32C-091 27 WILSON AVE BP-2006-0256
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man:Block: 32C-091 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0256
Project# JS-2006-0364
Est. Cost: $4600.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JOHN SCALIA 068554
Lot Size(sq. ft.): 6359.76 Owner: COLES MANDY
Zouing URC Applicant: JOHN SCALIA
Al: 27 W:LSO N Av E
Applicant Address: Phone: Insurance:
66 BEACON AVE (413) 532-4856
HOLYOKEMA01040 ISSUED ON:9/8/2005 0:00:00
TO PERFORM THE FOLLOWING WORK:REMOVE 1ST FLR REAR PORCH & REBUILD
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Phtmbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation: /1-02-.k 5
Driveway Final: ?—/2•05
Final: Final:
Rough Frame:d ,/ etc JJ
Gas: Fire Department Fireplace/Chimney: G
Rough: Oil: Insulation:
Final: Smoke: Fival: O� 0/0
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature: Itirdeeer
FeeTvpe: Date Paid: Amount:
Building 9/8/2005 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
27 WILSON AVE BP-2006-0256
GIS#: COMMONWEALTH OF MASSACHUSETTS
May:Block:32C-091 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0256
Project# JS-2006-0364
Est.Cost:$4600.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JOHN SCALIA 068554
cot sizetsa.R.): 6359.76 Owner: COLES MANDY
Zoning:URC Applicant: JOHN SCALIA
AT: 27 WILSON AVE
Applicant Address: Phone: Insurance:
66 BEACON AVE (413) 532-4856
H O LYO KE M A01040 ISSUED ON:9/8/2005 0:00:00
TO PERFORM THE FOLLOWING WORIGREMOVE 1ST FLR REAR PORCH & REBUILD
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: Date Paid: Amount:
Building 9/8/2005 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)537-1272
Building Commissioner-Anthony Patillo
File#BP-2006-0256
APPLICANT/CONTACT PERSON JOHN SCALIA
ADDRESS/PHONE 66 BEACON AVE HOLYOKE (413)532-4856
PROPERTY LOCATION 27 WILSON AVE
MAP 32C PARCEL 091 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out y
Fee Paid A7 tgO—"q
Typeof Construction: REMOVE 1ST FLR REAR PORCH&REBUILD
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 068554
3 sets of Plans/Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ATION PRESENTED:
Approved 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
4xLarc 9- 7 o s
Signature of Building rcial 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.
•
'x rDe -:PN 12 ,s
)I City of Northampton
- - e rc { en
e 12 ertt" `
BUilding Departmentj4; � „ `' 4
j12 Main Strea =
n- ”,v \Roo 900 i`9• f" 's -4 - -eir-nxt::
5 Nprtha npton, MA 01060 • z' a ,, 'r%C. 4
phone 4,t3 587;1240 Fax 413-587-1272 • :4 ' ?
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: T i eclibn to bs comjileted,byoffice
x 7 tVitsem 4ve
///ei G6lcua okt, / /t0. ..,,;31.149, I' - - -' ”OrerlaY'DlaM0,-'
€tmStINsniit C6.1Nsfict
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT j
2.1 Owner of Record:
/ n .�y Celes 0 7ndn!Ct� c/; n /re
Name(Print) Current Mailing) (r6: /6" Pt
`P _ Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 8-ESTIMATEDCONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 5`6c�C� -(a)BuildingPermit Fee
2. Electrical / (b)Estimated Total Cost Of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection j
6. Total=(i +2+3+4+5) 446:0?" Check Number /�96p .305—b
This Section For Official Use Only //
Building Permit Number. Iss
te Issued:
Signature:
Building Commissioner/Inspector of Buildings Dale
Section 4. ZONING An Informatibn Must Be Completed.Permit Can Be Denied Due To Incomplete Information
®® Required by Zoning
This column to be filled in by
Building Department
PIIIIMMEEMEMERMEM
Setbacks Front
Side
Bear
Building Height
Bldg,Square Footage ® ®
Open Space Footage ® ®el
(Lot arca mina bldg&paved
111.1111111.1111.1111111111.11111.1111111111.1111111111
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO I) DONT KNOW Q VES Q
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW 0 YES Q
IF YES: enter Book Page andtor Document 9;
B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO e
IF YES, describe size, type and location: i
E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q r NO Q
IF YES,then a Northampton Storm Water Management Permit from the OPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House n Addition ❑. Replacement Windows Atteration(s) n Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [I7[ Decks [01- Siding[Dl Other[CI]
Brief DescnWp�on of Proposed
Work: /Te g''ve e�,J�tw / Irr retr fr/TAeir r /rifle(// MFS
Alteration of existing bedroom Yes X No Adding new bedroom Yes "I' No
Attached Narrative Renovating unfinished basement Yes .✓ No
Plans Attached Roll -Sheet
ea New-NoaseanrFbeadilil"ietr.3ow5itoa` rousfngcompletelfi-`eollowfNp:
a. Use of building:One Family Twn Family . ' Other
b. Number of rooms in each family unit: Number of Bathrooms /
c. Is there a garage attached? .4.4,
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. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes -V 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? -3 Yes No.
I. Septic Tank City Sewer k Private well City water Supply -*-
SECTION
kSECTION 7a-OWNER AUTHORIZATION-TOBE COMPLETED WHEN.
__ .
OWNERS AGENT ORCO�NTRACTOR;APPLIES:FOR BUIL➢INC:PERMIT
/AA A/' (/r/PS ,as Owner of the subject
property �
hereby authorize Tr API fat hq
to act on my behalf,in all matters relative to work
k'aauthonzed by this building permit application.
Signature of Owner Date
,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.
Print Name
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: /•
Not Applicable ❑
Name et License Holder: T0A'h, [CA' 14
License Number
C 't&con .4e hick. - 5 -1t'
Address Expiration Date
_ Ua '2 4n'
Sit awre - Telephone
iI ir'rra`rtl• °`-.^-.e_5• . .., :' s *`'n. - near:' Not Applicable ❑
Company Name Registration Num�rer '_
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 avit will result
in the denial of the issuance of the building permit
Signed Affidavit Attached Yes. A No ❑
a ars. . .. _...
��.y a011l:�S . t r :�e t @li
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(L) 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 10$$5.1.
Definition of Homeowner Person(s)who own a parcel of land on which belshe 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 be/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,yep 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 _..
Shp. of Ynt-t})ainpion
� - , l-
%r rE gtoa=. nc.¢
ar
DCPGRTMEIr OP 6LfWLD1))jC : 4SPPCr10NS
212 Main Street. ' iuuoicipnl Dttiding
Norlhurnpton, hInss. 01060 S
wopi.Tii'S COM'L.NS/ TION CD1STSRAN i AV-Fart:NTT
(Ii .dad. add=)
with a principal place of ttusinesslresidence zr.
(� -5—LZ
__ .-...
F2�t�tu^e . ()::none') -'—Jr
(r-ralcmyIrtaz ap)
do hereby certify, under the pains and penalties of perjury, that.
(.>,j I am an employer providing the following;worker's cornpcaseuon covenge For my
employees worthng on this job'.
dyrch - Th et-,cay v/Q: 73/95:5--/ahoc
(l surae Coot=ry) (Policy Nu r) (Erpi,don Due)
( ) I ma a sole proprietor, general noon-actor or homeowner(d-cd one) and have hied
the coo -actors Uri d below who have the following worker's comae.^_sanon echoes
(Nero: of Como:or) (insurance Camoarrp?ouc; Nuai.:) rcpimuoe Ont:)
•
CN:-Mc of Coop clop (L_v,uznec CAmprinvRoUcv Nunnc:r) (E»Iration Dau)
Chase or Cone-add) _..Ctnsuranc CompanytPobcy Numt:r) ( vpu oea Dam)
(Nam: of Contactor) nea raz Company/Policy Numb-s) (addition Dam)
(. .ram1:t'in.,x if ycnei2,,in 'oe pcuicn5 a.0 er-r-o,)
( ) I zm a sole proprietor and have no one wori6ng for me.
( ) I ain.a home owner performing all the work myself.
NGT:plex:be tare e,..Jc 6ct cn Wm=91o7 pe-:Lc 4.0 --.•.•_ =1C0 r rata..wt a,
co‘mart L_IS=thkou which She barnoone rto6 o m the ovJr4 +PWrut"vticao yz ox G=" 2 :1-eia be
cWlo>- UNC tSc+.ukw.n -.rill('AC(GL.”--= 5).�P4a5w by.boanoas fcr:lo.c rsr'ma r_.r.:iaxM
r-a t atm 4I.v e„rich..rimy Work....Cow tthu AO-
SWOP,'
O-Kea awry ar Wv c2a+m may ba r .v I te Na pw.m+ tt Ss m'el Attaccei omm .or lawm re tb.
mw e yr cio+rad thi Lathe ta.mafl Crc e_vrr—3.ce1w35A ori.tOL t59 a ay tmdto tM' 'wore+muvi po.i:a
msi.'C al a hoe of up to s r'Joo.m.t4'or..=1:,noa-a of-up u avc Y cad c.il v-•°.io w 6'r 01'Soo Wolk&cit ud
.
(Ira*CS 100.00 a ty tshun t
Fix em..au"->t...e m�
Permit Number
52),6 _ 7 s-r Lof:
saaSX" ""cue a;tip,,--tPcariuzc lace