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Owner:
Bedroom #1
s x Bedroom #2
' > we Living Room Alan Verson
aa�h 50 Hawley Street
L7 stacked Northampton,MA
washer/
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� ® COS. 1 N Remodeling
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Drawing Name:
Linen Floor Plan
Dining Room Unit#2
� C� �� Date:
Kitchen Revisions:
Review 12/17103
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Second Floor Plan Unit #2 Approvals:
Scale: 3/16"- 1'-0 il
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LIVINGs BED 02
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50 Hawley Street
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Northampton,MA
Project Name:
Remodeling
CLOSET CLOSET =______ Condo Units 1-3
Drawing Name:
1 - �L
1 Existing
UNIT 2 ROOM
DINfNC� _ Floor Plan
_
Unit#2
X191 1'ka"�y -
1 � Date:
Revisions:
KITCHEN
Review 12/12103
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Owner:
Bedroom #1
Bedroom #2
we Living Room Alan Verson
g 50 Hawley Street
Bath stacked Northampton,MA
waslxr/ `
dryer `
Project Name:
O0105. n Remodeling
* _1 Iq o \ Unit #
2 I Condo Units 1-3
Drawing Name:
I Linen Floor Plan
Dining Room — Unit#2
Date:
Kitchen Revisions:
Review 12112/03
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Second Floor Man Unit #2 --MMMIW Scale: 3/1611- 11-01, -
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BED Owner:
L BED "2
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50 Hawley Street
Northampton,MA
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— Project Name:
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Remodeling
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Existing
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-f— - Unit#2
DN Date:
7 i Revisions:
KITCHEN
Review 12/12103
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or as noted.
Existing Second Floor Flan Unit #2 � I�
Approvals:
Scale: 3/16"M 1'-0" ' --
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Sheet No. of
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: 1 �� l:l ati /� 0; 04j 14
n t -r7'v [y License Number
17f Iii"rat •l �✓ I`� ` � Iq 1015-
Address Expiration date
Signature Telephone
ZN,-4 �t--"-A
9.Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Address Expiration Date 15 Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MG.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...... ❑
11. - Home Owner Exemption
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 Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) � Roofing ❑
Or Doors E]
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[0] Other[❑]
Brief Description of Proposed eti pv�•O-` 6/'_ UN]� 4J. ,`tJ � Ulvr
Work: (�(" /v (� V�( lYu
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes _ X No
Plans Attached Roll -Sheet
6a. f Nerti ou§e and or addition to exis ng ousmd. domple the ol`owma:
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. 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 7a•OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject
property
hereby authorize U ELI,- 1 V 1 CA(-5� 601 UN:5 S
to act on ehalf, in all a ers relative to work Authorized by this building permit application.
Signature of Owner Date
as Owner uthorize
fie_ ereby declare that the stat ments and information on the foregoing application are true and accurate,to the best o my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
T
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 o
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:'
'volume&Location
.G'
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 DONT 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 1
IF YES, describe size, type and location: T
D. Are there any proposed changes to or additions of signs intended for the property?YES_
No
IF YES, describe size, type and location:
t (— Department use only
City of Northampton Status of Permit
Building Department Curb Cut/Driveway Permit"
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability',,''
,Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Puna y
a r
Other:Specify
APPLICATION TO"CONSTRUCT,AILTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map Lot Unit
N L� n tfN1 (Z M Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Atli+-l-� yolzlst' MAN S'( ,
Nam i t) Current Mailing Addres
Telephone
Signature
2.2 Authorized Agent:
't/U�1LNCJ� r,PC `' ,P�i
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 9 1 (a)Building Permit Fee
2. Electrical Cc (b)Estimated Total Cost of
�% Construction from 6
3. Plumbing C Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) � ') O 0 1 Check Number f
'7 2 This Section For Official Use Only
Building Permit Number: IIsssued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2004-0713
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St NORTHAMPTON (413)586-8287
PROPERTY LOCATION 50 HAWLEY ST
MAP 32A PARCEL 168 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid 2
T_yneof Construction: REMODEL INTERIOR CONDO UNIT#2
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 047146
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOI MATION 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 Stree ommission
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.
C ✓
50 HAWLEY ST BP-2004-0713
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 168 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2004-0713
Project# JS-2004-1034
Est. Cost: $26900.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 047146
Lot Size(sq.ft.): 17598.24 Owner: VERSON ALAN
Zoning: URC Applicant: Wright Builders
AT. 50 HAWLEY ST
Applicant Address: Phone: Insurance:
4�� Bates St (413) 586-8287 Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON.115104 0:00:00
TO PERFORM THE FOLLOWING WORK REMODEL INTERIOR CONDO UNIT#2
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.''.-17'.+ `���t Z' ough House# Foundation:
,may/ Driveway Final:
Fir;»l: �—2� v� Final: c� `�
l r Rough Frame:
Gay:: Fire Department Fireplace/Chimney:
Rough:'I—�5 _v a f
r% Insulation:
Fir►.rl: 7-2-g (jVaSmoke• Final:
TH iS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Cer Ificate Of Occu an Si nature:
Fe. eType: Receipt No: Date Paid: Check No: Amount:
Building 1/5/04 0:00:00 17414 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo