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23A-189 (2) Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. It L, , It 5* b., 4t, ? , ck ilP \I S Icvle. a frP•'M Ve- clwttc= -y ci - f . rrt004 /e- 6; . `f o,, may r QIso S �r. leA oe 14- - ¢e l -} yo ur • t CP. ' Thank you, Cathy Swift and Tim Gillis Q A.lkil T LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY - 3 TRINITY. ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R ~� 31 BERKSHIRE TERR , COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR -'`\ ` ALLMAN CATHERINE T 14 BERKSHIRE TERR tee_ 15 BERKSHIRE TERR --- /- _d ON, CROWTHER WALTER RJR & KAREN E GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST _ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH --- 15T - P1 EA SA N T ST #1 — -- 7 BERKSHIRE TERR BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST ,SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 13C(lKSIIIRE TERR DIMBANE THERESA A 11 SUN HILL DR DENIG NANCY WATKINS _ 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARET 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D _- - 45 BEACON ST FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA..K & JQHN E DAHL_ 108 SOUTH MAIN ST GRETO ANDREW & MOIRA f3 _._ 33 BEACON ST . AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. ,I1 5i-a? -1-a vp � wi r 5, 5,.►t "CD - W i� eC�0.Y a rnoov, /-e-Ve (.41 • YO►� Yv�aly c sa (eAve -}v ,dour 64-d«erThankyou, J • Cathy Swift and Tim Gillis Q, L(} LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY " 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO . 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST _ D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN, JOYCE WILVA R 31 BERKSHIRE TERR — � d ,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V - 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST --- -- �� - 123 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING -- _ _ _ HAVRON AURIEL F & THELMA S FRIEDRICH 351 PL EASANT ST - #1 - _. —..,- TBERKSHIRE T E R R _ BACHINSKY LARYSA C & CYNTHIA B _ GRINNELL WILLIAM D _ —_ —_ 49 BEACON ST _ � / �HINNICK JAMES F & MARGOT A ..1 122 SOUTH MAIN ST ,7G-� / L. _ ___ 7 BERKSHIRE TERR IMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS 114 SOUTH MAIN ST ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST . _ . . BITTEL RONALD D . 45 BEACON ST FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA K & JOHN E DAHL 108 SOUTH MAIN ST _ GRETO ANDREW & MOIRAB_ __- 33 BEACON ST AULT JAMES M JR 29 BEACON ST I Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. r5. li 5 b 4v ?.'de-vp st•T4t,a ;cm tA weccloy —noon /e»e q . ` ro m ay Oho s ""` �Y (ea oe - �+ ,pec.J .4- .pr fwArdw �Thank you, J Cathy Swift and Tim Gillis LEVINE HANNAH 8 PINE ST ` 0 �• BOUTHILETTE NONA RYAN &BARRY - _ , _ 3 TRINITY ROW ' ( �j ;� � il ��t l ! "�;'`], STALLONE DIANNA 36 BERKSHIRE TE ,NAGLE WILLIAM P JR & MARY JO v 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST ~ JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E !K- .5 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 `- " --`—` ��- - - ^` -- 7 BERKSHIRE TERR BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST DACI IINSKY LARYSA C 7 DE{RIE..rHIRf -TERR @IMBANE THERESA A 11 SUN HILL DR _ DENIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D 45 BEA- ON ST . ... FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA K &JOHN E_DAHL _ _ 108 SOUTH MAIN ST --- GRETO GRETO ANDREW & MOIRAE! �_. 33 BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. ?,' n�" s, w , It S by - ck ve \f S l'614... ci - r csrvvi l/V.er�►�,¢ c c� a-y a I��' - +- 4 004 te.ve.61 . `(o h m a. y ►y Leo v-e �+ 1 a 4 + y ou r � +det Thank you, C t�sv S � Cathy Swift and Tim Gillis 0. , (A --'- LEVINE HANNAH 8 PINE ST _ BOUTHILETTE_NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO _ 154 SOUTH MAIN ST - BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf — 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F _ 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR , ,, COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V _ 22 BERKSHIRE TERR - FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR , GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST _ 123 SOUTH MAIN ST '�,My/ SNYDER EVELYN & KEVIN GUTTING _ ( . _te 0 /L.., HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 _ _ BERKSHIRE TERR BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST SHINNICK JAMES F & MARGOT A _ — 122 SOUTH MAIN ST 7 DERIESI IFRE TERR $IMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN — 47 BEACON ST BITTEL RONALD D __ _ . - _- 45 BEACON ST - FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILAK & JOHN E DAHL_ _____ _ -_____ 108 SOUTH MAIN ST GRETO ANDREW & MOIRA Ei _ _ _ _ _ 33 BEACON ST AULT JAMES M JR 29 BEACON ST ____ Dear Neighbor,. March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. • Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. 4v ? /ei $ b y ; cIL. v S �'c - C M lN. k o u y c` r n ocvi L� n ; ,�o� • `(o h may QIsv s„ 1y (.ea "e -17, your ► +d Cathy Swift and Tim Gillis QA-lkjiv.` LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARR Y _, 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO __.. 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST — D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R _ 31 BERKSHIRE TERR ,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST . JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR • CROWTHER WALTER RJR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST�� ----- _ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST - #1 _— ^- - -_- -� 'BACHINSKY LARYSA C & CYNTHIA B j BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST OACI IINSKY LARYSA C 7 6[RKSI iIRE TERR BIMBANE THERESA A — 11 SUN HILL DR� DENIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR - WRIGHT JONATHAN A & MARGARE 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BEAZON_ BITTEL RONALD .___w___...__..__ _ 105 SO MAIN ST FYDENKEVEZ JOHN E JR &DONNA 0 RYAN SHEILA K & JOHN E DAHL 108 SOUTH MAIN ST _�_____ GRETO ANDREW & MOIRA B 33 BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside . within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. t ,,;, Ii 5 *0 -6 vp ovf s,'S a 4i ccio y a —c co /..e_ve4 nod . `(o►, mcv } yn�r r A l i d aor Thank you, J Cathy Swift and Tim Gillis 0Aiti^ LEVINE HANNAH 8 PINE ST _BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO _... . 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TF 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R .� 31 BERKSHIRE TERR ,,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST oat) JOYCE WILVA R - 31 BERKSHIRE TERR - i j _ ALLMAN CATHERINE T - 14 BERKSHIRE TERR ____, Q, 7 ' CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR • GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D - 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 I3ERKSI IIRC TERR DIMBANE THERESA A 11 SUN HILL DR - DENIG NANCY WATKINS 114 SOUTH MAIN ST ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D 45 BEACON - ST FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILL.K &JQHN E DAHL 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B 33 BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly y appreciate it. L e li s by -6 ��'c(� i‘,/p , rtfc S,'g,� a - `W -Cr� a - 40,,,, /-e_ve. t . `�oti m�ty } yvvr . A+ d�� Thank you, J Cathy Swift and Tim Gillis 0./LAA? LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TIC 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F -- 30 BERKSHIRE TERR ' #5 FLAGSTAFF CLAPMAN ORYTA JOAN M �.__. JOYCE WILVA R 31 BERKSHIRE TERR • COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T BERKSHIRE TERR CROWTHER WALTER RJR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 �" -' -` -' - _ — �� -- B ERKSHIRE TERR BACHINSKY LARYSA C & CYNTHIA B `� „„a#4111111 - �, GRINNELL WILLIAM D 49 BEACON ST - - - - - aggir $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST BACHf1NSIEY LARYSA C 7 BCRKSI TIRE TERR DIMBANE THERESA A 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST . _ . _ - - 45 BEACON - ST • BITTEL RONALD D FYDENKEVEZ JOHN E JR & DONNA 0 _105 SO MAIN ST 108 SOUTH MAIN ST RYAN SHEILA K & JQHN J DAHL _ -- -- GRETO ANDREW & MOIRA B .__ 33 BEACON ST _ AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. L, , II S y 4.0 �; cis vP s ve, farm tAlext mccJc y a + Aoar `� ve n ��+�cY . `'a 1, may C(�sV iY (eare .. +dwrThankyou, Cathy Swift and Tim Gillis 0 LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY _— �_ _ 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M T► 141 SOUTH MAIN ST CLARK THOMAS R & EE NNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R _ — 31 BERKSHIRE TERR „COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST ti BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R - ^ 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR • CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE,TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 �_._._....--- - -.- -- 7 BERKSHIRE TERR _ - - - -+ - BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST — 7 BCRI(SI IIRC TERR BIMBANE THERESA A 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ,,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D- 4-5 BEACON ST ______ _ _ DONNA 0 105 SO MAIN ST �YDENKEVEZ 10H1� E JR & RYAN SHEILQK & JOHN E DAHL 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B __ 33 BEACON ST _ AULT JAMES M JR 9 BEACON ST - Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. _,5,. w' it S by 4v ?; ctc- vP \I wvr S 1'Vv., ci - e.4 l ' d...ecalay a 400r1 tcve.6 % . `'a h may Q�so S Cv'& D y (ea v'e if - �.�s.d + yo ur +der Thank you, Cathy Swift and Tim Gillis T LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY___ �_ -_ -_ 3 TRINITY ROW STALLONE DIANNA __ 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO . _�_„ 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST — D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R - -�- 31 BERKSHIRE TERR , t COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST ti BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST - JOYCE WILVA R 31 BERKSHIRE TERR _ �_—_ ALLMAN CATHERINE T 14 BERKSHIRE TERR — CROWTHER WALTER R JR & KAREN E .. 15 BERKSHIRE TERR _ - ^- GILLIS TIMOTHY F & CATHERINE' 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST - #1 ^ _ x BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR 0.4-4.-- l _ GRINNELL WILLIAM D 49 BEACON ST GRINNELL WILLIAM D ----- — v — ___ __ _SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 BERKSHIRE TERR UIM¢ANE THERESA A 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A — 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON 5T COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST - .__._._... -45 BEACON ST BITTEL RONALD D --- .._---- � __.._... 105 SO MAIN ST _FYDENKEVEZ JOHN E JR &DONNA 0 RYAN SHEILA ..K LLOHN_E_DAHL _,-..__._ _______ 108 SOUTH MAIN ST GRETO ANDREW & MOIRAEi _ _ _ ____,.- 33 BEACON ST AULT JAMES M JR 29 BEACON ST _ - s Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. _y t „;111 51-0(3 by yip \four s ,' ci 4 W_ci-K.e.td o-y A noc, /tve. n' " � . Y° � m ay Oho s ‘\ leo a if d�� Thank you, //�� Cathy Swift and Tim Gillis Q v^ LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO . ___ 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R - 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E _ — 15 BERKSHIRE TERR __ - GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST — � - - - _ ^y— SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH _ ___._, ____ 351 PLEASANT ST #1 _ — __ BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE T E R R GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST I3ACI IINSKY LARYSA C 7 DCRKSI IIRE TERR WIMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS 114 SOUTH MAIN ST ____ .ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D - • -- 45`BEACON ST FYDENKEVEZ JOHN ----------- �E JR & D_ONN__._--A -0 -- 105 SO MAIN ST RYAN SHEILA-K &IOtIN E DAHL..__ _ 108 SOUTH MAIN ST_ GRETO ANDREW & MOIRA E! ._ _ 33 BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. . c \ v p -vc s i'GY�t c+l - CNM W NecC ex noon /e_ve . mcv C 1 y �f t,�.ed }- your rim Cathy J �sv (ea - S Cathy Swift and Tim Gillis 0. .1 • LEVINE HANNAH 8 PINE ST BOUTHILETTE NON_A RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA _.. 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO _ - __. 154 SOUTH MAIN ST BOUTELLE ANN E _ 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & J ANNI E F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R - - � 31 BERKSHIRE TERR COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST _� T ^__ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH - 35 PLEASANT ST #1 . __.7 BERKSHIRE TERR BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST SHINNICK JAMES F & MARGOT A — 122 SOUTH MAIN ST 7 OCRI(SI LIRE TERR BIMBANE THERESA A - 11 SUN HILL DR DENIG NANCY WATKINS _ _ _ _ . 114 SOUTH MAIN ST ..ABBOTT DAVID A 4 5 BERKSHIRE TERR WRIGHT JONATHAN A?i i . ARGARE 43 BEACON ST COLGAN FRANCES & AN 1 REW COLGAN 47 BEACON ST BITTEL RONALD D - 45 BEACON ST - - - -._ __. - - -- _ FYDENKEVEZ JOHN E JR & D�NNA 0 105 SO MAIN ST RYAN SHEILA_It$-OHN E DAHL _— _ _ 108 SOUTH MAIN ST -GRETO ANDREW & MOI RA; _ _ -__ .. 33 BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. .s. L II by -4-v of, \I ovf S 5144. ci frx We r.ec� a. - 400A /eVen;�C( . Yoh MAI 2tsv i ;w-&y Lead i1 irk/4J your . ��d��Thank you, J / Cathy Swift and Tim Gillis O_ , UP ( ?r , " L------- - LEVINE HANNAH 8 PINE ST BOUTHILETTE_NONA RYAN BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST lTvs JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T • 14 BERKSHIRE TERR_„ __— �� CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH _ 35 PLE ASANT ST - #1 _ BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST 5HINNICK JAMES F & MARGOT A _� _ 122 SOUTH MAIN ST 7 DCRKSI IIRE TERR BIMBANE THERESA A 11 SUN HILL DR pFNIG NANCY WATKINS 114 SOUTH MAIN ST .ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARET 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D - 45 BEACON FYDENKEVEZ JOHN E JR & DONNA 0 105 SO _OUTH O_ -- C ST - -- -- --- " --_— GRETO ANDREW & MOIRA B ___ 33 BEACON ST _ AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. .,, u , li 51-q b i -- ��ck ✓ f rif cl 4 lAie_olr c J x a - ro /t_ve r , . `>'a h may C( lSc9 S � � y (eq v� i� - ta,�e,� your ..i- dq , � Thank you, Cathy Swift and Tim Gillis 0. �('k ^ LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYA N & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO , 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR 12) e-Cu I) t ,, j , COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE, WILVA R - 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR_ CROWTHER WALTER RJR& KAREN E - 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRIN 351 PLEASANT ST #1 _~ 7 -'_ - -� - -_ __ - -- BACHINSKY LARYSA C & CYNTHIA B BERKSHIRE .____....._ -__... _...__._.�_ GRINNELL WILLIAM D 49 BEACON ST ,SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST T13 C R TERR BIMBANE THERESA A _ 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON•ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D ._.-_45BEAL-ON -ST FYDENKEVEZ JOHN E JR & DON_._____.______..._.__ 105 SO MAIN ST NA 0 RYAN SHEILA _K & JOHN E DAHL 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B 33'BEACON ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. _1, 6 ,;, It 5i-c)? by .Aa t?;d�vp /'vr C I'Sv>t -c - ern VEArocd also a. 40„, /e.ven;/ . '>'o may s ‘' (eo. v'e +T -I-�� t i -a ,�n� .• +d��Thank you, Cathy Swift and Tim Gillis 0.4.1V91" ------------ LEVINE HANNAH 8 PINE ST _ BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR _ _ • ,NAGLE WILLIAM P JR & MARY JO _ 154 SOUTH MAIN ST BOUTELLE ANN E !, 143 SOUTH MAIN ST 1jL D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST • CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR , COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST _ JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR ' CROWTHER WALTER R JR & KAREN E , . 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST _`- ____ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 '� ..___ —_ -,- BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR_ , GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOTA 122 SOUTH MAIN ST 7 DCRI(SI IIRE TERR DIMBANE THERESA A - 11 SUN HILL DR DFNIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR _WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D _._._ - 45 BEACON ST . FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEII,A_K & JOHN E DAHL_ ______ ..._,____._ 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B_ . __ 33 BEACON 5 T AULT JAMES M JR 29 BEACON ST icr,: approval on construction Page 1 of 1 RE: approval on construction From: Joan Boryta <jbfirstfruit@hotmail.com> To: <cswift @smith.edu> Date: Saturday - April 10, 2010 9:43 AM Dear Catherine I do not have an problem with the construction you are planning. You have my consent. I v v vi ii. v io v Joan Boryta, 137 South Main St, Florence, MA 4/10/2010 Date: Fri, 9 Apr 2010 13:27:22 -0400 From: cswift @smith.edu To: jbfirstfuit @hotmail.com Subject: approval on construction Dear Joan, As we discussed on the phone, my husband, Tim, and I are in the process of planning an addition to our home at 130 So. Main St. in Florence, MA.. The construction will happen in the carport area of our property where we will convert this open air space into a living space (an art studio and bedroom). It has come to our attention that we need to get signatures /approval from all abutters who reside (or own property) within 300 feet of our property. If you would please send a confirmation to this email message to show your consent for our plans, we would greatly appreciate it. Enjoy your remaining months in Barbados and perhaps our paths will cross when you return to the area in June. All the best, Catherine Swift Timothy Gillis Hotmail is redefining busy with tools for the New Busy. Get more from your inbox. See how. https: / /gwweb1. smith. edu /gw/ webacc? User.context= 56cc945f8aff92caal d5dd9cdcaeb356... 4/15/2010 Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. /�� , /eve 1. ;� It S -6 ?NyGlt �/ \i S i'GY�e d few-vv, W.�I1.2.00 / a I� 4000 . "(o K me y Ctlsv s,•v ) y (ease ` ►{- -��i -� y -o.►� - d�" Thankyou, J / Cathy Swift and Tim Gillis OA.A LEVINE HANNAH 8 PINE ST BOUTHILETTE NO_NA RYAN & BARRY • 3 TRINITY ROW STALLONE DIANNA - -� - -- 36 BERKSHIRE TERR _ ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M T f _ 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR 6 COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST ti BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E • 133 SOUTH MAIN ST JOYCE WILVA R _ — 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR ____ CROWTHER WALTER R JR & KAREN E 15 QERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST - -- _ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH y -- 351 PLEASANT ST #1 — ____.— _._.- ._. —_�_ BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST 5HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 DCRl(SI IIRE TERR BIMBANE THERESA A 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONAL — D _.- .....__ ._..._- 45HACON -ST FYDENKEVEZ JOHN E J D ,R & 105 SO MAIN DONfV��S ST __ -- RYAN SHEILA K & j9HN E DAHL ' uu u V\ 108 SOUTH MAIN S T — GRETO ANDREW & MOIRA B 33 ST AULT JAMES M JR 29 BEACON ST Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. u s di 11 51-0? by ?; ck ✓ y S ve..olwzcd0.Y a nay, /e.ve.0.1 . `(ok, may Ctko i +71 yoQf � �d w �Thank you, Cathy Swift and Tim Gillis 0/('tiv LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY _ 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR ,,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R - 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR __.__.._._....____.. _..___..__...____._..____...._. - ._ -. -- -. GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST •- _ ,,II . , . � tsi�rh BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST -DACi IINSKY LARYSA C 7 DCRI(S-HtRf-•ERii ';)4,13IMBANE THERESA A 11 SUN HILL DR 1 /7 PENIG NANCY WATKINS 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST _._._. BEACON -ST BITTEL RONALD D FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEIlA_K & JOHN E DAHL 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B 33 BEACON ST AULT JAMES M JR 29 BEACON ST OA i nch CoLue..4- tSi4.4 'i! Dsat. Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. s. I 5 P wirr s 5V1t. c -4wrvi W 0.y a /loam /eve K ; ncr - o m ay yourA + c h vr Thank you, J Cathy Swift and Tim Gillis 0 .) LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW • STALLONE DIANNA 36 BERKSHIRE TERR NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F _ 30 BERKSHIRE TERR BORYTA JOAN M _ � #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T _ -� 14 BERKSHIRE TERR CROWTHER WALTER RJR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST ^ -__ ___ _ _.__...__.._..__.__._..__.._. 123 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING _ _ _ _ __ __ HAVRON AURIEL F & THELMA S FRIEDRICH` _ -- 351 PLEASANT ST #1 _ 'BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST $HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST BACI IINSKY LARYSA C 7 BERKSI IIRE TERR $IMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS 114 SOUTH MAIN ST �� .ABBOTT DAVID A 5 BERKSHIRE TERR " i! EM WRIGHT JONATHAN A & MARGARET 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D 45 BEACON ST _- 105 SO MAIN ST _FYDENKEVEZ JOHN E JR & DONNA 0 — RYAN SHEILAK & DAHL 108 SOUTH MAIN ST __— GRETO ANDREW & MOIRA B 33 BEACON ST AULTJAMES M JR 29 BEACON ST ka. -t4 5 Ma en Si s� s Dear Neighbor, March 30, 2010 5 c - 3 993 3 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly _ y a t-.e appreciate it. ��" te.ve 1- w' II 5 bj 4v �‘'cl�up . 1 °trr SiVt - d l - c'v a Ve,46- 1-cd. . !lour,n �p 'h n,-,4.1 .o 1 1 � a „,, Thank you, J /so ?,`, (eA'�'• it "tpcl -1-p - lour 1 Cathy Swift and Tim Gillis OAltivv' ------------ T LEVINE HANNAH 8 PINE ST _ BOUTHILETTE RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA _ 36 BERKSHIRE TERR __ NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST ., CLARK THOMAS R & JEANN. ICE F._ '30 BERKSHIRE TERR T$ BORYTA JOAN M , - #5 FLAGSTAFF CLAPMAN .4 ' JOYCE WILVA R 31 BERKSHIRE TERR ,, COOPER RICHARD E & CATHERINE M _ 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE, WILVA R 31 BERKSHIRE TERR _ • ALLMAN CATHERINE T • 14 BERKSHIRE TERR - CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR , GILLIS TIMOTHY F & CATHERINE SOUTH MAIN ST N ST .// • - "- SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN 29 HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 ' y BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR __ . . _ .sue V GRINNELL WILLIAM D 49 BEACON ST - 5HINNICK JAMES F & MARGOT A y _ -, 122 SOUTH MAIN ST DACI IINSKY LARYSA C 7 DERi $I•MBANE THERESA A - 11 SUN HILL DR DEN NANCY-WATKINS 114 SOUTH MAIN ST ,,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D 43 BEACON ST FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA-K & J_QHN E DAHL____- _ ____ 108 SOUTH MAIN ST _ GRETO ANDREW & MOIRA B 33 ST • AULT JAMES M JR 29 BEACON ST - 4 Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. • Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. u s di 5 by 4-a ?,'ok vr ervf S 5 d farm Vit_dwe.ccta a noon /IeA . `(o may 4- - . p( T "A Thank you, also S�"'�iy (,eA� i ta.ee,.d Cathy Swift and Tim Gillis LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR l NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR „COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R - , 31 BERKSHIRE TERR ALLMAN CATHERINE T 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERM GILLIS TIMOTHY F & CATHERINE 130 S OUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 BERKSHIRE TERR ._ _....., ----- - - -. -- - BACHINSKY LARYSA C & CYNTHIA B GRINNELL WILLIAM D 49 BEACON ST 5HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 BERKSI !IRE TERR BIMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS _ 114 SOUTH MAIN ST .ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN ~ 47 BEACON ST BITTEL RONALD 45 BEACON ST - T FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA K & JOHN E DAHL 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B 33 ST ' 29 BEACON ST ' . AULT JAMES M JR %IMF IF Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate i ,,, LO V0 :1 u , It 51-a? it./ 4-0 i,'cLof \I olr cI 4vvi i a 1' Aoovi /iet `{oh may Gas, 5 ;,..f1y leavie 1+- + + low( . ,x+dwr I Cathy Swift and Tim Gillis 0 /(4 • LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY — __ 3 TRINITY ROW . STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO —____ _._. 154 SOUTH MAIN ST O 1, BOUTELLE ANN E 143 SOUTH MAIN ST — D'UNGER GREGORY R & DANA M Tf 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR ,,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T - 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE - 130 SOUTH MAIN ST _ _ _ -- `__ SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST _ _ _ HAVRON AURIEL F & THELMA S FRIEDRICH ` 351 PLEASANT ST #1 BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR GRINNELL WILLIAM D 49 BEACON ST ,SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 BERKSHIRE TERR $IMBANE THERESA A - 11 SUN HILL DR DENIG NANCY WATKINS 114 SOUTH MAIN ST ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN — 47 BEACON ST BITTEL RONALD D -- __ _- .- __4-5BEACON-sr lyamicafamriu JR & DONNA 0 — 105 SO MAIN ST RYAN SHEIIAK & JQL E DAHL ____ _ 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B 1 CN ST .._ _ 33BEAO AULT JAMES M JR 29 BEACON ST _ Dear Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction . ` plans, greatly ' ° s, we would gr - appreciate it. V.i /o A.ve .3. / o , It Y S 1 4 ? vi, T 01/4" S I?1k. Ci fa/'w� ;# a e-fe -- ll004 4 ; t K �' A I `.f -} your .i„Td�v� _ _ Cclso s �� y tease �+ ..— Cathy Swift and Tim Gillis T LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW , Ill STALLONE DIANNA - 36 BERKSHIRE TERR / ' t�� .. ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ��M§�� I�VR.�►�r BOUTELLE ANN E _- 143 SOUTH MAIN ST , � S D'UNGER GREGORY R & DANA M - IF 141 SOUTH MAIN ST ,CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR �� . _ BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR ,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST ; JOYCE WILVA R 31 BERKSHIRE TERR O ALLMAN CATHERINE T 14 TERR CROWTHER WALTER RJR & KAREN E 15 BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 BERKSHIRE BACHINSKY LARYSA C & CYNTHIA B RE TERR GRINNELL WILLIAM D 49 BEACON ST 5HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 BERKSHIRE TERR BIMBANE THERESA A 11 SUN HILL DR DFNIG NANCY WATKINS __ ____ 114 SOUTH MAIN ST .ABBOTT DAVID A 5 BERKSHIRE TERR _^ WRIGHT JONATHAN A & MARGARET 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D 45 BEACON S FYDENKEVEZ JOHN E JR & DONNA 0 _ 105 SO MAIN ST RYAN SHEILAK & JO_HN E DAHL__,____,____ 108 SOUTH MAIN ST _ GRETO ANDREW & MOIRA B_,_-___ -_ 33'BEACON ST AULT JAMES M JR 29 BEACON ST ^ pr.: / ;ar Neighbor, March 30, 2010 We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside within 300 feet of our property. If you would please sign this document to show your consent for our construction plans, we would greatly appreciate it. i ;is, it 51•0? b i --v ?,'`it ✓D \ f inrr s i'vc cl frwrvi We..otiac ay a e-te- r nOC,v1 /eve n 1 . `{o may Cdso s % 1 y leo v'e. 1{- -f• p..,,J -Fp 10,,,,, Atcb, Thank you, Cathy Swift and Tim Gillis 0.41Viv•' -..--------- LEVINE HANNAH 8 PINE ST BOUTHILETTE NONA RYAN & BARRY 3 TRINITY ROW STALLONE DIANNA 36 BERKSHIRE TERR ,NAGLE WILLIAM P JR & MARY JO __ _ - 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TI 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR • BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR , COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST JOYCE WILVA R 31 BERKSHIRE TERR ALLMAN CATHERINE T • 14 BERKSHIRE TERR CROWTHER WALTER R JR & KAREN E _ . 15 BERKSHIRE TERR _ - GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST SNYDER EVELYN & KEVIN GUTTING 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 BACHINSKY LARYSA C & CYNTHIA B 7 BERKSHIRE TERR / t `V GRINNELL WILLIAM D 49 BEACON ST flirt i 1«imm ,$HINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST 7 BCfkKSI IIRE TERR 1 . DIMBANE THERESA A _ 11 SUN HILL DR DFNIG NANCY WATKINS • 114 SOUTH MAIN ST ,ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN 47 BEACON ST BITTEL RONALD D---- -45 SEATON ST - . — FYDENKEVEZ JOHN E JR & DONNA 0 ' 105 SO MAIN ST RYAN SHEILA_K &JOHN _DAHL_ ^_..__.._..__ 108 SOUTH MAIN ST GRETO ANDREW & MOIRA B ,_ ___._, 33'BEACON ST AULT JAMES M JR 29 BEACON ST - Dear Neighbor, March 30, 2010 • We are in the process of planning an addition to our home at 130 So. Main St.. Basically, we are converting the carport into a living space. It has come to our attention that we need to get signatures from all abutters who reside i within 300 feet of our property. If you would please sign this document to show your consent � for our construction plans, we would greatly appreciate it. I u s, it s ' �, "c- 4 ✓ f, avr c C a - m ) tDt 2ccJ a-y a C-1-e..4. rtooh /..e.,kie n ; . ` (o IA may Cd so S � 1 [eck "e i1- e�i +' o ,#r .- d �a -d �� Thank you, Y `I . Cathy Swift and Tim Gillis 0.4)V9v- ,. , L--------- - T . /( 13 LEVINE HANNAH PINE ST OUTHILET_TE NONA RYAN &BARRY 3 TRINITY ROW • STALLONE DIANNA TM , -� N 36 BERKSHIRE TERR y ,NAGLE WILLIAM P JR & MARY JO 154 SOUTH MAIN ST BOUTELLE ANN E 143 SOUTH MAIN ST D'UNGER GREGORY R & DANA M TF 141 SOUTH MAIN ST CLARK THOMAS R & JEANNINE F 30 BERKSHIRE TERR BORYTA JOAN M #5 FLAGSTAFF CLAPMAN JOYCE WILVA R 31 BERKSHIRE TERR ,COOPER RICHARD E & CATHERINE M 136 SOUTH MAIN ST BALL LOREN V 22 BERKSHIRE TERR FITZGERALD JOHN E 133 SOUTH MAIN ST MINA LVA R - - 31 BERKSHIRE TERR ' ALLMAN CATHERINE T 14 BERKSHIRE TERR____, CROWTHER WALTER R JR & KAREN E - -- - 1 . ,§ - BERKSHIRE TERR GILLIS TIMOTHY F & CATHERINE 130 SOUTH MAIN ST�� - -�� SNYDER EVELYN & KEVIN GUTTING - - -_ _ — -, __ 123 SOUTH MAIN ST HAVRON AURIEL F & THELMA S FRIEDRICH 351 PLEASANT ST #1 - ' BACHINSKY LARYSA C & CYNTHIA B -__ -7 BERKSHIRE T E R R GRINNELL WILLIAM D 49 BEACON ST SHINNICK JAMES F & MARGOT A 122 SOUTH MAIN ST _ _ 7 BERKSHIRE TERR BIMBANE THERESA A _ 11 SUN HILL DR DENIG NANCY WATKINS _ 114 SOUTH MAIN ST .ABBOTT DAVID A 5 BERKSHIRE TERR WRIGHT JONATHAN A & MARGARE1 43 BEACON ST COLGAN FRANCES & ANDREW COLGAN __47 BEACON ST BITTEL RONALD D -. _.__45 BEACON ST _ _ FYDENKEVEZ JOHN E JR & DONNA 0 105 SO MAIN ST RYAN SHEILA .K & JOHN E DAHL_i____..,______ 108 SOUTH MAIN ST ____ GRETO ANDREW & MOIRA B _ _ 33 BEACON ST AULT JAMES M JR 29 BEACON ST . , • a 1 .7. 1 • -i 5 ist i WVJ ' O'S 0 i. 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A 04 .. 4 \ ...); \ 1v411M \ — f- 1 : ATAI" o) 0, 4 /1 • 4 \oe v ''':" \ ..0 ,Ark 4 4.... ....cf - :, b Ae te. „9"/S =4Q = _1..s _15-c-i-c.3 -733-11 • - \ •-• -.. <:-)1\i--if 14 e c 1 •---"Zr-ji_i_ ciroN -g4144 - •- ■P C r tv-D. 4 !WV c 'c 1 ic• -V L. \ , Yv LL 1 Q 0.--V• ) 1\/ c- . -e 9Z - V _yr \••\ • \ tAtc 'NV 14 A cV A - 2_) \ Tv tf d c1-7 1 'N4 , c Q 4-E, caw ev gAid CA I LI -q ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR O_'kE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: - r-,A iv Site Address: 4 .c:==* Sc (1Vl#t N Si pr in Town: Il�dZ -.E. IM 1Q— Ap plicant Phone: ti l`7 �.3 532_ Applicant Signature: A Ad A / t ∎ Date of Application: 515' i� NEW 'COl STRUCTION: choose 0 TE of -th - oBowing two`, options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERLA. FOR NEW ONE- AND TWO - FAMILY BUILDINGS MAXIIv1UM MINIMUM Ceiling or Slab ri Oration I: Basement Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF SFFR U- factor floors R -Value R -Value R -Value R Value R -Value i and Depth F 1 National Appliance Energy .35 R -38 R -19 R -19 R -I0 1; -I0, C:onsen- ationActNA1CA)of 4 ft. 1987 as amended, minimums or greater as applicable Note: This form is not required if you choose eitlfer ofthe two versions of REScheck as listed below'= - ❑ Option 2: ' REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.32) 4 REScheck- -Web which can be accessed at http: / /www.ener_wcodes.zov /rescheck/ *Buildings. under 5 years old must use option 41 or 42 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) i z-7l' SF 100 x 12.5 - 12 %(„, = ?'.7q % of glazing (b) Glazing area equals (ZS SF b a g ,> N g 4- , a 780 CMR TABLE 61013 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ERIiA ADDI T IONS TO E IS I NG LOW -RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Wall Floor Basement. Wall Exposed floors R -Value U- factor R -Value R.-Value R -value R -Value and Depth .3g - _..: Rs - 37: a R-13 . zR -19- R -10 R-1-0,4 feet a R -30 ceiling insulation may be used in place ofR -37 if the insulation achieves the full R -value over the entire ceiling , area -(i.e. not com a ressed over exterior- walls,_ includin cr any access of enings). 71 SUNROOM — An addition or alteration to an existing buildinJdwelling unit where the total 1 ' 1 -J glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120_P) ' P ,PO T. tta j , CITY OF NORTHAMPTON BUILDING DEPARTMENT These plans have been reviewed t z And approved. ', Date gif .8 ro \ ‘ lAtlif Signature .., i \ JP ‘C 4Pa'41- ___��:. , v I , rt OW a 74- �8 t - i 1 1.) . . i ...t„iii \ og A I{ ,' -v , \ -le- • \ to' /� , 5 Ex 6T '''\. \ I , X clk F04.04 a DENT642"1NAP l r - i 1 `.--(.. ' ' - -------- -- ---- ---------00" II ......... ..... ____ . to..............,...,f . • 1 I -, _ w D sivi.r eLkw Fool' - I 1 - / rt.4.11- — 4 wo wyvis. , r). • .'"---...... ,......----, 4 115" • 404.10pAR ... ..... 0 II I _ , ) i . ... .- 4 .5,LooPlIt e 1 , i .1 . 1 , i , 1 , ...clv,i, low ,,, 1 , 1 . i_____________.__ ,110.4„1 _i_ t 1 6..ii_wls.w. ;IP r — i 30 So!. 4)44/9 • KG: gwri4 +lit imp ky .-- gefeic . t it I .C7 . ' ..■■■•■■■•■04 11 4 ieW•■•■■•■■•... it40 j( I YAM. 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Abch I I :j ... 1 " C t,+t'#4 y 1 — F Arritli in a ' Or ..,,,,,,,, Q Ick-d V4.1 d 'V, r , cD‘ \ g ‘ 1 ^ \ ©{ -#-e% Aid, HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill) sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper jermits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location The Commonwealth ofMassachusetts Department of Industrial Accidents lok _ n _i = l Office of Investigations 600 Washington Street • =::14=-- v Boston, MA 02111 .. • > www.mass.gov/dia . -Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organirationflndividual): V&') NA1 roi- (a' I-LC Address: Li > the7 :L.t T A AL -"P-:12> • C i t y / S t a t e / Z i p : a c > 2 F - I & i L b 1 Phone. #: 1 1 / g3q' 5 Are you an employer? Check the appropriate box: Type of project (required): / 1.0 I am a employer with 4 ❑ I am a general contractor and I 6. ❑ New construction employees (fall and/or part-time).* have hired the sub- contractors 2 I am a sole proprietor or;partner- on the attached sheet 7. emodelii i ship' and have no loyees These sub - contractors have. 8. ❑ Demolition working for me in any capacity- employees and : have workers' _ _ [No workers' conlp insurance urance ding addition required.] 5. ❑ We are a corporation and its 10 ❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have xercised their 1 L ❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t • c. 152, §1(4), and we have no . employees: [No workers' 13.0 Other comp• insurance regtiired.}, *Any applicant that checks box #1 must also fill out the section below showing their wodeers'- compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contactors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employes. If the sub- contractors have employees they must provide their workers' comp. policy number. lam an employer that is providing workers' compensation insurance for my employees Below is the policy gad job site information. Insurance Company Name: . Policy # or Self 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 ' ofMGL c 152 can lead to the itiposition`of criminal penalties of a fine up to $1500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER. and a fine of up to $25000 a day against the violator Be advised that a copy of this statement may be forwarded to the Office of Iavestigaiions of the DIA for instaance coverage verifica 'on: -:. . r :.. ., _,:.,.. do hereb . ,certi under th ains.and enaltres o, as lrorrp - I - -.� .__ �' fY P P ,tPerJury tliaf the informa>Yon�rovulednbovp��_ _ Signature: c ' If . Dat 4,/,‘.....„ _ , Phone ' f #: is C. - .3` v'2-9 . _ . - Official use only. Do not write in this area, t5 be completed by city or town official City or Town: # � , 4 i 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: IC AN Not Applicable ❑ J Name of License Holder : V r►E-S' Y 4 v ‘NA ti c)c, z 1 ,1-cr j ge.t,1, License Number Address Expiration ate .M ' i 55 Signatur Telephone J q .. , vr- r tea. :. r `�. s w . , y, ,:, a,.n. % No A ': i�d: �i�i��mt #r��,�rrl�ntaitritra�i,�' �� ' �....u,�� Applicable ❑ 161-r - rv- 9'f`ri Cc-' L. L i772.1(7. Company IMF- C)t— Registration Number ;> 4. — AMiAi gb i 2f-h&U it I 1;11s� Address LI ! Expira ion ate Telephone �3`�' 53 Z 9' SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. C. 152, § 25C(8)) 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 l2-** No ❑ 88 pp sa1-4,:,t. s k s f r r M ;,. i tt 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 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 ❑ Addition ] Replacement Windows Alteration(s) 12SI Roofing EJ Or Doors ❑ Accessory Bldg. ❑ Demolition El New Signs [0] Decks [[Z Siding [0] Other [o] Brief Description of Proposed �� o " x �S "t Work: g WLD 2 R1,_../h tie:c, 5F 4'AAt"ri= t Ap t $41 ?ac 7 g47r-1 Alteration of existing bedroom Yes No Adding new bedroom X Yes No Attached Narrative C.. t le 04C i tRenovating unfinished basement Yes No Plans Attached Roll - Sheet TC 4TH iffitliMiiiitalfiaditlerafia:AitiiWariliziMAiiiikilifiiaii6i4M: a. Use of building : One Family tilt "Two Family Other b. Number of rooms in each family unit: – 7¢ 2. cf Number of Bathrooms I NEW '{' 1 SST' c. Is there a garage attached? t'.t > d. Proposed Square footage of new construction. `^jZ Dimensions t ( )C Z4' e. Number of stories? f f. Method of heating? 1 i t( i z Fireplaces or Woodstoves N'' Number of each g. Energy Conservation Compliance. 7 a, 1, IMACVRA asscheck Energy Compliance form attached? 1 h. Type of construction ' t> F42 *M&- •tom CCAtC -• P ' v" - kL 4 i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes i--- j. Depth of basement or cellar floor below finished grade q ' C2 64 s• / k. Will building conform to the Building and Zoning regulations? Yes v' . ' c im 72Sa Tk' t r I. Septic Tank City Sewer Private well City water Supply i. ---- SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 70 I, w 1 , C N_ L I S '�tse-�nrc- � t , as Owner of the subject propert %' hereb authorize Ima.. 1' t# /VA-I • - • e.n my : =half, in a Smatters 've to work authorized by this building a it a plication. i`� c o Signature of Owner Date I, zA-mr,_S VJ}H iv A4 , 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. - M Vito N 4 Print Name It AA AilA 44 Signature of • n r ' nt • ate 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 -�) t g . . r Frontage i Setbacks Front Eg3] Side L: R: L:' 40 R: # 7 ' 60i Rear Ei t i 3 ; ! Building Height , Bldg. S uare Footage 1 • % J2 077 F-1 I i F- 4 tar Open Space Footage (Lot are 11'7a:1' Ell = a ..._1 Parking) PA iryl2T # of Parking Spaces 14114Y i I > ` Fill: ""„""" _.. _ u�_ (volume & Location) I A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW .4;4 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO t DONT KNOW 0 YES 0 IF YES: enter Book Pag and /or Document #? B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES Q 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 *I IF YES, describe size, type and location: 4 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO )C; 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 4 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton ,, Building Department Z12 Main Street �, �� Room 100 �, _ r - --�-- Northamptr C,, C, ", phone 3- 587 -12i \E �,> ,. APPLICATION TO CONSTRlT, AL IWO FAMILY DWELLING SECTION 1 - SITE INFORMATION __ This section to be completed by office 1.1 Property Address: �t St. ,-Lp s 6k„Map Lot _ Un I Zone Overlay District Elm, St 'District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 1 M C7GGJ�tC --;i- •IA i Tri t - .N 5 r L SA it* , Nam- ),. t) / Current Mailing Address: A Aki....4 Telephone Signature 2.2 Authorized Agent: WAIT* C: Ail ■� ' � Wes * i j 2 SC. WIT- (1441NAltkt / )-- Name • ' t) Current Mailing Addr s: . A it I ALA iNic..v."2---ffir" Signat Teleph ne 53 SECT ON 3 - ES TED CONS RUCTION' COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building a (a) Building Permit ermit Fee 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) 1_ t Check Number c7 It l . / This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building! Commissionerllnspector of Buildings Date File # BP- 2010 -0986 APPLICANT /CONTACT PERSON JAMES VAN NATTA ADDRESS/PHONE 403 SOUTH MOUNTAIN RD NORTHFIELD (413) 834 -5329 Q, PROPERTY LOCATION 130 SOUTH MAIN ST MAP 23A PARCEL 189 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out � Fee Paid lv (hp (.).F 24 16 Typeof Construction: CONSTRUCT 16 X 2.BEDRM/STUDIO ADDITION, ADD 2ND FLR BATH & _ REMODEL BATH 3o 7,6 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 040620 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Commission Permit DPW Storm Water Management Demolition Delay Signature of Building Official Date —S//9/16 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. 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X i V I I— ' 1 • vallIPPIPO ..) - I r - Vei . . r. . i Ca , ms , $11 ta elii t s . r f ato [ 7 7 :/::1 I Fr P tlk t ri- j r --- 41 - 7 ..$:, Ft V i 1 t ir 110 Xl. s.:611 , • . . )................... t . , e. to • * y Of.1 c,/ (0,0' CITY OF NORTHAMPTON .p ►fg 7. a BUILDING DEPARTMENT \ hese plans have been reviewed \ And approved. Date s r$jro „1,' p " S ignature- 4..,U V A7 $ --- 76 - ate- e @ i9 11 g Tc>R`{ \ ' 'C le V!. 1 1\ \I k t ‘ft ,y f 5X 'sr% t t { i po►RC N ; - � 4r O s Fow.*,t D PIS-TE4ZM 'NW i-a4.4 RE: So Main Street property Page 2 of 2 Please respond with an email approving our construction plans. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Catherine Swift Department of Education and Child Study Smith College Morgan Hall Northampton, MA 01063 Phone: 413.585.3373 The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. Gct bus. . _ https: / /gwweb4. smith. edu /gw /webacc ?User.context= 94e0331 b4f4c32628bf8ea89ec82e365 7... 6/9/2010 -RE: So Main Street property Page 1 of 2 RE: So Main Street property From: Catherine Swift To: jbfirstfruit @hotmail.com BC: Date: Wednesday - June 9, 2010 9:10 AM Thank you Joan. Catherine Swift Department of Education and Child Study Smith College Morgan Hall Northampton, MA 01063 Phone: 413.585.3373 »> Joan Boryta 06/09/10 6:48 AM »> Regarding email dated June 7, 2010, I approve of any changes to the structure at 130 South Main Street, Florence Ma. Respectfully, Joan Boryta (If you need a signature from me, I will arrive home late Friday evening this week and will be at the house probably sunday. You may call me at 413- 634 -8863 and leave a message for me to see you. Date: Mon, 7 Jun 2010 11:29:04 -0400 From: cswift @smith.edu To: jbfirstfruit @hotmail.com Subject: So Main Street property June 7, 2010 Hello Joan, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding an addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. https: / /gwweb4. smith.edu/gw /webacc ?User.context =94e03 31 b4f4c32628bf8ea89ec82e365 7... 6/9/2010 June 6, 2010 Hello Neighbors, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding and addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. Please sign and date next to your name and return to us. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Signature Date Joan Boryta John Fitzgerald Richard Cooper James Shinnick William Grinnel Ronald Bittel Jonathan Wright Evelyn Snjtler E m• C ' i G 7 Kevin Gutting �1 June 6, 2010 Hello Neighbors, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding anf addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. Please sign and date next to your name and return to us. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Signature Date Joan Boryta John Fitzgerald Richard Cooper James Shinnick William Grinnel Ronald Bittel / , • Jonathan Wright ran C- 7 !c Evelyn Snider Kevin Gutting June 6, 2010 Hello Neighbors, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding and addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. Please sign and date next to your name and return to us. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Signature Date Joan Boryta John Fitzgerald Richard Cooper James Shinnick William Grinnel �{ - y Ronald Bittel `7;1d.— (7UV(�-°( / l Jonathan Wright Evelyn Snider Kevin Gutting Co 0 1 7 S June 6, 2010 Hello Neighbors, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding and addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. Please sign and date next to your name and return to us. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Signature Date Joan Boryta John Fitzgerald V Richard Cooper 04uf T a to James Shinnick -M ,4111M 1M 4 lin William Grinnel Ronald Bittel Jonathan Wright Evelyn Snider Kevin Gutting June 6, 2010 Hello Neighbors, Thank you for signing and returning a recent document which indicated that you understood and approved of plans we have for adding and addition to our property at 130 South Main Street, Florence, MA. Due to the fact that Cathy and I have amended the floor plan, we have been directed by the Office of the Building Commissioner to reissue this statement and ask you to resign and return to us. The volume and structure of the addition will be virtually the same, actually, being reduced in cubic feet. Inside the structure, however, we have chosen to construct two floors as opposed to one large open room with cathedral ceilings. It is due to this floor plan change that we need to resubmit this letter of approval to you and then to the Commissioner. Please feel free to call Cathy or me with any questions. Please sign and date next to your name and return to us. We are looking to begin construction as soon as we receive all signed forms. Thank you - Tim Gillis Cathy Swift Signature Date Joan Boryta • John Fitzgerald �W 1 Y \ i , ' Richard Cooper James Shinnick William Grinnel Ronald Bittel Jonathan Wright Evelyn Snider Kevin Gutting HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill)., sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper iermits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to Date Address of work location -, The Commonwealth ofgassachusetts Department of Industrial ACcidents 1114 =I:7:f= ari r Zliite = a , e Office of Investigations • 600 Washington Street Boston, 111,4 02111 www.mass.gov/dia ......, - Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers . -. Applicant Information Please Print Legibly Name pusineseorganiiationandividuao: .: Address: City/State/Zip: - Phone#: . " Are you an employer? Check the appropriate box: Type of project (required): 1 / 1. 0 I am a employer with 4. 0 I am a general contractor and I 6. 0 New construction have hired the sub-contractors employees (full and/or part-time).* listed on theattached sheet 7. 0 Remodeling 2.0 I ani a sole proprietor or partner- These sub-contractors have ship and have no, employees 8. 0 Demolition - d h' working for me in any capacity. employees anhave workers 9: 0 Building' addition [No workers' comp. insurance 10.0 Electrical repairs or additions , 5. 0 We are a corporation and its 3. 0 I am a homeowner doing all work officers have4xercised their . 11.0 Plumbing repairs or additions right of exemption per MGL myself [No workers' comp. 12.0 Roof repa.irs . - insurance required.] t • e. 152, §1(4)", and we have no employees. [No workers' 13.0 Other comp. insurance requited.] *Any applicant that checks box tfl must also fill out the section below showing theirsvorkers' compensation policy information: t Homeownera who submit thia afficlaVit incficating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractms that check this box must attached an additional sheet showing the name of the sub and state whether or not those entities have employees. If the sub-contractors have employees:, they must provide their workers comp policy number. Jam an employer that is pioviding 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 Seetiiiii'25A'afMGL 152 can lead to the imposition ofcrirninaj penalties of a fine up to $1,500.00 and/or one-year izaprisontit, as well as civil penalties in the form of a STOP wOitIC and a fine of up to $250.00 a da against the yiolator. Be advised that a copy of this statement may be forwarded to the Oft'se of Investigations of the DIA for insurance coverage Veiiliiiiiiiii.' ' 1 -_----. " I do hereby_ certify under the pains And penalties ofperjury that the information provided .ribov . _ . . Signature: . , . Date: , Phone - , . . - ' ii: . Official use only Do not write in this area to be completed by ci4 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: Not Applicable ❑ Name of License Holder : License Number Address Expiration Date Signature Telephone LRi akst+e bel ;: etpi+ lmpi'tiii tiifi't4i tietaiMV - - # e ':; ' j . Not Applicable ❑ Company Name Registration Number 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 ❑ 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 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 ❑ Addition a' Replacement Windows Alteration(s) ❑ Roofin ❑ Or Doors D Accessory Bld ❑ Demolition ❑ New Signs [D] Decks [D Siding [0] Other [0] Brief Description of Proposed 2 Work: M to' Q PF 2 r�. (� - V r int/ I e 3 0 I S10 2y To I e L Alteration of existing bedroom Yes No Adding new bedroom ✓Yes No 2— ST412 Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll heet 6a.(f OU ii ' a i C iC rit ` f jiibliatihem i aiii k1Q: 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.i t j 7 Dimensions e. Number of stories? �i 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 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? 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 I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date i 1 Z-¢ -Ati. � VAN M4T1 , 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. Print Nam 1 a i c Signature f n i cc, er /Agent Date . 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 1 t . .._ _..,. Frontage Setbacks Front I I __, ! w Side L:`� I R:! �� I L:[ —1 R:=_/ t ' ' c Rear I S(F.INA I (irLt Building Height `� i I Bldg. Square Footage 1 1 % I 1 _ Open Space Footage (Lot area minus bldg & paved I ° J parking) # of Parking Spaces °� Fill: (volume & Location) 3 A. Has a Special Permit /Variance /Finding ever been issued fo on the site? NO 0 DONT KNOW 0 YES 0! IF YES, date issued: IF YES: Was the permitrecorded at the Registry of Deeds? ,' NO 0 DO 0 YES 0 IF YES: enter Book �� 3 Page f j and /or Document # B. Does the site contain a brook, body of water oi'Nettands? NO 0 DONT KNOW Q YES Q IF YES, has a permit been or need to be obtairied'frgm the Conservation Commission? Needs to be obtained 0 Obtained 0' • , Date Issued: , C. Do any signs exist on the property? YES 0 NO 0 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 0 IF YES, describe size, type and location: a 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 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. x City of Northampton ` t a Building Department Vn _ , ;rip 212 Main Street W 4 Room 100 - Ea' 4 Rc Northampton, MA 01060 N e phone 413- 587 -1240 Fax 413- 587 -1272 . :.t -* 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 i > �c�• L�1 e- �Map Lot Unit FL C'bZ-e- L E MA Zone - O District Elm St, District CB. District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT I 2.1 Owner of Record: TtM C L-1-[_ 1_ C FI u t F - c�,rm c , Mkt At - C - 3 t� N ame ( P n Current Mailing Address: il ? T M &1L ( • Telephone Sig n atu 2.2 Authorized Age `` floc r.[ �1-- �- ,�- i s t M® P.. .6 ° ' y Name ( ri Current Mailing Address:f �kw M -A 4411 Signat Telephone SEC ON 3 - ESTI TED 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 Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 1 6. Total = (1 + 2 + 3 + 4 + 5) I JOCK, ;Check Number - l This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings, Date i File # BP- 2010 -0986 APPLICANT /CONTACT PERSON JAMES VAN NATTA ADDRESS/PHONE 403 SOUTH MOUNTAIN RD NORTHFIELD (413) 834 -5329 O PROPERTY LOCATION 130 SOUTH MAIN ST MAP 23A PARCEL 189 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /� Fee Paid cQp2(P Typeof Construction: CONSTRUCT 16 X 22 BEDRM /STUDIO 2 STORY ADDITION, ADD 2ND FLR BATH & REMODEL BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 040620 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: *proved 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 Demolition Delay 67/ a Signature of Building Of cial 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. , C.Ba i '("?_.___ -�. z i � � F . �.i r • x Ir.. W • • 3 �� ` ' { , �� .,•,{ }� r �, . T 1 �. , x [M N FYa 44 .4 4 & .t.F' ffirgl�p .f� , � - a46+A9B .g 4, . � . + - X Y . � a dY^"- 4..'^v3' -K � - f 130 go Ky�µ�� 2� • � ssnw.w � bRAl� ��Er^a�`x` a � °; �' � !l ,: W -� R� � . ' � . ® � 6 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A -189 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP -2010 -0986 Project # JS- 2010 - 001453 Est. Cost: $100000.00 Fee: $600.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES VAN NATTA 040620 Lot Size(sq. ft): 22869.00 Owner: GILLIS TIMOTHY F & CATHERINE M SWIFT Zoning: URB(100)/ Applicant: JAMES VAN NATTA AT: 130 SOUTH MAIN ST Applicant Address: Phone: Insurance: 403 SOUTH MOUNTAIN RD (413) 834 -5329 () NORTHFIELDMA01360 ISSUED ON :6/18/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 16 X 22 B EDRM /STUDIO 2 STORY ADDITION, ADD 2ND FLR BATH & REMODEL _.... . POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector LOW Underground: Service: Meter: lokedX1 ( d 5 Footings: Rongh:�i ` ' ought O rtiV -House # Foundation: g 41" Driveway Final: Final: t. t `7-1?4 Fin al: P � tt�a�Cy �ti, Pt is Rougn ram 11V�'' Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation tom' Final: if 447--/0 Smoke: Final: 0/(1/ —V, 3 fOc,,f _ THIS PERMIT MAY BE REVOKED BY THE CIT 4F NORTHAMPTON UPON VIOLATION OF `''. ANY OF ITS RULES AND REGU IONS. • 'dr • Certificate of Occupant signature: FeeType: Date Paid: Amount: Building 6/18/2010 0 :00:00 $600.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Coritussioner Anthony P • ill* m • 41r }"^,'. fir,: .ft M+. y ,