11C-005 (8) '
-_''__-_-
||!.
--/
--
__-'1 �o
� '}
|2, . _�o ~^'� `
+ � _ _'� ^
,t, c�
L `Z:',7}' .|�
u_
=~
~-
^----- � /�
--�—' ,/
_ _ —_---
-, -- T ! |---�- W~~ \^
f1 k 777,77,,17.k....yerr,J;'"a"...'"'.......'"J 7 7
........:1:\ ,
.....•••■•••i .
(
' _ ~
01_
TO CLE
0G,
A,
CA
Beck
-
t `,r (ccc
reek
A/0 T TO ( LE
. .... _. _._ _.. . .._ .. _... _ . . .. ,
. .
•
..... _ , - ,--., , i ,f ■
I
i t
I3C
--, j., K L
.,..
/
i.-- --
, .■
....---
,y
,
(
z
._,... •
_....._..........._____
,..... .,
.„.1. , ( , 1
r 0
/ Li (0°) ‘,Sel • -C-14-*
.., (.._
all°
!-
•et., („,
10,... k cc,
, I
4 AY,17 4-
.
I,
( r 1/ 1 '--
/ , I--
I
' ' (2) 0
. ' ; =
i ': GN
/ C
;,
•,
:' k....
!--
‘icl ) . .
\.,...". .
, .
cock . e D3L DiJt_ i-lok)6,
4.,k),, c-- ,ir'd‘ Ce"\-4 e c 1
' .
cAck c)kc.,,c, 14 \-..\ef_fserr,0,,,, k---
. M 1--\-C(v)E itili P.,
,______ ,_. _•
! ,-
'
, . .
1
. . . !
1 ,....------
1 , ,
1 1
! 1
1 i
1--------1
I5:5
1, 1
11 .
"...-L"'Y' "-5 q'D\
31.
1-1 X 1
J
. 51
i
1 1
1 r r
I -to 10, 0,,A4ed 44- e
1 ■ 1
r I
—_ _ _ _ _ . ._ ____•. _ as
-›,
1 1
1 ,
! I
, I
,
,
ail
li kte-Kfe7/y70,-) „sy-.
C�pa • r s A / \
� U �1 No.
pH e. wriatrava, ,�.
l••• Ta -�__. 1 I Date tC
p.0. tui 3S9 ,, ! OCT 2 0 2004
4eed4. We 010533 I Sheet No.
Proposal Submitted To: r, �' laiSoc j�r�ork To Be Performed At:
Name , -f' ,-,e1 c& rn•• to ,.,,_ 1/4 fl `i
Street ‘ir'/1ti r 1 Street
City Le eci, State ) ` . City State
`Phone L.i i_ 3 _ cQ 9 - 8/ J Date of Plans Architect
We hereby propose to furnish the materials and perform the labor necessary for the completion of c e'`5t,r /1
We ;r /' '-7 '
e.. !ni f',/ I s,/f j01 y CA. ( t Lac r" r�at 0,1 c, 4 e'°r i ( 71
!
(cv1'5+(vck c)N_ rioor- /J /l .-f- rie,I s
De...ft,f'(5 cc c e I' ed 6 ) t l { l'C f f-[ff�, € / /,
\ , c k A (.°pct 4.c.) b ( ) (fa)\cc.+" c \L;5 C 4-0 sic e->-, f0% Iil l`
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
s�ific tions submitted for above work and completed a substan Ial workmanlike rm inner for the sum of
y� r-A-o � � 61;,/x. ki we er 4 ica fd --° , ollars [$ `IV 5-00 1.
with payments to be made as follows: et ,r t 07 5 L£.le ek"� J, fi i • j' air
i ;0b -t Pl 000 40,,Jc o-4rr 7� t-,r 0,-7e1 .r f 1�iC,. i41 Savo a
Any alteration or deviation from above specifications involving extra , w
costs, will be executed only upon written orders, and will become an Respectfully submitted �. $ .u � i
extra charge over and above the estimate.All agreements contingent /
upon strikes,accidents or delays beyond our control. Owner to carry �.:: {or
fire,tornado and other necessary insurance upon above work. Work- Per t t7
men's Compensation and Public Liability Insurance on above work to be j
taken out by Note-This proposal may be withdrawn by us if not accepted 111 i
within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to the work as specified.
Payment will be made as outlined above. ?
Signatur� 4.:> r.r.. ( ° °>'
Date ) Sig natui , .. ----ti G' '. ;t.-'J L.� ,�Lk,,!, LI\ `
VTOPS FORM 3850 TRIPLICATE MADE IN U.S.A.
A.
•
F.3J
S" .ti.'tx\1
//it sM1 1
l7
it' 'Y�±
�? saarl;r,t;,t Llji
j
i J,s
A fi'r ,i, �, ',1 rJ
�
.. r;,, t r1 . i` ,, QTR /
1
sr t..`17'.....1
it:` r
-r
t
•
+� tr -n
tea., j J
rk._ If1Ctt r r))R.ot a « f leis - r
'
0„,,,,„:::;• ,+-,;%."1- i;;;..1.4;.,',..:.f
_.,,,[ L .fj .l
/ �,,�° ✓z) S..�t�,_�fn 4"rniF� f.fr:wig
sic
, .t.7,,-'''
'•,,£:k-:::4 11c.
, ..
. . • .
I—
1
' SECTION 8 - CONSTRUCTiON SERVICE5
Licensed Consuc
tr .ton tvet v:sor
8.1.--.1.7.,,--- -- c s ,
i .4..,, ,,,,(:„.,,,.:- . .J
55 077 tii 0
1 cif Licence Holder .7je- e- 71.1CIAtC1Inflerlimi
11, ;■ 1.0etnc c
, A ,,,, , ....„ -)--- ----- ,
,....>„
Teier.:h,.,„-,t,
le: „.,,,,,,,, ,
i
,,,,,,
--- -..„--------
..,- ----.-----,--- - _________
-,,-,, L;',,-,■.nat.-t'r 1,11
i .'nfkkftlOreV)33..Fairrign'ifilikilig.dffiitilinglittIMMINV.VMV.rmtsmolr . ,t, 1 . .
/3LI
•1 .-3-e5.5€ ivieniryylneej
;_... .....____.
,:„..,--,,--
cornsorm tqam.g
Adcress
1 rildreICC /1/4. (-2/0c.5
, 7-elfaphne ,5-Cfef—ilgi-1/ I
I
; SECTION 10- WORKERS" COMPENSATION INSURANCE AFFIDAVIT (M,C.I._ c. 1.52, § 25C(6))
.•_____, ...._________ _
vv,, e,s ._,,,,rnpecitsatic;r Vstirar.t-,e i'f.'1a.,t: r■11,1Si be ,-.:mplef:ed .?°;:: .,, L".-:,-- t°,- 7 ,t — 't: '', ,-.,..:-.-
restj,t n the derilai o' the i,,,..; ial.ri.",,t? :"..tf t',fi buld.r-e, purnot
t-t
Hgec Affit-Iawt ,Attactlec rt:;'' El ,ic ID
. ... _ „ . ... _ .......___.a .,
_ .__ _ _ ___
Imo&xcaorrzwzmwritt
. . ,:ne._. ...L.L..._.... ......
The current c.,emption I..):- 'horrico'oncrs" 1,iLirs eKten-ied to try..ditritt p'qnetr-rri.cupied Divciltnts:it oi,c 'f 'r or
and to aflow.,,Gch homeowner to eitgagt an .ndtocittal for il;re who does rot possess :: ':cer, c, proLiciect that the plynerets
as supetvisor, CMR 789. Sli.xth lE_;,glifort_.S.ection 1010,5.i.
Pelini.tion_of Homco%vner. Person (50 who own a parcel of hind on s.4,1-ren he/she reside or 1t1tcods trl ri-side, no which thcte
is, or is tntended to be. a one c; t.,vo farrt)i d welling,attached or detached strite-ures ai.,<,,zs;ory :o such 11'.,n a•.;,,,i'os farm
structurer,. A rxtrsort who, constructs pt,oreefinit one home in a two-ye:1r pt'ri.od. shai) not be con.sitteLega homep■y nett.
Such''horntryArier' sh,ii tt,..brn,t !o toe fiijidinit, Official, on a form acce7ia, :t.: to .-tte b..,: ,-.tin-, Oftic;aLthat heishe shalt k,c
rep.onsitttic for all such worLi2sLrictpurd under the htlilidiniLat_tritiit,
As acI.ing Constructittil Sueri.iscr :.,).t pieyttt,...e on tIiciot se svi,l .--.-:. ,tc,': :,-e.t ft,;11. I me tc, :rtie. dur;nra :zi IT,
completion of thc work f.,, '.vhieh Us pernin is issued.
kit be adv;.nd that It n'.! ieter e nee io Charier l 'Y.:,' tWo.-kers Comp( c,1!./kG.; • 1 C.ti."_1.'.'.'" I s.3 . ,tif.' 1".t, t'q ing :, ,,'!''' .'•-'
D.11PC,Y1:'''S f !,11CleS i',8, r•'•°•:'■-• ;;: W 1)CdCr,'cftne.: N4dS1,■1■:Th'. ,:ft'.. ',-.7C:1C::::: i "•\, \nr)r)t2;,:d. Niiiii in,:p.' bc. lie hie
_
you hire t,t pertcrm i‘itrk e ,t yoo rnder !his permit.
The undersigned "" ortu,.t)■k!',e-;'" t :'rd:! es and ....F,SlInle::responsibility lot ,:t.'n1pl!-:nct.t ,+trth the ar,' Bui!dirti C,tde. Cit‘' ol
!jorthat,tptot, t_etzt'itwin. es, stare ,tid : ocr'il t'onint2 I.aVtS and state ,.:fV,Isi.,;, r,ttc..tts ‘. ,:t!,-:?,,il
Homeowner .'tttgnature a
,...
r
•
.
, . . .
New House 0 1 Addition ,ef. .1 Replacement Windows ! Altcration(s) 1771 ! Rooting C..]
)! Accessory Bldg LI 1 Demolitionp ! New Signs [ I Decks 'i Siding[ ] Other 1 ;
Ii-lriet ''Iescription of Proposed Work_.4-441__ eta-5571 erffilefft cot ray" eic hour-5e - -1 r4-7/1, caei,lbw)
i meration of existing bedroom __ _ Yes ____ . __ f‘fc, Adding new bedroom Yes _ _ No
i Attached Narrative !ii! Retrcr,ating urdlnisheo basement ''eF, __________No
l Plans Attached f-?,oll Ti - Sheet Li
b. Number of rooms in e,acl tamlly on t.__,..C_ _____.3 r‘fm.noer of Bathrooms :1' -2-
/ e /
1 t" Method of beating?_0// I'HO f2irepiaces 0 r Woodsto',Jes f e Number of eac, -1-
| h >ypao/ construction w0 _
tin! i /s const�c�onwi1h/n l0O �. of weUards, /es uco,s!*ct.onwithin lDOyr. hnudv'nY�sNo
i »
■ i Depth of basement nr cellar floor below /imshed radc (.J_
| • vviUbu'!d~g conform to the Du!ldin6 and Zon/ng 'egu|ubors/ /Yes
No
1 Septic Taw(
I City Sewer / Prvate w.el; City water Supply 1/
! SECTION'7a -.OWNER-AUTHORIZATION -TO BE COMPLETED WHEN
1 OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
, ‘.t ..„,14,..,&111/6, , as Owner ot tr;e sublect ;:rar_;,e,t;,
*-_______ ._Ii. _ A.., ,,.__. 1.11.; , \ ' I .416.. I -. a•--' .•.:. 9 7 71' i ,26 Ci V
_ _____.. as [ wer/Auf:o?'zed Agent
ne/eoyoec|ae tnat !ne t:lat4ments^an* mfo,rnat on, or tnm |orpgomgapp!!cahco are true and accurate, to the hest o/ n`y
knowledge and belief.
Signed under the pains and penalties 01 pm
_
Print �
'
i -- ----- --- ---� ----'-
_�� "`�m ,/ ,_� ��_��_".�___ ��_�______
~,--
^
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 i Q 0 `` /3 O '1° 5
Frontage 8
Setbacks Front ge�f 614
u /
Side L: l R: o� L: l 8 R: S-
t
Rear /5.5 /5S
Building Height
54,y i-ar%es
Bldg. Square Footage i(Jt7o l % j eiet5,0 / %
Open Space Footage %
(Lot area minus bldg&paved e g j�o6 f M8c 0
parking) — —
#of Parking Spaces 3 3
Fill:
(volume&Location)
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
YES
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 V
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:
f a
gx
C m 100 �erlW;: vat 6b I ; , i
Nq arnpton, MA 01060 Two Sets of tr c ra ; arks :7 ,
„__phone 41.j-58A1240 Fax 413-587-127 2 Plo kSi e P ans r: ""
Other Spec fy z
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office
1.1 Property Address:
q Rc gnu n �'4 Map Lot Unit
L1 �,c„jr /a. a as-3 Zone ' Overlay.District°.
e cots 'T Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
.70•r» --1 Lief- du, & let y /.fe/' e-n t0 ,I: LeceI5 44 vi053
Name(Print) Curren Mailing Addres et.V
�/ r� r Current 3 5�'`1—fl_
/e; - �rr) N A_� . 1. ��'����2`�'(K.G , Lire .I f/.,- •phone
Sig"ature
2.2 Authorized Agent:
,fie Se d�'1 cam eY — — 'o. l�0x -391 / /3 vI 11s"3
l
Name(Fri Current Mailing Address:
Sig ur y Telephone — --
'SECTI O-- - ESTIMATED CONSTRUCTION.COSTS
Item I Estimated Cost (Dollars) to be Official Use Only
completed b sermit a••licant
1. Building i 30 5-00
(a) Building Permit Fee
J /
2. Ele:�,rical (b) timated Total Cost of
s t20 Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
1 5. Fire Protection _ —
6. Total = (1 + 2 + 3 + 4 + 5) lip, S� Check Number a�� '7 9 O
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature: __
Building Commissioner/Inspector of Buildings Date
—
File#BP-2005-0485
APPLICANT/CONTACT PERSON Jesse Montgomery
ADDRESS/PHONE P 0 BOX 329 LEEDS (413)585-8482 0
PROPERTY LOCATION 4 HEFFERNAN ST
MAP 11C PARCEL 005 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid OO 4 iO 99.020
(l �5 7
Typeof Construction: CONSTRUCT 22 X 12 2ND FLR ADDITION TO CREATE ACCESSORY APARTMENT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 077410
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN ' ' 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 Co *ssion
/O A 2 /
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.
4 HEFFERNAN ST BP-2005-0485
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 11C-005 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-2005-0485
Project# JS-2005-0638
Est. Cost:$42500.00
Fee: $79.20 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JESSE MONTGOMERY 077410
Lot Size(sq. ft.): 17772.48 Owner: STANLEY THOMAS E&LINDA A
Zoninc_URA Applicant: Jesse Montgomery
■EFFERNAN ST
Applicant Address: Phone: Insurance:
P 0 BOX 329 (413) 585-8482 ()
LEEDSMA01053 ISSUED ON:10/22/04 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 22 X 12 2ND FLR ADDITION TO
CREATE ACCESSORY APARTMENT
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:;, i�. +"ti i�: �`r }u-u1 ;Rough: House# Foundation 0(C /—/09-.‘j -Ci-
Driveway Final:
Final: ' Final: b f
,73 Rough Frame: C/
Gas: Fire Department Fireplace/Chimney:
0;3: Insulation: o( J2
Final: Smoke: Final: 6 K a-a _1
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLAT1 N OF
ANY OF ITS RULES AND REGULATIO .•I
r//C',
Certificate of Occupancy Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 10/22/04 0:00:00 2266 $79.20
212 Main Street,Phone(4 i3) 587-1240,Fax: (413?:5 -1272
Building Commissioner-Anthon