17C-163 (2) Garage,
18.2' x BY
i
Pool Patio, 42' x 26'(concrete)
Pool, 16' x 32', 6"R V
�v
s'
s'
Rio
I
Paved (asphalt)
Lot:
Driveway, 6s_2 ft
26' x18'
8' x 28' 830 10'j
60' x 11.5'
145.6 ft 145 ft
46.8 ft
8150 sq ft more or less
........................................................,
House,
Part A: 28.5' x 26.9' Drawn to nearest 1 foot
Approx scale, I"= 10'
Part B: 11.2' x 7.0'
Part C: 11.2' x 1.7'
? Front Porch: 8' x 23.4'
? Back Porch: 7' x 8.7'
?—required for tally?
4\
DEPARTMEWT OP BUILDING INSPECTDONS
212 Alain Strcct ' ATunicip.ai Budding
Northampton, ASass. 010GO
1 «'OR1fERIS CONOENSATZO.N GgSUT AI CE ? AVIT
i
(li ccasxlp�i tf�)
%1.Ith a prLncipal place of business residence at:
I
j
(phone')
(sa 1~tici ty/SLUCfZ�p)
jdo hereby cerufj;, under Lhc.pz_ins and penalties of pegury, _hat
1 ( ) I am an employer providing i11e following iworkc>✓s cornDCas-nno, cove—, for 1ny
emplovecs ivorlong on tills job:
I
i (Lsur c Conn:t;.) (PcLi c; Number) (r;-piration Dpi°.)
I am a sole proprietar, general c�ntracor o homeowner tae one) zno have hired
the contractors listed below c�1;o have the full VIVU e s comoen_-'2don pokiest
A, _.T
I �
} l++aI12C O; Co cr c a'l (IiLRranc-c Cot �-Y/i� ou y Nf 05' Z D i,2'•Ji<SUOc I�tIC)
1
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{ cNamc of Cooeaaor) (lrsarancz- Compazyi?oUCT Nu bcr) (L»im6on Dae)
(Name of Conrraero') (I»anc-c Comparey/pOL-q- N;untxr) (Expo'z600 Dam)
(Nz.mc of Conrraraor) (Tc'IU c_- Comp2zy/Pobcy NuEitr�) (L=xpiratioa Datc).
(aC.aC±1 ad3roczl 's,cc..if acccu_-ti•w c�cudriaforma�oo pcuiaias to all
i
( ) I am a sore-proprietor and have no one worldng for me.
( ) I amxa home owner performing all the work myself.
NOTE:pl=.=be w'a=ti.-vb„;1c 6cmcv�vcn wbo¢=ploy pcsonl w[so � �-c�=rryaa..orz oa a d ciL^z of
act a:oct th a L`ra trots in t-tneb the bomoo m r m ida or oc tb.goua xppsrtcas tbesr t c vx C==Xy oL,-:d.-cd to be
Ve�xploy�s car=the ui rl,[�T--.,'oa Aa(GL1152=1(5))=pptia600 by a bomeo as fw z Gam-cr pcm+t==7�46 tM
I Icga.f e,�zz o(ea e.,.�loye[coder tbo W«f_o!a Goetz;aomalioa Act '
- !undcrzypd tha a copy or tb-ml-=-=may be far--dnd to the Dvq,,mr or 1.6..icl OZ—or[r_+[ina for tb-
-—-=Tjcslioa end Qu L ils�to cenuc b,vezy�e uoeSc zo=ioa 23 A of),10L 152 cm led to the i=;xsidoa of eim.ic:J pcna h
corm atg or fiat or up to Sl.Soo.00.zwcc map:i or up to ooc Y=r Dd c%Zy pm,ko a is t' fpm ora Stop W or'c Cw pad.
fl=0(S100.00 a d:y"Pia,i t>x
For u.c oaJy
Pcrmit Numba —
p: Lot a
19=U rr of Liarsc /Pcrmn U= 2
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$ � �itassachusrtfs
DEPARTMENT of Bumx)�G INSPECTIONS /
INSPECTOR 212 Main Street • Municipal Building '
Northampton,MA 01060 ,M 5 •�
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as i:is/her construction sus..?*
ups.,'isor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be, a one wr two fan y -
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
home owner."
-The btuil tng department"for the-City of Northampton wants any person(s)-who-seek-to
use the home owner exemption, to act as their own construction supervisor,to be aware
that by doing so you become responsible for compliance with state building codes
and fegulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour). a rough building inspection(before work is
concealed). insulation inspection(if required) and a final building inspection.:The
building department requires these inspections before the work is concealed,failure to
secure these inspections can result in failure to obtain a certificate of occupanev
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections.Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper pe its and inspections are "
made
1
I, ;f f understand the above.
(Home owne /reside s signature reques ng zemption)
I will call to schedule all required building ins ections necessary for the building permit
is-sued-tome -
Date %1Z
Address of work
location '� t hf✓, u�
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: t Not Applicable ❑
Name of License Holder: ("n n e.' ( C J d
License Number
Address Expiration Date
Signature Telephone
9.Registered Horne Improvement Contractor: Not Applicable ❑
F'lE,(-exncr c) �VnM IU1 Gf gOcl� 1 u �, Ss b
Company Name II Registration Number
i� � ��`h St � ate\�evlU��le (') ��Z���0 �
Address Expiration Date
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....... V1/ No...... ❑
11. - Home Owner Exemption
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 responsib' ity for compliance with the State Building Code,City of
Northampton Ordinances,Sta7an oval Zo ' and of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[E7] Other[mil
Brief Description of Propose I i
Work: t�$t'o t� CA 420ri \
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll Sheet
a�-
sa. ff New house and or addition to existing housing,complete the following:
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. Masscheck 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.
1. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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
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.
TbD>e h 1
Print Name
7
Signatu of er Da(e
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size (3-1 -7
Frontage L'St 2 ( G5, Z t
Setbacks Front
Side L: R: L: $ R:
Rear
Building Height W%
Bldg.Square Footage c� % j l j2— 141
Open Space Footage % t,
(Lot area minus bldg&paved 5` ;t, 6G /�j J 310 37
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW � YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO C) DON-r KNOW ® YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW ® YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 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 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
- Department use only
�k_-0,iky,ofNorthampton Status of Permit:
B�IIdi�g Department Curb Cut(Driveway Permit
-" 214 Main Street Sewer/Septic Availability
AEG 1 7 ."R6om 100 WaterNVell Availability
`
Northampton, MA 01060 Two Sets of Structural Plans
oche 413i%87-1240 Fax 413-587-1272 Plot/Site Plans
Other Spettify
00LICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
_
- r C w EST(V V T S i Map Lot Unit
}=LoK'C KK:LE Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(P' Current Mailing Address: _
6-- _]7S Q
Telephone
Si lure
2.2 Authorized Anent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by rmit applicant
1. Building (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) 6 to Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2006-0179
APPLICANT/CONTACT PERSON CHANDLER JOSEPH&PATRICIA A
ADDRESS/PHONE 71 CHESTNUT ST FLORENCE 5 �J/7 SU
PROPERTY LOCATION 71 CHESTNUT ST
MAP 17C PARCEL 163 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid 4010 f
Typeof Construction: CONSTRUCT 32 X 16 INGROUND POOL
New Construction
Non Structural interior renovations
Addition to Existina -
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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 Commiss'
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.
. J
71 CHESTNUT ST BP-2006-0179
GIS#: COMMONWEALTH OF MASSACHUSETTS
MU:Block: 17C- 163 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0179
Project# JS-2006-0269
Est.Cost: $6500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 8102.16 Owner: CHANDLER JOSEPH&PATRICIA A
Zoning:URB Applicant: CHANDLER JOSEPH & PATRICIA A
AT. 71 CHESTNUT ST
Applicant Address: Phone: Insurance:
71 CHESTNUT ST O 586-7750 (�
FLORENCEMA01062 ISSUED ON:8118105 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 32 X 16 INGROUND POOL
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 Sienature:
FeeType: Date Paid: Amount:
Building 8/18/05 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
71 CHESTNUT ST BP-2006-0179
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map.-Block: 17C- 163 CITY OF NORTHAMPTON
Lot: -001
Permit: Buiidinci
Category: BUILDING PERMIT
Permit# BP-2006-0179
Project# JS-2006-0269
Est. Cost: $6500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): 8102.16 Owner: CHANDLER JOSEPH&c PATRICIA A
Zoning:URB Applicant: CHANDLER JOSEPH & PATRICIA A
AT. 71 CHESTNUT ST
Applicant Address: Phone: Insurance:
71 CHESTNUT ST 0 586-7750 0
FLORENCEMA01062 ISSUED ON.8118105 0.,0Y.00
TO PERFORM THE FOLLOWING WO-J':.1.-Cr,1i'\'5v1"RUCT 32 X 16 INGROUND POOL
POST THIS CARD SO IT IS VISIBLE FJV)?rf'rHE STREET
Inspector of Plumbing Inspector of Wiring _ D.P.W. Building Inspector
Underground: Service: Meter:
AJI Footings:
Rough; Rough:!l/ Sfwrj.A� c{¢Iouse# Foundation:V K q ,I O`v
Driveway Final: -/
Final: Final:!/
/bS Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: POOL 01< !1/ZZ`aS CocltS
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc Signatures-
FeeTvpe: Dat Paid: Amount:
Building 8/18/05 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo