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32C-091 27 WILSON AVE BP-2006-0256 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block: 32C-091 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0256 Project# JS-2006-0364 Est. Cost: $4600.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JOHN SCALIA 068554 Lot Size(sq. ft.): 6359.76 Owner: COLES MANDY Zouing URC Applicant: JOHN SCALIA Al: 27 W:LSO N Av E Applicant Address: Phone: Insurance: 66 BEACON AVE (413) 532-4856 HOLYOKEMA01040 ISSUED ON:9/8/2005 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE 1ST FLR REAR PORCH & REBUILD POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Phtmbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: /1-02-.k 5 Driveway Final: ?—/2•05 Final: Final: Rough Frame:d ,/ etc JJ Gas: Fire Department Fireplace/Chimney: G Rough: Oil: Insulation: Final: Smoke: Fival: O� 0/0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Itirdeeer FeeTvpe: Date Paid: Amount: Building 9/8/2005 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 27 WILSON AVE BP-2006-0256 GIS#: COMMONWEALTH OF MASSACHUSETTS May:Block:32C-091 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0256 Project# JS-2006-0364 Est.Cost:$4600.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JOHN SCALIA 068554 cot sizetsa.R.): 6359.76 Owner: COLES MANDY Zoning:URC Applicant: JOHN SCALIA AT: 27 WILSON AVE Applicant Address: Phone: Insurance: 66 BEACON AVE (413) 532-4856 H O LYO KE M A01040 ISSUED ON:9/8/2005 0:00:00 TO PERFORM THE FOLLOWING WORIGREMOVE 1ST FLR REAR PORCH & REBUILD 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 9/8/2005 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)537-1272 Building Commissioner-Anthony Patillo File#BP-2006-0256 APPLICANT/CONTACT PERSON JOHN SCALIA ADDRESS/PHONE 66 BEACON AVE HOLYOKE (413)532-4856 PROPERTY LOCATION 27 WILSON AVE MAP 32C PARCEL 091 001 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out y Fee Paid A7 tgO—"q Typeof Construction: REMOVE 1ST FLR REAR PORCH&REBUILD New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 068554 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION 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 Commission 4xLarc 9- 7 o s Signature of Building rcial 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. • 'x rDe -:PN 12 ,s )I City of Northampton - - e rc { en e 12 ertt" ` BUilding Departmentj4; � „ `' 4 j12 Main Strea = n- ”,v \Roo 900 i`9• f" 's -4 - -eir-nxt:: 5 Nprtha npton, MA 01060 • z' a ,, 'r%C. 4 phone 4,t3 587;1240 Fax 413-587-1272 • :4 ' ? APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: T i eclibn to bs comjileted,byoffice x 7 tVitsem 4ve ///ei G6lcua okt, / /t0. ..,,;31.149, I' - - -' ”OrerlaY'DlaM0,-' €tmStINsniit C6.1Nsfict SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT j 2.1 Owner of Record: / n .�y Celes 0 7ndn!Ct� c/; n /re Name(Print) Current Mailing) (r6: /6" Pt `P _ Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 8-ESTIMATEDCONSTRUCTION COSTS Item - Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 5`6c�C� -(a)BuildingPermit Fee 2. Electrical / (b)Estimated Total Cost Of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection j 6. Total=(i +2+3+4+5) 446:0?" Check Number /�96p .305—b This Section For Official Use Only // Building Permit Number. Iss te Issued: Signature: Building Commissioner/Inspector of Buildings Dale Section 4. ZONING An Informatibn Must Be Completed.Permit Can Be Denied Due To Incomplete Information ®® Required by Zoning This column to be filled in by Building Department PIIIIMMEEMEMERMEM Setbacks Front Side Bear Building Height Bldg,Square Footage ® ® Open Space Footage ® ®el (Lot arca mina bldg&paved 111.1111111.1111.1111111111.11111.1111111111.1111111111 A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO I) DONT KNOW Q VES Q IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES Q IF YES: enter Book Page andtor Document 9; B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO e IF YES, describe size, type and location: i E. Will the construction activity disturb(Gearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q r NO Q IF YES,then a Northampton Storm Water Management Permit from the OPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑. Replacement Windows Atteration(s) n Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [I7[ Decks [01- Siding[Dl Other[CI] Brief DescnWp�on of Proposed Work: /Te g''ve e�,J�tw / Irr retr fr/TAeir r /rifle(// MFS Alteration of existing bedroom Yes X No Adding new bedroom Yes "I' No Attached Narrative Renovating unfinished basement Yes .✓ No Plans Attached Roll -Sheet ea New-NoaseanrFbeadilil"ietr.3ow5itoa` rousfngcompletelfi-`eollowfNp: a. Use of building:One Family Twn Family . ' Other b. Number of rooms in each family unit: Number of Bathrooms / c. Is there a garage attached? .4.4, 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. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes -V 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? -3 Yes No. I. Septic Tank City Sewer k Private well City water Supply -*- SECTION kSECTION 7a-OWNER AUTHORIZATION-TOBE COMPLETED WHEN. __ . OWNERS AGENT ORCO�NTRACTOR;APPLIES:FOR BUIL➢INC:PERMIT /AA A/' (/r/PS ,as Owner of the subject property � hereby authorize Tr API fat hq to act on my behalf,in all matters relative to work k'aauthonzed by this building permit application. Signature of Owner Date ,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 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: /• Not Applicable ❑ Name et License Holder: T0A'h, [CA' 14 License Number C 't&con .4e hick. - 5 -1t' Address Expiration Date _ Ua '2 4n' Sit awre - Telephone iI ir'rra`rtl• °`-.^-.e_5• . .., :' s *`'n. - near:' Not Applicable ❑ Company Name Registration Num�rer '_ 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 avit will result in the denial of the issuance of the building permit Signed Affidavit Attached Yes. A No ❑ a ars. . .. _... ��.y a011l:�S . t r :�e t @li The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(L) 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 10$$5.1. Definition of Homeowner Person(s)who own a parcel of land on which belshe 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 be/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,yep 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 _.. Shp. of Ynt-t})ainpion � - , l- %r rE gtoa=. nc.¢ ar DCPGRTMEIr OP 6LfWLD1))jC : 4SPPCr10NS 212 Main Street. ' iuuoicipnl Dttiding Norlhurnpton, hInss. 01060 S wopi.Tii'S COM'L.NS/ TION CD1STSRAN i AV-Fart:NTT (Ii .dad. add=) with a principal place of ttusinesslresidence zr. (� -5—LZ __ .-... F2�t�tu^e . ()::none') -'—Jr (r-ralcmyIrtaz ap) do hereby certify, under the pains and penalties of perjury, that. (.>,j I am an employer providing the following;worker's cornpcaseuon covenge For my employees worthng on this job'. dyrch - Th et-,cay v/Q: 73/95:5--/ahoc (l surae Coot=ry) (Policy Nu r) (Erpi,don Due) ( ) I ma a sole proprietor, general noon-actor or homeowner(d-cd one) and have hied the coo -actors Uri d below who have the following worker's comae.^_sanon echoes (Nero: of Como:or) (insurance Camoarrp?ouc; Nuai.:) rcpimuoe Ont:) • CN:-Mc of Coop clop (L_v,uznec CAmprinvRoUcv Nunnc:r) (E»Iration Dau) Chase or Cone-add) _..Ctnsuranc CompanytPobcy Numt:r) ( vpu oea Dam) (Nam: of Contactor) nea raz Company/Policy Numb-s) (addition Dam) (. .ram1:t'in.,x if ycnei2,,in 'oe pcuicn5 a.0 er-r-o,) ( ) I zm a sole proprietor and have no one wori6ng for me. ( ) I ain.a home owner performing all the work myself. NGT:plex:be tare e,..Jc 6ct cn Wm=91o7 pe-:Lc 4.0 --.•.•_ =1C0 r rata..wt a, co‘mart L_IS=thkou which She barnoone rto6 o m the ovJr4 +PWrut"vticao yz ox G=" 2 :1-eia be cWlo>- UNC tSc+.ukw.n -.rill('AC(GL.”--= 5).�P4a5w by.boanoas fcr:lo.c rsr'ma r_.r.:iaxM r-a t atm 4I.v e„rich..rimy Work....Cow tthu AO- SWOP,' O-Kea awry ar Wv c2a+m may ba r .v I te Na pw.m+ tt Ss m'el Attaccei omm .or lawm re tb. mw e yr cio+rad thi Lathe ta.mafl Crc e_vrr—3.ce1w35A ori.tOL t59 a ay tmdto tM' 'wore+muvi po.i:a msi.'C al a hoe of up to s r'Joo.m.t4'or..=1:,noa-a of-up u avc Y cad c.il v-•°.io w 6'r 01'Soo Wolk&cit ud . (Ira*CS 100.00 a ty tshun t Fix em..au"->t...e m� Permit Number 52),6 _ 7 s-r Lof: saaSX" ""cue a;tip,,--tPcariuzc lace