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35-290 ,. . / THIS PLAT NOT FOR RECORDING PURPOSES 13 K. 48 2 2 ) PG. 21 PL,8K. 18o PG.. G8 -72 1 1 _ l 9 383 I CI 11 4 . — 1 / 128,4) tC t 0 v, o. �. PROPOSED 30' Q v N < WhTERL1N�c t it 4420 n `r AC J New IL 4 0 It.' o L - r 1 9 4 PAW rU 5ot 4t i ^ PoSce p _Iz,vr foor%4 r� 3 i 97 5 , 0 ` L i? re tn ro CO 30 1 41.9 W4 T- \ 8 4 g Se. 'we A-le ). ...._)----........ 9g �� ,9 NOTE: REVISED EASEMENT NoTATIONs OU L'( O 4 I- 14 -97. Ta; 5e0RCe oNa McRT•AGe 5i &YIc.85 Catt 11. p SM ITN G•Lr.116E 4 FIRST AM *$CA N TIrL.¢ I A]S . co. 1 HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT UNES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 'Z 501 Col REVISED 0I- 14 DATED: - ; l 04-96 j NOTE /� P PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: l A,V p J4. NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT ` �>`o N IORT1 – I AM PToN 3 M A JS. RICHARD \ OWNER ,g MARGE, 5R 034605 TAMES F. 4 PATRici A A. BoYL.E '.1 �, r 14, s a di. • N { ' SCAB Le I n = �0� ..Itn�- „ i Richard J. LaBarge, Sr., Registered Professional Land Surveyor 110 King Street, Northampton, Massachusetts 01060 t - .,r SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Su er visor: '"� , Not Applicable ❑ Name of License Holder : -C >C J L. t/\' L( I� J 4-- License Number \ CC. 6- / rt 3+M rr 0 / 6 f - to t( Addres (��_ Expiration Date Addres - 00Z— Y 4 l 2 Z 4 Signature Telephone 9,Rettistered Home ,:)mpr`ovementContractor Not Applicable ❑ 1—t � `' `Z �� 2 to 1 Company Name Registration Number S -v tug C44•-'tz--,R , ti U - cervvOD► 12 1 22 ! mow t Address Expiration Date Telephone , Z 0 1 - 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 f / ( '‘ c owe '.Owner Exemption 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 buildine 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 SECTI9N 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding [0] Other [0] Brief Description of Proposed Work: ArO I(O` ' it S r' 1 ' . `1 C" "U 4.-A g Alteration of existing bedroom Yes _ 1/ No Adding new bedroom Yes j7 Attached Narrative Renovating unfinished basement Yes fr No Plans Attached Roll - Sheet V 6a. If New house and or addition ,existing housing, complete the following: 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? ti /15 in d. Proposed Square footage of new construction. 2 Dimensions e. Number of stories? i 4 .1 - b0-41 f. Method of heating? V6r 41.4 e- LP i. t ( - Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction k w u,vA 4-0N"w Zf - 1 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 kW / &,n P t 6AZ S k. Will building conform to the Building and Zoning regulations? ►' Yes No . I. Septic Tank City Sewer t„/ Private well City water Suppl/ SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r � I ��, I, _ - \`��'v �1 i \ "-� 1 - \CS IV\ > H - 1 - 2()\, \ 1-(1_, 1 , as Owner of the subject property hereby authorize to act on my behalf, in all at relative to work authorized by this building permit application. 1 *),-------___4 1. Signature of Owner Date I 120 6 ((VI (4c1.,,A1..r- , 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. - T4) PyreAL.T Uk..)Alle‘..A4Aar-c}(Z- Print Name 0 . 44 IL ( 10 Signature of Owner /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 t l(o ` � A --w kV- Frontage .3 J j 3 a i Setbacks Front f 4 0 Side L: 33 R: '' L: 2-7 R: 141 a' Rear 44 I . S L ID Building Height Z r 1 44 N30 Ci4i -o--u Bldg. Square Footage 4- S % 11.64 S • i 1` Open Space Footage c �� (Lot area minus bldg &paved L 1 i6 If (t "IC jt7 1 42 1 parking) # of Parking Spaces Is - � � '' Fill: N c c_ c X (volume & Location) A. Has a Spec' Permit /Variance /Finding ever been issued for /on the site? NO 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 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 Obtained , Date Issued: C. Do any signs exist on the property? YES NO (12:( 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 .. ` Dopartnne it i s o City of Northampton Staff . a #i rrrilt �. '` �� � Building Department G uru G uflpr rive y P ratt Se 212 Main Street Sptic Awl , ter Room 100 s eii v ebii Northampton, MA 01060 � ; is > S � l la ` phone 413 - 587 -1240 Fax 413 - 587 -1272 Other peci `� 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 17.v (,vu t.>Q1,1 9 - P)12 -k V g-- Map Lot Unit �v(L ■_f- / v. Zone Overlay District 0 \ (4-2_ Elm St. District CB District SECTION 2`- PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: --- ` as - . 1 \ \ If \ ( © \C\. \, D '(, Name (Print) r Current Mailing Address: �-7---.,1- _ .. ) "�.A Telephone 13— S c'G - 3 Signature 2.2 Authorized Agent: P t") j ir.-- - 1/..✓1A -L 4 ir/1 (u' J C -tiZAI t.C..tF C r.f‘ / L , C2 - iti4,A rvtn7Uv■ Name (Print Current Mailing Address: (, -- --- 1..&_g_(2 . j4.,--- Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building ' U (a) Building Permit Fee 1 2. Electrical t 2- 00, (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) li 25 .Z CO. Check Number /91c5 o$ ''- - This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0922 APPLICANT /CONTACT PERSON ROBERT WALKER ADDRESS /PHONE 36 Service Center NORTHAMPTON (413) 584 -1224 PROPERTY LOCATION 120 WOODLAND DR MAP 35 PARCEL 290 001 ZONE SR (100) //WSP II THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 44/3 gi p Fee Paid / 77 d Typeof Construction: CONSTRUCT 16 X 16 SUNROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 034783 3 sets of Plans / Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 2,Z./ la Signa re 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. ,s, ae„e„..? cI / /a� - r eol ir C' 120 WOODLAND DR `qA ON E e--- BP- 2010 -0922 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 - 290 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 -0922 Project # JS- 2010- 001361 Est. Cost: $32250.00 Fee: $128.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ROBERT WALKER 034783 Lot Size(sq. ft.): 31973.04 Owner: ROHLICH THOMAS H & WAKAKO S Zoning: SR(100) //WSP II Applicant: ROBERT WALKER .. 20 tp rc'—` ' -. rte; AND r'a i: ' J1 I. I L�J V � vv il �i �� vt.i ;✓ . . Applicant Address: Phone: Insurance: 36 Service Center (413) 584 -1224 Workers Compensation NORTHAMPTONMA01060 ISSUED ON: :4/27/2010 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 16 X 16 SUNROOM 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: 4 � a House # Foundation: 11 " Driveway Final: Final: Final. 7 �! (1/) q Rough Frame: tqc i 3 j o t A I) Gas: Fire Department Fireplace /Chimney: i n: Rough: Oil Insulatio pi< 4 - �, ` e i ..4 i Final: Smoke: Final: 0 f .. 16 c �`w1. THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupanc ;��`✓ 7 Signature: AR tz" FeeType: Date Paid: Amount: Building 4/27/2010 0:00:00 $128.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo