24A-017 102 RIDGEWOOD TERR BP-2002-0205
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A-017 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2002-0205
Project# JS-2002-0324
Est. Cost: $26500.00
Fee: $87.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: GERALD ARCHAMBEAULT 010788
Lot Size(sq. ft.): 11412.72 Owner: DELANO LINDA
Zoning: URA Applicant: GERALD ARCHAMBEAULT
AT: 102 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
171 WEST ST (413) 247-5903 Workers
Compensation
W HATFI ELDMA01088 ISSUED ON:8/27/01 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN & 2ND FLR BATH,
SHEETROCK BEDROOM CEILINGS & RE-ROOF DORMER
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
P Footings:
Rough: Rough: I`,1 ) House# Foundation:
Final Fi . Rough Frame:0 ek 76-01,4/44
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: �j'K !ji —/f�
Final: Smoke: Final:0`( R'02($ ®� 'l
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS. /7` 4R,A#4,
1"
Certificate of Occupancy— ' signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 8/27/01 0:00:00 2174 $87.50
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
t,,,_ ,..,—„,
cr, 1
..--- ( c.,) ie).‹..„ --1
( ev. , _ ., ,,,,,
__,I N.l 4. ,, _.,_
,, 1 ,,,:., :._.,
. .. _..
.,„
/ Tall vi li lowfwir CAitt7 ii*. , ,
ik.S-1- .S.,1,11".....;
Tt7
.
.,
..
A
A"- '',
1 A,, ,
A
i ' ,-
.
(r-i)
'.' Y) ',-.1--<,.... t, ,A.,.I.yt,( .(1 ,-,
. ;_ •,. -... ,,,,, i, i
-..
1
: y; ,...,\,.,..1 , , .A -I Z........„,„,.----
„ , 1/4
'''.--
, .
y -t
, ---ir ,
..,
. . .... i
t: ,, ,.- ., ,
v, f
,,,
4 N
J
_ ...
„..., '
. ,.
1
File#BP-2002-0205
APPLICANT/CONTACT PERSON GERALD ARCHAMBEAULT
ADDRESS/PHONE 171 WEST ST (413)247-5903
PROPERTY LOCATION 102 RIDGEWOOD TERR
MAP 24A PARCEL 017 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /7( t2jn,5�
Fee Paid g
Typeof Construction: REMODEL KITCHEN& 2ND FLR BATH, SHEETROCK BEDROOM CEILINGS&RE-
ROOF DORMER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 010788
3 sets of Plans/Plot Plan
THE FO OWING 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 Commission
$tuff t71-0/
Signature of Building cial 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.
Department use only -
p� Ci Northampton Status of Permit:
E C E U �I E3 i g Department Curb Cut/Driveway Permit
1 . Main Street Sewer/Septic Availability
" Om100 Water/Well Availabilitymm_
AUG 2 2 2001
Jor' - ton, MA 01060 Two Sets of Structural Plans
phone 41 -'87-1 40 Fax 413-587.1272 Plot/Site Plans
DEPT OF BUILDING INSPECTIONS Other Specify — ;
N(!RTi+}'P'TOJ.MA 01060
------APFCION 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
i
0 cQMnI � Map_ Lot /7 Unit
Zone ...', —Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: n
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent: i lJ /i /,
e. i„„
) Mi(el
Na tie(Print Current Mailing Address:
`Lit-G-7 33
Si ature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ; 7 40� (a) Building Permit Fee
AGO
2. Electrical S005 (b) Estimated Total Cost of
�� Construction from (6)
3. Plumbing /�DD� BD Building Permit Fee
4. Mechanical (HVAC) (p
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 5—e) 0 i 6b Check Number d r-7 2s 7,5/
This Section For Official Use Only
Building Permit Number: 7)0`d " c2oc 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 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 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
No
IF YES, describe size, type and location:
•
0 f)ovwe,* Late p ikty
RtfinoSek, n:"fL "Hdc'‘r-- 1044
SECTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable) IDYL
s e C 47lA
New House ❑ Addition El Replacement Windows Alteration(s))1‹ Roofing
Or Doors 0
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes X No
Attached Narrative❑ 'Renovating unfinished basement Yes No
Plans Attached Roll ❑ • Sheet❑
fagailaheValia O % : i 0. p 0 - O
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. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck 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 No
j. Depth of basement or cellar floor below finished grade
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 I k0. O e\& o , as Owner of the subject property
hereby authorize Gtv.0.4 �,„, bd.,/k to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, Plea 11\'r-r Lk, Li/ 7 , as Owner/Authorized Agent
hereb 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 p ins an penalties of per ry.
6se‘ra- t\--c Unie
Pr' Name
iN n (L.
Signature of Owner/Agent Date
1111111.10.111111.111.1111.1111,
SECTION 8 CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable�❑
Name of License Holder : (& �A,. C/.w, / 1 / d / b'
License Number
tO P-64- �- 1 /J- o
Address g Expiration Date
AiCe -° `f. 59a3
igna ure Telephone .
.'Registers` W`ofne mpiovemen` n#ractor '1'7 ,h,F � a Not Applicable
> ! � �` 0
(O�, (. cry 1'1 4 9 7 3
Company Name Registration Number
) r lie 5 (bi fodj_, ``- EPa
Address Expiration Date
Telephone ..1. ›—
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 0 No 0
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
r 1511A1dpi, •
6 AR
9 .it k':': �j`6 laisarhusctfs '—'
�' DEPARTMENT OP BUILDING INSPECTIONS __
212 Main Street •' Municipal Building
—_1
Northampton, Mass. 01060 •'
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
e qi4
(licensee/permittee)
with a principal place of business/residence at:
•
7/ Wei+ %
1D) ` (� o, P7 (phone#)
(ate eet/ci ty/state/ap)
do hereby certify, under the pains and penalties of perjury, that:
XI am an employer providing the following worker's compensation coverage for my
employees working on this job:
/t- Q1130 5I
(Insurance Company) (Polio Number) (Expiration Date)
( ) I 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:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifnecessary to include information pertaining to all contractors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself
NOTE:please be aware that vihile homeowners who employ persons to do maint.na...•' construction or repair work on a dwelling of
not more than tree units in which the homeowner resides or on the grounds appurtenant thereto are not generally considered to be
employes under the worker's oompauation Act(GL152,ss1(5)),application by a homeowner for a license or permit may evidence the
legal status of an employer under the Worker's Compensation Act_
I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents'Oboe of Insurance for the
coverage verification and that failure to secure coverage under section 25A of MCIL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1,500.00 endloe imptis of up to one year and civil penalties in the form of a Stop Work Order and a '
fine of 3100.00 a day against me.
For departmental tree only
. ,---‘41)ein0 1 zloyvvititik PermitNumber
Map# Lot#
" Signature of Ltcensee./Permittee Late
11,1 AUG 222001 J
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
C
f /
ciD
(47
1
,
I.
_' - ] ] _____ILL___ -
� ia-ar—
— -- ----- -ram,,
c\
iI I.
j
31 z_0JD 1
"1"1- nii
.,...L.,.. .
/ 2144" /
`/� / 774' /9"/ "30" /9 / 77' /12"7/
W h 7 IS I .. 124"•
364' / 3s$r" y 5,Z' y 363 y 364" / /
I
/ 444" ,"/
y 55Xy 15. / 30" 24" / 36" / 36" /
a4kf
0 d Ii. W HOOD TRAD. 9
W '�� 093 \,0 0\6 SB36
Wall doors: OAKLAND SPICE ' IQ I' :
E Tali doors: '
r D415 O0 24.DISHW a 3�TUB y BRER
i.
Base doors: 121J)'— ' l WI U w N
Cabinets W \ 0) "_
WOOD \S • l_/
1 1 W4236 WALL CABINET (0 DOVETAILED CUT TO FIT ENOUGH 01
D
el DRAWERS TO ALLOW THE / N
2 1 W0936-L WALL CABINET a 21\�I 9"WALL CABINETS TO
FIT BETWEEN WINDOWS
3 1 W3018 WALL CABINET "----- ----/ WOOD DOVETAILED
DRAWERS
4 1 W0936-R WALL CABINET
5 1 W3618 WALL CABINET CEILING HEIGHT 89.5"
w
co
6 1 W4236 WALL CABINET
7 1 B21-L BASE CABINET y
I +Ir fi0tk:ck m.,-1,,,:etl w
8 1 DB15 4-DRAWER BASE
WOOD DOVETAILED DRAWER l(fl k I / C°tee u�n°1d :1 \
(pr'- Svf
9 1 PB36 PENINSULA BASE N
0
10 1 PEPR335 BASE PANEL(R) = °D
11 1 SB36 SINK BASE 1 \\
12 1 BRER36-R EASY REACH W/ROTO B42 (.!_% 33L-REF
13 1 B12-R BASE CABINET �;
WOOD DOVETAILED DRAWER r j W4236 0 . W3618 LJ
14 1 B42 BASE CABINET
*15 1 TOEKICK STANDARD 4-8FT \
*16 1 TOEKICK STANDARD 4-8FT C 42" / 39BN
_ cn
*17 2 MCV8 COVE MOULDING .1:
4Z. / 36" \ \
*18 3 MCV8 COVE MOULDING \
19 1 F331 BASE FILLER I
20 1 F331 BASE FILLER 93 gili
21 1 F331 BASE FILLER 3 )
22 1 F331 BASE FILLER ,',- S3" 13�0 y
`tea\ 0
23 1 F331 WALL FILLER t� -�� -ci"'Lp-�' {�9r0u �,