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35-264 (5) LIto x1f } Qrt4antpfart �. �a�srcivat2a - o—� DE?a !.i?vT OF 3UILDINIG INSPECTIONS ti 212 Main Street ' lSunici aI BuiIdin INSRECTOR ; Northain-oton, Nfass. 01060 _ Scuare Fectage A.rcunt Basement @ I IJ OG) � 1st __cor @ ' 150 CCU 44� 2nd ?lccr @ . 3 1/2 :lccrs, Attic, Garage 15 Dew':, Pcrc:,es , j� ��� •�1 TICITA:. SECTION 8 -CONSTRUCTION SERVICES 1 Licensed Construction Supervisor: (Not Applicable ❑ Name of License Holder: M��t�- L DVWV `-'S 0+7 (+6 License Number 4-yo )kms sfi- ?, aF-T P tJf ztl 1 4N ZIc) I o? Address Expiration Dat 43 15 Y)6 �Z'b'7 Signature � Telephone 9. ReeRifie-r-e-d y-.. r` ,. Not Applicable ❑ V�16z�fsN fi �v 1 C,aIEf-S I d i D Company Name Registration Number � � � �R�tItP.MPTNI MA t,,�2tic Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION`INSURANCE AFFIDAVIT(M.G.L.c.1.52, 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....... ❑ No...... ❑ :� �=.• ome:owner � em a . 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 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 7CTION 5- DESCRIPTION OF PROPOSED WORK(ch�-;k all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ` Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ J ' Brief Description of Proposed Work: eLh2d CtC�Lr��tSYLt QPYr Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes _X No Plans Attached Roll ❑ • Sheet❑ 6a lf'Ne ouse a'n-d-6rad`dition o exis mg hoUsfing �: moC RTe"e> he fotlo7Mn`: 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?_ f 2 d. Proposed Square footage of new construction. ' s 1- Dimensions e. Number of stories? f. Method of heating? ,LJECtf-IC B-NSE7�M(1-P Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction �Qt i. Is construction within 100 ft. of wetlands? X 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? X Yes No . I. Septic Tank City Sewer __ Private well City water Supply X _SECTION 7a.OWNER AUTHORIZATION-TO BE COMPLETED ,WHEN OWNERS AGENT OR'CONTRACTOR APPLIES FOR BUILDING PERMIT Ir AW T—A _DIA OL as Owner of the subject property -:ereby authorize il��y��l.li i,�121 I`i f I1,(1 LL� S to act on my behalf, in all matters relative to work authorized by this building permit application. _ Signature of Owner Date as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. . � ( - Print Name Signature of wner/Agent ___� Date Section 4. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION c4 ('Mft, E t=- 'SriON COOS. 0 Existing Proposed Required by Zoning N M• 6� ftrO 10 .�• This column to be filled in by Building Department Lot Size Frontase 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: �Obj IF YES: Was the permit recorded at the Registry of Deeds? \/ NO DON'T KNOW YES IF YES: enter Book Page t-74— 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 fr m the Conservation Com ission? Needs to be obtained Obtained , Date Issued: °2 05 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: a s,o t t # ' Official Receipt for Recording in: * u Hampshire County Registry of Deeds 6 0 33 King St. 3-587-1272 o Sa Northampton, Massachusetts 01060 ` Issued To: IR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING i-- WRIGHT BUILDERS INC 48 BATES STREET NORTHAMPTON MA 01060 5> Recording Fees This ------------------------------------------ section to be completed b officer * Document ----- fy Recording { va ti z 1f Ary r� }>t pc y� CE a wy Description Number Book/Pa e g Map &Lots Unit _ *----------- g Amount ---- ------------------------------ OEGIS 00004220 8169 174 $75.00 Zone Overlay D�str�ct DURFER d -- -'---- Elrtt St Distr►ct w CB Distr►cf _ n $15.00 _.. Collected Amounts ) AGENT _ v' *---------------- Payment `-------* Type ------------ Amount Check 20900 $75.00* S L t3 ---------- Current Mailing Address: $75.00 Telephone _ Cl Total Received $75.00 1 Less Total Recordings: $75.00 Change Due $.00 V-�- Current Mailing Address: Thank You -T,.I"13 MARIANNE DONOHUE - Register of Deeds By: Linda N Telephone S '�D- f- Receipt# Date Time (Dollars)to be Official Use Only 0113414 02/23/2005 10:26a iermit applicant - Reprinted By: Linda N b (a) Reprinted On: 02/23/2005 10:27a 1 2. Electrical '-� (b)C 3. Plumbing r� Builc T�1 - 5 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(I + 2 +3 +4+5) ` Zu Chec1 d� «` r tThis~Section For Off i ial U c r � `a - r¢ KK °�t Date [ssuec :,Building permit Number ,«i �,� '""�Y � *"���"�i SY�'$h��ir �4. �,.�..��wt" `a, � i",l�l�"4ir'�'"•v� br �jdj ,^U' t�+;y�a �^�. ��t„r,(3uifding Commissioner/hnspector of Buildings �,, ,a;. ,. :. ,;.�•: 49 WEST PARSONS LANE BP-2005-0809 CIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -264 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ADDITION BUILDING PERMIT Permit# BP-2005-0809 Project# JS-2005-0906 Est. Cost: $119205.00 Fee: $599.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 Wright Builders Lot Size(sq. ft.): 72745.20 Owner: DURFER JAMES E&ANITA M zoning: SR Applicant: Wright Builders AT: 49 WEST PARSONS LANE Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 NORTHAMPTON MAO 1060 ISSUED ON:2125105 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT DET ACCESSORY UNIT 32 X 26 W/ 10 X 14 DECK POST THIS CARD SO IT IS VISIBLE FROM'lt`l1h '1`RL: ' 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: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 2/25/05 0:00:00 $599.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo