--y �q3 —� 340
TO V �
FROM
RE
C/,6
s
PAGES INCLUDING THIS SHEET C/"
0,�If
r � ,
10 Linda LaPointe
Secretary
City Building Department
212 Main Street,Rm 100 587-1240
Northampton,MA 01060-3189 Fax 587-1272
# V,+isivul.7 Cununerelal bUildmg Permit May 15,2000
7.Water Supply(M.G.L. c.40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
„s
Lot Size
� CS� fd
Frontage
Setbacks Front
Side L: R•
L: >Z: 15,
Rear
Building Height S'
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved O
parking) (�
#of Parking Spaces
Fill:
(volume&Location
A. Has a Special Perm it/Variance/Findi^^ ever "ee-
.,�, ..�..: uGCii iSSi,IeC!' for/on the site?
NO DON7 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:
MAY-15-2001 15:20 BETTERLIUING PATIO ROOMS 508 393 0340 P.02
P.s
V:.4biuul.7 Cuituatrelal jimidmg Permit May 15,2000
i
7.Wat r Supply(IVI.G.L. c.40,§54) 1 7.1 Flood Zone Inforrnation: 7.3 Sews a Disposal Systern:
°ublle Priwa Q t zono: 4s+tsids F144d ZOns Mantel al On 3iSe disoosat' :item t7
$, 14ORTH 4N 7AIviNG
Existing Proposed Pequlred by honing
This column to be filted in by
i Building Depatmeat
Lot Size I '
Fronts i
Setl)wks F3 x
Cid L; _.R. L �_5 R:
R1 `{ a
Building Fie"
Bldg:Square"' atape %
Open Space Fo 3tage °!b
CL61 we&minus b1c g&pav W l
aukin 1
f$of Parking S acc&
{{ Fill: I
L (volume&Locawl,� l
A: Has a}Special Permit/VariancelFinding ever beep, issued for/on the site?
NO DON'T KNOW ffi YES_
i —
!F YES,date issued:_ '
IF YES: Was the permit recorded at the Registry of Decds3
NO � DON'T KNOW _ YES
IF YES: ent�r Book �_. . _ Page and/or Docurnent#
t
B. Does the�ite contain a brook, body of water or wetlands? NO
YES DON'T KNOW
i
IF YES,I has a permit been or need to be obtained from the Conserva4ion Commission?
Needs to be obtained Obtained Date Issued:__
C. Do any s�gns 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:,
1
i
TOTAL P.02
5 Vcrji&jA.71 Cviturcvtt ial Sulltiing rermit May 15,2000
SfGT10N 4 CONSTRUCT(ON SERVICES zfOR:lo OJECTS}LESS THAN 35,000
CUBIC FEEOI"ENCLOSED
Interior Alterations Existing Wall Signs Existing Ground Signs Additions Roofing ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ) Other [ )
j�❑�/1p�n Accessory Building[ ] Repairs [ ]
SECTION USE{�R��F AND ONSTRUCTI0 TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A — ❑
A-4 ❑ A-5 ❑ 113 ❑
B Business 10 I 2A ❑
E Educational ❑ f 2B ! ❑
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:
M Mixed Use ❑ Specify:
S Special Use ❑ i Specify:
COMPLETE THIS'SECTION IF EXISTING,BUILDING UNDERGOING RENOVATIONS ADDITIONS AND%OR CHANGE-<IN!USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
:SECTION 6 BUILDING HEIGHT.ANDAREA .
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE t�NLY
� q
Floor Area per Floor(sf)
St u ,
2nd s F z fix: r
z
1st
3rd
3rd 4th
4th
Total Area (sf) Total Proposed New Construction (sf)
!
Total Height(ft)
y,
. Total Height ft ....................
version I.1 Commercial Building Permit May 15,2000
22 2pp��
D LS t5 P Wt f ampton
Buildid Dartment G
12 i Street
MAY 15 20(� R 9 loo r
NorthamDton MA 01060
DEN 1b MA 01060 240 Fax 413-587-1272 1:
ear fJe `°
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1; SITE INFORMATION
1.1 Pro_Qerty Address: Thy` s }:e,�t,,b�c�,rr;Nietea ny ottjce
kik
F \C-K`e �C sZ Zone Overlay District
x
Elm St District GS District
SECTION 2; PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address: — 0
Signature Telapho—ne
12.2 Authorized Agent:
Name(Prin Current Mailing Address: C)v
aCCa- Sc1?�
Signature Telephone
SECTION 3 =ESTIMATED GONSTRUCTiON COSTS
Item Estimated Cost(Dollars)to be Official Use=Oi_ly "
completed by ermit applicant
1. Building (a) Building Perrnit Fee
2. Electrical (b) Estimated Total Obst of
1 Construction from 6 f
3. Plumbing Budding Permit Fee
rle
4. Mechanical (HVAC)
R
5. Fire Protection
6. Total = (1 + 2+ 3 +4+ 5) Check Number ,. ±.
This`Sec iori For Official Use'Onl
Building Permit Number
e 1s
Dat sued
Signature.. =_�
Buildin '`Gomm�ssioner/:Inspector of Buil '
File#BP-2001-0918
APPLICANT/CONTACT PERSON PATIO ROOMS OF AMERICA
ADDRESS/PHONE 100 OTIS ST (508)393-0400
PROPERTY LOCATION 28 STRAWBERRY HILL
MAP 17C PARCEL 053 ZONE URA
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: CONSTRUCT 16 X I I SUNROOM ADDITION
New Construction
Non Structural interior renovations
Addition to Existing,
Accessory Structure
Building Plans Included:
Owner/Statement or License 070998
3 sets of Plans/Plot Plan
THE LLOWING 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 Commission Permit from CB Architecture Committee
O
Signature of Building beicial 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.
28 STRAWBERRY HILL BP-2001-0918
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-053 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:ADDITION BUILDING PERMIT
Permit# BP-2001-0918
Project# JS-2001-1656
Est.Cost: $10000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: PATIO ROOMS OF AMERICA 070998
Lot Size(sq.ft.): 2138'%.96 Owner: SIMPKIN JACK W&HELEN N
Zoning: Applicant. PATIO ROOMS OF AMERICA
AT: 28 STRAWBERRY HILL
Applicant Address: Phone: Insurance:
100 OTIS ST (508) 393-0400 Workers
Compensation
NORTHBOROMA01532 ISSUED ON.51181010:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 16 X 11 SUNROOM ADDITION
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: � 'o L,f-C Oft Sl y
Rough: Rough: House# Foundation: 66''��
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: e r
THIS PERMIT MAY BE REVOKED BY THE OF NORTHAMPTON UPON VIOLATIO OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 5/18/010:00:00 8234 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo