17A-099 (7) 27 GRANDVIEW ST BP-2017-1129
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-099 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2017-1129
Protect It JS-2017-001915
Est. Cost: $34000.0.0
Fee: $221.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: CHRISTOPHER O'CONNELL108508
Lot Size(sq. ft.): 9365.40 Owner: ALPER NEIL
Zoning: RI(100)/URA(100)' Applicant: CHRISTOPHER O'CONNELL
AT: 27 GRANDVIEW ST
Applicant Address: Phone: Insurance:
P O BOX 176 (413) 539-1521 WC
HUNTINGTONMA01050 ISSUED ON:4/20/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:BUILD BATHROOM DORMER, ADD 2 CLOSETS-
PER ENGINEERING
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of numbing 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 4/20/2017 0:00:00 $221.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File k BP-2017-1129
t y��
APPLICANT/CONTACT PERSON CHRISTOPHER O'CONNELL V 1
ADDRESS/PHONE P O BOX 176 HUNTINGTON (413)539-1521 V C-2\C--
(s
PROPERTY LOCATION 27 GRANDVIEW ST ,t()
MAP 17A PARCEL 099 001 ZONE RI(100)/URA(100)/ �
THIS SECTION FOR OFFICIAL USE ONLY: 1
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction:_BUILD BATHROOM DORMER,ADD 2 CLOSETS ` '/X2
New Construction �. ('
Non Structural interior renovations (1/'��� i`p 1 AI Com`''
Addition to Existing V 2 1
Accessory Structure V
Building Plans Included:
Owner/Statement or License 108508 //� / secnd�/c
3 sets of Plans/Plot Plan P 7—
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
V 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 Comminee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demoli relay
S • m sg O teal 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.
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 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
a"1 &C1ria Map /7/J Lot 09 9 Unit
IvO cs.Qnh 1 y-v • O %c Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Ne;\ keit( et \\atwiah �rc,okr ae..,/ N wcc 1 ,r• 0cDA ol%6o
S
Name(.1,2tLk., Current Mailing Address: ern t
C� CS/titTelephone
Signature
IlP 1 J
2.2 Authorized Anent
Gids OY.onne\t ?o Q»c Iibl n\ z /AA- Oloco
Name(Pd Current MaUing Address:
f-11-$ - 3`t- t5a\
Signa ure Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
_ completed by permit applicant
1. Building $ o-S iVop (a)Building Permit Fee
2. Electrical � Co ion (b)ECsoStrted Total Cost ruction from(6)�
Construction
3. Plumbing ,rt 3 coo Building Permit Fee ^/
t Off)
4. Mechanical(HVAC)
5. Fire Protection • yy
6. Total =(1 +2+3+4+5) 9 3141oora Check Number 4(73
This Section For Official Use Only
Issued:
Budding Permit Number. Date
Sgnatu _ 1/011 /7
Building Commissioner/Inspector of Buildings Date
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
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location) _
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 7"' DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO `le
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 O NO O
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 0
Accessory Bldg. ❑ Demolition ❑ New Signs pm] Decks [❑ Siding[o] Other[❑j
Brief Descript'1gn of Rroposed .1
Work: fu;�d pot‘+tppv� apt Mec , thou 1'vn
Alteration of existing bedroom )0 Yes No Adding new bedroom Yes AO No
Attached Narativ Renovating unfinished basement Yes >C No
Plans Attach of , -Sheet
se.If New house and or addition to existing housing, complete the following:
a. Use of building :One Family /� Two Family Other
b. Number of rooms in each family unit: '7 Number of Bathrooms a.
c. Is there a garage attached? Yet
x
181`
�fy8l
O. Proposed Square footage of new construction. 1 8 Dimensions
e. Number of stories? a
f. Method of heating? Oil ct e\e Cbl\tC Fireplaces or Woodstoves u Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction V
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? 217 Yes No.
I. Septic Tank_ City Sewer X Private well City water Supply r
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS1' AGENTORCONTRACTOR APPLIES FOR BUILDING PERMIT
I, NQS 1 1S\,ec ,as Owner of the subject
Property
hereby authorize L_. rL) Ottrkt-t1
to act 0 my behalf, in all m tiers relative to work authorized by this building permit application.
>0 'V., nrte' t ( 7 7
Signaturead Omer Date
I, C \ O'(ONr{R ,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.
C_ Lc;J C11 to en
Print Name
CIL 6th 1-4/6/11
Signature of Ovmer/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: ,,n ( Not Applicable 0
Name of License Holder: a\A 0.5 O't^ O`CofkrZtl L5 loo boil
7 License Number
Qo 'M I}b 1 on$; Ooh Mh o t,o o 4h-1411B
Address Expiration Date
4t3 - v5:1‘
Signature Telephone
9.Reolstered Home Improvement Contractor: Not Applicable 0
ULONKA1 C2l5\`(Ualbt'1 L.LC
Company Name Registration Number
Qlfrac.NA \Re-u c)C.
Address
(� Expiration Date
'l�CV I /"t!c O,o Sg Telephone '/'113-53q-1a6o)1
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 0 No Jill) Qtn. Zv'.IL
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 wilt 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
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: c.l1 G n:e Sk monvt--ptm
The debris will be transported by: OtontaU Gauckcovt LLL
The debris will be received by: Utz,/ Qecyc(
Building permit number:
Name of Permit Applicant CA(zpt( (`Con^4U
t4P6C-02 o
Date Signature of Permit Applicant
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