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17C-305 (2) SECTION $ • CONSTRUCTION SCRYICES i 8.1 Licensed .:nstruction Suoerrisor: No,-ACP!`C2:1!e C Name of'_icense 4otder: 4u� 9 Numcer M7� Adcrass 1 Sxcira~cn Cate ignat-re Te!ecrcr.e ; ':iav eraitDiueitirr .i►� a =. ,,--^- �.y - s; ���-z ._ .� 1�:� -f • Pik:= � .: :mss= �Vct. .�I;ca-(e Q 0 1536 imaanv Name Regis,,-'at;--:; Number a ST.1 NO f'i-� >t41 if tb N, A4 rF 0/D as ZCe QS 2 _Address // rI ExCira-cn :ate EEM:CN'10- WORKERS:'COMPENSATION iusaRANGE AFIi<DAVIT(M.C.L.c-1252, 25C(6)) Workers Cc.rncensaticn Insurance a;`davit rust be ccrnpleted and submit—i with this application.. F ailure to provide this afiidzvit will result in the denial of the issuance of the buildirs cerrnit.' Signet Atticavit Attached Yes....... No...... G The current exemption fer"homeowners"was extended to include Owner-occupied Dwellin?s of one(i) or two(2) families and to allow such homeo,.vr:er to ensaae an individual for hire who does not possess a license,provided that the owner acts as suoervimr.CMR"80. Sixth—Edition Section 10J.3 c 1 Definition of Horneowner: Person(s)who own a paretl of land on which hershe resides or intends to aside,on which there is,or is intended to be,a one or two family dwellin;,attached or de—hed structures accessory to such use and/or farm st:--,c^..res.A person who constructs more than one home in a tw -vesr period shall not be considered a homeowner. Such"homeowner"shall submit to the Build:rg Official,on a form acceptable to the Building Official.that he/she shall be resoonsibie fnr all such work performed under the t uildin¢ per-nir- As acting Construction Su pervi!ror your presence on the job site wiiI be required,;om dr.:e to time,during and upon completion of the work for which rhis pen,tit is issued. Aso be advised that with reference to Chapter 132(W6rkers'Compensation) and Chapter 1'3 (Liability of Employers to Employees for injuries not result"zg in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) You hire to perform work for you under this pc.,,.i= ,, The undersigned"homeowner"certifies and assu.'nes responsibility for compliance with the State Building Code,City of Norhampton Ordinances, Star--and Local Zoning Laws and State of Nfassachusetts General Laws Annotated. ' Homeowner 51anature i t ���,?GN " ,��CRIPTION aF Paarr-Occ„ 'NPiRK(cieCk -ail-3CCIic3bie'• New House C ` Addition. Reciac_rnent'Nincows ! Alteration(s)- i Roofing C j Or Coors C ( ! Accessory ?ld;. C I Cemoliticr._ I New Signs j Ceci<s ( 1 Sicirg_ ; Cotter j I � i Cr1er'IeSC^"::Cn Ct P-..CCSZ^WCr`t: ltaraticr. c _xi::'.ng bedrec.:, YOB No =ddin,^err Yes �Nc .A;tac:^eo Narra::ve- i-encvating un...,.sned 'easement ' ,:S Nc 1 a. Use of ^g: Cna =an'ily two F=.ily CL . e. Numcar =*rccrns ir, eacn `arr.iiv snit: iVunhber of C. Is there a garage attached? I d. Prcposec Sclare fcotage of ne-ei C..rs:uc`ICn C;rn <isicrls e. Number cf stares? Method of `eating' Freplacas or'NCCds;cves r-ber o. eac^ g. u erg/Ccriserraticr, Cer^pliance Masc`tec:•( E::er y Corplianc_'cr... ==_ched1 h. Type of ccnstructicr j i. Is ccnstruc:ion within 100 t. c4 wetlands? Yes Nc. Is cC,--,ruction wit.`lin ICC yr. Sccdplain Yes No Ij. Capth of basernent cr cellar Fcor beicw -Wished grade k. Will building cor:arn to the Cu::ding and Zoning raguiaticns? Yes No . I. Septic i are City Sewer Private well C,h/'N=tar Suep(Y SECTION'7a.- OWN ER-AUTH0RIZAT10t+-TC$ETCCMP LET;cJ WHEq OWNERS AGc 4T OR CCNTRACTOR AiPPL1ES FOR EUTLOING..PERMIT f 4 S Gy as Owner of the subject prcce,t1 rrAA r, heresy auUio .ze V��r�-rl�;-l 9-'J1 LN=44; , / 1 \C- Ph'► r brD?Y - - to ac:on my b -half, in a!! rna,ters relative _o wcrl; authorized by ;~is bui dins pe.^it a;plication. - Si n rtre of Owner Cate g I I ( t EADi as Cwrer/Authcriz°d Agent her_cy tech _ that the statarnents anc ir.-.,rmatt n cr, na foragcing application are true and aCC�rnta, to the best of my knowledge and belief. S:sped under tlhP pains and penalties of ;erjury. -P h bc ' Y Y Name Signa .e of Cwner/Agent Cate i PAxk Ioe_ 60V.e, W,O,44�r\ (ZKiSi ec::on 4. A.L.L LNFORtiLA,TION -NE ST CBE COMPLETED,,,pr PFXWT "BE DEN-= DUE TO LACE; CAF• L F•ORlIL-kTtON � Esist::.z P'oFosea Rem= S-7.7 Zociirg This=I==to be aIIM in by auiddla.- -tit ILot Size I I 4 Sc*acks Front Side R..: RL• R: Real I Fa :St1YEII 31c�.Square Feota;e Coen Space Footage (rr,zt arcs:minus bldg paved „ar!c:ns) of? <ing Scaccs I f I (+o Mme&Lcca ian) A. Has a Special Permit/Varianca/.`ending ever been issued for/on the site? NO CCMT KNOW IF YES, date issued: IF YES: Was the permit retarded at t;e Registry of Deeds? NO OCN'T KNOW _ �. YES enter Eock Page andlor Dccurnent r S. Does the site contain a Crook, body of water or wetlands? NO DON'T KNOW YES IF YES, has a Ye.-nit besn or need tc be obtained from the Consertation Commission? Needs to be obtained Obtained Date issued: C. Co any signs exist on the property? YES NO X IF YES, describe size, type and location: _ 0. Are there any proposed changes to or additions of signs intended for the property ?YES_ No X IF YES, describe size, type and location: Mar CS : s,a - -� — 3, .Ji�sl,{Q 4 ..-.N .e'•. �'^'..+" ;'�"i :C C.M _Cie N e r�:;�--c i�r., Nl�, G_G o� �f�--,�•>�a�.c����Ti.�r�.'r"'yr•:�"S_...�'r� i��'� l FrGre �_ _ I�-C Fax 4^_ .2 72 _y APP!!CATION TO CONSTRUCT. ALT'--R. RE?ri=. RENOVATE CP 141CLISH A ONE OR —NO FAMILY DWELLING SECTION 1 - SITE NN -FORMATIGN I IT 1.1 Prooerrr Address: } Ens sects v;b cotrsgterecrtrj bftfge -� SECTION 2 - PROPERTYOWNIE~SHIPYAUTHORIZED AGENT 2.1 Owner of Record: Ltir.5 AS6or A-feA Name;°ra„ �/��� Cur<e^• '�at�ing Addra<s_ - — �/ Telear�'e -� Signature o ?4uthorized Agent: r i'K-' . f CC Phi L-r ? L ,° s 'K, ' �-«r Name(. Curre-: `.,a:fing Address: na ure Tefec^cne SECTION 3 - ESTIMATS0-CONSTRUCTION COSTS ( °b Cost(Cc!�ars)'o oe C- Use Q ly !tent { c`s::,:.a:_ ,�ic:al e' „ + f cc ;eeb by germ:' aceiican; Sk(o ! (a; =,iidin; Permmz cee ! 1 2. E!ec;rica: ^� �`C/ ' (c; ?_zirnated Teza! Qost c. I Construction -rom (6) 3. Plunb.nb Building Permit Fee 4. Nle-nanical (HVAC) S. Fire Protection 6. Tcta! =(i + 2 +3 +4+ 5) '•��' C^eck Number rt This Section For Official Use Oniy Building Permit Number: Date ;ss ter: I Signatcre: —,- 801dfng Commissioner/Nnsrec:cr of Buildings Cate File#BP-2002-0356 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St (413)586-8287 PROPERTY LOCATION 125 CHESTNUT ST MAP 17C PARCEL 305 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid — Typeof Construction: DORMER RENOVATIONS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 051892 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 Comm' Signature of Building Official 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. 125 CHESTNUT ST, BP-2002-0356 GIS#: COMMONWEALTH OF MASSACHUSETTS M 1 V- 17C-305 CITY OF NORTHAMPTON Lot:-001 Permit: Build j Category:renovation BUILDING PERMIT Permit# BP-2002-0356 Project# JS-2002-0535 Est. Cost:$12000.00 Fee:$60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Groin Wright Builders 051892 Lot Size(sq.ft.): 24262.92 Owner: ASBONSEN LARS Zoning URB Applicant. Wright Builders AT. 125 CHESTNUT ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:10 11 1010:00:00 TO PERFORM THE FOLLOWING WORK.-DORMER RENOVATIONS 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/l/010:00:00 11154 $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo L; b - _' ' , ��, � � . !__ - I s ,i ,; ,, , , � I ,- , � . 0"'na.. A I � , , I� � - , � � , "',�- � ", �, ,",,.,­ ,i, -I-", - 1��:1_� I � I I ,�I�,,, I I" , , -, I- "I'l- 11�"­, I I 1, I, -, ,", � _ I , I � I �, I , ,'_,'', ' ' , �­ " -, I I I � I i� i-e-_:, , I ,I , I,: - _. _. K, r , ;z, � �' I 11 9>01 B 2 2flfl� . � l fi I #9 , § ': 1�",`; � I � poll A ,,�,:�' , , �. r �- __ s r a -� r 4-�, � .4 €. #�'� �" `"r e A.a , x r ��.r a. _ $ t r ,�:�:,�""?�i_��" ,"t - x � s* ; „ � h §'�` tJ• s h a:11, s rs - b 'f, k r is-r?. a r``- ttsF r. _ �# .. F 3 4 4 9, l v� : l G Y mk-n 3Y ,ry ? ¢ 'F rte'✓ { ` `c t rL'ti . `N� '� a .. ,;v k .w tz "”` gas �r _t `a' c .,y .. fit v a^ t� <i ? 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S Ty R ;' 4 > ax�' '€'" ,c -1�k "� .a aq-3x, .k%>����" ri, " s ,Y e� s= x t i SY' £Fr ;x.�, 4 $' 'kr 'r' = axof�i � �," ,'x a Y 9L- a * i 'i k ; -s 511 a S . a k`k �:g�� `x °s* tr.Y' i ssa:Fs 'r r s• '"r� ?k C - �"r k �' `c5. x,-&s" r: t x . s' s .1 -€ " ��; 'fi.ss� 'ru e x', 3•,, b l4W h k t,, s° R"s .^-r # �,y s ;Z € t,' - t, v '..; i ✓r* x. a�'' r. a;. {x s+s r�Z "`, -f v x a * «_ ' '. q`>fr"a'sz-.w -- Y k 1. f & s S 125 C TNUT ST 61 -2 Cf2-0356 G140; COMMONWEALTH OF MASSACHUSETTS hjgp.Bj%k: 17C-305 CITY OF NORTHAMPTON Lot:-001 Permit: Building Gaw&M:renovation BUILDING PERM"Wrin t Permit# BP-2002-0356 Project# JS-2002-0535 Est.Cost:$12000.00 Fee:$60.00 PERMISSION IS HEREBY GRANTED TO Coast.Class: Contractor: License: Use Group: Wright Builders 051892 Lot Sig-e(N.ft.)'. 24262.92 Owner: ASBONSEN LARS Zoning:URB Applicant Wright Buil ers AT.- 125 CHESTNUT ST Applicant Address: Phone: Insurance: 48 Bates St (413 586-8287 Workers Compensation NORTHAMPTONMA01060 ISSUED ON.10111010:00:00 TO PERFORM THE FOLLOWING WORIK:DORMER RENOVATIONS POST THIS CARD SO IT IS MIB,�LE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough:1611k1 i'yl� House# Foundation: Driveway Final: Final: Final+- f Rough Frame:dK Gas Fire Department Fireplace/Chimney: Rough: Final: Smoke: Final: ©/t e'Q1171D/-C64 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT N OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occul2an si nature. Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/1/010:00:00 11154 $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo