35-270 (10) Doc. 992115833 OR 1627210037 0710312MI 11,,11 Toad es n�a n
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 Northampton District Court and notice of said appeal filed with 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
1
C ,, ,Vune 28 , 2001
1 , Christine Skorupski, City Clerk of the City of Northamppton, hereby certify
that the above Decision of the Northampton Planning Board was filed in the Office
of the City Clerk on June 7 , 2001 , that twenty days ave elap d si ce suchfslin
ind"that no appeal has been filed in this matter. • n
Attest:
-' Doc; 992115833 OR /6272/0036 07/03/200111.,11
Planning Board - Decision City of Northampton
File No.: PL-2001-0075 Date:June 7,2001
APPLICATION TYPE: SUBMISSION DATE:
Snecial Pnr•i7it on,,,.,nn,
Ft i�l :, L�iciat'S (�atYlO: aurVB or`s t.a1Tw:
NAME: NAME: COMPANY NAME:
David McCutcheon MAILLOUX FREDERICK R 6 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: I LOT: MAP DATE: ACTION TAKEN:
35 270 001 Approved
NATURE OF PROPOSED WORK-
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 412612001 61712001
SECOND ADVERTISING DATE: HEARING TIME: VOTING DEADLINE: DECISION DEADLINE:
411912001 1 7:45 PM 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 J 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, 1, 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.
GeoTMSO 1998 Des Lauriers &Associates,Inc.
L-2001 11:12:00 Hampshire County Registry of Deeds Receipt No: 149673
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
MR DAVID MCCUTCHEON Addr: 12 TURKEY HILL RD
WESTHAMPTON MA 01027
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 /6272/0036 INIT
003 0001 0000 0.00 10.00 0.00 20.00 3-JUL-2001 11:11 992115834 OR /6272/0038 INIT
Page 0001 of 0001
....... . . . , P.
MUNICIPAL WATER AVA[LABILITY
23-, Piu6pcct St.
Northampton, MA 01060
587. 1098
Location: 270 Nest Farms Road
Inqu:rY Made By: McCutcheon Development LLC David McCutcheon 563-2315
Home: 529-9973
Date, of Inquiry: 10-16-02
Municipal Wav-r Main in front of Location: Yes x No
Size of Water Main: 811 Material- CI Age: 1930
Approximate. Street Pressure: 55 PSI
Size of Service. Conm.ction
Comments The Water Department carmot guarantee adequate water pressure during peak
demand times at eleva-tions abot e 320 feet.
A corresponding "water entrance fee" shall be paid prior to making an), connection to the
municipal water system. Arrangements of su:Ai installation shall be made with the Northampton
Water Depart:?ten± with a minimum of s v.,orking days notification. MI work shall conform to
Northamptmi Walter Department sllwificatiuns.
Cli< l.�s B(�ril.ti.tiki,
Sur)Crintendent of Water
cc c� �u:nl,:� , .�s,t i�(t� l::'�,ine•r
Aillhoil`, Pal' h), Hulldill '_ ill`;tli•<<O!'
I4 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 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
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
1 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
1 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
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:
[ ] I Rated output capacity of the heating/cooling system is
I not greater than 125% of the design load as specified
1 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
I 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:
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
1 CIRCULATING HOT WATER SYSTEMS:
[ ] I Insulate circulating hot water pipes to the following levels (in. ) :
I
PIPE SIZES (in. )
c
TITLE: West Farms Road
MAScheck INSPECTION CHECKLIST
Massachusetts Energy Code
MAScheck Software Version 2.01 Release 3
DATE: 8-6-2002
Bldg. 1
Dept. 1
Use I
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
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
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
shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
s � I
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit # I
MAScheck Software Version 2.01 Release 3 I I
I I
I Checked by/Date I
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
(rzf�r of 'Worfjj� iiipfoil (1:
1 n1. 1311111)1T!C; 1NSP1
Nor thampLori, Mass. 01060
Square Footage Amount.
Basement @ 10 �/� O
1st Floor @ -40
2nd Floor @ .20
-c r Garage .10
Dec Porches .10
TOTAL -` — --
x
II
6r
FREDERICK R. AND CM A. MAILLDUX M� �C i
BOMC 174,PAGE 147 pi T r
�a, gU' -13
15.0
T
145 -_ -----------' - .,�_ -_ .___��lw_•::.... ��� �
l140
'goo 135 -___-=___-=__
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYY)
11/01/2002
PRODUCER (413)S86-0111 FAX (413)586-6481 THIS CERTIFICATE 15 155UE NATTER70117 N FORMATION
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. Box 538
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 INSURER C: 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.
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS
GENERAL LIABILITY 4SF67106 05/26/2002 05/26/2003 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ S0,000
CLAIMS MADE ED OCCUR MED EXP(Any one person) $ 5,000
A PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
F GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PRO-
JECT LOC
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 HIREDAUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident) S 00,000
PROPERTY DAMAGE $
(Per accident) 100,000
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
H
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION AND WC56802SS 05/20/2002 05/20/2003 TORY LIMITS 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 893855725 12/18/2001 12/18/2002
uilders Risk
D
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: 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 n �A����—
Richard Webber/CETI�
c
t
p 0
9 6 �xssttcllnactls'
.-TzT -. '�`•.'' OR nrrrj�r,.TG -per- "? — > ---
��l ivaiu Street Municipal Buliwng
Northampton, Mass. 01060 �4
WORKER'S COMPENSATTON INSURANCE AF A A'VIT
h ro&C g. o uJ n •e.
(license:`/permiti ee)
with a principal place of business/residence at:
I
!�^ J " (Fly
1 (v G�Qst i ,etJ i-err— C /)a (phone#)
(6treeucity 1=W2-ip)
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 working on this job:
II//
A me.r;ea�, UomL t-'6 WG S 4 k o ash o
(Insurance 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
y
(Name of Contractor) (Insurance Company/PoGcy Number) (Expiration Date)
(I�falne of Contractor) (Insurance Comparfy/PoUcy Number) (Expiration Date)
(Name of Contractor) (Lrisurance Compauy/Policy Number) (Expiration Date)
Y a
(Name of Contractor) (Insurance Company/Policy Number) CE4iration Date)
(attach additional +:.,oct if noocssuy to include infvccuatioa pataiaing to all ooatraeion)
( } I am a sole proprietor and have no one working for me.
( ) X am a home owner performing all the work myself.
NOTE:plessc be aware thai whilo homeowncra who employ pcxsom to do mxjaic =cc,coa5t=oa or repair work on a dwelling of
cwt mote than throo units in which the homoowncr r=dcs a oa the g oundt zppuitenant ljb C arc not Ctnctally comiduod to be
employers under tho wo&k %oomp=s4oa Act(GL152,ss 1(S)),application by a homoonva for a lido cc pclmit may evidenoc the
legal rtatua of an amployoc under tllo woc�t compoosalioa Ace..
I underhand that a oopY of thin rtaiemcut may be forward c d to the Dcpacta,m6 of Lodust6 al Aocidca&off ca of Imucwoa for d-
oovcrxg vuificatioa and that failure to toalm covcrago under soctioa 25A of MGL 152 can]cad to tba'imposition of criminal penalties
00ut46ng of x fine of up to S1,500.00 andlor iuTuisooaxrrt of up to ooc year and civil pazalt C.,in the focm of a stop Work order and a
find of S 100.00 x day against M--
For d p=t W wW uo
oaly
mpit Number
at L
ot#M
Si_n thttr nf T
r -
r
w< s e�.
�
EC '108,* CTUNtRVICESi
ga
8.1 Licensed Construction Supervisor: Not Applicable ❑
Address Expiration Date
1(4 � JIt� ��rrn�P� �� Cch.rJn '
Signature Telephone
_ Q06C�
R.TReimtere-ditio-m ,,:m r. vemen , .ct r. ..: , Not Applicable ❑
� t
Company Name Registration Number
Address Expiration Date
1
Telephone
-.SECT10N,1-070 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 affid
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
e".03 r emptio
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of bne(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 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(
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
N 4410 E2
SECTIONf5�'DESCRP�T.10 ]O;FFPROPOSEDINORK check!all a 'licable
-3«a a„ ,.��xc waxy ae. ra;,. q� .. KS.»vawarwsxaaen,. w ,, ,».- awa �a.«sti;t-uaainx.i,..
_s�,"+s;�xtY:,4at`�
.'�,. w
err i.UUfs V I
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: 67 orgC
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0• Sheet 0
Sa if New house nd o a ditionaEto ezistin iousiii com"'l"e` a tf a foflowin
a. Use of building : One Family Two Family V EJ' Other
Sr
b. Number of rooms in each family nit: Number of Bathrooms
c. Is there a garage attached? 6�6 tf,g�d—•
d. Proposed Square footage of new construction. 10V DGin nsions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves
g p 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
l
j. Depth of basement or cellar floor below finished grade w /
k. Will building confor to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a ;OWNERA�ITHORIZATION TO BE COMPLETED .WHEN
01NNERS AGENT OR GONTRACTORAPPLIES FOR,$UILD;ING PERMIT,
1. 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
1, 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 perT
M�0c)kc,keo &_s
Print Name
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Y /1� This column be filled in by
Q Building Department
Lot Size / 3
Frontage 6
Setbacks Front
Side L: R: L: R:
Rear �Q
Building Height
Bldg. Square Footage %
ell P C64 Open Space Footage qq yy
(Lot area minus bldg&paved �/
parking) 1
#of Parking Spaces
Fill:
volume&Location
A. H a Special Perm' /Variance/Finding ever been issued for/o he site?
NO DON'T KNOW YES
IF YES, date issued: 1-716
IF YES: Was the permit recorded at the Registry of Deeds?
(� NO DON'T KNOW YES
IF YES: enter Book Page and/or D cument #
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:
City of Northampton at P
Building Department
212 Main Street
iVU(ii�aiilfiivil, Ivii Ull)OU WUrSeiS°O 5trliCtwa ai S °xns iaac a�
' 1�7 1240 Fax 413-587-1272 P �Slte f'la:
AL
', Qther pec �_`
APPLICATION TO CO . 6OCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
,i�err ry lri'p. r
EGTI ION
1.1 Pro ert Address: 1 is section�to be completed`tyaoff�ce
Mapr°Lot
k, 77f
�G IL� zone Over a c-&) C C D�str�c f �
Elm St.'District' ;CBDisfct1� -
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED-AGENT
u
2.1 Owner of Record`� � ��n U n A,��,
Name(Print) �w � � Current M�i+i
lut�l TelephoneZ �
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCT[ON'COSTS.'
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building �UG d (a) Building Permit Fee
2. Electrical U/, (b) Estimated Total Cost of
SSco Construction from
3. Plumbing / _ 6ol)'`V Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number b,
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2003-0492
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
Building Permit Filled out
Fee Paid COu
Typeof Construction: CONSTRUCT 3 FAMILY W/ATT GARAGE/PORCH-UNIT#3
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 000724
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 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
r O P co2--
Signature of Building OfficTal 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.
WEST FARMS RD
BP-2003-0492
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35-270 CITY OF NORTHAMPTON
Lot: -001
Permit Building
Category:New Multi-Family Housing BUILDING PERMIT
Permit# BP-2003-0492
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 000724
Lot Size(s9. ft.): 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 Workers
Compensation
EASTHAMPTON MAO 1027 ISSUED ON:11126102 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 3 FAMILY W/ATT
GARAGE/PORCH UNIT #3
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 Occupant Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/26/02 0:00:00 1283 $410.40
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
WEST FARMS RD BP-2003-0492
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 -270 CITE' OF NORTHAMPTON
Lot: -001
Permit: BuiIdin
Category: New Multi-Family Housing BUILDING PERMIT
Permit# BP-2003.0492
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 000724
Lot Size(sq. ftl 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 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:11126102 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 3 FAMILY W/ATT
GARAGE/PORCH UNIT #3
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: i�l j Meter:
Footings:
Rough: Rough: i ?/Z-�(j�/� -L House# Foundation:
Driveway Final:
Final:;�/'S 'j Final:
j Rough Frame:( (� ( �3 `_� -3
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:0 tC 93
U
Final: Smoke Final: V g-, I d 3
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHATNIPTON UPON VI ION OF
ANY OF ITS RULES AND REGULATIONS. - `f
Certificate of Occupancy - `~tgnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/26/02�:,: ;:100 1283 $410.40
212 Main Street,Phone(413) 587-1240,Fax: (4t3)587-1272
Building Commissioner-Anthony Patillo