31B-014 (2) 111 PROSPECT ST BP-2006-0860
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B-014 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0860
Project# JS-2006-1324
Est. Cost: $8030.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 047146
Lot Size(sq. ft.): 8799.12 Owner: KLEIN RICHARD&FAY ANN
Zoning. URC Applicant: Wright Builders
AT: 111 PROSPECT ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:3/3/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:REPAIR/REPLACE SIDING & DRYWALL
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: O/C S 1 t 1 AS O S l ig 16 6 (,.arks
THIS PERMIT MAY BE REVOKED BY THE CI Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 3/3/2006 0:00:00 $25.0023468
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
•
RECEIVED
MAR 0 6 2006
WRIGHT BUILDERS, INC.
, ,;/ Department use only t
,, City of Northampton Status of Permit `> ` '; warn
Building Department Curb vvaermitry a'•; ` �
212 Main Street •
_ewer Availability -0, .< < ,r •
;ep1„ „u.' ra. ? 'r Y ys �r t.a. +.tit'rq '✓'-ti-,..•rr�+r'Ce•
Room 100 VIlaterlWell Availability -• 4r
Northampton, MA 01060 Two S f S t
p � Two Sets of Structural pjans
phone 413-587-1240 Fax 413-587-1272 Plo£1Site Plans k
J F
th�a ,p'q-f)%'M!.?fir' �i q t 7
O
�i•.rA.�
APPUCATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOUSH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
I ?kS I e c1 cr Map Lot Unit
M .MA Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Fftut V-LO N Ili PRo PEt-T s-r- 00P- - f fbN
Name(Print) Current Mailing Address:
Telephone,5S^' b 1 CO?
2.2 Authorized Agent: !�. `t
CEbv w Rl1A-Ir But r, S NoF- A-M Mrs
Name(Print)) Current Mailing Address: '
Signre Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS SIDING VI OF-k '25
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building / (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection `,
6. Total=(1 +2+3+4+5) 030 Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Cate
Aw vrn IN Ek-EST-INC-11 force`-llvy - `•
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 v
Setbacks Front `` --
Side L: R: L, �`_ R
Building Height ---
Bldg.Square Footage % M_
Open Space Footage % _—
(Lot area minus bldg&paved
parking)
•
#of Pg Spaces --- _— _
Fill:
• (volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW V YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW er YES 0
IF YES: enter Book Page . and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO a DONT KNOW O YES O
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
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
IF YES, describe size, type and location: !�
E. WII the construction activity disturb(clearing,gradin xc tion,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Jibe
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) `'5"< Roofing ❑
Or Doors El
Accessory Bldg. ❑ Demolition ❑ . . A. Other(El]
Brief De,, ri 'on of Pr o
Work: 1-6- "Q-1b o INAtfl. c t✓I,
Alteration or existing bedroom Yes, >C No' Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes ")( No
Plans Attached Roll -Sheet
6a. New house'an or addition to'exlsting"housing, complete the foliovfiinq:
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. Masscheck 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 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
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT •
•
I, PM W' N ,as Owner of the subject
property �npp�� � -� butt }�
hereby authorize 1"61-I—F- V�G w w F'� t u 4 a
to act on my behalf,in all matters relative to work autho ed by this building permit application.
Date
I
WA-14— i.6Dw u, w fAb►+T 3 L)( Lb�-S ,as Owne Authorized--At
uthorized
A e t hereby declare that the statem is and information on the foregoing application are true and accurate, to the best o m e
nd elief.
Signed under the pains and penalties of perjury.
M&- (Jr])
Pnnt Name
Signature of Owner/Agent Date
e
4. SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable0
Name of License Holder: 1- `T�I-1` �-"U w C 5 1 l 1 4 ip
License Number
6A S Sr N619-Tf+ PrbNI, Mit 29 I a 7
Address 2 Expiration Oat
41
Signature elephone
ft'Reglstere i Home Improvement Contractor '. . R ;,; Not Applicable 0
V1P-1UH 12)U L P4—C j o153S�
Company Name Registration Number
4$ ►LrtiST. T ' ►Y., MA �7.Co(0 40
Address Expiration ate
4j.""--76C.,./e Telephone� t�7
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 Nyt No 0
11 dome Ownezemp ion
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 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,you may be liable for person(s)
you hire to perform work for you under thisfermit
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