28-053 (3) PRICING LIST --- LUMBER
CUSTOMER:
DATE: 03/01/01 REF:
SALESMAN #
----- - ----------------------- --- ------------- ------------ ------------------
WOOD TYPE DESCRIPTION SKU QUANTITY PRICE TOTAL
- - -- -- -------------- -------------------------------------------------------
SPF 2X12 8 ' 3021208 4 EA 15 . 92 63 . 68
SPF 2X12 12 ' 3021212 7 EA 23 . 88 167 . 16
PT 2X4 12 ' 202412 8 EA 6 . 25 50 . 00
SPF 2X4 12 ' 302412 57 EA 5 . 64 321 .48
SPF 2X4 8 ' 302408 105 EA 3 .49 366 .45
SPF 1X6 12 ' 301612 11 EA 9 . 00 99 . 00
SPF 2X8 12 ' 302812 10 EA 13 . 80 138 . 00
SPF 2X8 16 ' 302816 34 EA 18 .40 625 . 60
SPF 2X8 8.' 302808 34 EA 9 . 20 312 . 80
SPF 2X8 20 ' 302820 38 EA 23 . 50 893 . 00
SPF 2X6 24 ' 302624 2 EA 19 .25 38 . 50
- - ----------------------- -- - ----------------------------------------------
TOTAL PRICE OF LUMBER $ 3075 . 67
.ICING LIST - - - OTHER MATERIALS
USTOMER:
ATE: 03/01/01 REF:
A.LESMAN #
- - - - - -- -- - - - - -- ----- - - - - - - - - - -- --- - -- - --- - --- --- -- - -- ---- - - - - ------- - - -- --
ESCRIPTION SKU QUANTITY PRICE TOTAL
- - - --- - - ---- - --- -- - - - - -- - - - - - - - - - - - ------- - ----- -- - -- - -- -- - --- - -- - -- ----
0 ' EAVE FLASHING PBEF10 5 EA 5 . 00 25 . 00
PAUL HARDBOARD CPHB5848 33 EA 0 . 00 0 . 00
' X8 ' X1/2" CDX CDX4812 66 EA 11 . 00 726 . 00
35 ASHPHALT SHINGLES AS235 32 BUNDLES 13 . 75 440 . 00
. 5" GALV ROOF NAIL 8016 16 LBS 1 . 40 22 . 40
' X200 ' 15LB TP ROLL TP15 3 ROLLS 15 . 25 45 . 75
H WINDOW 3032SH 1 EA 0 . 00 0 . 00
.H 6P SERVICE DOOR PD3011 1 EA 70 . 00 70 . 00
!X7 GARAGE DOOR GD972050 2 EA 102 . 00 204 . 00
6D GALV NAILS 8035 50 LBS 2 . 09 104 . 50
_OD GALV NAILS 8030 31 LBS 1 . 99 61 . 69
D GALV NAILS 8025 1 LBS 1 . 79 1 . 79
- -- - - - - --- -- -- - ---- -- - --- - - - - ---- --- ---- ----- - -- - - - ------- ---- - -- --
OTAL PRICE OF OTHER MATERIALS $ 1701 . 13
BILL OF MATERIALS
CUSTOMER:
DATE: 03/01/01 REF:
SALESMAN #
------------------- ---------------------------------------------------------
SUMMARY
- ------------------------ ---- -----------------------------------------------
LUMBER MATERIALS $ 3075 . 67
OTHER MATERIALS $ 1701 . 13
TOTAL $ 4776 . 80
PRICE VALID TODAY ONLY.
- ---- -------------- -----------------------------------------------------
------------------- ---------- ----- --------------------- ----------------
LUMBER TYPES USED IN GARAGE
--------- --------------------------------------------- ---------------
GENERAL SPRUCE-PINE-FIR
BOTTOM PLATE PRESSURE-TREATED
ow-
MER --
3./01/01 REF GargO1060
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"f-:RE NAME
_3 STREET RD.
•00) 555 1212
NT VIEW
MER --
3i01/0 REi G g0i060
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C ('1. �i (�'2 Gt�/.L� jl'� =3 STREET RD.
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�01 555 1212
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I
MAY 2 3 2001
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
1-MAY-2001 09:23:40 Hampshire County Registry of Deeds Receipt No: 146542
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
Namet EDWARD P & ALLISON M BUSHEY Addr: 632 RYAN Ri)AD
FLORENCE. 14A 01062
Receipt Type: OR
Payment
Total Pages: 0003 Fees Taxes
Fee: $ 10.00 Cash: $ 30.00 $ 0.00
Tax: $ 0.00 Check: $ 0.00 $ 0.00
Misc. 20.00 Charge: $ 0.00
Charge Code:
Comment: DECISION
Receipted By: MARILYN Status: PAID
DOCUMENTS: 992110801 to 992110801
- ---------------------------------------------------------------------- -----
fype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------
41S3 003 0001 0000 0.00 10.00 0.00 20.00 21-MAY-2001 09:23 992110801 OR /6212/0275 INIT
Page 0001 of 0001
S—r ORTGAGE LOAN INSPECT-ION
T a Ell IV-qEIFI I N P OT CONSTITUTE A PROPERTY SURVEY
ra n n r-,
MAY 2 3 ?001 FED 2 3 2001
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060 DEPT Of BUILDING INSPECTIONS
NORTHAMPTON,MA 01050
99.28'±
, ,�-LA)
STORAGE
3 SHED '
r
1 _
T
1 STORY !
3 w/F OUSE r I I
I > I
of I
R�twr�T _
A Sf T 3 of �\To1:f11c1111ptoil _-
�lc�lnrhncrtla' - —_'-
- —i
w DEPART> EWF or avrtDrNC [NSpeCTlor:s =
212 Train Street ' Municipal Building
Northampton, Tfass. 01060
WORI:CEIZ'S C0'MT✓NSA'n0N INSURANCE AI IMAV1T'
I,
(liccusx/perrnittcc) _ _ _ --
t nth a
piv-tcipal place of businesshcsldehce at
- ----- (phone-')
(sum-Uri tylsZalcrzi P)
do hereby certify, under the pains and penalties of perjury•, -h�l
( ) I
am an employer providing the followw -cr�S cornoc)S2L0n cove Mge for Inv i �
eluplovccs worl ing on this job.
(lnsu Corer��) (Pohc-, Nu_-abcr) ;pira or, Date)
( ) I am a sole proprietor, general contractor or homeowner (curie one) aid have hued
the contractors listed below who h2ve the follot';ng Worker's coeDC-nsznon policies:
-- (;tame o.Co t�cro 1 — - (Insunnc Comoa�)rPctc, Jurncc:) (L):) ;dt30n I�atc)
(N;is of Contractor) -- (Insurance CompanyvFolicv (–L»ir,.iion Date)
(Name of Contractor) (LaSUraac; Compan}fPolicy Numb r) (Expir.:oo❑ Date)
(NMc of Contractor) (Insurance Comt;anyfPoUcy Numbs) (Ex piraaon Date) .
(eaac3�- ;;eei1 r'xci dncc—.--y to mein mfoe-mi_'ioo paZainins to.1J
O I am a sole proprietor and have no one wor-Lng for me
(( I am a home owner performing all the work myself.
NOTE:plus bc err, r,..�i Je boo,,, wbo employ pciom w 5 e .M cc_ c rz a..roe oo L 6-11rz of
ont a�oct tl`a t!soe—,j in t flr Lt),ho,n .er rc3ido«oo the p-oux),Ir z*purtrn_r_LS=-,!o LT we�c.- aUV oed. to be
—ploy—un"—the..Qi d=o _lim Act(GL1 WLic3j)m by a bomcoa--r fm r f c----oc pcnna n_y c Idr_noc trc
IcgJ't-a-of na exployx to&r dip Woke,Coc 1-0o A�j_
1 and—Und chit a Dopy orthiz ciatcmcm may bo forw_jod to tbo Dcpnrtmmf of U d. ,,d Arodc &OfG_of Laiuznoo for Lb.
C°VcrL&c Vcii[C11100 ItM tltt f-LMc to hurt bovcr&&c under scc oa 23A of MOL 151 m lad to tbo imnosi6on of crimiaA pcaa.W(=
000ii3!d g of a fine of up to S 1}00.00■rtd)or anptiion�of up to ooc yc tnd atii pco uo ,,Lx form of n Stop Work Order and e
fim of S 100.00 1 d-- imp
For&P.--,j—Drily
Permit Number -
Signacun of LicrnscrlPcrmiu / "*'t 1`(ap:; __ Lot
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 9-WORKERS',COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(
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 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 LawL-s Annotated.
Homeowner Signature& /on� 4 4
59,CJJQkA;1',,QES9Rl1PTION Of P P c Ie
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing A
Or Doors ❑
Accessory Bldg. Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: c�C C C\(:)mL
Alteration of existing bedroom Yes x No Adding new bedroom Yes X No
Attached Narrative❑ Renovating unfinished basement Yes K No
Plans Attached Roll ❑ Sheet
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 .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a -,,OWNER AUTHORIZATION -TO BE COMPLE'T'ED WHEN
OWNE4t AGI�N' 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, P�D W Ae D P. Mji 3Q0 to ' Au5h�� as Owner/Authorized Agent
hereby declare that the statements and information on t e Jforegoing application are true and accurate, to the best of my
knowledge and belief.
Si ned u er the,pain an �jti of perjury.
gi nud)j4 r pe l� n is
�-
Pri ame Q
t [
4-Yn 00
Signature of Owner/Agent Date
r '
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size � QC)C)
Frontage ( 12
Setbacks Front 35-1 70,
,30 'J
Side L: a4' R: 3 L: `�l R:
Rear , 01
Building Height
Bldg. Square Footage l,&V c) %
Open Space Footage %
(Lot area minus bldg&paved
parking) �t 1 / U
4
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance in in ever been issued for/on the site?
NO DON'T KNOW YES X
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES X
IF YES: enter Book (o�1 A Page 005 and/or Document #
99 ,211 0001
B. Does the site contain a brook, body of water or wetlands? NO � DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No K
IF YES, describe size, type and location:
Q i 1:)om Northampton
g Department
Main Street
MAY 2 3 2001 100
Nor ham ton, MA 01060
DEPT OFBUI 87-1240 Fax 413-587-1272
NORTHAMPTON,MA 01060
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address: be co[m I
tea Rt�(an RC OD
CS1.Q�Ce_ Yin A 010�i Zone d�►oray Dstr x "�
AIN
a. CIl3rlctrj ���'✓c. 12 .
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
f, W-r s G n ! 1 us hey 6 32,04 I Y) Rorer ,TJoeeh cc, MA Ooo�-,z.
Name(Print) Current Ma Wing Address:
CWl:�) -S$6 t%81G
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED.CONSTRUCTION'CO
Item Estimated Cost(Dollars)to be Official,Use Only
completed by ermit applicant
1. Building C_Rke GAd20GE, (a)''Building Permit Fee
D O. oo
2. Electrical (b) Estimated Total Cost of
RC} Construction from'
3. Plumbing vko Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection 1`U
6. Total =0 + 2 + 3 +4+ 5) j0 poD 00 Check Number
g3 L
This Section'For Official Use Only
Building Permit Number• — Date Issued;
Signature:
Building Commissioner/inspector of Buildings Date
File#BP-2001-0969
APPLICANT/CONTACT PERSON BUSHEY EDWARD&ALLISON
ADDRESS/PHONE 632 RYAN RD (413)586-9816 Q
PROPERTY LOCATION 632 RYAN RD
MAP 28 PARCEL 053 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: CONSTRUCT 24 X 32 DETACHED GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildine Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LL
OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
_V,""Received&Recorded at Registry of Deeds Proof Enclosedt/
Variance Required under: § _w/ZONING BOARD OF APPEALS
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 Commissi Permit from CB Architecture Committee
C�
v i 2e��
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.
BP-2001-0969
GIS#: COMMONWEALTH OF MASSACHUSETTS
14 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: GARAGE BUILDING PERMIT
Permit# BP-2001-0969
Project# JS-2001-1735
Est. Cost: $10000.00
Fee: $76.80 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(ss . ft.): 11456.28 Owner: BUSHEY EDNN'ARD&ALLISON
Zoning: SR Applicant: BUSHEY EDWARD & ALLISON
AT: 632 RYAN RD
Applicant Address: Phone: Insurance:
632 RYAN RD (413) 586-9816
FLORENCEMA01062 ISSUED ON.51241010:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 24 X 32 DETACHED GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: house# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY TIIE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 5/24/010:00:00 641 $76.80
212 Main Street, Phone (113) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
4. ORTGAGE LOAN INSPECTION
T �� I?EgEFI I N P OT CONSTITUTE A PROPERTY SURVEY
MAY 2 3 2001 ;I—
1, FED 2 8 2001
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060 '�`
DEPT OF BUILDING INSPECTIONS
NORIHAMr?ON, ,1A 01060
99.28'±
` STORAGE
SHED �' 1•� (��' �� �'
3
00 _ cD
Do
1 STORY I
3 W/F OIJSE r
i > i
I I
I I
I� 23.70' 76.30'f
I
RYAN ROAD
THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER 1YITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
0011 11 jill l!l
MIMI
0
s
f�lrther,ra orC.rho the°premises,r shown'pon this'?plop is"'not located within o Flood Hazard Area oa s awn"pn� 3,
$`Deportment'�ot'I{.U.O Federal Ins uronce'Administration Mops,
Community~Number 250167 0001 A LUSSIER
Identification Date APRIL 3, 1978 �, d�1ti a NO.29i54i
P.L. �'Fss�pfClSTEQ S
OWNER
HUNTLEY 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 1)= 20'