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29-150 (3) BP-2023-1627 104 SPRUCE HILL AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-150-001 CITY OF NORTHAMPTON Permit: Acc Structure PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1627 PERMISSION IS HEREBY GRANTED TO: Project# SHED 2023 Contractor: License: Est. Cost: Const.Class: Exp.Date: Use Group: Owner: THOMPSON ANNIE M Lot Size (sq.ft.) Zoning: WSP Applicant: THOMPSON ANNIE M Applicant Address Phone: Insurance: 104 SPRUCE HILL AVE FLORENCE, MA 01062 ISSUED ON: 11/17/2023 TO PERFORM THE FOLLOWING WORK: 12X10 SHED 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OiNORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature:g I �/ ),2 01 . Fees Paid: $30.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner City of Northampton C• Massachusetts � S toR WC. .., E-C^ DEPARTMENT OF BUILDING INSPECTIONS �'; � C,,/ n Street • Municipal Building ,,., s� ..�i' V I No,thampton, MA 01060 srM �1�,N NOV 1 6 20tk 3f0'23 DFpr of©UNow, ( ,2, atC1*. A 4P7of NSPEcrro ACCES = .y,' ST • UCTURE PERMIT APPLICATION (For freestanding structures 200 sq. ft. or less, at least 10 feet from any other structure) Application fee is $30 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 7f/(f ��to/rf0/t) Address: iD Y .SP QLJJ'F ill/Lc ig-vF Telephone: ('n ij -a 3 l g- 2. Owner of Property: ALMUIE /- /7?iirnips0/(J Address: icy Snetze /`7l/E• Telephone: (1113)346- 49'3 4 g 3. Status of Applicant: Vwner Contractor 4. Structure Location: c/3f J Wef ,k , R SIDE e/2(rva JT- Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE/ BUILDING DEPARTMENT) 5. Use of Property: Single or Two Family: t0 Multifamily: Commercial: 6. Description of Proposed Structure: One Story Shed under 200 sq.ft.: Freestanding Deck under 200 sq.ft., less than 30"above grade: SIZE OF STRUCTURE: !al X /0 ' Other(describe): 7. Attached Plans: Sketch Plan /Site Plan Plot Plan 8. 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 6-it I I- 11 Z3 iz,12 CONTINUED ON NEXT PAGE 9. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department Existing Proposed Required by Zoning Lot size Frontage N/A N/A N/A Front: Setbacks: Side: Rear: Height % Open space: (Lot area minus bldg and paved parking) 10.Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 0 O/ �D APPLICANTSSIGNATURE a n a l e t 9 9 4 C m u► I• e m2, ,�-� ` d�`,j S N URE���x� NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Conservation Commission, Department of Public Works and other applicable permit granting authorities 1.--- s°13 - _-__„----4,. i (3 ‘i' 514E0 e• 0,. 4- , , , , 1/70 ,\.: . \\\ ,- '4/:'-:—:::-.- '11' ' ‘ct0- \\\ 7 i a i��r �.r : \\\\\, Lii t 1 11, „1 11 G I Ll, M p*! 4.011) C +Q'P L fP 1.J-1 J.f A 1!�►i iii !i _ City of Northampton Q SHAMS o i` eru Massachusetts �,? '<., f 11 'J� \ '1 ( 6 DEPARTMENT OF BUILDING INSPECTIONS• y; - 212 Main Street • Municipal Building Jti. \� -_ Northampton, MA 01060 s'j ) \�� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT q/eP/mG I, .71AtifJle 74,711,0E /J (insert full legal 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 lure 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 day of , 20 . (Signature) City of Northampton YH_ O C. LS S% ". Massachusetts ��• c'<< DEPARTMENT OF BUILDING INSPECTIONS �. x � r 212 Main Street • Municipal Building •yJ� Cam Northampton, MA 01060 sJ T'D°� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: The debris will be transported by: Name of Hauler: 4fn771E_To 55 S Signature of Applicant: Date: