24A-019 (3) 135 PROSPECT AVE BP-1999-0647
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-1999-0647
Project# JS-1999-1217
Est. Cost: $10000.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq.ft.): 20560.32 Owner: CZELUSNIAK ROBERT F&ABBIE
Zoning: URB Applicant:
AT: 135 PROSPECT AVE
Applicant Address: Phone: Insurance:
ISSUED ON:1/25/99 0:00:00
TO PERFORM THE FOLLOWING WORK:KITCHEN RENOVATION
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 1/22/99 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-1999-0647
APPLICANT/CONTACT PERSON CZELUSNIAK ROBERT F&ABBIE
ADDRESS/PHONE 135 PROSPECT AVE 584-4358
PROPERTY LOCATION 135 PROSPECT AVE
MAP 24A PARCEL 019 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Pe�t wFi a out
Fee Paid (old 0 SVd
Typeof Construction: KITCHEN RENOVATION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
/Statement or License
of Plans/Plot Plan
THE F LLOWING 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
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co sion
Signature of Building Offici 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.
1C-111111fil
N2 I1999 ij
E`
L . FPNS
File No C� 77
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: K'"#"C 4,,5 § 51 v
Address: 31 Carry Pala FED(' , +c d L Telephone: 4(3 -Z56-iW6
2. Owner of Property: ?o et tie I USn%a.
Address: 135 P Ax- Telephone: 413-�84-43�58
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): �u-c e -,..,fi'a(tjC
4. Job Location: 135 Prtsspc,r d- AUL
Parcel Id: Zoning Map# Lhei--- Parcel# /9 District(s): l,(/l/v,—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 5 n9te., / rn,iy 11LikeC
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
1.-}'C{,s .) V'a"bbn) — NU C4-an Ti 5 —h, LJa is
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 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#
9. Does the site contain a brook, body of water or wetlands? NO X 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
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
#` of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the informati.n contained herein
G is true and accurate to the best of my knowleloee
DATE: /�-ZC'79 APPLICANT'S SIGNATURE AI
NOTE: issuanoe of a zoning permit does not relieve an applioanrs urden to oompiy wltk all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE #
s- p (0 L 0 d i� ploti -R of Northampton ► _*_4
9 B i Alasoltdinsetta =v =
111
JAN2 �yy� `
-m I999DE , ANT OP BUILDING INSPECTIONS =_!/-
2 sin Street ' Municipal Building '-0 =_
DEP7 RT AMPTON 01 INSPECTIONS orthampton, Mass. 01060 y •'�s�`
NORTHAMPTON MA 01060
WORKER'S COMPENSATION INSURANCE 'it'LDAVIT
I, ✓ Ae e a Gz,Lwsto,a- .
i'*en • permittee)
with a principal place of busine . residence . :
135 Prospe-c Ale_ (phone#) 5e4—4 3 j E
(s tt txt/ci ty/stat ehi 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:
(Insurance Company) (Policy Number) (Expiration Date) , „
0() I am a sole proprietor, general contractor or .omeowner . cle one) and have hired
the contractors listed below who have the following wor.eras compensation policies:
/ (2oclm PO6Z621 %256 cl•fr.
U(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
mi is-3933-0
Am -Pell P f H Pa4:2"oh a) 6ra.. -.ems.
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
l.02023ors670
fps eh Zr�u,.€. 5 7—1 —9 9
(Name o Contra or) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifneKssary to include information pertaining to all contractors)
( ) 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 while homcownera who employ persons to do maintrn"arr construction or repair work on a dwelling of
not morn than throe units in which the homeowner resides or on the grounds appurtenant thereto arc not generally considered to be
employers under tbo worker's oompensation Act(GL152,s 1(5)),application by a homeowner for a license or permit may evidence the
legal statue of an employer under the Worker's Compensation Act.
I understand that a copy of thin rtalcm st may be forwarded to the Dcpertmam of Industrial Accident?Offioo of Imurwoo for the
coverage verification and that failure to secure coverago under section.25A of MOL 152 can lead to the imposition of criminal penalties
consist ing of afine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of stag0 a day against tne. .
) ) .
For departmental tun only
Permit Number
Signature of Li ermittee • DateMap Lot#
$ % r " JAN 2 1 1999 E Alnsasciloaetla _�=,"'"'=
istIM-
m7" L' F BW ! 3SEECT LSD D'ARTMENT OF BUILDING INSPECTIONS 0 t16MV,
DEPT OF_SU�-_, P:G Zil !_
INSPECT. ! "--''''`"`'"'' Mh OIG60 2 Main Street ' Municipal Building
Northampton, Mass. 01060 moo'
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: l -" ZI -91
JOB LOCATION: 135 PIo - p�
(Maij) (Parcel) ( Subdivision)
HOMEOWNER: A-86,E C ZF.1-v3a.All
(Name & Address )
136 f h. zth 6.4. 60-43s 8 Sack-3 ge5
(Home Phone) (Work Phone )
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. CMR780 Section 109. 1 . 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
i for compliance with the State Building Code, City of Northampton
Ordinances, State an Loclal Zoning Laws , and State of Massachusetts
General Laws Annota ed. ' )
HOMEOWNER S I GNA __ /' —p _ A
BUILDING PERMIT # _^�
i
i
XI 17
-Dr -1,....16:2
rrl
so
a � 37 J
3 o
o Li "- t" '
fC\J _ �. F R A
70 =�, o� �n Z
_ _ cn O
>N� c c�r Z
P-.3 n O.
m �_
a--
:--7 0 O
1
Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. Alterations
ilkr%r NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Q Garage
1. Location 135 rrospe A)-(2— Lot No.
2. Owner's name gcbsut CZQIc.), r)i• k Address .ArnE
3. Builder's name Stele. 19-trt./1G . ie.1cilaN.3 4.9 ,E):=-5:5r1 Address 3l e° rniC/5 J3a a, -gad(..a�y
Mass.Construction Supervisor's License No. f/.SC 41 /087V Expiration Date OE /28 /00 CJ
4. Addition
5. Alteration i C 4 Pe.1.16v-x-6.01.1
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- 10, 000
The undersigned cenifi at above statements are true to the best of his.
knowledge and belief.
C
Signor re of responsible oppiconr
Remarks N10 0-7 ()LA"(- Cf YN6ES
NE() cRB,', 'rs. cuu i.)z6gs , FL 0-0&s , brt. — C°05r►►Eiiic c n46 .5
•
•
A35h1 q 3 14 1 b`l'12
r i i , t y \ \ \ \ \ \ \ l � \ \ \\ BRA\ \ \ \ 1 sN
7
cL 3q Z L�
o i � jc _ 2 Uu• f 1
i Pi W2A2 __..
C NE�
.. __
\ s B oPil NS
3 cFE(Z
• G•
•
_1
•
i•
ili 1 ,: ; i iiii I , , , : iiiiiiiiiilt:ca ikrCilE) 1
k
i
: �y
; . : .. i : : . . . . . . , . . • : . ; , ,' : . . . . . : . • • . : . .44.—ii . ; .
i � : i OVi�
• 3 E � GZ
. r ._
.
!
.
N
•
! ,
•
i
�4� N !
•
! lif
1
—
i
N \
i f ! i i i ! i I i .
i �._e
1-1
: 1
v ! AN
! ;
, . i i
! ; i T
!
: :
(
C Ei i%A=CS 9s-54_+. 4ao, ... ' " ._t_
i
---•+ ....... : ! i ! i
I
:
!
! i 3
` 's
li •litlijillilliiiiii .1111111Illiittill ;
yy
1
,• : t , ! -
!
j 1 1 , II i ! €
: -I-
! Mil ! ! f
JOB
..; r• .-,. __...}... KITCHENS BY DESIGN SHEET NO. OF
Campus Plaza Road
31 CamP t
Y, MASSACHUSETTS HADLE 01035 CALCULATED BY DATE
• i , 4 13) 256-1606 CHECKED BY DATE
n 1 n SCALE - -