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17A-143 It . • a• ELECTRICAL NOTES: 1 ALL RECEPTICALS TO CODE _ __/_,/ ‘ .1_. _ --...._-.. -- 1/2 REC, SWITCHED IN BEDROOM . . ALL SWITCHES ARE DIMMERS, INCLUDING SHOWER LIGHT • , BATH VENTS, (2), WITH ROOF FAN (1) Z I-- DEMO VENT 4 LIGHTS IN EASEMENT NI/ 1 SWITCH MI ••(, . '''.E:j • • . REMOVE I 1 ILI i_ - I : - - I • __ __ _ IN ND OWS (2) li k ( ------- .„....,,HSUT TED Z - Z REMOVE HOPPER AND IN-FILL I ; I NJ D N- WINDOW Sr P Z ''-- , ''' 1111W.1111.1711.9111.ralikarinilliWi 4v- • ..... ,...... 1. _ i , i ,.. DEMO SIDING AS V V l '' raPA! %LIN ip z'r,z Is) e NEEDED If"- `-) ILI Z ..--•---' . . ,-... .• ."-..."'"!,'":"" ""'` I I Ili / t;: - --- -___ , 41 i . --1 rsi ,_ _ _ _ -, •-•.- ----- itri - ; 0 C) --1 ELI -- -- -_ _ 11 DEMO PORCH' CEILING ROOF SCRN DOOR . / / I REPLACE DOOR i; , / :1 / / / HALLS / A.0).-.......„, - -I ------ , ---... ---- -....... ----„, ---......._ • 41 ..— e'd FOOTINGS - 1FA 'IA' 0 SWITCH ALL RECEPTICALS TED .5 s ,.. I NI- / - 1 SUSPENDED '`....4 in 1 TRACK - HT / I i T50 Cn / — Cr 1(1:: .. / 30)(22 1 iii 0 C.) . , . . GANG ATTIC - / RF.G 1"Li ACCESS EN CY -( ...• .•_---.,....--1-11•••••■•mc... ■■■■■■■•••■91 ./ ....-- SWITCH . -i ...i X — COMPUTER- 3:) / \ SHITCHED r- LLI ND III PIP . v z rz I] Iv [I I W 0 ui 0 r- Ill 1 /20/1 1 DEMO PLAN - 1ST FLOOR - 1/4"=-1' DEMO PLAN - 2ND FLOOR - 1/4"=1' ELECTRICAL PLAN - 1/4"=1' • Page It q f I 1 - / Z 0 ■ .._, D v It , i 2xa 240 C - , 1'1 ■..) ILI z - i AN 0 0 rZ 1)05 T&G V-GROOVE -1.- ,---- • r, c•4 k.__. 0 _I LI) Cs4 U_ -=-1—, P- BOX BEAM DETAIL - 3".1' II _.,1 Ev, 1 El 0 i ........-- -m-- IU in MI a, 7,-.' cn M S; — ;- 1 ....— r pIN I .-_-, = t.1) c3 it 1 i i ,,,_ _ , J _ ,...., _ -..... _ ,,, _ :.---. tZ < •- l I - - - - I - Si, I SI _ i _ _ _ _ II 11 _ _ _ IL .;i11: , D — I-- U.1 k5 L .... 11 Z ci r 0 LL1 0 r - tLI 1/20/11 I -- 10 Page # . : .SECTION THROUGH BATH/ HALL/ CLOSET - 3/8". V 8 8 11-1/8" LVL - - -- ALIGN HT W/ EXTG ROOF - -_ --- i'- CONTINUOUS SHINGLE -OVER RIDGE VENT TO EDGE OF ROOF l (2) 9 -1/2" LVL " �/ i\ b" FOIL FACE POLYISO IN 2X/3 T ( ROOF SYSTEM: RAFTERS - VENTED 4" V "�/ FG/ ASPHALT SHNGL O/ II t2 " SYNTH. UNDERLAYMENT W Z / Z W Tr '_ —_` f 5/8" SHEATHING O/ EAVES AND VALLEYS O/ J will f 2X1282X8- 24 " AND 1/2 " Glee O / VBQ INTERIOR AND W I!-- f R -38 Q ROOF Z (2) 2X8 (2) 41/2 "LVL —. CELLULOSE IN 2X12 RAFTERS - VENTED Z 0 f D O f \�` ‘C' . J ' "'� s �� ! F.G (TY BLOCKER, KRAFT FACE TO SAVE O N O _ BOX BEAM NU o O J CHERRY WRAP (2} � , /ii4 (2) 2X6 HDR Q DOOR/ ' I I � . ' y MATGH EXTG 9'- 51/2" 2'- 31;4" 8 ' -9314" I TRANSOM ', i 1' -0" - -' II _ 'LII MATCH HT OF ADJACENT '9 I EXTG WINDOW N o i (N m '^ ` FLOOR SYSTEM. i- "• I °� m W In HRDD FLR O/ 3/4" SHTHNG D/ WALL SYSTEM — 9 -1/2" I- JOISTS - 24 "OC WI CEDAR SHNGL 0/ m R 30 KRAFT FACE BATTS FOR I JOISTS - INSTALLED _! HOUSEWRAP O/ ' WITH KRAFT FACE DOWN SLICED i "'�'� 1/2" SHTHNG O/ (] In 2" EFS a@ BAND JOIST = 2X6 - 1 b" OG W/ I n Q O HD CELLULOSE AND 0 0 = 1 !2 "GWBO /VB©INTERIOR W Q/ =I Q Q !rill I_,I _I__ ..I ..�I I 1 I 1 11 11I 1 1 in _i h ' IL IL Z Ci ILI O r W • to 0 1 /20/1 1 - TYP. FOOTING DRAIN: 4" PERF PIPE TO EXTG CURTAIN DRAIN W/ 4" CONCRETE 0/ FILTER FABRIC 0/ V" 3/4" B O/ 3/4" STONE / 4" 314 STONE - - - - -- (G // Page tt 7 ■ OJ _ - A SECTION THROUGH BEDROOM - 3/8 " =1 LO . • .. . • • 1 1 0 g rkil-t." 1 ILd L / 1 2X12 - 24"0.C. i - 1101101 il 1 • • . • • < LI • 01 IIII III MINI ..-- -- INIMILMEli ' , lo. 0 ,• • _1 Lu . —I rZ (2) 2X9 ABOVE I II 111111 II ■ 1 , .- '---H NON-VENTEP 11 ILI 1..■ rz k g r_ < • D X , Z Z tr) 0 TRANSOMS ' L 4:010 ° ,••"" ;, 1■, 1... o 0 ct 11 1111111111111111 ,11111......11111111111111M JM I I vii/M11.011111111111111111111 I -4- • p li mil 71,- I 01 IT (1) 11 LVL I I '[.. cei al A SECTION AT leNEST EAVE - 3/4"=1' NI -A- ill 6 2X12 -2400 " I .iit 1 1 I / CI II ' < (2) 2x8 / / - - D al I 1-- 1-- / ILI 1/4D ui Ai DRIP EDGE V . Il Z rZ IX 0 tu _t > , 11.7=-.1 MA`CMEK76 0 11 i T-- 1.11 ROOF FRAMING PLAN - 1/4.1 a 1 /20/1 1 Page # , . B SECTION AT EAST EAVE - 3/4"=1' 6 . FOUNDATION ALTERNATE: 4'F ROSTY'iALLCRAYVL SPACE W/ I i, I TU -TUFF VB 0/ IN 4' I OF 3/4' STONE ' /,34 = 1ST F LR FIN LLI I a' 0 d w 13'-4 3/4' ►4 - -6 -10 1/4' + J 13 ' -4 314" 8' -10 1!4' i - - - i - - Z J r J I , z `r' f 7 1---"n F I 0 • Q z - ZO v _aOTTOMOF4'X9 -1/2' X 2' BEAM POCKET (1 OF 2) I I / Ll x I W CUT CONCRETE ON 4" p 33" - SLAB TO TOW - 1 9 1R' TJI230 . 24' O. C. - 1 -- -(2) 9 1/2" LVL I O Cl O :.. TO W L. —I N o 0 -. �K� �. • B .O .F I • -8'13-3/4" 4,3 - (1 OF 3) 1 I I r . i O ? � -9' 2 -3/4" ' � u � I -4- (N L_ _ J CI P FOOTINGS - < 1 1. 2'X2'X1' (TIP) 7 1 a I rd I . 1 cn - � I .d' E, ►n 5 ' 9 1/2" LVL U Q 0 r I o I / � Q o 1 : 4 Q I :: ! 1 - J Jam ' I 1 I I S En I fr ": WM 9 1/2" L5L RIM JOIS — I — - _ O O AL N INSET 2" (TIP) 5 [tar_ 22' -0" t(2o/t t FOUNDATION PLAN - 1/4 " =1' FIRST FLOOR FRAMING PLAN - 1/4 " =1' Page #_ .. 5 a • I . Al 2k -0 , _ ..1 1/4"; er We . WV ' 6 1/4" 6 3/4" 0' i. 2" 5 1/4" ' KB i 1 STEPS BY 8 • OWNER 1' 3 1/4" 10 ' ■ A n - 7 . .-3 5/8" 4 3/4" --..i ‘.--- '.... - 1 x ...0 e . 1 1 : 111 -., ..._.:r2( L''---- I BE ON i ,-- --4 . . ILI \ . \ / 1_ 0 1 I 811111111111111111111•II■Ii gr, +r, , . ,...,..„ -. , ....... , _.............., CENTER ON DOOR BELONI im...............1 , ca D X ; NIIII i -.... ,..-, MI/ Jr -- TILE- ; ' Z k n I-'- Q . 0 ILI Z . , . • i I u j 8 . . --- _t - , 0 0 V i _ _ Ai _ _ _ cl 0 _ r-1 O 0 __I . ! T ... • • STACKED . '"'",' PC*30 —. •weo soeve...t.r. 1 H f --- Z-4 , t , i (2) 2X12 MDR i-- k ft, ...A..- tow,. I I i 1 i ABV : ,9. - rr- ,.;1)2.--- (2)2. .., v- , NOR A5V l 0 \ 5 . ki ,,to . i ON• @ 41\,.,..., I3M - 1ST FLR FIN LT vat • . : I s in j,,___ 3 ,- ___,...1 BRICK 0. 0" ct s ; r r 114•3' r 1 DORMER TRANSOM LOCATIONS PLAN VIE1A1 - 1 /4"=1 • ' a , r ____ . C.I - . . 2666 CASED OPENING In - \ --NIOOD -Th r Nt- ....... In kr) 0 if-NOM) 30X22 ® Z. ATTIC . ACCESS Lu 2 0 ii ON FLAT FRAMING EXTG SHTHNG i - 7 FROM --I ....1 I in -1-C.11" —. ... ' 2.11"-0.1- ..., ._ , 11---11.1—.-4 , j TO REMAIN ---4 MASONRY (TYP) ; (TYP) t -. .... cE1 2 1 I'"' U1 Lu q'. V Z rz 12. FLAT CEILINGS AT T10-1/2" W 0 II I u... • 6 1/4" -- 1 • AM . 0 r- ul NDOW SCHEDULE WI WII co r- —I LeL MFR MODEL !DIMENSIONS R/0 I HEADER HT FINISH COMMENTS QTY FIRST FLOOR PLAN VIE Ysi - 1/4=1 A MRVN INT ITDH4252-2N 83X51 3/4" 64>32 3/4" MATCH E)/TG PNTD SOL 1 1 /20/1 1 B MRVN INT ITDH4252 41 1/2"X51 3/4" 42 1/2X52 3/4" 821/2" PNTD SOL 2 C MRVN INT ITI2H3040 29 1/2"X39 3/4" 30 1/7x40 3/4" 82 1/2" PNTD SOL 1 E MRVN INT 11FD61216 11"X15 3/4" /2"X16 3/4" 140 1/2" PNTD SDL 1 D MRVN INT IIFDG10816 106X15 3/4" 104rX16 3/4" 140 1/2" PNTD SQL 1 DOOR SCHEDULE I Page # , LBL 'DIMENSIONS' rrIPE HOVEL RIO JMB SIZE JMB TYPE) LOCKSET BORE I FINISH MFR COMMENTS 1OTT 1 11"X‘11 3/4" I IIF0G1216 / 11F176063 XXR 72X98 3/4" 6 13/15" I ENT (MI) MI I PHTO MRVN INT MULLED- SQL GRILLS- NU SCRN DRS 1 2 30X80" RHI 2 PANEL 31"X81 1/2" 4 9/16" ' APPLD PRIV 1 j PNTO FLAT PANEL Nil OVOLO STKNG 1 3 321(80" RHI 15 LIGHT 371(311/2" 6 9/16" VIF , RAE ' PRIV 1 IPNTD Ii I 1 . • I � i } �_ _ � �_' � - �j� -_1�;I I II 1 ;������� -� f I 1 l Il it l 11 11 I IlFii {t [ l l { ; 1 1 1 I j - 1 -, -� .' 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'' , i, ' I i , H 1 ME ■■ I 1' 1 1 ,,. 1 ■■ ■. 1 Ii 111 I: ENNUI ..,. 111 I 1111.11.1.1 I I EE MIMI ' 11 111 1 . 11 • U . 1 I •�• 11 1 . ■ � 1 I BOURKE BUILDERS(413)- 548 - SOLOMON/ DONNELLAN _s w ' o 77 LONG HILL ROAD 202 CHESTNUT STREET 1 1 .., ' MA 01054 "FLORENCE, MA i 1 1 t • • -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND 1S NOT TO BE RECORDED. H - Crr- o T -11 Co S 1. V - I' % TO` , O. fit• I I 9q - -- 21 � . * . TO: UNITED SAVINGS BANK & FIRST AMERICAN TITLE INSURANCE COMPANY I HEREBY REPORT THAT I HAVE EXAMINED NE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY. # 250167 SURVEYOR: a -NOTE - THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY '" of - MORTGAGE LOAN INSPECTION PLAT - � RANEAIL NORTHAMPTON, MASSACHUSETTS IZER PREPARED FOR ;35032 HENRY KIM SOON TAN & SOO HOON TAN FEES' SCALE: 1"=40' JUNE 30, 1994 140 suVtw HAROLD L. EATON AND ASSOCIATES, INC. • REGISTERED PROFESSIONAL LAND SURVEYORS � • 1 ' 235 RUSSELL STREET - HADLEY - MASSACHUSETTS I I The Commonwealth of Massachusetts Department of Industrial Accidents ;=1.- '- t fit ' , ''s Office of Investigations f ' ', x 600 Washington Street : -� i Boston, MA 02111 ' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): ( r r k.i. ci0. t'T " " " ""- Address: Z5' 5 -- ) y S City /State /Zip: (���' `` � Cs. M 1 ° ' Phone #: t.3 Z-37 Z Q Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. El New construction 2.' 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp, insurance.: required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City /State /Zip: 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 penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce A� , r the pains and 1 enalties of perjury that the information provided above is true and correct. Signature: Date: 7 ja-S // / Phone #: ( ( Z z37 q `El-c Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: �� SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: q� C ^ .�fc, Not Applicable ❑ Name of License Holder : c i�� ` ' " `� CS L� License Number Zs S tam �- IA um d,�.1, v 1 A- / / 2.a rZ— Address 640 3 1 Expiration Date Signature Telephone v f• 237 —9 -° 9. Registered Home Improvement Contractor: Not Applicable ❑ /off OII Company Name Registration Number S po d_ 9h /Zti Address Expiration Date Telephone 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 " No ❑ 11. - Home Owner Exemption 0.- The current exemption fot "homeowners" was extended to includ 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 1083.5.1. 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 4 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) Now House [] J Additio Replacement � Windows Alterations) 0 Roofing Ej Or Doors Accessory Bldg. ED Demolition E New Signs [O) Decks [C] Siding [D] Other [D] Brief Description of Proposed .61e t a h l rod 7 i7 r " Work: Alteration of existing bedroom Yes No Adding new bedroom > Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll (Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? Aft , [ d. Proposed Square footage of new onstruction. " I Dimensions Z x 7-7/ e. Number of stories? �/ f. Method of heating? / 4)1 Fireplaces or Woodstoves Alb Number of each O g. Energy Conservation Compliance. /V. Masscheck Energy Compliance form attached? h. Type of construction /OA v i. Is construction within 100 ft. of wetlands? Yes /� ��No. Is construction w )iin 10 r. floodplain Yes No j. Depth of basement or cellar floor below finished grade CI_ I S a ` a ' \ 4 / k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank City Sewer k Private well City water Supply X SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �, kV\ , as Owner of the subject property g„ s L hereby authorize to act on m ehalf, in II matters relative tip work authorized by this building permit application. Signature of Owner Date l r 1' , 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 per'ury. /1 cc'. r— I Z-- Print Name : 3/Zci Signature of ., • - • Date X ^ R. y Section 4. ZONING All 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 2-6 ) 67U ZQ C70 r Frontage (LL f 12A Setbacks Front Side L: 46 R: I,: 1q R: (1:1 r Rear / [ i/D Building Height lit t V-f Bldg. Square Footage 1 7'4 L,� % (i-N° G , 7 7e • Open Space Footage C� 1 q % q / , (Lot area minus bldg & paved /9 t ZJ" / 3 / .77 0 / ( 0 parking) It of Parking Spaces Z Z- Fil I: ,_. (volume & Location) g k `� u � 4- F; a A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ijt DONT KNOW 0 YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O NO \ IF YES, describe size, type and location: 0 D. Are there any proposed changes to or additions of signs intended for the property ? YES Q 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 O NO 53J IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 1' • Department use only • e00 City of Northampton Status of Permit: \1 : uilding Department Curb Cut/Driveway Permit A` 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability o E • - ampton, MA 01060 Two Sets of Structural Plans of s� •': :413-587-1240 Fax 413 587 - 1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 02 C ZtA It " t: Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: ,r - s , av 26 Z cm_c \ Name (Print) Current Mailing Address: ,s`,i S3l � 51,6 o Telephone Signature 2.2 Authorized Agent: 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 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cot of Construction from (6) 3. Plumbing Q ��� Building Permit Fee C I 4. Mechanical (HVAC)q1/ 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 7c I ( Check Number /5 #c:2 ctp?, This Section For Official Use Only _�� Building Permit Number: Date Issued: Signature: _ Bu::.. 2,.i:dings Date • File # BP- 2011 -0774 APPLICANT /CONTACT PERSON GERRY SHATTUCK C 0 � e ADDRESS /PHONE 25 S MAIN ST HAYDENVILLE (413) 237 -9820 Q c �� PROPERTY LOCATION 202 CHESTNUT ST okK'� � t MAP 17A PARCEL 143 001 ZONE URA(100)/ W � THIS SECTION FOR OFFICIAL USE ONLY: 130 P f o e". PERMIT APPLICATION CHECKLIST %Oa ENCLOSED REQUIRED DATE , I G ' ZONING FORM FILLED OUT Sejb Ci f°1`' Fee Paid ��P 6 Building Permit Filled out Fee Paid i /Of V� ` I J p Typeof Construction: CONSTRUCT 22 X 22 ADDITION ( BEDROOM /BATH) oto New Construction � ' Non Structural interior renovations , p Addition to Existing [f:.c;"�. 9 Accessory Structure Building Plans Included: itV S Owner/ Statement or License 058422 0 � p� 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: L , �"��e, Approved Additional permits required (see below) �Ek SC1 A 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 4 11 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. n. 202 CHESTNUT ST BP-2011-0774 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A - 143 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- 2011 -0774 Project # JS- 2011- 001274 Est. Cost: $96000.00 Fee: $242.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: GERRY SHATTUCK 058422 Lot Size(sq. ft.): 21692.88 Owner: SOLOMON STUART F Zoning: URA(100)/ Applicant: GERRY SHATTUCK AT: 202 CHESTNUT ST Applicant Address: Phone: Insurance: 25 S MAIN ST (413) 237 -9820 O HAYDENVILLEMA01039 ISSUED ON:4/7/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 22 X 22 ADDITION ( BEDROOM /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 Occupancy Signature: FeeType: Date Paid: Amount: Building 4/7/2011 0:00:00 $242.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner