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36-387 (2) 184 EMERSON WAY BP-2020-1127 GIS#: ICOMMONWEALTH OF MASSACHUSETTS Map:Block:36-387 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:New Single Family House BUILDING PERMIT Permit# BP-2020-1127 Project# JS-2020-001888 Est.Cost: $330399.00 Fee: $1580.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WRIGHT BUILDERS 047146 Lot Size(sq.ft.): 11630.52 Owner: LOONIN DEANNE Zoning: Applicant: WRIGHT BUILDERS AT: 184 EMERSON WAY Applicant Address: Phone: Insurance: 48 Bates St (413) 586-8287016) Workers Compensation NORTHAMPTON MAO 1060 ISSUED ON.61312020 0:00:00 TO PERFORM THE FOLLOWING WORK.-NEW SINGLE FAMILY HOUSE 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: Mate Paid: Amount: Building 6/3/2020 0:00:00 $1580.00 • 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use,only City of Northampton Status of ,rail: Building Department 'Cu't cu�DrivewayPesTr0t ,a 212 Main Street Rohm 1004' tert `elivai;atiFty Northampton, MA 01050 t%6 Sets of tr."Ctwal � phone 413-587-1240 Fax 413-587-1272 ROttS!te'P'l':' 5 Other 5p&cj'� APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office .SD Map ��— Lot� Unit a2i Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: �eANO Name{Prin Current Melling Address: ..�. -- r _ �'f� - t Telophone Signature 2.2 Authorized Ascent: t a li ' C. tr - �¢ '1'"• 1 N 0 a T�� �►Ne Name(Print) � Current Melling Addreas;, q1-3 - f " Fd-e'? Signature 7,e10t7hono SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building # (a)Building Permit Fee 2. Electrical d It W {b}Estimated Total Cost of I Construction from B 3. Plumbing /1 ! + Building Permit Foe 4. Mechanical{HVAC} 5. Firs Protection 6. `total=0 +2+3+� +�) ' �b Check Number 5 This Section For Official Use Only Building � 7 Permit Number: bate_ ssusd: Signature: 6 '3 Building CommissionerAnspector of Buildings S66GTA' f N gate EMAIL.ADDRESS (REQUIRED, EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All infor+nation Must be Completed.Permit Can Be Denied Due To incomplete Information Fxisting Proposed Required by Zoning This column to be Micd in by Building Deparlment Lot Size t ter Frontage Setbacks Front Side L:' 3Z ; L.�. 1 R ` Rear Building Height ?._.:p - Bldg. Square FootageI % _._ L. . ",It Open Space rootage � °ds (Loi ams minus bids&paved parking) — � #t of Parkin S aces t Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued:; IF YES: Was the permit recorded at the Registry of Deeds? NO { DONT KNOW 0 YES IF YES: enter Book ? Page{ and/or Document# S. goes the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained i Obtained 0 , Date Issued. _.... C. Do any signs exist on the property? YES 0 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: I E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 3 acre or is it part of a common plan that will disturb over 1 acre"? YES l NO IF YES,then a Northampton Storm Water Management Permit from the DPW Is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable Now Hoose Additions Replacement Windows Alteration{s} Roofing Or Doors �l Accessory Bldg. ❑ Demolition © Now Signs IM) Decks [C SWIng 10] Other 113 Brief Description of PrOpDsed jtt Werk; #Y ew Alteration of existing bedrotmi Yes X --No Adding now bedroom_ Yes N Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a, If New houseand or addIM)n to existing housing complete the following: a. Use of building:One Family Two Famlly Other__________ b. Number of rooms in each family unit,_,_,_- Number of Bathrooms c_ Is there a garage attached? ' . t d. Proposed Square footage of new construction. ` thy` Dimensions +� ' "! # Z.�- jl� X e. Number of stories? d f, Method of heating? `tom t t4ir-° � Fireplaces or Woodstoves_ -�__ 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 !�C`_._,_No t J. Depth of basement or collar honor below finished grade k. Will building conform to the Building and Zoning regulations? /X Yes No- 1. o_i. Septic Tank City,Sewer_ Private well City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as towner of the subject property hereby authorize tp act on my b at, n all matters elative to work authorized by this building permit application. Signature of bwv er Data as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best ommy knowledge `a 't elet. Signed under the pains and penalties of perjury. A4-4::�- ' Print Name t5l7 /4-0 Signature of Owner/Agent _ Date SECTION 8 CONSTRUCTION SERVICES 8.1 L.lcensed Conte ction Sueervisc+r: Q Not Applicable 1 Nsn►�est License Holder: tfW F (� i+' d��� t11 A4Af License Number Address ixp€rsllon Date Signature Telephone 9 Rec�#sterg�Fi } 'rrsaves,�isrGonttstar. Not Applicable Cl Company Name Registration Number. I -/,')v S v In ___ Address Expiration Cate _...__ Telephone SECTION 10-WORKERS,COMPENSATION INSURANCE AFFIDAVIT(M.G.L..c.152,§26C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit YAH result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes—.... XNo...... 0