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25C-030 I-- � a o U U o lI� J 0 N ::) in Z" In z Q Z zoo CL O 00 Q W Q W C_] a m < z U 2 a c)7- 5J— - W ~ J [LMQOu WW to cc cc �i nN -� Av NH -� HiHON MMM: < _ H O== � U > N — -- _ 40 ' WIDE LAYOUT _ — — — — ~ F- > w edge of pavement ® —6J tn00 O �z z w rT- I rz U O cu j cn LL T- . ot7 wo I T • 05 n ¢ cn x- J oW C� C W w I i CE rr o I I a U C�1J Ljj a � I � I t--Q I N I I >- 16.5 I U)cr / \ c e_ F-+ I - ~ o } I N z o 0 15.5' a Y a _ u +I W 2:Z a Z H � OLLJ �•� _ J M m Cn W Ji , O S>-L1J CD v M --tL33 •• ' � z cn o / � I-CD w = v t= W z Li w m-°---' M � U 4H:O)POd,, OIi � tz / LL�, OIldd HOHOd R o z r-o U cn:K ii 1 J v t6 , Ot7 / cnQ I � cn c3 ar cc d Z� ! mazes (M C3 U) 1�>-F- �� • oxaa • -+awo d c¢ =o > c)a0x CU cd=a o • \� wm >-L V moz o (DZO>- H . Za�-m i OF-00 w Ww00M \ \ Cc awrH-o ��3 rJ-'Ha r �1 o WDXJ 95 U) xMwa z H CD OQ U H r n � CL W '06 CD 0- Lli z W 0 zS H H z o O H OJJ H 0 d-J •cn z a �T dQ HE- LL Q Q Q >WZLLM W F— _1 _ a>H w \ X°MWCO O a ��� w f �+ U W w OLuw \ UJ N w < w w M q >-ZW4Q It O W � T , 05 z JLL _ W aP< �$� z=< W �y} '�f� , x ��� 7 W[� W U W \ u wu.� s v OLLZQZ a LLOaHW Lll < \, / W OS LL ocl 'l —�7.OUZfg Q zma U m WCCSWZ cn co cn r-aOHWJ U) ¢F-1--1 H T W on< v JWH J S W W F i a QCD> ¢ 0-j LL O H>M: z¢aww 4 Hoo¢Cl: McCutcheon Construction Full Service General Contractors . 87 Chestnut Street Florence,MA 01060 ; !a jJ (413)584-3352 2 Ay nD )-AM T4 AIAPTo M d i t Y y j - LT-7 co a � � r . t � SECTION 8-CONSTRUCTION,SERVICES 8.1 Licensed Construction Supervisor r Not Applicable ❑ Name of License Holder: License Number Address, Expiration Date 3 S- j Signature Telephone Not Applicable ❑ co z-/ Company Name Registration Number C,b�- A Address Expiration 0ate Telephone SECTION 10-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 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_DEAGIRIPTION P ROPOSED K(check all b e New House ❑ Addition �L Replacement Windows Alterations) Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ Siding[ ] Other [ ] Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ x 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 C C NTRACTOR'APPLIES rOR BUILDING PERMIT 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 ` Cas Owner/A horized Agent hereby declare that the stateme t and information on the foregoing application are true and-acc54 e best of my knowledge and belief. Signed under the pains and penalties of perjury., Print Name G (� 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 15600 Frontage ( �� Setbacks Front Side L: R: L: R: Rear j Building Height C� Bldg. Square Footage / o % O Open Space Footage % (Lot area minus bldg&paved parking)'[ #of Parking Spaces Fill: volume&Location A. Has a 71'P'ermit/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 F 7 Ci;#fir of Northampton Building Department t OCT `212 Main Street 4 2 2Q0� Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413.587.1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION,,1-SITE INFORMATION 1.1 Property Addr s: This s� iAi �rinpleted we forte rr �Orrerlay t �� EIM Sty.D SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2. Owner of Record: II -- Cu Nam I(P 'n t) Current M i 'ng Address: 0(U� x-t I Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS - Item av' , 6LJ Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ,p o0 C.� (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =0 + 2 + 3 +4 + 5) Check Number This Section For Official Use Only Building Permit Number: rl. Date Issued: Signature: Building C6mmissionerf1 nspectpr of Buildings Date File#BP-2001-0345 APPLICANT/CONTACT PERSON Paul McCutcheon ADDRESS/PHONE 87 Chestnut St (413)584-3352 PROPERTY LOCATION 48 NORTHERN AVE MAP 25C PARCEL 030 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid `�5— Typeof Construction: CONSTRUCT 8 X 12 DECK 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 F LLOWING 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 _/D-Ce' OD Signature of Building fficial 41 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. 48 NORTHERN AVE BP-2001-0345 GIS#: COMMONWEALTH OF MASSACHUSETTS MQ Block:25C-030 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Deck Addition BUILDING PERMIT Permit# BP-2001-0345 Project# JS-2001-0559 Est.Cost: $1000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Paul McCutcheon 062544 Lot Size(sg. ft.): 5967.72 Owner: David McCutcheon Zoning URB Applicant: Paul McCutcheon AT: 48 NORTHERN AVE Applicant Address: Phone: Insurance: 87 Chestnut St (413) 584-3352 FLORENCEMA01062 ISSUED ON.1016100 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 8 X 12 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: Rough: Rough: House# Foundation: 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 10/6/00 0:00:00 680 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo r.r t � Y t Y owl Am, SM MW VVIT0150 "mom RM fgp In Y talHU 4 :: its, "nonvark "VIA! 1 Jig Sky 0 LOW viol x ,* l a } z1 T ri. P ON Y t t! 4 poll of too '19 polls cost t A cola, ON ' ,y �• Pay gin 48 NORTHERN AVE BP-2001-0345 Is : COMMONWEALTH OF MASSACHUSETTS NmV,4jqrk:25C-'030' CYff OF NORTHAMPTON ot• t�, Permit %jildipg Categm:Beek Addition ]BUILDING PERMIT Permit# BP- 2Q }' 345 � # JS 2t�D1 13559 PER HS"SIONIS HEREBY GRANTED TO. Cwt.Claw: Contractor; License: use Grvun Paul McDutcheon Q62544 Lai 5k".A.,): 59§7.72 l iter'; David Me(aheon Zoni�r c:i> B ARC,,Wit,: Pal . he eon .AT,-4$ NQRTHER tAV'E A�glicantAd�ires; Ph©ne; ns 87'Chestnut St _ 413)584-3352 FLORENCE A01 082 L4 TEED Q4L.*-I L h1f1�x,11 TO PERFORM THE FOLLO NG WORK.C6NSTRUCT 8'X 12 DECK O T S IT IS RISIBLE U T MEET Ins►ector of Pluiubiig Inspector of Wiring D.P.W. Inspector of Buildings Underground. Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas bre ftiortment Fireplace/Mmney. Rough: Insulation: Final•. i ii oke: Final: TMS PERMT MAY BE RXVO1 D BY THE CITY �NORT TUN U ON VI ,LATI©N OF ANY OF ITS RULES ANA A S. t u . nature: F es ecei t No: 1 a e Paid: eck No: Amo t: Building 10>6/00 0:00:00 680 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patiilo