48-013 (6) 73 LOUDVILLE RD BP-2022-0016
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:48-013 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: woodstove BUILDING PERMIT
Permit# BP-2022-0016
Project# JS-2022-000028
Est.Cost:
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 65340.00 Owner: MANNING PATRICK
Zoning: Applicant: MANNING PATRICK
AT: 73 LOUDVILLE RD
Applicant Address: Phone: Insurance:
73 LOUDVILLE RD (508) 314-0806 O
NORTHAMPTONMA01060 ISSUED ON:7/7/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:WOOD STOVE
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. I
53-D1 •
3y
Certificate of Occupancy Signature-'
FeeType: Date Paid: Amount:
Building 7/7/2021 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton -C
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.�. i >, Massachusetts / y., t.
. " DEPARTMENT OF BUILDING INSPkCTI••0 ✓U1 "t ;
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212 Main Street • Municipal t
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APPLICATION FOR SOLID FUEL APPLIANCE INSTA '' iio
61- A3d' /4
Property Information
Owners Name: /'47 <icK "A,.).4/,-i' ,q.- s IA,-./tvA I-i 1 n
Address: -7 3 i-oubv)z-LG .rtp.
(No.) (Street Address)
Phone: �1" '�y °, `'6 Cell: -5Qe-3111 -o5'°6 Email: PLEA,,"}-rnocIrli GLG/rvacL-GdrN
Owners Signature: `� , 4 _ )- Date: 7/2- -1,02.4
Contractor's Information (If Applicable)
Name: Phone:
Construction Supervisor's License #: Expiration:
Home Impr. Contractor License #: Expiration:
Stove Information
Type of Fuel (check all that apply): Wood I Pellet Coal
Location: L! 11--1 2°° l Freestanding I Insert
Manufacturer: 6 ruL Model: F 500 V
-- ----- FOR BUILDING DEPARTMENT USE ONLY ------------
Permit#6P'41.,0 i Date plied: Total all Fees: $ 6 O 66 A 5� 7
Building Official: Xi u, oss Date Issued: 7•_]-?oZ)
(Pt)
Signature of Building Official: / 7!�
City of Northampton
,pTOtt
Hg nrT:,,. -_- _...
( Massachusetts q?�'' K1 ``•��f
DEPARTMENT OF BUILDING INSPECTIONS S:-A, =ea
.f - . ;',--:.:,4,. 212 Main Street • Municipal Building . •b
i• ''.r`.'" Northampton, MA 01060 ss7. }1��
HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT ,_ /�i/ 9 t?
(insert full Iegal name), born — (insert
month, day, year), hereby depose and state the following:
1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the
Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or
work on a parcel of land to which I hold legal title.
2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'
exemption, does not involve the field erection of manufactured buildings constructed in accordance with
780 CMR 110.R3.
3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2:
Person(s) who owns 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 home owner.
4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I
qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of
the project or work on my parcel, I am not engaged in construction supervision in connection with any
project or work involving construction, reconstruction, alteration, repair, removal or demolition
involving any activity regulated by any provision of the Massachusetts State Building Code.
5. If I engage any other person or persons for hire in connection,with the aforementioned project or work on
my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work.
Signed under the pains and penalties of perjury on this Z w day of J f , 20 ='1.
,,,---VC 4 7-—--/`*---
(Signature)