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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-8998 Alterations
NORTHAMPTON, MASS. April 14 1998 Additions X
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 42 Ladyslipper Lane Lot No.
2. Owner'snameAnn and Claude Duquette Address 42 Ladyslipper Lane, Northampton, MA
3. Builder'snameBarron and Jacobs Assoc. Inc. Address 241 King Street Northampton, MA
Mass.Construction Supervisor's License No. 030739,H.I.C. #100809 Expiration Date 9/20/99 6/23/98
4. Addition 14'W x 16' DP Uninsluated "3 Season Room" Addition
5. Alteration Remove Existing deck
6. New Porch N/A
7. Is existing building to be demolished? N/A
8. Repair after the fire N/A
9. Garage N/A No.of cars N/A Size N/A
10. Method of heating No Heat
11. Distance to lot lines
12. Type of roof Conservatory
13. Siding house N/A
14. Estimated cost:- $35,000-00
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
4,qgnure of responsible app,icani
Remarks Foundation 12" Dia X 4' DP Concrete pylons with 6x6P.T.
Post Floor: 2x12 P T Floor joists 16" o.c. cedar decking
Wall: 4x4 post 4'0" o.c. with Continuos 2-2x6 header
Roof: 2x8 rafters 16" o.c. with 4x4 collar tie 4'0" o.c.
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ANN & CLAUDE DUQUETTE 4-13-98
BAtAON & JACOBS 3 SEASON ROOM- MODEL 560
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COMMON WALL
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60
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14'-I 1/2"
4 4
DOUR
PANEL
T-8" 3'-8" r i
I_3'-0 3/4"►Lr 8-0. rl•3'-0 3/4"j
5' H SINGLE PANE WINDOWS W/ 24" HIGH BASE WALL
EXTERIOR FINISH TO BE CEDAR
FLOOR PLAN_
BARRON & JACOBS ANN & CLAUDE DUOUETTE 4-13-98
3 SEASON ROOM- MODEL 560 1/4" 1'-0"
COMMON WALL
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14'-4 1/2"
4 4
DOOR
PANEL
Ir 3'-0 3/4'0.1.0 8-0" rl 3'-0 3/4`rl
5' H SINGLE PANE WINDOWS W/ 24' HIGH BASE WALL
EXTERIOR FINISH TO BE CEDAR
FLOOR PLAN_
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z DEPARTMENT OF PUBLIC SAFETY 130942
•` ONE ASHBURTON PLACE, RM 1301
BOSTONM:A 02108-1618
CONSTRUCTION SUPERVISOR LICENSE
Number: Expires: Bir•thdat :-:
CS 030739 09/20/1999 09/2t /Zg4Z
Restricted To: 00
CECIL R JACOBS SEA„ 1
241 KING ST -_ ay
NORTHAMPTON, MA 01060
Keep top for receipt and change
of address notification.
60', r�w�uueoL o�� aoaucc/ZUaeCta
I DEPARTMENT OF PUBLIC SAFETY i r
i
. � CONSTRUCTION'SUPERVISOR LICENSE I
Namher - Expires: Birthdate:
CS B BX19, 19/2811999 8912811941
Rest4ted Tg 88
CECII R JAt06S�
i 241 KING ST �i '�.
? NORTHAMPTON, NA 61868 f'
I
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3 a HOME IMPROVEMENT CONTRACTORS REGISTRATION j
Board of Building Regulations and Standards
One Ashburton Place W- Room 1301 j
Boston , Massachusetts 02108
I
HOME IMPROVEMENT CONTRACTOR
Registration 100809 Expiration 06/23/98
Type — PRIVATE CORPORATION
HOME IMPROVEMENT CONTRACTOR
Registration 100809
BARRON & JACOBS ASSOCIATES , INC . Type - PRIVATE CORPORATION
Cecil R . Jacobs Expiration 06/23/98
241 King Street
Northampton MA 01060 BARRON & JACOBS ASSOCIATES, I
G� Cecil R. Jacobs
King Street
ADMINISTRATOR Northampton MA 01060
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`m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, Barron and Jacobs Associates, Inc.
(licenseeJpermi tt ee}
with a principal place of business/residence at:
241 King Street Northampton, MA. 01060 (phone#)(413) 586-8998
(Strret/ci ty/sYateJzip)
do hereby certify, under the pains anal penalties of perjury, that:
(X) I am an employer providing the following workers compensation coverage for my
elnployees working on this job.
Reliance National Insurance NWX6003626 3/1/99
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
Whiteley Electrice Inc. TMP1001644 311/99
(Name of Contractor) (Lnsurancc Cornpaoy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Polky Number) (Expiration Date)
(Name of Contractor) (lnsuranoz Company/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(sttarh Additional shit if neo=uLry to in�inforinatioo permitting to all ccairaciota)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be awun thst while homco wncn who employ persom to&maoatcuance mnshvcuoa'or ran work on a dwetliag of
not nto *than throe units in which the homoowncr resides of on the grounds appurtenant ihetdo ate not gaxralty co-iducd to 1-
cmployaa tinder the worker`s oomp="4oa Act(GL152,ss 1(5)�application by a homeowner for a 6—or permit may cvidcnoc the
legal etatua of an employer under tho Wockeet compomatioa Act_.
I un8awand thst a copy of this rtat—it may be forwarded to tbo Dcpartnscod of Indushial Acddca&Oihoo of Inwnnce for tho
covaxge verification and that failure to soot=covrnrgo under soctioa 25 A of MOL 152 can lead to tha impos Oa of criminal pcualtics
oo=sting of a&ne'of up to S1,500.00 anNor impiso�of up to one year and civil pcn&Wcs in the form of a Stop Work O[dcr and a
fi m 0(5100.00 a day agpinst me-
For dcpsrtmmtal use only
Permit Number
_ Map# Lot#
SiVulbire of Liomsee/Permiuce --
t-x
. �... . 120'
F - - - - - - - - - -
APR 6 1998
I
I
1
PROPOSED 14'-7 W X16"
3p_p ADDITION AT SME LOCATION
�4 AS EXISTN6 DECK
�f I 21-0
53-Q"
51'-10'
EXIST.
HOUSE
No
'PEI
I
SITE PLAN
SCALE - 1"- 40'
DUQUETTE RESIDENCE
42 LADYSLIPPER LANE
NORTHAMPTON,MA.
120'
F - - - - - - - - - -
I
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4
1 � I
1
I
PROPOSED W-7 W X
3O_o ADDITION AT SME LOCATION I
!4 AS EXISTNG DECK i4
NS I 21'-0 �i
Sd'-10'
EXIST.
HOUSE
1 I
I
o
r2 I
1
I
I Ii
SITE PLAN
SCALE - 1 40'
DUQUETTE RESIDENCE
42 LADYSLIPPER LANE
NORTHAMPTON,MA.
10 Do any signs exist on the property? YES NO X
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —1.== to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size J � �
40,320 SAME
Frontage 120' SAME /
Setbacks 102' 129' 0
- side L: 30 R: 21' L: 53' R: 51'-10"
- rear
Building height 27' 13'-3"
Bldg Square footage
1635 234 total 1869 � d
%Open Space:
(Lot area minus bldg 89.9% 89.3%
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
-(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: -
APPLICANT's SIGNATURE S �� I
NOTE: lasuanoe of a e
zoning permit dos not relieve an applicant's burden t oomply w 1
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Public Works and other applicable permit granting authorities.
FILE #
' 6 '998 .�•
File No. �� 1
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Barron and Jacobs Associates, Inc _
Address: 241 King Street Telephone: (411) 586-8998
2. Owner of �Y
Pro P a Ann and Claude Duquette
Address: 42 Ladyslipper Lane Telephone: (413) 586-9821
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 42 Ladyslipper Lane
Parcel Id: Zoning Map Parcel# <-,2District(s): �S
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property H
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
16' projection out x 14' parrell to common wall uninsulated
3 season room
1. Attached Plans: 2 Sketch Plan 2 Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNadance/Finding ever been issued for/on the site?
NO X DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO X DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE # J
APB 16 11998
q
APPLICANT/CONTACT PERSON:
ke. D RES$iPHQTYE
PROPERTY LOCATION:
MAP 3�` PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7n G FORM Fn Jf'F.D OUT
Building Permit Filled nilt
E22/ r -� ✓'
to Rxisilii�
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
_Approved as presentedfbased on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
P rmit from Conserva ' Commission
Signature of Buildin&Inspector Date
NOTE:issuanoe of a zoning permit does not relieve an applloant's burden to oomply with all
_ zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, department of Publio Works and other appiioable permit granting authorities.
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