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23D-043 ,IS Itof r? d'? L i( .... .-4 *37. rivq (/ / r p4 "rodoi ,ii" - i i , \1 iy i vy 1 -2/1 1 ( -: X , )f)e) ) _ . 77 el (11 'El V7 S 17 , ,, N. / -\\ T \\-, V / „0-,8 , / „0 / no-8 .-1,, . , ,; —,-. cir ,,,, x' o J. rn bl a_ \ -... 1 / - ;,,e:'?1 f adiC/7A g t De he rstiy,f, /. 4:rylimesi h Ylc) :Pa (b ft•et, ;z- „0-,ot / 7 .,,,_ 22' -0" 9 -2" 8' -8" 4' -2" / \ '■mom 3'-0"x 2 -0" 3'-0"x 2'-0" 0 LC o \ x c flq °p JUL 3 1 20n L��l DEPT OF BUILDING INSPECTIONS NORTHAMPTON, MA 01060 N O O 0 N � 0 \� X 0 O co 0 2' "x 6'- " 2' -0" 3' -0" x 2 -0" / 3'-7" // 5 -7" 8'-8" 4 -2 "- // / 22 -0" // ? o ro 5 D TC.: 7 *0' .(6.04/,Vi / 7 / re:Page- Si H 3 1 This proposal may be wit • wn if not ccepted / hin - days . nE, but 4 4@' 1 ACCEPTANCE OF PROPOSAL - I have read this documen d all attached documents and accept the prices, specifications and conditions stated. I understand that upon Signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signature ^ ate ?1231° t Signature Date ..4,0 , - .-: - - _Leliglizaki.t=regbr, __— ,1 ___-------------- 74 ' t •-• ■ Zr ncx SAS PA Cai i . ?Ve -fl • . rt_, _____________I, 1 c't ri \ \ _A - - - - __/4 a 5 • 6A ZtactC i -V ( 7'5* —1- r _' 5" ' — ,..m,... +Asir r i c ' rockc •94 1 \ ■ .....1 CIO 1 9i\ 4K4V2.- • D4,10e h 'I ' l 1 1 I I n \ 1 Jo - -to ft,virstSttsi: 1 \ ■ __________ • 1.7...e.:" _ik _ • 7G , • c fInE.R.AL I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on the Federal Emergency Management Agency's Flood Insurance Rate Map, Community Number 25016 - 0002A Effective Date ■ A ''''''' By: r P.-- 1 OWNER: Benjamin J. genkins TO THE ....LF riigfielcl Institution fcr Saving AND 11LE First American Title Insurance Co LOCATION: 14:4 Federal Street 1 also report, to the best of my Nortin-Amptoli, Massachusetts knowledge, information and belief, that this inspection plan shows the P I:1 Ural iii A AcciteAmfar DEPT OF BUILDING INSPECTIONS NORTHAMPTON, MA 01060 r . i U i t -Nss.; 632 a, 4 c 5/- ~- \ , ,,,,,_ -- - -_- -- may' 4 Lacits XefCR> =NLG , \ _ ___7. Z'crc Sf9S PAGt1 Ph I ) '7 . v CM ouJ Al _ \ .._. f, lz •' r , Shy F l I I 'o Cf wi r , — ri \\\__ q STN'ICy 1 ti ` sa ,ra er ' Y'O((GN t I 1 t ■ 38%' 11 q f 1 Itt 50'± •f0 R1V.£'gS t DRAT' BZ.,$ , t q -- /e2 FEDER AL STR EC.T I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on the Federal Emergency Management Agency's Flood Insurance Rate Map, Community Number 250167 - 0002A Effective Date April 3, By: 4 OWNER: TO THE Springfield Institution for Saving Benjamin J. 1 ,1ankins AND THE First American Title Insurance Co LOCATION` 149 Federal Street I also report, to the best of my Northampton, Massachusetts knowledge, information and belief, ■.._s that this inspection plan shows the E. B. HOLMBERG 9 Assoc s I . ics ttAMp iO tv a :11.. ` xaancE(nsctta 1_:14111 _ '"'y DEPARTMENT OP BUILDITjG INSPECTIONS 4 _q I 212 Main Street • Municipal Building Northampton, Mass. 01060 r' WORKER'S COMPENSATION INSURANCE AFFIDAVIT r/N t o#Ci l ia (license ipe i ttee) with a principal place of business/residence at: c20 ram A // X-42 4/2 I�GJ..t/ljr h . (phone #� :)C, e 3 5 / / (street/city/state/zip) do hereby certify, under the pains and penalties of perjury, that: ( ) 1 am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) ( Lnsurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach arlditiorinl th ct ifneeetstry to include inforau oo pertaining to ell Crndors) (44 a sole proprietor and have no one worlang for me. ( ) 1 am a home owner performing all the work myself. NOTE: plea Fe be aware that whi]c bomcowocrs who employ pczo:u to dot I__• «I „ mac, censtruiioo or repair or on a dwelling of not niece than throe units in winch the homeowvcr resides or oa the grounds appurtenant L cto arc no( rally co¢sidcrtd to be employers under the worker's compensation Act (GL152,ss 1(5)), application by e homooava for a ticca e or permit may cvidcace the legal aura,c of an employer under the Worlcole Compensation Act I understand that a. copy of thin statcmat t may be forwarded to the Decartmoat of Industrial Acadcot? Of5oo of lmtu *n°° for the coverage verification and that failure to secure coverage under section 25A of MCUL 152 can Iced to the ituposition of criminal penalties consisting of a fine . of up to S1, 500.00 andlor imprisonment of up to one year and civil penalties in the form oleo Stop Work Or& and a fine of S 100.00 a day against mc. d) For dcpartmectel uao only , Permit Number Map# Lot # . Signature of Li Da e ccnsec/Permittee , S ECTIO t NB ;C'0 } NSTRUCTION : SERVICES 8.1 Licensed Construction. upervisor: Not Applicable ❑ Name of License Holder : � : I �- / License Number -0 *. o Cr 1 1 1 /44t. ,,, v/ //e 0/0), /- . ` t _ ; Addre Expiration Date (Y./ILet, , i A ' <..› 6 e - /3 1 , Si nature Telephone // e/! i rnp �mep '�'Contr ef61 0 i 4 ' N ' ,- =- ' Not Applicable ❑ f7 Al r /00, ,2 Company Name Registration Number (,1 j Address 1 Expiration Date Telephonelca fs� -3 Lo 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 affida will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ ,V The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) familie 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(. 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 I r S ECTION 5 DESORTPTION dFrPROPOSED YNORK4check all a plicable) r -..:iM ��;UAiLL VkrW - =- .z 'kNdk .p - x.La�.�e",o1 >3r# .x41wV,!1itr33bL3, at*- . -.... , 3P } In �: .. d . . �..� ..�+�_ > .:= . New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ / Or Doors ❑ Accessory Bldg. Demolitions New Signs [ ] Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: V(::./.4,, 04..I L /'A � �-i � v ��'�� �— 4 - ) t,'4 e Alteration of existing bedroom Yes Adding new bedroom Yes g g No Attached Narrative ❑ / Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet E - OiRrf New tfiluselai d; " "tl ilifi t ,to eiti trng housing. complete" thit follow a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck 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 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, - 'O,WNER AUTNORIZATION - TOBE COMPLETED WHEN OWNE AGENT OR3CONTRACT OR'APPLIESFORBUILDING PERMIT �..�:.�...�ral'J.iL� , as Owner of the subject proper hereby authorize ej A. to act my behalf, in all matters rel ive o wo ; authoriz: d by this building permit application. Signature of Owner Date I, l /'� + 1�7 f/41LV , as Owner /Authorized Agent here y declare that the statements and informatiorfon the foregoing application are true and accurate, to the best of my knowledge and belief. Signed - c oder the pains and pe alties of perjury. Print N. e Signature of Owner /Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size / e A/ / 09 -) 17.° l ye, `l /0j Z �/ go Frontage / 1 Setbacks Front .,%�,, j N C 1S irk Side L: R: L: (00 R: � _3 O j Rear f r Building Height r / / Bldg. Square Footage % b 2 ALL car) 0 4;t, ,2120 a9 /� `! Open Space Footage (Lot area minus bldg & paved tj 0 / � '/ U parking) 11f 7' / ac # of Parking Spaces Fill: (volume & Location) a ^ ) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DON'T KNOW ✓ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW Y ES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: R M r} E C E 11 \ E i orthampton • tt • Department ® > 'K4 2001 /I ain Street e JUL 3 1 ° tom 100 ®� � Nort am e MA 01060 • Setsa r. DEPT Of BLPIAN111NSF4Ci 187- 1 Fax 413- 587.1272 NORTHAMPTON. MA 01060 Other S eo � �° 5 7.1f4 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 comp eted b" °fftce 1 (1 z F'EAek4L J Map Lot � f Zone , :'�OverlayrDistrc Elm St. District CB-District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: r /CI ;4) <t k Tfsut14 ' •f � i '" ) l Ft d, - S t Name (Print) Current Mailing Addre : ,,5 3c Telephone R Signature 2.2 • uthorized Agent: 0 For 1-i1/1 /i �T > 1 7,4,/ l Mi 0/a Nam; P 'nt) 4/71"f Current , i ailing Address: ()//■-: A‘ / (O - � 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 � 4 e ) , 00U 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) if 000 Check Number / /&Y $ n This Section For Official Use Only Building Permit Number: 15f/ " Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2002 -0125 APPLICANT /CONTACT PERSON Martin Mahoney ADDRESS/PHONE 20 Fort Hill Rd (413) 268 -3296 PROPERTY LOCATION 149 FEDERAL ST MAP 23D PARCEL 043 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid //(P g 4(.5 74 Typeof Construction: CONSTRUCT 22 X 20 DET GARAGE & DEMO 19 X 10 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 040602 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: Approved Denied PLANNING BOARD PERMIT REQUIRED UNDER: § Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 Signature of Buildi • : 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. 149 FEDERAL ST BP- 2002 -0125 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D - 043 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: alteration - addition BUILDING PEI:MIT Permit # BP- 2002 -0125 Project # JS- 2002 -0181 Est. Cost: $18000.00 Fee: $54.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Martin Mahoney 040602 Lot Size(sq. ft.): 7971.48 Owner: JENKINS BENJAMIN J & KATHERINE Zoning: URB Applicant: Martin Mahoney AT: 149 FEDERAL ST Applicant Address: Phone: Insurance: 20 Fort Hill Rd (413) 268 -3296 HAYDENVILLEMA01039 ISSUED ON :8/3/01 0 :00 :00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 22 X 20 DET GARAGE & DEMO 19 X 10 SHED POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings ` ` Underground: Service: Meter: Footings: Rough: Rough: House # Foundation• Final: � cf � �D/ Rough Frame :© // ` .. Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: k `(- PO" 0 (. .�rGy� THIS PERMIT MAY BE REVOKED BY THE CITY 0 NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 7 1/ /// Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/3/01 0:00:00 1168 $54.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587-1272 Building Commissioner - Anthony Patillo