06-032 (4) 59 LEONARD ST BP-2005-1103
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mar:Block:06-032 CITY OF NORTHAMPTON
Lot:-001
Permit: Buil In
category: BUILDING PERMIT
Permit it BP-2005-1103
Project€ J5-2005-149$
Est. Cost: $800D0
Fee:5251.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groupt Homeowner as Contractor_
Lot Size(so.ft.): 27660.60 Owner: ROCKErI JOHN P&JOAN G
Zoning: URA Applicant: ROCKS I I JOHN P &JOAN E
AT: 59 LEONARD ST
Applicant Address: Phone: Insurance:
59 LEONARD ST �.{ ) 586-7752 Q
LEEDSMA01053 ISSUED ON:5I29/05 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 10 X 14 SHED
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: 07: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF PIS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeTvue: Date Paid: Amount:
Building 5/19'050:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patilin
•
File#BP-2005-1103
APPLICANT/CONTACT PERSON ROCKETT JOHN P&JOAN E
ADDRESS/PHONE 59 LEONARD ST LEEDS 5i4 '7753-
PROPERTY LOCATION 59 LEONARD ST
MAP 06 PARCEL 032 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 94/ Oast
Fee Paid
Typeof Construction: CONSTRUCT 10 X 14 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LLO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INRMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street ssion
CA/2/-CI
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
d `bniq
•
te .„,.t
40 -' City of Northampton status of PermiE ��
Building Department Curb Cut/Driveway Petmiv
2i
cis 212 Main Street a A
SAY Room 100 �T�=; AYaI =4'�`•
Northa pton, MA 01060 'Frim Setagf i`$tans uSfi�k*xi
phone 413-587240 Fax 413-587-1272 Fir*, dant '�' ` "�..�
' ; - ; TI4T?
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1•SITE INFORMATION
1.1 Property Address': This section to be completed by office
5`i Leonard $r Map ^
_ _ Lot 3 .”— unit
( f-e a 1 Zone Overlay District
Elm St.District CB District
SECTION 2•PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record: _ ...
John f 3c(.n gjo<kefF 54 tCOnurct) Ltalc o,ur3
Name(Print) Current Mailing Address:
a Telephone
Signre
2.2 Authorized Agent:
Name(Pant) Current Mailing Address:
Signature Telephone
SECTION 3•ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ,J0 (a)Building Permit Fee
2. Electrical G (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) $Li U Check Number
This Section For Official Use Only
Building Permit Number: Issu
Dal ed:
Signature'.
Building Commissioner/Inspector or Buildings Date
Section 4. ZONING All Information Must Be Completed, Permit Can ae Denied Due To Incomplete Information
Existing Proposed Required by Zoning
- This column to be 61te1 in by
/� / / Building Department
Lot Size 6G.. ,L 6�//) 660
Frontage
Setbacks Front 024112 /S
Sidi I R:I. Li/err)._ /C [//... ...
Rear
Building Height
Bldg.Square Footage %
Open
(Lot area bldg&paved . 6oA
ttr of Parking Spaces i-- -
Fill:
(volume
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW e2 YES Q
IF YES: enter Book _. . Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ICY?. DONT KNOW 0 YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained a Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO C
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO
IF YES, describe size, type and location:
E. \Mr the construction activity disturb(clearing grading,excavation,or filling)over i acre or is it part of a common plan
that will disturb over I acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION Si DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing C
Or Doors C=
Accessory Bldg. It Demolition ❑ New Signs pit Decks IO Siding IAJ Other[CO
Brief Description of Proposed4 / 1
Work' h6„ G Sh ft i0 X q
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yea No
Plans Attached Roll -Sheet
Ga. If New house and or addition to existing housing, complete the following
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 f 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 No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
c Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, r ce J
J (^telt;C.t eG(l'y Hoch ....... as Owner of the subject
property
hereby authorize
to act on my behalf,ip all matters relative to work authorized by this building permit application.
1 L -(-'-- tter /Le c f!3)0 S”
Signature f Owner Date
I, ,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 of License Molder'.
License Number
Address Expiration Date
Signature Telephone
S.Registered Home Improvement Contractor. Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.o.152,§28C(89
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.
Signed Affidavit Attached Yes ❑ No......
11. -Home Owner Exemption
The current exemption for `homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 1083.8.1.
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 mor£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 pertimn 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 Lo I Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature - �GrGb'V1
(. .- a4ei :an nu..taN>:m�,l Jo amy.•a9,s
/ 7/ JjJ4 91 .y z�
AW wn Tula' .. (
xu tars Are.DO 001S10 mJ
popnUO W/6,+m5•Jouuo1,pm nnMn Co a7+(xn Cl Onto romoo-cutn a,00Wt'i f m,Inp xr511) 23zatt>tco
a�mr3 tsmW.npmrw-- :qim PnI^"LSt 1DNPvst o°+sn+ap asxw,q vrmr m'93rm amp pua atMACE,
;°14°a•- 1I°.090 p 'v rto*Wot)°. m...1,3 xn m P°P '"..1 F.m»m'IV)o+m..,rW vo'•'r.enoni
i.m la Vnurinn.,..q:o)mv°vmop.Fq oortotlhhnv nro pY,Nm co open xA°itrn n Jo non pPeo
ya
Y(c)1�u1'lo)PY m n;nn.,><,apse LoAo1mcn
Nm P.V:oro:.r.-••.:a no an onno:-.aWedh .oda::pp ncor:nononop o2..m onp>vyl e.papo�e
p`.-:r-_p,CO 0,0110..•, 00011m:= 0,,0 ,.0 02 ai mov4 Pale®c.,p .\, caq orar o-lZ c,.- d &1oN
3•psAm 3i.104 aq) IIe &rruuo}Jad Jnnyo atnoy e w I X
atti J03 8 uom avo ou aneq NIP Jmaudmd DIOS e me 1 ( )
(uco-_cm if n sc.n.>oa o,etWUDJUI a,y,.o c . )op :n;,,vnv a.o+)
(7Q oonandx3) (rq¢mN ,CorlodJ,(crzlmoD aooeinsaU (Joueuuou)o aorzN)
(otcg conendcJ (rqunIN tigod(,feyum<J soU rrscr) Uouezuo)JO aw L).0
pr c uolnLnatite {normN.Cupoat(etdmar oomLnnl ( onruoa ioc )
(OPO eo:)enc:-) ou n,- LDnodi.(rtdmop tuunsol) (;o:JuruOD H a tro,L)
SiS,iod uou2ot) CWC,9 s32liJ6m SEVoodo) aqs aAZ.4 oqm mopq passe( seo17C.oOoa aq-
oanq an=11 DU (aao aP)..a) iaornoatuoq Jo Jo1JPnuop (EtauaB 'Jo)audo;d ajos as ure I ( )
(enQ acn^_rzd:, ) (t yw.N in((a<i) (:SndooD
qot seen ao SU>=,Jcat;a:,Aoldma
,Qu )oj a°vlAoD eo¢ascadmo) 6-1J)O0 ) Samtol(o) aq1 EtrrptnoJd onesolma uu tool ( )
rem ',emend 3o sannuad pers. sword ata noun ',C3n.Jaa dyaJaq op
(d2..oeu(.`vvoponas)
{,;auood)
"te nttaplsoA)ssamsnq o aoe[d Ldtaun d E Env,)
( srurtXlp^snxv)
•:LL1vc(L1 t 3DZ.Pr\ QSha NOILVSNaSYVOJ S.1,IDC1IOA1
090 to -ssvyq •uo)dm'41-MN
B�,ipp��Q lv dt�tun Pans O19SV 313
3no1n2d5N1 oNuminu eo intaJvdxvdao ZCS
.<t>7aq,.,s.13
•
1 dor(ttttnil;2u)� jo tt7ij) y e
�O�exvnt'O�
E
1
r
_
5
v
�,� /7_13(1741 ��t!? �vt STAY