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23D-134 (6) I 57 HINCKLEY ST BP-2002-0133 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 134 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2002-0133 Project# JS-2002-0197 Est. Cost: $1500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICK LIGHT 056457 Lot Size(sq.ft.): 13939.20 Owner: SCHUMANN THOMAS K&PATRICIA H Zoning: URB Applicant: RICK LIGHT AT: 57 HINCKLEY ST Applicant Address: Phone: Insurance: 25 BOYDEN RD (413) 253-9492 PE L H A M M A01002 ISSUED ON:8/6/01 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE REAR STAIRS & LANDING & REBUILD POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 61,t$ Q fr Flo-et Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: ©K THIS PERMIT MAY BE REVOKED BY THE CIT F NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND ATIO,...„,._els.s..,./troogrey +.44..rcolek , Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/6/01 0:00:00 2219 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2002-0133 APPLICANT/CONTACT PERSON RICK LIGHT ADDRESS/PHONE 25 BOYDEN RD (413)253-9492 PROPERTY LOCATION 57 HINCKLEY ST MAP 23D PARCEL 134 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid dp oZ/� � Typeof Construction: REMOVE REAR STAIRS&LANDING&REBUILD New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 056457 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFWIATION PRESENTED: /Approved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 /// ) .6" • 0 / Signature of Buildin fficial 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. FROM, .ir WARREN GRAi-rill GENTLE DENTISTRY PHONE NO. : 1617EE61199 Y Jul. 31 2001 0T:F.1HI'I F1 rriT --•-�--� ; i is � ls a .•-1 - J LS ity of Northampton .ry1.`1i Ksp;-iir,s ) JIlding Department ��,�.,.,'r'� �. � r 212 Main Street M .�}Jy',:�J ` � i iiii' : .. AUG - 32001 ,� „ `2, .e,M - Room 100 �p J . k-.-�r � • ,r DEPTOFBUILDINGI.Ni CTIO Northampton, MA 01060 < q se >-i1` - 4,: ,1'. �A D ..1 413-687.1240 Fax 413.587-1272 r, .. ��,' ,,,. NQRTH.,1:TON, .r F(-� , � ^� ;- -�0A p. a m..?��aL1 s".,.utb+.. ,.•0•4 Rr r,:n'; vrr,�14 skit. 'k: APP'L5CATION TO CONSTRUCT, ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY Y DWELLING • • r•.nr, r..sr6,• - •, .*..:..,;,,.-:;=::::: ,,,, ''• . . J ��(� ^.r N in ..F'^rr,•r s ..e..-..«. , tis�A r n.i r•rt.. Y *7, 4I "N� ,, 1 : 1.g raj 1'4; .h. Rif�CN f r �w>r. r • ✓ 1.1 Property,AddresA: I t r S Svv'T l, 1"-{ • 145, h'J� "2 ,,,i. r i . h4� 009,q 6g- Pi next-eV 54-- II*14-44,„. ev,-,,,,, ., h...*-4,.,,„„„,... ,.,..o1,4.t,1 4,,., „..R.3.#.,,.. ii.:.,,- •d A' r : �' P 1, :101:1'r f, es `r''•�yy n /�/� n /y,,� � �� �' 3r7._M' I �' r P 1. r Wb, u..:.�m....Z..,:J�TL.I! ( ere r' Clr+ i J ? 0/1./`+' f '�'? •y- .Fiis>1. a�§,�r�!. 'r'r '-,g1 T a 6 'h 'rIr ',, ��� ��r Y'�{r�?,�,' Y"v y r� dt•k lz,Ai ; rj}�'4r•-T�T-�"�4�ir,,-:: +�`' �' .r IStrl'(�ra:,�,tr ��{-:"".a.�::7.,M..... . . -_ �'�`r•..... -...`%�vi4? F'-' r :i •,.. .. .i. _• .Y Pl,�lili�' Rai ... ,.;. Y, _-r3,• • ,. :; -: --6' ...v.' ,'-." `3,' liftdg.l_:.,. si2.1 Owner of Record: Thomas k. Sci-% ma_e'1 S . 'no rer..e0,I/N4a' _ g r c(a 14 Bann N (P t) - Current Mailing• Add ress iiir.. Co S�3 «Z Telephone Signature 2.2 Authored Agent; Rid Lelq a's p ►' 411.e--, Ivo Name(Prue) 1i Current Mailing Address: 0te3q,, 1... (L(( ) 2-s3--1411 — Signature Telephone , �r ,s�rlVld7•Ef3�'.�� ���w.:vw�r-`-: Item Estimated Cost(Dollars)to be 1G-a1•Use )Yi. completed by permit applicant ':, :: •:. :: . '.' ... . •. is • •�Via,:. 1. Building la•):`tau...iidii?i-.Perri'fi't.; .'' ' •.,`y.,_ M "`fb)•f£stined TotafCosi bt 2. Electrical iat .•:'.. �.'::. . .• •Constructionlebt; n) ^~ 3. Plumbing '6uilding'Permlt Fa' , 4- Mechanical(HVAC) 1 • • 5. Fire Protection 6. Total =(1 +2 + 3+ 3'r5) f,7�+ ! Number Check Num ber t. R g 1 : :e _ TJisSec}ibrn p:Oft7p1atilsE4b. :: ::,;, :. ..... .. ..... r itatrxtier a . is ) t fssued ..- :»i. t u..:.. f., '.tM1w..•.. l a .* .. `i Y1C teibii0Ic1t•(i2f.6 t711L4 4 ^;::r.�:;::;;;:...: .....,• ,..... ..,'',..,.... } . , ,:�,:.:�. . ,',; r �' 1 'its"r 6#�:8 i ,.. ,., , FROM :• WARREN GRAHAM GENTLE DENTISTRY PHONE ND. : 16178861199 Jul. 31 2001 07:5741 P1 r - r s, nxyl .k ti 5 �.� *"r� r +w x yy r a .a h1rt ,�'tA c. 1. * . �i�6 + ` SFrrr:d i ^n' ;5 tti ayr y�. kd: n .. , l pu:1 4 av ' T1a'� ..1'� 11+ y� �. ��'�� Sy ,ay S' � r n � ,�''n`' i �� i4 d 4 t-.a.I{ G " I"1.@.f 1l.a Ll l+� ' d A�,� Sf 1 t �ol71Y`� -a �� AS:, lj',tpid `�',' �. �^.,.lrs. r-�W � �a�eC;.2�DM+ � . ',''?,',!lit ��;r ;' ' r SPo 11: xw 'r� ! .:R�a 'J yx... a�1 ./ca7 "7t% 77Id2 w u ;� C` ' �Le , ..._ J 0 G �}7' n l�]b� Wv.Mr! F 7�)7.r OANn CV , New House 0 Addition ❑ Replacement Windows Alteration(s)te Roofing 0 Or Doors 0 • Accessory Bldg. 0 Demolitionre. Hew Signs [ 1 Decks (vri Siding( 1 Other[ 1 Brief Description of Proposed Work�p Nt A,4�k:.tr C.QGf - pe,s S Yes N 7 pf0J�_ .f�+re �i?e Alteration of existing bedroom __Yes No Adding new bedroomo Attached Narrative O Renovating unfinished basement _Yes .v.' No Plans Attached Roll 0• Sheet V own 1•,,,• ft-,,:_ r "(c' _c., t1 ;'J:c.'(:)%,.= d,il_' 0?11=1C 'gil MOH;a.r`lrl' . a. Use of building: One Family_ Two 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- floodplain Yes_ 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 . a yFiv.r%ulr n .4,' i:7.4 tzi J l 'J,.,fr.. .rsitiv,,,:;,,,N t / �+.lF �6 r rt... , l.,Y ;w . .1..u..<u-,,I, e.u+ a 4kt.. rn; ^J :...i.ww ,. , „4. I. ��f o es- K S ,'l4W,x *;; "Cc y cScit....sra.. , as Owner of the.subject prop hereby uthorice �1-C.G 1Ctf.+ to a, alt, in all a er cat.........._ to work thori ed by is building permit application. -- i e; 7-34 —0/ Signature of wrier Date t ---- hi . as Owne thorized Aij;�1 - hereby declare that the s to ents and information on the foregoing application are true and accurate, to t e best of my knowledge and belief. Signed under the pains and penalties of perjury. tai o Print Nam. Si: ature of Ow, ! ' tg if � FROM :• WARREN GRAHAM GENTLE DENTISTRY PHONE NO. : 16178E161199 Jul. 31 2001 07:50RM P2 1- • Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning Thu column to be fined in by Building Department jii /L .v Lot Size to? �(�S!0' c/ Frontage L7 .-- setbacks Front 40-7 V Side L:_017' R: "25_� L: R: Bs: / I Building Height / Bldg.Square Footage aG/ °!a Open Space Footage (Lot area minus bldg dt paved parking) #of Parkins Spaces Fill: (volume do Location) ✓ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW X 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 YESIF 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: Af •jj i f HEN "�KSivhz" 8.1 Liciensod Construction Sunorvisor: Not Applicable 0 Neip+e of License Hotd.r: Li 65 0 License Num er er Address Erpiratio De e Signature / Telephone L.;f•,.o�-: . s. 4`� ? Not Applicable' 0 j2 c& L.� 44.4 v 03_701 Comenany Namq Registration Number try.JA OID- sir 7/ 2-- Address � Expirat' n Date Telephone rti i.YTM�'�mt�r�.xwetp ' r ::k_.,,� �u ,•4 �' * P t iTJQH• •• Abl EAFFtD,�YIT(aVIA c� 15g.4 20,Ct,,1) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affide will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No 0 • The current exemption for"homeowners"was extended to include Owner-occupied Awellinws 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 facts as Sunerrlueor.5MR 780, Slit_ Edition Section 108.3.5.1. Defutition of Homeowner:Person(s)who own a parcel of land on which be/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 c9nstructs more than one home in a two-yeausrlod shall n,Qt be consred a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that heishe shall he re oonsi;ble for all such work_performed under the buildings permit As acting Construction Supervisor your presence on the job sitc 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 limpioyers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(! 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_ �.d WH�G:LO MEE' TZ 'ins 66TT93I1LT9T : 'ON 3N0Hd 3'11143r1 4k#-I F3 PJJ'JJHff : woad FROM_ : L1HP,REN GRAHAM GENTLE DENTISTRY PHONE NO. : 16178E161199 Jul. 31 2001 07:5341 P3 rr c .• o � - y ar j ?,';e C%iiro ntf Xartipicmpton 4 F [ h t►sig [instils. • DEPARTMENT OP BUILDING INSPECTIONS • 212 Main Street Municipal I3uilding Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAYTT RidA— (1icensa./permilie ) with a principal place of business/residence at: o +-1/ .— a2 phonetiel)2 3 (street/6 /star/zip) do hereby certify, under the pains and penalties of perjury, chat: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: - (Insurance Company) (Policy Number) (Expiration Date) ( ) I 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: (Name of Contractor) (Insurance Comp-any/Policy Numbcr) (Expiration Date) • (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Nntnh'r) ("Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach adCrtional LSc_d i%no scary tc,eochuie infer m ion pat.i..;.+a to vi mom-sawa) I am a sole proprietor and have no one L'ork;.ing for rne. ( ) I am a home owner performing all the work myself • • NOTF_pl=tae be aw're that*WO t\artlOrFWWfra who employ poses to iq.Rai...ause r. cutcettaiov tit repair work on w Ewlting cf riot n,prq than tltsoo halite in which the homooaioa'rCedes or err the ctourr.da zp{.urlsasm tl a e+o us pot COY coaredat,a to be employer:under the waded':odup=satioet Art(a1.152,a I OA application by s homeoweer for a li reds or perms may dekko=the lcpal oaten of an employer under the Works a Compraafioa Act. • I uodenaad slag.a Dopy of this estomaat may bin forvrwrtt.d w rbo Dcpango.nt 4,flociweri4 Aesi.4 °MHoe of toluwoo fur ttbr coverage verilieatlion and that failure to mane cove remo amdot section 15.A of l.lot.152 wee lead eo tbe imposition of climatal Pmuditea c omiumtg of a fax ef up to 3 L,SOO.00 mdfar irecirtioatoed of up to one year.rd eta pasltieo io dg form of a Stoo Work Order and a tltae of 51.00.00 a day against ton. Far deeeeemeeeefti Um,only Permit Number A:3f— - Mane Lot 1Y 1 1 --)Pg ot-t2 1 4 ^1I i 1 , II i 1----- 1 1 _ 4 ' _.' 1 ram' 1 1 ,,,,„ 9 MU 1)(( AF I F ' i (1 )/ A 'L1 t 1 F R[ f l f . )7°) %---LIKI\ ..,L. Aarr'14 L-5 °)- F xi 477 t4.40 5 7 trif: \te-te-y i Ift 1 / I _, _.,. tiPJ sTf1s ea 1.44-Y (N6, -- --# / , /) ,s 7 i / i pd4,;,, - sist AC i7:1;/ F05-05 - Li P X LT"' itt/ l' / -' e•A:t5 --- 6(1-r rriii 3(a ' tall'" dse-k- fctfkx,t:P-fs- — )01/( ap 7: i: I I / t/ 51Etir 1Y-ectio— ( ,... ' 't I 1 1-4,1 / r - 1 ".042. 5ist, ,I, 4 ir pi I 1 , ' , , .13 , i i / ... ,, *Dtifr — / c ,x,,,r4,512.° p,,T. 3, i e c:N ' .. ..4 -P- 1,,,.i A Att'rie--tie .... :::: tit ht illy " I - 1 W • k i lA 6 - - fp . 4f i a-tfq-fcia . , i i 1 ) II' 4_ 4I Abtis.c. i i 4A4&40e p°2-rS, i/ 'aeggp