35-065 (4) BP-2024-1330
897 RYAN RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
35-065-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-1330 PERMISSION IS HEREBY GRANTED TO:
Project# ENTRY 2024 Contractor: License:
ARROWWOOD DESIGN &
Est. Cost: 56700 CONSTRUCTION LLC 050081
Const.Class: Exp.Date: 08/15/2025
Use Group: Owner: BLISS RATHBUN PATRICK W&NAOMI
Lot Size(sq.ft.)
Zoning: WSP Applicant: ARROWWOOD DESIGN &CONSTRUCTION LLC
Applicant Address Phone: Insurance:
154 EVERETT ST 413-575-4307
EASTHAMPTON, MA 01027
ISSUED ON:10/18/2024
TO PERFORM THE FOLLOWING WORK:
REMOVE EXISTING ENTRY AND REPLACE WITH NEW
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: 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.
.,72__
Signature:
Fees Paid: $425.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
- v. 1c
File #BP-2024-1330
i_0,..) fay c,-14)
APPLICANT/CONTACT PERSON:ARROWWOOD DESIGN &CONSTRUCTION LLC
154 EVERETT ST EASTHAMPTON, MA 01027 413-575-4307
PROPERTY LOCATION 897 RYAN RD
MAP:LOT 35-065-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid $425.00
Type of Construction: REMOVE EXISTING ENTRY AND REPLACE WITH NEW
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESENT D:
Approved Additional permits required(see below) For all projects that need additional reviews :.:40REI
as checked below,please see the Office of Planning& Sustainabilit Permit na a or scan here - fir'=
Y 8 ti +.
PLANNING BOARD PERMIT REQUIRED UNDER:* , - to;
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
Pennit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
//i I l)- 17 Zo z y
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.
FHECEIViii..j.i ..
r T e Commonwealth of Massachusetts
VOCT C 2024 Board!of Building Regulations and Standards MUNICPALITY
Massachusetts State Building Code, 780 CMR FOR
USE
-- -Building-Perit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
l One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Numbers]"0-2..C/4 /3O Date Applied:
'li
KCV1,J l Z5 /7//2 /D_/8_.ZvZy
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Pro arty Ad r s: 1.2 Assessors Map& Parcel Numbers
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
IA;45.D
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
o� ,. i 5 . 3 5 /00 ad a6
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: — Outside Flood Zone'' Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
/-mayQ-C' '/ h , ��tss r oreV•4, Mai 0l 6 9-
.r�crY..
Name(Print) '' 11 City,State,ZIP
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied 0 Repairs(s) ❑ Alteration(s) ❑ Addition IV
Demolition ❑ Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of Proposed Work2: egP vvv a'u P - 1,,A,.n 5 i=,4(7 anA b Odd the►v'
e,.--\-ry
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ ,r2 t�jb ''6 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical S �a0� 0 Standard City/Town Application Fee
0 Total Project Cost3 (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ 71 a() 0 List:
5. Mechanical (Fire $
Suppression) Total All Fees: $D
Check No.q b 6 oCheck Amount:42 5 • Cash Amount:
6. Total Project Cost: $ SG)700 0 Paid in Full 0 Outstanding Balance Due:
City of Northampton
s
Massachusetts ��'�,
j DEPARTMENT OF BUILDING INSPECTIONS
�•^�••1 212 Main Street • Municipal Building
trt;if Northampton, MA 0160
PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW
1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES,
FENCES, GROUND MOUNTED SOLAR, ETC.
I. Building Permit Application signed by legal owner and filled out by owner or authorized agent.
2. One set of plans and specifications of proposed work. (Digital and hard copy)
3. Site plan with location of proposed structure(s) and set backs.
4. Construction Debris Affidavit filled out and signed by applicant.
5. Worker's Compensation Insurance Affidavit filled out and signed by applicant.
6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance.
7. Energy Conservation Compliance Certificate (new/ replacement windows).
8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable).
9. Note any Conservation and/or special permit requirements (if applicable). 10.
Driveway Permit (if applicable).
11. Proof of Water and Sewer entry fees paid (if applicable).
12. Trench Permit - public land by DPW / private land by Building Dept.
13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit
application before issuance of permit.
14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 65. D d 84 R116 A6
1AJ A` tAAp(' License Number Expiratibn Date
Name of CSL Holder
List CSL Type(see below)
/`�L T Description
No.and Street
i4 p�U �e� U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted I&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
913 6./5 1130-7 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home``Improvement Contractorl! (HIC) )(�757q
kr°vJ tt%IOO(X ' 7pst IA a- HIC Registration Number Ex rati Date
HIC Corn any Name or H�I{C,Regis Name �4t I��
I5c4 ,,eCe'i-+ 1 rock sss5 5 e
No.tStrome
I �, 1-1) to M6i 0(Cal 9/5 5 75 i-t367 Email address
City/Town,State,4IP Telephone
SECTION 6: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 `IZf No .O
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize (A 4\\ t Ct. AA
to act on my behalf,in all matters relative to work authorized by this building permit application.
fl &t. \ ' 6k, e? t a
Print Owner's Name(Electronic Signature) at
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
\1 C,\ 46/94)
Print Owner's or Authorized Agent's Name(Electronic Signature) ( e
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(H1C)Program),will IQ have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for`Total Project Cost"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP: 3 5 LOT: :3 J" c6
LOT SIZE: A-c-ce
REAR LOT DIMENSION:
REAR YARD
5 -7
SIDE YARD c J-5 i7 SIDE YARD/0 3
L_
FRONT SETBACK 6-3
FRONTAGE /6
The Commonwealth tf Massachusetts
w f Department of Industrial Accidents
I- 1 Congress Strut,Suite 100
11..=
E G''' Boston, AL4 02114-2017
s~� 4 wtwutuass.9o►'/rlia
11 ur kers'Compensation Insurance Affidavit:BuildersiContractors./Ek lriciansPlumbers.
10 RE FILED WITH THE 1'ERNIITITAt;AUTHORITY.
Applicant Information Please P nt txeibly
Name(Husmesn in Orl Ovation Individual): (1%.f``l‘)% Ci`` A—rre) lne; o O c 1 o
Address:__— 'S L t)�r ell' �"--1 -�
A' t,l p�7
City/Statc/2ip:_ haM4 ' N tti N ct Phone#: S 7 t�0'7
__
Are iuu an entttta.cr?Check the appropriate
Type of project(required):
.01 am a employer with employees(Full anskor put-inn:l." 7. 0 New construction
am a sine proprietor r t Incrinenlup and haw mi employeeai working for sue in I �{. O Remodeling
cry capacity_I\u wrKLet camp.uiwrarhre required.]
9. ❑Demolition
i,17).I am a hn.urovaner damp all Hurl mrxlt.No Mueker,1 comp.insurance iegwted.J
10 u►lding addition
4.71 I am a luahrwvantn and will he hirmp eutlrrai1rrs to eemdila all w rrl.on nhy property. 1%ill
actin that all ctartrarans citlheh lime workers'elan iensaUcsl insurance or are sole i I CI Electrical repairs or additions
prgvietors a Mt no employees.
12.0 Plumbing repairs or additions
:• I and a Iene a1 emulation and I have hired the sub-contractors Idled uu the attached sheet
flnse sub-contractors haw a nploy�ee%and have worker.'cramp.ilrsurance. 13 Roof repairs
14.DOthci
r..0 We officers
are a corporation and its ocers hao c exercised their ngln of exemption per MI c. --
152.1ll41.and a c rune no oanplolves [No waters'comp.insurance required I
'Amy applicant that cheeks Lars itt must also fill uul the section below skim-mr then wwlen'compensation policy irtiwinaticni.
*tk ncuwmmerr who submit this affidavit indicating they ate cluing all work and then hire outside curruuctors most i.uhnut a new alfrda%it irsdicvau►g such
:Vomtracton that cheek this hers inuvt attached an additional sheet shoos ing the name of the sub-contr:n toil and>tate A ham-or not those enures i's e
employee.. It the soh-mains:or%hate cork))ces.they mini pros;de their workers'clap polio) nwmmhn.
am an employer that is pruvidinR workers'compensation insurance for my emplarees. Below is the policy and job mite
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:_
Job Site Address: CitylStatci!_rp:
Attach a copy of the workers'compensation policy decblrntioe page(showing;the policy masher and expiration date).
Failure to scxure coverage as required under MGL c. 152,*25A is a criminal violation punishable by a tine up to S1,500.00
and/or one-year imprisonment.as well as civil penalties in the form of STOP WORK ORDER and a tine of up to S250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage%crilication.
I do hereby certifi'under
y the pains and penalties o fp erjurt•that the information provided abovee is truce a rsJnd carnet
Si'.'.n:hairc: s 11I. n,-{,�t� e t Mt4: / /V/
Mom:4:
0Jjicikd use only. Do not write in this area.to be completed by city ur row))official
City or Town: Permit/Licensc k --
Issuning Authority (circle one):
I.Board of health 2.Building Department 3.('itm,lTovin Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
/ -„n�rwp,Oti. S„S. . • S.
/'/j• �;.; Massachusetts ��+
Iii 4 ( t. *'f DEPARTMENT OF BUILDING INSPECTIONS y
�' �"x �r 212 Main Street • Municipal Building Jti OD
;ti r Northampton, MA 01060 `3'�w A,.3‘1`�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: ik%c ly -KE -�G�vx
The debris will be transported by:
Name of Hauler: A,rr ev,.,,, Lload Cv vk4`7-,-s`�t 1 c
Signature of Applicant: Date:
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'' DESIGN&
CONSTRUCTION
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10/8/2024
Naomi and Patrick bliss
ARROW WOOD
DESIGNS 897 Ryan Kd
CONSTRUCTION
rlorence Ma
154 Everett st
Easthampton Ma 01027
Project Specifications
concrete 8" poured walls, basic slab
framing 2x6 exterior walls, 1/2 zip wall sheathing
insulation closed cell foam
drywall 1/2"drywall
heating Mitsubishi minisplit
windows new construction vinyl windows (U-28 minimum
electrical fixtures supplied 69 owner
flooring floating floor laminate
roofing 30 yr min.shingles to match existing
doors and interior trim match existing
siding and soffits and trim match existing
painting interior only 5enjamin Moore