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38B-0121
32-B --icl I Date: 12/22/00 • To: City of Northampton Building Dept. DEC 2 6i i\ From: James Ross, JDR Builders 2000 J Re: Permit Number BP-2000-0969 .j Er JDRDate: December 20 2000 P?OF_8Ui1P� 1C-`' o�E"o ' .,;j ..h + ,' Please cancel Permit Number BP-2000-0969, Project Number JS-2000-1773. The property is located at 160 South St. David and Alice Shearer, the BUILDERS homeowners have decided not to go forward with the project. James Ross, JDR Builders lt" 76' James Ross Builders•236 Haydenuille Rd.•Whately,MA 01093• (413)247.7634• Email:jd@jdrbuilders.com 160 SOUTH ST BP-2000-0969 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block. 38B - 121 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: alteration-addition BUILDING PERMIT Permit# BP-2000-0969 Project# JS-2000-1773 Est.Cost: $4000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JDR BUILDERS 074104 2 6 � Lot Size(sq. ft.): 8276.40 Owner: SHEARER DAVID W&ALICE M Li U Zoninn_IJRB Applicant: JDR BUILDERS AT: 160 SOUTH ST Applicant Address: Phone: Insurance: 236 HAYDENVILLE RD (413) 665-7587 WHATELYMA01 093-0066 ISSUED ON:5/4/00 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLAC 8 X 24 WITH 10 X 24 PORCH 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. 7 Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No( Amount: Building 5/4/00 0:00:00 338 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo City of Northampton tus�o.Pe • �1�:uilding Department 3�� MAY 3 212 Main Street =w r/ `e. a Room 100 OEPT OF Still„l+lf INSI.:ECTJON N _, Nortnampton, MA 01062 Two Sets='of'Structurat ',�0,,. phone 413-587-1240 Fax 413-587-1272 lot site Plans n, thcr `>i; = • APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION This section tobe completed by office°- �Ca-� `-rsr 1.1Prroperty Address r . �� I (QO T f+ S4 ` Map Lot Unit los--L- ty,Ac AAA Zone , -_' Overlay District Elm St District CB District ___ • SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address; ,7. say q ss Ci :�: Telephone Signature 2.2 Authorized Agent: e 1013 Name(Print) Current Mailing Address: A-t 3 a`i''1 -t Co34ESigrOAAAAre Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building MOOO ci (a) Building Permit Fee 2. Electrical ' (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number 3�`� �� This Section For Official Use Only Building Permit Number: eP U 901 Date Issued: Signature: ��/ Laop Building Commissione nspector of Buildings Da 777 k Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 101000 St-(it I O ak.) S 6T Frontage 8U k 7`- Setbacks Front ti I' if t` pzD `- Side L: R: 3 2' L: (0 R: 3Z 1 t Rear 4-I0' £-1 O a 0 Building Height � 2. STocz 6 3 5 .�- 33 Bldg. Square Footage ' ,Z 1 GP % I Z (.30 Open Space Footage % (Lot area minus bldg&paved 9000 Sd) 9 0 5-0 parking) 1 #of Parking Spaces Z. Fill: (volume&Location) \-A0ct( 0 t^e A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW YES N IF YES, date issued: CI- 2.'O6 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: ,' 4kftfile:::;: :.3;;.;' a �' ,"tist°s e: y ,:5SECTION DRIPTCON OF PROPOSED O K(clieck'4all'appl.. .. ) x. .....>::: .x:.,R9f'!i:4:.a,-Kk....wG.,:R...J........Y'i..-x%RWk+s ,..ro.,;:::,nAF:N,vx.,:Y� .:ak+'-w.�,::.: .. - ,vMn. ..x,',..-r• -.: W ,. - .x�: --.-:,: i"..�>_x.�'S`�.Ar.Yv-�'"Gt-c:.,„�.✓ _ ..> Tom+ , .,6,• W, 4:4kG".,. ,e!'.'. .._,[.� New House 0 Addition 0 Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 Demolition4 New Signs [ ] Decks [ ] Siding[ ] Other Brief Description of Proposed Work:DEinatg1/4- fR4417--i-T'Ui\-10`-W-6t-Pcx9-C 4 - l\SC1N� Pu�.t� tS lru ASTA-Ttf gXa-Y c r /o/a-Y GF i7tKA'Z\t1 J� Alteration of existing bedroom Yes Agti-eeAdding new bedroom Yes ,t( No Attached Narrative 0 Renovating unfinished basement Yes N No Plans Attached Roll❑. Sheet❑ . a l New h" Mffil o 'aTillit' r to ex in liM i, nn ETOR. h orlo. gr _: a. Use of building: One Family ' _ Two Family Other b. Number of rooms in each family unit: c Number of Bathrooms 7-- c. Is there a garage attached? NO L d. Proposed Square footage of new construction. 'Zito Si e Dimensions 1 U :A 2(.( e. Number of stories? 1--' f. Method of heating? C.)%L - ST(:A- A Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction S`$ i. Is construction within 100 ft. of wetlands? Yes '( No. Is construction within 100 yr. floodplain Yes >c No r j. Depth of basement or cellar floor below finished grade b k. Will building conform to the Building and Zoning regulations? Yes )c No . I. Septic Tank City Sewer .)( Private well City water Supply ) SECTION 7a. DOWNER.AUTHORIZATION' T,0-BECOMPLETED WHEN OWNERS'AGENT OR,CONTRACTOR APPLIES,FOR BUILDING PERMIT I, 4\ze \(�i c _ , as Owner of the subject property hereby authorize )%Iv 1Z.a S5 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, ` ,gyv<ras `-Ras crt-Z-41-e--`ilUNk.-s06(l.D - , 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. 1 Print Na, e 4CAL ti---(--)-oo .1 4 4 Signa r-Kf Owner/Agent Date • SECT101J48 ONSi1R:UGTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder:� r---- 5 U r i 1 di" License Number 2�CP lie 2-6- �} -��L )144- o� - o z Address Expiration Date �{'� `S� ` ` ib d�yr1 '7b3 Signat -�" v Telephone om"• °roremen' on .co.% Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(MG.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 1� xaN � � °° fro ®:. 01 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 • • p�Oy of Northampton B 6 ylissaclltisctla DEPARTMENT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building \zit Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE < < AVIT I, � rro s Q_-©ss c�- 31)( `ZA)1i C 1 (liccnseripermiace) with a principal place of business/residence at: — ;3 }-401CiflivA2, utA / (phone;') al-j ? 7(3 (sn /city/st t.clap) 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 worinng on this job: (Lnsuran Conpinv) (Polio Number) ( xpiration 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) (Insurancc Companyi?oiic,• Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoLicy Number) (Expiration Date) (east additi c.ne l thcct if ner,.ry to inter&in forms oa pertaining to all codrnr_ore) I am a sole proprietor and have no one worldng for me. ( ) I am a home owner performing all the work myself. NOTE:plcsc be aware that wtnio boo nrwocrs who employ pro to do¢x + n cotrzr:rioo or repair work on a dw,-Iling of not more than throe units in which the homeowner reside a<oa the grounds zppurtensm therm elt pot generally considered to be employers under the weaker's oempcos-ation Am (GL152.=l(5)),application try a bomoowa n for a liccone or permit may cvidmee the le t atatus of an o nployor under tho Worlccea Coaapomatioa Act I understand that a copy of this ctztmcnt may be forty armed to tyo Department of lndzarrial Aocidoca&Ofboo of Imurioco for the coves-zgc vcriaz boo and that f ilurc to toutrc coverage under soctioa 25A of MOL 152 can lead to the imposition of criminal penalties 0000tuirng of a fine of up to S 1,300.00 and/or of up to one year and civil p.-ruttica is the form of a Stop Work Order and a fin of 5100.00 a day ag err t me For dcpuzmxrt'l use only A/J Permit Number _ �'�l Map4 Lot# Si tare of Liccnctx fp,`rmjttrr Date fi I. 1 O% 10 i c ..\5-,,,,,G. Pow,* prz.ofcsop pocic ck G,Acwce i(DO SOUTH S``• 8 6., 30' 4 _ . .., ._ . 3 - -j -,_.,.. g ,...,:.-.., '' s2 S 7 6 SZ a�_,...._,.\ w a 0 c' C1 tjVln/?( )C 01 'rr/' • File#BP-2000-0969 APPLICANT/CONTACT PERSON JDR BUILDERS ADDRESS/PHONE 236 HAYDENVILLE RD (413)665-7587 PROPERTY LOCATION 160 SOUTH ST MAP 38B PARCEL 121 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 �,j1 "" Typeof Construction: REPLAC 8 X 24 WITH 10 X 24 PORCH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 074104 3 sets of Plans/Plot Plan THE F LOWING 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 Conservation Commis ' Permit from CB Architecture Committee LRaa Signature of Building Q.f,S cial 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.