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76 PLEASANT ST BP-2001-0084
�sa�GIS#: COMMONWEALTH OF MASSACHUSETTS
€ Map:Block:32C-044 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-0084
Project# JS-2001-0132
Est.Cost:$2000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RICHARD SHEA 013676
Lot Size(sn.ft.): 7492.32 Owner: SHEA JOAN L
Zoning:CB Applicant: RICHARD SHEA
AT: 76 PLEASANT ST
Applicant Address: Phone: Insurance:
137 ELM ST (413) 584-5008 Workers
Compensation
NORTHAMPTONMA01060 ISSUED ON:7/27/00 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE EXISTING WALLS ON 1ST FLR LEFT
SIDE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House IS Foundation:
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 7/27/00 0:00:00 17304 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2001-0084
�sa�,, APPLICANT/CONTACT PERSON RICHARD SHEA
f ADDRESS/PHONE 137 ELM ST (413)5845008
PROPERTY LOCATION 76 PLEASANT ST
MAP 32C PARCEL 044 ZONE CB
THIS SECTI<)N FOR OFFICIAL USE ONLY: _
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM Ell LED OUT
Fee Paid
Building Permit Filled out
Fee Paid i/ sre, —
Tvneof Construction: REMOVE EXISTING WALLS ON I S'I'FLR LEFT SIDE —
New Construction
Non Structural interior rent ations
Addition to Existing
Accesso S ctme
Building Plans Included:
Owner/Statement or License 013676
3 sets of Plans/Piot Plan
THEyVLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
�
r�, Denied as presented:
F 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
Permit from Conservation 4, mission _ Permit from CB Arc t e •Committee
Signet = : :uilding Official a -
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
sow requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
-
Li v (� rpity of Northampton
/ uilding Department
a 17 iI : 212 MainStreet
DEPT OF go nor gVSP No hampton, MA 01060 - -
1,tpne,4s13 587-1240 Fax 413-587-1272 - -
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Prooerty Address: ... *. 1 *roe!- _ y'1. ' _ ( 1
71a PI e4 n4- ,S+.
.
Ncrf harni+on e
t,s
SECTION 2-PROPERTY OVN ERSHIP/AUT'HORF,PED AGENT
7.1 Owner of Record:
Tuan 6heo . 137 Elm 54-feet- Nibr`fh/4mpton
Name(Print) current
ilinSddress: ry
5 $UI _ Oe� gobt7, -e& t eeephone
Signature
2.2 Authorized Agent:
/9CACatd < a- 43,.E/m CI . /orfl mffan NA
Name(Pc /• // Current Mailing Address:
LA)1/3) SSLi-56°g
Signature ' Telephone
SECTION 3-.ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be - Official Use Only
completed by permit applicant
1. Building (a) Building PermitFee
ISOO -
2. Electrical SCC) -- (b) Estimated TotatOost of
Copstruction fr n3(6)
3. Plumbing SCD : Building Permit Fee
4. Mechanical (HVAC) b
5. Fire Protection
6. Total =(1 + 2 +3 +4+5) 7-000 — Check Number3L�
/'� his Section For Official Use:Only
Building Permit Number: Be �' �K Date Issued:
Plr�,
Signature:
Building Commissioner/Inspector of Buildings 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
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
•
Open Space Footage a/
(Lot area minus bldg&paved
parking)
#of Parking Spaces _b
ea"" Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO V 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 i/ 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
NOV
IF YES, describe size, type and location:
•
ps ECT10N 5-DES®IPTION OF PROPOSED WORK(checkall applicable)
New House 0 Addition 0 Replacement Windows Alteration(s)IX Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ I Decks [ ] Siding[ ] Other[ 1
Brief Description of Proposed Work: '1—G.e a e — A O 3 5+- F . — yr . .
Alteration of existing bedroom Yes X No Adding new bedroom Yes 1` No
Attached Narrative U Renovating unfinished basement Yes A No
Plans Attached Roll U- Sheet U
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
N
e. Number of stories?
f. Method of heating? Firep ces or Woodstoves Number of each
g. Energy Conservation Compliance. Masc ck Energy Compliance form attached?
9.111.N. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is nstruction 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
SECTION Ia-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS.A$ENT OR CONTRACTOR APPLIES FOR:BUILDINGPERMIT
I, Togo jar„_. , as Owner of the subject property
hereby authorize 2r C4101o1 c pfl2.21.__ to act on
my behalf, in all matters relative to work authorized by this building permit application.
Goes,-". ill 14 00
Signature
Signature of Owner Date
1
I, �Oat/1 �jft_o. - , 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.
! igned under the pains and penalties of perjury.
04/) 5Ao,_
Print Name /�er4�,
�e. " � . �.si 1) 17'Oo
Signature of Owner/Agent Date
SfCRONS-CONSTRUCTIONSERVICES
hi Licensed Construction Supervisor:�i T V. Shen-
Applicable 0
Name of License Holder: glrhorGJ Shen- C.S 0/3 le274-
License Number
1`31 Lim 5-freef tJorii1arrlpton MA 9/3 c,
Address Expiration Date
Signature o /nJ Telephone
� 9_lao�.�..)1 }1i—sc
„_,. "jra r.ir -:� °fa . :`Lea ..� Not Applicable ❑
Company Name 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 affidavit
will result in the denial of the issuance of the building permit.
re'Signed Affidavit Attached Yes )4 No 0
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 790, 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
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