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29-173 (3) 1 � �_YmJNI� JUN 6 2� Dave Cyr nder has �Ave. th ptoo 413_586+78 Via. 8 here's a close ��$ PI price estimate o� 2x2 pale r With 514 L)ecki Your deck: sters �g 8 cement tubes .514 Paid 6 attic �plral stairs to Deck suppc'rt e under deck xslsting concrete Sid,"'Ik Labor and Materzals $1525 #. � � ,,t. ::.:, ,� JUN 6 2010 Lo 0 .SC O _4D Q t+� LS � ��, .rte«.•,. �n�tg ' ✓a(' �SSt�°`•�� nfY1t1 '�� It �U to d � o v � S v � 90 I 0? N Q � y ttf l � H Q I m ri Li IO6 I YV IE 7� vy, jUN 6 Pq 3G, h i Ki IVR /,, (. . . :�><lF 14AP ALL 4�s it4X rs 'kNA i <!7e6blVb AS ,5WiWj/oNTN.IS PLJ RTC 7 i4�7`. C,7 Bvi�D id �vnN cavfQ�r,� za iVIA10 C!7`Y d' Nc7 rlhrVP70W W 'rV. gOIKS�?W ec�0. Mid-FIR ; a,T �a. r vy"+►�,,+Id-?' t� l IV y ti ' IV Mtn 1 v � X'���rR/Fv�fir �,!Y`l"-+�f,/ V'K'��F�'•'''. - ' 6_1i-�3 Of �,Tcl fljalliptoll `�� 6 �lcsanchnsctta = -= DEPARTMENT OP BUlLDrNG INSPECTIO S —, 212 Main Street ' Municipal Building Northampton, Mass. 01060 WOR101, R'S COMPENSATION LNSURA_NCE AhMANM' ------- -- -(liccuscclperTni(tcc) with a pZncipaJ place of businesshesidence at: �1onC-j) (sat/citylstaac/np) do hereby certify, under the pains and penalties of perjury, _ha: ( ) I am an employer, providing the following worker`s comocns<jon cover^,e for my elvployccs wor�.dng on this job. (Lasuna,- Com=,,) J (P 0IIC'1 ?:u--,Iir_r) ---- 011, i ion Dztc) ( ) I am a sole proorietos, general contractor or homeowner (CIrCie one) and have hued the contractors listed below vYLO have the fol]oWu' g workeds coanensaiion policies: (Name of Conlmctor) (Irl-s-uranc: Cornpanyil'oGc,- Date) -- (Name of Contractor) -- (Ins,>ranc;c ComDauv Policy NuLmcsr) ( Du;.iiorl Date) (Name of Coaa2ctor) (Lase anc Comp_ nylPoi,n Numb J) (Lx�intion Date) (Name of Contmcwr) -- (Insurance Comc-_=YfPoticy Numb,:S) (L-\pLmlon Date) (eclac?�add�;;ocal c'kC iIo<�in to¢u_!u�iafortniioo pertsnin�to all ooa-r.�a:_) O I am a sole propnetor and have no one wor}aog for me. I am a home owner performing all the work myself. NOTE:pie Lc "to employ priors w 63�-i�ca�Y,�:r:",.c.�.�o c. rc;,�U"ors oo of aN more tt�-n tl-m-I=rd L"I the twn»o-avc 11:12d7 or oa the(J'D•J.nr'�l zppurtcn_ry thca 1:c o-x Cc -.Uy 0C&.d­­d to tr cn>loyc3 ua c h ..uic :ca,_c�_1im Aa(GL152u 1(5)),a{plicat on Uy a hom oo�a f s:Vic^ a p n u n y c id�n Lc Icsil cta�c or n.o c loya under d—Work.o��C:,ompai al A C y t undc.-sand th.n a c pn of thi, —y ix foe _,i, d to Lb_DcSra.rtmrz�x of Ic>dus'.ri.J Acudo��'Offs—of l—uznoo for dxc aj$I oo'mse vcrif c:L0G and t1u E13=to tccwc cover Lmd r soetion 25 A of MGL 151 cin t sd to he mg>a-dioa of a miaal pca+Ilia ooasu'.mE of a floc of up to S I_S00.00 and/or uaprisa>ma>1 of up to ocx yc r-nd a%il pmilLo uq dx room of a S W Woak Ordcr end a (itn of 5100.00.dzy cepi¢a me Fcr dc�.:vn==_1 u,c aril�. Per rI Numtxs _ -- SiGnaturc of Lioctl`,cf IcrIIUUcr ` CfJNSTRUCTICN 1;I V9C S —.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTION'1Q-WQRl�ERS'C P1,ENSAT'I6 INSURANCE AFF1©AVIT(M.G:L. c. 152, 2SC ��..., 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. ned 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 d State of Massachusetts General Laws Annotated. meowner Signature 444La T ? WORK,It h ask 41j,'plaligghl New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [v� Siding[ ] Other[ ] i Brief Description of Proposed Work: h6 k Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative F1 Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 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? 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 7' - V 1+tEIR AILf"I"AlJZATIOIN -TO E COMP4,9TE� WHEN OWPIEI2S-AGENT dot COiI2AGTOFI APikl> S FOR BUMIDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date l 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. *gned under the pains and penalties of perjury. Print Name /Cto Signature of wner%Agent Date E 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 7_ DAD Frontage Setbacks Front 3dQ Side L: R: L: � R: ��- Rear 70 /4' �D Building Height 5 Bldg.Square Footage /7a b % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill, volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 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 '� 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 there any proposed changes to or additions of signs intended for the property?YES No IF YES, describe size, type and location: r ! i f Northampton B I ing Department JUN 620 Main Street oom 100 a pton, MA 01060 z '� mTpras -1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING S"EGT#ON 1-"SITE,INFO.I MATION" woo,17'. 1.1 Property Address: 1 � � � �s ,r 11Y �'� �. A�'v a� g .c" a SECTION° '= PROPERTY OWNERSHIP,' UT.H�RIZED A�I�NT 2.1 Owner of Record: Lwd(tt5 / - me( rn Current Mailing Address: Telephone )gnature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone T1ON 3 'i IMATE CUNTttJCT10N"CSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building (a)Building Permit 2. Electrical (b)Estimated TotalCcst of Conttructionfronnl 6 3. Plumbing Bunding hermit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(I + 2 + 3 +4+ 5) "6—()O. o6 Oheck!dumber M.- Thit Scion fyor Off 1clat Use .dnl i'ldii?g"Permit Number: d Date Issued, Signature: ,� Lod Gi l3uG,I;ding omrnj lon nspectpr of Buildings Date." File#BP-2000-1099 APPLICANT/CONTACT PERSON BACH LOUIS T&ELIZABETH J ADDRESS/PHONE 110 DEERFIELD DR (413)586-7593 () PROPERTY LOCATION 110 DEERFIELD DR MAP 29 PARCEL 173 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paidd r Tyueof Construction: CONSTRUCT 10 X 20 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 F OWING 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 Finding Required under: § 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 Conservation Commission Permit from CB Architecture Committee &r4 a a Signature of Building icial 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. 4a wv w 110 DEERFIELD DR BP-2000-1099 . jIS t COMMONWEALTH OF MASSACHUSETTS Ma :Block:29- 173 CITY OF NORTHAMPTON Lot:-001 Permit: Buildin Category:Deck Addition BUILDING PERMIT Permit# BP-2000-1099 Project# JS-2000-1964 Est.Cost: $1500.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group Lot Size sq.ft.): 16509.24 Owner: BACH LOUIS T&ELIZABETH J Zoning:LIRA Applicant. BACH LOUIS T & ELIZABETH J AT. 110 DEERFIELD DR Applicant Address: Phone: Insurance: 110 DEERFIELD DR (413) 586-7593 O FLORENCEMA01062 ISSUED ON.619100 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 10 X 20 DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: S Rough: Rough: House# Foundation: �9- Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 0 k -7- P G . d THIS PERMIT MAY BE REVOKED BY THE CITY NO THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULAT NS. �a4-"4e- Certificate of Occu anc si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/9/00 0:00:00 1324 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo