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22D-031 (3) Quick Open Space Calculations Coverages 128 Ryan Road existing ( Lot area existing proposed Garage existing 952' 566251 6010 6640 House existing 1514 Accessory existing 64 Open Space 50615 49985 Driveway existing 3480' total 6010 Open % 89.4% 88.3% Zone Addition new 630 Req'd IURA-WSFI 85% po ol new Garage new 0 total 6640 @ie icie C yate Insulation Rating R- Value Ceiling / Roof 30.00 Wall 19.00 Floor / Foundation 25.00 Ductwork (unconditioned spaces): Glass & Door Rating U Factor SHGC. Window 0.30 Door 0.30 NA Heating & Cooling Equipment Efficiency Forced Hot Air Furnace 93 AFUE Electric Central Air Conditioner 13 SEER Water Heater: Name: Date: Comments: A 4 : • ❑ Recessed lights are either 1) Type IC rated with enclosures sealed /gasketed against leaks to the ceiling, or 2) Type IC rated and ASTM E283 labeled, or 3) installed inside an air -tight assembly with a 0.5" clearance from combustible materials and a 3" clearance from insulation. Sunrooms: • Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U- factor of 0.50 and the maximum skylight U- factor of 0.75. New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: U Vapor retarder is installed on the warm -in- winter side of all non - vented framed ceilings, walls, and floors; or it has been determined that moisture or its freezing will not damage the materials; or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: D Materials and equipment are identified so that compliance can be determined. Li Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R- values, glazing U- factors, and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Insulation: • Ducts in unconditioned spaces or outside the building are insulated to at least R -8. • Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R -6. Duct Construction: O Air handlers, filter boxes, and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. • All joints, seams, and connections are made substantially airtight with tapes, gasketing, mastics (adhesives) or other approved closure systems. Tapes and mastics are rated UL 181A or UL 181B. O Building framing cavities are not used as supply ducts. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. • Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Li Thermostats exist for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and /or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: • Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R -2. O Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: • HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R - 2. Certificate: O A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R- values; window U- factors; type and efficiency of space- conditioning and water heating equipment. NOTES TO FIELD: (Building Department Use Only) Project Title: 128 Ryan Road Florence, MA Report date: 07/24/09 Data filename: C: \Documents and Settings \user \Desktop \!28 Ryan Road REScheck.rck Page 3 of 4 C8L I•1*1 REScheck Software Version 4.2.2 Inspection Checklist Ceilings: ❑ Ceiling 1: Cathedral Ceiling (no attic), R -30.0 cavity insulation Comments: ❑ Ceiling 2: Flat Ceiling or Scissor Truss Exemption: Framing cavity not exposed. Comments: Above -Grade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: ❑ Wall 2: Wood Frame, 16" o.c., R -19.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1: Solid Concrete or Masonry, 8.0' ht / 7.0' bg / 8.0' insul, R -15.0 cavity + R -10.0 continuous insulation Comments: Windows: ❑ Window 1: Wood Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? - Yes No Comments: ❑ Window 2: Wood Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3: Wood Frame:Double Pane with Low -E, U- factor: 0.300 For windows without labeled U- factors, describe features: #Panes Frame Type Thermal Break? _ Yes No Comments: Note: Up to 15 sq.ft. of glazed fenestration per dwelling is exempt from U- factor and SHGC requirements. Doors: ❑ Door 1: Glass, U- factor: 0.300 Comments: ❑ Door 2: Glass, U- factor: 0.300 Comments: Heating and Cooling Equipment: ❑ Furnace 1: Forced Hot Air: 93 AFUE or higher Make and Model Number: ❑ Air Conditioner 1: Electric Central Air: 13 SEER or higher Make and Model Number: Air Leakage: ❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage are sealed. Project Title: 128 Ryan Road Florence, MA Report date: 07/24/09 Data filename: C: \Documents and Settings \user \Desktop \128 Ryan Road REScheck.rck Page 2 of 4 4.. 21 e REScheck Software Version 4.2.2 Compliance Certificate Project Title: 128 Ryan Road Florence, MA Energy Code: 2006 IECC Location: Northampton, Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6404 Climate Zone: 5 Construction Site: Owner /Agent: Designer /Contractor: 128 Ryan Road Thomas Malone Rainbow Home Improvement LLC Florence, MA 01062 128 Ryan Road 128 Ryan Road Florence, MA 01062 Florence, MA 01062 413 - 885 -9038 413 - 885 -9038 tom @rainhome.net peter @rainhome.net Compliance: Passes Compliance: 11.7% Better Than Code Maximum UA: 239 Your UA: 211 Gross Cavity Cont. Glazing UA Assembly Area or R -Value R -Value or Door Perimeter U- Factor Ceiling 1: Cathedral Ceiling (no attic) 906 30.0 0.0 31 Ceiling 2: Flat Ceiling or Scissor Truss - -- Exemption: Framing cavity not exposed. Wall 1: Wood Frame, 16" o.c. 937 19.0 0.0 51 Window 1: Wood Frame:Double Pane with Low -E 47 0.300 14 Door 1: Glass 33 0.300 10 Wall 2: Wood Frame, 16" o.c. 736 19.0 0.0 39 Window 2: Wood Frame:Double Pane with Low -E 71 0,300 21 Door 2: Glass 21 0.300 6 Basement Wall 1: Solid Concrete or Masonry 848 15.0 10.0 29 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Window 3: Wood Frame:Double Pane with Low -E 33 0.300 10 Furnace 1: Forced Hot Air 93 AFUE Air Conditioner 1: Electric Central Air 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2006 IECC requirements in REScheck Version 4.2.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Permit applied for Project Title: 128 Ryan Road Florence, MA Report date: 07/24/09 Data filename: C: \Documents and Settings \user \Desktop \!28 Ryan Road REScheck.rck Page 1 of 4 -NOTE - THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED ■ 0 • P 17 ~� 1 93 . ��` \ � .AN)5 C J 5 Ek TO: APPLIED MORTGAGE SERVICES CORP. & FIRST 'AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 -NOTE - SURVEYOR: 1 \ • -1- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY - of S\ ` N MASSAC g RANDALL %'\ PREPARED FOR O IZ N EMILY N. CASE & LISA A. POIRIER- 135032 /1 SCALE: 1"=60' JULY 15, 2003 \' y ° � HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS 1: 03.M4 p O -- �� _ L #firm #f�nrfrt *=�_ $ 7'_ . 0. - _ �'` i ass RCf _ �_ t- e ` l r Zti � c.R� DEPARTMENT OF BUILDD.ZG INSPECTIONS , If INSPECTOR 212 Main Street • Municipal Building pi,. .° Northampton, MA 01060 e HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction sup ,' sor. 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 any 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 permits 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 of Massachusetts Department of Industrial Accidents =W = Office of Investigations _�� 600 Washington Street _' „ _ ° ■ Boston, MA 02111 tar 5 ° ° � www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): Ikc.:ie.rri -r4 Address: 0,%” tjcv% (2.) City /State /Zip: \e■ 1 0 '0>(1/ L,, Phone. #: 4\ -s�-616 - 1 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors listed on the attached sheet. 7. ❑ Remodeling 2. ❑ I am a sole proprietor or partner- ship and have no employees These sub - contractors have 8. ❑ Demolition capacity. euployees and have workers' working for me in any P ty. 9. ''1 Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: _ Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enalties of perjury that the information provided above is true and correct Signature: --� "°V - Date: r li f _ Phone #: � •-713 q a.) Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES ` 8.1 Licensed Construction Supervisor: ( � t.� J Not Applicable ❑ Name of License Holder : 4� 1 met\ Ss License Number Address Expiration Date Signature Telephone 9. Registered Home mprovemerit Contractor �,. Not Applicable ❑ Cl •C:k,NbO4-) V 13 04`I Company Name Registration Number k'aX (L 0-A- rn (Y\4 -70 k6 Address Expiration Date Telephone A \1rs -401 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ 11. -- -Home4 OWrier Egernption 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) n Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [Q Siding [D] Other [D] Brief Descri tion of Pro osed • NQ Work: ..k Z� � S TO AQQiTto Slec Alteration of existing bedroom Yes No Adding new bedroom 1 Yes No Attached Narrative Renovating unfinished basement Yes - No — Plans Attached Roll - Sheet sa if ist house and or edditi / n' to ezistinq housing, .compl'ete the following: a. Use of building : One Family '/ Two Family Other b. Number of rooms in each family unit: 1g., Number of Bathrooms `i ) Z C. Is there a garage attached? KO f �► d. Proposed Square footage of new construction. 1 41,- Dimensions IV 3 )0 1 21 9 e. Number of stories? Z.. f. Method of heating? Fuca). r Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction S}t+l 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, — \\N V1 , as Owner of the subject property hereby authorizev�r to act on my behalf, in all matters relative to work authoized by this building permit application. Signature of Owner Date - 7 ,t,v.„5 (' s \ i�� t__ , 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 Name --tv . Signature of Owner /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information 0 Existing Proposed Required by Zoning This column to be filled in by Building Department ..._ .�._ , �_. M... m _..... --.__ __ _ _._. Lot Size a Frontage - -- — Setbacks Front " 1 %' 4N, "11 ` j Side L: R: a L: 3 ti R:I' 4 ( ,_257 _ Rear i �.S 'Z 31 Building Height 1.1/41 W Bldg. Square Footage ivic5 ; % .31r6! Open Space Footage % ; 1552 (Lot area minus bldg & paved , parking) , ■ # of Parking Spaces Fill: ------ --------- -------- - ---- -- - - - -_ (volume & Location) P A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW er YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 - IF YES: enter Book Page and /or Document #' B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 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 0 NO V 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 e IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exc 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. r �a -". Department use only r „. k �';yc r �, � ,�w '�`�'�� fi'� . 'fib a�a��t a� y '� ra S - � " City of Northampton Statt� • Building Department Cur t Cut tD-,veway.Iseri it s -�; .Ym� 212 Main Street Sewer/Se s „ Room 100 Vi e I I Avat abil Northampton, MA 01060 Two se#s otStruct Plan ` ''.''' '''' ' - u---, A )-: phone 413- 587 -1240 Fax 413- 587 -1272 PI APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLI= I IP OR'V FAMILY DWi I ; G e I .� JUG 2 4 2009 SECTION 1 - SITE INFORMATION 1 = 1.1 Property Address: This ectio tom, ca �e 1 Z Q c r ir Unit _ •,,) Ma Lotl�}t;�F� F\ O(r r' C -. me., O`O b Zone' Overlay District f 1ll . "IIt „...--...1‘i4 , -- lrn St District ' , , _ _ P 4ttre 7� 1d SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT .. ( € ' 2.1 Owner of Record: Name (Print) Current Mailing — Adddd-r�e�ss:; Ili, 2 . �� �-�-- L.\\ O n ��'_ _ ° _ - ✓'G Telephone Signature 2.2 Authorized Agent: ' +�vinc.> _ (Y\ .- NIA (61 U. ( C�VJ�c� Name (Print) Current Mailing A dress: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building S3 ()CX) (a) Building Permit Fee 2. Electrical , , Estimated 6,_ Construction Total from Cost ° (6) of 3. Plumbing (of G °° B uilding ( b) Permit Fee 4. Mechanical (HVAC) IS 6 0() 5. Fire Protection 6. Total = (1 + 2 + 3 + ' + 5) St y �vG Check Number E1 �� 80, Q U 1 / , n This Section For Official Use Only lt Date Building Pe i t umber. Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0103 APPLICANT /CONTACT PERSON MALONE THOMAS P ADDRESS/PHONE FLORENCE PROPERTY LOCATION 128 RYAN RD MAP 22D PARCEL 031 001 ZONE URA(100) //WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �� ��/a� Fee Paid 77 d Typeof Construction: CONSTRUCT 2 STORY ADDITION New Construction _ Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 055236 3 sets of Plans / Plot Plan THE F LLOWING 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 I ar - AAL....4ACAm...A.4 _ 0000, Signature of Building 0 ficial 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. 7 l k r BP- 2010 -0103 GIS #: COMMONWEALTH OF MASSACHUSETTS 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 -0103 Project # JS- 2010- 000120 Est. Cost: $80000.00 Fee: $480.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THOMAS MALONE 055236 Lot Size(sq. ft.): 54450.00 Owner: MALONE THOMAS P Zoning: URA(100) / /WSP Applicant: MALONE THOMAS P AT: 128 RYAN RD Applicant Address: Phone: insurance: FLORENCEMA01062 ISSUED ON: 8/10/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY ADDITION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/10/2009 0:00:00 $480.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo