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36-258 (7) j oRQGC4 NE ,see i DES 1 pN cAL C�uLAT I ONS < 4EOACXY Q Sc @ 0 GA-440 G4L_, JS z c aA�g - aa2 aA�s ocFK 4 Nn = 660 D c DA.. c,OW _,FWA,.�. - DES G." 9O-ctl 2.FE CA"-!y-,S SO ? 'ocyCS 1'2.43 SO. c S:DES:(7$' r ;.�) 3 w r t ( `"+OS. (3(75 y, s X16 6750 Tc x 5.5 GA S i 8OTCNS; 6 = 27 .66 r 44 "er: 445.5 3 w)3 = 615 S0. p, 66 = '7.B2 GA,S LOT # j 9a s _ 7.4= 3a i s 290.25 94'5 2905 25-GALS DA _r c --- _—�l-3157 ga-ow DES'2 LOAD 660 CPD = 153.57 GPp '� `at'"E4 pgOpc R.y (sec 'rotes) ,ass—e 'J U J � V f CONC. PROaOS`D 4 BED°' `0-;S oc /,' a.' avC PROP OSEC> Sf ----_ - � - T.P. It 39 a c cc c '3A - AREA TO BE EXCAVATED (see m ERC 13 r o rot Su-taz'e 'or learn,^9 oar.,: tY � n ---WATER -,NE (SEE NOES) - rt 3'-0"x 3'-0" w Joe & Cathy-Ann Savarese 111 Mapleridge Road Northampton, MA 586-4475 2x6 exterior walls o Windows/Doors as indicated w N Trussed roof with 8112 pitch 30 year Architectural Shingle roof Cedar clapboard exterior finish Poured concrete foundation & w finished concrete floor. ,o --------------- -- I Submitted by: Robert H. Dunn, Jr. (413) 250-7430 L I 16'3"-'OC&'-4rMHD 10'-Ow OQ'�tU►MP�O s� ti g Gity of Xazt4aiiip#.art L � � �IGlassxchasrtfs - II DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street * Municipal Building NortliamPton, MA 01060 . HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supi;.­, sor. 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 any 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 roueh 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 M � 6 �a115l A({11:5(lIJ m DEPARTMENT OP BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WOMCER'S COMTENSATZON INSURANCE AFFII7A-Nq.T (lic�ns�::'rcrmitt:c) v,,lth a principal place of busiresslr_s denc cio hereby Cclill�'. 0;7:1' 1" L11C' h<ii7S ;1.nd pen ltiCS 0{ pC."Tlr-t, rha*': O I am an erilploye.r providing the follo',vint v.oi-kcr`s compensation coves c `or Iny employees Working on this job: - (IZS-L na.: Company) �clic,Nttnlxr) ----- (Fxpir non Date) I aSl so�le�propnetor ?COer'�{ CO i1 CC1 Gi tioraica 'iDer (CliCic One) and h2VC :11 tC /t�.ne`contractors I:sted be:OV. ,v o the `oii L•: ep is ortt s co : uensaon es: (I`:amc of Cont,"<lciur) (�nSll .1C CvIP.c:::;t:�chef TvtufTlCv i) ? ri:ti0. Date)- (Name of Counctor) (T_1sar,nee Cna?Da:,v;To!icy Nurnrer) (1 ?: tioa Date) (blame of CoatTactor) — (lllil ?I1C� COu; ?QI:C. NUII11i r) - -ti r;:i:C Datc) (Name of Cont acior) —- Jnslralic- Cotnp:j ydpolicv Nuinbrl) Date) ("(LlGl:..(i-j1�:CR]1 rf:CCt L.._C.... ::�:.r_..�._ ..S'Y:]'.i:::5•.�.:.._.... � _•.li:`_G=:a:"i:'•� i i <1In a sole pro4lrieLOr <:::i have 110 otle :ors.{r fos ine. <rIl �'_ hol11e CW11er NO Tai:picae be ntra e hs..`i7e m cr;ct:,it �uel!ing c. not mete lh--n[hroc uni+s i tci di Lhe f - -.:tZ r :< a a;'`u •_..�z�tur c. S LF c o c e rx t Ccrsally o_�::.(:: :o h --Ploycs ucus the tvcti:�:cc x :_tier.Pr (G.1 S2 ;:(5);,a,: .-a;ic::by a hart of rs`cr e Lr_tx cr p-r. n e legal etatua of an ecWloyer under tL, Woricc1a t�oi,�orv+.tion!.cL I undcrTtxnd th.t a cmy of thir date(: •cuy bo fo w.v io l to t1» Offs—of:: +r c for tix oovaagc vctific_ti.on and that U-Um to :cc.icc 25A of:;GI,152 can lu3 to t{x irnpoziiion';c i;1 pct:st::s c'omiTlmg oCa fttr_of up to S1•SCKJ-LuJ n d'c:ir.:pr,�>;�,_;.1 of t,p to nn:}:.-. tr.l civil p<Mltin in yt f«n c(a S!r,+'•ti'rri'-Oti=a^.d f n o(SI00.00 a day For tk;:uumt�tr,o cctSy I r.;•;..,Y: Slf;nnlurc tyt;;iccrl� ^II'crnt :trc �'� °'- S CTdON'8 C©NSTRUCLI;QN SERVICES' 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : T r1 h � � 0� `7 License Number 7 3A Add s Expiration ate re Telephone NIMINsfe e-0 b .'—Vi n.-.°-on racfo: Not Applicable ❑ f,3331 L�Q Comi)'a'ny Name Registration Number Address �7 / Expirat' n Date / �w Telephone__ SEGTON10 WORKERS'COMPENSATION INSURANCE-AFFIDAVIT(M,G.L.-,c. 152. 6;251C(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...... ❑ 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 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 fo-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 alo assumes responsibi ' or compliance with the State Building Code,City of.__ Northampton Ordinances, State and Zoning haws tate of Massachusetts General Laws Annotated. r Homeowner Signature l " s ' - SECI`lON S= S R PST O flF PROPOSED WORK4 8h ktatVapplica bhe E •..;.yvgzlcn,.c.� '52;�",�ik�:+l.:s.. .,�°'�" xz:�7;..s«`' n'i' '•, .. ,r'.q:n7»t c a ..::', _ . New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. Demolition❑ New Signs [ ] Decks [ ) Siding[ ) Other[ ) Brief Description of Proposed Work: vS/-ne'A6(E-5- Alteration of existing bedroom Yes ✓ No Adding new bedroom Yes '� No Attached Narrative Renovating unfinished basement Yes �No Plans Attached Roll O- SheetJX _6a f Flew" i e:a o `tld.i't'ion torexi-.ti , uo sing, co'"mp'he b folJo 61,ng: 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 stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck 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 1. Septic Tank City Sewer Private well City water Supply SEC' ]OT ?az�OlYNER�U +bRIZATION TO BE COMPLETED WHEN OWNEk AGE�T IRRIGONTRACTOR APPLIES FOR SUiLDING`PERMIT I, S 79 �� �'G as Owner of the subject property I hereby author' c r^ to ac. on my behalf,-M- matters rel " e to rk authorized by this building permit application. T 1�t Si ure of Owner Dat !, ':�>5 ls�;v 6le-F-5 6F as Owner/.Authorized Agent hereby declare that M 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, Sig re of Owner/ ent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION 1 Existing Proposed Required by Zoning This column to be filled in by Building Department i I Lot Size I Frontage Setbacks Front % I Side L: 10 R: L: R: Rear 16 � i Building Height /7 Bldg.Square Footage % Os Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume'8c Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW�� YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 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_ No IF YES, describe size, type and location: r" i t� rthampton WId partment n Street b` 100 JUL 1 9 2 , MA 01060 ri.hone 41 Fax 413-587-1272 APPLICATION TO CO , ER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITEINFORMATION 1.1 Property Address: T; T#tESSecfiAne cgtpplebY o> ce "'R - i $ IS7C SECTION 2-PROP ERTY-OWNERSHIP/AUTH'ORIZEQ AGENT- 2.1 Owner of Record• �] Name(P n % g Address: , - I diephonee Si n re .2 Authorized Agent: oe.7 J 11� ✓ �i f Name(P t Current Mailing Address: (.,113) igna re Te eph e CTION 3-ESTI TED C NSTRUCTION'COSTS Item Estimated Cost(Dollars)to be Official Use Only com leted by ermit applicant 1. Building ) (a)"Bwlding Permit Fee 2. Electrical (b) Estimated_Total Cost of Construction from 6 - 3. Plumbing A ilding Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2 + 3+4 +5) /� �lU Check Number This Sectionfor'Official USe,0n1 Building Permit Number: Date Issued: I Signature: j Building Commissioner/Inspector of Buildings Date i i File#BP-2005-0074 APPLICANT/CONTACT PERSON ROBERT H DUNN ADDRESS/PHONE 43 BURT RD WESTHAMPTON (413)527-2953 PROPERTY LOCATION 111 MAPLE RIDGE RD MAP 36 PARCEL 258 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid 770 —1067-79151 Typeof Construction: CONSTRUCT 20 X 28 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure - Building Plans Included• Owner/Statement or License 085846 3 sets of Plans/Plot Plan THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 Commi 2 200 Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 111 MAPLE RIDGE RD BP-2005-0074 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36-258 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2005-0074 Project# ]S-2005-0093 Est.Cost: $12500.00 Fee: $84.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ROBERT H DUNN 085846 Lot Size(sa. ft.): 44866.80 Owner: SAVARESE JOSEPH C&CATHY ANN Zoning: SR Applicant: ROBERT H DUNN AT. 111 MAPLE RIDGE RD Applicant Address: Phone: Insurance: 43 BURT RD (413) 527-2953 WESTHAMPTONMA01027 ISSUED ON.7123104 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 20 X 28 SHED 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 Occugangy Signature: Feel e: Recei t No: Date Paid: Check No: Amount: Building 7/23/04 0:00:00 110 $84.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo