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Marc&Maureen Etchells
411 Westhampton Road
Florence 01062
(413) 586-4217 home
(413) 587-3922 work
Garage/home-office update
• Non-structural updates in all cases
• Not changing exterior dimensions of the building
• Not changing the use of the building
Summary;
• Replace all insulation
• Update electrical panel and most wiring
• New interior lighting throughout
• Run new service from house (underground)
• Update and relocate bath and shower
• Run new water line from house
• Replace old upstairs windows, most were replaced 5-yrs ago
• Add skylight in bath
• Install new sheetrock, flooring
• Build storage areas under eves on 2nd floor
• Install I'floor insulated floor system above existing concrete
• Replace stairs for safety and ease of use
• Remove old garage doors, install new passage doors to outside
J M 1 3 ?!'02
DEP?OF E1,;ILDiNG INSPECTIONS
N(i iINv', `TNYA O106O
pton Road f M aterivals
411 W hamu1ate Bill o int ag e 1938 building
Studiol if pates to exsting
$$
750
non-stru al
525
$ 1,350
Replace all Insulation $ 340
Replace wderior door $ 615
Replace Windows 465
Skylight 2,250
fuse to breaker) $
Studs $ 1,140
ew line from house& $ 1,685
Sheetrocic Inc n line from house)
Update wiring( $ 2,500
Update plumbing(inc. new 900
and subfloor $
Floor system $ 3,000
carpet,wood,the $ 3,000
interior paint,trim&finishing
heating system(type tbd) $ 18,420
exterior siding(wood)
� � QV
G 1 3 3i0L �f
L'E>'OF Bt"!,DING INSPECTIONS
;C�1 ?,k.4 01060
4�ttMlP�p
goo -
9 B �:iartcE(ttsrtta'
m DEPARTMENT OF BUILDMG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S CON MENSA'TION INSURA-NCE AF i AVIT
(licensee/permitter)
with a principal place of business/residen(--e at:
(phone#)
(Strret/ci ty/S W.C/zi p)
do hereby certify, under the pains and penalties of perjury, that
( ) I am an employer providing the following workers compensation coverage for my
employees working on this job:
(lasIICe 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:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(-Hach additiocal shod ifneccssiry t�,ir__}udc infonniIIoa pertaining to all omh-mc ors)
O I am a sole proprietor and have no one working for me.
I am a home owner performing all the work myself.
NOTE:please!x-watt that wtrilo bomeownm who employ p otu to do rtn nrr ,n w Buvet on or repair wotic on a dwelling of
not more than throe units in which the homoowncr residc3 or oa the grounds appurtena1at thereto art Hoe gczxnlly oomdcrcd to be
cmployrra uDdcr the wort r compensation Ad(GL152,ss 1(5)),application by n hotncownrr far a lic==cc permd may evidence the
logal dams of an employer under the Workees Compoma2ion AcL
I underound that a copy of this eaatemmt may bo forwardod to tbo Departam of In&ut,i l Acci&&&Offioo of instuanco for the
cOvcrage vctificatioa and that failure to Uc=covatgo under scctioa 25A of MGL 152 can iced to tba imposition of criminal penalties
000aistiag of a fine of up to S 1,500.00 anNor imprisoameut of tip to one year end civil pmaltia in the form of a Stop Work Ord-and a
fine o15100.00 is day against one.
For dcww:>mtal use coly
Permit Number
Nfap',{ Lot#(
Signature of Lim/permit tce e
1
SECtT�ON 8-';CbNS7RUCT1'ON SERVICES'
7771
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
v. men r` Not Applicable ❑
Company Name Registration Number
Address Expiration Date
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/,;�'Z-m C' �
S Cl ION S= iI ,QR PT ONtOF'PROP SED WOR ch ck all a_ licable
13-4- ;Sc?�FKt e.iA .�ra ,
INN
'._�"�,. i aj, =,hx .,fi3'' •':fi �w �?_. �„ ,�a H% .r,La' s -
New House ❑ Addition ❑ Replacem Windows Alteration(s)�] Roofing ❑
Or Doors [� / \'
Accessory Bldg. Demolition❑ New Signs [ ] Decks [ ] Siding Q(]' Other [ ]
Brief Description of Proposed Work: !V
Alteration of existing bedroom Yes—,k—No Adding new bedroom Yes No
Attached Narrativ Renovating unfinished basement Yes No
Plans Attached ROK- Sheef>�
s ff N�ew"� Ko s-OWd o --add"iif`ioh—ME 1i01, l oiusing °com'ple a the foll:owin :
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
SfiCTION 7a bm ER AUTF�ORIZAT310N TO BE COMPLETED WHEN
QVYN>=RS AGl=1�T�O�t GON7RgCTO�i APPLIES F''OR3�UI�LDING'PRRMIT
3
6v,oe,, �_ , si as Owner of the subject property
hereby authorize w !i dU to act on
my behalf, in all maths 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 perjury.
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 column to be filled in by
Building Department
Lot Size 0 / �G-
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
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:
Q 1� ity of Northampton
i ilding Department
12 Main Street
�� 3 2002
Room 100
ort ampton, MA 01060
F;.
v,of a�ite»co 13-5 7-1240 Fax 413-587-1272 e
CENOT t ,r v�01a,• ;
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address: �' Thts sectl� " o be: ompleted,b �affice
�
Zone Td�
Urn St'. istA ct s P CB Drstricf
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) o �y Cu ent ill ess:
/vwLlil� (✓ C/ti s�i��
T IdFhzfne •u
Signature
2.2 Authorized A ent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 1- ESTIMATEDICONSTRUCTI'ON COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building l�a�o (a) Building Permit Fee
2. Electrical (j) Estimated Total Cost of
Construction from 6
3. Plumbing ,11// Building Permit Fee
4. Mechanical (HVAC) l
5. Fire Protection _
6. Total =(1 + 2 + 3 + 4 + 5) Check Number `S
This Section For Official Use Only'
B,uildl,ng:Pe,rmit Number::�A CC Date Issued:
Signature ' -
¢uildipg Com�nissr pe.rjnspoctor of Buildings . pate,ry
File#BP-2003-0156
APPLICANT/CONTACT PERSON ETCHELLS MAUREEN C&MARC
ADDRESS/PHONE 411 WESTHAMPTON RD (413)586-4217()
PROPERTY LOCATION 411 WESTHAMPTON RD
MAP 36 PARCEL 073 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 9,6
T_ypeof Construction: RENOVATE EXISTING GARAGE&2ND FLR
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
INFQXMATION PRESENTED:
t 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 Dat
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-2003-015
COMMONWEALTH OF MASSACHUSETTS
}.16=073 .' CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category BUILDING PERMIT
Permit# BP-2003-0156
Project# JS-2003-0294
Est. Cost: $18420.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Size(sq.ft.): 26789.40 Owner: ETCHELLS MAUREEN C&MARC
Zoning: SR Applicant: ETCHELLS MAUREEN C & MARC
AT. 411 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
411 WESTHAMPTON RD (413) 586-4217 0
FLORENCEMA01062 ISSUED ON:8116102 0:00:00
TO PERFORM THE FOLLOWING WORK.-RENOVATE EXISTING GARAGE & 2ND FLR
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 8/16/02 0:00:00 90 $75.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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4P,W; STHAMPTON RD B -2003-0156
COMMONWEALTH PF MASSACHUSETTS
Map:Block: 36-073 CITY OF NO tTHAMPTON
Lot: -001
Permit: B u i I din
Category: BUILDING PERMIT
Permit# BP-2003.0156
Project# JS-2003.0294
Est.Cost: $18420.00
Fee: .75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Sizeisp_;ft.): 26789.40 Owner: ETCHEILLS MAUREEN C&MARC
Zoning: SR Applicant: ETC-HELLS MAUREEN_Q & MARC
AT 411 V1'i=� "F ON RD
Amlicc rn .Acltlress: Phone: Insurance:
411 WESTHAMPTON RD (413) 586-4217 Q
FLORENCF-MA01062 ISSUED ON:8116102 0:010:00
TO PERFORM THE, FOLLOWING WORK.-RENOVATE EXISTING GARAGE & 2ND FLR
'POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing :nspector of Wiring D.P.W. Building Iitspecter
Underground: Service: Meter:
Footings:
Rough.; >y `,r Rough: �`/�31t 3O House" Foundation:
Driveway Final:
Final: �1 mal: -�
Rough Frame:Bjf C,
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORThIAMPTON UPON VIOLAOON OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 8/16/02 0:00:00 90 $75.00
212 Main Street,Phone(413) 587-1240, ax: (413) 5;,7 1272
ter.
Building Corrhnissioner-Authony Pati;.o