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24A-078 (2)
24 RIDGEWOOD TER BP-2017-1350 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-078 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:INSULATION BUILDING PERMIT Permit# BP-2017-1350 Project# JS-2017-002245 Est.Cost: $6988.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: BRYAN HOBBS 83982 Lot Size(sq. ft.): 7492.32 Owner: PUTNAM ELLEN Zoning: URA(I00)/ Applicant: BRYAN HOBBS AT: 24 RIDGEWOOD TER Applicant Address: Phone: Insurance: 346 CONWAY ST (413)775-9006 WC GREEN FIELDMA01301 ISSUED ON:5/23/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:AIR SEALING, INSULATION, VENTILATION 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 5/23/2017 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-1350 APPLICANT/CONTACT PERSON BRYAN HOBBS • ADDRESS/PHONE 346 CONWAY ST GREENFIELD (413)775-9006 PROPERTY LOCATION 24 RIDGEWOOD TER MAP 24A PARCEL 078 001 ZONE URA(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid ' Building Permit Filled out Fee Paid Typeof Construction: AIR SEALING, ciiimtn_cer N,VENTILATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 83982 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Commission _Permit DPW Storm Water Management De:�:�Y;iip:. De .y‘;:p.52„,........" Agi Sign. i e o Toiling 0 Vcial 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. Department use Doty City of Northampton Status of Permit: \ Building Department curb Cue-Driveway Permit � 212 Main Street Sewer/Septic Avallabifity )1...t. .< ) Room 100 WaterNVeti Availability Northampton, MA 01060 Two Sets of Structural Plans \\\\\\ S �' } phone 413-587.1240 Fax 413-587-1272 Pl tlSite Plans \� , /` Other Specify \� APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 .SITE INFORMATION 1,1 This section to be completed by office D.,L1 1 an&r0c oc tis 1c-cc Map /44 Lot 0i Unit 9�GT-\-he ' •`'t"i -I, t t 1Vn ) NW o to G o Zone Overlay District Elm St.District C8 District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: FE \ \ ery R1u c3.1AarrLk • r eutuyz)d -Cc rccc.P_ Name(Print} C rent M i M — 053a 4 OR (pDt,l` -CF-CV76tATI6VN- Teep ane Signature 2.2 Authorized Agent: t‘i (Ar kCbbs - , C ,. . . Cyr cis Hicr- Name(Ifirintfil Cur nt Mailing Address: • ' /.3)-?9,5—q004 Signatg Telephone SECTION 3•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building f 0. c1(q� . {a)Building Permit Fee 2. Electrical i1+ t (b)Estimated Total Cost of Construction frau(5) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection c' c> �ry 6. Total= (1 +2+3+4+5) (pr 98'd', es'sj Check Number cyt%,"/ tug' — This Section For Official Use Only Date Building Permit Number: Issued. Signature: Building Commissioner/Inspector of Buildings Date Section 4, ZONING All Information Must Be Completed. Permit Can Be Denied pee To Incomplete information Required by Zoning This column to be filled in by Baiidirg Department Ille Setbacks Front Side, Rear Open Space Footage (Lot area minus bldg&paved otrkim ESIMMIS A. Has a Special Permit/Variance/Finddiing. ever been issued for/on the site? NO ® DONT KNOW al/y, YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Re istry of Deeds? NO 0 DONT KNOW YES IF YES: enter Book Page and/or Document�en # B, Does the site contain a brook, body of water or wetlands? NO O DONT KNOW LX1 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 41 Obtained © , Date Issued: C, Do any signs exist on the property? YES ® NO (Jy, IF YES, describe size, type and location: " l D, Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E Mr the construction activity disturb(clearing, grading,arcavation,or filling)over I acre or is it part of a common plan that will disturb over 1 acre? YES a NO iF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable) �r New House ❑ Addition ❑ Replacement Windows i Alteration{s} I Xi Roofing ❑ Or Doors ❑ T' Accessory Bldg. ❑ Demolition ❑ New Signs gyp] Decks (❑ Siding[Oil Other[p) Brief Description of roposed Work' it—VIC LL.I�Y� -+\CA-LCGE-1M) r VQ.0�c.�{,it�:f13'1^ Alteration of existing bedroom yes i'C No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes )C No Plans Attached Roll -Sheet sa. If New house and or addition to existing housing,complete the 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 stones? f. Method of heating? _ Fireplaces or Woodstoves T Number of each g. Energy Conservation Compliance. Masscheck 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 SECTION 7e-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT ( T OR CONTRACTOR APPLIES FOR BUILDING PERMIT t e n (i)w vl tf , as Owner of the subject property hereby authorize f5rr1/4- 4ci to act on my behalf,iiopall m rs relat(ive to work authorized by this building permit application. /,9 Q2 a sUI r f. i,7ftt9f1 .01019- Signature of Owner / / p r, Date 11.1111.1111.11111.111111111.11.1.1.1.111C- 64,q CLI1 OD OtY ,as Owner/Authorized Agent hereby ded e that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and beeef, ^] Signed ur^-�•^^e&^e and nenan.c Af neriurv. Pryor,- f#obbs Print Name 44« 2a her -- .5//6//?- ignatu e-ote =/A9en Osie SECTION 8-CONSTRUCTION SERVICES §,1 Licensed Construction Supervisor: i. Not Applicable Nose of License Holder: �k116en tit 66:s �_... ot69Q" "z License Number SLAY C.,071 way ,mat '.een4i old /44* 01301 51 a- 11 t?' Address Expiration Date ',.. ,_..v,L 75- 76ZLP Signatu'/ Telephone . t. . A •ro n- ,.•n.r; , Not Applicable ❑ sf 'L uabhe , ' �. a -1 i /3 `�S[,0Y ...A t.r Registration Number 3`It0 Conwo q 34- __ 7 /33/13-- Address � /' Expiration Date 6q c P f t`t eka 013 D l Telephonef{t3 -S /Oh& SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 162,§26C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit wdi result in the denial of the issuance of the building` dipermit. Signed Affidavit Attached Yes pg No 0 11. — Home Owner Exemption 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.r1 Person who Constructs more than one home in a two-year period shall net 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 oethni d 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, 00_1AG�(?Y(1,A�J,uo-er�.,f„N'r.--� _ City of Northampton 212 Main Street,Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 4 1�-t`a9a,00a a Terr Lei The debris will be transported by: Jo.n Ikvbbs Rev11- l2Ltnzi___ The debris will be received by: CJyntpleke, )\SPoSciA Carni/any Building permit number: Name of Permit Applicant , ,(yt,i-kkk 61 Date Signature of Permit Applicant �; City of Northampton p['1 °( Massachusetts Wya . 1 "I'r*W DEPARTMENT OF BUILDING INSPECTIONS S 1y\� ,aS' 212 Main Street • Municipal Building O " .Y CCS • _� Northampton, MAA 00.11,06`0 S+M� _ Property Address: 911 RA'GIN)D I Tarace, �incU Y'X.�tnn M� NameContractor y/,) 1`. big R\Q 1D(W 'lQ Address: 1lQ Cei'ltt ok1 �o.el J City, State: l'(T11c1-12.\ A, Mk> Phone: Cl 13) 4�5--9tuls Property Owner \R-in Name: —1 -kFIc1'1(,ly/\ Address: ' —e ("" "WOI tk �PXfl1CZ City, State: 11vIh�'`-\'�1(,IIV--0lt�ln , HA-- 1, �" I, �� ' Dtc, 1 (contractor) attest and affirm that the building I intend to insu ate' es not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signatur6 � \ ,/ �.�/1.�/�L•-n �lrlh Date S ( + CoG RISE60 Shawmut Road,Unit 21 Canton,MA 02021 1339-502-6336 ENGINEERING' www.RISEengineering.com OWNER AUTHORIZATION FORM Ellen Putnam (Owner's Name) owner of the property located at: 24 Ridgewood Terr (Property Address) Northampton MA 01060 (Property Address) hereby authorize . (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property.This form is only valid with a signed contract. ers gnature��