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35-154 (4) } N 0 E. O' i c w a rte, a > > • k 0 S• o m o � D CL CD D Q- + V Cb ti V 7 r, � o o _ �D w CD w w a p p 3 a 23 yl . 1 h9 � M' N � O N � N• � �" '�' ; �� O � -tea �, r W 8 a fD ( r- - - w : i to ct to gA ON i x b 1 s { O O N a 1 ; : I E i j P I � r P 1i t E 1 IF' E, l J1 IT 111.11111 ills 1 Mae" - 1-0-1 �� G r Q r � a ,7D xf uq c a m � ra w u zt d x _{ x Q ar W � Ira O DD n ae c a � � r REScheck Software Version 4.1.3 Compliance Certificate Project Title: Ryan Rd Ranch Report Date: 11/17/08 Data filename:Untitled.rck Energy Code: 2000 IECC Location: Northampton,Massachusetts Construction Type: Single Family Glazing Area Percentage: 16% Heating Degree Days: 6404 Construction Site: Owner/Agent: Designer/Contractor: 792 Ryan Rd Theodore Towne Theodore Towne Northamppton,MA 01060 23 Loudville Rd 23 Loudville Rd Permit Date:11-17-2008 Easthampton,MA 01027 Easthampton,MA 01027 413-527-9060 413-527-9060 TETowne @aol.com TETowne @aol.com . ance:Passes Compliance:11.4%Better Than Code Maximum UA:298 Your UA:264 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Cathedral Ceiling(no attic) 256 44.0 0.0 6 Wall 1:Wood Frame, 16"o.c. 1248 13.0 0.0 82 Window 1:Vinyl Frame:Double Pane with Low-E 205 0.034 7 Door 1:Solid 42 0.290 12 Basement Wall 1:Solid Concrete or Masonry 1248 13.0 0.0 77 Wall height:7.5' Depth below grade:6.8' Insulation depth:6.8' Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1248 13.0 0.0 80 Furnace 1:Forced Hot Air78 AFUE 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 2000 IECC requirements in REScheck Version 4.1.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title ignature Date Project Title: Ryan Rd Ranch Report date: 11/17/08 Data filename: Untitled.rck Page 1 of 1 40 - _�k�f MF-2004-tip!3 �J ' ` AFPUCANT/CONTACr PERSON Mioliael Carty L�+� I N t(FT f; S S f 5 I E } ADDRESSMHONS PROPERTY LOCATION 792 RYAN RIII A MAP 33 P RCEL 154 DOI MNrs 3A r joL P r- • -�S SEC'1'I[IN PoA QMCIAL ONLY: APPLLCA=N- M4MOSED REQUIRED DATE •• izYUxux P*P - Filled atrt Fee Paid — T=Mf Cnaugfgg, RAs dam tand rebuild New COMMILtLqu Addifjart to qz, Plana Inch-ded: 3 sets of Piaoa/Plat Plan TIM PgLLOWU4G AM ON HAS BEEN TAM ON THIS AMICAVON BASED ON MYJAMATION PIRESVnXD. Approved Additional permits r eq dttd(see below) nANNUIG BOARD P ZRMIT REQUMM U=R:5 ./ Inownedietc Project: Site Plan AND/OA Specimi Pao*with Sire Man Major Project Site Plan ANDlOR Special Permit with Site P ZONING BOARD FERAUT REQUMM UPID)ER:§ Finding Special Permit Variamee" ! Received&Recorded nt Registry of Deeds Praaf F=kwd _ ew 04oai Permits Requft& of-Aw Curb Cut from DPW _W&W Avaitob111ty S"w Avat7a 44e-4-A Septic Approval Band ofHaalth well Water Pombiliq+ Owd of lth Ave;7%01400 J. } Permit fi m Coaseervadon commission -„_Permit from C8 Arehitectme C Pctmst from Eim stmet $$ion permit DPW Storm water 2 Sigmhtnof ta] Date No*bounce of•Z"ing per udi does not relieve a appWlIt's burdes to comply with all zoning r+agotrettrtnts and abola all required penults from Board of Health,Conservation Commission,Depar of pubme works and other apptisa<bk permit grunting vutheritim *Vstiatic eo are granted Dryly to tLose applies w!w meet the sniet swukrds of MGL 40A.Contact the Office of Plantong&Uev414pWent for mere Wormatioa- TOTAL P.O2 £00/Z0018 M ££:60 8002/£0/0l AcORD. CERTIFICATE OF LIABILITY INSURANCE ei�i ooe PRODUCER (43.3)586-7373 FAX: (413)584-0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION, ONLY AND Aquadro & Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, CERTIFICATE E)(TEND OR 355 Bridge St., P. O. Box 357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton MA 01061 INSURERS AFFORDING COVERAGE NAIC# INSURED msLpmA:Travelers Indemnity Co. 25658 PAUL HOWAL DBA KONAL PAVING INSURERM PO BOX 297 INSURERC: INSURER O: WHATELY MA 01093 04SUPERI- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOINN Y HAVE B i REDUCED BY PAID CLAIMS. POLICY R TYPEOF p�JRANCE POLICY NL 78=FUC IIIfE PDA EXPIRATION LIMITS GENERAL LIABILITY 1,000,000 DAMAGE TO RHtfED LTABaitY - - -- —_- __ 300,000 CLAIMSMADE ®OCCUR I6803844M779IND08 6/21/2008 6/21/2009 pplp q� "- ------'5,'000 &ADV INJURY E i'000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLES PEk _ $ 2,000,000 HX PRO LOC AUTOMOBILE LIABLLRY COMBINED S*KA E LIMIT ANY AM (Ea accident) $ 1,000,000 A ALLOW ED AUTOS BA-384516346-08-SEL 1/22/2008 1/22/2009 BOMyINJIRY X SGHFJxI.i�Auros (Perpenwn) ; 1X HIRED AUT10S BODILY 94JURY $ X NO*0WNED AUTOS "sedda t) PROPERTYDAMAGE $ (Per ac*w) GARAGE LIBRA Y AUTO ONLY-EA ACCIDENT 3 ANY AUTO OTHER THAN EA ACC : AUTO ONLY: AM S EXCESSFUMBRELLA LIABILITY EAW E _ OCCUR Fl CLAIMS MADE AGGREGATE S $ _ DEDUCTIBLE $ RETENTION 4 S WIlOWIC-R.4 rn-i AND WVC STA - O - — EMPLOYERS'LIAB0.ITY-T.._.,"—---- E EACH ACCIDENT - Y PROPRETORIPAPnTE — --- AN OFFICERM4EMBER EKCLUDED? E.L DISEASE-EAEMPLOYEEi -.-- II yes,describe under SPECIAL PROVISIONS below EL -POLICYLIMIT Is OTHM DESCRIPTION OF ADDED BY ENDORSEMENTZPECtAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THEODORE TOW" EXPIRATION DATE THEREOF, THE INSURER WILL ENDEAVOR TO MAIL 23 LUUDVILLN ROAD 10 DAYS WRITTEN NOTICE TO THE CERTWATE HOLDER NAND TO THE LEFT,BUT NORTRUIPTON, MA 01060 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY WND UPON T14E ITS AG AUTHOR= , ACORD 25(2001/08) A RD CORPORATION 1988 INS025(otaeloea Pass 1 a 2 Rug 20 2009 3: 07PM HP LRSERJET FAX I'' 2 PRODUCER THIS CERTIF CATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND NFERS NO RIGHTS UPON THE CERTIFICATE KS K Intuonce Agency Inc HOLDER.TNi CERTIFICATE DOES NOT AMEND,EXTEND OR Po So:397 ALTER THE -OVERAGE AFFORDED BY THE POLICIES BELOW 2D3 NORTHAMTM ST ! Ealth coon,MA01027-0597 11 COMPANIES AFFOWNO INSURANCE COMPANY A`, GRANITE STATE INSURANCE COMPANY s INSURED 7 modem$arwwww b Ransom Pudmon i i Loon*Wry Eaathamptcn,MA0i02T-= i THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LOTEO El LOWY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MDICATED.NOT VVITIMANDNNIS ANY ReQU TERM OR CONDITION OF ANY CONTRACT OR OTHER POCLIMENT WITH REBPECT TO WIBCH THIS CERTIFICATE MAY 8 ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED THE POLICIES DESCRIBED HERISN IS 8tZJECT TO ALLTHETERM8. LISIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN RE MAY HAVE BEEN DUOED SY PAID CLAIMS. sa 04 P D P MA A eLlPtoraRtrtaelLnr ' LINM E PROPR�ETOII/ RIP ARTMERSIvcECUrNE Frcpti AXE: ct o E7fCt o 8285978 1/03/2008 1103/2009 TATtl7Oitr uurrs wva�Ay�Ih.lelW►vp.tMMrc.Qapr ! ' ACCOEMT S 1,OOQ,00 G. ISEASEPOLMf I.WIT S 1.09Q,00 NAWI&O D E 3 1,000,00 Mt NO PMTNER3 ARE COVERCD BY TM WORKERS COMPE,$ATION POLICY. t ' CERTIFICATE HOLDER CANCELLATION } THEODORE D TOWNE INC MOULD ANY VF TMEA94+09MINED POLICIES of CANCELLED WORE THE WVAJ0"DATET%Vt THE RSSUIRSCOMPANYMALI EMDEAVORTO MAILN 23LDUDVIUERD DAYSWROTENMOTCE ECERTNICATEMOLDERMA kIMTOTMlLEFT,wT EASTHAMPTON,MA 01027 FALURE TO MNL SUCH ICE MALL NPOSS NO O Ul"TPON OR L"ILITY OF AMYKIND VPOM THE .ITSAGOTL OR REPRBSENTATNES. AUTHORIZED AEP t EWATIVE I ti. i•t I I� F j a, 5.{ Aug 18 2008 9: 34AM HP LRSERJET FAX P. 2 ACORD CERTIFICATE OF L BILITY INSURANCE DATE OlillMME PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KS.K INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 203 Northampton St. ALTER THE COVERAGE AF'F'ORDED BY THE POLICIES BELOW. P.O.BOX 597 Eastham n MAGI INSURERS AFFORDING COVERAGE INSURED INS A: HOLYOKE MUTUAL INSURANCE COMPANY M S R CONCRETE vHsuRER B: SAFETY INSURANCE COMPANY ~� P.0 BOX 688 INSURER C: —� EASTHAMPTON,MA G1027 INSURER M INSURER E: COVERAGES THE POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED THE WSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOU►REMENT,TERM OR CONDITION OF ANY CONTRACT O OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DES ED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCE Y PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE S1,600,0 00. A COMMERCIAL GENERAL LIABILITY CPPM7016949 06103/08 06103109 FIRE DAMAGE WW one fire) $50L000. CLAIMS MADE I MJ OCCLJR MED EXP one on 15.000. PERSONALdADVINJURY 11000,000. GENERAL AGGREGATE $2 W,000. _. GEN1 AGGREGATE LIMIT APPLIES PER: PRODU CTS-COMPIOP AGG S2,000.000. X POLICY M PRO- LOC t AUTOMOBILE LIABILITY 8 ANY AUTO 3446419 03!2412008 03/2412009 COMBINED sINC�E LIMIT s1,000,000. (Eaacaocnl) ALL OVNNED AUTOS BODILY INJURY 1 X sacHEDULE0AUT08 {Per pereoal HIRED AUTOS BODILY INJURY s NON-OVINED AUTOS (Per smdem) PROPERTY DAMAGE s (Per a kk-) GARAGE LIABILITY AUTO ONLY-EAACCIDENT S ANY AUTO OTHER THAN EAACC S AUTO ONLY_ AGG s EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S _-"—!- DEDUCTIBLE 5 ,_____..--�- RETENTION S S MIITATU- 0TH-1 ORKERS COMPENSATION AND W y EMPLOYERS'LIABILITY BEING REUESTED FROM CO. E.L.EACH ACCIDENT s E.L.DISEASE-EAEMPLOYEE S E.L-DISEASE POLICY LIMIT 1 S OTHER DESCRIPTION OF OPERAnGNSILOCATIONSNEMCLESII!XCLUSIONS ADDED BYEN RSEMENT/SPECIAL PROVISIONS CONCRETE CONSTRUCTION CERTIFICATE HOLDER AOINTIMAI.BNSURED-iNSURiR LETTER CANCELLATION SHOULD ANYOF THE ABOVE DESCMEO POLICIESBE CANCELLED BEFORE THE EXPWATM Theodore D.Towne Inc. DATE THEREOF,THE IW"NG INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrriVN NOTICE TOTHECERyTC4TEHQLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 23 Loudville Road 1 EdStharlipCOfl Nia 01027 IMPOSE NO OBLIGATION OR idiin rv'oo— k-kAgo THE SURER,R3 AGENTS OR REPRIMENTA AUTHORIZED XwA 443-787-2646 ACORD 2S-S(7/97) r bRQ CORPORATION 1988 ACQRA. CERTIFICATE OF LIABILITY INSURANCE si4�`" PRODUCER (413)447-7376 FAX: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Reynolds, Barnes Hebb ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE eyn HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 4889 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 166 East St. Pittsfield MA 01201 INSURERS AFFORDING COVERAGE NAIC# INSURED wSURERA:A11 America 20222 DAN WHITELEY INC motor a Central Mutual Insurance 20230 52 COTTAGE ST REAR wsmm c:Central Mutual Insurance 120230 INSURER D: MA 01027-1619 INSURER E. ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. kTE LIMITS SHOWN MALY HAVE BEE I REDUC BY PAID CLAIMS- R TYPE OF DISURANCE POLICY NUMBER POLICY DATE m LBN fS GENERAL LIABILITY $ 1.000,000 8 COM ERCIALGENERALLMO ITY TOTtBIiED $ 100,000 A I aAmmo DE ®OCCUR CLP 7938625 7/1/2008 7/1/2009 EXP am $ _ 5,000 $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEWLAGGRFGATE LMT APPLIES Pat $ 2,000,000 S I POLICY Loc AUTOMOBILE LIABILITY C01A31NED SINGLE LUMT $ (EA a ) ANYAUTO $ ALL OWNED AUTOS BAP 8616026 7/1/2008 7/1/2009 BODILY KIURY $ 250,000 (Per per ) X SCHEDULED AUTOS 8 HIRED AUTOS BODLYUMURY $ 500,000 (Per aCCideM) X HON4WNEDAUTOS PROPERTY DAMAGE S 100,000 (Par acddent) GARAGE LIABILITY AUTOONLY-EA ACCIDENT $ _ ANY AUTO OTHERTHAN EAAC $ _ AUTO ONLY: $ PLIABILITY 1IRuFNCE $ 1,000,000 8 OCCUR 0 CLAMSMADE AGGRECAR_-_ S, 1,000,000 $ C DEDUCTIBLE CXS 8376975 7/1/2008 7/1/2009 $ 8 0 $ ER-- EMPLOYERVI.MBILITY E.LEACHACCIDENT $ 1,000,000 ANY PROPRIEFOR(PARTNERIEKECUTIVE _ OFFKAMEMBEREXCLUDED? WC 7938626 7/1/2008 7/1/2009 EL.DISEASE-EABr6'l0 $ 1,000,000 Fyea,dempibeumW Dom_ LIMIT $ 1,000,000 1 SPECIAL PROVISIONS bow EJ-OTHER DESCRIPTION OF OPQtATTONSILOCATIONSAIEHICIESIEXCWSI061S ADDED BY PROVL410NS Electrical Wiring CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Towne Builders EXPIRATION DATE THEREOF. THE ISSUM INSURER WILL ENDEAVOR TO MAIL 23 Loudwille Road 10 DAYS WRITTEN HOME To THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Easthampton, MA 01027 FAILURE TO DO SO SHALL&*4=ND OBLGATION OR LIABILITY OF ANY KM UPON THE IHWRER,ffSAGENTSOR tTATNES. AUTHORIZED REPRESE14TATME Christine Rawson U08) ®ACORD CORPORATION 199 ACORD 25(200 Page 1 Of INS025(010a)ma SEP-15-2008 MON 09:06 AM FAX NU. F. U-j LuAM K t;t:KTIFICATE OF LIABILITY INSURANCE RATRIm ow"m 09/15/2008 1413)S9B-0111 FAX (413)S86-6481 'PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber i Grimel l Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE a North King Street HOLDER.THIS CERTIFICATE VM NOT AMEN,exTEND OR Northmapton, MA 01060 R E c 0 INSURERS AFFORDING COVERAGE NAIC a MuRm Theaftri Towne. r• ww"k NQI Insurance C0110pany 14783 Tl Loudvi l l a Road DER a W.PA- Savers Property Casualty Easthawpton, MA 01027 ,ass: trISURE:+'t D: f+ISt1RER� THE POLJCRES OF INSURANCE LISTED SEW W HAVE BEEN tS3uE0 TO THE MSUR0 NAMED AWK FOR THE POUCY PERIOD INWATED-NOTVVITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTWJt DOCUMENT WITH RESPECT TO WHICH THM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE NISLMAMCE AFFORM BY THE pOUWS OMMBED HEREIN OS SULIECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.ACIGRIECIATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T"m or YNI ew" POLICY WHIM LNIIrx GNION t UAMMRr 51046 06 9/2009 061-2--971-06-9 EAIUR OCCURRENCE S 1 000 x CNIfAHt K GENERAL MAAKITY s00. COANO MADE occuR WO UP pow ow Pml f-- "=0w"mVMIJ w 1 000 GENERAL AGGREGATE f z o00 6E1PL AGGRIEQATE LMpT APPLIE8 PER IN20DUCrs-CDfWIOP ARHi f 2,000, POLICY LOC AUNNU MULIAMM ANY AUrO lCO OauU.E LINT a ALL OWNIM AUMs 80Of,Y OLRJRY f SCHEOULE,D AUTOS ow PKMN f1�DAUTOS ' NDN•OVMED AUTOS W-R Y f amwo (Prrarddoro f fARAOwLNM MY AUTO ONLY-EAACCOW s ANYAUTO „� ,L1 ACC i AM MO”r AGO S tRl1Y EACH OCCURRENCE f _ OCCUR GAW WK AOOREGAYE f s AEDf1CT18LE '�'. S IItIUrLWWt LU1�Md1Y AM AR0426011 07/07/2008 07 07/20 X A IKI OFFICE�OICLUDEDT ECVm F-L.EACH ACCIDENT S 100 a 0 ppyy��, EA-DWASE-EA EMWYE f 100 �HONLPROAAS�pN3baioW E.LDAWABE-POLICYL"T i SON) OTHER 3890mwr7m OF OPwRATo"t LOCATIONS/v@mm"r MwLu=w ADDED DY 9moo ummmi 8psmL Pw0Y1fb1at GKOULD ANY 00 US A&M VOWN H:D POLICES N CANOELLND ADM"THE IMPIRATM DAU TWORNW,THE U MWG NBNRrIt wt amouvDR To MIAL IO GAY&wXrM NOTICE TO WNt GWMF CATE HOLDER MA GID TO YHE Lw, Theodore a Evelyn Towne 69T fALUft TO MAIL WCN NOTICE SK&L wo"No ONLIOATIDN OR LmLRY 23 4wwdvi l l e Ra►d OF ANY SM UKO TM O M Oft in AOMS oR AW*IBWAWAtL EasthaRRpton, MA 01027 ADTHORIMWIN1ASMATNB ; henna Rodri CISR ]ER SORD 9S(9001109) FAX: 1413)527-9060 ' OACORO CORPORATION 1"I ---- ---— P-15-2008 I1UN 09 05 AM FAX K0. P. 01 Ate, UERT IFICATE OF LIABILITY INSURANCE 09/iSiZODA' ! (013)S86-0111 MX 413)516-64SI THIS CERTIFICATE 0 MSUIM AS A MATTER OF WORIMATM Vdker i Grinnell Xns. Agency, Inc. ONLY AND CONFERS NO RMMS UPON THE CERTIFICATE i North King street MOLD A VIM CERMCATE DOES NOT AMEN�D,�EXTEND OR Norti>aa�rton, *A o10so RM AKORV"CMRAGE NAIL s Thambre D Inc-. wexaA: NOR Insurance 14738 21 Loudville Road MMMR1k Our- Travelers Easthagwton. MA 01027-2529 areuaul x UM%a wiuft-R L- THE POUCMS OF MISURANCE USM BELOW HAVE BEEN ISSUED TO TIC Mr8MM NAMED ABOVE FOR TM POLICY PERIOD MWATLO-U DY M ISTANDWO ANY RSQUWA MENI'.TOW OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH AWECT TO V*oCH T MS CERTFMTE MAY Be ISSUED OR MAY PERTAIN.THE DISURAMM AFFORDED BY THE POUCIFS OESCRUD HEMN M SL"CT TO ALL THE TERMS.UMANUM AND CONDMNS OF SUCH POUMES.AGGREMM UWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS, TVPlaFN1NMGMCR PaUrGYM1ER LNMIii aaNrMwslAaMnY CPF67IIK Os126 OS / 009 CA"oemuok" s 1 000 X �6$1IERIN.weam ; SQ CLAM NAM (E OCCUR sw iv y"air IM 0 i r q rA PEaSOM&AOV MURY s 1.000 ow 0AI.AGGRE6A7E s Z,000.000 tiMM AQ0FM"TE UMrf APM4 FMt FROOUCTS-COW W AM s 2.000 racy D a n Lac AUTUNUMM.E UAMOM BwGIE UMAr } MMAMO (r,--d aw ALLOWNSDAUM OWL AUTOS Iltir"r-q Y s tmm Avms SOOILY MJURY NON-0NMEpAItTOS tpw+eviw+t3 s R� s MANAMLK IM AUTOONW-EAACOMMHT s AM AM ppi�pp FA ACC ; AUTOONRIF. AGG i �I/�MM.ir'Y EACN a1'O. URRSNCE t OCCUR n CLAM MADE AGORERJITE s MUM" s R�TExztsx+ s s r "°"">+° auIMt9" os/30/ZQU 05/30/Mg X E AMY PR a>_eAa�ACCmTr+T : 100,000 °tcw°ept ctr otissne-�► s 100, $'ECVIL IORS eL.DMEAm-POucYuMIT s S00 9ENgWT M OF Oft"TOMILOMMMIMML01 M=A MADMwInvans6iewl/facW. ONs s1KK"AMYaTMA"Mam"MwPONCNSMECAMO UMlE"UTNM ExPM A7M 0476 TMMIIEOP,TM WNW OMWA t WLI.8MMV01r TO VA L �10am MOY m MOTN:E TO Tus CorT1mat Masm MAw ra THE uw, Theodore i Evelyn Tarns Mff P TQ*VL Ran0R SRS M*GUX►Tew Oa MftrrY 23 LowMlle Road E"thmpUm, 14A 010Z7 A menders C=23(2MInj FAX: (413)527-9060 SACO110 CORPORATION IM a i The Commonwealth of Massachusetts Department of Industrial Accidents -'' Office oflnvestigations u ` 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance davit: Builders/Contractors/EIectricians/PIumbers Applicant Information \ Please Print Legibly Name(Business/Organization/Individual): T i�e J'l r6 ion e— ),7G Address: City/State/Zip: _at;r c o Phone#: 3 -- 6_Z1 7 Are you an employer?Check the appro rate box: Type of project(required): 1.❑ I am a employer with 4. XI am a general contractor and I employees (full and/or part-time). have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 'Remodeling ship and have no employees These sub-contractors have g, ❑'Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp. insurance.: ❑ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 1 1.❑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' 13.7 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 contactors 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-contactors 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.#: O 1S'I rn _ Q 0 Expiration Date: 6_/8 6 1 "4 C 0 cl Job Site Address: jQ r1 �� City/State/Zip: lid rq m 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 penalties of perjury that the information provided above is true and correct. Sitrnature: _ '7 Date: II ^ 17 - OP' Phone#: 413 - 67,3 7- a D(o 6 7�(icircl 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#: mss, ✓�e'U�a»onwitweau✓e o .�ll�rx;�sc�erae%Zi ti -'. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 000724 r— Birthdate: 09/24/1938 Expires: 09/24/2007 Tr.no: 3735.0 Restricted: 00 THEODORE D TOWNE 26 CHURCH ST G i EASTHAMPTON, MA 01027 Commissioner R 1 X0.35 000 cf enclosed space `IMGL C 112 S.6ot) I p_14asonry only iG_j&2 Family Homes :allure to possess a current edition of the thusetts 'Jlassac State Building Code s�uSg for revocation of this License. 344'7233 DIG SAFE CALL CENTER' (888) a Z / 4 3 �' � �&538C1�1i8ttf3 �� : t � yy X11 3 b DEP?.RTMENT OF BUILDING INSPECTIONS .INSPECTOR 212 Main Street ®Municipal Buiklina �`'�c �s,•.�t Northampton,MA 01060 LOCATION SQUARE FOOTAGE AMOUNT C� BASEMENT @ .20 1 FLOOR @.50 2ND FLR @:30 ~-� /FLOORS, FINISH ATTIC,GARAGE @.20 DECK/PORCHES @ __20 TOTAL. File#BP-2009-0535 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 23 LOUDVILLE RD EASTHAMPTON (413)527-9060 PROPERTY LOCATION 792 RYAN RD MAP 35 PARCEL 154 001 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 It? JQ Ile Fee Paid Typeof Construction: CONSTRUCT SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P NTED: 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 Pemlit With Site Plan ZONING BOARD PE IT REQUIRED UNDER: § �' C.{,4,� Finding Special Permit Variance* A5 ey 5�i4A& 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 Signature of Building 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. s 158 North King Street, Northampton, Massachusetts 01060 Delap 413-586-9111 Fax: 413-586-9112 delaprealestate.com REAL ESTATE December 5, 2008 City of Northampton Building Department 212 Main Street, Room 100 Northampton, MA 01060 RE: Building Permit Application for 792 Ryan Road(File 4BP-2009-535) Enclosed is the amended Application on which the sideline setbacks have been adjusted to meet the current zoning requirements. The Ranch that is proposed now meets the current 30' front, 20' side and 40' back setbacks. The plan and application have been changed. Also included are three copies of the revised plot plan and house plans for your file. My office is located in Northampton and I would be happy to pick up the Building Permit on behalf of Ted Towne. If you would call me once the permit is ready, I will pick it up and get it to Ted. Thank you for reviewing the revised application. Sincerely, April West, Associate Broker Delap Real Estate, LLC (413) 246-05202 Cell, 586-9111 xl 14 Office y File#BP-2009-0535 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 23 LOUDVILLE RD EASTHAMPTON (413)527-9060 V,PWWERTY LOCATION 792 RYAN RD THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvveof Construction: CONSTRUCT SFH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P NTED: 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 PE IT REQUIRED UNDER: § Finding Special Permit Variance* tYi Received&Recorded at Registry of Deeds Proof Enclosed Azo t/ Other Permits Required: Z,07— — 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 Signature of Building 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. 792 RYAN RD BP-2009-0535 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35- 154 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2009-0535 Project# JS-2009-000749 Est. Cost: $144500.00 Fee: $961.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 513 Contractor: License: Use Group: R4 THEODORE D TOWNE 000724 Lot Size(sq. ft.): 14244.12 Owner: THEODORE D TOWNE Zoning: SRL00 //WSP II Applicant: THEODORE D TOWNE AT. 792 RYAN RD Applicant Address: Phone: Insurance: 23 LOUDVILLE RD (413) 527-9060 WC EASTHAMPTONMA01027 ISSUED ON:1211212008 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SFH 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 12/12/2008 0:00:00 $961.203029 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo k a =I a a aall � O o ° c y m � o 0 0 � `� ° � ro �c 77 io 0 0 •° ° 7� ° ao UQ o col 3 .._. m m•. �•' � m w n ° ro o o w w v 2 rD = ! s v0, vo y. v `. ... �• a. 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U U U E I� Aug_ 06 08 07: 25p P 2 Op OS c.� rr ;Y4 f �,. . {T• �' 7it. l+..� Y x. �, � � r}, t .-t• r �. � 4 r�( t t{ d �.�. 5 X`r c l IA"v�! xo.: y I tr- f- Y f.•}ten �� ��, Yji'.'D} .�.; �'{ ilia x ..ii Y,� x iv t "•,rr'_ _� �nih >� �-. a i~ _ c �-t•,r �� -. t`` �k /' 7-'.kY t, 'i.Q- c� -r t ,. t1 �'� �• L �' 1 ' Y� _ ! — �D � Y, S v ' q r➢ O i IV ,or�G '�c LoT`l�c for A �C.or 9 or l0. j6,150'"�, II;.o7D"� ° T,084s`,' h c?068 '" /5,3Q7-f° �,1424t#:" �? I,o76 20,748 r` jnB' 9.z5' • � • o,� , Bob 8 ! x.S 34 N 60 09 4 ff Ad 'Nlo - Rug',�}� Qr� 0-7- 25 P 44 4 4A alp Ob OT kor t d 0z5 AIP- • a y e 10. DD any signs exist on the property? YES Ir YES„;describe size, type and location: +•: Are there any proposwd changes to or additions of signs intended for the property? YS ]CNOI� IF YES, describe size, type and location: 11. ALL INFORMATION MUST”BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column,reserved for use by the Building Depurtmznt EXTST7iNG PROPOSER i�III Lot Size -f A i ^` f Frontage �L�3+ F. 7= C3 Setbacks Front Q ?� Side L: 15 ft_ IS L: R: Rear 30 _ Building Height 6P` Buitding Square Footage = _576 m Open Space: (!ot area <77 // �p - minus binlding Ft paved parYsi4 oL to "U #of Parking Spaces #of Loading Docks �- Fill: (volume Et location) 12- Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: A Applicant's Signature NOTE:Ls`canoe of-a zoning permit does not relieve an applicant's burden to_comply with all z b re einents and obtain A required permits from the Board of FP a7- 1i,Conservation ommission, Historic and Architectural Boards,Department of Public Works and other applicable permit g-an#4 authorities. GOO.pdf I 'd e�5a =L® UO I-D �nU Hag. J6 08 070 22p P. P G, td, r`Q j � File No ©��Jr r, _ Ftease type or print all information and r.etarn this for to the Building haspector's Office ufith the Sri 5 f ling fee (check or money order)payable to the City n fNortha-anpton I. Name of Applicant:_Estate of CATHLEEN O'CONNOR, Michael J. Carey, Administrator Address:703 Northampton Street, Easthampton Telephone: 413-527-0600 Z_ Owner of Property:_ Estate of CATHLEEN O'CONNOR c/o Carey Law Offices Address: 203 NQr�=tpn St. , Eas ha =ton 01027 Telephone: 413-527-0600 3. Status of Applicant: C)wner _._Contract Purchaser _ Lessee Qther`(explain) Administrator' -1. Job Location: 792 Ryan Road, Florence AM Cai"n�,g_p lap# - rt��"• '"'-��.a.c_ •'u'�'�-'i�� _`5.��5�'_�u.,;�� `F - _ _ �`L"^ice- K F: 5. Existing Lhe of Structure/Property: ' ,a-�.�_JV`z �� I"t�'Y�-Q_ C�►--- (,(,iv�.:s �Pi�C�-�.t%✓ l� r 7L t F 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7 CLr,_. /1,1 0-20 7. Attached Plans: Sketch Plan Site Engineered/Surveyc�l Plans 8_ Has a Special P ermit/Varian ce4Mndi no ever been issued for/on the site? NO ON-T KNOW - YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document f 9. Does the site contain a brook, body of water or wetlands. �� 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: . (Form Continues On Other Side) r • Nile#MP-2009-0013 S � 0 `E © 3 APPLICANT/CONTACT PERSON Michael Carey w7 ?LR 0 Cry° l S ADDRESS/PHONE PROPERTY LOCATION 792 R ' SR (€S P�G THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ONING FORM FILLED OUT e Paid I 006 Building Permit Filled out Fee Paid Typeof Construction: ZPA;demo and rebuild 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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: § �v f J�iR9w O� Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability O�I�s.� Slims Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street 5v&ssion Permit DPW Storm Water ana ment 004 yZo Signature of I36trm7g Of cial JIV 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 the Office of Planning&Development for more information. SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: �1 .2D a '� �9 License Number Lo Address Expiration Dat Signature Telephone �; Not Applicable ❑ 9_Re_4istere�'f=1'oiiie frnpr�cv{ie"men�'Ca�tra ctrrc _� � �.. J J/ CA I 77 Company Name Regi tration Number Lo Address Expiraticn Date Telephone >J SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NI.G.L:6.:152;; 25C(&)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to-pro-vide-this-affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ 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-vear 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 aft applicable) New House � Addition ❑ Replacement Windows Alterations) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[o] Other[0] Brief Description of Proposed �1 Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and,or,adMd. t st«i "hou [at�urri : a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms 6 c. Is there a garage attached?I_ d. Proposed Square footage of new construction. � _Dimensions 96 e. Number of stories? 0 f. Method of heating? ( LIL" Fireplaces or Woodstoves _Number of each--- -- — -- g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 7 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 f rr k. Will building conform to the Building and Zoning regulations? Ye No. 1. Septic Tank '22,0, City Sewer Private well "A*— City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES.FORBUILDING!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 wner Date as OwnedAuthorized 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. -7i�C:aZ>v 9g� n l C"' � Print Name Sigra6re of Owner/Agent Date Section 4. ZONING Alt 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 Frontage Setbacks Front Side L:,- R:+, 3�E L:- R:'3-1-1' :3 i.1' Rear �- Building Height r Bldg. Square Footage i Open Space Footage % (Lot area minus bldg&paved j'1 ti parking)_. �.�_ .. . #of Parking Spaces _.._... _ _.w._ —_..-..-_ Fill: - (volume&Location) -- --- = — - -- - - A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO C) DONT KNOW YES Q IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Page; and/or Document#! B. Does the site contain a brook, body of water or wetlands? NO W DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued. C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES I NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavatiorT, 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. City of Northampton 5 Building Department ' ,.: 212 Main Streete` Room 100 es �ratatrtl Northampton, MA 01060wc5e phone 413-587-1240 Fax 413-587-1272 Plod a % Kma 2 .� .eu. � J,•�` APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH WOFIE OR TWO FAMILY DWELLING NOV 1 21108 SECTION 1 -SITE INFORMATION:V p s This _y. _m I�te 1?. d by office ' seettort to be ca 1.1 Property Address: r r t of Zone Overlay District >Elrrs"St.District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZEQ AGENT 2.1 Owner of Record: game(Print) -� Current g Ad reJ�S Telephone Sign u 2.2 Authorized Agent: Ire Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only corn feted by ermit applicant 1. Building (a)Building Permit Fee 1 t?0© 2. Electrical (b)Estimated Total Cost of Construction.from 6!. 3. Plumbing Building Permit'Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Totai= (1 +2+3+4+5) 0 U Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date __ -- 05 AM FAX N0, P. Ol SAP-15-20t�8 i�N 09: c:ERTIFICATE OF LIARILITY INSURANCE F ages ' "COMM (413}Si11-0111 I°AX (413}5�5--Ur -540 CORTIVATE Ri WSUSD AS A NATTOR OF INFORMATION Wabber G Grinnell Ins. Agency, Inc. ONLYAND COMOM no RUM UPON THE CERTIFICATE i North Icing Street "OUIBLYWCERTOMEOM NoI AMEND,EXT BED OR NorNhs"ton, NA 01060 AFFORDING COVERAGE NANO M seam Theaders 9 awns, DiEv MUMS& Nt3t Insurance 14763 23 Loudville Road same MCAR- Trawlers EaSOMpiton, MA 01027-2529 p • INarN�a MSUMM E aftwom UM POUCM OF MIStIRMiCE lIS M 9E OW NAVE MN MSM TO YM WwjM gAIED AWYE FOR THE POLICY PERIOD NIDIC1ITN�.MIOTIMfifSTA#IpiNCi AMf { 9ENt TM6I1 OR CQNDITIQN OFAMY 00lRRAtT OR OTHER WITH ACT TLt 1M4t�Mt T1118 iitTtFlCllf E MY►Y Bl ISSUED QR MY PElt7 AMI,TiE MIMIRA#MM AFFORDED!1>t THE POtiCMS lIERFAI IB SiIQJECT T4 ALL YIIE TERM6,OOtI.S AND CONMTiONIS OF 3L�CM POl3CtES.AOtM�A'i'E tilAf YS SliOYYN MAY HAVE BEEN!�lICED iM PAw txAR118. TWROfalOI�MIC6 •OIJC1►MIER iuMfft 40MMIALHANRtrT t7T#'t?Itli 05 05 X009 wsi occur s ! 000 x 6lNIEIIALLMwtiY ; 50 CAM WAe axua N�Nxrw,«urau : S A sAwsur s 1000 o ►LAacnEV+►TE : 200004060 GENVAQQf49MWUWTAPPMMft rR+t7tt IM-t�uN°JpPAW s 2.000 PoUCY J6Cf'R�jr LOC AYTUNDwttmmwm AWAUM A.L OrglM AUMS 0001lY Itij{(RY SCHEDUMAMS 1i DA6iTOE WOLYN AW "WOWNIMA07M MWrEMYCAIMM i SA1Mt7aOmmu Y AuT40Nl1f-E#A t i ANYARD TiFAII FAA= = WTOONLII AM i �J1LNeNiYY wMaccuIgmme i pWOE AGGFZSR'M t i IMAM 0151N61909 OS/30/2003 03/10/2009 it NI Bi..L'ACIIACCMGW s 100X Goo EXCLUGM CL.OWEASO-& eng s 100, N0—j '100' EL.DIlEA4E-!'Oi1CYLiMFf : Soo artier Or 3�Ort10MGF01'BIAlIONSItACA�IONS IVB�CLBN,gI{�ffiIOIISAOam1sM'g4G�BifilPKiA��IlONW01111 aNaltlo AMY O!'t1/EAiOrL Pou�ASt NECAw01'LLG4l�ORETxM flQM7=0476 TI RW.TICaMING WMAM OLLO "VORTO WAIL -4_0 MSWM#, OOT=70TNnO MFMATatMLDM AAMTOYIIELEFT. Theodore i Evelyn Towne our s u nio am suan mama sN aLaw w NO 001AMTNIN OR LM1IR.RY 23 LomMlle Road QFAANT9MD MTWIMaa�nSA4WMQese aa�TwTa�es E"thanpton, NA 0102? mnummmarammarrAwa thia fNdlderson CORD ZS VppMl FAX: (413)52'7-9060 GACORD CORPORATION 1NINNQ HOME OWNED EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 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 hour) 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 b The Commonwealth of Massachusetts f—= Department of Industrial Accidents ".' Office of Investigations Wr 600 Washington Street w Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/IndMdual): hC'C b ^L 9ci?igC? r,Cl _ Address: ;� 1—o t•� l �' City/State/Zip: c t9 /Yl, Phone#: Are you an employer?Check the app opriate box: Type of project(required): 1.❑ I am a er with employer 4. I am a general contractor and I P Y � 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g.,�Hemolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.r-1 I am a homeowner doing ail work officers have exercised their 11.0 Plumbing repairs or additions right myself. [No workers' comp. , exemption per MGL 12.[]Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.7 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: k--C,0 e_ Policy#or Self-ins.Lic.#: 6 ( (Yt 6: & 7 9 d`j Expiration Date: Job Site Address: —7 9 - a Y1 City/State/Zip: I V&-T h czrh D15—ton 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 penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 7 C'I 0 (c, C) O fcial use only. Do not write in this area,to be completed by city or town officiaL Citv 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: �� Not Applicable ❑ Name of License Holder: ( k eodore, ' '1u:ii-u License Number Address Expiration Date Signature Telephone g.=Registered Home,lm roverient'CQistractpr Not Applicable ❑ Company Name Registration Number Address L'UJV.I I Expiration Date c, e 1. �'T�IG M(✓�C � Telephone 7" SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GL.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...... ❑ 1`1. -Rome,©w»er- tern t�o> 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-vear 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) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition New Signs [0] Decks [E] Siding[M] Other[O] Brief Description of Proposed S Work: loe mG J rA iol C'ST I S I•/lG� C!as`�' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roil -Sheet 6a. If New house and or addition-to existing houSincg'corftplete 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? d. Proposed Square footage of new construction. Dimensions e. Number of stones? f. Method of heating? Fireplaces 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 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 , 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 , 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 Sign re 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 Frontage __ .._, .__... .._". .....w m ".._...._. ."_... Setbacks Front Side L._....,_..._. R.'._.-_ L: ..__.__r R Rear Building Height " " Bldg.Square Footage Open Space Footage ° (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/'on the site? NO 0 DONT KNOW 0 YES IF YES, date issued:" IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES H0 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? Needs to be obtained Obtained , 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 0 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 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ('_s De{sartrnIe Lis e-�1' City of Northampton StatErofP'eit Building Department Gr'?rtuGut/D'nvewayPern> '' <� 212 Main Street Sewe;rlSeptidA-4 I66wty. �, Room 100 W61 r0e1lAveifalbElity Northampton, MA 01060 Two sets of strr "£ phone 413-587-1240 Fax 413-587-1272 e n s fib 5 ti APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE R2ff FAMILY DWELLING NUN a SECTION 1 -SITE INFORMATION j 1.1 Property Address. T -se�etion to be cgr�;,hy-o'6fice Map ___- Lot Unit 74? ( yon ka .Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: I hec&r-e -3) i a (I y Lc c4u He Name(Print) Current Mailing Ad-dfgss: CL 51 Yl-)I-A �L° it F f' 1r1 Vfd't7 Telephone / Cdr . Signature J7-` �l�G� aZb col 2.2 Authorized Acient: .1 I I�, OU -j y ��n� �I���� hh,-�,r e c. x.'"� ��� >1a . List �►� Ln Name(Print) Current Mailing Address: -1`7 - � U L•,ri 1�o b J, Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (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 Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0534 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 23 LOUDVILLE RD EASTHAMPTON (413)527-9060 PROPERTY LOCATION 792 RYAN RD MAP 35 PARCEL 154 001 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 Fee Paid T_ypeof Construction:_DEMOLISH HOUSE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE F LOWING 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 �Pen-nit DPW Storm Water Management Demolition Delay ;K "�,/ Z ��Zc;ez Signature of Building Official Dat 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-2009-0534 GIS#: COMMONWEALTH OF MASSACHUSETTS : ? � ;i ►. 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-2009-0534 Project# JS-2009-000749 Est.Cost: $0.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin THEODORE D TOWNE 000724 Lot Size(sq.ft.): 14244.12 Owner: THEODORE D TOWNE Zoning: SR(100)//WSP II Applicant: THEODORE D TOWNE AT. 792 RYAN RD Applicant Address: Phone: Insurance: 23 LOUDVILLE RD (413) 527-9060 WC EASTHAMPTONMA01027 ISSUED ON.1112012008 0:00:00 TO PERFORM THE FOLLOWING WORK:D E M 0 L I S H H 0 S E 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 11/20/2008 0:00:00 $35.003028 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Building Commissioner-Anthony Patillo 17 SEWER CONNECTION INSPECTION REPORT Northampton Sewer Department 125 Locust St. Northampton, MA 01060 (413) 587-1570 ------------- - -------------- jDate: 11/17/08 Engineering has taken ties to service ! Signature �fype of Service New Renewal X Repair [Pipe: Size 8' Material Depth of Main 7' ocation of Installation: 792 Ryan Road, Florence, MA 01062 (street and Number Permit Issued To: I Ted Towne 413-246-6841 Contractor/Developer Installing Mark LaValley Service Connection: I I �Telephone No.: 586-3779 ,The service connection at this location was inspected by the undersigned on i (Date) and approved. (Time) --- have instructed of that the � nstaRation can be backfilled. j Measurements for all installation shall be listed on the back of this form. The information shall be attached to the permit on file at the Public Works Department office. \\Smb 1\admin\Permits\S ewer Entry\Permits 2009\S13-09 792 Ryan Road.doc public sewer; but before any portion of the work is covered. 4. The City shall not be held liable for any open plumbing fixtures below street level. 5. The applicant and/or owner hereby agrees to pay to the City any sewer use assessments or charges as may be established under city ordinance. DATE:j 11/17/08 SIGNED: (Applicant) Ted Towne i 23 Loudviile Rd, Easthampton _ (Address of Applicant) 413-246-6841 (Telephone No. of Applicant) - I $ j 500.00 L- !, inspection fee paid --iL Check No. _ - - - Application approved and permit issued: DATE: //Zj `SIGNED: _---- {Director of Public W s) ((;ode of Ordinances Section 22-41 through 22-52 available upon request. I ie-m to sanitary main - _ 2 �jie-inn to sanitary service at street line $500.00 X ie-in to '1$100 061 �storm drain Permit No. S13-09 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCI.AL BUILDING SEWER APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: he undersigned, being the I Owner of the property _ (Owner, Owner's Agent)_ jlocated at 792 Ryan Road, Florence , does hereby request a permit to install and (Number) (Street) _ - ----- - !connect a building sewer to serve the Residence at said location. � _ g I (Residence,Commercial Bldg.,etc.) 1. The applicant and/or owner shall furnish upon request of the Superintendent the estimated quantity and characteristics of waste to be discharged to the public sewer. 2. "Owner" shall mean the person holding title to the property served or to be served by the building sewer. 3. The person or firm who will perform the proposed work is Mark LaValley ,of Florence, Ma 586-3779 (Name) (Address) 4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit"A". In Consideration of the granting of this permit, the undersigned agrees: 1. To accept and abide by all provisions of the Code of Ordinances, City of Northampton, Massachusetts, Sections 22-41 through 22-52, and all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to the City. 3. To notify the Superintendent when the building sewer is ready for inspection and connection to the aiu UD �s co +AJh 53a� Permit No. W21-09 WATER CONNECTION INSPECTION REPORT Northampton Sewer Department 237 Prospect Street Northampton, MA 01060 (413) 587-1570 Date: 11/17/08 Type of Service: New Renewal Repair Ell Pipe: Size 12' Material CI Age: 1945 Water Entry Fee Paid: Yes No 0 N/A Meter Size '/4' Fee Paid? Yes No N/A Radio Read Fee: Paid? N/A Location of Installation: 793 Ryan Road, Florence Ma (Street and Number) Permit Issued To: Ted Towne 246-6841 Contractor/Developer Installing Mark LaValley Service Connection: 586-3779 The service connection at this location was inspected by the undersigned on Date at and approved by ime Water Superintendent I have instructed of that the installation can be backfilled. Measurements for all installation shall be documented by the Water Department. The information shall be on file at the Public Works Department office. t Permit No. W21-09 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION DATE: 11/17/08 SIGNED: (Applicant) Name of Applicant: Ted Towne Address of Applicant: 23 Loudville Rd, Easthampton Telephone#: 246-6841 $ N/A Entry fee paid Check No. $ N/A Meter fee paid Check No. $ N/A Radio Read Fee paid Check No. Application approved and permit issued: DATE: f/Zj a8 SIGNED: A-a4-a (Director of Public Works) Fee Schedule: Water Entry Permit Fee: $200.00 5/8" Meter Fee $100.00 3/4"Meter Fee $150.00 1"Meter Fee $200.00 Radio Read Fee: $100.00 \\Smbl\admin\Permits\Water Application\Application 2009\W21-09 792 Ryan Road.doc A; Permit No. W21-09 CITY OF NORTHAMPTON, MA RESIDENTIAL OR COMMERCIAL BUILDING WATER ENTRY APPLICATION A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. To the City of NORTHAMPTON, MASSACHUSETTS: The undersigned, being the Owner of the property (Owner, Owner's Agent) located at 792 Ryan Road , does hereby request a permit to install and (Number) (Street) connect a 12" Water Service to the Residence at said location. (Size) (Residence,Commercial Bldg.,etc.) - --- --- - - 1. "Owner" shall mean the person holding title to the property served or to be served by the water service. 2. The person or firm who will perform the proposed work is Mark LaValley of Florence, MA 01062 586-3779 (Name) (Address) 3. Plans/sketch and specifications for the proposed water service shall be attached to permit. In Consideration of the granting of this permit,the undersigned agrees: 1. The Water Department shall make all taps to the water main. 2. WATER ENTRY PERMIT FEE is $200.00. 3. Additional work performed by City forces from the water main to street line shall be paid at the prevailing labor rates and cost of material. Water Meters 5/8" $100.00 Water Meters 3/4" $150.00 Radio Read $100.00 Water Meters 1" $200.00 Water Meters 1.5" and above shall be purchased by the owners using city specs. 4. A fee of$100 for the Radio Read Fee with the purchase of a new meter. 5. The Water Superintendent shall be notified for water line inspection prior to backfill of trench. 0 � cmf fi ) 337 MUNICIPAL WATER AVAILABILITY APPLICATION Northampton Water Department 237 Prospect St. Northampton,MA 01060 587-1097 A Department of Public Works Trench Permit shall be required prior to any construction or connection activity associated with this application. Location: 792 Ryan Road, Florence Inquiry Made By: Ted Towne 246-6841 Date of Inquiry: 11/14/08 Demolish House/Rebuild and Hook into City Services Number of 1 Type of Single Family X Type of Private X Units: Unit(s): Air Apart. Ownership: Condo Multi-family Rental (An-ul i ant to fill an h .ahov l Municipal Water Main in Existing service to Front of Location? Yes:X No: site? Yes: X No Size of Water Main: 12" Material: CI Age: 1945 Approximate Static Street Flow Test Conducted:Yes: No:X Pressure: 60 If done attach results Size of Service Connection. %713 Suggested Meta Size: 518" Comments: The Water Department cannot guarantee adequate water pressure during peak demand times at elevations above 320 feet. Contractor to remove existing meter pit and install meter inside of new house. • A corresponding water entrance fee shall be paid prior to making any connection to the mmmcipai water System. • is of on shall be made with the Northampton Water Department with aminimum of 5 rkiug days • work N on Water Department specifications. 1 � David W.Sparks,Superintendent of Water Water Entry$ 0 Meter$ 0 Radio$ 0 cc: Ned Huntley,Director cc: Tony Patillo, Building Inspector Note:If this avar'labiW is for a new construction,it must be hand delivered to the Building Inspector. \smblladmii��Perrnits\V'aterApp]ication\` iterllvailabilit�7.doe r 792 Ryan Road DS#2008-460-7758 • ,�„ DEPARTMENT OF PUBLIC WORKS 125 Locust Street Northampton, MA 01060 NO 5327 J 41.3-587-1570 ��?? Aq l'iO DISAPPROVED Date Z!08 By TRENCH PERMIT (Department of Public Works) No work to start until signed Fee: $250.00 Ck#2999 This permit valid for 30 days from date of approval. This permit(License for digging up any street or sidewalk)is issued under the provisions of Chapters 32 and 18-A of the Revised Ordinances of the City of Northampton subject to the"Specifications for Care of Street Cuts"approved and adopted by the Department of Public Works on September 21, 1991. The applicant hereby agrees to protect all cuts with barricades and lights,and to save the City of Northampton harmless from all claims for damages whatsoever arising from the occupation of the highway,until such time as the work has been approved and accepted by the Department of Public Works as provided for below,and in the case of private utility,to pay all charges for resurfacing. 1. Name of Applicant: Mark LaValley Address 207 Sylvester Road, Florence, MA 01062 By Mark LaValley/Ted Towne 586-3779 or 413-246-6841 (Authorized Representative) Note—Contractors will be charged for Inspections requested outside of regular working hours(7:00 a.m.—3:00 p.m.M-F) 2. Location and description of proposed trench and utility(if any),and purpose of cut: NOTE: 792 Ryan Road, Florence - Hook into City Sewer TEMPORARY 3. Estimated dates of occupation of street: Pending Approval PATCH REQUIRED 4. (To be filled in by Engineering Department) Location(line and grade)assigned: INFRA-RED SHALL BE REQUIRED - AFTER TRENCH CUT IS MADE Control Density Fill Required WATER Must install clean-out see attached UTILITIES NOTIFIED: SEWER Refer to Engineering for plans DATE STREETS— / F-1 Subject to 5 year pavement moratorium SIGNED \ Condition of road/Road last paved: o4 94 ,7 Signed: City Engineer 5. Constructed to line and grade assigned. Area Sq.yds. Date: Signed: City Engineer. 6. Completed work approved and accepted. Date: BY: -- (Department of Public Works) Contractor to notify DPW when job is in progress. Engineers need ties to this service for our records. CWD�.Q.Q 'S Ju _ E4d1 ,,.v w ZI-U 1w l s MUNICIPAL SEWER/AVAILABILITY APPLICATION r ` Northampton Streets Department 3 125 Locust Street Northampton, MA 01060 587-1570 A Department of Public Works Trench Permit and Sewer Entry Permit shall be required prior to any construction or connection activity associated with this application. Location: 792 Ryan Road, Florence Inquiry Made By: Ted Towne 246-6841 Date of Inquiry: 11/14/08 Reason for Demolish House and rebuild and hook into City Services Request: Municipal Sewer Main in Front of Location: Yes _ No Municipal Storm Drain Available: 5 %deep Yes No Size of Sewer Main: U Material: Age: Depth of Sewer Main: 2 Size of Service Connection: Type of Service Connection: Tie-in to Sanitary Main Tie-in to Sanitary Stub Comments: se y X11 c -TIE a Lf Note: If this availibility is for new construction, this form must be hand delivered to Building Inspector. A corresponding"sewer entrance fee"shall be paid prior to making any connection to the municipal sewer system.Arrangements of such installation shall be made with the Northampton Streets Department with a minimum of 5 working days notification. All work shall conform to Northampton Streets Department specifications. - _�J,, �Z� John Hall Sewer Department cc: Ned Huntley, Director DPW Anthony Patillo, Building Inspector -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 x NOTE: SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. x, wood shed o° NOTE: STRUCTURES SHOWN ARE APPROXIMATE, A 2 FULL FIELD SURVEY IS REQUIRED TO ACCURATELY DETERMINE THEIR LOCATION. pavilion shed BOOK 2063, PAGE 162 PLAN BK. 36, PG. 34 rNv LOT #8 .°J° /r` H- 100 03�( t X)S71 n!t z© N a� ` s� 1 h, ra ,x 71.83'± RYAN ROAD D: EASTHAMPTON SAVINGS BANK & COMMONWEALTH LAND TITLE INSURANCE COMPANY D THE BEST OF MY INFORMATION. KNOWLEDGE AND RFI IFF -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 NOTE: SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. ,y wood ti shed 00 NOTE: STRUCTURES SHOWN ARE APPROXIMATE, A FULL FIELD SURVEY IS REQUIRED TO ACCURATELY DETERMINE THEIR LOCATION. pavilion shed BOOK 2063, PAGE 162 PLAN BK. 36, PG. 34 rNV LOT #8 °° 1+ tpr 4- �y' t X!srtn/i t(} rn ,3 N t� + @ H_ , Ica r ZOO 71.83 ± RYAN ROAD D: EASTHAMPTON SAVINGS BANK & COMMONWEALTH LAND TITLE INSURANCE COMPANY 0 THE BEST OF MY INFORMATION. KNOWLEDGE AND RFI IFF 1 , -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 NOTE: SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. wood shed O� NOTE: STRUCTURES SHOWN ARE APPROXIMATE, A 2> FULL FIELD SURVEY IS REQUIRED TO 9 ACCURATELY DETERMINE THEIR LOCATION. pavilion shed BOOK 2063, PAGE 162 PLAN BK. 36, PG. 34 N LOT #8 0) j V 1+ 71.83'± RYAN ROAD TO: EASTHAMPTON SAVINGS BANK & COMMONWEALTH LAND TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF l R �l 1 F H9 r, -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 NOTE: SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. wood shed o° NOTE: STRUCTURES SHOWN ARE APPROXIMATE, A FULL FIELD SURVEY IS REQUIRED TO 2>9 ACCURATELY DETERMINE THEIR LOCATION. pavilion shed BOOK 2063, PAGE 162 N PLAN BK. 36, PG. 34 ry LOT #8 0° I+ w % Zo� 3L 1 Ih Iar 71.83'± RYAN ROAD D: EASTHAMPTON SAVINGS BANK & COMMONWEALTH LAND TITLE INSURANCE COMPANY D THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF HFRFFRY RFP()BT THAT I t4-AX/f -EY-AAUnr—Q- • 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, 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 Office oflnvestigations ZZ 600 Washington Street 4 s = Boston, MA 02111 �• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Le6ibly Name (Business/Organization/Individual): �h ell rde � ��u�t1 C- no Address: a ,� _0����� ^��2t'1 0/62-7 City/State/Zip: Ea!�h 0 fh 01,o- Phone#: 3 ~ 6---2 7 Are you an employer?Check the appro rate box: Type of project(required): 1.❑ 1 am a employer with 4. XI am a general contractor and I 6 0 New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ©"Remodeling ship and have no employees These sub-contractors have g. 'Demolition working for me in any capacity. employees and have workers' 9 [] Building addition co [No workers' comp.insurance comp. insurance.: required.] 5. � We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I required.] 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.(] Roof repairs insurance required.]t c. 152, §1(4),and we have no l� 7 Other employees. [No workers' 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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. / Insurance Company Name: �Y'� tit t'-l its — Policy#or Self-ins.Lic.#: 1 S' 1 Expiration Date: /�D o��' `1 Job Site Address: -7 V—QL City/State/Zip: JV d rtka m Ulo rl_ JAA v 1��eU i � 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 asainst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investieations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sianature 724=� 0 Date: I/ ' I '1 - Cal-' Phone#: 67,:? -7- and©(,G Official use only. Do not write in this area, to be completed by city or town officiaL Citv 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#: e SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ c�/ Name of License Holder: J) /41z,-v„f_ C-gCL°2 �;?-y License Number Address Expiration Dat Signature 10V Telephone 9.Registered Home Improvetten#Con#ractair Not Applicable ❑ %-3a 75-1 Company Name Regilstration Number Address Expirati n Da e Telephone ��1- q6y�5— ti 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. .Home:Owner,Egemp ion 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-vear 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 r SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Pull Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [CI Siding[0] Other[0] Brief Description of Proposed /+ Q Work: .dA �� Alteration of existing bedroom 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 6xisting housinq,:'domptete the following: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms b . c. Is there a garage attached? A(O if 6 h!D d. Proposed Square footage of new construction. Dimensions so X a FJ e. Number of stories? e!]H_Q f. Method of heating? ltj Fireplaces or Woodstoves ` Number of each SZ g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 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 f- a k. Will building conform to the Building and Zoning regulations? Ye No. I. Septic Tank '?2,r, City Sewer Private well City water Supply 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 rellaativveef to work authorized by this building permit application. Signature wner / Date I 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 Sign ure of Owner/Agent Date i Section 4. ZONING Alt 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 Frontage Setbacks Front ,,?o... Side L R. >7-._a L•... Z-4- R:132-.,' Rear ..._ _m -- Building Height t Bldg. Square Footage % Open Space Footage % _ �! (Lot area minus bldg&paved 1`ll1 parking)y.m._., #of Parking Spaces Fill: (volume&Location) -..-rY,..,�-,-.•-----. •-----.--- --.�__ A. Has a Special Permit/Variance/Finding ever been issued for/'on the site? NO 0 DONT KNOW YES IF YES, date issued:.`. IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ( YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT 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 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 NOJj1( IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department,use an(y � City of Northampton StatusoPermit Building Department Curts Cut/Dnveway Perms N5'212 Main Street ewer/Septa Avant btttf Room 100 1Naterefl AvarFabitlty Northampton, MA01060 �czetsoSter��cfuraFP tans } phone 413-587-1240 Fax 413-587-1272 PIotFite Ptah y sec S ecif� -�r R APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION NOV 1 L U This section to be completed.by office. 1.1 Property Address: "I Put Map �v Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Game(Print) Current ing Ad ren CyY ps:Telephone SignaturL5 le 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building -0 (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) !r 5. Fire Protection v 6. Total=(1 +2+3+4+5) p 0 Check Number This Section For Official Use Only Date Building Permit Number Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0535 APPLICANT/CONTACT PERSON THEODORE D TOWNE ADDRESS/PHONE 23 LOUDVILLE RD EASTHAMPTON (413)527-9060 PROPERTY LOCATION 792 RYAN RD MAP 35 PARCEL 154 001 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 Fee Paid Typeof Construction: CONSTRUCT SFH New Construction Non Structural interior renovations Addition to Existing AccessoEy Structure Building Plans Included: Owner/Statement or License 000724 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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: § Of Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: oK Curb Cut from DPW Water Availability Sewer Availability i S 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 Signature of Bui ding 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. RYAN RD yh .: BP-2009-0535 GIS#: COMMONWEALTH OF MASSACHUSETTS � �f 4 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2009-0535 Project# JS-2009-000749 Est. Cost: $144500.00 Fee: $961.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 THEODORE D TOWNE 000724 Lot Size(sq. ft.): 14244.12 Owner: THEODORE D TOWNE Zoning: SR(100)//WSP II Applicant: THEODORE D TOWNE AT. 792 RYAN RD Applicant Address: Phone: Insurance: 23 LOUDVILLE RD (413) 527-9060 WC EASTHAMPTONMA01027 ISSUED ON:1211212008 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT SFH 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 12/12/2008 0:00:00 $961.203029 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 792 RYAN Rte) BP-2000 GIs#: _ COMMONWEALTH OF MASS.r' CHUSIE"T S Map:Block: 35 - 154 CIT'V OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Pem-ut: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A Category: New Single Family House BUILDING PE Permit# BP-2009-0535 Project# JS-2009-000749 Est. Cost: $144500.00_ Fee: $961.20 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5R Contractor: Lit r'.:se: Use Group: R4 THEODORE D ToWNE 009724 Lot Size(sq. fl.'): 14244.12 Owner: THEOIIORF, 1)TOWNE Zoning: SR(100�//WSP l.I. Applicant: THEODORE D T�JWNE AT: 792 RYAN RD Applicant Address: Phone: Insurance: 23 LOUD VT RD _ (13) 527-9060 _ WC EASTHAMPTONMA01027 ISSUED 0N:1-7/1212008 0:00:00 TO PERF ORM TIlF FOLLOWING WORK.CONSTRUCT SFH POST THIS CARD SO IT IS VISIBLE FROM TH E STREE?r Inspector of Plumbing Inspector of" ;s iring 1J.C.'.1. building Insiector Underp ound:!. -, ` ��'j'� ?Seri ice:,t- .t D� MEt a: c✓ f �'� r Footings: Rough: L�' c I2ougll: House# Foundatio�i: V Driveway Final: OK Final: f . f 7 /� fir Final:j;/ � Y Rough Frame:(2}`' M,e Gas: Fire Department Firepl .-e/Chimney: Rough: Oil: � � w=�;�l- (�3 'I'-7 _� ,� Insulatiin. OK 01 -L-L/69 1 j�o�t lS DPt� Final. Sn:o1ce: C�"t", /t' J,L,, Fir�l: O� a �24��9 Lo vt 15 TH?° P'ERMI'T MAY BE REVOKED BY THE CITY OF NORTHAMF f ON 7jPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. "•� Certificate o-F Occupancy --/ --_� _ s_i nature: FeeType• Date Paid: Amount: Building 12/12/2008 0:00:00 $961.203029 212 Main 5.:� ; :::.•c(4;3)5117-12a0.. ;:x: (413)587-1272 Antlto,i),Patillo