39A-064 50
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G 75 LYMAN RD 0 Ati CAN BP- 2010 -0453
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 39A - 064 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 -0453
Project # JS- 2010 - 000619
Est. Cost: $25712.00
Fee: $132.00 PERMISSION IS HEREBY GRANTED TO:
Const_ Class_ Contractor: License: CI
Use Group: WRIGHT BUILDERS 84280 /
Lot Size(sq. ft.): 51400.80 Owner: FEINSTEIN WILLIAM C C/O MAURICE WILLEMS
Zoning: SC(62)/URB(38)/ Applicant: WRIGHT BUILDERS
AT 75 L YMAN RD
Applicant Address: Phone: Insurance:
48 Bates St (413) 586 - 8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON :11/6/2009 0 :00 :00
TO PERFORM THE FOLLOWING WORK :CONSTRUCT POTTERY STUDIO IN BASEMENT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: j/ / ... 7 / tg_ o ugh: J%A/ r House # Foundation:
Driveway Final:
Final: 1 -9 -/0 0 Kinal: , / � ,l k Rough Frame J` �J >D `
Gas: Fire Department Fireplace /Chimney:
'
Rough: Oil: Insulation: O ii/ik)lo 1
J ;;.
Final: Smoke: Final: c m I/ +gi 10 � ut5
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupanc
ti***".-- Signature:
heeType: Date Paid: Amount:
Building " 11/6/2009 0:00:00 $132.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 •
Building Commissioner - Anthony Patillo
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: w-,, �,/' /'y 61)14/e7/4"... Not Applicable ❑
Name of License Holder : 1 ! P 1 AV 1 07 T� C" u V LT ' Ef 441)
License Num r
` f . g Bt sf N 6 p-T - MPr'r',
Address � Expiration Date
( -7
Signature I Telephone
9 Registered Home Ulmpror em nt Coat a tnr:' Not Applicable ❑
Wf r kivb 7p o - 1 /2/ 1 6U b 1 0
Company Name Registration Number
p' f8 ft -Tv-s sue •, tic a- r-toM, PO' /yb// o
Addre / '� Expiration Date
-77 Telephone b ° " ,Q / 'n
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 buil 'rig permit.
Signed Affidavit Attached Yes No ❑
`'- Home Owner Exemption
The current exemption for "homeowners" was extended to include Owner - occupied DwellinEs 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 •
•
4
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House [J Addition n Replacement Windows Alteration(s) Roofing n
Or Doors El
Accessory Bldg: El Demolition ❑ New Signs [lam] ' Decks [p Siding`[p] Other [I}
Brief Description of Proposed at N 1 � A- T 6 II ,� ',_ S ' 0 i m4-.!/
Work: �J�" "( /� �Ti
Alteration of existing bedroom Yes x No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished baseme t Yes No
Plans Attached Roll - SheetDIVL•
s
f
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. Dimensi. -
e. Number of stories?
f. Method of heating? replaces 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 • - ands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or -- ar floor below finished grade
k. Will building • form to the Building and Zoning regulations? Yes No .
I. Se. ' • ank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
e/li GUI Vvts/KJ , as Owner of the subject
property ��p,,
hereby . ut iorize (A 1. 0,,, / " ��
1 Ca-s
to act • , behalf, i II `' at el.tive to work authorized by this building permit application.
.� V v • I A
Signature of Owner Date
V'?.' ")4 t i/ 1 (.4 , as OwnerlAuthorized)
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best o my xnowiedge
and belief.
Signed under the pains and penalties of perjury. 60 cviz-
Print Nan-j, 2---;-774/9 / 0//0 C�
Signature of Owner /Agent Date
111A- tkitw WI - to e< II''�t Vo 1 - ' ,
b41 Sri lam" P14 i t
Section 4. ZONING Alt Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This columnio be fill=. in by
Building Depart • t
Lot Size
Frontage d. -. 1 f ,.... . i
Setbacks Front
Side L: ..., R: •.. .. L :. _.____.
Rear
Building Height
Bldg. Square Footage ; % I 1 i
t
Open Space Footage °
0 1
(Lot area minus bldg & paved
parking)
# of Parking S • es
.
Fil • q
olume & Location)
A. Has a Special Permit /Variance /Findi -. ever been issued for /on the site?
M0 , , DON T ■ KNQW , ',T , , ' •YF S ' 0 , . 4, • .
IF YES, date issued:" . '
IF YES: ' Was the permit recorded at the Registry of Deeds?
, NO . DON'T KNOW 0 YES
• IF YES: enter Book ' Page i and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO „ DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
• .
Needs to be obtained 0 Obtained Q ' , Date Issued:
• C. Do any signs exist on the property? YES NO
t
IF YES, describe size, type and location: 1 • i
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location
E. Will the construction activity disturb (clearing, grading, e ation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
- f � epart4t9t „use 1 i ,
City of Northampton Status a Perm 1
Building Department Cur Cutifeway Perm
vn it „:1-.,
.
. 212 Main Street Seierfaepti A ailak ility
Room 100 Water/WeltAvail
Northampton, MA 01060 Two S1tsi f f Structtirat P ans F
phone 413 - 587 -1240 Fax 413 - 587 -1272 PIotSite' ;
O ther S pec P t x i t W ,
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
(5 `/I/ MktI /24 Map Lot = Unit
A 0 t 1e-t%/ ti, 1or Zon Overlay District
Elm St, District .` CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
Name jrriht) (� Current Mailing Address: O / ^ O /
I Telephone 81e b
Sign
2.2 Authorized Agent: .
o p,, o e„ cit,t0/oQ giu22t iS ES'A-r cr., N o P- - 01irb rf, Mk”
Na a (Pri Current Mailing Address:
/ 7 . - 7 7 a/4( C ve -8-)49
Signatur Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS *)'4 X rI 6 It !tipQ. -. .717 .4 I39'. -- •
Item Estimated Cost (Dollars) to be Offic Use Only
completed by permit applicant
1. Building fr'- lq g7 ij. ,,. (a) Building Permit Fee
2. Electrical 4-a47 p. ' /. (b) Estimated Total, Cost of
bb Construction from (6)
3. Plumbing 4 /3,(..3-' Building Permit Fee
,�Q / /� 4. Mechanical (HVAC) a ). ....-4 ll�- 5. Fire Protection l
6. Total = (1 + 2 + 3 + 4 + 5) I i l / - . Check Number 53c OO 413 ---,-
This Section For Official Use Only
Permit Number: I Date
Building Issued:
Signature:
Building Commissioner /Inspector of Buildings • Date
File # BP- 2010 -0453
APPLICANT /CONTACT PERSON WRIGHT BUILDERS
ADDRESS /PHONE 48 Bates St NORTHAMPTON (413) 586 -8287
PROPERTY LOCATION 75 LYMAN RD
MAP 39A PARCEL 064 001 ZONE SC(62)/URB(38)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 2� J
Fee Paid ✓ / 3.
Typeof Construction: CONSTRUCT POTTERY STUDIO IN BASEMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 84280
3 sets of Plans / Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
...mod
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.