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36-277 �►. f 4 �:. s��.y.': _ ` 4 I i i i IT) �I ,f i � n i i F I i I C� rte, i a I I t j ' _� A Y � A • r , ` .. �x 1� `l[ rco-) C 1 Fj 1 i F l w� � h 1 o�D h AAW ol c 2 1 L� 4 _ t ICY ..�..,.._�. a_.. -__� ,x � ..m_.,.�,� — ��� �_ _� G��� i,� ° ,!�, ,, ; n q � � � � s �= 4 9 , a � �.__,._...._—.____w.._ _ _ w .. _ .�i ''fi� i , =� , . 1_I ��,; �� ��� 1111LJ iN _-_ _- � - - _-- � � � _- _ � � - _ ; i x Ll I IF a � r m [t, CFE WE El 1 M AY 1 1 2-004 ° a m s d e ° ° e � n s n a m MORTGAGE LOAN INSPECTION THIS DOCUMENT IS NOT TO BE RECORDED IN THE REGISTRY OF DEEDS. C. C MAY 1 1 004 i o x r O 8.x b1� a� Lot 36 I Plan B ook 154 Page 19 51,467 S.F. BOOK 4645 � PAGE 21 x B5 i 343'+ t� Cot 23-A CORPORATION TO THE SOURCE ONE MORTGAGE SERVICES ffiDTHE FIRST AMERICAN TITLE INSURANCE CO. To the best of my knowledge, information and belief, I hereby report that I have examined the pr roses and that this inspection plat shows the improvement or inprovanents as located on the premises described, that the improvement or improvements are entirely within lot lines. I hereby report that the promises shwm on this plan is not located within a Flood Hazard Area as shorn on Deparinent of H.U.D. Federal Insurance AdTdnistration Maps. Cammatity 25016/ Identification pate April 3, 1978 BY; Professional Land Surveyor 040 OF REOJU: ALAN W. and ANN H. DIETRICH �aojn of PFDJB TY ADDRESS: 71 Woods Road RY Northampton, Mass. ANN M S Scale: ! ' = 80' per: May 28, 1996 �F 10 , Fran the office of: MARY ANN R. MILEWSKI, P.L.S. P.O. Box 518 GREENFIELD, MASS. 01302 THIS PLAT IS FOR MENTIFI ATMY RIPOSE5 ONLY AND DOES NOT CLT6iTW A PRJWY SURVEY �S11A1!1P�. O � "$ (rz#p of Nart4&utVtvn _ Z r �18558[tt118[tt6 DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 . HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction super,, sor. The state defines"Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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." The building department for the City of Northampton wants.any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill), sonotube holes(before pour), a rough building inspection (before work is concealed),insulation inspection (if required) and:a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work(electrical, plumbing&gas)the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner/resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location mp �0 fib y Of �Y�� ;�� b a 61flJ kl rflja111pfoll � 8 fi�csecrflusrtls' � — v DEPARTMEtrF OP EUILDD? G INSPECTIONS 212 Main Street ' Municipal )Building Northampton, ?Sass. 01060 ' N''OMCER'S C0 MIT NSATI0N INSURANCI; A_ i + ANT Tllitl- ' b k4u- ------------ %vldl a principal plau of busiresslresidcnc- t: t 1/03 -rp?lone'=; �f`3 a1 =0 X11 !s:TceU ,.._,:.'e) C10 1101"Cby CCri1I1'. L1Il^cl" ?}1C p%!i1S pt'1."•.ltiCS oil-pc.. '111N, that �SII IiII employer prOVldlr!g 111C iOl}O',Vi(?L' '•;Or'r:Cr`S COII3pCIlSflU01] COVC1"I: •C :01 (ny elz?ployces working un i-His job: v v At Bev It el© a=-L=b-- coaPam) (P c c,Number) (Expirat%n Data ( j I a1,i1 a sole prourie*_or, eaeral t?omeo N-ner ;ctrcle one) and 'gave }ureci t}ic contractors listed, beio i'l 0 }?� il1C _`Oi1 L: orr ere co�.p n ion AVA (I:IILIIC of COniraCiOr) �S c��tIC C oIP.^ :i t r�0!1 J N=bcr) ? ::uC i Datc) (Name of Colltrlctor) e71ISUrvnc° C0M:�a._`vPchcy N'=b--r; don Date (Ir'ame of Contractor) (Ins rtncr C:� an.;il'oGc; s.:rneon Dat ) (Name of Contm. ctor) -- (Inslranct Comr�,ti;/Policy Numh_r) (E;:ri-::io-Date) i ( I a-m a ;;Old, 1?rUl?IIC Oi" r:i1C1 lulvc 110 one *JO"I i�.:please tic nwa:c Ls2 tti-t]c t,c<,-co��:r-s+��:c c:.pt..r�,>_-:--�;,�:'.��� �::ancc,a..=•n:�m cr:r,:air.<<,;;:r:.:�.+ct!:r.,:. not aKce than tlu•oo units in ts{ eat he f�.1a.:aZr rcz:i.=a«; c^ployv�u_s�c tlr tw;I: rs cc;-_: i^n,..c:(G�!5� •{(Sll - -„ic:by a hnr tco: cr for a l ccu cr -r::i::: _ ... n c _,:p.._.._ p. legal etatut of as arzrployer undar tL•n Wo kc-ra Co t-; ration A_cL I undc.-:tAad tb�t a spy of thi ctatcs:st a:ay bo Iotw,ucio-j to tl o I?:ticrt- cr:of IndzL:!rial A�lczl:y Chao of:::=+.— for tlx oovmtgc vcrii5cmiloo and that L--Uum to:aa=c covert,,,un3 ceir 2SA of?.{GI.152 can lu3 to the imposition o: cir l pct aL:s rousisting of a rtrr of up to S 1 SQU.oJ a:t1'or i-prisms Z e:;:of::a to cr.: c. ;m c in f(-,nn of Sic;'+,tim-Oti= :.d ft�o5100.00 a dsy ^ rat- For dq:uun-=tn1 u.c ortly i Permit Nluntr r —._.- --- n1Wrc c�Y i.icca:xJF C.rmittcf: 1 SCTON; � CON5TRUGTION SERVICES M 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Lor a s-� � �h �m- © A:2 a Address Expi ation 6ate / / ignature Telephone Re s erg Axn ouern- fiGontr..a.c#o Not Applicable ❑ Co Cam Registration Number Address Expiration Date Telephone SECTI� O1NORKERS' COMPENSATION INISURANCE AFFIDAVIT M G L c 1521 §25G(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...... ❑. lE. 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 ther-2 is,or is intended to be, a one or two family-dwelling attached o Prarheds SC ¢eory o-such us-e—an&_gfa� _ 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 �SECT�O -. �S°�;(F,�T�IONOt=�-�ROPOSEQ��fORK� check�,��1xa I�ca`ti�le � New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Sins [ ] Decks O'— [ Siding[ ) Other[ ) Brief Description of Proposed Work: t c Alteration of existing bedroom Yes�No Adding new bedroom Yes _No Attached Narrative D Renovating unfinished basement Yes No Plans Attached Roll D•Sheet safew° fou� �;� o" a° �ifran to exisiho nge "ellowing 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 rOWPEIR �t�1�NE ���HORIZAON TO 12 E BE COMFLE�TED VI(HEN� ®R�CONTR�ACTOR��IPPLIES FO.R B�lItD1t��G`PERMIT � -_ __ I, �� �Q fiN'1 M ►��P r 1 as Owner of the subject property �7 hereby authorize �ft I ' I��L4f –T-rm to act or my behalf, in all matt ive to work authorized by this Building permit application. S ►I ZuU Signat re of Owner Date Y I' t as Owner/.Authorized Agent hereby declare tha the st tements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Siggnneed�under the,pains d penalties of perjury. !�! Print Nam Si nature of 0 er/Agent Date Section 4. j 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 L Setbacks Front 39 30 Side L: R:�O L: R: ZO Rear I Dot q40 Building Height Bldg.Square Footage % a 00 Open Space Footage % (Lot area minus bldg&paved L/ IIJJ 1111 #of Parking Spaces I i Fill: n (volume'&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW _ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT 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: a (;ity of Northampton �U'Ilding Department 212 Main Street Room 100 Nof�h� mpton, MA 01060 phone 193-58?-1240 Fax 413-587-1272 A4 ;Ckh`60 6 CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE N ORMAX ON ° �Tf►as secl�waneocplety of#iice 1.1 Property Address: Y °� • M MR '71 woods / t ...:... .... ..'..:, SECTION.2._P.ROPERTY,70"ERSHIPl-,A iJORIZED 1GEN 2.1 Owner of Record: 17 8 'sAl3 cz S `Nam&(Pr- p Current cling Addres Te ephone Signature St r,Z 3 2.2 Authorized Agent: m t A 4!!�GS Ig m lkl N e(Pri ) Current MaLiliinng Address: signature Telephone SECTI6N.3--:ESTIMXttDD!CONSTRUCTI(?N"COS S; Item Estimated Cost(Dollars)to be Oc�al llse Orly completed by ermit applicant 1. Building D (a)Building Permit Fee S 2. Electrical (b Estimated Totaf Cost-of Constructiom 5b, m' 6 3. Plumbing Bui1dtng Permit Fee;: 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2 +3+4+ 5) Check Numb'er.• ' Q' D 'Mis Seeti16WF6r.Offival Use°.Oi4 Building Permit Number. Date issued: Signature: Building,Commissioner/Inspector of Buildings Date File#BP-2004-1129 APPLICANT/CONTACT PERSON KEITH HAMILTON ADDRESS/PHONE 27 Cahillane Terrace Florence 587-0763 PROPERTY LOCATION 71 WOODS RD MAP 36 PARCEL 277 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Filled out _ Fee Paid Typeof Construction: REMOVE EXISTING 12 X 12 DECK&CONSTRUCT 12 X 18 SCREEN PORCH& 12 X 8 DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 074129 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF 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 S et Commission s- 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. 71 WOODS RD BP-2004-1129 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-277 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2004-1129 Project# JS-2004-1689 Est. Cost: $20000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: KEITH HAMILTON 074129 Lot Size(sq. ft.): 51400.80 Owner. BISHOP TIMOTHY M&ELIZABETH Zoning: SR Applicant. KEITH HAMILTON AT. 71 WOODS RD Applicant Address: Phone: Insurance: 27 Cahillane Terrace 587-0763 WC FlorenceMA01062 ISSUED ON.5121104 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE EXISTING 12 X 12 DECK & CONSTRUCT 12 X 18 SCREEN PORCH & 12 X 8 DECK 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. Certificate of Occupancy Shmature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 5/21/04 0:00:00 4201 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo