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35-270 (8) U 25-NOV-2002 13:55:51 Hampshire County Registry of Deeds Receipt No: 183756 Marianne L. Donohue, Register of Deeds 33 King Street Northampton, MA 01060-3298 Name: DAVID MCCUTCHEON Addr: PO BOX 43 EASTHAMPTON MA 01027 DAVID MCCUTCHEON Receipt Type: OR Payment Total Pages: 0001 Fees Taxes Fee: $ 25.00 Cash: $ 45.00 $ 0.00 Tax: $ 0.00 Check: $ 0.00 $ 0.00 Misc: $ 20.00 Charge: $ 0.00 Charge Code: Comment: PLAN OF LAND Receipted By: LINDA Status: PAID DCCUMENTS: 992236778 to 992236778 ------------------------------------------------------------------------------------------------------------------------------------ Type Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status ---- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------ PL4 001 0001 0000 0.00 25.00 0.00 20.00 25-NOV-2002 13:53 992236778 PLAN/0194/0092 INIT Page 0001 of 0001 4 A V NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) TITLE: West Farms Road MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 8-6-2002 Bldg. l Dept. l Use I I CEILINGS: [ ] i 1. R-38 Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-13 Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.48 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. U-value: 0.48 For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I SKYLIGHTS: [ ] I 1. U-value: 0.45 For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I I DOORS: [ ] I 1. U-value: 0.14 Comments/Location I FLOORS: [ ) I 1. Over Unconditioned Space, R-19 Comments/Location I HVAC EQUIPMENT: [ ] I 1. Furnace, 90.0 AFUE or higher Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I TITLE: West Farms Road CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-6-2002 DATE OF PLANS: December 2000 PROJECT INFORMATION: McCutcheon Development P.O. Box 43 Easthampton, Ma. COMPANY INFORMATION: Lynn F. DeChesser, CPBD 74 Congamond Road Southwick, Ma. 01077 413-569-0612 NOTES: Calculations based on single unit,Andersen windows, Stanley steel insulated doors, Monarch basement sash COMPLIANCE: Passes Maximum UA = 564 Your Home = 560 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2605 38.0 0.0 78 WALLS: Wood Frame, 16" O.C. 1878 13.0 0.0 154 GLAZING: Windows or Doors 310 0.480 149 GLAZING: Windows or Doors 63 0.480 30 GLAZING: Skylights 23 0.450 10 DOORS 105 0.140 15 FLOORS: Over Unconditioned Space 2628 19.0 0.0 124 HVAC EQUIPMENT: Furnace, 90.0 AFUE -------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in FnDEMCK R. AND CAROL A. MAILLOUX m n plc i BOOK 1974, PACE 147 S N C r pp _ ~"f ;0 ~ x A QCj� K O tV$ ;u �� '� - - .�.._._..___..___..�..._ `rte -_ •�•�__..�-� •mow•.^n.. � � X 145 _ ---- - - ------ '•",`'_ ...� _�� m� 140 - �s� 13.5=== __=_=.__•-_-_-='=—'-- ;' _-�-_- _.__�_.. _ - 125 120 n.o.�>m+n.e. .,. _ ,'�� -•^g •••tom�•��+ar,•'ri�,:t+•-'� -•'•^ .,y y"r ".may_= I-T•. wr�:Aa. "'`= ,: ;- -,�.:�: 120Cjfmyg 0 110- _ �� '.p �_. __ _ _ 115 2 rnZ� Z CA-n•,/B.tr.W•n b i •-�C•:e/rroNe ,�e�-',^r=� my, Ion p !NV to •F 3 _I /, rte+•'` ``•�-��'I.'c 1„— �v \\ �f�p� 0 IN li �a JJ �• r O P 3� (}t\ ��' ��Y I4�./� ! A` I� T�. 1 �.._.__ —._ V a__.___tA7t�•�i' ..� �� •N \ r Q II �� 4, M/O/•o Prom c R � is c) � \`•— II � 1 � f.•x,:Y1 97.0 t •i4-- \`�,•\ f�IYN �ti1� m Or C D1V.. Dlj \ �,, '%- p c rip� -��/�•o k � _ edge of exletinq pawmmt - edge of Wkl•tinq pevenent p edge of e• 1 pov -1 WEST FARMS R D •*btinp w•tH line w,—_ W s w.- edg• of pavement T- 9 f NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only) ------------------------- I difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ) I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ) I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing air and water systems. I TEMPERATURE CONTROLS: ( ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I SWIMMING POOLS: [ ] I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I I HVAC PIPING INSULATION: [ ] I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : I PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 I I CIRCULATING HOT WATER SYSTEMS: [ ] I Insulate circulating hot water pipes to the following levels (in. ) : I PIPE SIZES (in. ) TITLE: West Farms Road MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 8-6-2002 Bldg. l Dept. 1 Use I I I CEILINGS: [ ] I 1. R-38 Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.48 I For windows without labeled U-values, describe features: i # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2. U-value: 0.48 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I SKYLIGHTS: L ] I 1. U-value: 0.45 For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location i I DOORS: L ] I 1. U-value: 0.14 I Comments/Location I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 90.0 AFUE or higher I Make and Model Number I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure Sections 780CMR 1310 and J4.4. Builder/Designer Date r I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code ( Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I TITLE: West Farms Road CITY: Northampton STATE: Massachusetts HDD: 6404 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-6-2002 DATE OF PLANS: December 2000 PROJECT INFORMATION: McCutcheon Development P.O. Box 43 Easthampton, Ma. COMPANY INFORMATION: Lynn F. DeChesser, CPBD 74 Congamond Road Southwick, Ma. 01077 413-569-0612 NOTES: Calculations based on single unit,Andersen windows, Stanley steel insulated doors, Monarch basement sash COMPLIANCE: Passes Maximum UA = 564 Your Home = 560 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2605 38.0 0.0 78 WALLS: Wood Frame, 16" O.C. 1878 13.0 0.0 154 GLAZING: Windows or Doors 310 0.480 149 GLAZING: Windows or Doors 63 0.480 30 GLAZING: Skylights 23 0.450 10 DOORS 105 0.140 15 FLOORS: Over Unconditioned Space 2628 19.0 0.0 124 HVAC EQUIPMENT: Furnace, 90.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in L-2001 11:12:00 Hampshire County Registry of Deeds Receipt No: 149613 Marianne L. Donohue. Register of Deeds 33 King Street Northampton, MA 01060-3298 MR DAVID MCCUTCHEON Addr: 12 TURKEY HILL RD WESTHAMPTON MA 01021 ipt Type: OR Payment al Pages: 0005 Fees Taxes Fee: $ 20.00 Cash: $ 0.00 $ 0.00 Tax: $ 0.00 Check:$ 60.00 $ 0.00 Misc: $ 40.00 Charge: $ 0.00 Charge Code: Comment: SPECIAL PERMIT/SITE PLAN APPROVAL ipted By: DIANE Status: PAID DOCUMENTS: 992115833 to 992115834 ------------------------------------------------------------------------------------------------------------------------------- Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------ 002 0001 0000 0.00 10.00 0.00 20.00 3-JUL-2001 11:11 992115833 OR /6212/0036 INIT 003 0001 0000 0.00 10.00 0.00 20.00 3-JUL-2001 11:11 992115834 OR /6212/0038 INIT Page 0001 of 0001 Doc: 992115833 OR 1127210037 071031200111;11 r• __ _ YT.,....,J ._ � .... �!� Qf NQrfifzp►rnfnn Pursuant to Massachusetts General Laws(MGL),Chapter 40A,Section 11,no Special Permit,or any extension,modification or renewal thereof,shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days have elapsed after the decision has been filed,or if such an appeal has been filed that it has been dismissed or denied,is recorded in the Hampshire County registry of Deeds or Land Court,as applicable and indexed under the name of the owner of record or is recorded and noted on the owner's certificate of title.The fee for such recording or registering shall be paid by the owner or applicant.It is the owner or applicant's responsibility to pick up the certified decision from the City Clerk and record it at the Registry of Deeds. The Northampton Planning Board hereby certifies that a Special Permit with Site Plan Approval has been GRANTED and that copies of this decision and all plans referred to in it have been filed with the Planning Board and the City Clerk. Pursuant to Massachusetts General Laws,Chapter 40A,Section 15,notice is hereby given that this decision is filed with the Northampton City Clerk on the date below. If anyone wishes to appeal this action,an appeal must be filed pursuant to MGL Chapter 40A,Section 17,with the Hampshire County Superior Court or the Ndrtliampton District Court and notice of said appeal filed Nvith the City Clerk within twenty days(20) of the date of that this decision was filed with the City Clerk. Applicant: David McCutcheon - West Farms Road --- -------- - - -. - --- DECISION DATE: April 26, 2001 DECISION FILED WITH THE CITY CLERK: June 7, 2001 J It,., GL� J0ne 28 , 2001 L , Christine Skorupski , City Clerk of the City of Northampton, hereby certify that the above Decision of the Northampton Planning Board was filed in the Officc of the City Clerk on June 7 , 2001 , that twenty days ave elap d si ce such td-lin ind" that no appeal has been filed in this matter. Attest: -' Doc; 992115833 OR /6212/036 01/03/200111;11 Planning Board - Decision City of Northampton File No.: PL-2001-0075 Date:June 7,2001 APPLICATION TYPE: SUBMISSION DATE: Sneci.al P-rmit ^• nn n+ h' ( �Ji oa r a NdIIid: aUrVe or's NAME: NAME: COMPANY NAME: David McCutcheon MAILLOUX FREDERICK R&CAROL A ADDRESS: ADDRESS: ADDRESS: 12 TURKEY HILL RD 70 TURKEY HILL RD TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: TOWN: STATE: ZIP CODE: WESTHAMPTON MA 01027 FLORENCE MA 01062 PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: PHONE NO.: FAX NO.: (413) 529-9973 (413)529-9231 (413)586-4152 0 EMAIL ADDRESS: EMAIL ADDRESS: EMAIL ADDRESS: cell 563-2315 Site Information: STREET NO.: SITE ZONING: WEST FARMS RD NB TOWN: SECTION OF BYLAW: NORTHAMPTON MA 01060 54 MAP: BLOCK: LOT: MAP DATE: ACTION TAKEN: 35 270 001 Approved NATURE OF PROPOSED WORK V CONSTRUCT ONE(3)FAMILY UNITS&REAR BLDG AND RELATED PARKING AREAS. HARDSHIP: CONDITION OF APPROVAL. FINDINGS: In granting the Special Permit, the Planning Board found that the project meets the criteria under Section 10.10 of the Zoning Ordinance. COULD NOT DEROGATE BECAUSE: FILING DEADLINE: MAILING DATE: HEARING CONTINUED DATE: DECISION DRAFT BY: APPEAL DAT E: 41512001 411912001 511012001 REFERRALS IN DATE: HEARING DEADLINE DATE: HEARING CLOSE DATE: FINAL SIGNING BY: APPEAL DEADLINE: 411212001 61212001 412612001 412612001 612712001 FIRST ADVERTISING DATE: HEARING DATE: VOTING DATE: DECISION DATE: 411212001 412612001 1 412612001 6/712001 SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE: 411912001 7:45 PM 1 813112001 813112001 MEMBERS PRESENT: VOTE: Keith Wilson votes to Grant Anne Romano votes to Grant M. Sanford Weil,Jr. votes to Grant Daniel Yacuzzo votes to Grant Julie Hooks Davis votes to Grant Kenneth Jodrie votes to Grant Andrew Crystal votes to Grant MOTION MADE BY SECONDED BY: VOTE COUNT: DECISION. Anne Romano Kenneth Jodrie 7 Approved MINUTES OF MEETING: Minutes are available in the Office of Planning&Development. CERTIFICATE OF SERVICE Pursuant to M.G.L. Chapter 40A, Section 11, I, Angela Dion, Board Secretary, hereby certify that I caused copies of this Decision to be mailed, postage-prepaid, to the owner and applicant on June 7, 2001. GeoTMS(R)1998 Des Lauriers&Associates, Inc. MUNICIPAL WATER AVAILABILITY 237 1'ro5pect St. Northampton, MA 01060 587 1098 Locatiow 270 West Farces Road Inquiry Made By: McCutc peon Revelopment LLC David McGutcheon 563-2315 Home: 529-9973 Date, of Inquiry: 10-16-02 Municipal Wst:°r Main in ['mnt of Location: Yes X No Size of Neater Ruin: 819 Material C1 _ Age: 1930 Approximate. Street PressurC: 55 PSI Size of ServICL Coullecti0?I' Cott mmis The Water DepartlncInt cannot guarantee adequate water pressure during peak d%mand (m es at elevations above 32C, feet. A corresponding "water entrance fee" shall be paid prior to making any connection to the I'lulliCtpal w-aV r system. Arrangements of su;;h installation shall be wade with the Northampton Water Departmen` with a minimum of 5 ,vorkinp days notification. All 'work shall CollfarIll to North►ulFtoh �'��atrr Depa-Iment specifications. _jf Ctlarlr:� 13ur�t�.�.tiki, Su!lerint(tndcnt of Water Cit\ C.:,:;,inc�:r AI]tll�iilV i�,il'.IIU, li:!il��ll_' illSllc�'t(?; _;'ii OQ� P�n s `e Crztp of Nart pill Molt ( - , ,L�iaesrct�uscue _ vk � � ? NON-Lhampton, Mass. 01060 � -> Square Footage Amount Basement @ .10 /�• O ist Floor @ _40 2nd Floor @ .20 1/2>K s r A c, Garage . 10 It, Dec Porches .10 TOTAL _1— �`L- ----- ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) 11/01/2002 PrRODUCER (413)586-0111 FAX (413)586-6481 THIS CERTIFICATE 15 ISSUEU AS A MATTER OF INFORMATION— Webber & Grinnell Ins. Agcy. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Bop 5 Northampton, MA 01061 INSURERS AFFORDING COVERAGE , INSURED Theodore D Towne, Inc. INSURER A: National Grange Mutual Ins. Co 16 Westview Terr. INSURER B: Pilgrim Insurance Co. Easthampton, MA 01027-2529 INSURERC: American Home Assurance Co. INSURER D: Zurich Insurance INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INQK LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDNY) DATE(MMIDDNY) LIMITS GENERAL LIABILITY 4SF67106 05/26/2002 05/26/2003 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE r X7 OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- AUTOMOBILE JECT AUTOMOBILE LIABILITY PMC7083220 10/01/2002 10/01/2003 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B 500,000 X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) 500,000 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC5680255 05/20/2002 05/20/2003 TORYLIMITS ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER R9385572S 12/18/2001 12/18/2002 D �uilders Risk DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS e: Work to be done at Turkey Hill Road, Northampton, MA CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, David M c C u t c h e o n BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 41 Lo u d v i l l e Road OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Easthampton, MA 01027 AUTHORIZED REPRESENTATIVE Richard Webber/CET c R�1PT0 XL B20 9 B �+tsaackasctla' _ ulL m ain Street Municipal Building Northampton, Mass. 01060 WORrCER'S COMPENSATION INSURANCE AFFIDAVIT I, Ihcodor� oU)n � with a principal place of business/residence at: fPq q, lv �Q6t�t tuj 1 r►' C ri`ajr0 i) (phone#) gIO6 6 (sh cetici ty/statrlp P) do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following worker's compensation coverage for my employees woric ng on this job: Am e-r;a4,, omG L1.5 we, 54k o 6 Gzsurance Company) (Policy Number) (Expiration Date) ( ) I 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: a (Name of Contractor) (Insu anoc Con4 any/PoGcy Number) (Expiratioa Date) (Name of Contractor) (insurance Company/Policy Number) (Expiration Date) 4 (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) x a (Name of Contractor) (insurance Coaq)my/Policy dumber) (ExTiradaaDate) (attach additiooil s!xei ifnooeaaryto include kdbrmation pertaining to all ooairntlon) ( ) I am a sole proprietor and have no one *working for me. ( ) I am a home owner performing all the work myself. NOTE:plcaac be await thzt whim homcowncrn who employ perm=to do maintmiacc,eoasinusioa or rcpair work on a dwelling of nee mote than dn—units in which the homeowner resides a m ttx grounds:ppu rtcaue j tha'o cite not many cooridaod to be cmploycrz under the-xkcr'a OOmP=satioa Act application by a homoowroa for a bonier cc pumd may evidence tho legar stxt"of an employer uodcr the Workoes Componzarion Act_ I undcrstaud that a oopy of thu sYslcmmi may be focwnrded to the Dopacm�m2 ofrndus 41 Aocidmii Offioo of 1mur%oca for the --vtge vaificatioa and that failure to soa=coverage[rider section 25A of MoL 152 can lmd to the impositioa of aimial pcaaltia ooqustmg of a fine of up to S1,500.00 aadror imprisonascut of up to one year and civil prnsltia in the form Of ft Stop Work Ckdcr and a fine of 5100.00 a day apxins!roe. For d'p=t»':Otal use only permit Number Map I Lot# Si .rtahrtr,r,f T �............ ...-..:.�_,. ,_ -� r WE ;� «fit �a w ECT�ION 8 CONSTRUCTIONVICES ; r 8.1 Licensed Construction Supervisor: Not Applicable ❑ T�eobofle— 7-0,Lo A Address 1 iration Date Signature Telephone L-J13 _Q66 Re re` U om ,>m r. vemen n ra r - Not Applicable ❑ } 2 } Company Name Registration Number Address Expiration Date Telephone SECTIONIO WORKERS' COMPENSATION INSURANCEAFFIDAVIT(MG.L.c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to p'rovide'this affid will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ s �1:.�, H'ome�O�w.xner:� xxem�ptio The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of 6ne(1) or two(2)famili and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner act 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 buildine 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( 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 v HA} xdF+ f r t �: •aI nS{+-e '� s a aw °SECTION 5" SCRIPTIO �O PR�OP,OSEDIWORK checkRa114a licable y '�;:>>.k•^...gnH':t.+ :MiY1SW'tK!r5i1:$ .93aasrfi:ifiBM+", a`++WNuc.'q'.'^7,gYHHM.� w.ag44 .;F a+w�.;FQ l WR. k'.fi?7:1 ..w..:°°u.. $.'ss,.,,�2d'-".' YNf'bG ea'i.. "a'FN-',: `.,wi.�' 51 .,...';13t m3 C� .+i.H b.-•' R+*:1:iE^J ' Vr i.vliCo V t { Accessory Bldg. O Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: drgc Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑- Sheet❑ 6a 'New hound.ofµ r a"ddifion to7ezistin"x dusin c lbte tFieMfiolIM a. Use of building: One Family Two Family Other b. Number of rooms in each family nit: Number of Bathrooms C. Is there a garage attached? / �9 �6 9Z (,�jg�CL_ d. Proposed Square footage of new construction. 10V DiirrQnsions 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 j. Depth of basement or cellar floor below finished grade l k. Will building confor to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply -SECTION 76 'OWNER AUTHORIZATION TO,BE COMPLETED HIEN,. OWNERS AGENT OR GONTRACTORAPPI:IES FORBUILDING PERMIT; I, as Owner of the subject prope hereby authorize to ac my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, as Owner/Authorized Ager:t 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 perjur . Ilk"cc)k Ito A'-s Print Name IJCJC!'�. Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION / This column to be filled filled in by A� 1T Building Department Lot Size 9 34 3 Frontage 6 Setbacks Front Side L: R: L: R: Rear �Q Building Height Bldg. Square Footage % Ell P 00(3-0 Open Space Footage cq�yy % U (Lot area minus bldg&paved f2olf. C parking) 7( #of Parking Spaces L , Fill: volume&Location) A. H /Va a Special Perm' riance/Finding ever been issued for/o he site? NO DON'T KNOW YES IF YES, date issued: 61-7161 IF YES: Was the permit recorded at the Registry of Deeds? {� NO DON'T KNOW YES Jib, IF YES: enter Book Page and/or D cument # U B. 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: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are t e any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: of Northampton a --!Pojlding Department } 12 Main Street p 5e r (v4p(tI J1,i IPi I, IvIiA U l juo WU'SeiS"U 'StCUCII}fa a' S a: y },,, 'a,,�M; , ph.oqC 4;1,3-58 1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section tobecompletedty fftce fi7 1.1 Pro ert Address: a A (� ) W f ,m -Map Lot. nt v g �� Cam`-' CC y .Zone Over a ,District 3I Elm St. District` i" CBtDIStrlct SECTION 2 - PROPERTY OWNERSHIP/ AUTHORIZED'AGENT 2.1 Owner of Record: T P6 Name(Print) Current M�+i Telephonet J � ? Signature 2.2 Authorized Agent: 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 X66 d (a) Building Permit Fee 2. Electrical /" (b) Estimated Total Cost of J V Construction from 6 3. Plumbing /j Building Permit Fee 4. Mechanical (HVAC) lJ 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 1 d 0 Check Number Q, This Section For Official Use Only Building Permit Number:___ )P-03—� I D Date Issued: Signature: Building Commissioner/Inspector of,Buildings Date File#BP-2003-0490 APPLICANT/CONTACT PERSON THEODORE TOWNE ADDRESS/PHONE 16 WESTVIEW TERR (413)527-9060 PROPERTY LOCATION WEST FARMS RD MAP 35 PARCEL 270 001 ZONE NB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid nfs ' Typeof Construction: CONSTRU&3 FAMILY W/ATT GARAGE/PORCH-UNIT#1 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or Licens/I � � - 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR L1/ 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* V/ Received&Recorded at Registry of Deeds Proof Enclosed V 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 Pernut from CB Architecture Committee Permit from Elm Street Commis D oL 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. ,' W BP-2003.0490 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2003-0490 Project# JS-2003-0819 Est. Cost: $94500.00 Fee: $410.40 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 THEODORE TOWNE Lot Size(sq. £t.): 29359.44 Owner: MCCUTCHEON DAVID J Zoning:NB Applicant: THEODORE TOWNE AT: WEST FARMS RD Applicant Address: d7�` Phone: Insurance: 16 WESTVIEW TERR (413) 527-9060 EASTHAMPTON MAO 1027 ISSUED ON:11127102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 FAM I LY W/ATT GARAGE/PORCH UNIT #1 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 11/dt0 o' 0-L"' 1283 $410.40 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo y � z. .� 091 Q. CAI .s- ' �7e R �: M. yow {� "^�➢ `X' �Ax'�S r„ Z " Yvu 3ry�> t 'm1`"�`�C ` �"y ?� {�'. �. >,. Osr #�a+ 'i.,a�"". `+.�3wzR`� « ag NO MAN, oil OWN .,a 'd s'twS tic t' r ,t .�5 a 5. v Aw ��AN � 4k,�f �,,zSk.�+Pti"t Z �1-'2} €�� dT �i&' � f �.si�✓'� h �xlY fry? p5c L3v+-�3 S'�v t' f a ¢ r WEST FARMS RD BP-2003-0490 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35-270 CITY OF NORTHAMPTON Lot: -001 Permit: Buildine Category BUILDING PERMIT Permit# B P•2003.0490 Project# JS-2003-0819 Est. Cost: $94500.00 Fee: $410.40 PERMISSION IS.HEREBY GRANTED TO: Const.Class: 5B Contractor: License: Use Group: R4 THEODORE TOWNE Lot Size(sq,it.): 29359.44 Owner: MCCUTCHEON DAVID J Zoning:NB Applicant: THEODORE TOWNE AT: WEST FARMS RD Applicant Address: Phone: Insurance: 16 WESTVIEW TERR (413) 527-9060 EASTHAMPTON MAO 1027 ISSUF,D ON.•11/27/02 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 FAMILY W/AT T GARAGE/PORCH - UNIT #1 POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: 1: G Meter: Footings: Rough: Rough: Z House# Foundation:COK�oj lj•d�r Driveway Final: Final-7/&/ Final: Rough Frame: C) - 3/�°3_,,;/�--- a--�tW Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation ,- � ak Sr-/, � Final: Smoke: 0 3 A2v C � Final: 6X THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy ' ture: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1283 $410.40 212 Main Street,Phone(41 ",7-1240,Fax:(413)587-1272 Building Cunikissioner-Anthony Patillo