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17A-269 (5) 10/16!2000. 11:65 4135844593 RYAN S HELLWIT GE 01 �j a OCT 1 7 2000 PROJECT:RYAN S.S. HELLWIG, PE STRUCTURAL ENGINEER 28 Aldrich Street Northampton,MA 01060 ' Voice:413-584-HLWG (4594) DATE: --- Fax. 413-584-HLWFax(4593) Alk NO.: _...„ 177_qr 195r- 40 4 P-avm AM 4k—L N $ or /- '! ( �O. ZOO (4)(1 Z--t-4 C' i to m.i vipo: 4.0) m tj-,x�ro P�Ir-r F'I N.FI R47 FI,I tk ►(� 2!o T a s' r ' N 2 e,+nos ►�"o.c. 2XIo`s e_tto`o.c. yER� 'JI}IT FLA ?4TS. cp1,..on1 GC1J G 49 T. 4. a. f=-74 Fps 20 �4� t 0 r. T 17 • no 1-02 O-K ST" rL-6r.E M��l AND Go�NE(Z FrU. �o(� DEPT OF BUILDING INSPECTIONS _M✓..f 5_N �- �- LF r�(2 Gfi'tl'('F_.G _-_ I O/_I lo 0 I'o`-(' ��°v� NORTHAMPTON MA 01060 30),0 32 G-F- �a Gu�r�r'ca.Y 6 E�1971 Nell oI N 193.20 M I i SITS ��A.t�t G� LA l4O SUrz�1 �, G, 20 1 �Y PT OF BUII.O+ �. .. WG IN 1 35 _ t t TORY FXI�iTI i tG� r4 C.1 o t W I1-.-` >pjTf i EXISTING FA-vED 174ZIVEWAY IL r Alterations and Additions To j 102 Oak Street, Florence, MA SITE- PL.-,�sI4 CEP �V t-4 Li g:,4 "=2n' c�)1-7 /oo N, 9-ELr 1 IZ�� LYNN POSNER RICE, ARCHITECT 6 Crafts Avenue • Northampton, MA 01060 •413 586-4483 102 OAK ST MP-2001-0029 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON j ZONING PERMIT zo1�11�1�rx1T AP­P' APPLICATION PERMIT Pert Ml' QO 1 0029 PERMISSION IS HEREBY GRANTED TO: Prot# TS 20(11 0439 I tGost Contractor: License: w Homeowner as Contractor oF.nt. Owner: FAUDREE ROY G&PAMELA H SEE Applicant: FAUDREE ROY G&PAMELA H SEE AT: 102 OAK ST ISSUED ON: 15-Sep-2000 EXPIRES ON: TO PERFORM THE FOLLOWING WORK: CONSTRUCT 2 STORY ADDITION W/ONE STORY CONNECTOR TO EXISTING GARAGE THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Zoning Permit Application REC-2001-000695 13-Sep-00 251 $10.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS*2000 Des Lauriers Municipal Solutions,Inc. t ♦i 4gYtM1P�. goo one (l if 7 of 'Warta illpfou z �a3aaCl(nSflla• DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORICER'S COMPENSATION INSURANCE AFFIDAVIT I, ��nela See (licenseeJpermittee} with a principal place of business/residence at: i o z oq k sr. Fl e rence _ MA. 0./06 Z (phone#),gy-,2 g 3 (st r=Uci ty/statchi p) do hereby certify, under the pains and penalties of penury, that: I am an employer providing the following worker's compensation coverage for my employees working on this job: ii (Insurance Company) (Policy Number) (Expiration Date) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: W 51,1CVeW Whe41en--rsvraxc4 A16 TNSURAW C July 1 /7-0-1 (Name of Con Actor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (E)piration Date) (attach additioml sleet ifnxcssary to inoluclo infor—tion pertaining to all ooatr o ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeownem wbo employ persoas to do msaintcm un construction or repair work on a dwelling of not more than throe units in which the homeowner r=dea or on the grounds appurtenant thereto arc not generally ooandcrod to be employers under the worka's compensation Act(GL152,m 1(5)),application by a homeowner for a Uccase of permit may evidcooe the legal cis- of an employer under the Workeet Compomation Act,_ I understand that a copy of this vute may be forwanled to the Departnrnt of Indualrial AaadmIY OfEoc of lwwxac a for the coverage vmficatioo and that failure to secure tbvetnga under section 25A of MGL 152 can lead to the imposition of ccimimal penalties comistrmg of fine of up to S1,500.00 and/or imptuoanxsi o up to one ytw end civil penalties is the form of a Stop Woric Order and a firm of S l . a / For degsrtme"uao only Permit Number 3 �� Map# Lot# Signature of LiCCrtsee/Permittee e SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: J ot%yt 5 A.Gktw &yy5tYvcAi ovn V 5l 0 -f1 q License Numbe 288 Okeskw'feld ReA. We5t-kmupW - AAA 0102* (0 ZQ� ) Address Expirat on Dale 5Z-+ -3 (, Signature lephone Not Applicable ❑ John Sea.c.kery 6051 Ve't-ie" / oosoy Company Name Registration Number b-1111 Loot Address Expiration Date �- 2 w ckc w VVe-5N0-W0bnJ,MA. Telephone 52.*-3gG5- SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.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...... ❑ 6 anmlskm- 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 QF PROPOSED WORK(check all applicable) New House ❑ Addition I8 Replacement Windows Alterations)19 Roofing t9 Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed 2 stogy a 4-1 i}t o i- cn S coo 7'c ur -o cx sF,!2 qt<✓nr Alteration of existing bedroom es No Adding new bedroom Yes ✓ No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll 9- Sheet❑ a. Use of building : One Family ✓ Two Family Other b. Number of rooms in each family unit: 6 Number of Bathrooms Z c. Is there a garage attached? ycs "' PI ✓c`"'. d. Proposed Square footage of new construction. ? 1 b Dimensions��6 l� �✓ /" �x� e. Number of stories? Z f. Method of heating? Gas fired vmt-or a,✓ Fireplaces or W__ood�s±o es iPs Number of each l g. Energy Conservation Compliance. IN)C> Mascheck Energy Compliance form attached? 6-5 h. Type of construction wooA{r�.,re i. Is construction within 100 ft. of wetlands? Yes _y No. Is construction within 100 yr. floodplain Yes v No j. Depth of basement or cellar floor below finished grade 7 -F+- k. Will building conform to the Building and Zoning regulations? _��Yes No . I. Septic Tank City Sewer V Private well City water Supply � SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS'.AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ik , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to rk authorized by this building permit application. �yc f Signature of Owner Date as Owner/Authorized Agent hereby declare that the statements and information on the for going application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. a0 Print Name IbJJ4U Signature of Ow er/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 39 c 32 Frontage i8y, IS FT. s9rnG �� Setbacks Front 35 Fr. as sr. O Side L: /S ' R: 38 L: /5 ' R: 38 / Rear ys r � Z`/6 FT 2o Building Height 28 FT, Z.8 FT. Bldg. Square Footage tsb2 8ctw % tgao OLOCY yaa 4ub V Open Space Footage cry d % e (Lot area minus bldg&paved -341 to I C> $ parking) #of Parking Spaces / LA 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 v� 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: -CiW of Northampton Blding Department WT I I M x'12 Main Street . rRoom 100 PT I OF SUS !�i' `R `rth "mpton, MA 01060 phone -'1240 Fax 413-587-1272 " N APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION ' This,sect I " �mlete4l � 1.1 Property Address: Map �t y aY'3 Fly2thlLc M? v t a Z 1strifi € E SECTION'2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Baroela 10Z ©A K 5i, F101-nce M q, 0/C1G Z Name(Print) Current Mailing Address: `//= ofi' Telephone ignat ure 2.2 Authorized Agent: Name(Pri ) Current Mailing Address: CA 63) -1 - '2'4 b Signature Telephone/ FrTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 7 (a) Building Permit Fee 6/ CIO� � � 2. Electrical (b) Estimated Total Cost of 15, oa °° Construction from 6 3. Plumbing Z c,o Building Permit Fee �'� Cc.o 4. Mechanical (HVAC) 5. Fire Protection S, 6. Totat=(1 + 2 + 3 +4+ 5) 1 135, ° ° ° °° Check Number 3301 This Section For Official Use Only Building Permit Number: (.9 Date Issued: Signature: Building Commissioner/inspector of Buildings Date File#BP-2001-0386 APPLICANT/CONTACT PERSON Sackrey Construction ADDRESS/PHONE 288 Chesterfield Rd. (413)527-3465 PROPERTY LOCATION 102 OAK ST MAP 17A PARCEL 269 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid l7 Typeof Construction: CONSTRUCT 2 STORY ADDITION(FAMILY ROOM&STUDIO)& 1 STORY CONNECTOR TO EXISTING DET GARAGE REMODEL KITCHEN CONVERT EXISTING BEDROOM TO BATHROOM New Construction Non Structural interior renovations Addition to Existing_ Accessory Structure Building Plans Included: Owner/Statement or License 040714 3 sets of Plans/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 c� /L Lo4o Signature of Building O 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. Building 10/12/00 0:00:00 532 $475.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 06 f'S ArJ .DWI S ���, w/ ���� � .arc—�•�-�¢r-�► ,7 102 OAK ST BP-2001-0386 G1S#: COMMONWEALTH OF MASSACHUSETTS Ma p-.Block: 17A-269 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:alteration-addition BUILDING PERMIT Permit# BP-2001-0386 Project# JS-2001-0619 Est.Cost:$135000.00 Fee:$475.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Sackrey Construction 040714 Lot Size(sq. 1): 39029.76 Owner: FAUDREE ROY G&PAMELA H SEE Zoning: URB Applicant. Sackrey Construction AT. 102 OAK ST Applicant Address: Phone: Insurance: 288 Chesterfield Rd. (413) 527-3465 Workers Compensation WESTHAMPTONMA01027 ISSUED ON.•10 112100 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2 STORY ADDITION (FAMILY ROOM & STUDIO) & 1 STORY CONNECTOR TO EXISTING DET GARAGE,REMODEL KITCHEN,CONVERT EXISTING BEDROOM TO BATHROOM 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:cl Final: Smoke: y5 Z THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL ON OF ANY OF ITS RULES AND REGULATIONS. --��� � Certificate of Occupancy si nature: _ Fee Tyne: Receipt No: Date Paid: Check No: Amount: Building 10/12/00 532 $475.00 212 Main Street,Phone(413)587-1210,Fax: (413)587-1272 Building Commissioner-Anthony Patillo