30B-073 (11) 227 SOUTH ST BP-2001-0287
GIS COMMONWEALTH OF MASSACHUSETTS
Magiplock:38B-073 CITY OF NORTHAMPTON
Lot:-001
Permit Building
Category:renpvatiOn BUILDING PERMIT
Permit# BP-2001-0287
Project# JS-2001-0462
Est.Cost:$6300.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
const class: Contractor: License:
t Gran Scott Nickerson053156
Lot Size(sq. It): 2321 7.48 Owner: PAPORELLO LORI
Zoning:URB Applicant: Scott Nickerson
AT: 227 SOUTH ST
Applicant Address: Phone: Insurance:
P O Box J (413) 367-0171 Workers Compensation
LAKE PLEASANTMA01 347 ISSUED ON:9/22/00 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND STORY DECK & STAIRCASE
W/DOOR INSTALLATION
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# 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 9/22/00 0:00:00 1020 $50.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Potato
File#BP-2001-0287
APPLICANT/CONTACT PERSON Scott Nickerson
ADDRESS/PHONE P O Box J (413)367-0171
PROPERTY LOCATION 227 SOUTH ST
MAP 38B PARCEL 073 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid /OdC2 450 -'
TypeofConstruction: CONSTRUCT 2ND STORY DECK&STAIRCASE W/DOOR INSTALLATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 053156
3 sets of Plans/Plot Plan
TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
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 Commissi Permit from CB Architecture Committee
S
�jc�7>
Signature of Building Official Da e
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.
Versionl.7 Commercial Building Permit May 15,2000
,�,
of Northampton
1a. (Hing Department - *"`�"* w '
1\ul•.' 1 5 2 Main Street
UU •oom 100 ', ''-
�noiBuao��Io�.�. . - pton, MA01060
ry0R1N - A 3-587-1240 Fax 413-5871272
ta:;t
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property9Address: (� This s L• rgrddnicet§d by o• µ. q.
2 - 7 <3
0 'h d+. MaP s '.i. ," m
Nr M dv— 4,4- C ./ " H
.{ l ,n CB DIsI,�lct ,!.7 '''3; #�
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Reyrd:
Lot t kPh /0.L-'y-Lb
Name(Print) Current Mailing Address:
\Aw —
Signature Telephone
2.2 Authorized Agent:
Sc. 7. /lid J ol^ /13. 4. Lc„r..w# Ail Le„c,ef1 fhln 0/0,r7Name(Print) "" Current Mailing Address: r
N/7- 36 3- -off} /
Telephone
SE ON 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official.Use Only
completed by permit applicant
1. Building6/ 3 o a (a) Building Permit Fee
2. Electrical (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) t, 3 0 a Check Number/WO , C6
tC/� ��11�� p This Section For Official Use Only
Building Permit Number. Pe 41 L `Date Issued:
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 'y''7'
Setbacks Front // //
Side L: RS R: 3G L: R: 3 °
Rear N0 4: p
Building Height .3 ' SA",-+-
Bldg. Square Footage
/ 600 / $ /600 / 8
Open Space Footage % ' l
(Lot area minus bldg&paved /2 0 a 0 ti -I o
parking
#of Parking Spaces /S
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X 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 K 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 X NO
IF YES, describe size, type and location: A x. 3 rx 3' 11
YP P flex- /JA,•C1..} �--f/
D. Are there any proposed changes to or additions of signs intended for the property ?YES
Nox
IF YES, describe size, type and location:
SECTION S. DESCRIPTION or PROP} ._D • ... he k a . 'cab!
New House 0 Addition ❑ Replacement Windows Alteration(s) 0 Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ I Decks [9] Siding[ I Other[
Brief Description of Proposed Work: a"Q cf.:Tr °(¢c./ • S{w..CA.w. /J�H Zi"/a/. t—
Alteration of existing bedroom Yes 7< NO Adding new bedroom Yes x No
Attached Narrative❑ Renovating unfinished basement Yes X No
Plans Attached Roll❑ -Sheet
6a, tN .A culrte'• , rY TClI{Lp:ii . ou itt "_mu4
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?
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
, as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized 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
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL.PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes 0 No 0
SECTION 11•OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, L O t 1 R}P02&t L 0 , as Owner of the subject property
hereby authorize 8,47T NJ(is EKSON to act on
mbehalf, ink}\all
�matters relative to work authorized by this building permit application
.
igimiiiinatur -Owner Date
e
SCC"i 3 4'C Lcrr-oy� , 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 perulties of perjury.
-.w cc 1
Print Name :#0,X
i �jte o
.'ry�f��4 per/Agent Dafte
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: ,,/ •iNot Applicable 0
Name of License Holder: �Co 7d 4/
-A C deLte -.
License Number
l97e., «c1y £../, LC„<.- # AM awry
Address Expiration Date
41/3 - 3L4-0i7 r
f er-' Telephone
SECTION 13-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.
Signed Affidavit Attached Yes II No 0
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
•
Name of License Holder: Ste N lb tJ.c /cr.cc,._ cS3 / SL
License Number
c - fl R / Le„cre79, /NA C/o f Y £ ya
Address Expiry ion Date
�-j -
‘11/ 3-7i7- - 0 /3 (
Telephone
. .:,, .Ta, . :,,, :,, if.Yu77x,1, "", __. . ������'....€.'� `".e+z Not Appl icable ❑
/04/ ?-5- 7
Company Name Registration Number
V/L/o a—
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.
Signed Affidavit Attached Yes 111 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 780, 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
•
'ORSHAMPi.
art (rtfR of doxfl ttni}ttnn *_'
e
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c� T
DEPARTMENT OP BUILDING INSPECTIONS
of
212 Main Street • Municipal Buildingetct-er.,)
Northampton, Maas. 01060
WORKER'S/COMPENSATION INSURANCE A TIDAVIT
,SWORKER'S
M1t<t kerJcs..._
{((M'�vtJPe[AUfCCC)
with a principal place of business/residence at:
jy} t. Lc a.a f( 2 , Leo e. mew Oros( (pione(i) 4/3 - 363 - Ur3 /
(srxceticity/StateJAp)
do hereby certify, under the pains and penalties of perjury, that
O lam an employer providing the following worker's compensation coverage for my
employees working on this job:
A ( :lf .�S 9x 933 / 00 ♦o% a
—.... (Insvxance Company) .
(Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
. . the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(mash additional tree'if moocher/to Mich.&,n!atioa pnim^B to all o *ud n)
( ) I am a sole proprietor and have no one working for me,
( ) I am a home owner performing all the work myself
NOTE:;Sew be morn tbatwtrilo hoormitiveacte who ctu$oy rap=v+bo n,;,e.,,.m ox too or zoo*work me adwcmisg of
not mon can tee unite inwhih the hombovteraidn oc oo the greor ds aispuakmat exaao an me gmsaily omid:rid to be
ca,Ioymunder the twitch o aamka Act(GL152,o1(5)),application by t homrowairfoe iam a Mulls mad eMeixahe
legit matte aim auployar under the Wakes Campewatiw A_
I aa&anmd theta copy of hie etttectiotil may ba frw.wdad tc the Uapearmx offr.a!+hiel eFmd1 OHiae of Imueae foe the
oowng m+ic tion pati that fsihire w admit cowtaga under section 25A oSMGL 152 can(Ste ivrots imp:maNi prrnllac
oomtatieg oft fro°Stip to S1,500.00 mVarngavoney;ag of up to ane year sed civil ptomain in he foam ora Stop Wm&Orkt 011ds
Ft
fvmo(Sl00.00aday '.; ... .
Fa d&pntual tam only
Permit Number
// Mapfl Lot
S'. ory - is
< fLice»see/PermitlM
• MORTGAGE LOAN INSPECTION
SEPI 5 2000
•
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DEPT OFBtJU: '7 iNSPECfONS� � .
NoL.. . .. 'IA d1060 �i i
I SC‘
k hS
2b
PAW/�
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`*k.r I Laos xNFu2ENCF
• t S t1`
Book 1929 rage 26S
��ka"i „42.., ���.-
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617 )y �I •
Paari.,y I r,,
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't 1 oe 144.'t� _ k � Ii4
ou TM S-ICE-r
Tp, Fidelity National Title Insurance Company OWNER:
Russell A. Hansen
ANA Joyce M. Hansen
I bmeby report that the promises shown on this plan is not LOCATION: 227 South Street
Iocetdwithin a Fiord Havel Area as shown on the Federal Northampton, Massachusetts
Eatergency M nsgmeat Agcy&Flood Insurance Rate Map,
Community Number 250167 - 0002A E. B. HOLMBERG &Associates
Effective Date Apri I i 1978
LAND SURVEYORS
I also report,to the bent of myknowledge,information and 57 TINTON sitars,EAHIMRIPION MA 01027-0945
belie&that this inspection pin shows the impmv4meot or
improvements as located on the premises bed,that the ]]DAMON POND ROAD,CHESTERFIELD MA 01013-0IJb
improvmmt or improvements are entirely within lot lines,and
that mere w no encroachments upon thepremises dmibed N*^4+ya SCALE:
by the improvement or improvements*Pliny adjomiug pr®iscs. I^a•� I^ s 30'
except ted I Mather report that then m no easements <' Mnv
of newel affecting the can shown hereon.except umttd 4(.-'�'� G DATE:
OLM9EHG
J^.`Oa June 6, 2000
90ty n0^t pC
jaSINF, ., JOB NUMBER:
�a ." W'L.�.4 '�+ 00-036
THIS PLAN IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY.
AND IS NOT TO BE USED FOR CONSTRUCTION PLANNING OR LAYOUT.
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C6VtJTbM1- 227 South Street
r �� Project#20139
October 14,2001
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