10B-087 (6) 233 MAIN ST BP-2001-0006
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 10B-087 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-0006
Project# JS-2001-0021
Est. Cost: $2500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: J C Pratt Builders 061401
Lot Size(sq.ft.): 9583.20 Owner: FOURNIER ERNEST PHILIP&
Zoning: URB Applicant: J C Pratt Builders
AT: 233 MAIN ST
Applicant Address: Phone: Insurance:
147 Westhampton Rd. (413) 584-5504
FLORENCEMA01062 ISSUED ON:10/11/00 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE EXISTING 12 X 5 PORCH DECK &
ROOF
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: C ,/_l 7_00
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 10/11/00 0:00:00 2156 $50.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
t
File#BP-2001-0006
APPLICANT/CONTACT PERSON J C Pratt Builders
ADDRESS/PHONE 147 Westhampton Rd. (413)584-5504
PROPERTY LOCATION 233 MAIN ST
MAP l OB PARCEL 087 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 o7/5'o `-0—
Typeof Construction: REPLACE EXISTING 12 X 5 PORCH DECK&ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 061401
3 se of Plans/Plot Plan
THE OLLOWING 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 Conservati ommission Permit from CB Architecture Committee
o0a
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.
n p 2000 `,,
File No. dP0/—61(J
•
OF
DUI .ti!:
I(3F zONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: J. Cl rg-A $411 SCA-•/ -
Address: %97 Gf/,fr S7191,1)9'p4v (/et /V Yu, Telephone: 5—(?5— —I
2. Owner of Property: r, A6A)l �
Address: p; ,'AU Z 5,ie4 . Telephone:
3. Status of Applicant: Owner r — Contract Purchaser Lessee
Other(explain):
4. Job Location: �3 414 N S , hac jn 9 ,
Parcel Id: Zoning Map#_�, Parcel# District(s):
(TO BE FILLED IN BY THE B ILDING DEPARTMENT)
5. Existing Use of Structure/Property 6.e.AQ¢ ,� G(S t' A /
A- a.. Al � - o 9%,r,e 57(1. froc
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
Y4og p,PCJ /7 ) se- 5
s�� �/7
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 PermitNariance/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 t/ 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)
3
10. Do any signs exist on the property? " YES NO
IF YES, describe size,type and location:
t
Are there any proposed changes to or additions of signs intended for the property?YES NO L�
IIF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colmzm to be filled in
. by the Building Department
Required
Existing Proposed By Zoning
Lot size ; 2 x (8'5� ,
Frontage 6'
k
Setbacks - frnnt P
r f
- side L:/_R:__ L: R:
- rear `/a /
Building height 0
Bldg Square footage /a 405 (/
%Open Space:
(Lot area minus bldg er
' &paved parking) r�
# of -Parking Spaces 2
# of Loading Docks
Fill:
Avol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true nd curate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE 9
NOTE: Ism noe f a zoning permit does not relieve an applicants burden to comply with all
zoning uirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FIT.F
z =
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40 770 ;r,
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8.02ccZ m CS'
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. Alterations
%r. NORTHAMPTON, MASS. / rZGf' 19oQQ0 Additions
' A' APPLICATION FOR PERMIT/ TO ALTER Repair C/
Garage
1. Location ,!/ /s� iN 1A- ��_,F L S / �L Lot No.
2. Owner's name t£RN £ ?nr-L,,3AJ/ I I Address 49 33 A14 , a S V. Leta< At
3. Builder's name ,l��f���/(?1��,P S Address /N7 Giljrcas4,rb/11p Ai 5/n/P , ,V� 4 A ,
Mass.Construction Supervisor's License No. D Col HD ( Jki . //S4//�JExpiration Date �l (` . .Z Do /
4. Addition
5. Alteration /,,
6. New Porch 1JLAL1r\. q Ohl -Sitniri 12— x 5 pnkc k •
7. Is existing building to be demolished? I '�/ C> 0/l�,�L¢ i RQ
8. Repair after the fire / r
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:-' 02500.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
d-C-- -- 1
Signature of responsible applicant
Remarks ALEI C /AJ /QD 5e d A0R1 M/A C1 r/� 1 - �l e of /r X
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..*�% #\4o� DEPARTMENT OP BUtLD1�C INSPECTIONS
ti�' \d�`Z� 212 Main Street ' Municipal Building
�`eS � Northampton, Afars. 01060 r' .,
WORKER'S CONTENSATION INSURANCE AFFLI)AV1.T
t7k A-
D
(li ccvscdperrni ttec)
with a plincipa} place of business/residence at:
4 4-1 C.(.4-6,4a-A-AAA)._ Pd . IV TD N
(phone; ) S �s '1loZ'7
(str=/city/s-talcizi p)
do hereby certify, under the pains and penalties of perjury, that
( ) I am an employer providing the following worker's compensaion coverage for my
employees woridng on tins job.
(Insurmm Corncanv) (Policy Nur r) :viratSon Date)
( )..I am a sole proprietor, general or or homeowner (ci cie one) and have hired
the contractors listed below who h2ve the following worker's cot nensanon pcbctes:
a, (Name of Contmctor) (InRirancc Coinoany/Poiicr Numb. ) ().)Irul3on Date)
(Name.of Contractor) (lnslra.ncc C.omoa.av Potic-v Ntamc•_r) (T,x-Dira non Date)
_ (Name of Contractor) (Insluanc; Company/Policy Number) (Expiration Date)
(Name of Contractor) (basuan Company/Policy Numbs) (EXI)irdii0n Date)
(attach'Oditiocar tbccl ifnccc,ary to ancu&inf onnaa oo pertninins to.L ooar_c_o:a)
•
(Iant a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plcsc be erotic dal!wirJc bocricoworrn.abo cmplay pcsoci w do r.-,rr c=5-na.i t:rra.:r work on a d..e1L^c of
one most th-c tiro:t=fu in n-bich Ibe botaoow•ocr rczido oc oo the aouots zppurtcttarn tbc-ro e o t car::11y cro:d--nJ In be
oxnptoycs un5c the µ xi&x n..i-2-,.-Lon Ad(GL152 o I(S)b.r-pptiailion by n bomeowocr fox a liar,cc permit rxy c -om the
Iegst ctRulc of ea.coployor under d.io Wodcoet Compomalioa Ad.
1 undmaand that a Dopy of thia etas may bo forwitrx.t.d to tbo Dcpeutmear of lndaurial Arodaxf OfLoo of Irain000 for the
OOVC-a iraiGc=tioa and that L•iltnt to LOett coven under wetion 25A of MOL 132 can tad to the ioxpo ioo of criminal penalties
000si_aing of a floc of up to S 1.500.00 arldrtx Co pri ,A of up to Doc year Lod atil pmaltia in dic form of a Stop Work Order end a
(inn o(5100.00 1 thy c
F;ain ex_
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For dcp.rtnr�il uac only
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