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23A-017 (5) �+' It r 1 I �h ------_----__-_------- LA 0 0 et lu r `r 1 _ WRIGHT/� BUILDERS G o ,' �^„ G• 111 .�._ yq ,` I N C O R P O R A T E Il 48 HATES STREET jss �r NORTHAMPTON,MASSACIIOSETTS 01060 � ...• �,, r .: 3 �� 413-586-8 287 FAX 413 587-9276 u'i Wrighl Hwlders,In<. Prrpurd for dre eKdusivr usr ul WRIGHT HUII DFRS,INC 10f,S.I.I NW M 100,­J SuIlpllrrz 11 `6, , }` All.rlhcr mes pruhihnr.l � f j I I 1 � ; I ILA I1 I y s N A v o 7 ju _ --� WRIGHT/� BUILDERS _, j n 3 \ y/ I N C O R P O R A T E D C W .,` `•�j �Z a 1C`. 48 BATES STREET v NORTHAMPTON,MASSA(I IUSETTS 01060 t "_ ""`-^• } `a �s ,�~' :� V 413-586-8287 FAX 413-587-9276 ti{ i i •" r�� Pr 1 t < <,wrnme trlra.h,r. �� �'' �.• f-,I .��` F'mparrrl fur thr r•rluaivr uar nt WRIGtII BUII flf RS.IN( null,udK Ommr tors.cud ngrp6ers. �J _:� .+ AB urhrr mea pnrh�hn.vl. Ste. ) 1 S i I r ell J EA l • t t� m -ti 10 ri D — _ �1 ° WRIGHT/� BUILDERS $: — w (o' tt -5 O N 1: ((/, �' fvt `Y _ ` ti 1 N C n R P n R A T E [) C (� d 2- � �,1 �a Z r. ) �" 48 BATES STREET ;� — �+� ` 7 ✓ Al NORTHAMP3ON,MASSACI IUSETTS 01060 'A\ _ .cat \ ` ` -•\ i f� 413.586-8287 FAX 413-587-9276 "�• � O Z l y�1 _ (� C, '`'' �� (� ��1 Pre�are111ur 11iC Cxclusrve use of lNR1(�I II 11111111kµ5,1N(..51all,fulkunl.x5lu�f.an,l fu{lyliela. —, C` ,, --,2 1, C` Au nllie,Ines In.lullnavl T � SECTION 8-CONSTRUCTION SERVICES I Licensed Construction-Supervisor-. Not Applicable ❑ Name of License Holder License Number Address Expiration Date 1 -d 7 X13 Signatur Telephone 1 I i Not Applicable ❑ rt i S �i�C i 0153 Company ame Registration Number &I Zip I CI) Address Expiration Date Telephone I Sw LZ�� 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....... XX No...... ❑ FY: ' ai» vvne zeir»p. .a 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 fob 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 Budding Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. - Homeowner Signature y 7CTION 5-DESCRIPTION OF PROPOSED WORK(check all aRQlicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) I Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolltion❑ New Signs [ ] Decks [ J Siding[ ] Other[ ] Brief Description of Proposed Work: '•k­� P'©bY- ��"�► Alteration of existing bedroom Yes _No Adding new bedroom Yes X No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑- Shee (a f-N-e—wh ouse an "orW"ddFtiot o x ts1i n LrIJ o us 11 f , =-c�reTe7fie' of`flow"n�• 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. Dime ' s e. Number of stories? f. Method of heating? fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? Type of construction i. Is construction within 1 of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basem or cellar floor below finished grade k. Will buil • g 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 � as Owner of the subject property hereby authorize � h' ) to act on my behalf, in all rtt s elative to work authorized b this building permit application. _ Signature of Owner - Date I, as Owne /Authorized A en 0. hereby declare that the statements andi 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. _ Print me y Date re of Owner/Age t % . Section 4. ALL INFORMATION MUST BE COMPLETED, or PER_ UT CAN BE DENIED DUE TO LACK OF 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) A. Has a Special Permit/Variance/Finddiinng ever been issued for/on the site? NO 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# B. Does the site contain a brook, body of water or wetlands? NO 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: C. 'Do any signs exist on the property? YES NO =-. IF YES, describe size, type and location: = w D. Are there any proposed changes to or additions of signs intended for the property?YES No IF YES, describe siie, type and location: i ly of Northampton J(' iiiding Department r 12 Main Street J,U L 2 i g2 Room 100 r Nort ampton, MA 01060 DEPT a�;�c,�c I s 413-5-87-1240 Fax 413-587.1272 NORTH,-'kii OPi,!�A 01660 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION This,section to be compfeted bX:offrce . 1.1 Property Address: 1 P a 3 Unrt o >� � M Zone `Overlay Diet Elm.SL DistrrcY w. -- C&DIstric SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: eta �7A eAS� arenCt, A Nam (Print) Curr ntt Maiilinng-Address- 9A -C�3 Telephone Signature 2.2 Authorized Agent: 1 b `F)4QS 4 1-6 bob- ylplt a. M A Name Current Mailing Address: --7 TG-- rob(o H"?) r Si ure Telephone q SECTION 3- ESTIMATED CONSTRUCTION COSTS t�j Item Estimated Cost(Dollars)to be ; Official Use Only ; JE completed by ermit applicant -` 1. Building (a) Building Permit—ee 2. Electrical .Cb}EstiMifed Totai;Casf :: Constrirction'fro`m t 3. Plumbing - QC� --' r8utd-tang�eimrt E > 4. Mechanical (HVAC) s 5. Fire Protection 6. Total=(1 +2+3+4+5) �Ch n�bec are ,tir. rcta 1ls&0a ru .. = ale ssu r a . yl ORION uitditig`c'oitrmissonr1[tlsP65` ate, File#BP-2003-0099 APPLICANT/CONTACT PERSON Wright Builders ADDRESS/PHONE 48 Bates St (413)586-8287 PROPERTY LOCATION 10 PARK ST MAP 23A PARCEL 017 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 910 19 55:7 Typeof Construction: REMODEL 2ND FLR BATH New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included• Owner/Statement or License 068185 3 sets of Plans/Plot Plan THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 Co 'ssion 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. tKST BP-2003-0099 GIS#: COMMONWEALTH OF MASSACHUSETTS ,e 23q-t7 CITY OF NORTHAMPTON Lot:-001 Permit: Buildina Category: BUILDING PERMIT Permit# BP-2003.0099 Proiect# JS-2003-0200 Est, Cost: $29622.00 Fee: $95.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Wright Builders 068185 Lot Size(sq. ft.): 33497:64 Owner: FIERST FREDERICK U&EVA C Zoning URB Applicant: Wright Builders AT: 10 PARK ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON:7130102 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL 2N D F L R BATH 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 Occupant Signature: Fee Type: Receipt No: Date Paid: Check No: _ Amount: Building 7/30/02 0:00:00 13476 $95.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo } J_ i 10 PARK ST BP-2003.0099 CIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A-017 CITY OF NOR'T'HAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003.0099 Project# JS-2003-0200 Est. Cost: $29622.00 Fee: $95.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Wright Builders 068185 Lot Size(sq.ft.): 33497.64 Owner: FIERST FREDERICK U&EVA C Zonina_URB Applicant: Wright Builders AT. 10 PARK ST Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:7130102 0:00:00 TO PERFORM THE FOLLOWING WORK.R E M O D E L 2ND F LR BATH 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:g-/2-r% �� House# Foundation: per/ Driveway Final: Final _' Final: f Rough Frame: Bid Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final:OK <Q-G2 q.pg THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIgN OF ANY OF ITS RULES AND REGULATIONS. j� Certificate of Occu anc signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 7/30/02 0:00:00 13476 $95.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo