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38-007 File#MP-1999-0113 APPLICANT/CONTACT PERSON FOSTER LOUIS IV ADDRESS/PHONE 52 LAUREL ST 586-4623 PROPERTY LOCATION 52 LAUREL ST MAP 38 PARCEL 007 ZONE URB 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: HOME OFFICE FOR ODD JOBS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE,F&LOWING 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 Permi-from Conservatio ission Signatur of Building fficial 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. .f i 10. Do any signs exist on the property? YES NO n IF YES, describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO__y IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This coirum to be filled in by the Buildiaq.pepnrtmeat Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R:_} L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) ## of Parking Spaces # rof Loading Docks Fill: -(vol-ume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the be,gt of my knowledge . -a DATE: APPLICANT's ',S1'GNATURE NOTE: Issumnoe of in zoning permit does n t relieve an pii apoanYs burden to oomply with oil zoning requirements and obtain all requir-od permits from the Board of Health, Conserrvtatior, Commisslon, Department of Pubiio Works and other applionble permit granting authoritiou. FILE # r ' APR 2 2 ' _ 4 File No. t DEPT OF 8l1 lldSp n PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: -51�2 Telephone: 2. Owner of Property: / / ! Address: ��►L)/'�S�/l�l� u �r �/!it Telephone:_ 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): ,, Q 4. Job Location: Parcel Id: Zoning Map# ty" Parcel# rl District(s): (TO BE FILLED IN BY THE BIUIL ING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Pro'ect/Occupation: (Use additional sheets if nece ary): . . i y 7. 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 Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNO:^:___-,,,/ YES IF YES,date issued: IF YES: Was the permit recorded at the Regis of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. 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: (FORM CONTINUES ON OTHER SIDE) Date Fil 2 File No ! l/3 itcaw -GFJ H E OFFICE/OCCUPATION (§10.2 & 11.11) 'Ta dECj fish the Building Inspector 1. Name of Applicant- 4� Address- Telephone: 2. Owner of Property: 0 J Address: $�,2 Ld / Telephone: s" 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Map - Parcel ,e7 _, Zoning District(s) (include overlays) Street Address : 5. Narrative Description of Pro osed Home Office: (Use additional sheets if ne essary) 4 6. Is this a legal residential building? WYES 7 . Will there be an employee/owner who doesn't live in the home NO 8 . Will you ever see clients or customers at your site? How often For what purposes 9 . Will there be any signs for the Home Office? YES 10 . Will there be any goods sold from the premises or any sale of goods stored on premises , either retail or wholesale, or any display of goods on premises? YES N 11. Will there be any outdoor storage of materials? YES NO 12 . Will your use be totally within a building and not cause any outward manifestation (including traffic generation, parking congestion, noise, it pollut , on, and materials st age) YES NO If NO explain: v �� 't � , 13 . Attach Plans (if applicable) 14 - Certification: I hereby certify that the information contained herein is true and accurate. I understand that if any a s incorrect, my permit is null and void and I may be liable f 1 fines and criminal and civil actions.Date: Applicants Signature: THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/base on information presented APPROVAL EXPIRES ON DEC ER 31 OF THIS YEAR AND MUST THEN BE RENEWED Denied as resen ed--- son: Signature of Builditfg Inspector Date NOTE:Issuance of a pormit does not relieve an applicant's burdon to comply with all zoning requirements and obtain all roquired pormtts from the Board of H"Ith,Conservation Cornmission, Dapartmont of public Works and othor applicable pormtt granting authorttlos. 16o n r 1> cio 14 �fr 05 Urri 141Tep 't Q-- cfC2 HI�MP Grifv of 'Nart4antptan s $ � j�lassacl�nsetfs - DEPARTMENT OF BUDDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,'MA 01060 HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as 1-1is/her construction sups, sor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 4 two-year period shall not be considered a home owner." The building department for the City of Northa#npton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfillL sonotube holes before our), a rou h buildio' g inspection before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform;work (electrical, plumbing& gas) the homeowner will be responsible to make sure that the trades hired secure their proper perm' s in conjunction to the building permit issued, and that they get their required insp tions. Failure of the individual trades to secure the permits and inspections as requ' ed c DEL Y th project until such time as the proper permits and inspections are mad I, F understand the above. (Home owner/resident's signa ur uesting exemption) I will call to schedule all requir ildi g inspections necessary for the building permit issued t Date -_ NT� Address of work ����at, f S location l �'� �, L1�T�11 LZf ��L7Z'���Z•i1]T�l�(1II A6 �i�ts�arcftnsrtts• � — ^z DEPAR1'hfEtNrF OF BUILDI?�G INSPECTIONS 212 Main Street ' Municipal Building N'orthalnpton, Mass. 01060 ' WORKER'S COM ENSATION INSURANCE AFFIDAVIT th a principal place of busiresslre:idcnce do hCreb}' CCI-LM; tll]cicl" ?liC p !I1J anc pCi]n't ICS 01 pc:rJtlry, r 12SI1 an CII1p10}'Cr pr0'Jldlilg the i011OvViIIf; '•,'OI'i;CrtS �-OI12r1C;1S?UOI] GOVCI"ag,C for Ind' employees worlang on thli job: (111Sz1rdL1Q Compam') Nurnlxr) ---- (r� ir.:ran Dale) l j I ant a sole proprietor, greneral c:Dnt=zor o- nonleo Tyner (ci-cle one) and 'gave the contractors listed beiov ;l.0 h-3 „ the Toll :IZ, ;vjorkers ccmpenss-`Orl ('Namc of CorlLrnctGr -r) (Name of Contractor) (Iiis-lr nc° Com:�a.nvPchc,' Ntmmr) (frame of Contractor) lI1St Ii1C^ �_.� 7j;?�:i/i�G�iC: ?v'n.u]�i r� 'Y.'.,-a i1G7, Dat'c) ('Name Of Contmctcr) (Ins,:rane- Comi=WPobcy Numb.=-rj (I;;:ri ::io-, Date) - ) I mul a sole proprietor �:I:d have no .,J Z I <! 11011)c 0,vv!1Cf -Li *JO"IT:plc_sa t`c aw•zrc tha:ai;ilc tx-co :r-: a 1.-^ ;r- ._ to:S ;yInc"a:. not tmce tl-u throo outs in tci idi —Iplo}crs u_rrdc the tvcci'tel cc z•�:c's^n F c (G:.1 Iegzl etaw;of an-=pIO)w unu' tho Worice.'.iaz rn.tic'n!.eL t undczta.nd dis!a copy of tE,�rtat=-:a*r:ay bo fawnrcio'J to tl»Dcji tzrn:of Ir cizurri:.1 M�L�t.�Li acv of 1::;+.,r�.a for ilx co erage vcif,cmu'oc rnd that f_.ilure to;-1 c ro�cr g uc•.d~::cc'iIn 2 SA of 1.(Gl.15 2 can]cad to the imposition<f c=am it l pcnalt.a isting of a ftrr_of up to S I SCU.00 s: cr ir.^tr,v-� ;_of t:a to cr,}-:. ..-.j civil xnzltia in tt c f c,nn cd n S'c-,)";l fs ofsl ■dsy ror da;.,tt:~zr�l uw«aly i • Jirnaturc cif i.icc:Ir;c:Jl'r.rnti;tc,_ r�; ,_• 1 5€CTdflNB C©NSTRlICT10N SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone Ret:s e e orn mnroverrien w ontracto Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECT�Ot�10 R'WORK,ERS'COMPENSATION INSUF3ANCE AFFI: 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...... ❑ 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 1083.5.1. 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,attfched 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 toe 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 reponsibility 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 j . - i t , I? Ifl O �ROROSEQ WORKS checkl a I1tiable New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ) Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes �fNo Plans Attached Roll 0 • Sheet 0 6a a edit on to ears ing Lousing �coM,p a Mdffblflff n a. Use of building : One Family l/ 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? -S �` Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. //A, Mascheck Energy Compliance form attached? , h. Type of construction uc, (- +'fw",,- i. Is construction within.100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes ` Nc j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? r e No I. Septic Tank City Sewer L/ Private well City water Supply �SEI El7RIZgTION TO BE COMPLETED WHEN 0 ENE $ CO TR/�CTORAPPLIES FOR`BUILD NG PERMIT I' as Owner of the subject property hereby authorize to ac; or 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 informa on 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 jrgeKt Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF 10 FORMATION 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 y 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 v GON'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: r, d. City of Northampton Building Department 212 Main Street Room 100 U V r hampton, MA 01060 phone 87-1240 Fax 413-587.1272 AUG APPLICATION TO TRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING NG TNA ILDwG►NSPECTJONS MPION,MA 01050 SECTION 1 -SITE INFORMATION x. 1.1 Property Address: �`�_ hs sec in orb: om d ff�cq r 1-14 ck CZ { S " 5 6 s Z A 1'y Q( 6 Q i EIm St D'We ct SECTION 2:- PROPERTY;"OWNERSHIP%AUTHORIZED;AGENT. 2.1 Owner of Record: tc— 6 ;2, 66 S"'jo o/o Z- N me(Pri ) Current Mailing Address: Telephone S gnature Q` 73 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION>3 ESTIMATED'do, T- UCTIION..' COSTS " Item Estimated Cost (Dollars)to be Official, Use'Only com leted by ermit applicant 1. Building 50 (a) Building Permit Fee 2. Elec,rical a (b) _:`timated Total Cost of Construction from. 6, 3. Plumbing 5-� o Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) -5—0 O Check Number 117Z This Section For Official Use Onl Building Permit Number: �`1 Date Issued: 51,gn`at6 re ': Date Building Commissioner/Inspector of Buildings 1 , BP-2004-0111 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Categoa: BUILDING PERMIT Permit# BP-2004-0111 Project# JS-2004-0180 Est. Cost: $8500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sg.ft.): 13764.96 Owner: CAREY WILLIAM A JR Zoning:URB Applicant: CAREY WILLIAM A JR AT. 52 LAUREL ST Applicant Address: Phone: Insurance: P O BOX 402 (413) 268-7382 (� GOSHENMA01032 ISSUED ON.817103 0:00.00 TO PERFORM THE FOLLOWING WORK.INSULATE WHERE NEEDED, CLEAN UP INTERIOR, UPGRADE PLMBG & ELEC 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: FeeType• Receipt No: Date Paid: Check No: Amount: Building 8/7/03 0:00:00 1178 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2004-0111 APPLICANT/CONTACT PERSON CAREY WILLIAM A JR ADDRESS/PHONE P O BOX 402 (413)268-7382 Q PROPERTY LOCATION 52 LAUREL ST MAP 38 PARCEL 007 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid / Typeof Construction: INSULA E WHERE NEEDED,CLEAN UP INTERIOR,UPGRADE PLMBG&ELEC New Construction Non Structural interior renovations Addition to Existine Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TH OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IATION 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 j�& 1/'� -5 -03 Signature of Buildin racial 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. r C-3 u� 52 LAUREL ST BP-2004-0111 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38-007 CTI'Y OF NORTHAMPTON Lot: -001 Permit: Buiidinq Category: BUILDING ILDING PERMIT Permit# BP-2004-0111 Project# JS-2004-0180 Est. Cost: $8500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sa. ft.): 13764.96 Owner: CAREY WILLIAM A JR Loniiig: Apoli_cant: CAREY WILLIAM A JR AT: 52 LAUD`_-_" Applicant Address: Phone: Insurance: P O BOX 402 413) 268-7382 GOSHENMA01032 ISSUED ON:817103 0:00:00 TO PERFORM THE FOLLOIVING WORIf:INSULATE WHERE NEEDED, CLEAN UP INTERIOR, UPGRADE PLMBG & ELEC POST THIS CARD SO IT IS VISIBLE FROIA 7.HE STREET Inspector of Plumbing Inspector of Wiring; - D.P.W. Building;:ispector Underground: Service: Meter: F3otings: Rough:' Rough: 5 House# Foundation: /0�17�03 Driveway l,inal: Final: %�- �' '�� Final: ///��Z, 0 Rough Frame: d K l e-.Qe—cq Gas: Fire Department Fireplace/Chimney: Rough: :zi:._ Insulation:0 Final: . °,': a Smoke: !" Final: d/c �( �O 0 Lf THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu an_r. == ' si nature: FeeType: Receipt No: _ Date Paid: Check No: Amount: Building 817/03 0:00:00 1178 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo