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32C-126 (2) Louis Hasbrouck From: Louis Hasbrouck Sent: Thursday, May 17, 2012 2:28 PM To: stepdross ©yahoo.com Cc: Charles Miller Subject: 36 Fruit Street Steve, I've reviewed the permit application for 36 Fruit St. I've approved the permit. We will require specifications from the elevator engineer for the fire resistance rating and ventilation requirements for the hoistway and machine room prior to the rough /framing inspection. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 SECTION 8 CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : TrG((� �� P- 7' /40 License Num er go rt) zo713 Address Expiration Date A i 3 I a84 t2-24 Signature Telephone . Registered Home Improvement Contractor: Not Applicable ❑ s`T i!V D . eOSS co e -- co R /PP 6 y 7 Company Name Registration Number Address Expiration D to NUe TIAAMQTOAJ 14- okO( Telephone Gf34 2 2-4 - 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 $. No ❑ 11. — Home 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 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 7 , 300 4G7 FT 300 6 0 VT Frontage Setbacks Front 13' 3� + r+ + u , t , Side L: 1(0 R: 14--1 L. I� °�1 R. Rear 3 ` Building Height .g 1,1 - S44-to" Bldg. Square Footage tit 5 % l•-7 Open Space Footage % e ( ‘4% (Lot area minus bldg & paved 4(07 6 46,5Ir parking) # of Parking Spaces CNA 1vc tr A.i CAA 416.E, f Fill: N / / & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO C4 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book Page and /or Document # Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES NO I" IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 174 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition Replacement Windows Alteration(s) Roofing Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding [0] Other [0] Brief Description of Proposed Work: ADC O (2 ( �.A71 AL- S1. � - Tr, AA) g,kStM AJT Bt'Lt Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing complete the following: a. Use of building : One Family Two Family X Other b. Number of rooms in each family unit: 8 /4 Number of Bathrooms 2 / 1 c. Is there a garage attached? WO d. Proposed Square footage of new construction. Gi� Dimensions 3 X 14- 5 x 5 ■ e. Number of stories? 3 f. Method of heating? L \i +G 06-v kkar k( Fireplaces or Woodstoves 1 -'Ct Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction W oa D V i i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes XC No r (_ j. Depth of basement or cellar floor below finished grade y/ k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank City Sewer X Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT T EO e EI2T L -M hl , as Owner of the subject property hereby authorize 4 H •1.) -O S'- l CUNT VQe' to act on my behalf, in all matters relative to work author by this building permit application. / t 1// Signature of Owner Date 1, C,Oti:-lk•LTD , 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. Print Name Signature of Owner /Agent Date R , t - '"� Department use Drily EGa City of Northampton Status of permit: Building Department Curb Cut/Driveway Permit 6 2 2 \ 212 Main Street Sewer / eptic kvailability. Room 100 WateriWell Availability , sFE ° " S N. hampton, MA 01060 Two Sets of. Structural Plans D -i• . ,,AMF � °: a 413 - 587 - 1240 Fax 413 - 587 - 1272 Plot/Site Plans 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 (fl ?VIT S V E T Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: POO P - .MAr t 3 t STeC' 'ET Name (Print) Current Mailing Address: r Telephone Signature 2.2 Authorized Agent: 2TEp;'r BOSS 3(0 ' # VILE CV Po D Name (Print) Current Mailing Address: 7 � blk- -1 ig i ure Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building / ?2 boei 00 (a) Building Permit Fee 2. Electrical / • / 6 ) (b) Estimated Total Cost of CF ` °� O'O Construction from (6) 3. Plumbing t (5 elr15 Building Permit Fee 4. Mechanical (HVAC) tt 6 v /- �t O 5. Fire Protection r 6. Total = (1 +2 +3 +4 +5) /Jp / v0 Check Number � 0 _ 11 7/(3 1(70 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -1006 APPLICANT /CONTACT PERSON STEPHEN D ROSS lb ADDRESS /PHONE 36 SERVICE CENTER RD NORTHAMPTON (413) 584 -1224 0 S e N d� �� Mj PROPERTY LOCATION 36 FRUIT ST g 1 MAP 32C PARCEL 126 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 3 � 3 1/ Fee Paid Typeof Construction: CONSTRUCT 3 STORY ELEVATOR & RELOCATE BULKHEAD New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 079160 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: A pproved 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 Commission Permit DPW Storm Water Management Demolition Delay sit 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. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. 36 FRUIT ST BP- 2012 -1006 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C - 126 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Zoning Permit BUILDING PERMIT Permit # BP- 2012 -1006 Project # JS- 2012 - 001378 Est. Cost: $152100.00 Fee: $912.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq. ft.): 7318.08 Owner: RECKMAN ROBERT C Zoning: URC(100)/ Applicant: STEPHEN D ROSS AT: 36 FRUIT ST Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584 -1224 () WC N O RTHAM PTO N MA01060 ISSUED ON: 5/17/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 3 STORY ELEVATOR & RELOCATE BULKHEAD 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: FeeType: Date Paid: Amount: Building 5/17/2012 0:00:00 $912.60 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner