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10B-087 (5) 231 -233 MAIN ST LEEDS BP-2002-1177 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 10B-087 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: renovation BUILDING PERMIT Permit# BP-2002-1177 Project# JS-2002-1885 Est. Cost: $18000.00 Fee: $90.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot Size(sq. ft.): 9583.20 Owner: SCHNEIDER ALAN&HEATHER BELL Zoning:URB Applicant: SCHNEIDER ALAN & HEATHER BELL AT: 231 - 233 MAIN ST LEEDS Applicant Address: Phone: Insurance: 231 MAIN ST (413) 586-0775 () LEEDSMA01053 ISSUED ON:7/2/02 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACEMENT WINDOWS, RENOVATE #231 & #233 KITCHENS, BATHS, SHEETROCK & ADD ATTIC BEDROOM TO #231 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 7/2/02 0:00:00 1106 $90.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2002-1177 APPLICANT/CONTACT PERSON SCHNEIDER ALAN&HEATHER BELL ADDRESS/PHONE 231 MAIN ST (671)834-0594() PROPERTY LOCATION 231 -233 MAIN ST LEEDS MAP l OB PARCEL 087 001 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 f/ v Z — Typeof Construction: REPLACEMENT WINDOWS,RENOVATE#231 &#233 KITCHENS,BATHS, SHEETROCK&ADD ATTIC BEDROOM TO#231 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOkMATION 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 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 Commission Permit from CB Architecture Committee Permit from Elm Street C 'ssion L ,200 Signature of Building fficial 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. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 4 -- , Department use only r` ) �S ;j;; 1S 1iV C f Northampton Statu of Permit` uil iig Department Curb Cut/Driveway Permit - 2 2 Main Street Sewer/Septic Availability ''l 2 0 2002 Room 100 Water/Well 'Availability_ No thar—tpton, MA 01060 Two Sets of Structural Plans __ _ plh©;i : -587.1240 Fax 413-587-1272 Plot/Site Plans_____ __. _._ _ ,7tG>0 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 1 — o/hl n��. Map �� Lot Unit frtib ci ,...S 3 Zone 1,G1=^' Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 4L 4 1 1s, SCti, ,b .." - kr --A.Y-14 2 A. r 4_L . -3i i._. ST. � Name(Print) Current Mailing Address: Gil — — 9 6 .2, �...�_._.,CAv/ ,� '(` Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee Q6� C� 2. Electrical (b) Estimated Total Cost of 1 I .j Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 + 4 + 5) *-1 (Z. '7 , , t-� Check Number //,06::, $9e — This Section For Official Use Only Building Permit Number: Date Issued: Signature: Date Building Commissioner/Inspector of Buildings Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning 1 This column to be filled in by Building Department Lot Size Frontage 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 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: SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Wr Roofing ❑ Or Doors Gfe"" Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work:keric/ri ro W,'„eLy1s fie.-,o✓s �3/ Z���e�-�or- fie- I �30-�F ti �, .v, n.,CA- . K; cam.�,S Alteration of existing bedroom , y Yes No Adding new bedroom ✓Yes No Attached Narrative 0 Renovating unfinished basement Yes 1✓ No Plans Attached Roll ❑ • Sheet❑ alf New ho se St d orMdditiOrad!ekistlnkhOli ing; complete tli61 11owin 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? h. 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 , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 4(„dN l,/ ^ �,��,i�t:,e 1.64(7-S." , 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. Signed under the pains and penalties of perjury. ��p 0f 4.4 N I„i. �C�-f�vc-/� /z leaWY/�t•cb�l Print Name Signature of Owner/Agent Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: License Number Address Expiration Date Signature Telephone �9:.ftegis"er`etl:HQme mproveme`nt'Contractow:. Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone 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 0 No 0 11. , o`me 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 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 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 2„. r • B�� • ;r''g Olit NL rfI1&1npthn , _*=, 4 '�p='oe DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 r' WORKER'S COMPENSATION INSURANCE AI i 1JJAVIT (licenscr/permlttee) with a principal place of business/residence at: • i 2_r_„,„i-a.,a__7 ._ era!s /te daa< hone#) 6/7 t •e-ti-- � (bulett/city/st rip) �.594 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 worming on this job: (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: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) if (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if ne--,.ry to include information pertaining to all omtradors) ( ) I am a sole proprietor and have no one working for me. >,‹ am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ person:to do main teawr'r coastructioa or repair work on a dwelling of not more than throe units in which the homeowner resides or co the grounds appurtenant thereto arc not generally oomidered to be employers under the worker's ration Act(GL152,ss 1(5)),application by a homeowner for a license or permit may cvidcnoc the legal rtat ua of an employer under the Worker's Compensation Act. I understand that a copy of this rtat,,,ent may be fosvvnrttod to the Departmast of Dial Accidents'()Moo of Emu-,ace for the coverage verification and that failure to acatre coverage under section 25A of MOL 152 can lead to the imposition of criminal pcnallses oomisting of a fine of up to S 1,500.00 andfor imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a ' fine of 5100.00 a day against me. For departmental uao only f, Permit Number . lvlap# Lot# v Signature of Lt ermittee I Li - �` 1 j i J U N 2 6 2002 u Summary of Renovations �ccrn7 Cif 9tsiCDiNG INSPECTIONS In 1231-233 ons LNoPito„PT' �� o�aso amain St. Leeds 1' Replacement of water heaters at both 231 and 233 II existing new flue, if necessary. Repair of Main St., including a Plumbing supply and drainage lines. house, on ground floor and second N. Conversion of attic in livingfloor of entire additional be to additional dr'oom.groundV. Renovation o space for#231 , including 1 square footagefloor bathroom at#231,VI. Renovation and new placement of fixtures. including expansion of of other rooms on the tw'es. Vit including new plaster or ground floor and ReconfigurationnewPl plaster nd drywall, built-ins second floor. of #231 kitchens of bothnew placement of ' closets, and flooring #231 and#233. appliances and fixtures in the • • 1st Floor- Existing ,vnv \.1-',.!.0\ r---- D,I ,, ,„, JUN 2 6 2002 T OEP OF BUILlw• . �.�Q O • NORTHAM' ,MA 01060 \„..____ [-xlpi I . 1 ix, 1, a v.•3 rmSir.:fs�,:o .;o,s::;„,�ri'�.•...• f� ::AD#.°�. .. .. :.:...,.::.n T.., r: 4( • D c ,. 1 - „....11 ile ......" „: _ ,?.... I- t\ ';K:Mni:KW4-4.v•MG. ‘I) 1::' • • S÷0•....i.......3 61,„fl:z. RI S+Co...:r"....St LAIL, ::i \ E, • ig gi iii . 2nd Floor- Existing ............................... :.... 8 0.1 :4vi) Viii v ;n iii tc Stairs to a is it"! a ii ll ;wc.. w �c •�ti ti YL g. Yf S $s: Iliii y; ,r ilii :::.:.................................. 3rd Floor- Existing £: j1: iaiit lE: EkEi'i - iit:? Ni F# } p�piiiiii iii k: 1 iiiii p iiiiii t. i'% i::,,, :i:i„, (/\\N i.g i3+: :::: :..:: .:.......:.:..... iit t: t: 2 r , ............................ . ...... .. . .. .:.: ...::.: ....:::::.::::::: ..::::..... ig $'....i H I \/ a:: 1 414 iill is iipiFi -,' a V. "0 y 1st Floor- Proposed rn) E C E [1 \LE -Th r Id Li JUN 2 6 2002 L.)U r `fit Iw Placement of appliances ki » to be determined :. DEPT OF BUILDING INSPECTIONS # NORTI-1fiMPTOA 01050 €` D i .;/\\ ;I; �'11 �' Interior window if space I 0 �/' J � allows I ; ter - } ` R i!J!1III r 6i■■■■■ • Built-in shelving unit over existing radiator pipes. 4. 2nd Floor- Proposed r: �` Rear Bedroom } it .;: 7— ilii a:3 83:4"' I <3 Closet in place"` �< Stairs below 4 of old attic staff ST-<i res iwz;iig:',.;::::;i]i:i:W::::Zi:':..:,i.::i:iMili:'::;;E:iii]-::::iai]i]i;g:i:2g;::::::,::iie:;:ii',:::'Z:i:,.;a::,,i];.:;ii:i:i]:0 ::::::';'W:E'pNii..1:;V.:::;a:zi'aVI:Wit:::::::ff:::i:7::%7:::-i 11 i I Front Bedroom ................................................ 1 ) .... .......................................:i sF;?:t::;::; :::i::::::::::::xl::::::::::::5::k;L<>:2S.l.........:: 3 ............................ ...............- 4 3rd Floor- Proposed ........... 3 3: $ : Attic Bedroom :E it iWi Ai Vii itii #E it A it V :: il.1:i. ''':': Iiiiii s:% ift ii,it it Kt it i; F:; Stairs below ;. '.. Study �l � < I: .IV z3 '° .IV C,hbus" 3