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17C-033 (5) E C E t O f 11 L vl lJ i l7 John and Rebecca G rra 97 North Maple Stre t DFC'T nr RI lit rnu,INSPECTIONS �ln(7rIaA�,tnTnA�,u� Florence, MA. C.R.&C. will expand the existing screened porch at the Gorra's North Maple street home, adding an 8'x10' section at the rear of the house. Existing porch posts, corbels and other original trim details will be closely matched, and storm glass and Cook screening will be made up to fit on the inside of the new and old openings. New screen door already on site will also be RESTORATIONK installed at this time. CONSTRUCTION The project will be done on a time and material cost 13 GROVE STREET plus basis, sono-tubes (by others) this fall, porch start by HAYDENVILLE, MA. 01039 spring. 413-268-3265 A $250.00 deposit has been received at signing. Benton D. Co k i rl Ae co L7 Z ! tV Z5 o U U 2 >✓ r f I y " y nI -.�f,r`, r �,� /J / ., f� � '' < f � - ----- - c 7 ,r P f ( CC `,l Q S THIS PLAT NOT FOR RECORDING PURPOSES D VE S - 6 2001 DEPT ORB INSPECTIONS 1.2•4c 2OD,g NORT p- N'MA 0;060 o #97 ai 1 -00 L'U b' GAS. e0D S `i'O SOURCE ONE MORTGAGE SERVICE5 COKP.4 FIRST AMERICAN TITLE INS• CQ I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER Z So t �7 DATED: NOTE THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT Of N O V,''N A M P T o N ., MASS. RICHARD J. ov4NEfZ LABARGE•SR 034605 TpHN NA.jR. � REBECCA W G OKRA Richard J. LaBarge, Sr.,Registered Professional Land Surveyor 110 FGng Street,Northampton, Massachusetts 01060 4.tItANP�O 0 of Yarfi1a111pton Z a � �[Sa AthnS[tt5, c m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORIQ,R'S COMPENSATION INSURANCE AFTIDAVIT (l i censerJperrni ties) with a principal plac=e of business/residence at: (stir�.t/ci ty/slat;izi p) do hereby certify, under the pains and penalties of perjury that: O I aln an employer providing the following worker`s compensation cover-age for my employees wor�ng on this job: (Insurance Company) (Polio;Number) ---- (Expiration Date) ( ) Q m a sole proprieto general contractor or homeowner (circle one) ant have hired the con � e-d below who have the following workers compensation policies'. (Name of Contractor) (Insurance Company/Policy Number) (Exp:mtion Date) ., (Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compauy/PoL cy Nurnlxr) (Expiration Date) (Name of Contractor) (ln,-u=ce Company/Policy Numlr-r) (Expiration Date) (Attach ad3itimii s_hcct ifnc, :-S r;:to ix}ucfc iafAMUtipa papa P-&to ell ox a o s) rNI aln a sole proprietor and have no one wor-Eng for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware ttuci w,, c hocr "ixcts'Abo airplay pe_zom to do jr im-t aancc, repair NA01k on a d«ell�g of not more than thrco units in�;irich the lwtnooavcr rcaidca a on the&rnund_t appurtcnaat thccto Arc not eatcrally ooa3i6crcd to be employcrs under the wort r s c=q-,c�ca Act(GL152,ss 1(5)),appLica6an by a homooav r for a h-0-x or permit may ctricnoc Litt legal etatarq of an omployer under dio Workceg Cocupoazatioa AcL I understand that a copy of thi a&tcmrnt may bo forwnrcled to the DcportnrmC of Indusb iel Acadcn&Offioe of In uranco for the coverage wnficatioa and that failure to secure covcraga undcr sccdoa 25A of MGL 152 can Icad to the inrpositioa of criminal pcnnitics oomisting of a fmc of up to S 1,500.00 and/or imprisoamca2 of up to or,year and civil pcnjL d C3 in trr form of a stop Work OrdC and a fins o(5100.00 i day agrtiast me For dcpat�al—oaly permit Number tvfap�{ L,at tgnature of Lion fpf- i ttct' :e SECTION:8;-bCONSTRUCTION SERVICES 8 1 Licensed Construction Supervisor: (� Not Applicable ❑ Name of License Holder : � ( " ` A �5 ^ a 0 Lic se Number • — Addr— Js — Expirati9 Date ktm k, Signature © l O I Telephone ;9 R`e`gistered Horielmproveinent Coritractors,,h, ; ,,,.; . .__..... Not Applicable ❑ Company rompany Name Registr tion Number ^ Address Exon Date 6103 5 Telephone 6� � _ SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.GL. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affid will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ MINI : ome Owner.Exemp on The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2) famihi and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner act, 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( 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 SECTION 5 DESCRIPTION OF:PROPOSE6 YVORK,(check all=applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: Alteration of existing bedroom Yes V No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 6a. lf'NeWhj6t!se a'nd or:.addition'to°existing=housing, comp'leteAhe following 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 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 COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject prope hereby authorize to ac 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 oh the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the p ins and pa rjury. ��� K o k en r Print MNam a — ZL'1' Sign ure—of D to 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 Frontage Setbacks Front �i Se!"` L O Side L:_11—R: l�0 L: ( J R_ 0 U Rear �Q &r/� Building Height Bldg. Square Footage % U Open Space Footage % (Lot area minus bldg&paved O parking) #of Parking Spaces Fill: volume&Location s 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 Regis ry 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 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. there any proposed changes to or additions of signs intended for the property ?YES — No IF YES, describe size, type and location: D, 512 of Northampton eta t, Per V U Lt (ling Department SE° - 6 2001 Main Street Sewerls ptic Ava Ib Room 100 WarlWe(1 Avtlab�alt DFPT OF BUILDING INSPECTIO rth mpton, MA 01060 Two Setsof Sir ctura ans� 1V)PTH0k!7 .M�rW413.58 -1240 Fax 413-587-1272 Plot/S to Plans E� APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to,be completed by office 1.1 Property Address: l A' Map l Lot Unit Zone Ouerlay,Disfricf Elm St. District CB1District` SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owne r of Record: \,A- X10 eeec CA ✓ ' � q � Y \ r v \ y�-� Name(Print) Current Ma in Address: Telephone Signature 2.2 Authorized Agent: ][3'- 3 1b3 Name(Prin Current Mailing Address: Signat e Telephone SECT-ION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars) to be Official Use Only com feted by ermit ap licant 1. Building / (a) Building Permit Fee A 2. Electrical (b) Estimated Total Cost of n Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) Check Number This Section For Official Use Only Building Permit'Number: Date issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2002-0277 APPLICANT/CONTACT PERSON BENTON D COOK ADDRESS/PHONE 13 GROVE ST (413)268-3265 PROPERTY LOCATION 97 NORTH MAPLE ST MAP 17C PARCEL 033 001 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 hTeof Construction: EXPAND EXISTING PORCH 10 X 8 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 049209 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INYgKMATION PRESENTED: Approved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 Comm n Signature of Building icial 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. 97 NORTH MAPLE ST BP-2002-0277 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma :Block: 17C-033 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ADDITION BUILDING PERMIT Permit# BP-2002-0277 Project# JS-2002-0413 Est.Cost:$1000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO Const. Class: Contractor: License: Use Group: BENTON D COOK 049209 Lot Size(sa. ft.): 22869 00 Owner: GORRA JOHN M Jr,& Zoning. URB Applicant. B E NTO N D COOK AT.• 97 NORTH MAPLE ST Applicant Address: Phone: Insurance: 13 GROVE ST (413 268 3265 HAYDENVILLEMA01039 ISSUED ON.•9113101 0:00:00 TO PERFORM THE FOLLOWING WORK.-EXPAND EXISTING PORCH 10 X 8 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:b[ q -16,09 4r" Gas Fire Deaartment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke Final:el<- '5—' THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu an Si nature: Fee Type: Receipt No: Date Paid: Check No Amount Building 9/13/010:00:00 2113 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo