32C-017 (19) r
78 MAIN ST BP-2000-0098
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32C-017 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0098
Project# JS-2000-01 50
Est.Cost: $15000.00
Fee: $60.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Oliver Iselin 039073
Lot Size(sq.ft.): 4094.64 Owner: TRIDENT REALTY CORP
Zoning:CB Applicant: Oliver Iselin
AT: 78 MAIN ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224
NORTHAMPTON 01060 ISSUED ON:7/30/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:UPGRADE COMMON AREA TOILETS, RECONFIGURE
BASEMENT ELEVATOR DOOR & LANDING
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 �i�nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/30/1999 0:00:00 $60.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
T
File#BP-2000-0098
APPLICANT/CONTACT PERSON Oliver Iselin
ADDRESS/PHONE 36 Service Center (413)584-1224
PROPERTY LOCATION 76 MAIN ST
MAP 32C PARCEL 017 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ja(1/ & (d)
Typeof Construction: UPGRADE COMMON AREA TOILETS,RECONFIGURE BASEMENT ELEVATOR
DOOR&LANDING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 039073
3 sets of Plans/Plot Plan
THE F OWING 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
-d T/
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.
IILIEL 2 T 699
_. File No. E)0-9
DEPT OF BUILDING IFNSPECTIONS
,you, ,TC,. ;,n 01.060 ONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ' ►/ ,Lf� �-
Address: 3 b f Telephone: -17`I — 2 Zy
2. Owner of Property: Cam-'T /2i—(41-r -r/-
Address: /-r 73it-> J C T'. N /Tc't4 Telephone: -re E
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: a ` I-r
Parcel Id: Zoning Map# L. _;)(' Parcel# 1, District(s)(15
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property OK-Lic e- Q✓) t`' l- C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
'P C a-A-ram C-x r f n,.t C- 1p .J 717
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 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:
I i Z CC/�v.q 6-1CA-
L/lo 7 'f
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 - front
- 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:
vol-ume -& location)
13 . Certification: I hereby certify that the info oration contained herein
is true and accurate to the best of my kn.: `,- .
•
DATE: APPLICANT'S SIGNATURE L�
NOTE: Issuenoe of a zoning permit does not relieve an applicants burden to oomply wit!! all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
. . NW) ode
it
5 t•ti ;ri Sassarlttrsrtts =_
} .;�� ( eta• 17 e:.-- -__ =
SPEC -''
� � �!„ ',,1CC, DEPARTMENT OP BUILDING INSPECTIONS ' =_t_f-
212 Main Street ' Municipal Building
Northampton, Mass. 01060 um sus
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I., O L ) ✓6-7(- sire -t. / '
(licensee/perniittee)
with a principal place of business/residence at:
3b SE -'v c.c lie . i?►'D. (phone#) STY — l 2 2-'1
(street/city/state/zip)
do hereby certify, under the pains and penalties of perjury, that:
(-fam an employer providing the following worker's compensation coverage for my
employees working on this job:
Aix_ 4w1 4.c..4• fir. w . we 7 P., ire. 7 - I — o"
(Insurance Company) (Policy Number) (Expiration Date)
( 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:
72/c c ' ?L,,,o,...d` 1444-3s'-' rr 40 p j,%b e..J— & Jail a.-
(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)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifnecr-nary 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 homeowners who employ persons to do maim-n construction or repair work on a dwelling of
not more than throe units in which the homeowner resides or on the grounds appurtenant thereto are not generally considered to be
eniployxa under the worker's compensation Act(GL152,sa 1(5)),application by a homeowner for a license ce permit may evidence the
legal status of an employer under the Worker's Compensation Ad.
I understand that a copy of this statement may be forwarded to the Depertmast of Industrial Accidents'sets'Oboe of Insurance for the
coverage verification and Mat failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a foe of up to S I,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 5100.00 a day against me. /
Si A it zJ day of ✓1—`/ , 1995 For aeaatmrntal use only
Permit Number
Map# Lot#
Signature of Liccnsee/Permittee
a >
< e)
rri
so
z-- -g tikfc-'.
z pm
Ci
eti
m•.: 7C
o Z
tiff = = O
C t'r7 C x
1 715.
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. „pry -/2 2.-.1 Alterations
el NORTHAMPTON, MASS. �� �/ 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location et4 A-71.P J r . Lot No.
2. Owner's name Trt''9'6-Ir t-T lP/►^4 -f/b ' Address /S O2 I>Y-rc.- c i. t IN 'Tv 0
3. Builder's name CI-) `tee-ec- —E4.1 Address 7 6 1' r'* Ce-e-r r^'_
Mass.Construction Supervisor's License No. 039 ° 7.2 Expiration Date Fig-e'T. '-►- /1`► 9
4. Addition
5. Alteration (4 dE tX1 J7) 1, 6/1-714 -r /Z 6c7 hG J -5C- Er'r ELC✓M r
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-
(1- `9-,Ore. The undersigned certifies that the above statements are true to the best of his, her
knowled;, . d -lief. ...__
A--
Signature of responsible applicant
Remarks