22B-008 (36) 130 SPRING ST BP-2001-0097
GIS#: COMMONWEALTH OF MASSACHUSETTS
4W.Block:22B-008 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category'Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-0097
Project# JS-2001-0148
Est.Cost:$4200.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: John Punska 039852
Lot Size(sg.ft.) 65775.60 Owner: PEASE THOMAS R&PEGGY-ELLEN
Zoning,: GI Applicant: John Punska
AT. 130 SPRING ST
Applicant Address: Phone: Insurance:
5 Dimock St (413) 584-5533
LEEDSMA01053 ISSUED ON.7/26/00 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPLACE EXISTING FRONT PORCH STRUCK
BY CAR
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 7/26/00 0:00:00 2492 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2001-0097
APPLICANT/CONTACT PERSON John Punska
ADDRESS/PHONE 5 Dimock St (413)584-5533
PROPERTY LOCATION 130 SPRING ST
MAP 22B PARCEL 008 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid
Tyneof Construction: REPLACE EXISTING FRONT PORCH STRUCK BY CAR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 039852
3 sets of Plans/Plot Plan
THE YOLLOWING 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 CSion Permit from CB Architecture Co ittee
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.
- City of Northampton Status of Permit: Department use only
Drf ----
Building Department Curb Cut/Driveway Permit___._
212 Main Street Sewcr/Septic Availability___
JUL 2 5 2000 Room 100 Water/Well Availability __ ___ —_
Northampton, MA 01060 Two Sets of Str,ictural Plana_.,_.____:
DEPTOFB!w Phone 413-587-1240 Fax 413-587-1272 Plot/Site
fv0n r;' Other Specify- __--
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
/ ae) S'�r �N` Map Lot 2 Unit
ElU tU'�C�P_ /�� olcilbc� Zone Overlay District__
Elm St. District CB District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record- per's
iC)M �' I�d ��/w►c S 1 I�C�l�t /1Jfi
Nam rint) Current Mailing Address: / U 1666 2
Telephone
SignatWV
2.2 Authorized A e
--
Name(Print) Current Mailing Address:
— el, tl(/J� �i7Y SS
Signat e Telephone
SECTVN 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building OU (a) Building Permit Fee
2. Electrical 1 GO vv (b) Estimated Total Cost of
C7� Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Gla - QU Check Number
This Section For Official Use Only
Building Permit Number: FDatelssued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED,or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATIO
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Fronta e
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO
v DON'T KNOW 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 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 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
"ACTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [•��
Brief Description of Proposed Work: ^off
Alteration of existing l&droom Yes 4--No Adding new bedroom Yes '�No
Attached Narrative Fr Renovating unfinished basement Yes L-----No
Plans Attached Roll ❑ - Sheet❑
6a. If Newhouse and'or addition to existing housing, complete ,the following: i
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?
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,
Qe PPS as Owner of the subject property
hereby uthorize J0 6� L4 US to act on
my b If, in all m ers relative to work authorized by this building permit application.
D�
Signatu ner Date
h4l7Z7 ,�44 as Owner/Authorized Agent
hereby declar7e that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
,igned under the pains and p Ities of perjury.
Print Name
� lasl a v
Signature of 0 er/Age t Date
SECTION 8 - CONSTRUCTION SERVICES
1 Licensed Construction Supervisor: I, y Not Applicable ❑
Name of License Holder: `IU�VI vl +7 sem/ dJF$5Q
License Number
�,y►n o C 57 �pP c_�c GLJ�j Ln Zo a
Address Expiration Date
Signature Telephone
9. Relzistered Home Im rovement contractor: Not Applicable ❑
Company Name Registration Number
W4 e-0 Ep- &A
Address Expiration Date
Telephone 52VW
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....... No...... ❑
X11. - Home Owner Exemption
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 hyo-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
Q`�tw(nT
R E (riof 'Noa:tljamptoil �=
Q1it3aachnertte
DEPARTMENT OP 13UfLDr)\C INSPECTIONS
212 Alain Strcet ' Municipal Building
Northampt.on, Mass. 01060
«'ORICER'S CO\'Q'ENSATION INSURANCE AF M, AVIT
(li Ccusxlpermi ttcc> --
v,gtlt a principal place of busmess/residence at:
_ST S 6A5 (,; one
(st2�t/c i ty/si atch]P)
do hereby cer6f):, under tlic pains and penalties of perjury, :hat
( ) I
am an employer providing the following workcr's compensado, cove:-2gc for Iny
eruplovecs wor!allg on this job.
(lasunm Corsi c�) (Polk: NtL--ab--r -' Da
(r.-0t7�tio, tc)
O I am a sole prooreior, general contractor of homeow-oer (ci cie one) and hzve hired
the contractors listed below who have the f000w-ing worker's com--nsadon policies:
(Name of Co.^.tmcto:) (Inst rine Compan)`/hoUei Numbc:) (l:rn;�t:on D Itc)
(Name,of Contractor) -- Gnssrance Comoanv/PollCi Nutac^_r) (Exoir;:tion Date)
(Name of Connac�o,,) (1-a5urancc C:ompan)•/Polic)-N,,Lmber) (Expiration Datc)
(Name of Contactor) Gasutanc—c Comoauy/PoLicy Number) kExp_ration Datc)
. (et3aG�ad'!i;;ocil rxC ifocty: to��erud;infcxtai'ioa pctn r,to
( atu a sole proprietor and have no one worlang for me.
( ) I am.a home owner performing all the wort; myself.
NOTE.:ptc�ac be ew-arC tV,••wjjc boay,0,--3 wbo"Ploy Pcsom to do— -I �' c11 ng of
avt most t�.n U'---Lmij in w$ic.ta tt,c botmowvc c�oa c u work oo t dw
csitploycs un c LFs a.a s rnida oc oa the Uo'�r Iapu tcn.,thcc.o LT CXK L'c7 ..I1V 0.-G1:('i.-rd to LC
Ie, rtx-- o`e— ��arioa Aa(GLI52-m1(5)j epptiai.600 by.bomoowvrr far-Grp.or permit ra:y c 4&-jo=tL%e
t� ploy"uodar dao Workoe-Compomaiioa A.L
I und<m* d did x copy of thu arxteo cd m„y be rorwsar to tbo pepartax,o,t of Indaa=ri.1 .,do ty O(G_of I._tar the
oov—&c vQif L.1ioa did th-1 L•iltm tO Lcc,covern&r urldes soeiioa 25A of?,(()L 152 tin Imd to theou of a-mita r
ooa lLrci%ora floc or up to S 1300.00.nd�or 4��o & pc znd a
ftm orS100.00 a day tpiat me 3OCm'��oCup to one year end gull Pmaluo 6 6e,(orm of Stop Wort OrdQ end a
. For dap.rtn--;:-U u�only
° PCTIIliI Numba
Si GU 1.Imp" — Lot " t
urn of LicxnxrlPcrnut.tcc 3 e
• tvr +T } oma
/ �S
T i/C/K7 P( �
ir s �L�- 16C�G �s � ;-s
� s
T0 Taj CLOs 7 t ^T 1S Kc w
�Q A -To R-i2 2 4/v�ov.0,4,
UtO / -0 PS°e9 T � S C�-v�nD '� �` S I�
pCnCL ,
r
PT,, Lor rcvrt.p , 3 cep Pm-Toc�
Cc)V- r
b 5 a '-f x `f P i PC57
Olt Cl ?O/t rcjx c,C-
�rGS i C L'`a Q'
-F) oo r cA-u,-O (Q c'S c% is, Yl c y-o . T-45
1
r 'FICGo f i pis
2cc6 tA3
1
Q ! 1 f 1C k
S v
PP`�'�� 5 7(J� C o 2 v 0 ykS ( Co c4G r--�
i
Y-)J
ISIAAAc-)Vo
0
i
d�