31A-069 (14) 206 ELM ST BP-2019-0119
GIs#: COMMONWEALTH OF MASSACHUSETTS
MaWBlock:31A-069 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Cateeory,ADD BATH BUILDING PERMIT
Permit# BP-2019-0119
Proiem# JS-2019-000196
Est.Cost:$6500.00
Fee:$100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: STEPHEN CAMP 082531
Lot Size(sa. R.): 8058.60 Owner. SALLOOM SIMON
Zoning,URB(100) Applicant: STEPHEN CAMP
AT. 206 ELM ST
Applicant Address., Phone: Insurance:
46 EAST ST (413) 527-7124 0 WC
EASTHAMPTONMA01027 ISSUED ON.7131/1018 0.00:00
TO PERFORM THE FOLLOWING WORK.FRAME IN WALLS AROUND CHIMNEY FOR
BATHROOM WITH SHOWER ON 3RD FLOOR ATTIC SPACE
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 shunature:
FeeType: Date Paid: Amount:
Building 72120180:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019.0119
APPLICANT/CONTACT PERSON STEPHEN CAMP
ADDRESSIPHONE 46 EAST ST EASTHAMPTON (413)527.7124(1
PROPERTY LOCATION 206 ELM ST
MAP31APARCEL069 001 ZONE URB(IOOV
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvoeof Construction: FRAME IN WALLS AROUND CHIMNEY FOR BATHROOM WITH SHOWER ON 3RD
FLOOR ATTIC SPACE
New Construction
Non Structural interior renovations
Addition m Existing
Accessory Structure
Building Plans included:
Owner/Statement or License 082531
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INgPRMATION 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 m 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 Permit DPW Storm Water Management
Demolition Delay
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C91 I/
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.
Pr - -
__ Versioi Commercial Buildin, Permit Nfly 15.2000
Cl of Northampton Status of Permit Department use only
Bu ding Department am CuvOnveway Permit
12 Main Street SewerlSeptic Availability
DEPT OF BIULpND wsPEcRoom 100 WatenWell Availability
NORTHAMPTON,MA 01060 ry0 mpton. MA 01060 Two Sets of Structural Plans
one413-587-1240 Fax413587-1272 Pb1/SdePlans
Other Specify
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 Property Addressthis section to be completed by office
Map �t /T Lot C_.1-� Unit
�
�J s -.�LL>F I G�� "� /•M � Zone Overlay District
-._NA/ ✓ -- --_ -- -. - Elm St District CB District
SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Denver of Record:
V(, eA, S _Voi
Name(Pint) Curent Mailing Address'.
L `/
3/0--)X7 6
SignatureTelePnone
2 2 Authorized Adam:
5:}vt---) Li qL
m
Nae(Print) t Current Mailing Address: _..
C,4-5 y1-P�✓�1, /'Hc.
Signature Telephone
SECTION 3-ESTIMATED CONS CTION COSTS
Item EstimatedCost(Dollars)to be Oficial Use Only
pm
ceted by permit applicant
1. Building /f00 n (a)Building Perms Fee
2. Electrical --0 C' (b)Estimated Total Cost of
tio
Construcn lion, 8
3. Plumbing � /SOD Building Permit Fee
4. Mechanical(HVAC) --- —_ -- -
5.Fire Protection
6. Total iii +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number H01atef Building,
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RVRAME Roar vuuv U' 1
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BATH ROOM FLOOR PLAN f/2B = V -00
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Versionl.7 Commercial Building Permit May I5,1000
LIE�
Deparment use only
A
of Northampton Status of Permit
JUL 3 0 20ing Department Cum CuHDnve vay Penni2 Main Street Sewer/Septic AvailabilityRoom 100 Water/Well Availability OF 6UadNGINSORTHAMPTON.MAmpton, MA 01060 Two Sets of Structural Plans
one 413-587-1240 Fax 413-587-1272 Plot Site Plans
Other Specify
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 Property Address: This section to be completed byolflpe
oG Map 31 ,4 Lot �¢ Unit
2 Zone Overlay District
N� Elm SL District CS District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Prin) Cunenl MaMipAddress:
Signature C Teleph.'
2.2 Authorized Adam,
Name(Pant) ' Current Mailing Address.
C'4e5
SignaWm Telephone Z J
SECTION 3-ESTIMATED CONsTk6CTtON COSTS
Item Estimated Cost(Dollars)to be Official Use Only
On letoo b ermit appliciunt
1. Building �v ,,_ _ /fv0 p (a)Building Permit Fee
2. Electncal � o 0 (b)Estimated Total Cost of
Construction from 6
3. Plumbing Z t-0 U Building Permit I"
4. Mechanical(HVAC) /J /(
5. Fire Protection
6. Total=(1 +2+3+4+5) a Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signa
Building CommissionerArepector of Buildings Date
rs=f- oyy y
Vcrsionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONPIO
Existing Proposed Required by Zoning
Thu column in be filkd in by
Building Department
Lot Size
Frontage
Setbacks Front _..._.
Side LR —_ L: R:
Rear
Building Height
Bldg.Square Footage O O
Open Space Footage
(Lot ato minae bWe a
lunkislo
J
#afParkin Spaces --- -- -
Fill:
voawea
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Pagel and/or Document#
8. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
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 O
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 O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: .20` £14^ Sj'�r /t&✓�4,.iB/
The debris will be transported by: y41
lam✓
The debris will be received by:
jV
Building permit number:
Name of Permit Applicantflz�'�4
Date Signature of Permit Applicant