32C-140 (35) Received Event (Event Succeeded)
Date 11/16/00 Time: 3:53 PM
Pages: 2 Duration: 0 min 43 sec
Sender: 4135879276 � 1 Company:
Fax Number: ��� ^�- Subject:
Type: Fax _
11;"_3/2000 21:54 4135879276 WRIGHT BUILDERS INC PAGE 02
CHANGE ORDER
WRIGHT BUILDERS, INC.
48 BATES STREET
NORTHAMPTON, MA 01060
Phone(413)586-8287 Fax(413)587-9276 CHANGE ORDER#: 1
TO: Dr. Stuart Rose,Travel Medicine DATE: November 16,2000
369 Pleasant Street JOB#: job# 3L:CZ
Northampton,,MA 01060 JOB TYPE: Residential
Changes are as follows:
1. Add two skylights to sloped ceiling of second floor office.Trim and paint to match skylights in $3,026.00
other office.Skylights to be Velux VS 101.Price does not include any electrical work that may be
necessary.
MOTE; This change Order becomes part of and in conformance with the existing contact
WE AGREE hereby to make the change(s)specified above at this price '* "*``"`"' $3,026.00
Date —it t 16 Ott Ot
Sim
ACCEPTED - The above prices and ��. v
specifications of this Change Order are satisfactory Date of Acceptance
and are hereby accepted. All work to be
performed under same terms and conditions as Signature
specified in original contract unless otherwise
stipulated
Any changes to the scope of work may increase the duration of the job.
—PLEASE SIGN,DATE AND RETURN THE YELLOW COPY OF THE CHANGE ORDER**
poaaau,a
NOV 17 2000
WROHT X3'.3 i.CEF..S, INC.
PtiiY—@Z--°O 11 :t39 Ar^ P.83
s. CITY OF-NOR TON
BUILDNG PERMIT CHECKLIST
All I&? Family Projects The following items are to be
considered MNIWM
inflorraat u:: to be subinitted with ALL permit applications
A Scaled dra-wic:-_s & details sball be ziubnuttud wittz=ch application prepcsisn,;
cons"ctiQn, rccunstnsctiva,addition. alteration,or repair Mic building ofriciW
may Nv:uve thQ r ,uircmz.-tts for fiiicg plans wh=work is of a minor natu—r
13. Booted drawi:i". .0 details shall itdiczr; c?. dcsc:ibu a l re oscd wczl:, trclu.::.:� `
p""F 5�cxation,
size,4rnd- equipment o be used. ( ]
C. PLOT P���, p,,,p<r ty add:-cis. maps &lot awnUcr, zoning district&- ove:lays (such as
wcdands) ( 1
si;a•.v wk;u and,cY:ic locations(if applicablu) [ j
Locatiou of lot Iittc-s, dimczsions of pot, frontage( J
Locaticin&danc=iorts of public cas:.-=ts,public utility cas:rncnts, rtilrcad riC-lit of gays
and emablished toning setback rcquircntcnts.( I .
Locations&dimesions or primary and acccssgry buildings&structures ( j
D. FL00 R PLAM floor plan of me:-- :Zoor and u:tcrn war...e 1cvus includ n&b3�c�ts�ts,
crawlspaces,tCrr.:c zr;,port,trs r..,r,5, c;.xports,and decks,showing u:cistinng coadition and
proposed C(31Uzr`C.iQn.( I
Duncnsiorts,!cc :.on; &.:zzatcriuls of fixindations,rbaings, colunuLC cC piers {including
rein orciril;whe -squired) ( J
Directio,z, dinie::yicas,spacing&grade of all liamiug (floors, roofs, walls,partidonsl [ }
Locawa oCall fialis,partitions, windows,stairs&doors[ I
Location dose:fptiva ofall c uctrical equipment and alarm daviccs ( j
Location type of all heating and air conditioning(HVAC)equipmcnt. ( J
HVAC schcmati= (whet;required chcxk with building inspector)C I
EXTERIOR ELEVATIONS,Front roar&sidu devativas including round:-Ecru and finish
grades. ( ]
Location&dimensions of windows& doors. [ J
Description of cxter cr c':d'&g or siding matcr.:1.( j
Show exterior stair locations&dimensions. ( I
Show chimney and vcat locations j ]
DETAILS& SECl"IONS.Scctiors through c:ctcrior walls showing details of coastructica
from footing to the highest point of the building. ( j _
Sections through„i replaces&chinineyu(show clarances)j J
Location &details of any roof trusses,glue-farm or engineered Iumber (include connection
details and Massachusetts professionals stamp on specitca6bn sheet) ( ]
Exterior envelorre enc=requirements : Uo-of twalls,roof-ceiling dt floors..OR-R value of
wallslroorMoor,also pertent of window area to wall arcs.j ]
' Mar `O8 OO 09; 48a
^
P- 5
J*
SECTION 8 -CONSTRUCTION SERVICES
&I Not App!;cable 0
Name of License Holder: Wif-161+r
License Number
Address
signature Telephone
Not Applicable 13
�6ompany Name Registr�ation Number
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,1 25C(6))
Workers Compensation insurance affidavit must be completed and submitted with this applicaticn. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
The current exemption for~bomouwuem^was extended toinclude one(1) or mvn(2)famUies
and to allow such homeowner to engage uu individual for hire who does not possess obcense,I)rovided 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. .
Such`hmocnwocr'shall submit to the Bu(ldiu8O/fivaLuuufbcm acceptable m the Building Official,
responsible for all such work performed under the buildine permit.
As acting Construction Supervisor your presence ou the job site will ho required from time nn time,during and upon
completion o[the work for which this permit iuissued.
&tsohe advised that with reference m Chapter}j2(loorkrrn`Compensation) and Chapter l53(Lio6i|dyuf8mpioycmto
Employees for injuries not resulting in Death)nf the Massachusetts General Laws Aunutated,you may be lliable foxpersoo(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. '
Huomowvvucr Signature
,Mar 06 00 09: 48a
a P. 4
SECTION 5 DESCRIPTION OF PROPOSED WORK(ehepk all apulicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s)D Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding( } Other
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes x No
Attached Narrative U Renovating unfinished basement Yes -)<—No
Plans Attached Roll^. Sheet�,
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? Firepla or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. o`w nds? Yes No. Is construction within 100 yr. floodplain Yes Nc
j. Depth of basement or c r floor below finished grade
k. Will building c orm to the Building and Zoning regulations? Yes No .
I. Sep i ank City Sevier Private well City water Supply
SECTION 7a OWNER AUTHORIZATION--TO.$E-COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES F6R$UILDING PERMIT
S� V A,9.,C bSE as Owner of the subject property
hereby authorize ��I� D'V IL61��, 1Pi(J- _to act on
my behalf, in all matters relative to work authorized by this building permit application. l
(ILwe S96 S, C.D. 11
Signature of Owner Date.
I, Vv�'1.6 T� 1 dtJ��� �l�•/ !"`�vm�� � �b'i)f- as Owner Authorized Agent �Ca
hereby declare that the statements an inf�ormat(on on the foregoing application are true and accurate,to t e es o my
knowledge and belief.
Signed under the pains and penalties of perjury.
011 p�fi c.. env 1;�7
Print Name
Signature of Owner/Agent Date
Mar '06 00 09: 47a
P. 3
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF I RMATION
(iVD 1 I &?Kl
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
arkina
#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 _-
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:
Mar X06 00 09: 47a
,.
P. 2
ijov
City,of Northampton '
,..�
D(F Bu4ling Department
.�..,..�...,�. -.212,Main Street a
Room 100 - ;
Northampton, MA 01062
phone 413-587.1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: � Iti ScIi f}beQple#e puce
b A-n1 Ptv N MK
SECTION 2- PROPERTY OWNERS H(PYAUTHOWZED AGENT
2.1 Owner of Record:
b 9-- S-M 0kF_ ITV 6 &'e&yA - sT. /yn
Name(Print) elph �t,f U� g—t--Rim:
(t� Fr Ql AO y ll j y Telephone
Signature G. D -
2.2 Authorized Agent: 44
W(�IdDts_- 6u cttle"r INd eh &"UD�- � B6TV 57:) N 1-tvl�
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
.completed by.permit applicant
1. Building3a f (a) Building Permit Fee
2. Electrica: (b) Estimated Total Cost of
Construction from 6
3. Plumb*.ng Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total =(1 +2 +3+4 +5) Check Number
This Section For Official Use-,Only �S
Building Permit Number: ✓ � 5f Date issued:
Signature:
Building Commissioner/Inspector of Euitdings Date
f
File#BP-2001-0518
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY LOCATION 369 PLEASANT ST
MAP 32C PARCEL 140 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid
Typeof Construction: INSTALL 2 SKYLIGHTS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildinp,Plans Included:
Owner/Statement or License 051892
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § _w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Co ion Permit from CB Architecture Committee
Signature of Building Official 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.
369 PLEASANT ST BP-2001-0518
G1S#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32C- 140 CITY OF NORTHAMPTON
Lot:-017
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-0518
Project# JS-2001-0896
Est.Cost:$3026.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: Wright Builders 051892
Lot Size(sq.ft.): Owner. ROSE STUART
Zoning'.GB Applicant: Wright Builders
AT: 369 PLEASANT ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:11129100 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 2 SKYLIGHTS
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:
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/29/00 0:00:00 8660 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo