23D-132 (11) 73 HINCKLEY ST
BP-2002-0057
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23D- 132 CITY OF NORTHAMPTON
Lot:-001.
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0057
Project# JS-2002-0083
Est.Cost:
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Wright Builders 060378
Lot Size(sq. ft.): 24480.72 Owner: ROOSA DOUGLAS F&DIANE E FABI
Zoning: URB Applicant: Wright Builders
AT: 73 HINCKLEY ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287 Workers Compensation
NORTHAMPTONMA01060 ISSUED ON:7/20/010:00:00
TO PERFORM THE FOLLOWING WORK:I N STALL SLIDER
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:a V !f „ ,3 a a ,,k-
ri
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
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Certificate of Occupancy . 7. Signature: .."
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/20/01 0:00:00 10496 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
JUL232001
File#BP-2002-0057
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY LOCATION 73 HINCKLEY ST
MAP 23D PARCEL 132 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid /O c'h% 1�5`)
Typeof Construction: INSTALL SLIDER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060378
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and 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 C ission
O Z6
Signature of Building Official Dat
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.
ei . � ,
Departrrient use only
V . i of NorthamptonStatus of Permit:
D �sing DepartmentF. Curb Cut/Driveway Permit �_' 2 Main Street Sewer/Septic Availability
JUL 1 6 2001 V Room 100 Water/Well Availability,
N,,rtha pton, MA 01060 Two Sets of Structural Plans
DEPT Of BUILDIP(f11¢fiEET4953-58 -1240 Fax 413.587.1272 Plot/Site Plans
NORTHAMPTON,MA 01060 Other Specify
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
T2 \-;2 nciYmk 7:4 Map p2 11) Lot /.3 a- Unit
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Do u(� c /D;cAk.12.- k 73 l--i nc i - Si- . FI bv-c� c_a_
Name( t) Cu CMnailingai s4
I `vif ( �lt- e,64 Eb Telephone Signature (japiih'(2'lhA---)a^I t,t--r -`+._
2. Authorized Agent:
Linda C r ,4 (0 ha-l�.ii kcecs La 3 es - • NtY1-ha -pion
Name(Print) Current Mailing Address:
Signature Telephone •
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by permit applicant
1. Building .r. p (a) Building Permit Fee
2. Electrical (b) 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) Check Number jog 74:, —
This Section For Official Use Only
Building Permit Number: 57 Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
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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
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 2( 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
NoY._
IF YES, describe size, type and location:
'7CTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s),,4 Roofing ❑
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed WorkTt1Stzt.1( Li_W Pe&ICA• bVtt..e. s\tde r
Alteration of existing bedroom Yes >( No Adding new bedroom Yes \'' No
Attached Narrative 0 Renovating unfinished basement Yes \-^ No
Plans Attached Roll E - Sheet❑
6a. If New house and or addition to existing housing, complete the followings
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. Di .- sions
e. Number of stories?
f. Method of heating? F-ifeplaces or Woodstoves Number of each
g. Energy Conservation Compliance. _ Mascheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. =(wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement ellar floor below finished grade
k. Will builds onform to the Building and Zoning regulations? Yes No .
I. S c 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, Do SCL / Di Co•-a- Fck. lcc , as Owner of the subject property
hereby authorize A rckGL Eo [3r'cuot__ I U.ri h} `- ::,u1.1i`c9.-Q..cS .I-- e_ - to act on
my behalf, in all matters relative to work authorized by his buildiN permit application.
Signature of Owner Date
•
I a t,Ldr - c0A5-3 _Line_ , as OwnerAiSuthorizec Agent
hereby declare that the statements and in rmation the foregoing application are true and accurate, to thebest of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print Na e
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5rt."--9- 5/1 e-/° 1
Signature of Owner/Agent Date
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SECTION 8 -CONSTRUCTION SERVICES
1 Licensed Construction Supervi�sorr:y Not A/pplicablen❑
/ n
Name of License Holder : V1/v >4) K l�I/�t`—C[�'1� O& 0 ! 6
License Number
s#. Nor--1 n t /
Address Expiration Date
Signature Telephone
keg stered'tlom mq otiement Co it ,, 9,4:11. ,,7 M,4..,,.. E'er ,_' Not Applicable 0
wri r - Vi idars , InC _ /6 /536,
Company'Name Registration umber
�L c 4€5 S�- . / n � o,
Address i Expiration Date
NO1 rn r.3 Telephone51L Z 4-7
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 Affidavit Attached Yes No 0
II eke e 'lilt 091,
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 Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
WRIGHTBUILDERS
C O R PO R A T E D
48 BATES STREET
NORTHAMPTON, MASSACHUSETTS 01060
June 29, 2001
Dennis O'Rourke
Pella Products Greenfield
Greenfield, Ma.
Dear Dennis:
•Thank you for your ongoing support of Wright builders and our customers needs. We
appreciate the service and the attention to details on an ongoing basis.
I am pleased to report the outcome of our joint community effort for 2001, in support of
the Northampton High Crew. As I mentioned, this extraordinary effort is without support
from public funds, so business support has been essential and gratifying. As equipment
fundraising chair I do my very best to see that our friends and sponsors are recognized
appropriately.
This years auction winners are:
Doug Roosa and Diane Fabig
73 Hinckley Street
Flcrence, Ma. 01062
project# 01-460 7
Delivery Date August 15, 2001 � ,
Item: Clad Contemporary Slider Proline, 7182 OX (right panel venting
as viewed from the outside. Tan cladding, champagne hardware.
P hase order is attached. Thank you so much for your continued support!
Ili •-r-ly,
1111114i i
110k,' - r ght
Ic. Doug Roosa and Diane Fabig
�i1
TELEPHONE 413-586-8287 A FAX 413-587-9276 A. ELECTRONIC MAIL: wrightbldleaol.com
7 e m.n narea/r of lfaaxref aei
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
iw Number. CS 060378
Birthdate: 09/25/1960
TV
' Expires: 09/25/2002 Tr.no: 1757
Restricted To: 00
LINDA M GAUDREAU
157 MAIN ST#4 �"�`' ! 'td/
EASTHAMPTON, MA 01027 Administrator