17A-224 (6) ----------- ----- Property Line - ----------------,
60'
I i
Revised Site Plan '
i
198 North Maple St.
1 i
I I
Florence, Ma.
I I
I I
Scale: V=10' 31' '
I
I I
I I
I I
I ,
I I
i 1
I I
19'
' 24' �,
' 1 I
I� 21 � g' I
10'
I I
I I �
i I
I I•""4
� I ,
I 1 �
I IQ
I 1
I I
i
I I
I I
I I
I I
I I
I I
I I
I I
I I
I y, I
I � I
I I
1 � I
1 � I
13' A
I 1
I I
I i
I I
Sidewalk
1 1
--------------------------------- ---------
N. Maple St. 60'
4" Revised Proposed Deck Plans: 198 North Maple St.
36" v
a
FAv�
^1611
JV Post—�► 8" Sonotube Double 2x10"
4x4
F' Sunk 4 y Carrier Beam
230"/ 19' 2"
_ Decking
5/4x6" Cedar
Stairs
Carrier Beam
Doubled 2x10
2' 5'
Stair 10' co
Landing
3'x3'
6'
O.C.
d
230"/19'2"
Joists& Ledgers 2x8 Pressure Treated Jois Hangars Scale 1" =3'
plans by: Steve DiBenedetto
-
CriitL) of �,TnrfIj 1111}JtLill �—
DEPART?.4I 01' BUII.Df?\G ;NSPPCa101:S
212 Main Street ' Municipal Dmldmf�
Northampton, Mass. 01060
�V,'ORICER'S CO)WMENSATTON INSLTRANCI-:
ckcever
(lic>rusccllx-r nittcc
�r.ith principal plat- of businesslresidencc at
l
(q /11�r+h St �lorc�►ce �1Gja- _oi(k,(,,J01)c;!� 413) SS �5Q
--------- ----------------- ---
(stUcitr/stale/Ttp) -- —
do hereby certify, under the pains and penalties of pci]uu-y,
( ) I zsn an employer, providing the followint worker's comocns:::lon covc(--l-,c Iof III-
clullcvccs worl,-Ing on this job
(Lo-sur-._nom Coon,v)
( ) I a-m a sole promctor, general contractor or hom10-"vner (c;_ci�z oriel aid have hired
the coni✓actors listed below who hive the fofowliw, pokles:
Datc)
(N.:_te cf Contr.-tor) (lns,lrancc Corso.,�„t'oll� ` tfc�c�r; (f �n�raion Date)
(Name of COWIac-tor) (I�suranec C�mpaL,i'�oGc N,tn�ht:) (Fxpirruon Date)
(N=c of Con(mctcr) jasiiranc-- Comr—iir'/Pokcy NumL��l) (L��uation Dais)
if nc��cr,rc t<� rnc)w�-�aory-iii co Iwtz._mng to.il cv:':_.<-.a,;
( ) I -am a sole proprietor and have no one working for me
('VI ant a home owner perforTning all the work myself
NOTE:plc--tr r.naic LL, tjc bc,r kj 3 to<mplay pcio"to ,o,k an.d—tL E of
crx rtr.xc L_o L!�-caio in the F ud�- or oo the Q�.uvir to 6c
c:tployr_�.via..-:Lx�.u-i;cta map�_tim ALt(GLlS2n 1(5)�r.pplic tim trf a Lomw..fc::Lr a t rntt n_y n^d�cr tLc
Icgil nzaic of ca -raloyo-r undo-r dw Work--C'.oazpca�..l_ion Ai-
I undcniand dh l>Dopy of Lii,aitcm.cm m..y bo for-x..rd.od to tbo Dcs—,t n of 1nd,r,,j A-'u>y Ofs—of lr�fa Lb-
cove x> va-L6CI Too n.-td t1Lt C-i)Lzc w coatrc'oovcrnsc urldcr 1,0 i n 2 S A of MGL I S"1 c.rn I d to th-. of mmilA pcwttia
eocuu.mg of s fine of up to S 1 X00 00.r Nd tmp�of up to one y s ci.il Ixn ti dx(xm of Stop Work Order nod e
fire of S 100.00.cL y t gAian ar_
F«6IP.ru,-=-,1 u.c only
Permit Ntunt— _
M:1 P:: ----- 1.01 ~
' Si . tun of Lic>=r�scclPcnniltcc ---- � l
Crztp of 'Nortlta»lptan -
L� z
$ � �asaacliusetis
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as iris/her construction sup,,..i ,, sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or hvo family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one hoi-ne 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 your), a roujzh 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.
( ie owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date 5171
Address of work
location 118 /VaO-n Mgq'e st.
1oren��,_ AGr
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. Not Applicable ❑
Name of License Holder:-------
License Number
---------—-
Address Expiration Date
Signature Telephone
9. Reaistered Home Improvement Contractor: Not Applicable ❑
—-——--—--—--———--—--—--—--—-
Company Name Registration Number
Address Expiration Date
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.
1 Signed Affidavit Attached Yes....... ❑ No...... ❑
1. - Home Owner Exemption
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 OfficiA 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 Ordinanges,State'and Loca,CZoning Laws and tate i?gla�sachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks Siding[ ] Other[ ]
Brief Description of Proposed L F Grt'�k—i �Jul%
Work: Cons+ 4 fi�u,' a
Alteration of existing bedroom—_—_Yes v No Adding new bedroom---- Yes —_—_No /
Attached Narrative Renovating unfinished basement --�_/—No
Plans Attached Roll -Sheet/
6a.If New house 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—_--___
a 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
as Owner of the subject
property I
hereby authorize- +eve ri f p 1 D"i3 ✓144-t-to
ter act on my behdlf,in all mattersrelativ toFworl authorized by this building permit application.
Signature of Owner Date
r e V C y1 V i''7 l'h('Gf e fi O _ -- 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.
S feveri P= Q','&ried e t}o - - -
Print Name ')
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
Deck Building column to be filled in by
Buillddjing Department
Lot Size L00 X I 1 LI '
Frontage c
Setbacks Front 0" p�d
Side L lU R: r L ,I R: '
Rear 3 31 C�2 C
Building Height �fic7 �to����� 9fadrZ
Bldg.Square Footage �v4t� % �30 9
Open Space Footage %
{Lot area minus bldg&paved
kin
#of Parking Spaces
Fill:
volume&Location
A. Has a Special,Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW f 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#
� Y of water or wetlands? NO DONT KNOW
site contain a brook body B. Does the
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 here any proposed changes to or additions of signs intended for the property?YES_
No r
IF YES, describe size, type and location:
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit--_---_-------
212 Main Street Sewer/Septic Availability--_ __—__Room 100 Water/Well Avail ability----__—__—_�—__
Northampton, MA 01060 Two Sets of Structural Plans-------_
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plansr_
;Othbr ecify ----
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH lA ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION AY 19 2003
This section to be completed by office
1.1 Property Address: Iqq A0f4 �� �t
1 „Map ^T �!' _� Lot --- -Unit-----
FIofCYI(,e /44q, Zone -Overlay District-----------
Elm St.District--___--_ CB District__
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
y'
NN
ame(Pn't) L-
�, Current Mailing Address:
�1�w � ` (.� ---------- ` 2 2 _-----
"�C.l'�r_�_,.------ Telephone
Signature
2.2 Authorized Anent:
---------- - S S _ 3 / t oho ate ee -- ---� ------
Name(Print) Current Mailing Address:
413) cA la-3?6_y
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building S 0 0 Q (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) S 0®l) Check Number
This Section For Official Use Only
O�,.. !J' Date
Building Permit Number:-- Issued:—__—__—__------------ -- -- -- --
Signature: ------------------------------- - -
Building Commissioner/Inspector of Buildings Date
File#BP-2003-0955
APPLICANT/CONTACT PERSON MCKEEVER JAMES P
ADDRESS/PHONE 198 NORTH MAPLE ST (413) 584-2250 Q
PROPERTY LOCATION 198 NORTH MAPLE ST
MAP 17A PARCEL 224 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 199 _
Fee Paid
Tvpeof Construction: CONSTRUCT 237 SQ FT DECK
New Construction
Non Structural interior renovations
Addition to Existinp,
AccessoKy Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE F OWING 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 Street C ssion
Signature of Building Official Da e
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.
BP-2003-0955
GIS# COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0955
Project# JS-2003-1543
Est. Cost: $5000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg.ft.): 6316.20 Owner: MCKEEVER JAMES P
Zoning:URB Applicant: MCKEEVER JAMES P
AT. 198 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
198 NORTH MAPLE ST (413) 584-2250 0
FLORENCEMA01062 ISSUED ON:5123103 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 237 SQ FT 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 Sienature:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 5/23/03 0:00:00 261 $50.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
` _____ Pro ert Line _-__-_-_--
------------
---p--y-ine -------,
60'
Site Plan
198 North Maple St.
Florence, Ma.
Scale: V=10' 31'
28'
8�
' 24 PROPOSED
81
12' DECK
10' ,
i
13' A
Sidewalk
--------------------------------- ---------
i
N. Maple St. 60
411 Proposed Deck Plans: 198 North Maple St.
3611
bu- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
_<22
36" 8" Sonotube Double 2x10"
4x4 Post el Sunk 4' Carrier Beam
Decking 5/4x6" Cedar 333 1/2 27' 9 1/2
... ... ..... ... ....... ........ . .... .. ..... ......
... ... ... ...
r
2
. . .............. H7_
F
Carrier 3eam cv
&i ndwii [ied A 11 h 1111 ILI,, 1111 ,1
WO 21 31 2
S\
10,
O.C.
e: Reinforced Hot Tub
Area: 7' wide
J6L
8" o.c.joist spacing O.C.
Ak-
V1 /1
108 11/91
*c N,
230"/19'2"
Joists & Ledgers 2x8 Pressure Treated Jois/Hangars Scale 1 31
plans by: Steve DiBenedetto
0
Crz I of Wortl)alllptell
� � �tAS5AC1�I1S tIt8
DEPARTMENT OF BUILDING INSPECTIONS
1V
INSPECTOR 212 Main Street 0 Municipal Building \ ��
�4 e
Noi-tlmmplon, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of*Massachu set ts allows the homeowner the right and(,-- 780!
0
QI
D I PAT, M,1:14-1 OP 13 U I I B 1,\C; MS[Y( i i,
212 M!,�ii Street ' t,tuniclpcd
o 1 t h a In j)toll, T nss O1 0 C)
I'V
Rol'
till
jqq IV
lcr�17c� Ala 413 q— '150
do hereby cer-tify, under Lhe pplFjs aad pc1laIlles 0-- -plj
cm-,:)Ioyer provldln: tll�
cil)plovc,cs on this ]()b
su!,
. . .
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0
License Number
Address Expiration Date
Signature Telephone
9. Registered Home improvement Contractor: Not Applicable 0
Company Name Registration Number
Address Expiration Date
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.
11. - Home Owner Exemption
The current exemption for^bvmuo"mzers'was extended toinclude one(1) or two(2) families
and toallow such homeowner m engage moindividual for hire who does not possess o license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 108.3.5.1.
Definition of : ye, ou(s)*buuvnxpm;olof]undvnwtucbbo/shu,*oiUm",imuud»/"/mide,00nhi^bde,
is,v,is intended t"be,v one^ztwo family dwelling,attached vr detached structures accessory tv such use and/or b'on
structures.
Such^^bomovvnor"shall submit to the Build*uffim/ul,on form acceptable to the nuuu.oA Official,that he/she shAll be
responsiblE for all such work performed under the buildinj!permit.
As acting Construction Supervisor your presence ou the job site will be required from time to time,during and vyno
completion vf the work for which this permit ivissued.
Also ho advised that with reference`^Chapter l-52(Yomkcrv' Compensation) and Chapter )53 (Liability v/Employers to
Employees for injuries not resulting iu Death)n[the Massachusetts General Laws Annotated,you may be liable forpemnu(v)
you hire to perform work for you under this noonut.
The undersigned^'b"movwmx^cwftifiev and assumes responsibility for compliance with the State Building Code,City of
Northampton Cvdioungex.8mu and Local%ou�g Laws and Sm�vl�|aopucbvnet/s6onmx)ivvvaAmmmmd.
Homeowner Signature
- ` l
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [47 Siding[ ] Other[ ]
Brief Description of Proposed J off - ,
Work: C*��l S�luuTi,� /f L/(i� 11LVfJq uf'n ' C�.tC(f f�' �:i�,tyS
Alteration of existing bedroom------Yes_V/ Adding new bedroom Yes - No
Attached Narrative Renovating unfinished basement Yes �! No
Plans Attached Roll - Sheet
6a. If New house 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?...—__-
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,----�.,\� +\ v'-�--��-`L ._� --�"----------------- as Owner of the subject
property
hereby authorize _�Leven f�: D, 1---to _ _ ___
to act on my behalf, in all matters relative to work authorized by this building permit application.;
-----------`- -- -------------------
Signature of Owner Date
Q /
C' _ _ _ _ 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.
Tf'veo f to
-------------------------------- - - -------------- --------------------
Print Name
---------- ------------- -------------
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This colunni to be filled ui by
Building Department
Lot Size �. X
Fronta e
Setbacks Front
Side I.:_ lu R:- -- L:_�� R: /
Rear
Building Height
Bldg. Square Footage. % Sup f t� ^ .�30 9
tt D
Open Space Footage % )
(Lot area nunus bldg&paved GO'e
parking) TT
#of Parking Spaces
Fill:
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 _lam._ 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
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit---_-----------—
212 Main Street Sewer/Septic Availability-----------------
Room 100 Water/Well Availability-------_—_-----_----_
Northampton, MA 01060 Two Sets of Structural
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans-----------
Other Specify_------
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 Property Address:
Map------ ---- Lot --------------Unit-----
---
.,
Zone -Overlay District-------------
ICr'i1� A�� �l . ----
Elm St.District_------------_-- CB District___---_-- -
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
.. ____ _ _ _ – --- Y- -- _
— - - — ----
Name(Print) Current Mailing Address - L
----------- --------------7
Telephone
---------------------------
Signature
2.2 Authorized Agent:
`7_fevl't} c,t1C"Je1-41 (;`> SC,.I4-j1 t r ` - ICei-------
i
--------------
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 (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#BP-2003-0955
APPLICANT/CONTACT PERSON MCKEEVER JAMES P
ADDRESS/PHONE 198 NORTH MAPLE ST
.. Oft
CAT �..,
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid
Typeof Constriction: CONSTRUCT 308 SO FT DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PWENTED:
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: § <�?r _'3
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 Conmssion Permit from CB Architecture Committee
Permit from Elm Stree ommission
Signature of Building Official Da
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.
198 NORTH MAPLE ST BP-2003-0955
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-224 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0955
Project# JS-2003-1543
Est. Cost: $5000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use croup: Homeowner as Contractor
Lot Size(sq. ft.): 6316.20 Owner: MCKEEVER JAMES P
Zoning: L?RI3 AMlica_nt: MCKEEVER JAMES P
AT. 198 NORTH MAPLE ST
Applicant Address: Phone: Insurance:
198 NORTH MAPLE ST (413) 584-2250 0
FLORENCEMA01062 ISSUED ON:5123103 0:00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 237 SQ FT 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: C,t- K
Driveway Final: C1.3
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: ��-
Final: Smoke: Final: 0 X -71
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Si nature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 5/23/03 0:00:00 261 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo