28-053 (4) , MORTGAGE LOAN INSPECTJON
THIS PLAT IS FOR IDENTIFICATION P OT CONSTITUTE A PROPERTY SURVEY
FEB 2 g 2001
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
99.28'± /
ED
STORAGE
SHED
SHED
l
rG N
1 STORY 1 "lo`11 µ'
W/F F OUSE I I
tel A7—
I > I
Qf
J 7�_ J
I I �
I I
I I
I, 23.70 ± 76.30'± J
i
RYAN ROAD
THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
TO THE AFFORDABLE MORTGAGE AND THE FIRST AMERICAN TITLE INSURANCE COMPANY — ONLY
To my knowledge, information and belief, from information supplied to me, I hereby report that the premises have been examined and that
this inspection plat shows the improvement or improvements as located on the premises described, that the improvement or improvements
are entirely within lot lines, that there are no encroachments upon the premises described by the improvement or improvements of any
adjoining premises, and that there are no easements of record affecting the tract shown hereon, except as shown.
SAN
I further report that the premises shown on this pion is not located within o Flood Hazard Area as shown on OF
Department of H.U.D. Federal Insurance Administration Maps, ��' PAUL
Community Number 250167 0001 A o R.
LUSSIER Z4
Identification Date APRIL 3, 1978 �r� o No. 29648 x
P.L.S. �Fss��ECIsTtQ S s
HUNTLEY OWNER
WILBUR J. LANDRY, JR.
ALMER HUNTLEY, JR. & ASSOCIATES, INC. LOCATION 632 RYAN ROAD
Surveyors • Engineers • Landscape Architects FLORENCE, MASSACHUSETTS
30 Industrial Drive East
Northampton, MA 01060 JOB NO. DATE SCALE
voice(413)584-7444 fax(413)586-9159 00-652 7/17/2000 1 "= 20'
01/25/01 11:18:09 AM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 28 -053-001 00632 RYAN RD PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1 +
CURRENT OWNER/ADDRESS ZONING: SR NEIGHBORHOOD ID: 1.00 FINAL VALUE FLAG: MARKET VALUE
LANDRY WILBUR J JR LAND DATA
C/O EDWARD P BUSHEY - ASSESSMENT INFORMATION -
632 RYAN RD TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 11467 -25 26,450 PRIOR COST CURRENT
FLORENCE MA 01062
LAND 26,500 26,500
BLDG 66,700 75,200 70,000
TOTAL 87,400 101,700 96,500
DEED BOOK: 1720
DEED PAGE: 256 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 0.263 TOTAL LAND VALUE: 26,500
LAST UPDATE/COST: 20001011 DATE TYPE PRICE VALIDITY
20000731 LAND + BLD 123,000 0
T PDATE/COST: 2000101
ADDITION DATA -�7,���-J
X(V , ° ". DATE:;
Lower Level First Floor Second Floor Third Floor Are
DATA COLLECTION INFORMATION Q
A Frm Utlt Bld C:) 00
ENTRANCE CODE: EXTRY & SIGN B �O T
INFORMATION SOURCE: C M
DATA COLLECTOR: D C Cp
DATE: E
F �O N
DWELLING INFORMATION G C:)� Co
STYLE: RANCH H N
YEAR BUILT: 1967 1V
STORY HEIGHT: 1.00 Q O
ATTIC: NONE
Basement: FULL N t7 u U
TOTAL ROOMS: 5
TOTAL BEDROOMS: 3
FULL BATHS: 1 ADDITIONAL DWELLING INFORMATION
Half Baths:
BASEMENT GARAGE(#CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 1008
TOTAL LIVING AREA: 1008 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X 15 FrU
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS/OPENINGS: 1 / 1
METAL FIREPLACES: KITCHEN REMOD(Y/N)
HEAT/CENTRAL A/C: BASIC BATH REMODEL (YIN)
HEATING SYSTEM: WARM AIR 40
FUEL TYPE: ELECTRIC
42
QUALITY GRADE: C PHYSICAL CONDITION AVERAGE
COND/DESIRABILITY/UTILITY AV INTERIOR/EXTERIOR SAME
OUTBUILDINGS & YARD ITEMS PERMIT DATA
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE
RS1 1 1990 1 24 C A
RS1 1 1990 1 48 C A
24 1Fr/B
NOTES:
+ 0 0
a6 �IasancEiusctfs`
DEPARTMENT OF BUILDING INSPEC'T'IONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(litxnsee/permiuee}
with a principal place of business/residence at:
(phone#)
(stmxt/ci ty/stalrhi p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (insurance Company/Policy Numbcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet if neoeuary to include information pertaining to all 000tr d )
( ) I am a sole proprietor and have no one working for me.
I am a home owner performing all the work myself.
NOTE:please be awaro that while homeowners wbo employ pemoas to do maiutmance,coa4ntctioa or repair work on a dwelling of
not more than throe units is which the hoamwner resides or on the grounds appurtenant thereto am not generally coandcred to be
employes under the worker's oomp=sation Act(GL152,ss 1(5)},application by a homeowner for a license cc permd may cvidanoo tho
legal status of an employer under the Woricda Compemaiioa Act
I undeivAnd that a copy of this sut—A may be foawar%W to tho Depuuacet of Industrial Acidec&Offioe of Imurance for the
coverage ve ificatioo and that failure to secure coverage undw section 25A of MOL 152 can kid to the imposition of criminal penalties
oowb6ng of a fine of up to S 1,500.00 andloc of up to one ytar and civil proattics in the form of a Stop Work Order and a
firm of S1oo.00 a day against tae.
6ub! /�� For dgnctmmtal use only
MaO
Permit Number Lot#
Signature of Licensee/Permittce
,I ECTIONA-CONSTRUCTION SERVICES
1 Licensed Construction Su erg visor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
MUM N' ` g : „ v, '`�� Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
S.ECfi1C>!N 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.
igned Affidavit Attached Yes.......- No...... ❑
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 hi 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 �
P " I a lc le
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 9
Accessory Bldg. ❑ Demolitionyr New Signs [ ] Decks [ ] Siding[ ] OtherK]
Brief Description of Proposed Wor �-; /mm.,e 0 B so
Alteration of existing bedroom s o ing new bedr'bom � s o t�
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
a,
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 79-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
I, 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.
Jm9jgned under the pains and penalties of perjury.
Print Name
i
4
Signature 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
�1 r- Building Department
Lot Size �l J �'�° P7 I�J T�o / 3o►61St
Frontage �S lOS a S
Setbacks Front (�a
Side L: R: L:IV-R: L
/o
Rear / o /
O
Building Height (/
. as
Bldg. Square Footage �6 O D % %2 C)C)
Open Space Footage O % V
(Lot area minus bldg&paved '70
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 V 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:
e
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060
phone 413.587-1240 Fax 413-587.1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ECTQN 1-SITE INFORMATION
1.1 Property Address: Thts #lathe
Pd
Map
s fax
�D1 Erich � C13, ;a
SECTION 2-PROPERTY—OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
wng b nu.s�-eu �
Name(Print) Current Mailing d ess:
U 13—.5 (,-4 $ 1 to
Telephone
signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTOR 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit 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 =0 +2 + 3 +4 + 5) Check Number g 0 —
This Section For Official Use Only
Bulldln °J?nrmit Numb er: PP-61- 7016 Date Issued:
-Ignature: a� D
Building Commissioner/Inspector of Buildings Date
File#BP-2001-0706
APPLICANT/CONTACT PERSON BUSHEY EDWARD&ALLISON
ADDRESS/PHONE 632 RYAN RD (413)586-9816()
PROPERTY LOCATION 632 RYAN RD
MAP 28 PARCEL 053 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 L
Typeof Construction: REMOVE 8 X 15 STORAGE SHED,REMOVE 8 X 3 &MOVE SHED TO LEFT
SIDE,REPLACE BAY WINDOW&2 DOORS&REPAIR FRONT&REAR STEPS
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 Conservat' Commission Permit from CB Architecture- ommittee
Signature of Buildin 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.
632 RYAN RD BP-2001-0706
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:28-053 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:alteration-addition BUILDING PERMIT
Permit# BP-2001-0706
Project# JS-2001-1326
Est. Cost:
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq.ft.): 11456.28 Owner: BUSHEY EDWARD&ALLISON
Zoning: SR Applicant. BUSHEY EDWARD & ALLISON
AT: 632 RYAN RD
Applicant Address: Phone: Insurance:
632 RYAN RD (413) 586-9816 ()
FLORENCEMA01062 ISSUED ON:317101 0:00:00
TO PERFORM THE FOLLOWING WORK.-REMOVE 8 X 15 STORAGE SHED,REMOVE 8 X
3 & MOVE SHED TO LEFT SIDE,REPLACE BAY WINDOW & 2 DOORS, REPAIR FRONT & REAR
STEPS
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 3/7/010:00:00 580 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo