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17C-053 (3) NEW TILE FLOOR ',. NEW TILE TUB SURROUND `' ! �[�► NEW SINK UC CEILING HEIGHT: 93 3/4 NEW TOILET SILL HT: 41 1/2" NEW TUB hEAD HEIGHT: 19 1/2" IPT NEW SOLID-CORE DOOR W/ LEVER HANDLES 8'-9�" wM NEW 24" VANITY BASE NEW 18" DRAWER BASE 1'4044" I'-844" NEW 18"W x 21"D x 84"H TALL CABINET WITH SOFFIT OVERHEAD BASEBOARD HEAT v FAN/ /T 2'-8" HEAT LAMP Li At r " 114" 11 2'-3'h" 3'-844" DOUBLE TIMER FOR DUPLEX HEAT LAMP GFGI EXISTING MAIN BATH MAIN BATH CONSTRUCT ASSOCIATES INC. JACK 4 JUDY SIMPKIN RESIDENCE 36 SERVICE CENTER 28 STRAWBERRY WILL STREET NORTHAMPTON MA 01060 FLORENCE MA 01062-1339 TEL: 584-1224 FAX: 584-1504 DRAWN BY: ml DECEMBER 9, 2000 �-�tv.>•r nT of �,To tlji.:1mptoll - -- � � E - _ f3ta:1ancflncrlra d DEPAR-I -'14T OP DUIWFNG INSPEMAONS — 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORT EIR'S COMPENSATION CNSURANCF AhhII AVIT I, ----------- _ (liccuscrJlx:nnittcc) \3,9'th a pl-mCipal place orbusiness/residence at: (Stn--UCI ty/stalcTn p) do hereby certify, undel (lie pains and penalties ofpegury, _hat ( ) I ann an employer providing tine i-0110wing worker's coinocns pion coverage for my etuplovccs Wol�I-lng on u)iS job. (innu-o Cor ur \') --- (Polk-; Nu-mbcr) - (T=zpir-, on Dare) O I and a sole prounctor, general contractor or homeowner (c cie one) znd have hired the contractors listed below v,'ho have the following workers compenS2t7on policies: (Nnmc of Coa!rac;or) (In-si,,rancc CoinpaliyfPohc, Num!Y:) (i=xpirauon Datc) _ (Name of Contractor) - (Ins ranee, Compaay/Pohc), Nlfmccr) (-Ezpir,:iion Date) (Name of Contractor) Qnsuranc: Com>aDy/PoliC). N,Imbu) (Expir,ooa Date) (Name of Contractor) -- Gzairanc-- Compwy/Pohcy Numtrs) (L-xpirdtio❑ Daic) (aaicfr Vii;:«;.1 c!kci tluc.�i.:} to cx'uc4 iofcxta.:ioa rwtuninE t0.IJ om'rCLD. ) ( ) I am a sole prop)idol aild have no one wor kinn for me. ( ) I am a home ovvucr perfonjjw- all the work myself. NO n_:Plc�..sc lx r.,rarc tL::..{;;rc rx�n�-. Nt, cur(,lay pc om to dD rv.ir:lcnit ,cc- ^,r..�m c rc air..ark on.d..cnin&of ooe nxK-C thn LL-nx unity in u:rich tt>: rr id. oc oa the oeerid_-md to be cmPloy�un c the c•atrfs c ::atim Act(GLI5L"I(5)�application try s bomco--=for c liccr—r__cc permil tn:.y evidence tl±c Ic9-1 rtnruz of en e; loy"under din W«acde Cocapc—ation Ad unZ—t—d ds,a a copy of thi,.tit.--I ovy bo f----,id to tbo pcpana,a,¢of Amd-AY O(Loo of 4r.+.uznoo for tho oovcnSc vaifictioo and th_t Ldurc to secure 00%-�a. trztdCr scaioa 2 5 A of MGL 151 m lad to the Lary,aaG.ioa of cric i Pc h- 0001i-ring of a run of up to S 1,500.00 and/cx imr lcrlt of up to one year.vd a,i)Pm.tuo in the form of n Stop Work Ord-nod a fim of S 1 00.00 a d!y r g i"ttr_ For dq,.nn--;��l u-only M.Ip;: __ Lot SiGnllttn: of I-.iccrtsccll'crnuticc -�1SLe GONSTRUCTI.ON SERVICES 1 Licensed Construction Supervisor: Not Applicable ❑ (l Name of License Holder 2 ! License Number Address Expiration Date 12`2..-7 Signature Telephone ` —X�'.�, ki'.` I Not Applicable ❑ ( � C?G—C 9r v\j� /b'� 132 Company Name Registration Number Address Expiration Date Telephone `/ ft ttKERS"COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152v,§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. e�C9-T N C- 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 kS08JPTIQN QE PBQPQSED WORK((check all applicabW r New House ❑ Addition ❑ Replacement Windows Alteration(s) 5"' Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ J Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work: Alteration of existing bedroom_`Yes No Adding new bedroom Yes .4-� No Attached Narrative❑ Renovating unfinished basement Yes No, Plans Attached Roll o• Sheet 8r" 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 !. 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 . !. Septic Tank City Sewer Private well City water Supply COMPLETED WHEN F4RbUILbING PERN111" as Owner of the subject property hereby authori �� `"�'eN" to act on my behalf, in II mne ' e rk aut ' ed by this building permit apr4cationt � Signature of Ow ate I� (2 �z vwx--� , 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 Pr" Setbacks Front Side L: R: L . R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved Arkin #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 L� YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO 4,-' 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: ,a of rthampton din epartment 2121 Ma n Street 100 --idtsPflia pton, MA 01060 phone 413.587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING tTE[NFORMATION 1.1 Property Address: h '"�s� 'Z. b EIm�;St� l,„�'"fet � ( PROPERTY OWNERSHIP/AUTHORIZED AGENT 21 Owner of Record: o Name(P nt) Current Mailing Address: ; Telephone gnature 2 2 Authorized Agent: / L \C � C. \(C- VVA/%j -3 Cy S t� t L; Name(Print) Current Mailing Address: Signature Telephone 3 Item Estimated Cost(Dollars)to be Offtclal Use Only completed b permit applicant 1. Building ��l (a) E�Ulldin Permite� r i a "P' 2. Electrical 4-co ;Ctirsttucto ". ,S. � �� �� � � 4', " 3. Plumbing �� Build 4. Mechanical (HVAC) 5. Fire Protection �V' 6. Total =(1 + 2 + 3 +4 + 5) �"Z I'Lv h, old tkab r � �nf �' €� ;� "�Thls.S4Cti01I'a+C1C Ofl�lal s Date lssued� QW , 1![ �nmislorllnspet ter of tttildings Date, ` , " `` File#BP-2001-0578 APPLICANT/CONTACT PERSON Robert Reckman ADDRESS/PHONE 36 Service Center (413)584-1224 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 Buildin Permit Filled out 0,40,g ow Fee Paid i S`-- Typeof Construction: REMODEL 2 BATHS ADD CENTRAL AIR,REPLACE DOORS&ADD 2 WINDOWS New Construction Non Structural interior renovations Addition to Existing AccessoKy Structure Buildine Plans Included• -- Owner/Statement or License 009498 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased 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 ission Permit from CB Architecture Committee Z 12-a Signature of Building Dfficial 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. -#3k 5- 1 �* S. t Plumbing Building ❑ Electrical ❑ City of Northampton BUILDING INSPECTION LABEL A Pll OVEN4 lox, �j Inspector 1y �f Date Mz _ A � y f k 1eAq 28 STRAWBERRY HILL BP-2001-0578 GIS#: COMMONWEALTH OF MASSACHUSETTS Mau.Block: 17C-053 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2001-0578 Project# JS-2001-1033 Est.Cost: $52200.00 Fee:$155.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: Robert Reckman 009498 Lot Size(sq. ft.): 21 387.96 Owner: SIMPKIN JACK W&HELEN N Zoning URA Applicant. Robert Reckman AT. 28 STRAWBERRY HILL Applicant Address: Phone: Insurance: 36 Service Center (413) 584-1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:12120100 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL 2 BATHS,ADD CENTRAL AIR, REPLACE DOORS & ADD 2 WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of CW�i/r�i-ng D.P.W. Inspector of Buildings Underground: Service: y 117�{�" ' Meter: r I Footings: Rough x#%' 6.' aB Rough: ! i r�ih/�+ , House# Foundation: Final: - ;/j, Final. Rough Frame: 84/' — Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: ©f2 t—t q-_0 j Final: Smoke: Final: Q f•d f THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON 10LLATI N OF ANY OF ITS RULES AND REGULATIONS. .,� Certificate of Occu anc */signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 12/20/00 0:00:00 9439 $155.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo