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35-055
r S'. F„ • p. ol .r. W N — CORNER o ILZl z ► ►0„3, .... .,... .m __ ` z CORNER >7, D _`� .► .z) �1 kiII O \ D -, -- z !II 2 O 00 z D r A m ° O • D 2 A N A co O AAA O +, z �� °�X O �, AJ _.I ZN DStn z OA �mA z y m Z<m T ,' Of my 00- _, AA OA O o z 2 C N) 2 A o 3k O% N n G)P S cn n n n T A <m O m N 3 D r r -D WALL POST Nillihi, o - O D JAMB POST Q° rmiii,o, ■ i O Oz ,�,'I 0 rn O . m \ ► -n O o n z 'I� z0 � �z !► T 2 —1 n Ng yA<m a o�u -2,x 1.Ilk 5 MIL oo n n=Atn n ,N W OOA O A'4 * T O O A j P Z A O A Stn 60 D0 nn F I Gomm <m A m 0 iil m A D , co to hil O iii WALL POST -0 O RIDGE BEAM POST L T 0 loilir (,) O O O D o o. o `Z + z0 \ O 1116,1 ]ctiy,` N W SN 0 s u Aa A A O S n t o H Stn 70 n n T A m A A j rg B 2 A A COMM. It ib a 0 O�� i o c o z a r to r "' O 64 A s s ins(\+ ` m r = ° °y °a O dg.$iiR 35�u ill o° g C) " 9 � � LAPAN RESIDENCE 3 ,T,T W'g`$� ` � '� q � 7 OZ y ° CI ° a $say4d�@' a.!, a dea 3 mm P C CS m _ ; 952 RYAN RD. � 9�i � e 3 ag°3� �a 7 '� a f&f.a �'w 3� 3 Q(D ° FLORENCE, MA 01062 g a ssBb .......) , e V 0, ( -P. w N N It , , . 'i!0 11,E L -� m 1 a o m n 1 1 N� I 111 Mil I m o .,1 's 1 1 .J _o v. .— lir 1 , 1 Olt hi m 0 i7cri 1 P_ IA - ,i 1 ° 0 0 Z ti O � �' 0 0 0 . 1 „ O• ~ o O z • "n = 0 ° O w = Z 0 = Q! I O 0 Iv 0 r- > m —1 AJ i .4 IlL___Ji _im > M� `b ` mi n n ° ■I MIL■- • t e m A N Lii O J 1 m 7,, u N MI rr. ° J_ f r f lI \ / \ T m n O \ /' O O i , N O N / F, m o n n 6 / \ / c \ N / \ / T / O 0 c / r O • Q o o m n n � / " \ HOUSE WALL j HOUSE WALL n 0 n O A z T I — 11 i _iii 111F Mi Z , Z �_ rn , J; JlLll Fl I. i o — 0 z cn 90 �_ N °5o a r3 ooN f D Z N A m _ m 0 mi0� m n TZ_ O v Z rn q 210 Z iZO c_ O 0=, o D yon z < rT7 I O COMAdo F9 II r.,, oy ci > 4%. 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II !JIii . � I r� 1, !if r i11 � - ,,�• t v r 1:tY�1 ; (1 s �; w + t ORDER NO: 1700 LINE ITEM: 1 6-7 PRINT DATE: 05/09/13 Ligtil'��.l xr Wall J � _ L e L � p- elk RH RH 144" Dimensions .4\o/ Width: 144" Height: 96' . ._ Layout 3.25"(Corner Post)+30.125"(VVindow)+3.25"(Door Post)+72"(Door)+3.25"(Door Post)+30.125"(Window)+ 2"(Wall Starter) 2"(Floor Starter)+ 13.75"(Kick Panel)+3.25"(Sill)+61"(Window)+12"(Transom)+4"(Bearing Header) PAGE: 4 of 4 ORDER NO: 1700 LINE ITEM: 1 PRINT DATE: 05/09/13 B Wall 0 1614, <_ S'ar4 100 bit" 103 112' Dimensions Width:207" Height: 96" Left Wall Pitch: 4.0/12=18.5° Right Wall Pitch: 4.0/12=18.5° uuutt�ll L�LJ Layout 2"(Corner Post)+32"(Window)+3.25"(CenterPost)+64.625"(Window)+3.25"(Ridge Post)+64.625"(Window) +3.25"(Center Post)+32"(Window)+2"(Corner Post) 2"(Floor Starter)+13.75"(Kick Panel)+3.25"(Sill)+61"(Window)+3.25"(Header) PAGE: 3 of 4 ORDER NO: 1700 LINE ITEM: 1 PRINT DATE: 05/09/13 A Wall • rr s . tAi CAA • 5^ Dimensions Width: 50" Height: 96" Layout 2"(Wall Starter)+44.75"(Window)+3.25"(Corner Post) 2"(Floor Starter)+13.75"(Kick Panel)+3.25"(Sill)+61"(Window)+12"(Transom)+4"(Bearing Header) PAGE: 2 of 4 ORDER NO: 1700 LINE ITEM: 1 PRINT DATE: 05/09/13 Floor Plan H wwayv iz-: - H Jyy 75 MdcA'3:1125 .• AlnIstv 32 McILIN 54 Ea 1.47.4aA 64.323 liVeZox T. 0 • Mr-O"' Dimensions PAGE: 1 of 4 UNIT TYPE SUNROO, - EDRAL/STUDIO ADDITIONAL WORK TO STRUCTURE YES NO UNIT COLOR �____LI SAND CLAY 1. Form opening in original building V ❑ 2. Opening size H" `-� x W" ' p-7/ ❑ UNIT OPTIONS YES NO,,,, 3. Box in�devv{'Door matching as close as possible 1) ❑ 1. Double or Single Swing Door Outward Opening ❑ [ ❑ 2. Sliding Patio Doors p/ ❑ 4. Sheetrock 3. Fixed Skylights ❑ a 5. Cut Overhang/Build Dormer p1 ❑ 6. Remove all garbage and dispose r ❑ STANDARD FEATURES 1. 3"PVC-U Vinyl High Efficiency Welded Frames Ir ❑ MISCELLANEOUS EXTRAS a YES NO 2. High Efficiency Neophrene Seals f2 ❑ 3. High Security Locking System ❑ 1. Customer/Company to arrange all permits ., q / ❑ 4. Pressured equalized frames p'r ❑ 2. Customer to pay all perg it fees to town ca' ❑ 5. Tempered glass where necessary f3- ❑ 3. Electrical Outlets# '? # I GFI ❑ ❑ 6. 1 in.Argon Gas Filled Low E Thermal Units ❑ ' ❑ 4. Electric for Exterior Light# I Customer to supply fixtures 7. "6 Compression PVC Roof System ❑ cr 8. Shingled 6"Compression Fit Roof astern a" ❑ 10. Color H Type /4-S.L 1Lu5*. - ❑ WORK EXCLUDED FROM CONTRACT 10. Color Handles ��+9L$/Pt�}h}lifvt Y0i'i i T= D/❑ BASE STRUCTURE YES NO We will not remove shrubs/trees including 1. Remove site obstruction= W:\0,,,,..4a-z, i ❑ roots inside construction area. 2. Dig continuous footing or post footing p/ ❑ 3. 8eatnue or leave earth from footing 13�� //a We will not supply or install finished floor. 4. Pour concrete Foundation la' ❑ We will not paint or stain. FLOOR SELECTION We will not prepare for ductwork or wire/ 1. Install 6"insulated floor system with Ali skin a".... ❑ install heat or air conditioning systems. 2. Build floor to exit^^ ^^^^to of^r step down gr. ❑ 3. Build 1 1/4"plywood or 6"concrete slab floor ❑ Le Our anticipate L delivery time from permit approval is ce 4. Reinforce existing deck ❑ between: [(� to /weeks. 5. Build new suspended floor ❑ t 6. Construct wood steps and railings if Required ❑ C Estimated Start Date: 1 ., ' " 7. Insulate Floor/Walls to code ❑ Estimated Finish Date: 1 . f • 1 8. Exterior finish by Ciatnmor/ company Z ❑ Warranty: Lifetime Manufacturers,5 Year Labor C I Notes S S . 6 :i.i. .z--%.1'<c ult, 1�.- . t i t..keti 14 e A Pi9Lt a-b _ YHI agrees to perform the work,furnish the material and labor specified above for the total sum of `3 4 ©:=<!› PAYMENT SCHEDULE 10% Deposit $ 3 `"}'0.0 First Payment Max 10%Credit Card/Cash/Check 20% Survey $ CP 10 Balance Cash/Finance/ of Credit Card E' 20% Start of Base $ h DO AA t 40% Upon Delivery $ i 3 oe i Authorized Signature C/� "V�-- 10% Final, (not based on C.O.) $ 3 .40 0 Name of Representative Ems' vN i\ C.A C{■.$.1,-a,x Acceptance of Proposal I have read both sides of this document and accept the prices,specifications and conditions stated.I understand that upon signing,this proposal becomes a binding contract.You are authorized to do the work as specified.Payment will be made as outlined above. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller,which may be his main office or branch thereof, provided you notify the Seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing i this agreement -lease refer to the Notice of Cancellation below contents of which are referred to above and incorporated herein by reference. Dy'1 N• SIGN THIS CONTRACT IF THERE ARE ANY B1I NK SPACESS.. 1 Signature 1 l. Date t (r (I 3 Signature J Date �Y//� I I NOTICE OF CANCELLATION • DATES OF TRANSACTION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED. TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: YANKEE HOME IMPROVEMENT, INC., 82 INDUSTRIAL DR., NORTHAMPTON,MA 01060 NO LATER THAN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION (Date,Sundays and holidays excluded) BUYER'S SIGNATURE DATE // / Buyer(s)acknowledge receipt ) two cbm etely filled in copies of this notice on the date first above written hereni. Buyer's Signature 7. __\ 1 1 I LI/ ,l' Buyer's Signature�C 4 / C (/ / Cl JOB# VC(Z DATE 1.4-?‘: A edet ,., i,.`3 "ra—n.2Q ET 1... © Homeowner Information Name ) A Q i 1 _Street Address 95-'2 A,4A/ R City,, jZ FLO l JCL State N. Q- Zip C tOd,,Z Home'Ph ne .5'g7 ®.9 7i Work Phone 5729 c-71,?' Cell hone ;40 7- QIZ/ E-Mail iX/4,/44 0-6 64 Mailing Address (if different) CA-57-- N g' Proposed Plan View of Unit Customer will receive full drawings after site survey with detailed sizes (Approximate External Sizes) 1 � py • t p l i 1 I X9'&3 1 1 I I g,'' Kl lG.!_ ALL_. 1 _ z ...c . 1 ( Location �c 1 Proposed Wall Elevation Proposed Window Style Proposed Door Style J i ia 1 GABLE STUDIO 1 r------i I 1 1 If LAPAIV 952 RYAN: POAD FL,OREN C6-7 MASS 0042 . -_,.. , 1 1 , , 1 , , 1 . 1 i . . I , I , ".5-bc>/ R Pi MM ,, PEmOVE C" E I/7 caiCRETE SP 2-FT 2e‘G LA666:0 ,„.., 1 1 1 1 i 1 /' 40022100W. 6R1ii1D LEV6.1.. / 11-f 2 x 46 CalfeeKTe PI PICRS. i I _i i i 1 ; , NEW5TAIR5 INTO 1 5 meA6& AREA 1 1 TPESET NCRETE PAD COVERPD WI'ru NE.At LIP I PANELs ', t , t I , 1 I 12"VEEP TRENCH 1 ,N -----(. -' .f i ' c%14-t-T-t.ONCRE7E. PER.5 - 2_-25C6( e LAGGED INTO x(3 .. cum , . aste. http://itinn It ercovv ._ ••,---- „,- • Home • Abo u—t U s • Containers • Contact Us . Customer -°2. r Fast & Reliable bi I Waste R7-)e mov a I Services FOR FAST "R\ CE CALL: (41 3) 455. 1 672 t i , ,.„, _..,„ --,«— - -- - ;-,,,-' il, .. ,-..z.2:71617; t. '4-'7.-'s-: .' ..,. ,,,-----'-' ,,f-,..7-,_,IL--,- Lic.` ,_-- HE, L , .„....„, _- _ - , ----,:,-:up;z±g--t-A_ ,r.-'-1,----- „,„----L--,- L ;---r-- a 714 1 e ..„......., „:„.......„,,,, ,.,,...,,,,,,,k-- -- E m I WASTE , e .., ,ding Sery ,--.vi,--*2...- , I -,_ v, ,...r, A §_ T-- iljt it ff and Req . . AIR 14!-- . IF 7-- 4.: 47 -iwt, g/ Ro. -0 . __ servIce sters -iat..:na! ', i...:--..:.:- - lc 1- 4, 11!".; '-'-'' 1- -,---,,------ ----- .-7.s:-:-'- v, compactof ,0 yard durnP „„,,-ti. ''' _ 4114 ' . la ,_ -- ------,-:-:,-- -.---- - - -:.=--- — 5 ard and *) ‘... ' . --- -_-_,,,---IN v ., ....tv, _:- lii- --,----F.---' --- -,:.- V 1 ?fir response fr, Quick r .tive pricing .,./ Competitive •.- ---------.--". : ,--. -...z.:;':-- CE ' - - - .,..-,-- --- - -- --- ' - -...s.'.,:-.: E S EXPERIE;,,N 4, 30 YEARS and Rhoce Hallei,4 Area: ''' - :-.--'" ''':'-'.'''''';°:Z„..-. ...connecz'c,, n..,-iia- SP1°I.Y` aar,n.Carri ,err, C..1-. N 0 IN_ .,' 1E.aptiva,-.......... - -rifle _It: refs trif444,-.0 - ,„.. ,ther„ !deo daL3 ■Xeat b. , Weather Local " . - °F( °F) ' Cki, Address - L oc-471 Our Tpul,-/Ir-- .i...r.sk! R-r) - Waste T., 122., -s---r- 4 - erello OL,-# J. Tula ..-. ,-.7- :',....4.--`1 Century Street 32 Cen MA 01001 ;f1...!---'-' ''- Agawam, 2 01') 9.48 AM • 3p1/2 - E-mail Phone 84 l , -5_167" Lc)" (A1-))4.) File No.041404-7.429 Page#6 SKETCH File No. 0414047.429 Borrower/Ghent Leon&Theresa Lapan Address 952 Ryan Road City Northampton County Hampshire State MA Zip Code 01062 Lender/Client United Bank a as E a Elcrrrkisloi4 - -PRGSE:Ki c5- } h Living Room 111,,i Porch Bedroom Den % ;• • aLAL :5.. x :4.' 1� i l f1 II .13 5Z THIS PLAT NOT FOR RECORDING PURPOSES 3 K ) PG. 349 PL.c3K,49, P6-.(0? 192,4 LOT Co c kR poRT \I:0) \(1:: 92 I I ® 31.0 19(0,Z t 4)‘° TD:O NI t`TE"p Co O PE ATI V E g htil V_ q.` L A •(GAS TtTL.E INS. CO• I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHM AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES.I FURTHI REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITI NUMBER Z 5O 1 Col DATED: 2 - i O r 9 7 NOTE THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND SURVEYOR: ) 0 NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT !i � N o ci R T N A Ta N M �4 55. i R a v.1 N E R. N ik R R Y 3 R y �„ A LE ScAL.E: It>3O' Richard J. LaBarge,Sr.,Registered Professional Land Surveyor 110 ling Street,Northampton, Massachusetts 01060 The Commonwealth ofilassaelzusetts Department of Industrial Accidents • Office of.nvestigations 3--;� t._�ri#IQ Washington Street f 741:.s f itosto..r.,M4/12X77 wwrs_nzass.gov/daa Workers' Compensation insurance A€ davit:Bu1lders/Contractors/EIectricians/Plumbers Ap€licaaat Information Please Print Lre2ibIv Name(Business/Organizatiox/1 divicival): 4M KEE t-.1.e:Wi I(V? VE 1&&(T Address: . . 2 .0 LLD L)S-2-,e r A L .7 sir vim. CitylStatelZip: 7144 P770/J i'/4 0 10 60 Pbonle. : 4!3-3 i -S 2.S e3 Are you an employer?Check the appropriate box: 1 Type of project(required): I_'1 am a ezz foyer with O 4. 0 I aro a general contractor and I i employees(fun anerar par ti ao_ sub-contractors aired tae sub contctors 6. 0 New construction am a sole proprietor or partner listed on the attached sheet. i. l Reznodeihng ship and have no employees These sub eoz acFOrs have 8. 0 Demolition wo_-in-ng for toe in capacity_ empoyees and have workers' �3' ; 4. 0 Building addition No workers'comp_insurance B77SIIIaEICe. re.quiredJ • 5.Q we are a corporation and its 10.0 Electrical repairs or adations 1 3.0 1 Ptr'a homeowner doing all work officers have exercised their 31 n Plumbing repairs or additions myself[No workers'comp. right of exemption per MGT- 110 Roof repairs S insurance reed. t c.152,§1(4),and we have no ! employees.[No workers' 13.0 Other r ( comp.insurance regtxitecl) l 'A.ay appli=nt that of ccks box#1 roust also fill oat the section below showing their workers'coaspeesation poacy inforraadaa Horneawacs who submit this affidavit cg they are doing at work and tine hit outside contractors must sroamita new affidavit indicating s:ch. cCnattactots that ebeek tisbox must attached an additional chat showing the name of the sib-coaasasrs wad sate whether or riot those entities have employers. if the subronntactors have employem,they m ut provide their worker°comp.policy mother. ?am ate employer th.a ls prow ffrrg wor.#re c'coznpettsativr insurance far my employees. Below is the policy ant job site irtforazzation. insurance Company Name: C 'A 1%11 t r_ S-7-47 s; .TIL15te72G A.LC.6 CC,Atilc ii1Y Policy r or Self-ins.Lic_T: 6/WS-5856 74 5--Ai--i2 • Expiration Date: !D-2- 2043 Job Site Address: (15 2 1V YA ki TZtD A D CitylStte/Zin:r`LaKEIIC&r MA, a WC.Z Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal pees of a fine up to$1,500.00 and/or one-year imprisonment,as well as civg penalties in the form of a STOP WORK ORDER and a fuse of op to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investzaatons of the DIA for%.t.3''� -coverage verification.. f de hereby certify u ,. -pains and perm, '.. , ,erjury that the information provided above is true azed correct Signature: Date: Phone-# " -'3'+I ...52Sr-i 0'''cial use only. Do not write in this area,to be compIP Pd by chit or town official. City y or Town: Perruit/License# I € Issuing Authority(circle one): l4 1_Boma orzit..aatrir a.nu/ldiug Depa<-rruex2t s_City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector €i fl ti_Other • 1 I Contact Person: _ Phone#: t SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Holder: C.E'I?.412IJ IVZ3A/AA.J C. License Number B 2 TWDUSTR 1A4 L. D72 A I.ORT!-1t fIPTG!1..l, M A . ber)6c9 3-I, - 23 r4-re Address Expiration Date /O/ Li-/3- - Signature T Telephone '.Registered Home Improvement Contractor a Not Applicable ❑ `/A#JKF_G Nt7A/iM ZA/IPIZOVL M!;n1T /�v 5-.8.LA Company Name Registration Number 22 • %5T • L DR. AWRT/-N-iM P7701Li .IVhL- cD/Z)LL) . -7 - ZO/c-/ Address Expiration Date Telephone 'Y13-3e//-5 2 S SECTION 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. Signed Affidavit Attached Yes y No ❑ 11. Home,Ow er Exemption, The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 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 [2 Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding[D] Other[DI Brief Description of Proposed Work: F EPLALE AND EXPAND SCREEN R66/11 14IIT/E S(./NROLJM , 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 house and or addition to existing housing,complete theta-owing: a. Use of building :One Family X 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 / c-7 e. Number of stories? f 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 X 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? J( 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 1, TERRY LEO LAPAA.1 ,as Owner of the subject property hereby authorize 74A/KEE NOME I1v1PROVEMEAIT to act on my behalf, in all matters relative to work authorized by this building permit application. L7N C120 T, 'AC T • Signature of Owner Date I, Y.A-A1KEC HOME .=MPi2G3t/EMEII T ,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. C7ERA- em.r,dau Print Name ____SinfrA of Owner/Agent Date Section 4. ZONING Alt Information 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 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) i. A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES C IF YES, date issued:: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 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 OD 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, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO tt IF YES,then a Northampton Storm Water Management Permit from the DPW is required. .epa t rtment use tinily RECEIVED City of Northampton stlls;f°l?em '" Budding Department Curb t ay Part It JUN I 2013 212 Main Street aerr: ►t+ aat{ • Room 100 Wafer e{tAvai tta'tt{ orthampton, MA 01060 Twa Sets�F %ra{Plans DEPT r;c� INSPECTIONS 4j3-587-1240 Fax 413-587-1272 .PlotlStte Plans NORTHAMPTON,HAMPTON,MA 0 ¢} 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 5a ,'YAIIJ Fe0A_D Map Lot Unit FLDREfVCEI-MASS< O1O 62_ Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: TRRY LEO LAPAIli 4952 RYAa i D. FLOREKICE- P4 A- d W2— Name(Print) Current Mailing Address: f13 BPS7 —.0 87/ 0 N COK.JTTZA C T Telephone Signature 2.2 Authorized Agent: &E 'AQD �'JAIttfL Y4ALKEE NJ 4E MOVEMENT f32ZNDUSTRI AL_DR/UD,ZTNA}ArIPTD IV,M4.DI060 Name(Print) /' Current Mailing Address: WI3•-3L4-1—SZ S Signatu= Telephone SEC •N 3-ESTIMATED CONSTRUCTION COSTS em Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building ti; ) }n (a)Building Permit Fee 204-. 00 2. Electrical (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) # 3 ,OOU. °"' Check Number j=i; This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissionerllnspector of Buildings Date File#BP-2013-1179 APPLICANT/CONTACT PERSON YANKEE HOME IMPROVEMENT INC ADDRESS/PHONE 82 INDUSTRIAL DR,UNIT 2 NORTHAMPTON (413) 58 18 PROPERTY LOCATION 952 RYAN RD t MAP 35 PARCEL 055 001 ZONE 7 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out J/ , Lfi Fee Paid J 6 9(49 l`'� / Typeof Construction: REPLACE&EXPAND SCREEN PORCH W/SUNROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 89442 3 sets of Plans/Plot Plan THIN jRMATION PRESENTED: OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 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 Demoliti D lay / � - (.7 d - / r 6 -/. ' -/3 Signature of Bui din fficia 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. 952 RYAN RD BP-2013-1179 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -055 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ADDITION BUILDING PERMIT Permit# BP-2013-1179 Project# JS-2013-001938 Est. Cost: $34000.00 Fee: $204.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YANKEE HOME IMPROVEMENT INC 89442 Lot Size(sq. ft.): 15246.00 Owner: LAPAN LEO E&THERESA M Zoning: Applicant: YANKEE HOME IMPROVEMENT INC AT: 952 RYAN RD Applicant Address: Phone: Insurance: 82 INDUSTRIAL DR, UNIT 2 (413) 341-5259 () WC NORTHAM PTO N MAO 1060 ISSUED ON:6/18/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE & EXPAND SCREEN PORCH W/SUNROOM 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 6/18/2013 0:00:00 $204.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner