07-024 (6) 489 NORTH FARMS RD BP-2000-0290
GIS It: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:07-024 CITY OF NORTHAMPTON
Lot-001
Permit: Building
Category:a/Iteration-addition BUILDING PERMIT
Permit# BE26Q0-0290
Proiect# JS-2000-0467
Est,Cost:$42000.00
Fee:$210.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Oliver Iselin 039073
Lot Size(sq.ft.): 264434.40 Owner: 'OTHENB RG B ' Y &AMY S WOL
Zoning;RR Applicant: Oliver Iselin
AAT: 4A9..11aam EaEMS RD
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224
NORTHAMPTON 01060 ISSUED ON:09124!1999 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND FIR BEDROOM & CONVERT
EXISTING BEDROOM TO BATHROOM
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 signature:
Fee Tyne: Receipt No: Date Paid: Check No: Amount:
Building 09/24/1999 0:00:00 $210.00
212 Main Street,Phone(413)587.1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File 4 BP-2000-0290
APPLICANT/CONTACT PERSON Oliver Iselin r
ADDRESS/PHONE 36 Service Center (413)584-1224
PROPERTY LOCATION 489 NORTH FARMS RD
MAP 07 PARCEL 024 ZONE RR
'HIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid MA, 10—
T eo Construction: CONSTRUCT 2ND PLR BEDROOM&COURT EXISTING BEDROOM TO
BATHROOM
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
TH 47LLOWING 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.§ _ wIZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: §_ iw/ZONING BOARD OF APPEALS r
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of He..tb Well Water Potability Board of Health
Permit from Conserva:t ommission y� �^
Ailref
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.
1 I ; ._,{
l" p i 5 '999 �
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� DEFT Of atli:F eE T f,is pQ t
_._ File N ..,, O0290
ZONING PERMIT APPLICATION (§20 . 2)
PLEASE TIPS OR PRINT ALL INFORMATION
1. Name of Applicants r �'�'C SEr< /,J
Address: 36 1# -LV f C¢ C 6 -'n& Telephone: a 5I / Z Z `r .
2. Owner of Property: 74-2R--I 7-O'Pint-id C- & c: 74'i `^- o c Pf'la
s
c
Address: ! g 7 / 1 nf- f'(/ ""r 'C`o Telephone: Se, ' V7 21'
3. Status of Applicant: Owner ✓Contract Purchaser___Lessee
Other(explain):
4. Job Location; `l?'l" ✓ l`"' n+ r7d4-- '-11 pro
7 Parcel Id: Zoning Map# Parcel# O' 7 District(s): pe.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_ Yl ^' 6LI- ,6,41-4-1 "-} ii-$-.f r O Cr-J Z.t
6. Description of Proposed UseMbrk/Project/Occupation: (Use additional sheets if necessary):
JcP'@ C h>t(1/2-16 6.- ,r-) /LI a w"air-,--- C l- Au 0,z,,,,,---4-,
(1).,vL-,c-r kX l JT? tt a 6 o,+.,7..0— 7c pin/1' 7I,t„....0,t„....0 .
Vt✓i ,00 nvY-r-r 066tic v.,, v 1,-,tit /iv lrn hi 6- Gra,..c ,Goo-
7. Attached Plans: t/ 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 Permiwariance/Finding ever been issued for/on the site?
NO -^'..--
DONT KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT 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
W YES,describe Se,type and location:
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.
Arc C)�-/�'->G-#-'� This comm to be fiwed in
by Che Building Department
•
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
-side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf .Parking Spaces
ref Loading Docks
Fill:
4vo1--rime-& location)
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my kno e.
DATE: �`rJ APPLICANT'S SIGNATURE -
NOTE: last, am of a zoning permit does not relieve an applicants burden to comply With
zoning requirements and obtain all required permits from the board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE
Li t ,. ) •• 1` ' 5EP t 51 Qiif of JotIi wit}rtutt
�or3 jyt�
0 DEPARTMENT OP BUILDING INSPECTIONS w lit-
212 Main Street ' Municipal Building
Northampton, Maas. 01060 .„0—
WOREER'S COMPENSATION INSURANCE AFFIDAVIT
I, pC/ vtvc (2-J6-1....,,J
(lirrnw•ipermittee)
with a principal place of business/residence at:
3 b Stifti C/E---'7m-. /u'/O (phone#) -let, . / 2 27
(street/city/state/no
do hereby certify, wider the pains and penalties of perjury, that:
tam an employer providing the following worker's compensation coverage for my
employees working on this job: j 7
,4-tt r4 em Lel (JC 7fy1 W L/?/ 9 9 / o))co
(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:
Pk.0 - PLu.t..a,-.1t- MASK rr A-Cc7310,1 &Ai) in,
(Name of Contractor) (Insurance Company/Policy Numba) (Expiration Date)
JE7ovtvX'l-/ fttor<-a A14 -K- IfaT94SbsJ ra /9jit5
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) •
4JQvQ71-`1 EP/rr9—'k p2Avtttrtt glove t=wkooyew /.7] /Yin
(Name of Contractor) /(Insurance Company/Policy Number) (Expiration Date)
44,...., ro4..+lr CJ (I/
ri_r, • trv/}K» A°n 140C 4713127- 3117)0<2
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(teach additional sheet Irmo-airy to imludc iofametim pa>•inins a nil mwedors)
( ) i am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOM please%.win thst ti bamm onswhoemploy pascal to domrint.yy.ammanmantra waken tdvaaiugof
not mallow ire mks in whitb the bemmwoarahb a co as grounds cppartemm the/an are oat weedyamukrd to bo
employers undo the wakes a eassUm Act(GLISlagl(d)).appliriioo by a hommwmr for a kenos a pandit may evtduwe the
kgd.laha N.ewaployw wait the Waelcda Cempuwaow Dot
I undee.aed nut a copy oftbi.OWtmea tray be fawerded la the napere ofIodawid AaddwvV Oboe of huamw tor du
r °Osage miaaaoe pad aatfdhnemaaue m<rage,mda sodium25A NMOL 152 an Indio da kzpmdim of avail poultice
coatigmgwft fiueetupto 51300.00'sitar bvfa'vemxgofup to ove yrnand civil petdhe'La So foam of*Stop WakOlder and a
.o',i>, mdtc$1o0.0at day against mc.
•
q Signed �y day f ^� ')` 1995 rad en sway
Permit
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Zoning
Miscellaneouss Additions,Repairs,Alterations,etc. Tel.No. _ y ` Z Z 9 Alterations
Ici NORTHAMPTON. MASS. ) r 19 ciii Additions
all
Repair
?ts1 4APPLICATION//F�,OR PERMIT TO ALTER Garage
I. Location yds/ Nc K P �''`�`d R la . Lot No. _
2. Owner's name Zit'C"e'e7 Ar46-30644.. i46^7 waLPi.IAddress fa"-. t-
3. Builders name (2 u i v.t""" ;:iss e r' Address 1 b If'4-114 & CTx.. r.+ 7v".4
Mass.Construction Supervisor's License No. 0-77 0 9-2 Expiration Date 91' - Lc - Z0-0 I
d. Addition SC'-ea-no rr..s-,,t_. A' ar, rT>n) a vt-ti ,�,sc 1 f T --) C- tirr N l- It, n—..
n C- _
S. Alteration de-r'f2t;ic: o.•.— (s!.-,.+..a rat-4. ,�
6. New Porch
7. is existing building to he demolished? L ary 47
S. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
II. Distance to lot lines
12. Type of roof_^_. __
13. Siding house _
14. Estimated cost>
L//Z L,f ' The undersigned ee. that the above smemcnis are true to the best of his, her
knowledge r Lief J
Signumre of responnble applicant
:-marks ftht- 4 Tflkt I biota (2LA-'J