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JUL 2 6 2001
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON, MA O1 , c
04/26/01 12.63:08 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 18C- 092 -001. 00032 GLEASON RD PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS ZONING: URB NEIGHBORHOOD ID: 9.00 FINAL VALUE FLAG: MARKET VALUE
KWOKA JOHN E LAND DATA
C/O MARTI NEWKIRK - ASSESSMENT INFORMATION -
32 GLEASON ROAD TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 11225 71,500 PRIOR COST CURRENT
NORTHAMPTON MA 01060
LAND 71,500 71,500
BLDG 57,000 77,100 71,300
TOTAL 108,300 148,600 142,800
DEED BOOK: 1093
DEED PAGE: 030 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 0.258 TOTAL LAND VALUE: 71,500
LAST UPDATE /COST: 20001204 DATE TYPE PRICE VALIDITY
20000927 LAND + BLD 155,000 0
LAST UPDATE /COST: 20001204
ADDITION DATA
X DATE:
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A Opn Frm Prch 100
ENTRANCE CODE: UNIMPROVED B Opn Frm Prch 56
INFORMATION SOURCE: C Frame Garage 264
DATA COLLECTOR: ED D Opn Frm Prch 24
DATE: 19991014 E
F
DWELLING INFORMATION G
H
STYLE: CAPE '..
YEAR BUILT: 1952
STORY HEIGHT: 1.00
ATTIC: UNFINISHED
Basement: FULL
TOTAL ROOMS: 5
TOTAL BEDROOMS: 3
FULL BATHS: 1 ADDITIONAL DWELLING INFORMATION
Half Baths:
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 1080
TOTAL LIVING AREA: 1080 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED: 36
MASONARY FIREPLACE STACKS /OPENINGS: /
METAL FIREPLACES: KITCHEN REMOD(Y /N)
HEAT /CENTRAL A /C: BASIC BATH REMODEL (Y /N)
HEATING SYSTEM: HOT WATER 12
FUEL TYPE: OIL
QUALITY GRADE: C PHYSICAL CONDITION AVERAGE O
COND /DESIRABILITY /UTILITY GD INTERIOR /EXTERIOR SAME 10 30 A /1Fr /B _
4
OUTBUILDINGS & YARD ITEMS PERMIT DATA 10 22 FrG
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE 14
20001117 2,500 NEW PORCH 4X6 OFP
' NOTES: 6
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McCutcheo 4 onstruction j IN-b t ,,:N,/ `t
DEPT OF BUILDING INSPECTIONS
Full Service General Contras opsiKt Pi jN t,;,4 0'060 I
87 Chestnut Street
Florence, MA 01060
(413) 584 -3352
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Full Service General Contractors DEPT Of BUILDING INSPECTIONS
87 Chestnut Street NORTN.M.'PTON, MA 01060
Florence, MA 01060
(413) 584 -3352
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rmii 'tsp. DEPARTMENT OP IIUILDITjG INSPECTIONS
21 2 Main Street • • Municipal Building ' o = -- _
Northampton, Mass. 01060 '" r'`
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
gl e . 14 c cv ems-.
(IicenserJpermittee)
with a principal place of business/residence at:
* 3Z- vb.,ui 4V& Rot CSC (phone#) S cM 31t Z-
(street/ci ty /stat e/zi p )
do hereby certify, under the pains and penalties of perjury, that:
( ) 1 am an employer providing the following worker's compensation coverage for my
employees worldng on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) 1 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)
I ,
'e
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
i
(Name of Contractor) ( Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet if necessary to include information pertaining to all centractors)
• 00 1 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 wink homeowners who env lay persons to do ma rnt till r+rr, construction or repair work on a dwelling of
not mace than throe units in which the homeowner resides cc on the grounds appurtenant thereto arc not generally ooasidcrcd to be
employers under the worker's compensation lion Act (GL152,3s 1(5)), application by a homeowner for a License cc permit may evidence the
legal chars of an employer under the Worker's Compensation Act
I understand that a Dopy of this statement may be forwarded to the Defies-towns of Industrial Accident? Oftioo of Insruaoce for the
coverage verification and that failure to scatty covcrngo under section 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fino of 5100.00 a day against tnc.
For deperal use only
Permit Number
•
Map# __-- Lot #
Signature of Licensee/Permitiee Date
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: / L 8 Not Applicable 0
Name of License Holder : 21 l ' (� `l,t)' .4T'
OeCc
License Number
Address Expiration Date
Signature Telephone
9 Registered Home nip; rovem'ent:Contracto "rs w ', � � 1 '1°,41 3 ' Not Applicable ❑
A ctt. „- V-Lek, Goy B&
Company Name Registration Number
s J • 6IIZfcZ
Address Expiration Date
kG2 Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCEAFFIDAVIT (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 ❑
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
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s)X Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
I }}
Brief Description of Proposed Work: CiLLi C ` J ! )L •. . � 6 ' 1.1. E -•c •.l . -.I.-.
Alteration of existing bedroom Yes ' No Adding new bedroom Yes X No
Attached Narrative [ Renovating unfinished basement Yes k No
Plans Attached Roll [1- Sheet i
sa.lf -NeW house and or addition'to existing housing,"complete'the ' foliowing:
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, Ac ,F-, idguC:ti _ , as Owner of the subject property
hereby authorize P■1 0 14c6 .'-- c140 -\ to act on
my beh�� matters relao work a�ized by is building permit application.
Signa ure of Owner Date
1, 9A.1 C- 14S- 6,44z6GL'. , 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 a tns of e .
Print Name
A (..) 1 a m c
titelcf
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 column to be filled in by
Building Department
Lot Size Z � fl g s r �
Frontage 1 S "15--
Setbacks Front 3 �3 d
Side L: R: 7 L: i t R: Z
Rear ec)
Building Height ZU \ Z s �/
Bldg. Square Footage tGI-tC , % i6„i c 3
Open Space Footage E 3 % 83'
J
(Lot area minus bldg & paved
parking)
# of Parking Spaces 2 Z
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO k 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 X 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 x
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:
C Northampton at s o i
B -till g Department s��
APR 26
20 01 1../ ain Street
.„1:00,,,,.., �' ��
R,)om 100
• amuton, MA 01060 -
DE � ,
1 1� PiWa�87 -1 '40 Fax 413.587 -1272 l' o lute P ,4 y ° �
A M?T ON 6iticri , A � �
N ORT 0FB 1 FI t p ) �� � � ;
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APPLICATION 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 byoffice
3Z - `- ' �
� � PAnL� _ M Lot r '�U
_ Zone 1 Overlay District
Elm St. District `` CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: ( D,�
, 4; )JThJL
- Gi t `� h IC 1 1.
Name (Print Current Julaili Address:
i / /.' _ ' �'�; . _ 1 C �
Telephone
Sign.tu -
2.2 Authorized Agent:
Z a . ��c Ci .�(� �w ,1,e .
Name (Prin `l Current Mailing Address:
, `3 l " -?_.,
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
. C n
2. Electrical (b) Estimated Total Cost of
c-QO , co construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection gc/ , � 6. Total = (1 + 2 + 3 + 4 + 5)� �C'� ,� Check Number, , `�', llY jd "
This Section For Official Use -,Only G
Building Permit Number: Date lssued:-
Signature:
Building-.Commissioner /Inspector of Bu Date
i
File # BP- 2001 -0843
APPLICANT /CONTACT PERSON Paul McCutcheon
ADDRESS/PHONE 87 Chestnut St (413) 584 -3352
1 #S
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid / �' / — o
Typeof Construction: RE � OVATE COVERED PORCH TO SUNROOM
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
f inding Required under: § C i v e 3 1 1-D w /ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w /ZONING BOARD OF APPEALS
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 Conservatio • " • fission Permit from CB Architec e Committee
t
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.