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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