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36-246 (4) ' l�uV uni.�vw SILT FENCE f SEPTIC. TANK J l LIMIT OF WOl PROPDSEV SEPTIG ��� L.EAGHIN& SYSTEM ' 100 '0 110.00' CP I 101 10s 102 _ 103 1 103 --. �' 104 105 - � \ Tp� � 106 --- -.� ' I 4 + I f Y2 ► � � JI y 1 I 45' PROPOStU ( I SINGLE FAMILYI 1 I i l OWEWNG GARAGE 1' 1 Qa •7 � � 1 t c ( 104 \ R TAIN1NCy ! 100 I ti I jQ- / 1 LIMILT°FE WORK wi W6 AL I W5 �xISTING -- / � GULV RT� _ --• /O -10. 1 1111 .r ►^ ~ ' `� -- TO 39ad S801IV38 AHd8nw ���F��ZL985ETV LE:5T TOOZ/5T/TT Permit No. D26-02 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. I further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petitioner /77 wes Harrity, Jr. Maple Street Florence, MA 01062 413-585-8025 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. Permit No. D26-02 CITY OF NORTHAMPTON, MA DRIVEWAY PERMIT Date: 21 May 2002 FEE: $25.00 CHECK#: 1754 THE BOARD OF PUBLIC WORKS The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 27 Spruce Lane (common driveway with 41 Spruce Lane) Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. By: ames Harrity, Jr. 7 Maple Street, Florence, MA. 01062 Telephone #: 413-585-8025 Proposed Location Inspected By: 66 '•, �d Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. George Andrikidis Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) 4'SItAMPTO 9 (11 x1 Xt [7Z [�211t�1III1 a 1X34$[((ltB[1tE m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFMAVIT Gic`!_ e permittee) --- with a principal place of business/residence at: (stzeet/ci ty/state/a p) do hereby certify, under the pains and penalties of penury, that: ( ) I am an employer providing the following workers compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) �, (Name of Contractor) (Insurance Compaiiy/Poticy Number) (Expimdoa Date) (Name of Contractor) (Insurance Company/Poticy Number) (F.x-pimboa Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiradon Date) (anach additicail Ascot Tneccss to include infixmitioa pertaining to all ooatma 1.3) (, I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homcowvcn who employ pcn:om to do aj utcnm �coffirvction cr repair work on a&µthing of not niece than throe unite in which the hotvwuvcr sides or oa the grouadT appurtenant tha do arc oo(gcrxrany oomickr x to be employers under the twriccs s ampeusation Act(GL152,=1(5)),appLira6cn by a homoowncr for a Loons or permit tnay c i&'"tho lciPl"atuc o£an omPloyer under tho Woukcet Compeosaiioa Act I uadcrx d th,t a copy of this etatcmc t may be forwwdod to tbo Depart,ca of I.&,d id Accid-&offioo of linx co for the coverage vaific eloa and that failure to azure cowmV tnxder seetiou 25A of MOL 152 can lead to the inrpws Ou of criminal pcm 'cs 0001i-'I x of a fine'of up to S1,500.00 andlof imprisoomad of tip to ooe year and civil penalties in the form of a Stop Wot'r Otda and a firm of S 100.00 a day agaiasl me. For&pntn, l—oaly Permit Number _ / � �0� 2vfap I Lot# Si ofLiccii e ermittee Wte SECT N I3 CONS7RUCTIO,N-SERVICES 8 1 Licensed Construction`Suuppeervisor: ^ Not Applicable ❑/ Name of License Holder V J1^f s / License Number C le--? Address Expiration ate Signature Telephone Rser.'etl"H'briirmprpvement Contracts y� � ��` Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION 10 WORKERS':,COMPENSATION INSURANCE AFFIDAVIT',(M.G.L. c. 152, §2SC(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...... ❑ I ; The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildinE permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature ,ar SECTI03N DESC �R 10 L �,f,,POSED WOR£ check all:app licable k '4 4141 �,, • zw.,y,�ra � �r ,nam aw d s �� j New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition[:] New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: u k u c� .3C 5 5—roe 7? r u l f Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ f a Ifi NdWIK uis d brWdditlon-toxezi'stingw=hota`sin$, corriplefe.the`'follow ng: a. Use of building : One Family K Two Family Other b. Number of rooms in each family unit: U Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. �%�© Dimensions of e. Number of stories? f. Method of heating? //wBQ Firepla or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck Energy Compliance form attached? h. Type of construction /'?"6/u 1,4,r- i. Is construction within 100 ft. of wetlands? X Yes No. Is construction within 100 yr. floodplain Yes X No �T` j. Depth of basement or cellar floor below finished grade ' /Cr�"'� ek k. Will building conform to the Building and Zoning regulations? _Yes No . I. Septic Tank—,)( City Sewer Private well City water Supply SECTION 7a OWNERAU1[yORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES-FORBUILDING PERMIT 1 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. thereby of Owner Date as Owner/Authorized Agent Clare that the stateme s and information on the foregoing application are true and accurate, to the best of my e and belief. Signed under the pains and penalties of perjury. J' /" Print Na 6, Signatut f Owner/Agent Date 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 fillQd in by �j Building Department Lot Size �� y ✓'`�11 (� Frontage / 7 / (� Setbacks Front / � 0 �2J Side L: R: L: D R: /00 Rear O a 997 � Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved azking) #of Parking Spaces �7 Fiolume&Location '2dt Y Sc A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW l 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 tyre 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 fro the Conservation Com sio . Needs to be obtained Obtained Date Issued: 1 0 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 No IF YES, describe size, type and location: orthampton BuI fldi Department MAY 2 2 2002 ain Street R m 100 4 = am on, MA 01060 r' , e .. 40 Fax 413-587.1272 R otlStte APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section,to be comple ed W o ftce 1.1 Property Address: a L 3 - S6 M of ap Fnit Zone �+'. O�erlay,D►st►r►r ct EIm.St.District ' CB District SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED'AGENT 2.1 Owner of Record: { i Z ke4e 1 G /eel�ZJ s�f` ��� �j/1/0 £ -� Na (Print) f Current Mail ng Address: Telephone Sig ature 2.4 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com feted by ermit applicant 1. Building (a) Building Permit Fee 2. Electrical �no (b) Estimated Total'Cost of Construction from 6. 3. Plumbing / Building'Permit Fee 4. Mechanical (HVAC) 5. Fire Protection S0 6. Total =0 + 2 + 3 + 4 + 5) j Ad/ °` ° Check Number This Section For Official Use Only" Building Permit Number' /a— Date Issued: i„ Signature Bulitling co, mmissionOrl fin' Pet tor af36uild[rlgs^,,,» . Date, f � a File#BP-2002-1021 APPLICANT/CONTACT PERSON EQUITY BUILDERS REALTY TRUST ADDRESS/PHONE 77 MAPLE ST (413)585-8025 Q PROPERTY LOCATION 27 SPRUCE LANE MAP 36 PARCEL 246 001 ZONE SR 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: Construction of single family dwelling. 1980square foot 2 story addition New Construction Non Structural interior renovations Addition to Existing Accesso1y Structure Building Plans Included: Owner/Statement or License 052260 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF,0MATION 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 Comn, ionj XZ oo �_ Signature of Building O 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. BP•2002.1021 GIS# . COMMONWEAL x TH OF MASSACHUSETTS .. CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:New Single FamilyHouse BUILDING PERMIT Permit# BP-2002.1021 Project# JS-2002-1234 Est.Cost:$120000.00 Fee:$800.00 PERMISSION IS HEREBY GRANTED TO: Const.Class:5B Contractor: License: Use Group: R4 JAMES HARRITY 052260 Lot Size(sq.ft.): 46173.60 Owner: FLORENCE SAVING BANK zoning:SR Applicant: EQUITY BUILDERS REALTY TRUST AT: 27 SPRUCE LANE Applicant Address: Phone: Insurance: 77 MAPLE ST (413) 585-8025Q FLORENCEMA01062 ISSUED ON. TO PERFORM THE FOLLOWING WORK.-Construction of single family dwelling. 1980square foot 2 story addition POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: Fee Type: Recei t No: Date Paid: Check No: mount: Building 5/24/02 0:00:00 1757 $800.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo . . Commonwealth of Massachusetts 1 P of Building Regulations and Standards —1 Tu �Manufactured Buildings Program L4BEL REQUEST FORM -.1rhislSection for State Use Only___ Date Re4ved Label Numbers Issued: Fee Received $ 20� 00 �939 & ')9399 99,398 99399 Check Number Date Issued: 2- 1 Issued by: K- 5,9e o This Section to be Completed by Manufactu�rer' PLEASE PRINT OR TY-fE Manufacturer Name AVISAMERICA/ EXCEL HOMES MC# 027 Manufacturer-Plant Inspector L. IMCAZ�61?22 Number of Labels 4/ Total Amount Attached $ Manufacturer's Serial Q ta,TE -q-' /0 5 0 Manufacturer's Model TWO - �STDFZY Number rl Designation SECTION 2- LOCATION OF BUILDING Street a9 6PRLLC6 "/Vc- Builder/Dealer 7-/-/C- WME 6TME Certified Installer U-6 PEB,56, Licensed Construction License Number: This form shall be completed by the manufacturer when requesting manufactured building labeIs. All information shall be clearly indicated. Incomplete forms will be returned to the manufacturer unprocessed. This request shall be forwarded to the State Board of Building Regulations and Standards-CERC Building, Paul A. Dever School-1380 Bay Street,Taunton,MA 02780 June 15,2001