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36-182 (2) \� `THIS PLAT NOT FOR RECORDING PURPOSES— >-voMIJ t LO 106- 16 ' tD`- �I r o L; o Ln #119 ° 100 . 00 ' D U N P H Y D R. I V E TO: THE VANGUARD SAVINGS BANK & THE FIRST AMERICAN TITLE INSURANCE COMPANY. I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, , ENCROACHMENTS, AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167 DATED: August 7 , 1989 -NOTE- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY SURVEYOR ` AND DOES NOT CONSTITUTE A PROPERTY SURVEY -MORTGAGE LOAN INSPECTION PLAT- 0% Of M NORTHAMPTON, MASSACHUSETTS HAROLD ryas PREPARED FOR L. �, DAVID A. & ANNA AINSWORTH 0JON �+ ND•a 11 SCALE: 1 "=40 ' AUGUST 7 , 1989 "F,rAe Is1Ea sJ HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS i 0—.S1W fpTO F E GI of 'NDlrfijalllptoll — — R �lIL 5OR[hnL[ll8 — d DEPARTMENT OP BULL DWIG INSPECTIONS 212 Alain Street ' Municipal Building Northampton, Mass. 01060 wORICEwS COMTENSAUON [NSURA-NCE A { t AN IT (li cc:nscs/Perm)ctcc) \Vith a principal place of business/residence at: -- //�"1 iJG��.�h �r ✓ i©�'e/1c.P �-_tl''hone => J`��2=C/ 7� v (S­rrC—_Uci tyislal r_'a p)' 0/0& do hereby certify, under tic pp- s and penalties of perjury, h al ( ) I am an employer providing the following worker's colnpens ; 011 coverage for Illy eluplovees wor'�Ilg on tills job (Insu.r-ance Com=y) -- TOL C- N"U_—'d>Cr) ---- (a Lpirtfor, Datc) ( ) I atn a sole proprietor, general contractor or homeow-ne; (circle one) and have hired the contractors listed below who h2ve the foDo%ving worker's condensation pokles: (Name of Conl:-actor) (lnsuranc;. CoinaanyPobc, Numec:) (Expiration Datc) (Name of Contractor) (Ins-dranc;, Company/Police Numcrr) (E-xpuziion Date) (Name of Contactor) (Insurance Cozipany/Polic}- t umbzr) (Expimuen Date) (Name of Contractor) (Lmumc-z Compary/PoLicy Number) (Expiration Date) (mach additi ocul c'xc1 ifn�icy w inch infortarlioc perla.ining w all ocx�. ) O I am a sole proprietor and have no one working for me. ( I am a home owner performing all the work myself. NOTE:plc lx aware dill v.irJc hccrco"vcrn wbo crnpfay pcsom w& ,ox_—_r:rion c rr;aff­QrK oo L d\. IhzE of not mom than LL"c tmiU in uat ich tf)e 6o;mown r"t.dn or oa the pou>x:z ap purtc^,M tb,_ . a-c oo(CCxrally 000ridacd to be calploycr}uo1c the w zi;a`s off*., _-tiers Ael(GLI52_rs 1(5)},application by a honicowD r fer e Beal--(X perm t=y ev dm L1C Iegzl etxtue of an ca,loyor under dw WorkCet coazpooa.l.ioo Ari I uodcrg i d chid>copy of chij m1®cm a y bo forwnrd.ed to ttw Dc4xirtmmx of IM-3f-d Am&--OrLoo of i--for 0m covaxge vcnficnlioo dad that f iltne to 6earre cove�undo section 25A of MGL 152 can lend to tha inzlxuifion of a mm'd pcmltia cocli.5 rig of a fin,-of up LOS I,500.00 and/or ir�x of up to as year and avil pm0ie3 ifl d-c form of n Stop Work Order and e firm 0(Sl00.00.any.gzin tr roc dqurtnv.�l u,c ooly T_ Permit Number -- „ sip)"tim- of Li=)scr -'CrImUcc ECTION'$-CONSTRUCTION SERVICES I Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone Not Applicable ❑ r Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION I'>NSURANCE 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. �gned Affidavit Attached Yes....... ❑ No...... ❑ At 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 Zonin Laws and S41V of Massachusetts General Laws Annotated. Homeowner Signature l/ C O A- D CGRIPTIPROF OP all lic b e New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing 0 Or Doors ❑ Accessory Bldg. J0 Demolition❑ New Signs [ ]� Decks [ ] / Siding[ ] Other [ ] Brief Description of Proposed Work: t°/L'6. Q /0' X 9 UI[C� ✓� S [� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 6 in om .l a the following: 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. Mascheck Energy Compliance form attached? 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, , as Owner of the subject property hereby authorize 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. 4� i under the pains and penalties of perjury. P int Name _ 'gnature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by / Building Department Lot Size 30✓ � fit �as Frontage iC-X) Setbacks Front Side L: R:_j 0 � L: 10( R:� Rear ��►1 / �� 0 Building Height Bldg. Square Footage I T O`'149 % 101 t a p Open Space Footage U (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: 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: f Northampton ' (� 5 EkUI d ng Departments 1.1t 1 Main Street oom 100 - Jorthampton, MA 01060 phone 413-587.1240 Fax 413-587-1272 �fe APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION''1-SITE INFORMATION 1.1 Property Address: This secti on t completed by office LA C) done /O erlay DI 00 Elm St<,.EC is rfet C�3 C3[str ct SECTION 2- PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: VLhce-A d I Vaasa=I L n IG h�ghL, �c)rLrre (Y1c{ , o Name Print / Current Mailing ddr s; Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com feted by ermit applicant 1. Building +L'l �`t (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) Check Number This Section For Official Use Only' Building Permit Number:� ID 'S Date Issued: bgnature: Building Comm issionero6spector of Buildings Date r File#BP-2000-1095 APPLICANT/CONTACT PERSON VASSALLO VINCENT P&KELLY J ADDRESS/PHONE 119 DUNPHY DR (413)586-9740 O PROPERTY LOCATION 119 DUNPHY DR MAP 36 PARCEL 182 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid / =577— Typeof Construction: ERECT 10 X 9 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 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 C ission Permit from CB Architecture Committee d z�a 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. 119 DUNPHY DR BP-2000-1095 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36- 182 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category. shed BUILDING PERMIT Permit# BP-2000-1095 Project# JS-2000-1956 Est.Cost:$245.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 15289.56 Owner: VASSALLO VINCENT P&KELLY J Zoning: SR Applicant: VASSALLO VINCENT P & KELLY J AT. 119 DUNPHY DR Applicant Address: Phone: Insurance: 119 DUNPHY DR (413) 586-9740 O FLORENCEMA01062 ISSUED ON.619100 0:00:00 TO PERFORM THE FOLLOWING WORK:ERECT 10 X 9 S ED 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: rk Building 6/9/00 0:00:00 1301 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo