49-020 343 GLENDALE RD BP -2010 -0980
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 49 - 020 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0980
Project # JS- 2010- 001447
Est. Cost: $3200.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STACY BUILDERS & CONTRACTOR 060290
Lot Size(sq. ft.): 43560.00 Owner: BRAKEY SANDRA D
Zoning: SR(100) / /WSP II Applicant: STACY BUILDERS & CONTRACTOR
AT: 343 GLENDALE RD
Applicant Address: Phone: Insurance:
P O BOX 217 (413) 665 -6970
WHATELYMA01093 ISSUED ON:5/10/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: REMOVE REAR PORCH & CONSTRUCT 8 X 10
SIDE PORCH
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 5/10/2010 0:00:00 $55.00
212 Main Street, Phone (413) 5$ / - 1240, Fax: (413) 58 / - 12 /2
Building Commissioner - Anthony Patillo
File # BP- 2010 -0980
APPLICANT /CONTACT PERSON STACY BUILDERS & CONTRACTOR
ADDRESS /PHONE P 0 BOX 217 WHATELY (413) 665 -6970
PROPERTY LOCATION 343 GLENDALE RD
MAP 49 PARCEL 020 001 ZONE SR(100) / /WSP II
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: REMOVE REAR PORCH & CONSTRUCT 8 X 10 SIDE PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 060290
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION 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 Commission Permit DPW Storm Water Management
Demolition Delay
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.
City of Northampton
Building Department *6•G‘',1=b1- 4.4:1 '2
212 Main Street
Room 100
Northa'mpton, MA 01060
phone hon 413-587-1240 Fax 413-58 7 - 1272
e
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This secticif,_to
1.1 Property Address: . =
! I
Mari "-- ' )
) V
Zone Overlay
Elm SLDistrict CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
)
Name (Print) Current Mailing Address:
Telephone
,
,
Signature 7
2.2 Authorized Agent:
„ k L
Name (Print) Current Mailing Address:
„
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
i. Building
(a) Building Permit Fee
2. Eles,rical (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: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
SECTION S'="YDESCRIPTION:OF:.PROPOSED WORK Tchetk:all'applicabte)
New House 0 Addition O Replacement Windows Alteration(s) 0 Roofing 0
Or Doors 0
Accessory Bldg. 0 Demo|iUonO New Signs [ ] Decks �.4'-1 z I Siding [ ] Other [
. ^
��'' /^� j^" � �� /��r� ,\�",�� ��~~�
Brief Description of Proposed YVork:'. ` �' , . = .
} `--`' " - c t ‘ ~ c\r ���d-� - r� ��`�� �
Alteration Yes � No �s ^�}�/� ���
Attached Narrative 0 Renovating unfinished basement Yes �~~ No
Plans Attached RoIl El Sheet
-
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: ' Number �
c. Is there a garage attached? 0 y��
d. Proposed Square footage of new construction. bimonsions
e. Number of stories?
f
Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck 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 L,~ No.
/^i Septic Tank City Sewer Private well City water Supply
SECTION '76 OWNER-AUTHORIZATION - TO BE COMPLETED WHEN
OWNE6S OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, �
I, � '���>' �/�� ��� �� , as Owner o| the subject propc�y
'
hereby a th � � ��/ //�` ' z - ~ - to act or
my behalf, in tte relative tills building permit application.
Signature otOwner l Date
I, \^'!!4 �� � �� � �) / ��.'�Y . as Own Agent;
hereby lare that the statements and information on the foregoing application are true and accurate, to the ba
knowledge and belief.
Signed under the pains and penalties of perjury.
'
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Signature of Owner/Agent - Date
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DEBRIS AFFIDAVIT
As a result of the provisions of MGL c. 40, S 54, I acknowledge that as a condition of this
Building Permit, all debris resulting from the construction activity governed by this
Building Permit shall be disposed of in a properly licensed solid waste disposal facility,
as defined by MGL c. 111, S 150A.
I certify that I will notify the Building Commissioner of any change in the location of the
solid waste disposal facility to be used within 72 hours.
s
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L
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Date Signature of Permit Applicant
Print or type the following information:
d t
Name of Permit Applicant qq
Fiiin name (if applicable)
Address
The debris will be disposed of:
1
Facility
Address
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