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28-053 (2) PIER LAYO Deck Loading- 40 # live 10 # dead Rl Rl RXX ------ Joist Materials - F B - 2 PLY F2 Type Qty. Product G1 2 SPPT #1 2 x 10 J1 29 v v R1 2 v v RXX (R/L) v v Total lenc ------ Post & Beam Material Type Qty. Product i B1 2 SPPT #1-2-x-10 Total leng ------- Blocking Materials Type Qty. Product — -- - -- — - --- - ----- — Ft yp 28 SPPT #1 2 x 10 • F2 2 v v Total leng All product names are trademarks of their res RUGG DUILDING SO LUT"IONS � y n s. i Job N . ___ ame : Bushed scale • 1/1 L4- LAS" _ use --rwo 0(z. oe�s 'Q 6Si2 Lock- Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property rty Record Ca New Search Property-Type Classification Code_Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map-Block-Lot: 28 -053-001 Zoning: Assessmen Location: 632 RYAN RD Neigborhood: 1 Land: #Living Units: 1 Deed Book: 5995 Building: Class: R-101 Deed Page: 123 Total: Dwelling Information Building Sketch Style: Ranch She& LJ CC'�> Pu+ On "C'ut ��(� Year Built: 1967 "'c.h 15 +�e �' �. ,S 10 C'e- . Story Height: 1 Attic: None PO4,h.) C)r) 0` Basement: Full Total Rooms: 5 Bedrooms: 3 I� , KA Full Baths: 1 O Half Baths: 0 Exterior Walls: Frame, Iq�g°2 FUB 15 600 15 \_ Unfinished Area: 0 Ground Floor Area: 1008 40 Total Living Area: 1008 42 Finished Basement Living 0 X 0 Area: Basement Recreation Area: 0 X 0 24 1 RIB 24 Woodburning Fireplace 1 / 1 loos Stacks/Openings: Metal Fireplace 0/0 Stacks/Openings: 42 Heat/Central A/C: Basic Heating System: Warm Air Fuel Type: Electric Quality Grade: C Physical Condition: Average Interior/Exterior: Same Condition/Desirability/Utility: AV Vacant/Dwell/Oby Status: Dwelling http://www.northamptonassessor.us/noho/propertydetail.php?map_no=28 -053-001&pagec... 3/31/2008 C)ec. vJ ) 15 arc-e - Cwh '$ere S `n &L-Vke bat omoon& Where &CLU b , T n�J j SaA--e- 04 ce.fem one e�� a v '�Vi� 8kd ©-P our C�ec- x=za c�r=sz!:L- iT GF !in SL U560 A' allows :g , =der78Gc-T a 103-3. to ov"me'r-7, as�, ac-L az Lf""Zer CQr--,-uC'"7 o r-, Su'-'7.� Th I t ;�fzes Home 'des or in tends to be, a one or PWO 6= who owus a parcel, ci: which he/s' -ts d lor f?--= SL-uC,--L:re--. Z,-,- ;;;g, aztacLed ordt--acched- '-I-es ac- Serf tc,Sach us-e an 'd a p sLaE not be cor-si e. a per som Who cor-s-",!Cts more tll=-, ore home enod home Cif r�zcr-waz=t ---y Pers-orn(s) v seek to T-he �F LHe C' Of ti. Lome�• C-,,mer e==-pt:or, tG aa az tLeir c77,mm SL'pervism, tLat ue T com-g, so you become resPer-sible for complia-mc - ;L.with s-,zte b uEd,inz crd.es depzr argent be c-Iled reqLj res tat the buildh and reTilaticus- The i=el ulor-, FrOce.-S to If-I-Izze-C,WC-ex z v-,-Hcus 5�es- WEch jZIC117de foUndatjon/fOOtjMQS ('before bacld-IJA 'rg h bu-Rdi -husuectfoiz(before worn sr-notube holes rbefore vour). a raL us im-s-' tigLu inzzectin-n.(tf rejuL-ed) r.�mres these i=ectcns bef-ore the work ccric,-Jed, fiOure to s-°Cure these insuectfGns can result in fafure to obtsin a ce--tificate Of Occuuxlcv as _..- If the es CrLer trzad�*-- 10 pe:70=-arc(electncz,, Plu--a'bing ) .the WE Le Lades Lades bL-ed se--l-e=,elr Prc-Per T'er----ts In ccr-juzc-"cr. -to =e builldi=- pe-=t issu--,-, and that they —t their required Lispectious-Fa lure cfrLe L-di viidual trcries to secure the pe"=Zs and jn.�e_-L7Gzs as I caz DE— Y tHe prqjt =t: such time as tLe proper rmm k- and ircmecL'ons are red e U-nd en,7-a-ad the above- S siggm4ture requesting exemption) E to scLedul-all requL-ed bu-Hdinz i--c:ecticms nec-�-S for the bui c al idiz:z pdr = issued to me. Daz-e Pr�-h 0 0 E) Add-ress- loca-cicE Ok E L 1 10 C .(-j -- _ Office of In vestigations is 6©0 li'asnin e ton Street Boston 11.-4 02111 wwyv.mass;ov1dirt N-'ork-ers' Compensation Insurance Affidavit: Builders/Con tractors/Electricians/Plumbers A r:=ol:eant Information Tease Print I e�ibl-v Name (Business/Organization/Individual): &LocaCQ AduresS: City,/State/Zip: �^e hl C �') IrD, (0�A Phone #: q( S-e)60 ire you an employer? Check the appropriate box: Type of project(required): !.❑ I an: a employer.with 4. ❑ I am a general contractor and I 6: ❑ New construction employees (ful] and/or part-time).:"; have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling z These sub-contractors have 5he� l� ship and have no employees 8. Demolition working for me in any capacity. employees and have workers' 9 wilding addition V l [?vTo workers' comp. insurance comp_ insurance.? required.] 5. ❑ We are a corporation and its I0.❑ Electrical repairs or additions 3.(, I am a homeowner doing all work officers have exercised their 11.❑ Plumbing-repairs or additions myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs insurance required.] c. 1�2, §1(4), and we have no th n S �( 1 employees. [No workers' 13.2 Other no comp. insurance required.] G� Wit^ vih` C4EC(C�, *Any applicant that checks bex ml must also fill out the section below showing their workm'compensation policy information. rio m.eowners who submit this affidavit indicating they are doing all work and then hire outsidecontractors must submit a new affidavit indicating such_ Copt;=ors that thee;(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: Policv#or Self-ins. Lic. iy:': _Expiration Date: Job Site Address: City/State/Zip: 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 S 1,500.00 and/or one-year imprisoninent, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violaior. Be advised that a copy of this statement may be forwarded to the Office of Mvesti�aations of the DI_a for insurance coverage verification. 1 do hereby cerrj r zrnctz, tlz�prdrxs-a;rderra?ties ape=jam mat the information provided above is true and correct . L_-na tu Date: ou fr.Jcia1' n rt__vr tezlhis area tole comoleted by city or town oiaL _--- — --- _ City or Town: Permitlicense#r Issuing Authority (circle one;: �. Board of Health _. Builc13'� Depai:meal Icit yr T Cwr, cle.n �. Ei�'ctr.cal IaspectaJr _. Plun:'Jin'� I�St LL'tor I� I� II J SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder. License Number Address Expiraticn Date Signature Telephone 9.Registered Home Impeovement Contractor _ � � Not Applicable 13 W..... . Company Name Registration Number Address Expiration Date Telephone 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...... ❑ 1 L Hare 0'rimer k 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 Massachu, tts General Laws Annotated. Homeowner Signature ti SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition— Replacement Windows Alteration(s) ❑ Roofing ❑ LL�J Or Doors �] v Accessory Bldg. ❑ Demolition New Signs [0] Decks Siding[p] Other[p] Skw a cun- Brief Description of Propose Work: c ���.r)I S GL �L. (`1 C•� eri t N �d"" PV o'"n cxjt 3c� c v e i n g e room Yes�No Adding new bedroom Yes _ X No,/ Attached Narrative Renovating unfinished basement Yes No Plans Attached Roil -Sheet sa. If New h`a�rse acrd ar additiar>:tc existiclg Fiausing co _ f6te�the fot1owirtg: a. Use of building : One Family Two Family Other b. Number cf 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. 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-74 OWNER AUTHORIZATION;-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. 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 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. ZP, Name Cure o Date . « .^ Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning in by This column to be fi ut TBTuilding Department Lot Size Frontaue Setbacks Front Side LT Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved #of Parking Spaces (volume&Location) A. Has a Special Pemit/Variance/Finding ever been issued for/on the site? �� NO �~��� DONTKNOYV �~/ YES IF YES, date issued:-- '5/ ^r IF YES: Was the permit recorded at the Registry ofDeeds? �� NO �� DONTKnuvv 0 ,ES IF YES: enter 8ouh ' Page and/or Document# ' B. Does the site contain a brook, body uf water orvve�iands� NO ��` DON7KNOYY C) YES IF YES, has permit been or need to be obtained from the Conservation Commission? ' ------------7 Needs tobeobtaned �-\ Obtaned «�� , Date Issued: `_____________� �� C. Do any dgns exist on the property? YES v�� NO |F 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. WiUthe construction activity disturb(clearing,gradingexcavation, or filling)over 1 acre or|sit part ofa common plan that will disturb over 1acre? YEGK ) NO ��l �� wY IF YES, then a Northampton Stoiffi-W;ifer Mgn—agerherit-Permit from the DPW is required. t' D`e�artrnetit use orit� City of Northampton Status of,Piarm r°.'Building Department Gum GutlDrway Putt 212 Main Street SeweFlSe trcRvaElab I n p. t ROOM 100tlaterVtle!tAvaitabiilty! Northampton, MA 01060 Two Sets ofStucturat Plans phone 413-587-1240 Fax 413-587-1272 Plot/Srte Plans ' Other SpeccFy' -,APPLICATION T6,06"TRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING S CTION 1 -SITE INFORMATION 1.1 Property Address: (U 2 a- V_� ao This section to be completed by office r`of)CC C C) (0(�� Map Lot Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: � 1 �oaj—d cSC�l1 QuShe &3c2 e�P('en �GIq D r al �' Ce_, �- Name(Print) Current Mailing ress- 1412 -5 r<n ` r0 LnC� ignature e e 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cast(Dollars)to be Official Use Only completed by ermit applicant 1. Building !:O n9 DCX (a)Building Permit Fee 2. Electrical Estimated Total Cost of 0 .i e J` wA Construction from- 6 3. Plumbing t Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total= (1 +2+3+4+5) Check NumberJ�"D' This Section For Official'Use Onl Date Building Permit Number. Issued: Signature: Building.Commissioner/InspectonofBuTdmgs -- Date File#BP-2008-1039 APPLICANT/CONTACT PERSON BUSHEY EDWARD P&ALLISON M ADDRESS/PHONE FLORENCE (413) 586-8060 Q PROPERTY LOCATION 632 RYAN RD MAP 28 PARCEL 053 001 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 Typeof Construction: REMOVE ATT SHED&CONSTRUCT 32 X 15 DECK/SLIDING DOOR 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 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 Permit DPW Storm Water Management Demolition Delay 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. BP-2008-1039 GIs #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateyory: BUILDING PERMIT Permit# BP-2008-1039 Project# JS-2008-001541 Est. Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 11456.28 Owner: BIJSHEY EDWARD P&ALLISON M Zoning: SR Applicant: BUSHEY EDWARD P & ALLISON M AT. 632 RYAN RD Applicant Address: Phone: Insurance: (413) 586-8060 O FLORENCEMA01062 ISSUED ON.512312008 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE ATT SHED & CONSTRUCT 32 X 15 DECK/SLIDING DOOR 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 5/23/2008 0:00:00 $50.00263419 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo MORTGAGE LOAN INSPECTION THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY 99.28 ± q-3 W/F SHED a C STORAGE SHED �M 1 00 1 00 N 1 STORY I I W/F HOUSE I I I I I o I I I I I I I I ►� 23.70 76.30' J RYAN ROAD THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS, AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. TO THE AFFORDABLE MORTGAGE AND THE FIRST AMERICAN TITLE INSURANCE COMPANY — ONLY To my knowledge, information and belief, from information supplied to me, I hereby report that the premises have been examined and that this inspection plat shows the improvement or improvements as located on the premises described, that the improvement or improvements are entirely within lot lines, that there are no encroachments upon the premises described by the improvement or improvements of any adjoining premises, and that there are no easements of record affecting the tract shown hereon, except as shown. �N > I further report that the premises shown on this plan is not located within a flood Hazard Area as shown on OF Deportment of H.U.D. Federal Insurance Administration Maps, PAUL Community Number 250167 0001 A R y LUSSIER Identification Date APRIL 3, 1978 .�.^ , a No. 29048 P.L.S. �Ff��'pfCIs"IT t K OWNER R WILBUR J. LANDRY, JR. ALMER HUNTLEY, JR. & ASSOCIATES, INC. LOCATION 632 RYAN ROAD Surveyors • Engineers • Landscape Architects FLORENCE, MASSACHUSETTS 30 Industrial Drive East Northampton, MA 01060 JOB NO. DATE SCALE voice(413)584-7444 fax(413)586-9159 00-652 7/17/2000 1 19= 20'