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06-023 (6) 56 LEONARD ST BP-2004-0588 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:06-023 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0588 Project# 3S-2004-0820 Est.Cost:$92000.00 Fee: $883.20 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JDR BUILDERS 074104 Lot Size(sg.ft.): 40815.72 Owner: RYAN JAMES M&BRENDA M Zoning: URA Applicant: LOR BUILDERS AT: 56 LEONARD ST Applicant Address: Phone: Insurance: P 0 BOX 66 (413) 665-7587 WHATELYMA01093-0066 ISSUED ON:11/19/03 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 40 LIVING R, DINING RM ADDITION, 28 X 32 ATT GARAGE W2ND FLR BEDRM 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: .�-. Reugh: 1kGZe ought? House# Foundation: ©K 1g-(93.49 3 `J`3� Driveway Final: vtrt) l'�h Final`Z-�., a Final:e� 42144y 04 ` �. Rough Frame: Oft cpoRcti all)Lle) Poi b A*mrjrSptfi'kc& WI?rte comm-Ei - � S'.3-o Gas: Fire Department Copeerla jt/i1Jic T Fireplace/Chimney: �Lyf /blpn7*w . Rough:7-2 g aOil: o Insulation:OK g'i-'ll --� `� Final: .04Smoke: Final: 8 K THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. "..zy Certificate of Occupancy Signature: FeeTvpe: Receipt No: Date Paid: Check No: Amount: Building 11119.%03 0:00:00 1595 S883.20 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 4vociNVOY(V))(V woo �ng�� I,',i � rvrfdy s -)invnS - enr+y ho/o/L '2RY /v9ri)ef 162 - le'vihr° ev'ivaV - 116"b 4aPYI 1141 Og h € 002 jwc 91Q File#BP-2004-0588 APPLICANT/CONTACT PERSON JDR BUILDERS ADDRESS/PHONE P O BOX 66 (413)665-7587 PROPERTY LOCATION 56 LEONARD ST MAP 06 PARCEL 023 001 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 A c9< t iA,3•ao Typeof Construction: CONSTRUCT 24 X 40 LIVING R,DINING RM ADDITION,28 X 32 ATT GARAGE W2ND FLR BEDRM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owned Statement or License 0 3 sets of Plans/Plot Plan THE F��''LOWING ACTION HAS 74104 BEEN TAKEN ON THIS APPLICATION BASED ON INF (MATTON 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 ElStreet Co ion Signature of Building 0 cial Date 4/-4 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. City of Northampton Building Department 212 Main Street Room 100 ¢ - _ Northampton, MA 01060 phone 413.587.1240 Fax 413.587.1272 J APPLICATION TO CONSTRUCT, ALTER, REPAIR;'REsIWPIER 10 410I4SF I E OR TWO FAMILY DWELLING Ip NOV 1 2 2003 /: I SECTION 1- SITE INFORMATION d L s < x sects yy _, 1.1 Property Address: a x- a S( Wi`z w.= .5 6 I o.,✓/9,0 sr IEtos , M4 0/6)6.-3 I`.-,y�,Distnct z'-R4�s�ct � SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 7;944A5 N, /C y/7 ,0/E SVA )'9 ✓ 6 .4-0.40A0 S T !r Df M/9 Name(Print) Current Mailing Address: q �, ye � Yi3—s8G-8a�s sti A I1w�`G rim Telephone _nature 2.2 Authorized Aeent: 71PrMe5 7. /1c45 'DAA Tb P_ L;e z ac 33ox . W hIy •ryc_.9 i Name(Pn ) Current Mailing Address: f c-- 37¢-79e3 Signature Telephone SECTION.6 - ESTIMATED CONSTRUCtION COSTS Item Estimated Cost(Dollars)to be Official Use Only.; completed by permit applicant 1. Building (a) Building Permit Fee COO 2. Elec:rice! / (b) estimated Total Cost of �}�D00 Construction from (6) 3. Plumbing �. COO -, Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) OI2ePOO Check Number /195 gag.a-O This Section.For Official Use.Only Building Permit Number: 1P°11 c Date Issued: Signature: - .. Building Commissioner/Inspector of Buildings 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 rola//eager( x939 rem/1/efenst 0,437 /},D00 _ Frontage 236,2 v 276. 2 ' 'S Setbacks Front do' 30/ Side L: /.J R: /,l L: /5' R: /$ IS Rear ,30' 30' iN Building Height /, Bldg. Square Footage / 3 2 V .1 " 21,64/ _ r/, Open Space Footage (Lot area minus bldg&paved 95 g f parking) #of Parking Spaces SRM4 cm On Fill: (volume&Location) 01p, wit% A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO X 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 X 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 X 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, desbribe size, type and location: L A . 4 ; ,74;:7. 7"7 =5 g 'rlG av as a O5EONO ie teal lrg• e ,t - .. . . New House 0 Addition X Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 DemolIi'tion❑� �../- (// New Signs [ 1 „ •ecks [ Siding[ I ether [ Brief Description of Proposed Work: 5££ PerTA t1£1) „[y{s rrk Alteration of existin bedroom X. Yes No Adding new bedroom. X Yes No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll❑. SheetX &f VrA. frite, altili;.-e: tai:wn toxexis kit Or 1Feet,0-1.11 ee :, .etfo3'du. in a. Use of building : One Family X Two Fa mfy_,.._Other b. Number of rooms in each family unit:_., Number of Bathrooms c. is there a garage attached? Lii4 I d. Proposed Square footage of new construction.I Z7S.Z bimensions ZSX3�- G �'v` W t g To aKt ry£ 2.4 st 8o A-bp l no...: (1 z„a e. Number of stories? [ a ploy Room ov£K 640A(,£ 4� I. Method of heating? FO(1c£O &DT Rt Q Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. -ICS Mascheck Energy Compliance form attached? h. Type of construction 1.006D 58 i. Is construction within 100 ft. of wetlands? Yes X No, Is construction within 100 yr_ floodplain Yes X N( t j. Depth of basement or cellar floor below finished grade_5 k. Will building conform to the Building and Zoning regulations? X Yes No . I. Septic Tank City Sewer )( Private well City water Supply X 'fi • e ® ,Tq 4, fiJialzA�ON•70 BE cOMP,).E+.TED WH `0d __ Ft y . < -0 ;RACTt[R"APPUES FOR BUILDING PERM S' , I, Tf1HE3 lsl, f1y,,9,ti , as Owner of the subject property hereby authorize SA-{r+45. >- ZeSS -1-e)gty 1 09- c}C)Lt>CR S to act of my behalf, in all ters relative to work authorized by this building permit application. 4 it / /© 77-03 :nature of Ow er Date .� 1, j'fkiw 5 1" 4459 `¢61; .'D a 3kmes , 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 perjury. Wig, 7 I?, 11-e& Print Name / ci> //2 Signature of Owner/.lent Date r tR OTION SERVICES s.1 Licen. • Constructi. Su•ervis•r: �� ....� Not Applicable 0 i1• nftrs-c Name of License Holder:_- TAM£5 . t'. 5i o74/QS' License Number fox 4- 1k'. 1}ATFifL7), Ma. Dlp(O[. Addr Expiration Dote • 374-l9A3 Signet re Telephone Iiiirte=6MMWSNWTSSS Not Applicable E -......... golf eS /3o 977 Company Name Regi strati on Number x Gta Wr}� ty , A4- blO13 3)2 Address Expiration Date Telephone 374-7)S3 yiEGT oe710,agp 4014s;COMPENSATIoN INORANCE AFFIDAVIT(M.G L. c. 152,§25C(6)) I 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 K „ flat 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-vear 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 Employer to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may he 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 YINn�N f Gila of \&ILII?ctmpton 411tt.- 6 yil.asahmctf!.' c. . '_ 1:2ULPAZTMLOT' 6P BUILDING INSPECTIONS \ / 272 Main Street ` Municipal Building Northampton, Maes. 01060 WORKER'S COMPENSATION INSURANCE .k FIDAVIT ni=isteircrmItzo o.ith a prneinaJ place of business/residence nieleec ek tr(p, .) kJ-te ria Ota ry nc l 37,f79e3 do hereby cer ttytinder theehe pains and penalties of pe jury, () I sin an employer providing the `olloc<i::_ ::of:.ers colrepe:sabon .cover;u e For :ny employees wodang on this Job: (Insuznc.^. Conpaoy) ....� (c_ct,Number) (Eamo Sen Dote) (4 I am a sole proprietor, general csaTctor :hoplcCTNner (chide one) and have hired the contractors listedbelow :o h:ve the ,en,._ 'orke's cionhiensinon polices: HR2gt5 $ 62a-1 coAief247'g_ toci f, w ,y.• (Name of Comm-Itlr) (Loren:op CeiriminsiPalim N!unroa eam Dated 1-Ong R £KLAVKr. M4 vl-: y � (El of Cconnanr)ft ., sotn: /P ornvo!ict ,a Namtc.) meoor Dade) 114b -SOgn' (CM Y'Setb'Y Lf:i fitIN o✓(L C{-F" - (Name of C!,nrP_e:0:) Dtnorroncte Crismaogreal icy N.mt(o) Eno otoca Date_) .—. (Name of t ontrrctor) (in rmxct C m:.r:}'PoHry Number) (t. as Date) 1 y ion a sole III o'r ie:U - d h .'ae no one , :i::: '1 ' me. + ) I inn n'not nor ^ ; ll ncA:none nun Wm . .tiv�}r, r r -�ti�cu^sz � >Jl. � craloyn-a un:c tlr (e' . ay a h. .:o.aa_a Oro<Cr 1 kr.c Icg1 *tau.;of e..a ecc-4,1oyeeuo...mva We kd+kjoroportoytton Aa un4:wd the.*CO?),oft:. otor-s mny 4 fa !rd to ..'prairie.:of 114.”4.m..1 Arnoneg Onion of I_ plot tht .‘cff cina ami nizJ L:tuv*c 10'.:u _ar,c- ?. ti.z 25A C" '.GLk.152 can —Loth:b n r s it nTcr-_--1 peralnu dot or r_ � of Op to;1,500 CO e: or - '•tr t:.i e:at]xntltio in dc frnr.+ofn G_Cr.'I 00,00•w lI rf V iii`It tYlYl Illvoy � :. :40M r. Criflt of 1orfhautpfmt =� s4 ' ,tit � „ApI A ennohm,ne DEPARTMENT OF BtJZWINO INSPECTIONS MEW- 14F1 INSPECTOR 212 Main Street • Municipal Building Norhampucm,MA 01060 • '4, HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supe sor. The state defines"Homeowner" as, "Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s)who seek to use the home owner exemption, to act as their own construction supervisor,to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings(before backfill), sonotube holes (before pour), a rough building inspection(before work is concealed), insulation inspection (if required)and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing& gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made 1, understand the above. (Rome owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location I i 'T- 6Vr,- .$0) I - '[ ,_ _ I_ i; N; Silt 13 1 I • ti 171)2 - 301# I. • 1.____I R `,Z- w 1t ! I. t 1. 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