Loading...
23D-061 (8) 20 LONSDALE AVE BP-2005-0495 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D-061 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2005-0495 Project# JS-2005-0650 Est. Cost: $14650.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WILSON CONSTRUCTION 050188 Lot Size(sq.ft.): 12588.84 Owner: SAUTER JEAN M Zoning:URB Applicant: WILSON CONSTRUCTION y T:_20 1,ONSIDAIAVE Phone: insurance: Applicant Address:155 BUFFAM RD (413) 253-5105 PELHAMMA01002 ISSUED ON:10/21/04 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP, PLY & SHINGLE ROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector Inspector of Plumbing Inspector of Wiring D.P.W. Underground: Service: Meter: Footings: Rough: House# Foundation: Rough: g Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final:© I'C //— /7- el Li Final: c�`""�� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ,� e-- Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 10/21/04 0:00:00 5355 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo OCT-14-2004 08:27 FROM:NORTHAMPTON BOARD OF 413 5871221 TO:914132535105 P.2 II V E ni of Northampton i'y Departmenti.c12ingmain Street , ii....1 ----.,• '- . . .),146-i,Tr-r-t.--liqir,v&i.e.t,, , , • .--. -- -4,-. - - ..,,, -...•t- = : *Afilik>41ititri ,-. l p '.i',..0 rigat j t&R-rfriffi.i.:': ••''..'2.....' :- : .--1,''''' . --e' 74', ,iketri)toi: 1,:._ •:,...._.1.1...-,7,..i._, ,-,.::,.:-....,2p.;.• ! lj OCT 2 1 2004 Room 100 Yroi.'-0040010drix.•. • -- . :,.•,.„,.....:-., ..-,,, ,Norttampton, MA 01060 .,,'w(:)S e. ,g k: ti,-.S4A-04).g.-L;,-..ir. 'i, , .--. ,. .phone--413-5 7-1240 Fax 413-587-1272 i ------DEFT or BilitnikiniNSPECTe.S neA--'w7,,J4::,:riotoy-• -,,,:,,,.1..7/4,*--1 ,::1:,,*‘•;.:.--..„;.',i1,--',!.y.. : 940.A4.1?-e4tc-1-1,-:-''''."4..-.'1,,I.T:1-4.--Ah -i 'le-'14'!, ,.,',4• t40 -.,•,1..-,11, 0 1 _nin ....: ______j_ 4-----MYCATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 4eFf014 1:-SlittiN-F611MA410N 1.1 Property Address Tt''.ii7i,i'it.1iT„ri?',.. Ootile:2,tO-`.'lftfiNce ,.,.... )7.--.A`.1T--1...,,.•.:A1 -Est,„06---11,v,-,, ,-..,,,,,--,:tkv,.1.-1, •,---3.-,,- -- r2() 445(1a/4 iFerIP7/ _Map;-, JP:i.3...-...-.:4....".fik•FLOV,4,0...4.,,-•-:.f...1 k-t.:-.:)---...,_99,11,-,,,,,,,,, .!... J ,'''?!•44','" W' --:Wl444..2..2-.1'7'/7/e46Li A Zitr ' Oer :Diitri,,x,‘4.:4f1-""1i,t .-S..4-.5,,,.i,:Eltriti.'Diittict cs Dureiri. SECTION 2-PROPERTY 0.W,NERS.HIP/AUTHORIZED AGENT ,.3.Owner of Rilcord: Al V e. h/ Tea id Sav-ter" <420 ionfS . A :7/4-4,40wei,,A_ , Name(Pont) Current Mailing Address. ignoture X Telephone #3_5-6 /..- s 1 2. orize gent. 76 , dA4/1 _,/5:c I Y //7 Zii N (Print) Current Mailing Address; i -ae1/4-,------ 1/3—,92,c3—Lsror ignature Telephone Sc01:40t1:A:'::_ §TitiVikliE6CdSt T,RAtTION to7•... ,.. . . • - Item Estimated Cost(Dollars)to be i Official Use Only corn leted by permit applicant L. . • .,, ., -. ,. , ,, .. . . .: ,.,. . .__ ,.. ,_ , 1. Building .(a) Buitd-4,:green,:._itr.de 2 Electrical (b)Esti-inateo fothl-Cot of Constructionfroni.(6) ,...3. Plumbing BuildingiPermit'Fie 4. Mechanical(HVAC) 5. Fire Protection ...-- 6. Total=(1 + 2 + 3 +4+5) Check.Number . . • This Section For Official Ute,Onty ________ ldittgftrMfAtfilber:...__ . Date issued:5: - ,• -:s '.. 1----',!;'''' ''''''' ' ',:. - . ,.. - '-. 1 r , ,L§i.i3n4t0e.,. .--,:f".1--.::.. . •_, .: ...... .-:, , -,-,, -; . - , . „ . . , - . . .,. . , ,.,ii(616iirigeor.lithie:i*ler/lhipector o,f13,tilklinp , .: '•, • OCT-14-2004 08:28 FROM:NORTHAI'pTON BOARD OF 413 5871221 TO:914132535105 P.4 • rr P :(i'' ,y ' ;' Ras 5 , x 1t� ' P ` f. ..' , d � � , k4ci � � .. a�'' , ��, . l" ��Yaro 5r �; tCo7 ontt• ••SEiaORKf A f� `aaiEabl,e , ",g : rxarr4 1 . __ .sty,'if 4A.17 ".� R1 as'x ru r „ Ho n Neuse Addition n Replacement Windows I Alteration(s) 0 I Roofing I I s I Or Doors 0 Accessory Bldg. 0 I Demolition❑ I New Signs [ J Decks [ ) Siding f ] Other[ ) • Brief Description of Proposed Work:/f,0?OYG 3leytcs ij 4117 /'Od7 ., 7,,,54`/`�/��/IOO41 /di 8iir 51,1;/ Alteration of existing bedroom Yes .)( No / Adding new bedroom / Yes /C No Attached Narrative 0 Renovating unfinished basement Yes _ )! No Plan ef7Nb.T-To1�s AttachedcBch,� Roll 0• Sheet 0 P .-la r i{' imi-Joiltio—Md e)in1 61J1---JiiS:`,;' vh'G':i:l--!D i.., lir: a. Use of building:One Family Iwo Family _Other b. Number of rooms in each family unit: Number of Bathrooms_ c. Is there a garage attached? 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. Mascheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No, is construction within 100 yr. ftoodptain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply rit, _x. °+'t;�j "- '�iq` it '.h "s. ..kw5 ' r! .r? r• =22wi NEREAt.T' OffIZA 'ION 1`O43E OMPLE IINI" lima,e lEla ?t , �,,C"di t'' �etO At�PtiE5 FOF BU(LDI VCR PER„ ,_V .. 11, J ..ec 5-4t V 'I€` , as Owner of the subject property I. I hereby authorize (�I l s 0&J A/1 SS'6c,`t1 00 to act on I my behalf, in all mattersrelative t work a ihornzed by this building permit application. / -ignature of Owner nate i I, f�, 4a 4/Pro r/Authorized A ent /� g Lest of hereby declare that the statements and information on the foregoing application are true and dcCuraiC, to the- ��.,. my Iknowledge and beiiel. ISigned under the pains andp nalties of perjury. I // /IfjJ12i tN e PeAhi. / ad j ..„„„iu.n u,'.,,.nc.;".oc,: Date OCT-14-2004 08:28 FROM:NORTHAMPTON BOARD OF 413 5871221 TO:914132535105 P.3 . 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 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 DON'T KNOW YES IF YES, date issued: 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 y IF YES, describe size, type and location: D. Aj9 there any proposed changes to or additions of signs intended for the property?YES _ No X IF YES, describe size, type and location: 71f'T_i n_ t->lfan n:�.�tGt rn r � {� I� {}� C i -4 V V:L_^ R :Not-T't:+_f^t— :1 SO tRi. Dr 413i 58?1221 TO:1141 1 EJ Q 5 • Lieencpd Construction u vis : I Not Applicable 0 1 .. io ,��'�/f/sd (O/Fs- ames' License Number riff.I 11,/c/r1 /i‘%iff 1 Address expiration Date 1 Signature Teiepnone ix►tl � I Not Applicable Company Name ,� f� Registration Number 1 //// S .,32,74 6�/e /i _4"Z I f 2-Z B-° 1 ddress L/lrJ.Yatioil bats 1 �� _i �fT✓ • ����42 Telephone 02`'(,J:7-n-ge f J S CTION'3.f7 WORkERS'_CO1VjPENSA110N slNSUBAN.CEAfFIC}AVI"T.t(IMVGt'l r 1 4,264ts)j. Iworkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit 1 will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes 0 No i i...current.:..tfuipi i- ,- ate- __ —Yaa as.a- -:� a Own. eri nweltof . ..3 4l=.�=yi. .. ,. .a•....::.> ...�..-- inns one(�) or two(2)families ;;, .-,t t mat....... :::._�:.�:.: .::_.. --.. - - - i - - - - �� .. i to and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as suriervisor.CMld!$4, Sixti: edition S!coon 3ir$.3.5.7• Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,ren whkh there is __s, ♦_n ad be,a or tttro famtty dwellin , inached or detached structures accessory to such ilRe,and/or faun ,VL is,[[itG/iuc.-ir to one.... -....J ,.,.......-� II:ruched structures.n filet suit rr io constructs than one home it, n two,_vr;.F period shall not be considered a homeowner. ;awl" iP_l.rn fR1PfW5e'sli.::submit to the e Building vAF. a..t or;.. .>.a .F°in the E rildme: ir.4ual.ii-.-f_..i _4,bhw oL.oa i abe r tpr for yx li s tie_ii work L!t-rim medd multi .tap Co! iriiminn Ntirtervisor Your presence un die job site will In:_ qLi:'d from time rs4 reth rittr P3l1 and upslil ?t 1 frhe.army,to 4Jh,+'M th,c t,ne-mty .S Led. t__ S__ '+. x °.,'!!8•e qr ••• • ' -"C t53 ti to �R7,14:"Nt'4'lit. "�"'• .r 1.-,N _C i�r lT9lA :,4 I�tll! -•,• ate., 4y.•-iY:YV.,r wv •.........,: ,.::..�,. - =f` .).. _._;l'.i niet.t ,eapiss•e ., ., V ' t?iPtYtg rut • . ,- .s_-...•R.\r..,.r the. :iws y ti hires it rre:;rTr,i3at 3ii0Yk cur y::u Wider IIYilRPYC I{itiP(i"11i1i7lf?fRWfiCI t.;Ul ti!l4d1 liliu a � .. t,-rP yaxta+i t t4.[t.le. t..,iy!ai_..- T.� ,1i4il.VJ/Vi•IIYa N.ar.a,. �... -- ._. . - ......++,..._,.,..,... ,„r.,,,-.n..,.... -........,... ...., w .n. nr• ._ l...,., .a -w..n..wi i oavn u r,T�ird Flomeowaer Signature • ' r o4�twr,r.To • „"'PP/MIAs 1'€. Cris Cif LIo.1fliallt1fo l • 1E ��coanrhnsrtle' d- • DEPARTMENT OP BUILDING INSPECTIONS 4 212 Main Street Building Northampton, Mass. 01060 • WORKER'S COi\Q'ENSA.TION ONSURA.3'C: I 71/1A /1)/ ---•--- (li ccascc�permi ttcc) withh a principal place of business/residence at: ,,� / 31�� Ird AA/111 a ///CC ,hone:' y�3`, L5-3-s-7D (saw ty/s ta.tcfn p) do hereby certify, under the.pains and penalties of perjury, that ( ) I am an employer providing the followine[worker's compensation coverage for my • employees worbng on this job: • (Loslumac Co car--:nv) (Policy Nuiziocr) (r:pirtior, Dai} • I am a sole proprietor, general coon-actor or homeowner (circle one) and have hired the cone actors listed below who have the following worker's compensation paLicies: (Name of C0:'.t7'.cior) (Ins-urance Coinoa-ryiPo ci Nrun1i r) (1=`:JimLon Datc) (Name of Coolracior) (lnsuanec. Comoa.aviPolic-' Ntuncrr) (ixpir,ation Date) (Name of Counaao.-) (insuranc; Company/policy Nasbe-r) (Expiration Datc) (Name of Contractor) (Lnsuran Company/Policy Numtr`r) (Expiration Date). (aai4:1:di;;oc�.1 r'sea,if nc,=-.ry to cre!u- ,ofco, on pe-lc'n to.11 cep-__ors) I am a sole proprietor and have no one worl.dng for me. ( ) I ama home owner performing all the work myself. NOTE_pl—c be ew;rt tfi•,wt j, bcoocowocre who csaplay pciooi to do c, -, cs,coo c-r-gaa work on.dv-dii z of coot Mom then t17oe tmtr in whir h tbc bomoowac rraida or oo the p-oubeS eppunco zn therm'-c ox c_!ty ccc:d.-c4 to be cixpioycs Act(G12152.n 1(5)),...ppli.anoo by a bomooQaa fcr_bcecze or pc, rr_y c idcooc tbc lrgel nate.of en o iIoyar coder tiro Wacker'a -ipa AaL I coderotreod doxta copy of thi.mtcmcca may ba for„o-riled b tbo p tmect of Aondc:As'offroo of 1oeur•ooe forth. °°vet Ycrifiaetioo and th_r.Lrltac to socurc ieo'crag-c tsr,rt. soJoo 25A of MOL 152 nn led to the i ,Qioa of a mina!l Itic� coasi:iag of a fiat of up to S 1}00.00 and/or mmpri,o®ce of up to ooc yc_r sad aail p=o.hia fo of a Stop Work Ordc and a fim of S 100.00 s dsy LFpiCA ex. Forr,op.,_,/ux«try Permit Numb= ar Map: • Lot.". is Sipaaturaof Liccnscc/Pcrmittcc e __ .J