38B-086 (4) r7
N
FRONT ELEVATION
SCALE: 1 /2" = V-0"
SCALE:1/2"=F-0" DIIWING PROJECT: CLIENT LNFO: DRAWING PHASE:
TYPE.Barron & Jacobs SHEET: SUPRENANT RESIDENCE CONSTRUCT-ION
Design . Build . Remodel ELEVATIONS PORCH REMODEL � 39 LYMAN ROAD
70 OLD SOUTH STREET,NORTHAMPTON,MA 01060 � DATE: 5.8.15
NORTHAMPTON, MA 01060 DRAWN BY: WAW
ALL DRAWINGS,PLANS,&DESIGNS ARE PROPERTY 01 BARRON&JACOBS,INC. -
5 1/2" 5 1/2" 5 1/2" 5 1/2" City of Northampton
Building Department
7'-5 1/2" 7)-711 — "
7 4 7/8 Plan Review
212 Main Street
WINDOW B-1 WINDOW B-2 WINDOW B-3 Northampton, MA 01060
2" EXTERIOR SILL
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SIGNATUE ES
y signing be ow,you agree to items A,B and C.
DO NOT SIG 4 THIS AGREEMENT IF THERE ARE ANY BLANK SPACES.
A. Alternati Dispute Settlement(Arbitration Clause):The Seller and the Buyer hereby mutually agree,in advance,that in
the event of a 'spute concerning this Agreement,the parties shall submit such dispute to a professional,state-approved
arbitration sej vice(cost,if any,to be paid by the submitter)prior to either party proceeding to legal action in the courts.
B. By signinj this agreement,you,as the owner of record,are hereby authorizing Barron&Jacobs Associates Inc.to act
as your authoi ized agent in all matters pertaining to the building permit application.
C. This is a nding Agreement. You may not cancel it except as stated. This Agreement covers and supersedes all
conversation statements and agreements,expressed or implied,between the parties,their agents or representatives.
You,th e Buy ,may cancel this transaction B °— Date
at any time or to midnight of the third
business day the date of this transaction. (o
See the attar notice of cancellation form Date
for an explan 'on of this right.
2
Seller retains in equal right to cancel
Barron&Jacobs R tative Date
*«s«* ss r*s ss rr*r*r*rss**s*s*sss r*sss r*rsss r*rss rrs««r*r«s rr***«rss**rsssrrss«rs«rrsss*r*s*s
D i r/S ngmons Registration Numbers
® Cecil R. Jacobs MA HIC 100809 0 Christopher R.Jacobs MA HIC 100809
CT HIC 0518617 CT HIS 0554397
Barron and Je Dobs-Key Personnel Contact Information:
Office Cell Home
Office N anger:Sandy Scavotto 413.586.8998,x100
Vice Pre;ident and General Manager: 413.586.8998,x103 413.250.6677 413.665.9113
Chi is Jacobs
Presid :Cecil R.Jacobs(Jake) 413.586.8998,x101 413.250.2327
Purchase Agreement
Page 23 of 23
Building Permit for 39 Lyman Rd
Description of proposed work:
On left side of house, first floor porch: remove fixed screens. Add 20"high basewall,
with Paradigm vinyl replacement windows above new basewall. Sand and polyurethane
existing porch fir floor. No structural changes.
The Commonwealth of Massachusetts
F_x7 El Department of Industrial Accidents
I Congress Street,Suite 100
< Boston,MA 02114-2017
www.massgov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/individual): Pja c V,�YN fi TG.c�L-f--,
Address: 'J-V cAc\,
City/State/Zip: 0,0z Phone
Are you an employer?Check the appropriate box:
Type of project(required):
1.[&I am a employer with \10 employees(full and/or part-time).* 7. ❑ New construction
2.FJ I am a sole proprietor or partnership and have no employees working for me in $. �Remodeling
any capacity.[No workers'comp.insurance required.]
9. Demolition
3.a 1 am a homeowner doing all work myself.[No workers'comp. insurance required.l
[]4.Q I am a homeowner and will be hiring contractors to conduct all work on my property. twill 10 Building addition
ensure that all contractors either have workers"compensation insurance or are sole 11.[]Electrical repairs or additions
proprietors with no employees.
12.Q Plumbing repairs or additions
5.0 1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13QRoof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.a We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152.{1(4),and we have no employees.[No workers'comp.insurance required.[
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
/am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: tn3`M, Expiration Date:
Job Site Address: c� L"YVt,v\ City/State/Zip: 1 0! yn 1'\ AAPV _0►D k'C
Attach a copy of the worker compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
do hereby certify under the,, ' sand penalties of perjury that the information provided above is rue an correct.
Signal re: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable !
Name of License Holder: G `� .�GIG.o�S c, bLO'1iS
License Number
Address Expiration Date
Sign a Telephone
9.Resallstered Home Improvement Contractor: Not Applicable
bncN
!
Company Name Regikration Number
Address Expiration Date
Telephone
SECTION 10-WOR S'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.
Signed Affidavit Attached Yes.A. ! No...... !
11. - Home Owner Exemption
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 buildine 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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) [ Roofing El
Or Doors eF
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [q Siding[0] Other[0]
Brief Description of Proposed t,
Work: CAt�hvc..� i�rYV���1Vv
Alteration of existing bedroom Yes_ No Adding new bedroom Yes _�C No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housing, complete the followina:
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. Masscheck Energy Compliance form attached?
h. 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, Ckyrt? SJ'4 -e-e .yy%yNT as Owner of the subject
property
hereby authorize r
to act on my behalf, in m tters relative to work authorized by this building permit application.
e-
ignature 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.
c-V_C'\ ^
Print N
Signature of er/Agent V P�te
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
A-v X I s 4l 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
parking)
#of Parking Spaces
Fill:
volume&Location
A Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW � YES Q
IF YES, date issued:
IF YES Was the permit recorded at the Registry of Deeds?
NO Q DONT KNOW O YES O
IF YES enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO 1 DONT KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YE$ describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO 07%
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
DL � _� M City of Northampton Status of Permit:
��� ""�� Building Department Curb Cut/Driveway Permit
MAY 8 1j 212 Main Street Sewer/Sept`icAvailability
2 20f5 Room 100 Water/Well Availability
N rthampton, MA 01060 Two Sets of Structural Plans
Electric, Pium�inq G4'���� �,7 -587-1240 Fax 413-587-1272 Plot/Site Plans
Northampton, MA 07'OGL
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Proriiertv Address: This section to be completed by office
17) 1 wTV1r V-A- Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
(�J'ktt l,ihp�( PVC- tAct kUr�:� pS " Cry �c:�tvi�i �i1�T r Y(ctr'�CE- ��' C'67- 1
Name(Print) Current Mailing Address:
SQL 4 21 L> Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
ci�� 4 Ux LA 1--5
Signature Telephone
SECTION 3-ESflVkTED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a)Building Permit Fee
2. Electrical CA DD (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) 1 `j :�'D0 Check Number
This Section For Official Use Only
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
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Piz ofostD WORK <g<<�
File#BP-2015-1185
APPLICANT/CONTACT PERSON BARRON&JACOBS
ADDRESS/PHONE 70 OLD SOUTH ST NORTHAMPTON01060(413)586-8998
PROPERTY LOCATION 39 LYMAN RD
MAP 38B PARCEL 086 001 ZONE URB000)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Typeof Construction: RENOVATE PORCH(I ST FLR,LEFT SIDE)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building,Plans Included:
Owner/Statement or License 60475
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
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 Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
elay
Si nature 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.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
39 LYMAN RD BP-2015-1185
GIS#: COMMONWEALTH OF MASSACHUSETTS
MU:Block: 38B-086 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit# BP-2015-1185
Project# JS-2015-002221
Est.Cost: $29300.00
Fee:$180.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BARRON & JACOBS 60475
Lot Size(sq. ft.): 6141.96 Owner QUIET CORNER PROPERTY ACQUISITION LLC
Zoning: URB(100)/ Applicant: BARRON & JACOBS
AT. 39 LYMAN RD
Applicant Address: Phone: Insurance:
70 OLD SOUTH ST (413) 586-8998 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON.512812015 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENOVATE PORCH (1ST FLR,LEFT SIDE)
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
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 SiSnature:
FeeType• Date Paid: Amount:
Building 5/28/2015 0:00:00 $180.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner