31C-079 23 FORD CROSSING BP-2020-1120
GIS#: COMMONWEALTH OF MASSACHUSETTS
ME:Block: 3 1 c-079 CITY OF NORTHAMPTON
Lot:- PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:New Single Family House BUILDING PERMIT
Permit# BP-2020-1120
Proiect# JS-2020-001877
Est.Cost: $335895.00
Fee: $1480.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: WRIGHT BUILDERS 047146
Lot Size(sg.ft.): 7037.33 Owner: WRIGHT BUILDERS
Zoning:py Applicant. WRIGHT BUILDERS
AT. 23 FORD CROSSING
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 (116) Workers Compensation
NORTHAMPTONMA01060 ISSUED ON.511212020 0:00:00
TO PERFORM THE FOLLOWING WORK.-NEW SINGLE FAMILY HOUSE WITH ATTACHED
GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Buiwink 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 5/12/2020 0:00:00 $1480.00
212 MainStreet, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
� Department use only
,- , City of Northampton Status of Permit
Building Department Curti Cuts`Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water[Weli Availability
Northampton, MA 01480 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: ,. �j
Map C_ ,___ Lot o 7 ` Unit
Zone Overlay District
Elm St.District CS District
SECTION 2 -PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
A4 A VJttk- Telephone
Signature
2.2 Authorized Agent:
6410
Name(Print) Cu-rent Mailing Address:
MA,� G, FV W
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Iters Estimated Cost(Dollars)to be Official Use Only
completed b permit a cant li
1. Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
1 t f' Construction from fi
3. Plumbing - j - Building Permit Fee
4. Mechanical (HVAC)
_5. Fire Protection
6, Total = (1 + 2 +3+4 + 5) _ Check Number 'f7�
This Section For Official Use Onl
v1 ��d
Building Permit Number. DateIssued:
Signature. a �
Building Comm issionerAnspector of Buildings Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING all Inf rmation Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This c(>luinn lu be tilled ix£ry
Building t)epartmentt
Lot Size f✓`
Frontage
Setbacks Front
Side U R: L: s
Building Height
Bldg. Square Footage ' r'
Open Space Footage "o
(t_crt area minus bldg&paved
arkine'>
rr cif Parkin S , es
i
ulume&t
ion)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW Q YES
IF YES, date issued: r-?
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES
IF YES: enter Book -2,3 0 Page 1 and/or Document #
r
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES O
r
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 Date Issued:
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb `clearing, grading Akr.�vation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
4r Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [OJ Decks [[:] Siding[Ca) Other[E3
Brief Description of Proposedp
Work:_
Alteration of existing bedroom Yes_ No Adding new bedroom Yes _ No
Attached Narrative Renovating unfinished basement Yes X _No
Plans Attached Roll -Sheet
6a.If New#souse and or addition to existing housing,complete 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? 101y se-E;
d. Proposed Square footage of new construction. A--ri"kcl+-:E� Dimensions
Ft c CAZ-C.
e_ Number of stories? p ,p
f. Method of heating? # {�)� it(�►' ��T� Fireplaces or W oodstoves Number of each
g. Energy Conservation Compliance. 1 Masscheck Energy Compliance form attached?
h, Type of construction 154
i. Is construction within 100 ft.of wetlands? Yes _ No. is construction within 100 yr. floodplain Yes >< _No
j. Depth of basement or cellar fluor below finished grade
8'I--
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
l (k_ 6 -0f i L as Owner of the subject
property Q
hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
l (/ � as Owner/Authorize
A entereby declare that the statements and information on the foregoing application are true and accurate,to the best my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of OwnerlAgent Date