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06-003 (7) PLAN VIEW STORE NAME CUSTOMER -- GENERIC CUSTOMER 123 STREET RD. DATE 05/25/01 REF Deck01145 CITY, ST (800) 555 1212 - i I, II i IIII I ill i — ; I I LOAD AND SUPPORT: Your deck will support a 114 PSF live load. Posts have 48" below-ground post support. DECK AND POST HEIGHT: You selected a height of 48" from the top of decking to level ground. The top of the deck support posts will therefore be 37.25" above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. OUT UST STORE NAME �;1_I.`,T CWER -- GENERIC CUSTOMER 123 STREET RD. 11 TE x"»5/25/01 REF Deck01145 QTY, ST ° p01 555 1212 LF_'II I �L1 � 1 ' I ,i ��— �' k�i ILi I, it III -' I - k_d=`+BEL LENGTH PE (.9..A W:IL 91 byoul €EVR H —d_ir-r 4' l -i`: JF, c i� FP,E M L AYK)UT STORE NAME 4-,(1:-u1T�--)MER -- GENERIC CUSTOMER 1:23 STREET RD. L '' E 0,5/25/01 REF Deck01145 CI TT, ST X5001 555 1212 1,� —IL - 1 `- - --I - 1 I T --T _. I � III II 1 ST ST 11. I,LfI ,UNT .0 T M VIEW . - MER -- GENERIC CUSTOMER -. 5/25/0! REF Deck0I145 � lil IIIIII III�I�' I'I !II III ����l�hr 4 III I II II VIII i I i� �il�ll ��I�'lil ' I � II� ' I �ji�i�l `��11 Ill�ilil I � �Illl�lllTTn ,, n I III II!II� III I± 1' �l i� i' ll�lll Ilil, I�jr I III IPOlRTl�lr!I� y z r' I j I I I i I W r STORE NAME 123 STREET RD. COY, ST �� (S00) 555 1212 V E �\ .'dUN - 7 2001 DEPT OF BUILDING INS 0 S . � S C u S t o m Deck D e S i ��, NORTHAMPTON,MA PORT , �. DATE NAME o OiL ADD RES S ADDRESS nrr77 :TT;{YZ 9 • � i. Height of Deck_ 2. Free Standing Z -- or Attached 3. How Many Levels _ 4. What Type� of Railing ® Post& Ra-11 Baluster - Z Colonial s. • S Crews y or Nails for-decking � G. How Many S eta Of Stairs 0 .7. Width of Stairs c, s. Benches? Yes No 9. Size of Benches A io. Planters? Yes . No ® Depth of Plante e Height of Plante n.. Hot Tub Yes No Dianietcr of loot tub 4:' 5 ' 6' 12.•Privacy Screen Yes — Nc Height 13. Apron on bottom of deck Yes _ No — E6 E u V E JUN IN - 7 20401 'T 0,BuL�', N p DEPT Of BUILDING INPE ION t , �j " , , jow4wmON,MA 01 60 Jtntr p;,, �O Cac3:c.oy F `E &ti ) of �\TOIAIjallt}1toil = i — DEPARTMENT OP DUILD[NO INSPeCTI01:S 212 Train Strect ' Muoicipnl Building Nor(hampton, Mass. 01060 WORKER'S COi RU ENSATION LTqSURA-NCF Al'I'1DA,,TIT \j•Ith a principal plat.- of business/residefice, at (s Qr cic i (y/Slain-/n p) ------- do hereby certify, under the pains and penalties of perjury, ( ) I am an employer providing the foUowinc: worker's comocns�i;on cove:.-.- for my eluplovccs wort`ng on this job. onsur-oc-- Corr.y) (PoLic: NtL-ab--r) -- (-L-,,-pi ,6o,, Data) O I am a sole proorictor, Qeneral contractor or homeowner (ci cic one) and have hired the conuac ors listed 'below who have the folloW10S worker's cn=,b�-ns tuon policies (i+nruC o.Co ;r clo 1 (InRJmncc Colnoan}/PoUc, Numcc) (N�,ne of Coorraclor) --- (bLSa rancc Company/Potts-' N`u-mccr) (Exmi lion Date) (Name of Coarraclor) Gasumncc CompaDyRoUcy NumbJ) (Expiraoo Date) (Name of Corinclor) Rasutancz- Compauy/Pohcy NI M)xj) Txpu-non Da1c) (.❑�cb oc l c uct tocc�i. y to n! nf«���oa paZainins to.L ooasrc-0�) O I am a sole propnetor and have no one workiDg for me. I am a home owner performing all the work myself. NOTE:plc be ew arc lV,.,v1 Jc bc,,O,,Wbo eraplay PC sT a to c13 c cr-c c rc?av..ork oo.d..cll of not¢voce t1l.n _tmr�in u',rieh Lb, oc oo the p-m.ocS��purlcn:rn lbern e_-c we Gc _fly to Le cmploy�unc'-.the.a0,k- ' :Loa Act(GLlS2.n1(S)},opplic�6on by.boon oav fcr:bc=,_�a pcnTin rs_y caidcocc tL•c I cSIJ rtnau Of.n cr?loyoc undo dw WcckOer Compo Lino Act 1 uoda-nand dvt a oopy of ahii ex�Lc m.y be foe- —iod to tba pcpurtmeat Offioo of L,uu-•ncn for tbo oovcraSc vuiLctioo and tttl L•iltzc to roatrc tovRy�tnodcr suction 1 S A o(1.tOL 151 an lad b the i dioa of aimio.iJ pctullin 000sismg of a Ctne oCtep 1n S 1}OO.00 uid/or capriioamc:c1 of up to ooc yes.-end otiil pm.J',io in dx form or.Stop Work Order and. fim of S 1 00.00.dsy.Emma att_ Foc 6c,mw-=—J u.c only / r PcTmll Numbcr _ �/ ✓ 2La-� lvfap"% Lot '", Sianatun otLiocnSCdP-(c rtu[icc Wte S EC tION 8="CONSTRUCTI'QN"SERVICES` 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone 9 az ,M��" Not Applicable 11 Company Name Registration Number Address Expiration Date _Telephone 3 SECTION 11) WORKERS':COMPENSATI RANC QN INSUE AFFIDAVIT 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...... ❑ 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 SEC t° 5Z E RIPTIO ED R c II°a` Ii able New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks Mll� Siding[ ] Other [ ] Brief Description of Proposed Work: /" L L f/NJI AI ooU GGK L� ��1 D` ' 40.E 6 Alteration of existing bedroom Yes No- Alteration ne edfoo Yes No Attached Narrative o Renovating unfinished basement Yes No Plans Attached Roll ❑ Sheet❑ s 1`f I v I � i 1 i C e tit t o s n�cohj]oIete�the5fo]Ipwln'� 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 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 33 SECTION 7a OWNER A,31`l�I©RrzArioN TO BE"Cp'MPI.ETED,WHEN OWN)rlI2S`AGENT;QRCQ„ ACE4RAPP'rr fORr3UlLDINGPERMIT 3 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. i Signature of Owner Date 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. Signed under the pains and penalties of perjurt. I 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 SCI�r/t ei� Frontage Setbacks Front Side L: R: L: O R: Rear /C b 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: ;E j �n;^ d r Q (� E i o hampton Z— pa rtme nt 21 Street 2M 100 Northa r,240 ton NIA 01060 vT S Fax 413.587.1272 '�A 01060 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING ;ECTION 1,, 'SITE INFORMATION 1.1 Property Address: . m� L L C D 5 rn/I a/a 3 tip% SECT[ N 2 File#BP-2001-1028 APPLICANT/CONTACT PERSON COGGSWELL RUSSELL&PATRICIA ADDRESS/PHONE 600 HAYDENVILLE RD (413)585-0065 Q PROPERTY LOCATION 600 HAYDENVILLE RD MAP 06 PARCEL 003 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny,Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 4 11( 16 FREESTANDING DECK FOR POOL&REPLACE 8 X 8 SHED 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 OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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 Commiss' Permit from CB Architecture Committee G Zap Signature of Building Offic' 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. 60o HAYDENVILLE RD BP-2001-1028 GIs#: COMMONWEALTH OF MASSACHUSETTS k.06-003 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: shed BUILDING PERMIT Permit# BP-2001-1028 Project# JS-2001-1831 Est.Cost: $1508.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: _ Lot Size(sq.ft.): 28357.56 Owner: COGGSWELL RUSSELL&PATRICIA Zoning: SR Applicant. COGGSWELL RUSSELL & PATRICIA AT: 600 HAYDENVILLE RD Applicant Address: Phone: Insurance: 600 HAYDENVILLE RD (413) 585-0065 O LEEDSMA01053 ISIYUED ON.61141010:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 4 X 16 FREESTANDING DECK FOR POOL & REPLACE 8 X 8 SHED 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/14/010:00:00 848 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo