16A-017 (2) BP-2006-1408
437 SPRING ST
37COMMONWEALTH OF MASSACHUSETTS
GIS#:
CITY OF NORTHAMPTON
Map:Block: 16A-017
Lot: -001
Permit• BUIIdln9
BUILDING PERMIT
Category:
Permit# BP-2006-1408
Protect# JS-2006-2075
Est $Cost: $2500.00
Fee: $o t: PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
Const. Class:
tise Group: Homeowner as Contractor
Lot Sizes . ft.): 17859.60 Owner: MCDONALD RALLIN L&JEAN D
tonin-:URA Applicant: MCDONALD RALLIN L & JEAN D
5;pRj1-,jV1� RT
Phone: insurance:
Applicant Address:
437 SPRINU ST
(413) 584-6344,E
LEEDSMA01053 ISSUED ON:6/29/2006 0:00:00
TO PERFORM THE FOLLOWING WORK--CONSTRUCT 12 X 20 SCREEN PORCH ON
EXISTING DECK
POST THIS CARD SO IT IS VISIBLE FROM THE STREET Building Inspector
Inspector,o:Plumbing Inspector of Wiring D.P.W.
Underground: Service: Meter:
Footings:
Rou h: House# Foundation:
Rough: g Driveway Final:
Finpl: Final: Rough Frame:L12H 7 - IZ
Gas:
Fire Department Fireplace/Chimney:
Insulation:
Oil:
Final:
Smoke: Final:
THIS PERMIT MAY RE REVOKED BYE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REG 1. AT tiIS.
.,� —
Certificate of Occu anc Si nature:
_,,
Fetj �i1e: _ Date Paid: Amount:
Building 6/29/2006 0:00:00 $50.00321
2.12 Main Street,Phone(413) 537-1240,Fax: (413)587-1272
Building Conunissioner- Anthony Patillo
BP-2006-1408
GIS#: COMMONWEALTH OF MASSACHUSETTS
,�3,k . CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category_ BUILDING PERMIT
Permit# BP-2006-1408
Project# JS-2006-2075
Est. Cost: $2500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 17859.60 Owner: MCDONALD RALLIN L&JEAN D
Zoning: URA Applicant. MCDONALD RALLIN L & JEAN D
AT. 437 SPRING ST
Applicant Address: Phone: Insurance:
437 SPRING ST (413) 584-6344 O
LEEDSMA01053 ISSUED ON.6/29/2006 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 20 SCREEN PORCH ON
EXISTING DECK
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: Rough: House# Foundation:
Driveway Final:
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:
FeeType: Date Paid: Amount:
Building 6/29/2006 0:00:00 $50.00321
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-1408
APPLICANT/CONTACT PERSON MCDONALD RALLIN L&JEAN D
ADDRESS/PHONE LEEDS
PROPERTY LOCATION 437 SPRING ST
MAP 16A PARCEL 017 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
S'750-
Typeof Construction: CONSTRUCT 12 X 20 SCREEN PORCH ON EXISTING DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE F9LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INYMATION PRESENTED:
Approved 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 Street C ssion
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.
or
IL
Gity of Northampton
Chiding Department
P 12 Main Street A,
n^ Room 100
Northampton, MA 01060
hone 4
p '3-58�-1240 Fax 413-587-1272
APPLICATfdk TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1--SITE iINFORMATION
1.1 Property Address: Thissectwnkto be completed byaftice;
c �
W�Ori/) Map Uratt
y
jmnwniiI O�erfa 3�stcacf
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: /
Na (Print i u nt-MAng Addre s:
XMA �'�"l _ Telephonfi
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 2 oo (a)"Building.Permit Fee oa � soo
2. Electrical {b)-,,Estimated-Total Cost�of Z w n
Construction from,.(6)
3. Plumbing O Building�Permit Fee
4. Mechanical(HVAC) O
5. Fire Protection
6. Total=(1 +2+3+4+5) O Check Number 3 2.t O.Od
This Section For Official Use.Onl
Building Permit Number. Issued:
Signature:
Building Commissioner/inspector of Buildings Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size `
Frontage
Setbacks Front 9a
Side L: Rr-IC7`
Rear
BuildingBuilding Height
Bldg.Square Footage %
Open Space Footage // %
(Lot area minus bldg&pavedb
parking) T VC-
#of Parking Spaces
Fill: 11-1� ON Ny NC— i
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW 0 YES 0
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES
IF YES: enter Book Page' and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW00
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtainedQ Obtained Date Issued:
C. Do any signs exist on the property? YES 0 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. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(checkall applicable)
New House F-1 Addition /;Ap Replacement Windows Alteration(s) Rooting ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [Q Siding[pj Other[a
Brief Description of Proposed RAFMO ZX$
Work: �V0 \Zx'20 aCREi�:it �c'c�i,R C-0 Ohl S)QS T I N(r- ��Z\<, Gu(luppW /SEA@Ei2S
Alteration of existing bedroom Yes G No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes ,X—No
Plans Attached Roll -Sheet
r- .
Eia; !f a iC�ac>se _ o a itlo c +exp �n414"y uscno,Ii1:,.e a'��M":
a. Use-1111building:One Family Two Family Other
b. Number of ro s in each family unit: `-1 Number of Bathrooms 2
c. Is there a garage atta d? Yt5
d. Proposed Square footage of n construction. Z u ensions H Vf 12.E 1 Z A 20
e. Number of stories? J N C
f. Method of heating? (�{O�(I= Fireplaces or Woods#aves O Number of each"--
g. Energy Conservation Compliance. NI O Masscheck Energy Compliance form attached? NO
h. Type of construction W 0 D F SCR..7!5
o;vvv L,lINDO� UrjtT5)
i. Is construction within 1 of wetlands? Ye � No. Is const tion within 100 yr. floodplain Yes X` No
j. Depth of ba ent or cellar floor below finished grade �c FT
k. Will building conform to the Building and Zoning regulations? Yes Not.
I. Septic Tank J City Sewer Private well City water Supply v
SECTION 7a-.OWNERAUTHORIZATIONv TO BE GOMP,LETED;WHEN
OWNERS;AGENT OR"CONTRAGTO,R'APPLIES FOR,'B.UiLDifiG PE4RMIT
as Owner of the subject
property
r
hereby authorize F �G'�L r
to a on my half,in a I matters're ative rk authorized by thisbVilding permit application.
OAytt - i6L I
nature p O er Date
I, sa - as Owner/Authorized
Agent hereby declare that the statements and informs i the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury. yy.�
Pri ame 12
( I r C
LA
ignature of Owner/Agent Date
4
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
Not Applicable ❑omssmOew
Company Name Registration Number
Address Expiration Date
Telephone
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...... ❑
y:
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 Budding Official,that he/she shall be
responsible for all such work performed under the buildine 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 ate of Massachusetts General Laws Annotated.
Homeowner Signatr �`��
a} yE (rii� �f '.�rlrfl��z�ll}�foll
A E �la3aStchnrrlt0' --
i
a DEPARTMEIrr OP DUIL•Dr,\IC INSPECTIONS
i; 212 Alain Strect ' Municipal Building
Northampton, plass. 01060
i "
L,jCET J � 0i�u lriISi� L.L�JII BENS V�'V2r�� AP' 1�111t�lr j
RA t4 Mc-DONAL.D
(ti cc.-n.SxJperm;tt cc)
i
\1.11 Lb a pri,-lcipaJ place of business/residencc at:
i
q 3-7 S PRAN5 YM66r (phone:,)
1 (sort/c�rj/sZaLc�rip)
f
do hereby certify, under dic pains a-Od penalties of pcgury,- --hat
( ) I am an employer providing the folio.vine worker's comocnsadon coverage for in)
eluplovecs worlong on tills job:.
{
F.
as u an= Como:-) (Pelic: Nu r) _ (T;girtior, Dal`)
O I am a sole propretor, genera] contractor or homeowner(ccie ore) and have hired
t-he contractors listed below wbo have the folloWimg worker's comoensanon policies:
�i+Sill: Oi C0�'^Ci0") OnR rzncz. CoinD1n)'/hoUC;i ?�rUlI1�C:) �Y':OIiJ�O?n 11C
(N2mc of Cootraor) (LnsTaoc-- aMr)a-,-I?O c (Lxpirtion Date)
1 (Name of Connaao:) (Lnsuran= ComT)an}-fPol;g- Numbu) (Expirsrioo Dalc)
(Name of Contractor) as ufaacc ComcallyipoUcy Number) (E.,:piriion Datc).
(aRsc�:C�dit:oal rScct.if o_._-tL etch iaform.E oo pertaiaias to.1]oo=-_e.oa)
{ ) I am a sole proprietor and have no one working for me.
f I am..a home owner performing all the-,vork myself:
NOTE:pt=-=be ew2rc is v iij,6emexsv acts�to®Ploy Peiom to di -• „-, �-.=oo a rapaff.•-ork on.d,•en_z of
tux mote t!_n o tmr�is raid.or oa the avu�,zppt.Ytca_t7 thew Z- ox C-rrlty oeeed=Vd to be
eapl0)c und=the..rci d:oe�.�- ca Ac(GL152=l(5)�z4pU=6on by n bomzowvc fv,kie=�--or pcna=y n,dmoc Un
j Ic�1 rt_L-of ca employer=de dt Worke.Cocnp.�tioa Ad.
I uadcrtt od iha i Dopy or thu catcmom ta.y be foc-wded to the Dcpanmca2 of A=dmv'Off o.a of In..ur�for th.
o0l'-- "'c"=Tic=Iioo and the L-il=,c to smut:Fcnv=-ate tm,.l,c—Zioa 25A of MOL 157 nn 1cd to the i=pozi600 of—mi=l pcWdLi=
oo=Lcs Qg of a fmc of up to s 13oo.00 arZrcr of uP w ooc yc_r rmd 6N-i pmstic to tx form of.Stop Wok Ord=and a
fl=of 5100.00 a CLy LPM:t tnc
For -='l u,c only .
Pcrmil NLLMtKr
,i�.tun of Lic�scclPct�niu e
F>
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Descriptor/Area
A: 1 Fr?B
i
1202 sgfk
B: OFF
336 2 �To BC «vEQED) lo ' 30 sgfk
Z9 ' Wood Deck C: FG
1 � 336 1 � 286 sqfk
4 ; D:1 Fr
Z8 1 24 6 78 sgfk
35
E:Wood Deck
s1%aam z-"6 13 336 sqft
To-rk, 1 Fr/B
22 32
9_ 22 FG 22
29
� 30
1 6B 6
17
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