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17C-243 E __z f I � i ,a f io 71 — `• III .r j Fft No. 10110001 w Northampton.MA Property Detail Page 1 of 2 City of;Northam ton, Mil: Residential Pro erty Record Card NqwScob P R f a Card 1 of 1 Parcel-Location-Zoning-Assessment Map-Black-Lot: 17C•243-001 Zoning: Assessment: Location: 93 NORTH MAIN ST Neigborhood: 5 Land: 135,200 #Living Units: 1 Deed Book: 6007 Building: 150,000 Class: R-101 Deed Page: 305 Total: 285,200 Dwelling Information BuildiN Sketch Style: Conventional Year Built: 1917 p Story Height: ' Wood Dock A9MU0r' Attic: Unfin B t� BVoodo Basement: Full 34 120 tO C:OR P Total Rooms: 8 192scit Bedrooms: 4 15 Full Baths: 2 Half Baths: 0 30 `/9 4 Exterior Walls: Alum/Vinyl Unfinished Area: 0 is Ground Floor Area: 960 Total Living Area: 1920 30 Finished Basement Living 0 X 0 °FP Area: B tsz Basement Recreation Area: 0 X 0 Woodburning Fireplace 1;1 Stacks/Openings: Metal Fireplace Addition Information: 00 Stacks/0 nin 1s: Lower ist Sto 2nd Story 3rd Story Heat,/Central A/C: Basic BasemenjiOne Story Frame 10ne Sto Fran Unfinished Atti C Heating System: Hot Water Fuel Type: Gas F ood Deck 1 �� Quality Grade: C n Frame Porch C Physical Condition: Average Interior,I-xterior: Same Condition/Desirability/Utility: AV hnp:/'norlhamptonmemr.use'noho/propertydetail.php?map_no=l 7C-243-001&pagecard=l 11/12/2010 .......... 1N City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: ! 5 AiiO i pn HU211 Ck The debris will be transported by: ��S` Opt Cl � , The debris will be received by: Building permit number: Name of Permit Applicant e� Date Signat of Permit Applicant City of Northampton A Massachusetts `60 ::,. DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 5vt obi Northampton, MA 01060 INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. 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 buildinq 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 1, 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 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLjbly Name (Business/Organization4ndividual): Address: 1 -39 aWzuwf �. City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. n I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. E] Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. Building addition required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repa` s insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp. insurance required.] p VN *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceriy u r t af lties of perjury that the information provided above is tr a and correct. Signature: V Lo Date: 0 Phone#: �c Official use only. Do not write in this area, to be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su e . or: Not Applicable £ Name of License Holder: License Number 13 c:-S; - Cco 2994 Address Expiration Date --33 Signatur Telephone 9-Registered Home Im i^bvement Contractor _. Not Applicable £ Company Name Registration Number 3 F C,& I t Address (f Expiration Cate Telephone ` 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...... £ 11.= r. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks Siding [❑] Other[k Brief Description of Proposed Work: �/ Alteration of existing bedroom Yes No Adding new bedroom Yes 1I No Attached Narrative Renovating unfinished basement Yes _X No Plans Attached Roll -Sheet sa.`If New house and'or addition to ex[stinq housing, complete the followinq 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. Masscheck 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 F R BUILDING PERMIT I, as Owner of the subject property , C hereby authorize to act An my behalf, in all matt s re ative to work a d by this building application. Signature of Owner ate Pat �1 � � �� �,� � as Owner/Authorized Agent hereby decla-red-that Lthe statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed u r the pains and penalties of perjury. 1 C� Print Name Signature of Owner/Age Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled immmjd ; 3 Building Depaftment. p Lot Size Frontage =•--- —._. —___ __ __ _.—__ !_.__._......_-_.--•—_— Setbacks Front Side L:l R: L:7CJ��{�" R: (E— I Rear Building Height L-2-—V r� Bldg. Square Footage 1134� 1. IIL % ?T'�T b L � Open Space Footage �—+-- % �L-�� � (Lot area minus bldg&paved i o T t1•°�-o t '41-71 parking) T�-#of Parking Spaces 7-7_ Fill: �S (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO t;7� DONT KNOW Q YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW 0 YES IF YES: enter Book ! � Page and/or Document#' s' B. Does the site contain a brook, body of water or wetlands? NO A71\ DONT KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: 1 C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: I E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO kv IF YES,then a Northampton Storm Water Management Permit from the DPW is required. M ' Department use Drily Wit= City of Northampton S#atus,ofPermrt Building Department If GuTlDrlueuray Ferrrtt# OCT 2 1 2014 212 Main Street SewerlSepticAvairati[Irty Room 100 Water/UlteilAvatlabihty Northampton, MA 01060 Two Sets of Structural Plans 413-587-1240 Fax 413-587-1272 P[ot/81te Plans ; IN Ot�ier Spemfy APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE.INFORMATION This section to be completed by office; 1.1 PropertV Address: Map Lot Unit Overlay Distrrct - Elm St Distract CB.Distnct SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: _ Name(Print) Current Mailing Address: tL_ Telephone -7'-.-' A/ Signature 2.2 AMorized Acient. cc TIAC C"� Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS. Item Estimated Cost(Dollars)to be official Use Only completed by ermit applicant 1. Building r i - - (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 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File 4 BP-2015-0460 APPLICANT/CONTACT PERSON PAUL MCCUTCHEON ADDRESS/PHONE 1526 WESTHAMPTON RD FLORENCE (413) 584-3352 Q PROPERTY LOCATION 93 NORTH MAIN ST MAP 17C PARCEL 243 001 ZONE URB(I00)/SI(0)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �1i 2,z C Fee Paid Typeof Construction: REPLACE FRONT PORCH DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building-Plans Included: Owner/Statement or License 062544 3 sets of Plans/Plot Plan THE FO ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 Commission Permit DPW Storm Water Management De iti lay Z a 7,�� Signa of Building O facia 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. 93 NORTH MAIN ST BP-2015-0460 GIs#: COMMONWEALTH OF MASSACHUSETTS Ma�Block: 17C-243 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2015-0460 Project# JS-2015-000861 Est.Cost: $4320.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: PAUL MCCUTCHEON 062544 Lot Size(sq.ft.): 10585.08 Owner: PARKER DAVID W JR&PATRICIA M Zonine: URB(100)/SI(0)// Applicant: PAUL MCCUTCHEON AT. 93 NORTH MAIN ST Applicant Address: Phone: Insurance: 134 EASTHAMPTON RD (413) 584-3352 () WESTHAMPTONMA01027 ISSUED ON.1012412014 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE FRONT PORCH 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 Signature: FeeType: Date Paid: Amount: Building 10/24/2014 0:00:00 $55.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner