Loading...
23A-003 (2) 27 MEADOW ST BP-2005-0662 GIS 4: COMMONWEALTH OF MASSACHUSETTS Man:Block:23A-003 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit; Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:Non structural interior renovations BUILDING PERMIT Permit It BP-2005-0662 Project if 75-2005-0161 Est.Cost:$24500.00 Fee:$80.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Robert Reckman 009498 Lot Size(so. ft): 10$02.$8 Owner: GUNTHER JOHN F&.DANAE MARK Zoning:ORB Applicant: Robert Reckman AT: 27 MEADOW ST Applicant Address: Phone: Insurance: 36 Service Center-Unit 2 (413) 584-1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:12/9/04 0:00:00 TO PERFORM THE FOLLOWING WORK:FINISH BATHROOM/LAUNDRY/STAIR HALL & 2ND FLR CLOSET 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: O_t: 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: FeeTvpe: Receipt No: Date Paid: Check No: Amount: Building 12(9/040:00:00 11099 $80.00 212 Main Street,Phone(413)587-1240,Fax;(413)587-1272 Building Commissioner-Anthony Patillo File N BP-2005-0662 APPI.dCANT/CONTACT PERSON Robert Reekman ADDRESS/PHONE 36 Service Center-Unit 2 NORTHAMPTON (413)584-1224 PROPERTY LOCATION 27 MEADOW ST MAP 23A PARCEL 003 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /1199 Fee Paid IJ Tvpepf Construction: FINISH BATHROOM/LAUNDRY/S/AIR HALT &2ND FLR CLOSET New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 009498 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO TION 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 o� Permit from Elm Street Commission Signature of Building fficial 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 appiieable 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. 2 'A Department use only , City of Northampton Status of Permit: S ljp ^ , Building Department Curb Cut/Driveway Permit ' t 212 Main Street Sewer/Septic Availability jl Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 1 APPLICATION TO CONSTRUCT,ALTER, REPAIR_LENOVA �tA H A ONE OR TWO FAMILY DWELLING D LO �- r, IM1 1, Ii � , �, - I S SECTION 1 -SITE INFORMATION 1.1 Property Address: ..,�. � - �3 Q T41 section to be completed by office Qy�� 4v I -7 rn ac1OW `Jt I'Ger 4 Map I Lot Unit i,VS FIbrence. 1 (nA CIO?a� pn'Ot ;.1-r7 t)! n• •r_ Overlay District .1.---- Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Nama(PrintUnAi t Cuurn Erg c2gmf/IDOu) 3� a r; FlueitucEM ress: — 6 ,1-I —IT a-o9 ' Telephone Signature // 2.2 Au'" ...ii-zed Agent: I fel iRE 'V MAO . _. _ . 1. • Mtgiro 44/4 Name(Print) Current Mailing Address: .-----2,...---------r— 5f3N- I�-44- Slgnature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee 16000'OL) 2. Electrical (b)Estimated Total Cost of (.5C0 OD Construction from(6) 3. Plumbing Building Permit Fee -3500 •DO 4. Mechanical(HVAC) 5. Fire Protection 9 I OW00 6. Total=(1 +2+3+4+5) at (4, a Do .00 Check Number /logy — This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Sae Frontage X10 CFYANC-tt TD Fa' TfpQjNT Otzu Setbacks Front Side L: R L: R: Rear Building Height Bldg_Square Footage Open Space Footage (Tot urea minus bldg&paved pa king) #of Parking Spaces Fill: Flume&Location) A. Has a Special Permit/Variance/Fin(dirn�g ever been issued for/on the site? NO 0 DONT KNOW (1 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW cio YES (9 IF YES: enter Book Page and/or Document ft B. Does the site contain a brook, body of water or wetlands? NO a DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES (9 NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacement Windows Alteration(s) Roofing in Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [❑ Siding[❑] Other[0] Brief Description of Proposed Work: �IN15tt }3An]Ropy1.4 LquNOry 51-/9 HAi( e onlg Closer e; Alteration of existing bedroom A Yes No Adding new bedroom Yes X No -2ND Axe Attached Narrative Renovating unfinished basement Yes )( No Plans Attached Roll Che? 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 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 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 SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, .J DHN UUMT)7 Et ,as Owner of the subject property hereby authorize E?r,OF EL-iL-ft'1A n-) to act on my f, in al a tern relative to work authorized by this building permit application. Signature of er Date .30t3 RE( k MAN/ , 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. `tea IRF(v ti(>a-ti Print Name Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: ,'}�" .. \ Not Applicable ❑ (> Name of License Holder: "f�OP]E ytT g avIA-r + _— o _I-± f1 p License Number 32(P C t(np NAmoreN 144 Qio(oO (4 il /oto Address Expiration Date Sea - taay Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable O C . get rr4nr3 1051109- Company Name Registration Number 34, 5E1E4itE 1 i2. ) R(lt 4Ma to /t* Address /f'',, ++ Expiration D ...... Telephone 50-1 1ZZ4 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MAL.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. (ICH_ Signed Affidavi^.Attached Yes ❑ No ❑ (It2ri ricAra ott( Ei(e 11. - Home Owner Exemption The current exemption for"homeowners'was extended to include Owner occupied Dwellings of one(Il 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 )08.3.5.1. Definition of Homeowner,Person(s)who own a parcel of and 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 fort acceptable to the Building Official that he/she shall be responsible for all such work performed under the buildine 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 persons) 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