31B-027 (2) I ALDRICH ST BP-2006-0200
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B-027 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0200
Project# JS-2006-0296
Est. Cost: $15600.00
Fee: $86.40 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 5575.68 Owner: WIJNHOVEN ROBERT A
Zc is:;,_'.__"" 4nn%tcant:WIJNHOVEN ROBERT A
AT: 1 ALDRICH ST
Applicant Address: Phone: Insurance:
1 ALDRICH ST {) 585-5812 ()
NORTHAMPTONMA01060 ISSUED ON:8/30/2005 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 24 DET GARAGE
6. 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: t_ Hou #y
Foundation: ��]7 Q -f/��
' 0 cJ Drivcwsea Final: jCQJ��7�/
cs” 26,k"'-
Final: Final:
civ
(S i I C✓ � Rough Frame: r�jC 1242�1,. t;.viAc J
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: °k 14Z?/OSW'�1S
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy - ,�rC.�1;!47.-t- s'_
�i nature:
FeeType: Date Paid: Amount:
Building 8/30/2005 0:00:00 $86.40
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
BP-2006-0200
GIs#: COMMONWEALTH OF MASSACHUSETTS
1111111001111104 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0200
Project# JS-2006-0296
Est. Cost: $15600.00
Fee: $86.40 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 5575.68 Owner: WIJNHOVEN ROBERT A
Zoning:URC Applicant: WIJNHOVEN ROBERT A
AT: 1 ALDRICH ST
Applicant Address: Phone: Insurance:
1 ALDRICH ST 0 585-5812 ()
NORTHAMPTONMA01060 ISSUED ON:8/30/2005 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 24 DET GARAGE
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 Signature:
FeeType: Date Paid: Amount:
Building 8/30/2005 0:00:00 $86.40
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-6200
APPLICANT/CONTACT PERSON WIJNHOVEN ROBERT A
ADDRESS/PHONE 1 ALDRICH ST NORTHAMPTON Q 585-5812 Q
PROPERTY LOCATION 1 ALDRICH ST
MAP 31B PARCEL 027 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out gC.J7 y �j` lib
, `b
Fee Paid �f' j��(� �"
Typeof Construction: CONSTRUCT 24 X 24 DET GARAGE
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 BASED ON
INF RMATION PRESENTED:
Approved 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 C mmission
l'C'L--. i.
e .
4,-W290-
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
1
C1 I Department use only
;, ,, - City of Nortt?ampton Status of Permit:
Building Department Curb Cut/Driveway Permit
2 3 2C05 212 Main Street Sewer/Septic Availability
r,� Room 100 Water/Well Availability
- Nor iampt n, MA 01060 Two Sets of Structural Plans
— ''phone 413-587—= 240 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
1.1 Property Address: This section to be completed by office
1 PA A LN Map Lot Unit
NO t AwJ 1IAA ova60 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
off► k W nkovlel SY v�
Na t) �, Current Mailin Address:
Telephone
Signature
2.2 Authorized Agent: C:)/D G 2
pl fioj U d C tI 15 Qrf€Te� a r/ocr-ce 41.1
me Pnnt)r Current Mailing Address:
r i
5F-6 -- LIT9
Si nature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 1414
/.00o D (a)Building Permit Fee
2. Electrical sy 0oo (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) ------
5.Fire Protection •_N. �y.�
6. Total=(1 +2+3+4 +5) f/5-`m Check Number e3 4.-(' ii) f 'i /
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature: ,-
Building Commissioner/Inspector of Buildings Date
if
Section 4. ZONING All Informati6h Must Be Completed.Permit Can Be Denied Due To Incomplete Information
` Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size Ss 4o i u
Frontage 1 Ov I I IOU ' i
Setbacks Front L� / I •�1L., •
Side L:� R:I✓ L:= R: w�'! I If I
Rear riltil
Building Height ; /7fi _ I .1b
Bldg. Square Footage i %
Open Space Footage % ,
(Lot area minus bldg&paved f I
parking) •
#of Parking Spaces l
4410
Fill: I -'_ -- i
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 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 0 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 0 NO 0
IF YES, describe size, type and location: i ,
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO l
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 0 , NO 0
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) 1 Roofing
Or Doors Elt�
Accessory Bldg. !- i Demolition I I New Signs [I]] Decks t0 Siding LI Other[El]
Br Description i Proposedr '- ` , L � �`C �� C
Work: ( n0 ‘.0 X 1 ( ( .', GCG 1.)eiQ vl
Alteration of existing bedroom Yes =/ No Adding new bedroom Yes ✓ No
Attached Narrative Renovating unfinished basement Yes ✓ No
Plans Attached Roll -Sheet
6a. If New house and or addition to existincrhousing, 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?
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, bA v7\A 0 �M as Owner of the subject
property -�
1n
hereby authorize ci,J Rill‘L e�VC_,
to act on- If, in all matters relative to work authorize tl by this building permit a.plicat on.
Signature of Owner Date S/
I, 1✓ fir-)( • i' �- ., Ni.'• r�i i , as Owner/Authorized
Agent hereby declare that the statements and&formation onrthe foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury. '
Print. ame ` `
f ,/
i .;,
%� N /J .
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder: t�J V( topC t iF (, 07 `7 609
License Number
\`5 V3vicCIA3crot ' fietroCe_ (v.) <,y 1 '/06
Ad Expiration Date
5 6-6 . /7,7
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable 2(
Company Name Registration—Number --
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) 11111
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 0 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 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 C-ode,-City-of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
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OEPART1.4E11T OP DUI WING INSPECTIONS d1 =
212 Main Street ' Municipal Building .
Northampton, Macs. 01060 r`
.. WO•PJU R'S COMTENSATION CNSURANCE Al,Fl1)Avy
I, -- — - — -- ._..._ __ .__...__ .. ....._._.__,
(I i cc-as-X/permi ttec)
with a principal place of businessfresidence at: -
• (phoney')
(sit/city/stalz/a p) •
do hereby certify, under the pains and penalties of perjury, that •
•
( ) I am an employer providing the following worker's comocnsadon coverage nor my
employees woridng on this job:
(...a.s r- C Comnacv) (Policy Number) (c:pirtiora Dale)
( ) • I am a sole proprietor, general contractor or homeowner (ci de one) and have hired
the cone accompensation tors listed below who have the following worker's policies: .
v (Name of Contrctor) (In. rznc: Company/Poi c- Nu nb :) (7_411.3:Ion 17:1te),
(Name of Cooaacior) (Lnsl.ranec Comoanv Po!ic-' Nurzlcrr) (%a-piration Date)
(Name of Connaelo,-) (Insurance Company/Policy Number) (Expiration Date)
• (Name of Contractor) (Lnsurance Comr.2rry/Policy Numbs) (Expiration Date).
(.Cars 11litirv=1&C ,ifneosaw to cai-ruc�utfvr-taL-ioo po-taiaia6 to.1I oosr-s_o-a) .
1 V I am a sole proprietor and have no one working for me.
( ) I am,a home owner performing all the work myself.
NOTE:PI•-F Ix aware the 1^..je bcwcowacrs who employ pewm to at.,r-s-s,-^,:+^ =L+oa c rr,nc work ova dw ll_z of
not more th_o ttsv:tau is which the boc000wocr maid=oc oa the}roan&e7purtea:r_there,a_-c Doc c-m.=_11y,Deride-al to be
ei:ploye-z trace the wu1;ces,"--*74---1ioe Ara(GLI152.=l(5)).:ppticatioa by•barn owve fcz:bcz_or,,�.wit rr_•y cviacoco rho
Icgsl naa+c or.crploy.r coder rho Woafela Compom,tioa Asti
I undcstaad dad a Dopy of thi.mt®oao aa.y be forxorded to tb.Dopertmcoa of I..A•r,iJ Accidarts'Of5o.of Lr=ura,00 for the
oovcrasc vcif cnioo aid that L-ittac to oaai c bat-craze toadrs suction 25A of MOL I52 c3,lad to the i.rs+.:eioa aim:nias]radii=
ooaziaiag of a fax dap to S I}00,00.nd/or i=prisoatocat()Cup to Dee yur and civil pcaahio"to he form of a Stop Work Ordcs .
Clam of S100.00 a dry against ox.
For d u.only
PCTZnit Number i;),.y".„01
_ AtAr5 Map~ —_
.*AMpi . 'ti�O. t ��Qi / af tozi&np1ni •. ,i $
1= .%t# fGlassxclpnseilsT.
' '� DEPARTMENT OF BUILDING INSPECTIONS —
'212 Main Street • Municipal Building
'
INSPECTOR P °, .``
Nortlu rnpton, MA 01060 v '�
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supc:: ..i sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed). insulation inspection (if required) and a final building inspection-The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing&gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
- permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
rnle.-) _
mek ' understand the above.
(Home owner/tisident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date 2 3 0
Address of work
location \ Al.: AA CVAAe
'
NWT IAA odd a
MORTGAGE LOAN INSPEC;`i' ON
---- z(--...__________
LOCUS REFERENCE:
Book 1332 Page 242
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SvenmEnSY.
1 O r 1 CGS- k-V"-GE e.i-
TO: Citimortgage
AND. First American Title Insurance Co:OAR Estate of Felicia B. Kochan
I hereby report that the premises shown on this plan are LOCATION:
1 Aldrich Street
not located within a Flood Hazard Area as shown on the Northampton, Massachusetts
Federal Emergency Management Agency's Flood
Insurance Rare Map,
community No. 250167-0002A E. B. HOLMBERG &Associates
Effective Date April 3, 1978 LAND SURVEYORS
87 UNION STREET.EASTHAMPTON MA 01027-0945
I also report,to the best of my knowledge,information 37 DAMON POND ROAD,CHESTERFIELD MA 01012-0176
and belief,that this inspection plan shows the
improvement or improvements as located on the premises
described,that the improvements are entirely within lot SCALE:
44.4
lines,and that there are no encroachments upon the or 1' = 20'
premises described by the improvement or improvements /a� ' 1
of any adjoining premises,except as noted I further ,.�t o EMA;LY
report that there are no easements of record affecting the ‘frzTNCLr „cRo `1° DATE:
tract shown hereon,except as noted. 'i 434308 '4 April 22, 2002
\,..A.,
Cv
, fiF S�q`K'" JOB NUMBER:
4'/0 2.-yam
02-112
THIS PLAN IS FOR IDENTIFICATION PURPOSES ONLY AND DOHS NOT CONSTITUTE A PROPERTY SURVEY.
AND IS NOT TO BE USED FOR CONSTRUCTION PLANNING OR LAYOUT.
MORTGAGE LOAN INSPECTION
LOCUS REFERENCE:
Book 1332 Page 242 •
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lel 9w/aa beige-
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An
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TO: Citimortgage
AND: First American Title Insurance Cc.OWNER. Estate of Felicia B. Kochan
I hereby report that the premises shown on this plan are LOCATION:
1 Aldrich Street
not located within a Flood Hazard Area as shown on the Northampton, Massachusetts
Federal Emergency Management Agency's Flood
Insurance Rate Map,
Community No. 250167-0002A E. B. HOLMBERG &Associates
Effective Date April 3, 1978 LAND SURVEYORS -
87 UNION STREET,EASTHAMPTON MA 01027-0945
I also report,to the best of my knowledge,information 37 DAMON POND ROAD,CHESTERFIELD MA 01012-0176
and belief,that this inspection plan shows the
improvement or improvements as located on the premises
described,that the improvements are entirely within lot
1,I P..r n n4,4SCALE:
lines,and that there are no encroachments upon the ,&OF.ty1' = 20'
premises described by the improvement or improvements ZF.." sq\t J
of any adjoining premises,except as noted.I further o'? r EMILY 'Y\
report that there are no easements of record affecting the B• S 1'? DATE:
o HOLMBERG _.,,
tract shown hereon,except as noted. o 434308 (., April 22, 2002
\-::
�crS\p�Q'2
p JOB NUMBER:
X� 4 Q stl:av liA
n 'q't 02-112
THIS PLAN IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY.
AND 1S NOT TO BE USED FOR CONSTRUCTION PLANNING OR LAYOUT.
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24' X 24' Garage
2 X 6 Foundation walls
24 " Footings
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l` Truss roof system 24" on center ______
5/8 ply underlayment
2X4Walls
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6'6 11'9 5'9 --,
24'
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