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31A-045 BP-06-218.. 261.cRESCENT ST GIS#: Map:Block: 31A -045 Lot: -001 Permit: Building Category: BP-2006-0218 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON BUILDING PERMIT Permit# BP-2006-0218 Project# JS-2006-0320 Est. Cost: $1000 .00 Fee: $50.00 Const. Class : Use Group : Lot Size(sg . ft .): 6969.60 Zoning: URB PERMISSION IS HEREBY GRANTED TO: Contractor: License: RICHARD NEIT0 ___ _..;0""""'8-'--68""""2"--'-4 Owner: FINNESSEY RON Applicant: RICHARD NEITO AT: 261 CRESCENT ST Applicant Address: Phone: Insurance: 11 FRUIT ST APT B NORTHAMPTONMA01060 ISSUED ON:8/2512005 0:00:00 TO PERFORM THE FOLLOWING WORK:SHINGLE PORCH ROOF OVER 1 LAYER 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 8/25/2005 0 :00:00 $50 .00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Building Commissioner -Anthony Patillo t Versionl.7 Commercial Buildin ,· / .. City of Northampton Building Department 212 Main :9treet Room '1.00 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, REPAIR. RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING · ·· · · · • -._c,.~ .:., -- ·----t1--Property--Addres : I ~~/ C!f-c:SC~N'rJ- 1 2.1 Owner of Record: · I 7 ~tv HN# rs9i'y Name (Print) i . Current Mailing Address: I f2Z-%"7v ; Signature Telephone 2.2 Authorized Age.nt: Name (Print) Current Mailing Address: I '11~ 69~ ?t-s/ Signature Telephone Item . com 1. Building .. ·J 2. Electrical 3 . Plumbing 4. M~tj,anical (HVAC) 5. Fire Protection Vei:sionl.7 Commercial Building. Pennit May 15, 2000 Interior Alterations O Existing Wall Signs · D ~molition D Exterior Alteration O Existing Ground sign O New Signs D Repa rs[] ~dditions O Accessory Building D Roofi g II( Change of Use D Other D Brief Descriptio.n jEnter a brief description here. · · Of Proposed Work: I r c.,V\ .. · Ov .e {' . ~~~-44:·,:_:_-·~:.:.·,:..:;::.~. ;,:SEe,1lONt5t-"..US!:::G8.Q .. A Assembly 0 .. -------·-·-- B Business 0 E Educational 0 F Factory 0 H Hi h Hazard 0 I Institutional 0 M Mercantile 0 R Residential [J S Storage 0 U Utility ,·o M Mixed Use [j S Special Use D USE GROUP (Check as applicable) As1 . 0 A72 0 A-4 0 A-5 0 F-1 D F-2 0 1-1 D 1-2 D R-1 D R-2 D S-1 D S-2 0 Specify: 1 Specify: Specify: 1 ! ~>-:,2A~P@Js~1if~~Jit4:~~~t.~~~ ·"· .. , ,. .. ~ Existing Use Group : ._! -------'----------~ Existing Hazard Index 780 CMR 34 ): ! A-3 1-3 R-3 BUILDING AREA EXISTING Floor Area per Floor (sf) PROPOSED NEW CON , TRUCTION 1•t I ..__ __________ __, 2nd '-------------' 3lll i ~-----------' 4th ..__ __________ __, Total Area (sf) Total Height (ft) 1•' ----, _ __J 2nd I -----:--i -~ 3lll ---i ___. -----, 4th _ __J Total Proposed New Constr 1ction"'-'(=sf)"---_ r i · Total Height ft 0 D 0 CONSTRUCTION TYPE 1A [J 10 D 2A 2B 2C 3A 3B 4 SA SB D D D D 0 D D 7. Water Supply(M.G.L c. 40, § 54) 7 .1 Flood Zone Information: 7 .3 Sewage Disposal System: .. • Public D Private D Zone i Outsid1 Flo _Jd_Z_o_n_e_O _____ M_u_n_ic_ipa_l -'O ___ o_n_s_it_e_d_is_pos""". _a_l s_ys_te_m""'O=-..... I · Version I .7 Commercial Building Permit May 15, 2000 Lot Size Frontaoe Setbacks Front BwldmgHe1 Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved . ) # of Parkin S aces . Fill : I (volume'& Location) ~' ,. Existing c=J L:i . I R:I . I I I t__J I I I I I I c=J CJ Proposed CJ ,............:. -·- L:I I R:! I c:::J L__j % CJ CJ % I I I , CJ i I I' 11 Required by Zoning This colwnn to be filled in by Building Department ··~ L~ Has a Special Permit/Variance/Find~ng/ver been issued for/on the site? NO O DONT KNOW Gr YES 0 A. IF YES; date issued: I ----------' IF YES: Was the permit recorded at the ~gi~ of Deeds? NO . 0 DONT KNOW C\.,Y · YES 0 IF YES: enter Book j I Page j""' --~-_,I and/or Document# I efoONT KNOW O ~Y-ES_Q_: -~ B. Does the site contain a brook, body of water or wetlands? NO IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q IF YES, describe size, type and location: I NO 'd' E. Will the construction activity disturb (clearing, grading, exca tiori, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q i NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ... Versionl.7 Commercial Building Permit May 15, 2000 :~it~tJ~:ol\111~:lt&~-' 9.1 Registered Architect Not Applicable D Name (Registrant): Address ,_,_-=~ t-S..,.ig_na_tu_re _______________________ T_e'~hon_e ___ ~----------------1 9.2 Registered Professio-nal Engineer(s): ··-·+·--·-···-···· ! ---+--t+--------..:...-·---·-·--·· ...... . Name Area of Responsibility ----------------------------,-----, '======================= _ __J Address Registration Number Name I ----, .,,,. ==================== _.__J Address r--Registration Number ~ ----------------------Signature -------------------------TE leph,_>n_e ____ Exp ____ ira_tio_n_D_ate ___________ --1 ! Name Area of Responsibility ======================= =~ Address Registration Number r-= .11 ------------------------==== -==================-Signature 1-----------------------------T' leph1>_n_e ____ Exp ____ ira_ti_on_D_ate ___________ --1 Name Address I -====== 1-S..,.ig __ na_tu_~_e _______________________ T, ·leph_>n_e __ __._Exp--'-_ira_tio_· _n_D_a_te __________ _ 9.3 General Contractor Not Applicable 0 Company Name : Responsible In Charge of Construction I l<,1;l;r:,tzl ,;u;;;lo l) ~ JI ., W!fin >1?:L ==! Address ~ ,.44 .... ~ I £i.(*~~s7 1 Signature T i lept_on_e ___ .___ ______________ ___, • ~f Versionl.7 Conunercial Building Permit May 15 , 2000 .J " Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 I, -'=~A=1.7o~=N===h=,.......=r=~=N==<9==~=<=£-{===================='· as Owner of the subject property all matters relative to work authorized by this building permit application. ,--------r---,---,------, I ============:::::::==::::::::===:::::::;1=====================----· 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. . ' Not Applicable D I Name of License Holder :..::: 1 ==t========================= I 1/ PviXf License Number Expiration Date Signature Telephone · 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 Q r ! ~.I .. bEP/1.RTMENT OP DUI JJfr.!..C INSPECT/01,S 212 Mo.in Street • Mur icipnl Duilding Norlhamplon, Mn;s. 01060 \VOruU:rrs COiV(PENS/\ TION, ?{~ URA.NCE AFFIDAYlT l, __ (<re,~~~ ·µof-lo -------·-.. ··- (li ccus.cd perm i ttcx ) 11 ~vv+ r{ .J.J.,~/l .,,._,/I~. A/1)7_._,,>_.· .. c.:.:___···_· --/ J ~u ., ,,..,.. v <-b ·(phon~f;) .67.) .>t.5- ( S0-C:.U ci ty / SW :-'z:i I >) do hereby certify. under lhc p?.ins 2.nd penalties o · perjury, iliar ( ) { 2.m :111 employer providing U1e following \\'( rkcr's compcnS.::LlOf1 cove;.13c for my empl'o;1ces working on t.his job : ,· (lnsur...nc: Coop.:lly) (Pcl.ic ,. Nl.!Jl.bcr) ( ) I am a sole proprietor, geoeraJ coocraaor or homemvner (ci;c:e one) 2,nd b2ve hired the cootractors Listed below wbo h2.ve the foUow .ng worker's wmJen.s2tion policies : . (Nnruc of Co~,;:icwn (Insur.in~ Comp;iny "PoL ~,-Numb::) (N:i.mc of Coocr;;aor) (lnsuI2..Dc: Company Pol cy Nu.mi::-:r) (N2..II1e of Courraaci;) (lnsuranc: Comp.any 'Pol cy N:imro) . (N21De of Contractor) (lnsurao.a:: Comi:;ao)!Pol icy Nu.mb-.:r) (,cud, .:.d6ioc,J 0:-C:. ifaocc:u':··l<) u.c!u-d: iaf~oo ~ la a.I: ooa:,-::..c..o:-,) ~ I am a sole proprietor and .bave no one wort ing for me . ( ) I am .a home owner performing all the work my :,elf. (Expi.r:;cioa OJIC) (Expiration Da.Lc) . NOTE: plc=.>c Ix •"'>t'c lh.: -...-t;;Jc boax:o-,.-c,cr, v.-bo employ IX='= t, d:, c ·,cr:1c:uao:. =.:c.JOO c: n:;,u-won;. er.,, d--~~ of OD( = lh.:..o 1!:m: =i°J u, which the bomoowncr rc::,j9C oc oo lh<: D"""OC , z;,p .ut.c= ~ c.. -c o::,t. c=cn11Y o:cr.,d.:n:d t.o be employ= uocc-the '-'-orl:.cr': ~on Aa. (G Ll $2.= I (5)). "f'Plic.ci m try • born.coo.= fc : G=--.: or permit = y c..-idcx,o: lbc lc-g:,.l CU!lu of 4" =:;,loy..-uodc.-d.,o Won:.oc', ~ Ad_ I~ lb.d. "copyolthu a>.laDcal m.ay bo (~ la tho Do; """°'a1 o(lodo.u:si..J A<aO<:<JU' Offioo of~ for tho 00~ 'l'a-ilic::lioo ._-,,! lh:.1 !:.il= 1.0 = 'co~ uodo; >octioa 2 5 1·, of }, t O L I 5 2 cu, la.d t.o the im;xnitioo of aimi=l pco.ilii cs 00<JW:mg of• fisx ofui, to SU00.00 and/ex aDpruoamc::l1 ofup to oo:: y:= wd civil p=,J'.io io cc Conn o( • St.ot> Worl:. Order &Dd' f= o( SI 00.00 , w.y •f;J.1Dll =. .. , .. ,', ' •