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