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24A-159 (2)
50.02' N M ti PROPOSED SCREEN PORCH 18'-6" n zo EXISTING 2-STORY WOOD-FRAMED HOUSE N r PARCEL 24A-159 N 50.02' 345 PROSPECT STREET e ti Cris ofTnz tlJa111}1ioll _- �= �1a7enc{InGCtla DEPARTMENT OP DUILDFNG INSPECTIOt"s 212 Main Strcet ' Municipal Building Northampton, Mass. 01060 \� WOM1 E, Iz S CONTENSA TON INSURA CE AFFIDAVIT (1i ccus�Jpermi ttc�) %vith a pilncipal place of busiuesslresidenc.e ac _. � J' /(c('. gone `) (sa tylstalcfnp) , C do hereby cerif):, under the pains and penalties of perjury, that (✓�I 2m an employer providing tllc following wort cr s coinocnsanon cove for Illy eluployccs worUng on tills job'. L� A-) vt.* yet z,: #_�A C:'. (lnsu_- COrJ1 nv) (PcuC- Nu--Ii>--r) �.-pirrtio: )ale) @ O I am a sole proprietor, genera] contractor or homcowmer (cuc e one) LDd have hires the con-jactors listed below wbo have-the follo%1Vu' s worke'-s com-ttenS2ilon peiicies (N:1n7C Oi Co.^.-mcwr) (iri-umilcc Colnpany' �Gbc,' N:L'il_^'_:) - (Name of Concractor) -- GnS- -ancc Company/Pobuy \t m'c.r} (-Espu lion Dafc) (Name of Contrdcto,) Rasurancc Company(PoLc) N,,umb-r) (E, pir-uoo Datc) (Name of Contractor) (Insuranczz Comrany/PoLicy N(vmtl:f) (Djoir-auon Date (no-ash �ociJ s'_xG to a-'c?u6�informx-�ioo pctr.:ains to'E ( ) I am a sole proprietor and have no one working for me. ( ) I am a home oti mer performing all the work myself NOTE:ply be ewxrc t},....h.:Jc bccrro�mn Hbo e splay Pc o=to do "ark oj apt mat 0-a ter=t'u L',%"Si Lt.lw:noo,mcr rmido a oa tSc avjp aci d-- d w L� caxployrn tta c the wv 1 d o slim Act(GL!52-=l(5)�=ppUcabcu try a bomLo, C fcr c be n:a p--xni n_y--rd Ic9�l of as cgloya undcr'dio Workol.Condom do<t A.&- I andcrrLnd the x coif of tbi,Yitancal may bo(ocv,Y,d�to tba DcYxtts o(ln6irric /un CcvK�Offs—of lip+—fo *' covmSc vcziGc Lca a.-u1 a"L•ilrac to scan cvv�. c uxZcr soaioa 2)A of MOL 152 can Icd to tom: Boa of slim n:l pcusLio oomis'.ssto of a Gnc of up tc S 1,500.00 r Wcx c of up to cos y,;w t--A coil pca t,o 6 tic fcxm of a Step Work Ord-end rim of SI00.00.d_y aptira-ia me rFor n l Nuz-1 Ill on1Y t; Pcnnit Nt:r�l�cr 3r 1 fa P:; Lot ° ---- Si�natrrn of LI cr711Jlrcc � a . 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number 26 TVJ Address Expiration Date j 7-2y Signature Telephone fl, i l Not Applicable ❑ Company Name Registration Number L � j ylfe s Address Expiration Date f Telephone SEGTIt t 3 1 liK S'�I �" " 1aS` `6 Q 111 .StUF iol , .. 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...... 13 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 'ECTIO .>S DES4k1PT1lONA [pp p licabi e New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition[] New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work r"r t ? Alteration of existing bedroom Yes fo Adding new bedroom Yes ✓No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll o- Sheet 9 i 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 i k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTI' 7a OWNER AU,THtlRIZATIQN TO;BE CG)MPtETED WHEN OWNNS AGENT"b3"t Cf)NTRAC OI#,A ±PLIES°F4R-6 lILDfit�i `,pERMI yo CL ' `'�'D`'� as Owner of the subject property hereby authorize `e- -t �- to act on my alf II ma s relative to work authorized by this building permit application. �J Signature of Ow(Jr 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. ALe Print Name 4 LF 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 20 — Building Department Lot Size L� 5 t Frontage Setbacks Front NA Side L: PS' R: L: %a R: 1j Rear r Building Height Bldg. Square Footage i/l % Q �G� Open Space Footage % (Lot area minus bldg&paved /3 q (q o T 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/ 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: I! � City of Northampton , i X15 i Building Department 212 Main Street Room 100 «, E1 ctric,Plumbing&Gas Inspections_ Noftampton,MA 01060 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 ; APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECT.,10 l,,,1_-SITE�FORMJ�TION e 1.1 Property Address: Tfr�sN ��11*tarn '? offtce p rL 31 4 ;iRi ;Rld SECTION 9,-PROPERT 1P,/AUTHORIZED AGENT 2.1 Owner of Record: A j1011-N ri Current MailingAdore�ss: _ y6 Telephone ure 2.2 Author Wed Agent: tJ Name(Print) Current Mailing Address: Signature Telephone 5EGTION'3 ESTIMATED CONS TRUCTION=01n." Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a) Building Permit Fee' 2. Electrical (b) EstlJriated,Total Coat of Coristructi©r from, 6 3. Plumbing 8uiId1l tg'Permlt Fee '.. 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 +3 +4+ 5) &17 Check Number T,Ws Sectioe,,For Official-U"e aril Buildirkg Peri trt.�ltirrhber,. Date Issued,., ,signature: Building Cornrnissioner/I spector of Buildings Date File#BP-2015-1033 APPLICANT/CONTACT PERSON OLIVER ISELIN ADDRESS/PHONE 36 Service Center NORTHAMPTON01060(413)584-1224 PROPERTY LOCATION 345 PROSPECT ST MAP 24A PARCEL 159 001 ZONE URA(100) 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 14 X 15 SCREEN PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 039073 / 3 sets of Plans/Plot Plan l eG7,,e6iyet tQAI THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOR ATION PRESENTED: pproved 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 Commission Permit DPW Storm Water Management of ion Signature of Building Of icial 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. 345 PROSPECT ST BP-2015-1033 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A- 159 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2015-1033 Project# JS-2015-001967 Est. Cost: $20400.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: OLIVER ISELIN 039073 Lot Size(sq. ft.): 7143.84 Owner: MCLINDON JAMES B&JACQUELINE A SPAIN Zoning. URA(100)/ Applicant: OLIVER ISELIN AT: 345 PROSPECT ST Applicant Address: Phone: Insurance: 36 Service Center (413) 584-1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:5 1112015 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 14 X 15 SCREEN PORCH 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 Sitmature: FeeType: Date Paid: Amount: Building 5/1/2015 0:00:00 $55.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner