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17B-028 1) NOTE ACCESS LOCATIONS OF TUBS,SHOWERS,&OHIRLPOOLS 2) NOTE FOYER LIGHTS AND DINING ROOM UG11TS ARE CENTERED IN ROOM UNLESS OTHERWISE NOTED PLANS APPROVED AS SHOWN By'. KNEE WALL NAME CEILI�� HE MASTER BEDROOM I DRESSING AREA 0 1 HDN BATH 11 E SLOPED CEILING LINE KNEE WALL KNEE WALL PERMIT SET LEGEND BUILDERS COPY L_I iiAl THIS PLAN IS THE ExaUqyE PROPERTY OF THE HOME STORE.REPRODUCTION CONSENT OF THE HOME STORE IS A VIOLATION OF FEDERAL LAW. COPYRIGHT 1993 THE HOWE STORE ALL RIGHTS RESERVED. P.O. E30X 300 TheHomeStore' Whately, MA 01093 �odular Homes — 1266 REVISIONS SERIES SPECIAL 1 2/4/01 SPECIAL CUSTOMER: ROGERS GENERAL NOTES SNOW LOAD: # P.S.F. 2 2/4/0' MODEL — CAPE ' 1. — S ALL BATH ACCESSORIES 8. — 3 DRAWNG 2ND. FLR FLOOR PLAN 2. — MASS KITCHEN SINK CLEAN—OUT 9. — DYM �5uo SHEET NO. 5. — 2. — �OATE 26/3/0' STATE MA 2986 B.T.U.Loss 874 Watt Elec. 4 Ft Rod'tim 29M B.T U.Fossil 6 Ft 4613 -------------------------------- ---------------------------------- CT P7. BATTH #1 CT MASTER BEDROOM DRESSING AREA STATE MA STATE MA STATE MA STATE MA 1078 Watts Elec. 284 Watts Elec. 185 Watts Elec. 1513 Watts Elec. 3680 B.T.U.Fossil 971 B.T.U.Fossil 632 B.T.U.Fossil 5165 B.T.U.Fossil P.O. Box 300 TheHome Store* Whately, MA 01093 Modular Harries with q istinction (800) 974 — 1266 REVISIONS SERIES SPECIAL 1 2/4/01 SPECIAL CUSTOMER: ROGERS GENERAL NOTES SNOW LOAD: # P.S.F. MODEL CAPE 1 SHIPLOOSE ALL BATH ACCESSORIES 8. -_ ——#1 DROAW NL(; 2ND. FLR. ELECTRIC PLAN 2 MASS KITCHEN SINK CLEAN—OUT 9. 3 3 0. — LOCATION FOR ELECTRICAL RECEPTACLES,SWITCHES,JACKS&ETC.., 4 DdV JPG/ADS QUO SHEET NO. 4 11. — MAY VARY FROM PLAN LOCAnONS BECAUSE OF THE POSITION OF FRAMING BUILDER: RE7fR_F_____j 14. j1QTFT. 582 SCALE ACORD CERTIFICATE OF LIABILITY INSURANCI DL DATE(MMIDDIYY) OMES-1 08/03/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Blair, Cutting & Smith Ins. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 7 North Pleasant Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Amherst MA 01002 Phone: 413-256-8541 INSURERS AFFORDING COVERAGE INSURED INSURER A: Eastern Casualty Insurance Co. INSURER B: MassWest Insurance Company,Inc The Home Store Inc. & INSURERC: Acadia Insurance Company Andrew & Janice Gianino mP Y P.O. BOX 300 INSURER D: IWhately MA 01093-0300 I INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE I POLICY NUMBER DATE MMIDD/YYVE�DATE YMM DDIYY N� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY ON ORDER 08/15/00 0 8/15/01 FIRE DAMAGE(Any one fire) $ 300000 CLAIMS MADE [g] OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY n PRO- JECT JECT 'n I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S1,000,000 C ANY AUTO ON ORDER 08/15/00 0 8/15/01 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS j BODILY INJURY X NON-OWNED AUTOS j (Per accident) i PROPERTY DAMAGE $ • (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $2000000 C OCCUR E:1 CLAIMS MADE ON ORDER 08/01/00 0 8/01/01 AGGREGATE Is I$ DEDUCTIBLE $ X RETENTION $ 5000 $sT WORKERS COMPENSATION AND TORY LIMITS ER A. EMPLOYERS'LIABILITY ON ORDER 06/01/00 08/01/01 E.L.EACH ACCIDENT $ 100000 E.L.DISEASE-EA EMPLOYE $ 100000 E.L.DISEASE-POLICY LIMIT I$ 500000 OTHER j I DESCRIPTION OF OPERATIONS ILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION BLANKCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ACORD 25-5(7197) J`~'// ©ACORD CORPORATION 1988 ��ie fianzntaruuealC� o�� fiaurrc�ivavlGi BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 065547 Birthdate: 10105/1948 Expires: 10/05/2001 Tr.no: 7087 Restricted To: 00 TODD B CLARK 45 RUSSELL ST GREENFIELD, MA 01301 Administrator veb du ui u1 : Jup P' 5 �4 f1 s(� '1LtCT1Q14= x 1f1 �.. ' r - Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:_ lC)(�/7 �. l ��✓��'/l / 0�F`_ /di�� C�S 6 S / �TpR/l: P(-) 1�?C/X 3 ) License Number C-RE ix--,le vl -3v1 7'.-4 7�r u�u�3 1D -��s"� cad J Address Expiration Date — Signature Telephone IN Not Applicable Company Name Registration Number f Address Expiration Date Telephone 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. gned Affidavit Attached Yes...... No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,grovided 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 Fen eu ui ui : eyp P.t"r'xa ,.v`.,d � 'S rs.[<�3v°3-.av�... ,_ -_S. .a....___� ,.u:!!k u.,,;:•°.»vAtr--,!1 ..:"....' ._....<?r.:. c..,.v_sar '� Y:...yryx -... "- T'..._i=..+.. nom__ ._ir..a_.emu!. ..:... i.-- ....,_:•- . New House ❑ Addition ❑ Replacement Windows Alteration(s)x Rooting O Or Doors ❑ Accessory Bldg. O Demolition❑ New Signs ( j Decks ( ] Siding( ] Other( ] Brief Description of Proposed Work: 7z L) !� wed' Alteration of existing bedroom Yes—)L—No Adding new bedroom X Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll D•Sheet 1 - 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? 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 !, as Owner of the subject property hereby a thorize /YO/1 �d �� - [ to act on my b alf, II matt rs a to work authorized by this building permit application. igna o wrier Date IF I, /o D P 91 (7t Z 1-f-fit, _ ,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. igned under the pains and penalties of perjury. I ar�p Print.NamPC��`� Signature of Owner/Agent Date Feb 20 01 01 : 29p p' 3 Section 4. r 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 Dcpartment Lot Size Frontage Setbacks Front Side L: R L: R: Rear Building Height ellvct� ru= z Bldg.Square Footage % Open Space Footage % (Lot area minus bldg&paved Arkin ) C//y o #of Parking Spaces Lr r Fill: volume&Location) /tF A. Has a Special Permit/Variance/Finding/ever been issued for/on the site? NO DON'T 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# a 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 IF YES, describe size, type and location: ..., .�._ ......,. »a , i� 1' � .. �...�,� ay.. A I �t� �� M�. ...��{ Feb 20 01 01 : 27p p. 2 ktY rthampton A� uit Ing epartment Ma Street �E�4THAM�ONINS�'140� Roo ton100 � N�FZ MAO 1060 p one 413-587.1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING E1 t617W 1.1 Property Ad pg Y�Less: Rag 2.1 Owner of Recor I RV81-1 Name rint " Curre M ili ddress - Telephone Signa 2.2 Authorized Agent: Name(Print) Current Mailing Address: (6s X56xa Signature Telephone w Item Estimated Cost(Dollars)to be 1fft £�bd completed by ermit applicant 1. Building �'� (�d� ul7dag I �fFg 5 2. Electrical ' `{ sF�Iietl t ( f - 3- Plumbing CX FBul��dirlg '+ersx[` e R 4- Mechanical(HVAC) -_ 5. Fire Protection 6. Total =(1 +2 +3+4+5) 59 9 Ock rJumbe v phis_Set, ir: ax. cllat#lsei�rtC. _ E�ttilc�ti'tg`Per�?t lVUti`tber `' ' t _ [1a#e�l�sueci' a B ;3tiin� .gnn1soner�nspec [ofllulclhgs �� :ba; .:4 . , _ File#BP-2001-0716 APPLICANT/CONTACT PERSON TODD CLARK ADDRESS/PHONE P O BOX 300 (413)665-1266 PROPERTY LOCATION 459 BRIDGE RD MAP 17B PARCEL 028 ZONE URB 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: FINISH 2ND FLR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 065547 3 sets o Tans/Plot Plan THE LLOWING 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 Received&Recorded at Registry of Deeds Proof Enclosed 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 C ission Permit from CB Architecture Committee z zo©s Signature of Buildinofficial 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. 459 BRIDGE RD BP-2001-0716 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17B-028 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2001-0716 Project# JS-2001-1342 Est.Cost: $24599.00 Fee:$78.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: TODD CLARK 065547 Lot Size(sq. ft.): 17598.24 Owner: ROGERS ROBERT H Zoning:URB Applicant: TODD CLARK AT.• 459 BRIDGE RD Applicant Address: Phone: Insurance: P O BOX 300 (413) 665-1266 Workers Compensation WHATELYMA01093 ISSUED ON.•3112101 0:00:00 TO PERFORM THE FOLLOWING WORK.FINISH 2ND FLR 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: o o 'n s Rough: / 'Rough: L e_-�Ouse# Foundation: Final: / f ,, Final: � �y/� �" Rough Frame: Gas Fire Department /aJ Fireplace/Chimney: Rough: Oil: Insulation: �f Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI N OF ANY OF ITS RULES AND EGULATIONS. Certificate of Occupancy: si nature:: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/12/010:00:00 1300 $78.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo ow