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30B-081 (2) Northampton, MA Property Detail Page 2 of 2 Brick Trim: 0 X 0 (Basement (One Story Frame { t "7 6, Stone Trim: 0 X 0 Basement One Story Frame 12 S Remodeling Data: One Story Frame .? Year Remodeled: 0 Enclosed Frame Porch 1 L 0 Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type F Q Value no no information information Type Qty Year Size 1 Size2 Grd Cord j RG1 1 1963 1 704 C A, 1 Acreage Type Street/Road Type Acres Value no Home Site 1.00 120,700 information Undeveloped 0.31 2,110 Sales Info Permit Info Date Type Price Validity Date Permit # Price Pur no information no information http:// www. northamptonassessor. us/ noho /propertydetail.php ?map_no =30B- 081 -001 &page... 9/10/2009 Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property Record C New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map- Block -Lot: 30B -081 -001 Zoning: Assessr Location: 27 LADD AVE Neigborhood: 6 Land: ID`a( #Living Units: 1 Deed Book: 1400 Buildi 1 / ,©< Class: R -101 Deed Page: 099 Total: n Dwelling Information Building Sketch Style: Conventional Year Built: 1900 Story Height: 2 Attic: None Basement: Full 11 Total Rooms: 8 10 y�o Bedrooms: 3 20 12 Full Baths: 1 1Fr /13 Half Baths: 0 12 18 e 16 Exterior Walls: Frame 22 44 Unfinished Area: 0 Ground Floor Area: 616 Total Living Area: 1856 2$ 2Fr16 Finished Basement Living 0 X 0 law Area: Basement Recreation Area: 0 X 0 Woodburning Fireplace 0 / 0 ail Stacks /Openings: i 7s 8 Metal Fireplace 0 / 0 Stacks /Openings: Heat /Central A/C: Basic Heating System: Stream Fuel Type: Oil Quality Grade: C- Addition Information: Physical Condition: Average Interior/Exterior: Poorer Condition/Desirability /Utility: FR Lower 1st Story 2nd Story Ac-ect Vacant/Dwell /Oby Status: Dwelling Basement One Story Frame One Story Fram j Additional Features: 1 11 http: / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =30B- 081 - 0 &page... 9/10/2009 -NOTE THIS PLAT 0 COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING ACCURACY IS NOT GUARANTEED �� 4 � Y| NO . -~ SANITARY SEWER EASEMENT 4 ) SEE: PLAN BK. 11b. PG. 94 � CLEMENT ������T ���~u~pn/��o� o STREET -- --^ 283± 150.00'± ~.--.-- __ . ._-� � '~ L� `_ �_ \ . _~ -- --T D BOOK 1 PAGE S3 Z NOTE: \ \ PLAN 43 \ ~^ °3 A PORTION OF' THE PREMISES IS LOCATED �~� =°' '�+ '"` \ �� ^ ^ . LOT 61 & 2 =- > WITHIN A 100 YEAR FLOOD \ `� ~�~ E STRUCTURES ARE NOT LOCATED WITHIN �� \ ' Lo ~ THSTRUCTURES STRUCTURES STRUCTURES ARE THIS . THIS FLOOD ZONE. \ \ ^� - \ ^�� �~ ` \ ��/ " ��'�y~ 0& gwr ` JL. 0 �3 1 �� ~- .~� . \ � �� ' shed �� =+. \ 290'± 11 �z��± ,~.j \ \ | \ ` � NOTE: `� SUBJECT TO EASEMENTS AND ~ RIGHTS OF WAYS OF RECORD. TO: APPLIED MORTGAGE SERVICES, INC. AND CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY -NOTE- TO THE BEST OF MY |NF0RMAT|Uw, KNOWLEDGE AND BELIEF THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY ' I HEREBY REPORT THAT HAVE EXAMINED THE PREMISES AND BASED ON EXISTING � AND DOES NOT CONSTITUTE A PROPERTY SURVEY MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON OF THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, -MORTGAGE INSPECTION PLAT- EXCEPT AS NOTED. | FUHTH[R REPORT THAT TH[ PROPERTY IS LOCATED T* n�� A FLOOD PR0NE - WITHIN AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR /m ���� »n�������" MASSACHUSETTS COMMUNITY #250167 IZER * PREPARED FOR , \ _ , / ��k�UAM F. AKS�R�� JR. SURVEYOR: =C � (�xI 4� T. t...2.,„ � ~~~^^ ' -~~ AUGUST 15, HAROLD L EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO - FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: - l �i n,s4 A Ise Site Address: -2 LAd A. print Town: �✓ i r a .l Applicant Phone: (4 (3 - S C -S 3 a� Applicant Signature:, .. o Date of Application: 4 3/49 NEW CONSTRUCTION: (choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE - AND TWO - FAMILY BUILDINGS MAXIMUM MINIMUM � Ceiling or Slab "l Option 1: Basement Fenestratton exposed Wall Floor Wall Perimeter AF[JE HSPF SEER U- factor floors R -Value R -Value R Value R -Value R -Value and Depth National Appliance Energy R-10, C:onserration Act (NAECA) of .35 R-38 R-19 R -19 R -10 4 ft 1987 as amended, mi n i mums or greater as applicable Note: This form is not required if you choose either of the two versions oTRE c reek as listed b 1uw ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck -Web which can be accessed at htto://www.energ. ADDITIONS OR ALTE Ol S Tfl 0 V,: L. NGS 0 VER 5 VE-28gs:-9tO eV P *Buildings under 5 years old must use option 41 or #2 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) SF 100 x - _ % of glazing (b) Glazing area equals SF b a azinbas3 _ I).'O ; use the i artbelow r a E.: �� '�'rg zs>> 10 , proceed to.``SU-NROOM" ection . 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW -RISE RESIDENTIAL BUILDINGS MAANM MINIMUM Ceiling and Slab Perimeter ❑' Fenestration Wall Floor Basement Wall Li- factor Exposed floors R -Value R -value R -Value R-Value R -Value and Depth , .39 . R -37 a R -13 R -19 R -10 R-10, 4-feet a R -30 ceiling insulation may be used in place of R -37 if the insulation achieves the full R- value over the entire ceiling area (i.e. not compressed over exterior walls, and including any access openings). SUNROOM - An addition or alteration to an existing building/dwelling unit where the total 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) PARCEL ID # OWNER ADDRESS SIGNATURE 30B- 082 -001 Steiniger, Thomas 31 Ladd Ave. , . (CYR Bristow - Steinger, Florence, MA 01062 �- Elizabeth 30B- 084 -001 Graham, James 152 Laurel Hill Rd. '1 30B- 084 -001 James Graham Trustees Westhampton, MA 01027 : 30C -066 -001 Barnett, Roger 72 Clement st. Curry - Barnett, Susan Florence, MA 01062 - yco__11527:t 30C- 067.001 Krawczyk, Bertha 54 Clement St. St Lawrence, Teresa Florence, MA 01062 Piel 30D- 001 -001 Rayton, Peter & Christina 331 Burts Pit Rd. ,— i t i _ Florence, MA 01062 PARCEL ID # NAME ADDRESS SIGNATURE r MA-020-001 Starr, Elise L. 37 Clement St. , �` , Florence, MA 01062 ,_ ,,,, -, 9 T 30A -032 -001 CFP Properties LLC PO Box 1209 / , 0 ,/ 30A -032 -003 Northampton, MA 01061 / / I" 30A -032 -002 Cutlery Building 56 Main St.� �' a Associates Northampton,MA 01060 7; 30A -632 -004 Burton, Sam 320 Riverside Dr. Rees, Susan Florence, MA 01062 7/.2-r---1 / J 30A- 058 -001 Scully, Meghan K. 21 Clement St. -• v �u.. --'• �0JvI k k ) - ' - Florence, MA 01062 `=' 30A -088 -001 Tallet, Lourdes, M 25 Clement St. ,' � ,f Campanile, Florence W Florence, MA 01062 t : .. -�c �s , ,1 ,�`1 30B- 061 -001 Greenblatt, Alexis D. 300 Riverside Dr. . 2 Q� Florence, MA 01062 30B- 062 -001 McLean, Peter W F 298 Riverside Dr. i ' k / 2 , , t,,,,.N._ Fregenbaum, Karen J M Florence, MA 01062 i _ p 30B- 080 -001 Sicard, Henry & Eleanor 15 Ladd Ave. t di ettevv i ' D Cantwell & S Finn & D Florence, MA 01062 , 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 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, / ` r ` a r24 e, ._. 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 9/ 2/0 Address of work location d "7 CA-75D { /Logfi ;6 1 66 2__ r . The Commonwealth of Massachusetts _ ry Department of Industrial Accidents Office bf Investigations ` 600 Washington Street Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization /Individual): f f 1 j CAA �� -% Address: L Ave_ City /State /Zip: Fl r V L i a Phone #: (113-- Sgc ° ` 3 Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. ❑New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub contractors have $. ❑ Demolition working for me in any capacity. employees and have workers' 9.Buildin addition [No workers' cocup. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.56E1ectrical repairs or additions q ] officers have exercised their 3. t:/ 1 am a homeowner doing all work h d hi 11. ❑ Plumbing repairs or additions myself. No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] `Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1 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� the pains and penalties of perjury that the information provided above is true and correct. /y , Signature: .g.e., O •t -- Date: 3/09 Phone #: / 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: :CTION 8 - CONSTRUCTION SERVICES 1 Licensed Construction Supervisor: Not Applicable ❑ ame of License Holder : License Number ddress Expiration Date Signature Telephone 9. Registered Home Improvement Contractor , ::: Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (MG.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ 11. = Home ©w Exerr :pt1ari 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 108.33.1. 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 -near 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, von 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 ws and State of Massachusetts General Laws Annotated. Homeowner Signature ��1' -s�L.. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House n Addition ® Replacement Windows Alteration(s) 1 1 Roofing I I Or Doors ED Accessory Bldg, ❑ Demolition ❑ New Signs [D] Decks [C] Siding ID] Other [D] Brief Description of Proposed Work: (: eMOuc� FQ2zt- F /,4 -D7 nc 546 ee i�t`becv s Alteration of existing bedroom X Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family .)( Two Family Other b. Number of rooms in each family unit: /96 SGLP Number of Bathrooms 2- c. Is there a garage attached? NO d. Proposed Square footage of new construction. /48 SQ, pi Dimensions 7 AAA r 0141 Ai e. Number of stories? t AT) thaJr a 5iive2t ES) f. Method of heating? C /MT WA-1672_ Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction IiM 2RNc i 2v5S t-afa uR+e7i c'+ s i. Is construction within 100 ft of wetlands? Yes No. Is construction within 100 yr. floodpiain 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 X SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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, W f 1 M 'L iC f.rs , 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. Ciif 1;ci rt 14 t Print Name W,Ld, Signature of Owner /Agent ate R A Section 4. ZONING AU 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 Sine �''! � -.� ....__ �! ..�� _ C-... M. ,�_ _ w. �._..�_M...__ _ .,....,�_� ._ , _ _- , ..... _ ,...w . � ...�..,, .,... Frontage � 5 ...- .......__, � Setbacks Front , i _.,., _', 541-1e ,. - 20 Side L...-At._, R. // L ...., .. R : :. 1 i C ,/... - - - - 7 - Rear .2 _.. ci4'N Building Height t 1 Bldg. Square Footage !8 5 fov ' % .or Open Space Footage (Lot area minus bldg & paved (0 (2 1 . - _ ~ , 85 parking} # of Parking Spaces - -• -• Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 6 DONT KNOW 0 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 0 DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? k Needs to be obtained Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 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 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 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 5 Department use only City of Northampton of e 4 ' „Buiiding C apartment i urb Cut1D4 a er>ntt 212 Main Street . ; Se' -" ,f4` atc Avaai • lity Roo 00 ti e r11N A ►lab faty North ton, MA 01060 ,Q TwoSe � t ctcr tans phone 413- 87 -1240 Fax 413- 587.1272 P °r�ti APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATi OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office A-D j') .i v � /s44'4 Map Lot Unit H /4 43 ' O , 2- Zone Overlay District EIm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: CnJy� 11; ei,esn /6 CS 2? L.cc451 A e Name (Print) � J -- Current Mailin Address Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building . :-)-61f) .� (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 6. Total =(1 +2 +3 +4 +5) 1-5-1 ©p Check Number ;J . 4ik/ This Section For Official' Use Only Building Permit Number: Date Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0320 APPLICANT /CONTACT PERSON AKERS WILLIAM ADDRESS /PHONE 27 LADD AVE FLORENCE (413) 586 -5323 () PROPERTY LOCATION 27 LADD AVE MAP 30B PARCEL 081 001 ZONE SI(100) / /WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 1� �}6�_ Fee Paid Xp Typeof Construction: ADD 2ND SSTORY OVER EXISTING PORCH TO ENLARGE BEDROOM New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING A ION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P SENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan cbie -AA Major Project: Site Plan AND /OR Special Permit With Site Plan P4 — . ZONING BOARD PE IT REQUIRED UNDER: § .3 , Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed pk' S7e.✓4 Other Permits Required: ev/" 4 6 E ,17 fl 5 Curb Cut from DPW Water Availability Sewer Avail ilityw/T 34W 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 —4117/ / 200 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. File # BP- 2010 -0320 APPLICANT /CONTACT PERSON AKERS WILLIAM ADDRESS /PHONE 27 LADD AVE FLORENCE (413) 586 -5323 0 PROPERTY LOCATION 27 LADD AVE MAP 30B PARCEL 081 001 ZONE SI(100) / /WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out {,� Fee Paid 1 7/2'6 '0 Typeof Construction: AD 2ND STORY OVER EXISTING PORCH TO ENLARGE BEDROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan Aeael THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9gMATION 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 ■/Y' Lod 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. BP- 2010 -0320 uis #: COMMONWEALTH OF MASSACHUSETTS *v 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 -0320 Proiect # JS- 2010 - 000427 Est. Cost: $5200.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 57063.60 Owner: AKERS WILLIAM Zoning: SI(100) / /WP Applicant: AKERS WILLIAM AT: 27 LADD AVE Applicant Address: Phone: Insurance: 27 LADD AVE (413) 586 -5323 0 FLORENCEMA01062 ISSUED ON:10/13/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD 2ND STORY OVER EXISTING PORCH TO ENLARGE BEDROOM 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 10/13/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo