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05-039 (5) -NOTE-- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED l t N c 11 } 1 � SS\ 1 'bC Ate. 7 I O: BANKNORTH MORTGAGE COMPANY, INC. & FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF (I I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 -NOTE- SURVEYOR: T- .S. THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY ytN OF &ks -MORTGAGE LOAN INSPECTION PLAT- ry NORTHAMPTON, MASSACHUSETTS � - PREPARED FOR IZ . y JUDITH D. LEEDS & RICHARD P. STONBERG (35032 SCALE: 1 "=40 ' MARCH 1 1 , 1998 �yo suavE'�o HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS --ILA 132 - -77 18 F `E & t 3 of �nz #1ja111}1tnt1 - — fti76 RCh nL(ffb DEPARTT4EI4T OP DUILDIl�G tNSPECTIOI:S — 212 Alain Street ' Municipal Building Northampton, Mass. 01060 WORKER'S CO\CT'ENSATTON MSUTZA.NCF AFFMAM' QQ _ 0;ccl C/Pc u ti cc) With a principal place of business residence at: 2_'lllcoya'� to N LUM.Sb/► tg0(og� (star/city/slalc jp) do hereby certif):, under tic pains and penalties of perjury, that ( ) I am an employer providing the following workers cofnocns�rion cove-.gc for Inv ctuployccs wol�ang on Lhis job. C:-a=::cz2 (Pcic; NU-.-1r_r) ----- -(T:pirauon Daic) ( ) I a n a sole proorietor, general contractor or homeowner (cucic one) a-rid lmve hued the contractors lined below who have the follo'NU, worker's coEinen� ion po!!cies: (Name ofCo:�r:nc,o�) (InRlnnc: Cotnpanyfi'ci�c, Nuln>rc;) �r_�pl;auon Date) - (Name of COn[Taclor) (1nsJl2nG COmoaJV/POl]c1' N'umb7 r) (-E"Di-,ijon Date) (Name of Contractor) Rasuraiacc C.ompaDy Polio• Numbu) (Expirmboo Date) (Name of Contractor) (LDsucanc-- Company/Poliey Numbs) (ExpLrnon Datl;) ,(Much�.A'?:;;ocil c'>:C tfoc�i.� to ex?uci urfor>:v.:ioo p S to all I anl a sole proprietor and have no one world-og for me ( ) I am a home owner performing all the work myself. NOTE:ply t c ew c +,,.u1 Jc hemmer ubo cavlay Pc 0 w GD –M aj.d"'H–mg of not a�orc t t o in«�,v+ ttx tron»o-.+ver raider a oa the&mun,�-zap iccirn tlrco z-c o-x h-cx_l1y to be cuzr loyc3 unG the"ukct,o hm Aa(GL1525z 1(5)�appUntioo try a homcoW:xr for c t;c----<cr pcfmn a y n-rkncY LL-c Ics11 0-t—of C C. IOY-I-d-(I-Wor4.cla Comp-1 o.Act I undc:tt d di�i>c ,,y of thi.rr>i—cal miy be f«vliod to tba D pert,of It�as✓iJ nmd�S�'ofLoa of lrnui000 for ttm covcrisc vQ-Ificuoo&rid th_t LlJLZc to cca covcznT,:ur�dc zca oa 25A of MOL 152 m lad to ti- i ilioo o(rnmiasl pco+11 c� t� ooaii-%m of a rir of up to S 1,500.00 andW ;rt of up to rnx yc;.r r-od avil P=xf-io in to r«m of i Stop Work Order and a fire 0(:S 100.00 i d_y rgz.0 ¢r_ For y p t`Ilmbar Lot " — Si�nalum of Litxr scc�} crmiucc e 7If1N<8=CQNSTRUClON SirRViCS is 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone =1 Not Applicable ❑ le /3007 Company Name Registrat' n Number /A3 tk) on Lo or Address r' (—J n1Sg Mof 0/o9 Expir tion Date GO V Telephone 02,67 —7Z ?F 5; rION 10�WORKER$''.COMP I+I$- N;INSl1. ANCE FIIIDAVIT,{M.G:L"tr.152,1. r ji)1 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. ,ned 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,Sta a and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature �� D i. New House ❑ Addition ❑ Replacement Windows Alterations)A Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: idd Alteration of existing bedroom Yes DC No Adding new bedroom Yes 4—' No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 4 y 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 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 S c >tori OWNER AutHO z r ON s r Prrtl r � wH> N Al acoa�r ► 'rba �r »rO °BUf�,Ib1NG J U ��.� � 3 , as Owner of the subject property hereby authorize /l��i h � k'�E►'1 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 2� ,� (rte as Owner/ thorized Agent hereb declare that the statements and information on the foregoing application are true and accurate, to the y knowledge and belief. ,ned and r the pains and penalties of perjury. Print Name Signature of Owner Agent Date 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 D 6 Frontage 113 •,:R S 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 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 # 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: City of Northampton Building Department 212 Main Street �---- -Room 100 pton, MA 01060 phone 413 1240 Fax 413-587-1272 y 2000 , A LIGATION TO 29NS JRUC T,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ,_. .Ia SEC'�1 ,N SI"T:E INF,4RMATION .,. .. . 1.1 Property Address: 1K i 5l Ken h le - a SE+tION"2 IipRTY t�WK1ERS1I0AUTH4RIZED"" GE 2.1 Owner of Record: a - J uda a Q', 5'S '1 1 me(Print) T urrent Mailing Address: � Telephone Signature 2.2 Authorized Agent: "U%', ® 6 (z I,e r\ P Q c�x S la. (kV_rn s b Yh Name(Print) �l Current^Mailing Address: 0 1 OR b Signature Telephone SI©N 3 $TIiVI�►lr1+ ONIi2llbl CtSTS Item Estimated Cost(Dollars)to be Official Use Only" completed by ermit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total;"Cdsl of o2 56) *, truction 3. Plumbing Suifding=Permit'Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2+3 +4+ 5) Checlt hljjM, Der ThisiSectio r OffleW Ube n ildlrtg;:Permit.Numbera � pate issued: 3 Signatures gu iding C6mtbissioner/ln.$peoI r 6f'66 tcdings Date, File#BP-2001-0063 APPLICANT/CONTACT PERSON STONBERG RICHARD P&JUDITH D ADDRESS/PHONE 551 KENNEDY RD (413)584-1591 Q PROPERTY LOCATION 551 KENNEDY RD MAP 05 PARCEL 039 ZONE RR 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: REN4015EL BATHROOM&ADD WINDOW 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: 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 Co ion Permit from CB Architecture Co ittee Signature of Building Of 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 .TM of public works and other applicable permit granting authorities. f G . k f _ Y k 551 KENNEDY RD BP-2001-0063 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:05-039 CITY OF NORTHAMPTON Lot:-001 Permit Building Category:Non structural interior renovations BUILDING PERMIT Permit# P-2001-0063 Protect# JS-2001-0105 Est.Cost:$13270.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO Const.Class: Contractor. License. Use Group Lot Szze(sa. Q: 2,§876.52 Owner. STONBERG RICHARD P&JUDITH D ZonjW.RR __Ag icant. STONSERG -RICHARD P & JUDITH D _ AT. 551 KENNEDY RD Ag i,cantAddress: 'hone: Insurance. 551 KEtMDYRD (413)584-1591 (� LEEDSMA01053 ISSUED ON:7120100 0.00:04 TO PERFORM THE FOLLOWING WORK REMODEL BATHROOM & ADD WINDOW POST TM 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;6k9/r./p Rough:MAO 0 House# Foundation: Final: / � � Final: f J7. 1 l 1 -0d ( Rough Frame: U Gas Fire Department FireplacdChimney: Rough: Oil: Insulation: Final: Smoke; Final. THIS PERMIT MAY BE REVOIKEII BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. -� Certificate f Occuganc s nature; Fee Type: Receipt No: Date Paid: Check No: Amount: Building 7/20/00 0:00:00 702 $65.0 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo