18-002 (19) gitu�rpr � cy- '
�c �y i Northam REQUIRED INSPECTIONS
$
1 . Footings and Walls
BUILDING 2 . Str uctural Components in
PIace
. Complete Building
No. 551 Office Of the Building Inspector
Date September 12 , 19 90
RMI I I
THIS IMAY CERTIFY THAT Edward Ramp l Insp. on Site — Foundations
l.as permission to construct BI do . rd Un :s 80-94 ( 8 ) Uni - s Insp. of Plumbinb — Rough " g
condominiums '
situated on Pines Edoe /Cook�2 Ave Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Airing — Rough f_" ��',"'
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires sit Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing. Wiring and Building Smoke Detectors (Fire Dept.)
ilispeciors. Gas Inspection
TIHII CARP �vct_iS I B3 _ ISPI A' "_ID I:N' A C0NSP?CU PlT kCE O,\' THE N-) N1 IS F,,
of Occljl)� nc'
<01 PO
wart 4a11lpflail Y
6 +csasscE(nactts'
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE + { AVIT
(Iiceusec/permittec)
with a principal placc of business/re dence at:
(phone#)
(stmeUcity/ ap)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
emnloyees working on this job:
VN 0 V. A pLmi-� -
(Incur cc mpany) (Policy Number) (Ex-piration Date)
O 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:
(Name of Contractor) (Insurance Company/Policy Number) (Exp mboa Date)
�r
(Name of Contractor) (Insumce Company/Poky Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Po1icy Number) (Expiration Date)
(auadi additiccrul sixc if ntcc to include infocrnation pertaining to all odors)
O I am a sole proprietor and have no one worming for me.
( ) I am a home owner performing all the work myself.
NOTE:plcasc be aware that while homcovvcn who enplay pazom to do r aintca-nc cc* u oa or repair work on a dwclling of
not more than tiuno units is"-Lich the homeowner resi&s or ee the grounr}s apputtcnluri thcz- o arc not gcacrzily ooalidcrcd to be
catployc-s under the vemi;&s omrpc�an Act(GL152,,s r(5)�application by a hotncowvcr far a license cc permit may-id—the
legal rtatua of an omployer underthn WorkMJS Compomation Ace.
I uudcntand that a copy of this ctatcmcat may be forwa d ed to tho Dcpartnm2 of Indiutrial Aocidrnii Off o0 of[MumOoa for tho
covcrtge va-ificatioc and that failure to s==cowmp under socfioa 25A of MGL 152 can lead to tho iutposition of cz itniaal penalties
oomistiag of a f nc Of up to S 1.500.00 and!a inlPtisos of up to one year and civil peualti a in the form of a Stop Work Ocdtr and a
firm of .00 a¢ay tg&iust try
For dq-tmeafn[use"ay
jp�-- Permit Number
iviap t Lot#
Si f cCnkf--/?Cr1nit2ee e
y
s,ECrlon 8 CONSTRU-IO;N SERVICES
8 1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
Re e b e ter.it men ;c n r r_ r Not Applicable ❑
Company ame Registration Number
Address �^ Expiration Date
Telephone
.SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affid<
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)famili
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner act
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
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 _
SECTION"� DESCRIPTION OF PROPOSED WORKS vMeck�all a livable
h>>N„u...
w, a °a< i•„.33. a `. ,N ry x. S
3
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 D Renovating unfinished basement Yes No
Plans Attached Roll D- Sheet D
say=!UNeuir`,W se a "WeAMO ionU kisting:ho'using °complete tl eAf�illo uin
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?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a OWN ER"AUTHORIZATION TO:BECOMPLETED WHEN
OWNERS:AGENT"OR;GOt TRAGTORiAPPLIES.;,FOR BUILDING PERMIT
I, as Owner of the subject prope
hereby authorize to ac
my\ behilf i all matter relative t work a"uthorized by this building permit application.
Signat re of 0 e I Date
1. 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.
P ' tNa e
Si ture n r/Agent Date `
r
r
a.
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
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 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:
M
w a
NOV - 6 2001
City of Northampton
Building Department
212 Main Street
Room 100 ► eli
F d y �-
' Northampton, MA 01060f
phone 413-587-1240 Fax 413-587-1272 PotlS�te�Pa _
Ot# erSp>rciyf
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This sect1on to be completed y ff c
1.1 Property Address: =�
MW
l �, ,
es
0
Elm-'St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Na e Print) rr Current Mailing Address:
/ 1 Telephone
Signature
2.2 Authorized Agent:
lame( rint) Current Mailing Address:
Si ure ell Telephone
SECTION 3 - ESTIMATED CONSTRUCTION'COSTS
Item Estimated Cost(Dollars)to be Official Use Only
complete by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only.
Building Permit Number: _ 15-�02- —04-1! Date Issued:
Signature:
Building Commissioner/Inspector of Buildings cla
ItT � ° BP-2002-0490
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -022
Permit: B u i l d bg
Category: roofing BUILDING PERMIT
Permit# BP-2002-0490
Project# JS-2001.0945
Est. Cost: $2500.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CDT CONSTRUCTION 003666
Lot Size(sq. ft.): Owner: MESSIER ARTHUR A&KATHRYN G
Zoning URA Applicant: CDT CONSTRUCTION
AT. 105 PINES EDGE DR
Applicant Address: Phone: Insurance:
158 NORTH MAPLE ST (413) 585-8677 Workers
Compensation
FLORENCEMA01062 ISSUED ON:1119101 0:00:00
TO PERFORM THE FOLLOWING WORK.-roof over one existing layer
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/ Sivnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/9/010:00:00 4159 $25.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo