23D-027 (3) Department: Reference No: BP-1999-0390
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
Building-Renovation REC-1.999-001003
Paid By: Paid in Full On:
Barron & Jacobs Wed Oct 14,1998
Received By: Check No:
Linda Lapointe 9771
DEPARTMENT'S COPY Amount: $64.40
DEPARTMENT FILE COPY 468 ELM ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0390 $64.40
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
3189 23D 027 001 468 ELM ST URB 6795.36
Contractor: License Type: Insurance:
Barron& Jacobs CSL Workers Compensation
Address: License No.: Insurance No.:
241 King St 030739 NWX6003626
City: State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 586-8998
Project No: Category of Work: Corist.-Class: Cost Estimate:
JS-1999-0768 alteration-addition $30,000.00
Description of Work:
161 sq ft ADDITION
GeoTMS®1997 Des Lauriers&Associates,Inc. Signature:
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F,ile#BP-1999-0390
APPLICANT/CONTACT PERSON Barron&Jacobs
ADDRESS/PHONE 241 King St (413)586-8998
PROPERTY LOCATION 468 ELM ST
MAP 23D PARCEL 027 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 9 97/ %' (v`,`
Type of Construction:
New Construction ! ,�
Non Structural interior renovations //'/ g/P-of (1L 414
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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
,, a v A oicai Board of Health' Well Water Potability Board of Health
Permit from Consery n Commission
d/15
Signature of Buil ' 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.
s ,
oc11a ,998
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pEF1 Of BOLO t4� �0106 hS
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iORTHAMe�OM
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<7
36-0-
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PROPOSED ADDITION
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15 8
b- /�1
12-0" ��,
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EXIST. r
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SITE DATA
LOT SIZE: 8060 SF
BLDG SF: 1194 SF
—___. _ COVERAGE = 14.8
49.5'` - ---- -
Barron a Jacobs MILLER RESDENCE I0-5-98
241 KNG STPEET NCNTHAhPTON.MA.OM 468 ELM ST. NDRTHAhPTQN
PLL CRAMS PRE PROPERTY aF BPRRON&WIZ I 20'
OCT 41998 File No. ,� ?✓9°
DEPT of B 1sP ?MIT APPLICATION (§10 . 2)
NORTHAMPTOM_, n .0 -E OR PRINT ALL INFORMATION
1. Name of Applicant: Aet 2.�I � R!e a e S S d G e9 5
Address: 3#/ /eid 6- S'T f)h.1p,7,J Telephone: Y/3
2. Owner of Property: go.8& / C 1)2 15 /49 i' L L ER
Address: 4 G.8 E 041 s T Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: j £2 7
Parcel Id: Zoning Map# (79. P Parcel# c>2? District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property .s /NG.L.ti F4/11/1.7 - 2t✓SI��''Ci
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): -•
/. -$xw- 3
A 00/ r/oAts N Tv i & Ot &Y I r /lo crsF
7. Attached Plans: ✓ Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 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#
9. 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:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES NO
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES, describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
•
Lot size 8166osi 3 ° 6D 5)-
17
Frontage � i i/& /
Setbacks - frnnt 2 0 ' 2 D ' =71c'
- side L: 18 R: ?l L: I S R: Z I / -
- rear I �+
Building height 35
Bldg Square footage / o 3 2 o
%Open Space:
(Lot area minus bldg (� �� Q 5
&paved parking) Ci . V
# of Parking Spaces
# of Loading Docks
Fill:
{volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: /c / / �;r, �`� APPLICANT's SIGNATURE r /
NOTE: Issuanoe of a zoning permit does not relieve an applioanrs buIden t oompty witl7��all
zoning requirements and obtain all required permits from the Board of He ith, Conservation
Commission, Department of Publlo Works end other applicable permit granting authorities.
FILE #
_L`' STREET
Ito.
,
a /c\
36'-0" i
/
,- /
21-0" /
PROPOSED ADDITION
1 C7
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1 Co
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/�i/ /
Q 15-8
'// �f%/
I POOLn Zo
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yi
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' SITE DATA
I ti/
LOT SIZE: 8060 SF
BLDG SF: 1194 SF
_�. _ Y _ COVERAGE - 14.8 %
49.5' — - -
Barron & Jacob$ FILLER RESIDENCE 10-5-98
241 KNG STREET NCRTHAPPTOP!MA.6fa64 All CRAM ARE PROPERTY OF BARRON b.NCOBS 46$ ELM ST. NORTHAMPTON I "- 20'
N.
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glassauhrtsctls ' . _°__' =
"gym"— DEPT Of gUt+0!PdG lNSPECTiOND•• ; I MEN I OP BUILDITIG INSPECTIONS t
NORTHRtTOM _ —
212 Main Street • Municipal Building
Northampton, Mass. 01060 " r'
WORKER'S COMPENSATION INSURANCE AFFIDAVTT
I,• �.- ion f' C�
_ (licenseelpermittee)
with a principal place of business/residence at:
24-1 Kt nq ' stree -, K.1O11-hodYk MR OI (phoneys) LI 16-5 -S99%
(street/ci ty/sta telzi p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
. •
employees working on this job:
Cy kXYCDrs p/I9e 1'►a,nrp 1 on N11X(oCO 362-6 3I l ice 9
(Insurance 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:
Am/PM'Plumb'inq Main 54'ree-t-Arneri ca.Ax,(AranaCc. (0114fG9
+ Ati W IJ3ei'33O Licy Number) (Ex-piration Date)
ie►1nlhl.1-elu Elec. Worces4•erins,Cr. WG812Dxxo rib/c/9
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
•
(Name of Contractor) (Insurance Company/Policy Number) (Expj•ration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach sdditioail rued if ne -rt.ry to lochs&information pertaining to all ooarracton)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that vitalo homeowners wbo amplay persona to do maul,-+, tioo or repair work on a dwelling of
not morn than throe units in which the homeowner resides or co the ground,appurtenant t e cto arc not generally ooa,idercd to be
employers under the worker's oompcuation Ad(GL152,ss 1(5)),application by&homeowner for a sic ax or permit may cvidcocc the
legal ctatsa of an employer under tho Worico'a Compecait ion Ad
I understand that a.copy ofthis dadamcco may bo foeavrdod to the Dapnrtmo:A of Indssstrial Accident(OfEoo of Iawsnoco for the
coverage verification and that failure to stxttre coves-Igo under section.25A of MOL 152 ern lead to the imposition of criminal penalties
com fine of a ne of up to S 1,500.00 aadlor impri onmcut of tip to one yrsr and civil pcmttia
in the form of a Stop Worts Order and a '
fmo of 5100.00 a day agnitut toe.
•
. For dnmtal 1110 Only
4 (:° (1/� .Number
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si pf T-icemscOcnni_ Da
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nq EIGY CONSERVATION APPLICATION FORM
OCT 'P
1 4 ' 'bR W-RISE RESIDENTIAL NEW CONSTRUCTION
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON MR 01060 ��3 E
pp scant Name: A9YeieO�r( t?7f9 C .S Site Address: '( ST
Applicant Address: Z¢I K//t, Sj City/Town: /YOATiS fr-m,7D -', m 41
No At-h1 9-010 -0,v, //I/¢ Use Group:
Date of Application: /D /Z - qS
Applicant Phone: SS(o- 67p'e Applicant Signature:
Compliance Path (check one):
XPrescriptive Package (for 1-or 2-family residential buildings not heated by electric resistance)
Fill in all values that apply from Table J5.2.1 b: Package Number(A through KK): Z
a. Gross Wall Area 28 0 sq.ft f. Wall R-value R- f 3
b. Glazing R.O. Area /6 O sq.ft. g. Floor R-value R- 3 8
c. Glazing% (b _ a) 3 (p % h. Basement wall R- N/i}
d. Glazing U-value U- , 4 Z i. Slab Perimeter R-
e. Ceiling R-value R- 3 S j. Heating AFUE
Component Performance (Manual Trade-Off)
Climate Zone (from Figure J6.2.2) EI Zone 12 ❑ Zone 13 0 Zone 14
Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable]
❑ MAScheck Software
Attach Compliance Report and Inspection Checklist printouts.
0 Systems Analysis ❑ Renewable Energy Sources
Attach approved Analysis
Official's Name: Official's Signature:
Application Approved ❑ Date of Approval:
Application Denied 0 Date of Denial:
Reason(s) for Denial:
(over for more) BBRS 12/08/97
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. /j Tel.No. Alterations
%r� NORTHAMPTON, MASS.
Wki:;-k) VC r0/�C /Z 19 Additions x
A' APPLICATION FOR PERMIT TO ALTER Repair
= ' Garage
1. Location 46 6 Lit- M 5% Lot No.
2. Owner's name Roe£R T 1' C N21S 47/L C.t/ Address 06.0 64.-/1 5,% NogT#4470./
3. Builder's name 8ARRON ) J&cO 6S Address 241 K/A/a, 5 T NOQTff4/IkaT -/
Mass.Construction Supervisor's License No. Expiration Date
4. Addition l 6- , 9 X (O- 3 DP /•/ER-r,,E/J /QO,('! ri Di./
5. Alteration N/ .
6. New Porch /Y7.4
7. Is existing building to be demolished? /,/74
8. Repair after the fire /Y/4
9. Garage /t/M No.of cars Size
10. Method of heating EX 4 I$f cf✓ 0n f tc -(5j—,A/ I—(, A 5 y5T, ii
11. Distance to lot lines Fr" I f ' 5 /B ' 6 2 ' 36 ' S 4
12. Type of roof 6 46 L F
13. Siding house
14. Estimated cost:- ii,
O
If 3
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. ,
Signature of responsible app, nt
Remarks