06-040 (4) 291 HAYDENVILLE RD BP-2000-0916
GIS#: COMMONWEALTH OF MASSACHUSETTS
4ao:8lock:06-040 CITY OF NORTHAMPTON
Lot:-001
Permit: Building li
Cateeory^:she6 BUILDING PERMIT
Permit# BP-2000-0916
Project# JS-2000-1685
Est.Cost: $3100.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Sizes i. 11.): 130680.00 Owner: VILLANI ANTHONY P
Zoning:SR Applicant: VILLANI ANTHONY P
AT: 291 HAYDENVILLE RD
Applicant Address: Phone: Insurance:
291 HAYDENVILLE ROAD (413) 584-3867 O
L E E D S M A 01053 ISSUED ON:4/28100 0:00:00
TO PERFORM THE FOLLOWING WORK:ERECT 12 X 20 SHED
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
*No+ Underground: Service: Meter:
Footings:
Rough: Rough: Housed 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: Cheek No: Amount:
Building 4128(000:00:00 410 $25.00
Nor
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP.2000-0916
APPLICANT/CONTACT PERSON VILLANI ANTHONY P
ADDRESS/PHONE 291 HAYDENVILLE ROAD (413)584-3867 0
War PROPERTY LOCATION 291 HAYDENVILLE RD
MAP0PARCEL 040 ZONE SR
IBIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
FS Paid
Building Permit Filled out
Fee Paid 44/O
Tvpeof Construction: ERECT 12 X 20 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildinz Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
TM 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: §
NewPLANNING 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 Co ission Permit from CB Architecture Committee
d2/.1000
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.
%✓
City of Northampton
Building Department y a s
'fir prR 2 0 "-ma '"' '212 Main Street 1 -
Room 100 - , I
i p. ,;i : „ tor ampton, MA 01060 't:.
one 413587-1240 Fax 41 3 587-1 2 72 y a ;.
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1•SITE INFORMATION
Li Preoerty/�A d9._Le�s�s: '' , /This section to be completed by office
d9/ u./di / '' lied Map 6n"". {', Unit
Zone 5i Overlay District
Elm St.District CB District
SECTION 2 • PROPERTY OWNERSHIP/AUTHORIZED AGENT
21 Owner of Record:
A.I �tlt,. �r� tGt r 29f Pctdr,<tr.`ttic tki. [„ P,S ma, Cf0_1'
Name(Print) __—.., ___„ Current Mail ng Address:
:.rte""`._._ Telephone
Signature (f4--Sr- .-5C(--(-- X 7Co1 a/
e2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3• ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Boners)to be Official Use Only
completed�pby permit applicant
1. Building �9” -,.> (a) Building Permit Fee
2. Electrical 0)Estimated Total Cost of
Construction from(6)
3. Plumbing _ Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total=(1 + 2 +3+4 + 5) jr,..?„ ICC, — Check Number %'d gas--
�j This Section For Official Use Only
Building Permit Number:, I�(�ID9glip 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 3. 4#0 3 op 3 Di cif°
Frontage
/0)5
Setbacks Front Plec,k dee 4+k.i..e(
Side L: R: L: R:
/0
Rear IL /D
Building Height / a20
Bldg. Square Footage % ��5 020
Open Space Footage %
(Lot area minus bldg&paved -7D
parking)
#of Parking Spaces
cigar
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO t/ 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:
•
-CTION 5-DESCRIPTION OF PROPOSED WORK(check all aoolicable)
1n
New House 0 Addition ❑ Replacement Windows Alteration(s) ❑ Roofing 0
/ Or Doors 0
Accessory Bldg. (D Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ ' / r Renovating unfinished basement Yes No
Plans Attached Roll c - Sheet lt- J„j �X,:C'Sb E-C{
wittaream " _ • ng Mating. co ..tie following:
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?
•Amosx 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
SECTION 7a•OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, , 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.
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 perjury.
,4i 4lfcA < t? 0,14,/
lur.Print Name
4/1 afro
Signatur•Ownr�gent Date
cECTION 8-CONSTRUCTION SERVICES
' (i. Licensed Construction Supervisor: Not Applicable 0
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
1y.L'`rcits� u,. tYi liu qu= a g PS'4r,.'ki " :?;_. v Not Applicable ❑
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.
"igned Affidavit Attached Yes 0 No 0
fine
'1x33 i[ AbAA .-.Y.Sltaa38`I]i
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 prim .ws and State of Massachusetts General Laws Annotated.
Homeowner Signature ��- --
Now
•
a+ (rItg of Norfhaul{rfar .Itt air
DEPARTMENT OP BUILDING INSPECTIONS � —+a6
212 Main Street e Municipal Building '
Northampton, Mass. 01060 -'
WORKER'S COMPENSATION INSURANCE Ab ELDAVIT
1,
(Iicenscclpermittrr)
with a principal place of business/residence at:
•
(phone#)
(strcct/city/staielrip)
do hereby certify, under the pains and penalties of perjury, that.
() I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurnnc Company) (Policy Number) (Expiration Dare)
) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
\.e the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (tnsurancc Company/Policy Number) (Ex-pa-anon Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional mm na-...y to inlir&i&c,t.non painting to w outiveaon)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plane be swam that chili,homxwvn who anplvy carom to do m•hntman,. consrv¢cc or rte b work on a dwelling of
notmom than three units is which the bffiatoortior raffia«on the gwM,appurtenant therm an not generally amidumd to be
employ=uMatha worka4mmpouratim A t(GL152,n1(3)),applir=tion by a homeowner far a bee,a permit may cvika the
!mail atawa of an employee under dm Wake's re.npee..lion Aa
1 und¢annd that a copy oftis raw®—may be forwarded to the Ihme imeat of Industrial Amdentt Office of Mamma for the
wtezagc vaifi<aiw and that adult to secure coverage undervnion25A NMOL 132 me ked to the ikon ofaimmal pailtia
%of consume ofa Erne of up to$1,500.00 mNa vvpriso®rzq of up to one year and civil protide in the foe=of a Stop Wok Order and a
Eine of3100.00 a day against mc.
For dgaztmai1 u<only
Permit Number
Map# Lot 1/
Signature o -acensee/Permittee
-THIS PLAT NOT FOR RECORDING PURPOSES-
J
t , — ,' \ '991 Hayc2ed0,IIe_ Rai
Portion Of
Book 3398 Page 36
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Haydenville Road Hcu,re_
To: The Easthampton Savings Bank &
The First American Title Insurance Co.
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING
MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT
LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE
AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 250167
DATED: September 20, 1991 -NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
1,_ , Q AND DOES NOT CONSTITUTE A PROPERTY SURVEY
SURVEYOR: 7i LL_ .I(
OF -MORTGAGE LOAN INSPECTION PLAT-
E*tix p14 Northampton, Massachusetts
4zc.it
Prepared For
,4irMCNgRD Robert A. & Mary A. Young
r
rff J.
w uammtsR Scale: 1 "=100 '
134605 A)
i RICHARD 7. LaBARGE SR.
`-Pstmot REGISTERED PROFESSIONAL LAND SURVEYOR
(UNIT C-9) 1 STADLER STREET—BELCHERTOWN,MA 01007
_..,.4- --I/ _w-—-- - _ _-..
Heavy Duty Barn Specifications conomy Barn Specifica < s
—Foundation 4"x 4"pressum treated lumber •/./dation 4"x 4"pressure tree . umber
--FloorJoists 2"x 4" - 16"on center —Floor -•" is 2"x 4" -1e o• -nter
—flooring 5/8"exterior grade plywood —Flooring 112"C.D plywood
—Sidewall Studs 2"x 4" - 16"on center —Side Wall Stu u. 2"x " -24"on center
—Exterior Siding 5(8"Dum-Temp Siding --Exterior Siding :'ra Temp
—Rafters '2"x 4" -16"on center —Rafters 2"x -24"on center
—Roof Sheathing 1/2" 3-plyplywood --Roof She, mg /70, a
—Roofing 240 lb.self-sealing aspalt shingles ^-Roo •: 24016.self-se. g asphalt shingles
--Doors Heavy duty and reinforced with —►..rs Heavy duty and re. owed with
2"x 4"lumber 2"x 4"lumber.
2"x 4" -16"on center
Double Cosseted Roof SheetedTigbt
Roof Trusses /with Exterior Plywood. Self-Sealing
Drip Edge on all Roofs, \ 20 Year
2 a ; ? //Asphalt Shin les
for a lealfree and \; � -� �?��2; `<, z`. .. 1 ‘ g
i
Quality Finish. / \ \ j- 4- d h<`
i
'1 ��: .s:-2 ill 7. ''E' .1
7 ,<<: A alp y . . t,,,, '
Finished Soffit_ - ��A
on all Buildings
1 Jalousie Windows
1 asi � I — with Screens
--! ¶1 j
.
j Dura-TempiSi
1'1.1:- Fir Sidewall Studs � � � 1
4 and Floor joists 11 ( 1 curediwith
tng
so
1
o s d 'i't 2"x 4" -16"on center - ^. Galvanized nails
c'^' / t.= 25 Year Warranty
ass a. 5/8" Exterior Grade Pressure Treated Heavy Duty
- 5wood Flooring 4"x 4° T-Hinges for the Doors
" 1 Ply
.1 Foundation Beams
5/8" Dam Temp Pressure Treated Skids All buildings
• 2"x4" on 16"centers 4,1n111 w lir ¶,/12•1 are fully assembled
Finneran &Haley and delivered
Exterior Latex Paint !T rr ■ '>'"' T ”ste Tv to your prepared site.
:vr zits