24A-079 (7) 18 RIDGEWOOD TERR BP-2006-1052
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24A-079 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-1052
Project# JS-2006-1556
Est. Cost: $146000.00
Fee: $490.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: contractor: License:
Use Group: TIMOTHY STOKES 083602
Lot Size(sq. ft.): 18033.84 Owner: STEINER LORI
Zoning: URA Applicant: TIMOTHY STOKES
AT: 18 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
20 TURKEY HILL RD (41.3) 695-2264D
W ESTHAM PTO N MA01027 ISSUED ON:4/18/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 1ST FLR KITCH ADDiTION ( 21 X
41) & EXPAND 2ND FLR BEDRM 200 SQ FT, ATTACH EXISTING GARAGE
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: -e k y,iS-OG
Rough: ,,N.- Rough:g� /d House# Foundation:0, J J
ntiveway Final: \' Gam`)
0.7720--(1(e /4 0 2. ej- 6 ll,
eviv
Find: Final: h..�, Jay
Rough Frame:
9 /�i h ti a 1 � *%1
c k S -��-oG � /°� �ar /
Can: Fire Department Fireplace/Chimney:
Rough:j2.0''0.c 111 Insulation:
Final: ,e tYK Smoke: Final: Q i' 5-"/"O 7
THIS PERMIT MAY BE REVOKED BY THE ITY OF NORTHAMPTON UPON V::OLATION OF
ANY OF ITS RULES AND REGUL TIO
Certificate of Occupanc _ e../4 Signature: -'172
FeeType: Date Paid: Amount:
Building 4/18/2006 0:00:00 $490.503269
212 Main Street,Phone(413)587-1240,Fax: (413)587-12'72
Building Commissioner-Anthony Patillo
FOG(NbAr(.0,0
oi
. A
City of Northampton
BUILDING INSPECTION LABEL
A IF)IP R EID
Inspector L-oc,f.is N6
Date (39 17Alo
s. vt--,e 0 4-1
11 .R1bGEWOOD TERR BP-2006-1052
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A-079 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-1052
Project# JS-2006-1556
Est. Cost: $146000.00
Fee: $490.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: C '',r: License:
Use Group:_ S 083602
Lot Size(sq. ft.): 18033.84
Zoning:URA / Qic
Applicant Address: C1 Insurance:
20 TURKEY HILL RD '-. U �i S f a V?CQ 264 O
WESTHAMPTONMA0102 O�
TO PERFORM THE J �d T FLR KITCH ADDITION ( 21 X
41) & EXPAND 2ND FLF i w�o,ed J 3 GARAGE
Piraie (OW c/
POST THIS CARD SO 0 ' Se 1irt� c lj° s`�e
Inspector of Plumbing Need Building Inspector
Underground: Sc. Q/ get tQ
0 Footings:
Rough: Rough: Foundation:
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 4/18/2006 0:00:00 $490.503269
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2006-1052
APPLICANT/CONTACT PERSON TIMOTHY STOKES
ADDRESS/PHONE 20 TURKEY HILL RD WESTHAMPTON (413)695-2264
PROPERTY LOCATION 18 RIDGEWOOD TERR
MAP 24A PARCEL 079 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out lQ ,,
Fee Paid 2167 04 /e,a-4 G
Typeof Construction: CONSTRUCT 1ST FLR KITCH ADDITION(21 X 41)&EXPAND 2ND FLR BEDRM _r�(
200 SO FT o—
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 083602
3 sets of Plans/Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION 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 'ssion
7 /8/2/.46
Signature of Building 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.
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MARION D. WALSH V-/ -l '&-
Notary Public
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MY Camarrnchsta2n009
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L ApR i 3 2006 -121
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ourT pp, ;t7 ,,7 w,, 01,660
1
. , Department useonly
•i'ty of Northampton Statu, i r emit.
�� �7'Iding Department Curb Cut/Drive ��ay t'Lrmit`-'
� � 2 Main Street Sever/Septic w�il�3t�ili�y
'ZQ� OOm 100 Water/We(i r vaslability
rtha pton, MA 01060 Two Sets of Structur:I PLine -
PQ p v. o -1240 Fax 413.587.1272 Plot/Site
:N ,y0 ,Other Specify.
APP.LICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address:11 ,
� This section to be completed by office
"It
1 g 0G1 11( S hCN Map Lot _Unit - -
Y\(Ift/PA-41M4LIZZeCrtim. Zone Overlay District
V 146Z Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Lao tz t ..-05.11AcY1. t$ 1Lpcisuxx o e—�anilailAtf"
Name(Print) Current Mailing A dre � Z ii
A. 5 �,(�t� Telephone
Signature
2.2 Authorized Agent:
Name ' C rgerlt j�"• it ress:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building
Za �Q (a) Building Permit Fee 2 Ele'..rica! (b' . ;timat d Total Cost of
- W 19 v Constriction from (6)
-3. Plumbing 1 Q Co V Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection ‘ 1. 1 V 0 0 __
6. Total =(1 + 2 + 3 + 4 + 5) 1 i6 QUD Check Number` d e)/ —71/0-0•3'6'
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by ZoJing
This column to be filled in by
Building Department
Lot Size
tc 133 z st kg 337.. sr- id)Oro ' l
Frontage (',,10,
Setbacks Front 7.?•6 =�� ' b {'
Io Li Kul
Side L: "b ^��R: 1Z' L:39 84IsR: rfc J o ;'l v (t
Rear q31.- t! ��
A. g l _ �)/Z E?0
Building Height 2:7 2.7
Bldg. Square Footage t 1 tri -7.gg % _too
Open Space Footage
(Lot area minus bldg&paved 5D U �j• r p 0
parking) k S J �� `^
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO X DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO ? :ON'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 IC
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:
SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) D Roofing ❑
Or Doors ❑
Accessory Bldg. D Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: CT iY719RQICA"( ^1 �L4 , MJ. �C S Gs''(__
Alteration of existing bedroom Yes No Adding new bedroom Yes 70 No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0 - Sheet 0
6a. If New.h'ouse`"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? >t tW J; �I --
d. Proposed Square footage of new construction. J)OO Dimensions Z I fie 4 1 t Or [(
e. Number of stories? 1 _A.
f. Method of heating? f 4 OSO UL. Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. /05
Mascheck Energy Ccmpliance form attached?
h. Type of construction 10u'AF
i. Is construction within 100 ft. of wetlands? Yes 26 No. Is construction within 100 yr. floodplain Yes/No
j. Depth of basement or cellar floor below finished grade 4`-d a _
k. Will building conform to the Building and Zoning regulations? _ `/ Yes No .
I. Septic 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, L.OTlk Zi ! !\I , as Owner of the subject property
hereby authorize I tuft. SI3CALie3 ._ to act on
my behalf, in all matters lative to work authorized by this building permit application.
Vila 6
Signature of Owner e
I, \ iv.— 3 , 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 Ne-^_
1M6
Signature of Owner/Agent
SECTION 8 -CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder :_ t N^— S 011G0Z.
License Numb r
Addr MExpirat' n Date
c r i "n6
Sig Telephone
Re igfe're = ome lm"rovement Contractor. ,,,„ „, , _ " Not Applicable
Company Name Registration Number
Address Expiration Date
Telephone et-M 7O
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 l?o No 0 /�
eCt
Y)'
�vt 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 Cqnstruction 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 comp iance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
r.
_
O1-c1tANPTO
yfl lyx 1 Xt lYrt1 alll fDll =#=b
9 4 �:: M jaiassAChnsclta' =ate_ t
m ' DEPARTMENT OP BUILDING INSPE IONS _t_1=1
212 Main Street •' Municipal B acting '
• Northampton, Mass. O10611
WORKER'S COMPENSATION INSURAN I AFFIDAVIT
WAVIT
I,
--
(licenscrlperrnittcc) — ------------ -------
with a principal place of business/residence at:
1
` t
21 �' —Atw W A (phone)__ Sg?7•c( 'jO
(stree t/ci ty/stateizi p)
do hereby certii j, under the pains and penalties of perjury, thi t. -
( ) I am an employer providing the following worker's coup nsation coverage for my
employees working on this job:
- (Insurance Company) (Polio Number) (Expiration Date)
PI am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
4___Madetlati&tr_Lyil-P131 Sr l V _ 1/0 T
(Nam� of Contractor) (Insurance Comma ll'olic Number) (Expiration
� f ) (E p Date) ,>k
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Comr-'ry/PoLicy Number) (Expiation Date)
(attach additional abed if ncconar,to include isformacion pertaining,to all core odor')
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself
NOTE:ptc:tic tic awn c that Hhiilc homeowners ers wbo employ pa-ton to c'io naintenince,corer eion or repair wink en:dwelling of
not mote than throo units in which the homocr oor rrsidn or on the grounds appurterant thereto ere not generally oonsid:red:o be
anploycs under the worker's c i pc saticn'l t(GL152 ss 1(5)),application by a bomcowncr fora ticcnx or permit rr..y c. iaytc the
legal status of an ansployer under the,Wocku i Cornpomation Ad
I undc=tand that a copy of this ctatcmcat may be forwarded to tho Departmco2 of Industrial Accident?Ofloo of tn:ur...0x for the
coverage vcrificiiioo and that failure to txure covcrago under s4ction 25A of MOL 152 can Ind to tho imposition of cricrin i penalties
eomisting of a fine of up to S 1,500.00 and/or imprisonment of up to one yr-r and civil paultia in the forth of a Stop Work Ork and a
firm of S 100.00 a day against ere
For doKtnneraal use only
0� Permit Number
map, Lot n
w g Y Siglturc of L1ccn,,crlPernuttce c' ----— E
• ENERGY CONSERVATION•APPLICATtON FORM FOR
LOW-RISE.RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 PMR Appendix J (-effective 3/1/98)
Ppplic t Name. Itto-o. _ 0_ Site Address: ,o RAPct6.laQ(� cjt,'v'c'
Applicant Address: Z c tt s.) t %'1A, •City/Town:
re.o i Q_. __ Use Group: 1 10eatrvI 1
WIN lr 01 C)IOZ7 Date of Application,: A 0 a
App iPCni ID/v.v.-. c in —o APplica t%on Signa;4 T-
C te- ar e c Pert(check e-e Tom' —
0 Proscriptive Pzctc:ge ('_imiteo to 1- or 2- family wood frame.buifdings heated with fossil filets only)
Package (A throuzil KK from Table J5.2. lb): Heating Degree Days (iiDD“)from Table J5.2 la:
(For iterns d. through i., fill in sill values that apply from Table J5.2)
a. Gross Wail Area sq. ft t. Walt rR=Vaftrc R-
b. Gfazine Area' Sq. ft g. Floorr R•V atue -
c. GiFzing%(7 00 z b-+-a) g(, • h. Basemen? wall R-
.. dazing lLyalir. il• i. Ste b Perimeter R.
e. Calling R-value Ft- i- Heating AFUF
u Canpo5ierit Performance: '"manual Trade-Cff' (Limited to wood or metal framed buildings only)
Clime*20 (from F;gcrre J6.2.2) 0 Zone 12 0 Zone 13 rll Zone 14
Attach )'rode-Off lit.- .tec-t from Appendix J,[and HVAC Trade-Off Worksheet, if applicab!c]
0 IAASchack Software
Arch Ccim-pliance Report and Inspection Checklist printouts.
t Jo Arta rialysrS OR U. Renewable Energy Sources
Attach Mass Registered Architect or Engineer AnaiysiS
• ALTERNATIVE FOR ADDITIONS ON_Y:
a. Gross Wall + Ceiling AreaI915 so. ft. b. Glazing Area'2 t sq.tt. c, Glazing%(100 x b+a) 10.5%
SADDi T tON with Glazing% (c.)up to 4 may use 780 CMR 'Table .)1 ].2.3.1 below:
MAXIMUM U-value Minimum R•valucz
enestration Coiling wall I
c Floor Basement Wall I Slab Perimeter, Dept
I-
_• }
,0.39. R-37 R-13 ( R 19 y R-10 • 1 R•10,4 ft.
e
-SUNPOOM 0 addition (greater than 4 %0a2ing-to ll wa and ceiling gross area)
Attach 'Consumer information Form'from 78e) CM-R Apfr_--nctir B.
Oiftciai's tame: Dfficial's Signature:
Application Approved 0 Denied ❑ Date of A,ppro:•a :Denial:
R ason(s)for Denial: (provide additional details as needed on back side)
._..___ cant