07-004 (7) 16NORTIIFARMS RD BP-2002-0745
ars#: COMMONWEALTH OF MASSACHUSETTS
kv, p:Block:07-004 CITY OF NORTHAMPTON
lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-20020745
Proiect# JS-20021226
,Est Cost: $23300.00
Fee:5110.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: James Locke 001992
jot Size(so.ft.): 60548.40 Owner: SPERRY CHARLES R&CLAUDIA s
Zoning:RR Applicant: James Locke
AT: 516 NORTH FARMS RD
Applicant Address: Phone: Insurance:
26 South Street (413) 268-9323 Workers
Compensation
WILLIAMSBURGMA01096-9726 ISSUED ON:3/7/02 0:00:00
TO PERFORM THE FOLLOWINGWORKREPLACE 1 WINDOW, ADD CLOSET, REMOVE
PARTITION, REPAIR STAIRS
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 3/7/02 0:00:00 11501 8110.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2002-0745
APPLICANT/CONTACT PERSON James Locke
ADDRESS/PHONE 26 South Street (413)268-9323
PROPERTY LOCATION 516 NORTH FARMS RD
MAP 07 PARCEL 004 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out //6/ j�D�
Fee Paid
Tvoeof Construction: REPLACE I WINDOW,ADD CLOSET,REMOVE PARTITION,REPAIR STAIRS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 001992
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOR�1ATION 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
o ksion
Permit from Elm get C
2
Z�
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 MOL 40A.Contact Office of
Planning&Development for more information.
I, 2' rthampton
� 'B d epartment
-_.� -in Street
00
MAS - 4 rrorth r i n,1MA 01060
._.phone 413-5S1-12,0 Fax 413-587-1272
APPLICATION TO CONSTRUCT,A TER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION i SITE INFORMATION
1.1 PropertyAddress: i A
S/b NBA -( P4724644 fl/J, '
heiryz4A/ •
SECTION 2-PROPERTY OWNERSHIP711UtHORIZED.AGENT
2.1 Owner of Record:
2LCttfied9 �� d{ 574 N, JO.
'ame(Print)Cut/Q, — SPS Current Mailing Address:
53,5—,0 Tat ei
Telephone
Signature
2.2 Authorized Agent:
/gin/yaw l it9z4t 14 r vf 5r wkcotrtS4LI,Name(Print) q Current Mailing Address:
U8 - 9323
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTIOfi:COSTS.
Item Estimated Cost(Dollars)to be - Official Use Only
completed by permit applicant
1. Building 2-2- djrl) (a)Building Permit Fee
2. Electrical 8 0-0 (b)Estimated Total Cost of
Construction-from.(6)
3. Plumbing o Building:Permftfee
4. Mechanical (HVAC) 5-0-0
•
5. Fire Protection
6. Total (1 +2+3 +4+5) 23 3fl Check number //5-0/ 7$06
y; "s_,:.y .,�..,..� #his�Section For Official US`a'Only
Ruilding Pen-nit Number. (: Date Issued:
Signature:
Building.Cmnmissloner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing �,(� �,,, /'r .Prropoossed Required by Zoning
W 0 L/ rJ This Building Departmentto be ed in by
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(LA area minus bldg&paved
parking)
#of Parking Spaces
tkirFi Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW v 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 IV-
IF
/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:
''I DN5-MDESCRIPTION OF PROPOSED WOR; K(cifl, Haoolica5ie)
New House 0 Addition ❑ Replacement,Windows Alteration(s)cr" Rooting 0
Or Doors Cf
Accessory Bldg, ❑ Demolition❑ New Signs [ I Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: Ael0(4t-cit I W,NirO— ewe; ann. NR2TinON,
Alteration of existing bedroom VYes No Adding new bedroom Yes ✓No /4"11a SrAZi
Attached Narrative R— Renovating unfinished basement Yes V No
Plans Attached Roll o- Sheet❑
V �"a `e w"tr? � SJt
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?
4 Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
I. 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__
SECTKIN 1:•:.11, [' r TO __e � cs '.[...WHEN
OWNSRS AO r ' CONTRA 1' IES 'iITE'RO PERMIT
I, CC—Atte/A— c1 ,6 1 C( .� n , / ,,aasLOwnner of the subject property
hereby authorize J./i Lr/ (4 6-eiglCO it �"e-4- _ _to act on
my behalf, in all ter elative to k author this building permit application.
Signature of Owner
/, Date.3 5 o 7 _ u
j
I, Vf� t—Otte ,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.
°rgned under the pains and penalties of perjury.
Sow ✓lint L-- '
Print Name ___�LJL`=E
Signature of Owner! t Date
qI et -CO DCTION
uMl Licensed Construction Supervisor: �.' Not Applicable 0
Name of License Holder: J�rt5 �C/-l 00/1/2-
License Number
24 Sovvrl Sr. tuiccrw1S8v Ii - c-r3
Address Expiration Date
^,^,',°, ti
Pvis 14 g .-- 932-
Signature Telephone
v ,. °"a : + ,>fid` Not Applicable 0
-c-r; a-CLOW 4 1-cat [ova V?
Company Name Registration Number
24 5n/pi Sj. 14714/flw-5/27112-G—' 6 -/L - D Zi
AddressCC Expiration Date
Telephone 24g ` 93L3
SECTION 10•WORKERS'COMPEN i'TN {(FSH E AFFIDAVIT(M.G.L.6.152,§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.
"gned Affidavit Attached Yes 0 No 0
p
V
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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
w r1
ra'xY... °4 K
e SSE Crit of Northampton
•stA f, E �1....rll rlcrtta 1
ia
���� �� o pAgrMEIIT' Or ourwtNC INSPECTIONS ��* _
.:)CP )2..
212 Maio Street ' Municipal Bolding .r..
Northampton, Mass 01000 "5%
WORKERS COtMTEN.SATLON !INSURANCE AFFIDAVIT
GOUGEON &.LOCKE
' - 26 South-Street
7�,{� tOccakfi Bute)
".iih a prncWS `Y' t+�,e!T3tcs.de_)cc at:
— ---..-
Ohihone i) 2{x8' - q 3 b 3
(tiemd/ein/aall::zip)
do hereby certify, under the pzuhs and penalties of perjwy, that
(VJ t am an employer providing the following hvorkcrs cornocns_oon cove^:,c for My
etuplove<s workng on tins job
/(-23 -Ov
U,412-0 /NS'. IC We ,2,5-0 1 Rt( 4*
__ —
(last _^ homcenv) (Palk: Numb_ ) /r ltilauon Dcm).
() I am a sole proorictor, genera! contactor or homeowner (thee one) and have hued
the comractosf; 651e4 below who have the Inflow ng worker's Co eo.auon putces.
Mame or C acw)) (Imfmmom Company/70[m—, 'Jams).)1 I •:?1c.. Dmc)
(N;me of Coemnor) (Lvmmalw— ComfranrrPMic,) Numm)) (ermuaaw Da=c)
(Mame of Couto;) (lnsvraom Compaoy/Yoiic) N.unbN) (E outuoo Dale)
(Name of Contract/Jr) (losurmhce CompagdPobcy Numl.:q ()mpm)oon Date)
r.c.aaa:^:0C1,1 aaa.,,,-ca„,-.,t,atM a=vco-:.+=aLa.naaJ-Pca=(
( ) l a;n a sole propretc,r and have no one working fo; am.
( ) I am a home owner performing all the work myself
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r. ae:La) .r a its inbrd tha ba re:iL� a 6� 'v rasa.ne:u't c x yn-:1:. ,'m w .
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ta
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ev o e a s r 26 SOUTH STREET - WILLIAMSBURG MA 01096 - 268 9323
re: Sperry 2'. floor renovations
516 North Farms Rd., Florence
This narrative is to accompany a building permit application for work at 516
North Farms Rd. in Florence. There will be no changes to the footprint of the
house, and we will reduce the number of bedrooms by one. There will be no
plumbing work, and minor electrical work.
The work includes replacing a single north window with a new triple window,
and patching in the siding around it. We plan to add a drawer storage unit to the
master bedroom and rebuild the closets. We'll add a linen closet to the hall and
another storage closet to the master bedroom. We'll remove a partition between
two small bedrooms to make one larger one, and modify the closets in those
rooms. Both new bedrooms and the hall will be redecorated with paint and trim.
We also will remove and replace the stair railings and the lowest five treads to
change the style of the balustrade. The closed railing on the north side will
become an open one to match the south side, and we'll change the balusters.
Jim Locke
3/5/02
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Williamsburg, MA 01096 N
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