32C-180 (9) 342 PLEASANT ST BP-2016-1001
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 180 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-2016-1001
Project# JS-2016-001693
Est. Cost: $8500.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: OLIVER ISELIN 039073
Lot Size(sq. ft.): 5793.48 Owner: FLEITMAN JAY&MARY LOU STUART
Zoning: GB(100)/ Applicant. OLIVER ISELIN
AT. 342 PLEASANT ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON:2/17/2]16 0:00:00
TO PERFORM THE FOLLOWING WORK;RELOCATE PARTITIONS WALLS & PLGB
FIXTURES
POST THIS CARD SO IT IS VISIBLE FROM THL STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: HousQ# 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 gignature:
FeeType: Date Paid: Amount;
Building 2/17/2016 0:00:00 $65.00
212 Main Street, Phone(413);587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2016-1001
APPLICANT/CONTACT PERSON OLIVER ISELIN
ADDRESS/PHONE 36 Service Center NORTHAMPTON 1060(413)584-1224
PROPERTY LOCATION 342 PLEASANT ST
MAP 32C PARCEL 180 001 ZONE GB(100)/
i
THIS SECTION FOR OFMCIAL USE ONLY:
PERMIT APPLICATIQN CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: RELOCATE PARTITIONS WALLS 8r PLGB FIXTURES
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
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION 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
De
Sign Bw ding Ofl'icialr 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 bf 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.
1
-7
City of Northampton
FEB — 9 206 t Building Department
212 Main Street
Room 100
DEPT NOXTHUIDING PTON,MA 101ONs Northampton, MA 01060
NO�T1iAMPTON MA 01060
phone 413-587-1240 Fax 413-587-;1272
i
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
1.1 Property Address:
2.1 Owner of Record:
]a., �'f ►.�.. 1711 (r0-A-L T/,r
Name(Print),. -� Current Mailing Address:
l Telephone
—dignature
2.2'Authorized April: i
o ,e' �.fe �,._: �,^ei ca"t, >" lid /U
Name(Print) Current Mailing Address: i
2—
Signature Telephone
IN
1. nefY' ;.,d' n.af✓:E, , u, s+saa,�PtaSie ,,,�vss
Item Estimated Cost(Dollars)to be
completed by permit applicalt
1. Building
2. Electrical F
3. Plumbing
N",
�A w� axe °
4. Mechanical HVAC
5. Fire Protection ''
6. Total =(1 +2+3+4+5)
•. , `s ,�s�, � ,��- � ,. ,:. r+t�`�G �`�, h �i�r�t ref�'„�� ro,t" „� .f
w o
� ,� 6 p�, �'�'x���� s��Vie" �9"� �§• t `��r'� ry��£�. '� , a +�'»s. ,�S °'� �
r ..k r �Y�5.«�� :"•x',�'at s��,s.�� �,F �` , a�K�'c r . t as + '�.x .� T� r L ��'�: z � �. +�
,� +^a. .rs,�•�:.. .re �• r� .:ry s z-. � 3 � #x,s _z P •� � x � x
�•' '� w x`�5:'s U"v` �& 5�Kf�� �3�,.��,s h � S � q 3 .,� r '.r � Z i, .r"�v•.c���•�a'�'r�"i �
a r..'#'r�' ,4 v •��'. ";- •k3� r c - �sF, 'r ra"pkk, ,', w.f ��y .h,.rc� •,°' +' g4k�"`j�'as h 3 xs�F4 a
„• �"r r
New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: / j04�� ��^' �t -� �`1 7�0�. GACA
Alteration of existing bedroom Yes No Adding new bedroom Yes ✓ No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 - Sheet e"'
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
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
x�Y
Wi
X?
{
1
as Owner of the subject property
hereby authorize ��^ � 2 ��^ ' to act on
my behalf, in all matters relati a to work authorized by this buiOng permit applicati
Signature,d Owner Dat
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 th pains and penpies 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/v e L t .a k ) U ��.�K Building Departmentled in by
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: �21^ S4-,,f-
D. Are Pere ere any proposed changes to or additions of signs intended for the property?YES_
No
IF YES, describe size, type and location:
U j9 n
I Licensed Construction Supervisor; Not Applicable ❑
Name of License Holder: 0/1 ILS-1-e L^� C
( f' License Number
Address � Expiration Date
l\f O. du. 40 1U64
Signature Telephone / !.
Not Applicable ❑
/Q7szp
Company Name Registration Number
T V - Zaf G
Address Expiration Date
Telephone
Workers Compensation Insurance affidavit must be completed aind 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 108.35.1.
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.Aperson 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,4n 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�ob 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
g Q 91A3aatchncclt0
DEPAR a MEN'S QP BUILDFN;G INSPEMONS
222 Ruin Strcet ' Municipal Building M
North0.mpton, Mass. QIQGQ
NV O lUCLFZ'S C Q j'V EN S A'n O N 0'IS URA.--CE A F"FI M A VIT
/ i ✓</ c_I Q f
%Vith a pruilicipal place of business/resideoce at:
so-�'_�_ lad (phoney=) q t I 18y t Z Z`�
(so-cr-Vci tylstaicim p)
do hereby certify, under dic pasns and penalties of perju.ry, <hat
(- t ate an employer providzng file followine workcr's coinocrisZLIOD cave ale for illy
tmployces worming on utis job.
(Insur:...n= Comfy) (Poticr lvu-ter) (r;'piration� Date)
— ( } I am a sole proprietor, general contractor or homeow-ner (circle one) and lizve hired
the cooua(nors listed beiow who hzve tie follo\VID worker's coopensation policies:
(NaMC of ConmzlcL0") (Ii;SJralll'.`.j. CoInparyTcUCi O— DSI C)
(Name of Coa[mctor) _ (lnsurane# CompaawPolicy Numcrl) (—Ex-oimidon Date)
(Name of Contractor) (fnsufanc� CompaDy PoUq- RittmbJ) (Etoiriioo Datc)
(Name of Contractor) (1nsurazac,- Compazry(Poiicy Numbs) (L-spim6on Date)
(ac-di addi iocaJ sscrt if nccc=.rN.to atclu-dc LaformAzoo p c,Tains to.0
( } I aai a sole proprietor and have no''.one working for me.
( ) I am,a home owner perforrauag all khe work myself.
NOTE:pl=s be ewaxt 1b,�taJc bccc)wo -acnn t to ocoptoy pesoai to :o c--rrztu-ori:on.d--Ui^&of
aot wort thw tso t
oits La ie-b r t6c bo-aoowver rt=do oe cc the Erotux4 a,7pten:vrtbcao c c cxx l c 11;�o0ard ed to be
employc-s undo the..a4:.d: _tioa As:s(GL152,.zs)A(S)S=.}�PlacaUan by a Gomeow-pcs[er c L�_«permit ts:.y e,�tkvac ti:e
ICVJ ctaaas of e.a e=ployor uodo-r do Wocicoe,Gocop oa.iicyo.Act
t undc:aaod that x oo9Y of this crag ouy ba fa,.,kind to 0,.D.q-u. cc of I,odv.Cric!Axod—ty Off co of Uzur-Oos for ihn
,,...- coverage vcrit`ctioa o--u!lhad L•iftac to scKurc�rovcrasc ta>�Scz s.ouicxi 2 S A of l,lOL!52 can Fad to the i2>�ioa of crimint!pcu.+llir�
oomi.17 g of a fisc of up to S).500.00 anNcx bm riloamcz of up to one ye r rad oti7 pena?Iia in be[orcn of n Stop Work Order and e
fim of S 100.00.city c{•,ai¢sz mc.
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