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35-050 (6) 966 RYAN RD BP-2019-0168 GIS#: COMMONWEALTH OF MASSACHUSETTS MV.Block: 35 -050 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catcgnry: ADDITION BUILDING PERMIT Permit# BP-2019-0168 Project# JS-2019-000284 Est.Cost: $2000.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot Size(sp. ft.): 14697.52 Owner: ]ONES MICHAEL E&MEGAN E Zoning, Applicant: JONES MICHAEL E & MEGAN E AT: 966 RYAN RD Applicant Address: Phone: Insurance: 966 RYAN RD FLORENCEMA01062 ISSUED ON:8.11712018 0:00:00 TO PERFORM THE FOLLOWING WORKADD AN OPEN FRONT PORCH WITH GABLE ROOF - 5X15 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 8/172018 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0168 0 r flit, APPLICANT/CONTACT PERSON JONES MICHAEL E&MEGAN E r ADDRESS/PHONE 966 RYAN RD FLORENCE Y/ PROPERTY LOCATION 966 RYAN RD I V O r MAP 35 PARCEL 050 001 ZONE I THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST NCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T eof Construction: ADD AN OPEN FRO P05n WITH GABLE ROOF-5X15 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE POLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF31RMATION 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 Stoma Water Management Demolition Delay 44n(• — / �/U b l b l U Signature o uilding 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 P:r) City of Northam Ln p :1 Building De pt portm I "'Ms 212 Main Room I Straus 0filer Northampton, phone 413-587-1240 ri Plans iii ' 1Ij pi M A 0 06 Fax 4 Other 8 APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION I -SITE INFORMATION 1.1 Property Address This section to be compteted by offim WMap —5.5— Lot 0--�Q Unit Zone Omflay District �Grlv'b— ' M 0106.) Elm Sit District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 7 2.1 Owner of Record: rj�4v.ak f- MMK, Name(Print) Current Mailing Add rbssq/,S /IAV/wl 4li� Telephone Signature 2.2 Authorized Agent Name(Print) Current Mailing Address Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COLTS Item Estimated Cost(Dollars)to be Official Use Only com I t d b amiitapplicant 1. Building (a)Building Permit Fee 2./ rival (b)Estimated Total Cost of Construction from(6) 3. 7p,6—ng Building Permit Fee 4. Nleo - (HVAC) 5. Fire pfettiction 6. Yotal=(1 -2-3+4+5) Check Number This Section For Official Use Only Date Building Permit Number: Issued Signi 4dg6g�.A'l av I Building Commies Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) S Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column w be filled in by Building Dcpaztmmt Lot Size -i---- Frontage --�_. _.. _ ....__. Fronta a _ ___O-a_ .... ..._. -....... Setbacks Front r _. _... _...... Side L j�. A: ��. L::_... R Rear )t!-.. _..... Building Height Bldg.Square Footage % - --- Open Space Footage ,_.. % .._.. ILm area minus bldg&Paved ... .. erkin #of Parking Spaces 4 - Fill: (volume&Location A. Hasa pecial Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW O YES O IF YES, date issued:. IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: 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. Will the construction activity disluro(clearing grading, avahon or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION b DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Additlm Replacement Windows Alteration(o ❑ Roofing ❑ Or Doors O Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [II Sidini Other[Oj Brief Work Description of Proposed ^ „ h, �M ^� O I UJ Alteration of existing bedroom_Ves No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Be.IN New house and or addition to exMinfin housilm::compift the foliwxino: a. Use of building One Family l/ Two Family Other rr��1 b. Num f rooms in each family unit. Number of Bathrooms d c. Is there a garage a ed? d. Proposed Square footage of new [ruction. `�Dimensions J '/ e. Number of stories? f. Method of heating? ireplaces oodstoves Number of each g. Energy Conservation Compliance. Asch nergy Compliance form attached? In. Type of construction 1. Is construction within 100 ft.of wedarWs1' Yes _No. Is construction within 100 y . odplain_Yes No j. Depth of basement or cell oar below finished grade k. Will building cophrm to the Building and Zoning regulations? Yes No. I. Sep' ank_ City Sewer_ Private well_ City water Supply_ SECT1ON 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, 1 as Owner of the subject property hereby authorize to act on my behalf, in all m relative to work authorized by this building permit application. Signature dfowner ,/ A IT,, Date I, / r I(A�(nr].x �JON56 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. Print Name / Signature of OvmerlAgent Date 1 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiratian Date Signature Telephone S Reoistered Home lmorovament Conbaetor: Not Applicable ❑ Company Name Regisbation 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 Aildavit Attached Yes....... ❑ No...... ❑ City of Northampton Massachusetts DEPARTHENT OF HOZLDIM INSPECTIONS 212 Min street a Mnidpal Building O� Northampton, M 01060 a AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC'). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: Est. Cost: Address of Work: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBH,ITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permitasthe agent of the owner: Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: 9���� /\, Date Owner Name and Signature City of Northampton Massachusetts DEPARTMENT OF BDILDING INSPECTIONS f 212 Main Stteat • Municipal Building 4 O � Northampton, Ma 01060 1�C Massachusetts Residential Building Code Section 110.R5.1.2 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. Section I IO.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. 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. r City of Northampton _ Massachusetts z DEPANTNLNT OF NOILDIM INSPECTIONS f x` 212 Hain Street •Innicipel Building Ca Northampton, !A 01060 y. :y'ijC\a Debris 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. The debris from construction work being performed at: q66 A� fo PJ T cfrAc, h9A oioGg (Please print house number and street name) Is to be disposed of at: /, (Please print nAtne and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (C)oom'�1p^any Name and Address) - V\ 1I'�IN Signature of Permit Applicant o caner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. ,per 1 �\ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgoWdia Rorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name 01� (Business/Ogmizatio// Indlvidual): I �� A' (E• Address: J� 4 RC pp,, City/State/Zip: $f Nc,_ M A 0V 64 Phone#: Are you an employer?Check the appropriate box: Type of project(required): IQ l am aemployer wish employees(fallandrorpae-time).* 7. ❑New construction 2.❑l em took pwmemrorparmershipandhavenoemploycesworking forme in g. ❑ Remodeling any capacity.[Nu workers'comp-insurance required] J I am a homeowner doing all work myself[Nu workers p.assurance required l' cora - 9. El Demolition . 4. amahomeowner and will be hiring mahackesto conductall work on my property. twill 10❑Building addition ansure that all contractors either have workers'compensation insurance mare sale 11.❑Electrical repairs or additions pmpmmusrs win no employees. 12.E]Plumbing repaus or additions 51 rund the ctors geoerul contractor and 1 have hired sub-contraion the artached sheet. 13L]ROOF repairs Thesee sub<oao-acmrs have employees and have workers comep-insurance; . .t p0-t�/ 6 We,arc s corporation and its officers have exercised their right ofast.,oa pm AIGL c. 14.VOther_J 152,$1(4).and we have no employees.Mn waders'come insurance"critical "Any applicant oat checks box a must also fill out the section below showing their workers'compensation policy attenuation. I Homeowners who submit Wilaaualsen indic ring they ore it..,all work and then hire outside contractors must submit a new transit indicatng such. :Con ,ox that check this box must anached an additional sheet showing the name ofthe sub-contractors and state whether or act muse entities have employees. Ifne sub-contractors have employees,they must provide they workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policyandjob site information. Insurance Company Name: Policy#or Self-ins.Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdfyy onttpeponev and na/ties of perjury thatthe information provided �above /�is hue and,correct S t r�/° ��ZJd~— ppp,,,rM D t ! ilynA d4le Phone#: `7 I3 J7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of nealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or tms'tee ofan individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who hu not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permivlicenw applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under`Job Site Address"the applicant should write"all locations in_(city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-NMSSAFE Fax If 617-727-7749 Revised 02-23-15 www.mass.gov/dia V Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required:' Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign snit date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston, MA 02114-2017 Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax# 617-727-7749 wwwntass.gov/dia Foam Revised 02-23-15 Please provide all information/specifications that apply to your proposed deck/porch project. 1 • DTotal SquareFeetof Deck/Porch: S SF o Height of Deck/Porch Surface from Adjacent Grade: ID ft.-rin. 4yl/ Footings: aconcrete: Depth: ft. D in. Width: Ja in. Cc(HelicalMetal Pile D Howwq Many Footings? Post Dimensions: 4 in.(x) in. Y'Beam Dimensions# in.(z)$in. Max.Span: T k. in. El Ledger Board: Dimensions: in.(x) g in. Attachment Method: Lag Bolts o Other ,Joists: Dimensions: Iin. (xELin. Span: 5 ft. O in. On-center Spacing:Ain( 4Decking Boards: o Wood Composite ❑Other Dimensions: I in. (x)_Lin. D Railings and Balusters: o Wood o PVC o Other Height:_ft._in. Space Between Balusters:_in. Does the project include continued use of a preexisting roof or construction of a new roof? Yves ❑ No If Yes,please provide the following information: •Total Square Feet of Pr existing o New Deck/Porch Roof: /J0 SF Dimensions: of • Rafter in. (z) 4 in. Raker Span:yA ft. O in. • Post/Column Dimensions: * in.(x) it • Beam Dimensions:_in.(z)tin. Beam Span:__Lft. rO in. Does the project include continued use of pre-existing stairs or construction of new stairs? ❑Yes JXNo If Yes,please provide the following information: •Width of Pre-existing or New Stairs:_ft._in. • Riser Height:_in. •Tread Depth:in. - _._._.. 'h"gaps Cap rail --- --` Joist hanger To rail Ledger g ridgin Led p �_— g " Decking �, ff Tread Rise`\. �-� ' JDt >< `i '' " Baluster Rimjoist Rlm� Rail post joinst Post– Post Stringer anchor Beam � Concrete footing Note: • Ledger board installations must include use ofapproved flashing atthe ledger board/building connection.•Ledger boards must be attached with approved fasteners installed according to prescriptive code requirements or manufacturer's instructions.•Approved post anchors,joist hangers,post/beam ties,hurricane ties,and all similar connection hardware shall be installed at all appropriate structural connection/attachment locations. •All structural wood elements,including decking,must be pressure treated or naturally durable wood,or made of an approved decay and weather-resistant material • Rim joists perpendicular to beams must be doubled City of Northampton Massachusetts F 1 DEPARTMENT OF BUILDING INSPECTIONS \ 212 Main Str¢ ,Room loo Northampton MA 01060 (413)587-1240 Plot Plan Drawin> To be submitted with permit applications for 1- or 2-family additions, decks, porches, pools, and detached accessory struc(��4r s. 9_�-// /�,/J /^ Property address: ^^ 1np�++� °w Un� Y W/A'C� � A Proposed work: 1 /` Aq�7 ilt*Vr pq—,&4d � 2 x 1!5, NMA rtV Information/detail requirements: • Septic system tank and drain field(if applicable). • Street(s) by name •All existing structures including decks, pools, • Front of house detached garages,carports, sheds,etc. • Driveway • All proposed additions,decks, porches, pools, • Easement(s) detached garages,carports,sheds,etc. •All property line dimensions • Distances of existing and proposed structuresto lot lines and other structures. I /13 AAI\ , (Example on back) b Plot Plan Example ——————————————— ——————————————— — 110 Existing Porch FroM W Ex";tin,House Existing House f Garage —151—� Existing Shed New Deck New Sepk Tank Addition L ——————————— —— p Fasting Oran Fcltl Rapla.nf In.FWC 110,