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42-074 (9) CGit1j of Xurt4amptun _, �1Rttssttrlfusrffs �� y DEPARTMENT OF I3UILDINC INSPECTIONS 212 Main Street • Mun-cipal Building Northamptcn, MA 01060 I\�I'i,C"I'OIZ Paul McCutcheon 27 West Farms Road Unit D Florence, MA 01062 March 20, 2008 41-074 Dear Paul, We have reviewed the plans that accompanied your building permit application. The locations for smoke, heat and carbon monoxide detectors indicated on the plans do not meet current building, fire and gas code requirements. Please correct the plans or submit a revised set. The requirements for smoke, heat and carbon monoxide detectors can be found in: • MASSACHUSETTS STATE BUILDING CODE(780 CMR)CHAPTER 53, SECTION 5313 • MASSACHUSETTS STATE BUILDING CODE(780 CMR)CHAPTER 93, SECTIONS 9304.8 AND 9305.4 • MASSACHUSETTS FIRE PREVENTION REGULATIONS(527 CMR)CHAPTER 24 • MASSACHUSETTS FIRE PREVENTION REGULATIONS(527 CMR)CHAPTER 31 • MASSACHUSETTS PLUMBING AND GAS CODE(248 CMR)CHAPTER 5 • MASSACHUSETTS GENERAL LAWS CHAPTER 148, SECTIONS 26 B THROUGH F1/2 Feel free to call if you have any questions. Our telephone number is 587-1240 and our office hours are Monday through Friday, 8:30 am to 4:30 pm, excepting that we close at 12:00 noon on Wednesdays. My email address is: Iasbrouck(a)-city.northampton.ma.us. Thank you for your cooperation in this matter. Louis Hasbrouck City of Northampton Local Inspector and Zoning Enforcement Ihasbrouck(a)city.northampton.ma.us REScheck Software Version 4.1.1 Compliance Certificate Project Title: Paul McCutcheon Report Date: 02/25/08 Data filename: C:\Program Files\Check\REScheck\Energy Audits\McCutcheon Paul.rck Energy Code: 2003 IECC Location: Westhampton, Massachusetts Construction Type: Single Family Glazing Area Percentage: 19% Heating Degree Days: 7439 Construction Site: Owner/Agent: Designer/Contractor: Westhampton . . Compli ce:12.1%Better Than Code Maximum UA:388 Your UA:341 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter LI-Factor Ceiling 1: Flat Ceiling or Scissor Truss 1346 38.0 0.0 40 Skylight 1:Vinyl Frame:Double Pane with Low-E 8 0.320 3 Wall 1:Wood Frame, 16"o.c. 1998 13.0 0.0 131 Window 1:Vinyl Frame:Double Pane with Low-E 375 0.320 120 Door 1:Solid 20 0.150 3 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1346 30.0 0.0 44 Furnace 1:Forced Hot Air92 AFUE Compliance Statement: The proposed building design described here is c nsistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed buildin s been designed to meet the 2003 IECC requirements in R check Version 4.Y1..1��and��to�. comply with the mandatory requireme is iste irl4he REScheck Inspection Checklist. Z.) Name-Title P"y n ignatur Date 1 Project Title: Paul McCutcheon Page 1 of 4 Data filename:C:\Program Files\Check\REScheck\Energy Audits\McCutcheon Paul.rck Report date: 02125/08 Howard Laboratories 62 Main Street - Hatfield, MA 01038 Tel. (413) 247-5533 Fax (413) 247-9599 WATER ANALYSIS REPORT Henshaw Well Drilling Invoice Number: 12853D Sample Location: Rt. 66 Client: Paul McCutcheon Sampled By: HWD Date Sampled: 12/20/06 Date Received: 12/21/06 Parameter Results Limits Comments Total Coliform Bacteria 0 colonies/ 100ml 0 colonies/ 100ml OK Color 25 PtCo Color Units 15 PtCo Color Units Iron 0.12 mg/I 0.3 mg/l OK Manganese 0.053 mg/I 0.05 mg/l Nitrate 1.0 mg/l 10 mg/l OK Nitrite 0.007 mg/I 1 mg/l OK pH 7.59 pH Units 6.5 - 8.5 Ph Units OK Sodium 4 mg/l 28 mg/I OK Conductivity 0.13 Ms/cm No Standard No Standard Turbidity 17.6 NTU No Standard No Standard Chloride 142 mg/I 250 mg/I OK Hardness 167 mg/l No Standard <50 soft >100 hard ND = None Detected Recommendations: This sample meets acceptable standards of potability. The parameters with an asterisk which are over the limit should go down after a few weeks as the water and materials floating in the well settle. Analyst: SH Date: 12/22/06 MA Certification: M-00851 City of Northampton Board of Health Well Permit Number oy-�6"" �g Fee $ ✓CJ APPLICATION FOR A WELL CONSTRUCTION PERMIT This application must be accompanied by a scaled plot plan, produced by a civil engineer or registered sanitarian showing the minimum distances required in Title 5 of the State Environmental Code. For new construction, requiring a septic system, the septic system plan submitted for the property in compliance with Title 5 requirements will be acceptable if the proposed well location is included. Ap i ation is hereby made to construct( ) or repair( ) a private well. CCU O er's ame Date Street Address Telephone Number City, State, Zip Code Location of Proposed Well Tax Map # Parcel# (if different from address) For repair or location with city sewer: Scaled well construction plan has been submitted: yes no O n/a( ) For new construction: Septicsystem plan complies with Title 5: yes ()�,no ( ) n/a( ) Septic st m plan shows location of well: yes (�no ( ) n/a( ) Signatu e KKApplicant Date �u a Permit issued (date) Permit expires one year from date of issuance r a■.i■iiia■aii.aaia a ii■mimic■aaiia■■aii■■aa■aaa.■iaaaaaa■a■.aa■a■aiaaaa■iaaia ■ i X ■ • ■ a.• a City of Northampton s BOARD OF HEALTH — — --- a PERMIT NUMBER: C�e* eel FEE S ,SAO. V) a CHECK# • CASH This is to cerii&that � O�� -�_' NAME a i ■ ADDRESS ■ a . r a Is Hereby Granted a Permit to Install an Individual Private Drinking Well: LOCATION: l o� [�U 7Z��... /CJ'`tk ■, a.. This license is granted in conformity with the Statutes and/or Ordinances relating thereto and expires on .200 unless sooner suspended or revoked. a' ■ ai C41 e,� DATE:4)_sti d��=2001 Ernest J.Mathieu,RS.,M.S.,C.H.O. Director of Public Health Northampton Board of Health a: a run.it 2■r.■■a.■.a'a a'a'-a ia■■.O:■,,aa■Wig'aa a a.am■a'a a a■a■■■■a■a■■■aa■'a■'a aan wam o aa a.m-■a'.a■■ DBA MCCUTCHEON CONSTRUCTION sa-�,se-2118 6930 PAUL C. MCCUTCHEON 77 FOREST GLEN DR. �'� 20 C I FLORENCE, MA 01062 I� a Pay To The Order Of 5 is FLORENCE SAVINGS BAN i 85 MAIN STREET _ �a FLORENCE,MA 01062 I NP For 1: 2 1 18 : 688 : 0 2 2 3 8 L0 Z 8 SO 6 9 30 �j i Y Permit No. D18-07 Conditions: Driveway Permit In lieu of plan approved by City Engineer I agree to the following added conditions: 1. I will contact the Department of Public Works and have an inspector check and approve the graded gravel base prior to paving to insure compliance with slope and location; 2. 1 further agree that if in the inspections any of the permit conditions are not met that I will at no expense to the City remove and replace the driveway as directed by the City Engineer. By: Petitioner Marchele McCutcheon 77 Forest Glen Drive, Florence, Mass 01062 584-3352 Note: The Public Works Department recommends that you provide a plan showing the proposed driveway with grades and location in the future to avoid possible expense which you will incur by not getting approval of actual plans in advance. For commercial and industrial applicants, a plan showing the proposed driveway with grades and location is required. cc: Building Inspector Permit No. D 18-07 CITY OF NORTHAMPTON, MA, 1 ?.R-1YEWAY PERMIT Date: December 4, 2006 FEE: $25.00 CI ECK#: 705 THE BOARD OF PUBLIC WORKS Driveway must be staked and house & lot number posted The undersigned respectfully petitions your honorable body for: Permission to install a driveway at 1526 Westhampton Northampton, Ma 01060 Fifteen (15) foot maximum width at the street line. Gutter drainage not to be disturbed. All drainage shall be directed off the driveway surface to adjacent land and not on the existing roadway.Driveway surface to be paved as soon as possible if the grade of the proposed driveway exceeds 3% or more. Homeowners will be held responsible for any cost to the City of Northampton in the event of a washout of this driveway. By: A/"//,�'//I J,A 0 1 Marche a aNtcheon Telephone#: 584-3352 Proposed Location Inspected By: /F - ?� r 2 C U c Gravel Base Grade Inspected By: Final Approval THE BOARD OF PUBLIC WORKS voted that petition be granted. Edward Huntley Director of Public Works (SUBJECT TO ATTACHED CONDITION 1 & 2) cc: Building Inspector No,�oeI4 -31 THE COMMONWEALTH OF MASSACHUSETTS FEE P&Rj1iq o� BOARD OF HEALTH * � DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereb ranted to C truct ( 1/) Re air ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at s described in the application for Disposal System Construction Permit No. dated Provided: onstruction shall be completed within three years of the date of this permit Il local c ditions m st be met. Date ~� -Q Board of Health m V 41 If FORM 2 - DSGP DEP APPROVED FORM 5/96 ERNEST J. MAT°'=r1J, R.S., M.S., C-H•0 DIRECTOR OF HEALTH FORM 1255 (REV 5/96) 1.1&W HOBBS&WARREN TM PUBLISHERS - BOSTON CITY OF NORTHAMPTON, MASSACHUSETTS DEPARTMENT OF PUBLIC WORKS 125 Locust Street •-y Northampton, MA 01060 413-5£57-1570 Fax 413-587-1576 Edward S. Huntley, P.E. Director AgM, N'M NT 4t HOUSE NU Street: Westhampton Road Assessors Map: Sheet 41 Lot 074 House Number: 1526 Westhampton Road Date: November 28, 2006 Remarks: Reference is made to Plan of Land in Northampton & Westhampton, Massachusetts surveyed for The Heirs of Edmund D. Connolly& Dympna M. Connolly by Heritage Surveys, Inc. and dated March 21, 2006. #1526 Westhampton Road is assigned to Parcel 3 on said plan (containing 2.205 acres). House number was requested by the applicant for permitting purposes. This building lot is recorded in Plan Book 210 Page 102. I � Janes R. La' rila, P.E. ( icy Engine r cc: Central Dispatch Board of Health Water Division Tax Collector Sewer Division Massachusetts Electric Streets Division Verizon Telephone Inspectors Comcast Assessors Bay State Gas Police Department Post Office (Northampton) James Thompson (GIS Coordinator) Post Office (Easthampton) Applicant: Paul and Marchele McCutcheon 77 Forest Glen Drive Florence, MA 01062 K^,House Number-s\ ?1` Lc11 =-J i7' C�QL�I1C1i1:JQii C!G?I'%.R7 F-N7 OF BU:JI),�G " <c. t:_: CF 2 212 A-fain Strctl. - A-funiclpnl Bucld+ng Nor.hn7npLori, Hn--s. 01060 == Square rootage R.noun L Basement @ . $ u+� _1� /` ' 0102 . isi: rlcor 2nd Floor r'laors. Attic. Garage .x_15 IWO Deck-, Porches x • 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: ' A Txs o"1s- s S'/"[V\ c7p -w i,'T- Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) ov r 1 acre or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO'LACK OF INFORMATION This column reserved for use by the Building Department EXISTING PROPOSED REQUIRED BY i nn`` ZONING Lot Size -�4 �`� 1 5' 1 Frontage 1-7 Setbacks Front c(,5 1 Side L: R: L: �j' R: G5 L: R: Rear t 1 `Buifding Height i Building Square Footage Open Space: (lot area �l minus building & paved �` cT q 70 parking�j 1, #of Parking Spaces #of Loading Docks Fill: _ (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Applicant's Signature NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards,Department of Public Works and other applicable permit granting authorities. W\Documents',FORMS\oria.inal\Building-Inspector\Zonina.-Permit-Application-passive.doc 8/4/2004 y1 1 ' l File No. 0 7 ZONING PERMIT APPLICATION 010-2) Please type or print all information and return this form to the Building Inspector's Office with the $15 Fling fee (check or money order)payable to the City of Northampton 7 1. Name of Applicant: a it '�' /mot Q� -- CC,( '�BG Address: �/Z. Telephone: ` I 2. Owner of Property: —CM—114— ,1'C °` Address:�� �,[)iSjL\ Y . L` elephone: 1 JZC'1 000 3. Status of Applicant: Owner Contract Purchaser Lessee ]Other (explain) 4. Job Location: Parcel Id Zoning Map# Parcel# District(s): In-_Elm Street,District In Cen'tral..Busihess District. ` (T&BE FILLED:IN BY THE,BUILDING DEPARTMENT)' 5. Existing Use of Structure/Property: SA CQ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan _ Engineered/Surveyed Plans 8. 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# 9.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: (Form Continues on Other Side) W:\Documents\FORMS\original\Building-Inspector�Zoning-Permit-Application-passive.doc 8/4/2004 File#MP-2007-0071 APPLICANT/CONTACT PERSON MCCUTCHEON PAUL C&MARCHELE ADDRESS/PHONE 77 FOREST GLEN DR (413) 584-3352 Q PROPERTY LOCATION 1526 WESTHAMPTON RD MAP 41 PARCEL 074 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FI ED OUT /R aia, r Fee Paid V7 7V V Building Permit Filled out - Fee Paid Type of Construction ZPA-SFH New Construction Non Structural interior renovations Addition to Existing AccessoKy 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 INWkMATION 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 Co, sion ZC2J' Signature I uilding 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 the Office of Planning&Development for more information. File#BP-2008-0728 APPLICANT/CONTACT PERSON Paul McCutcheon ADDRESS/PHONE 27 WEST FARMS RD UNIT D FLORENCE (413) 584-3352 PROPERTY LOCATION 1526 WESTHAMPTON RD MAP 41 PARCEL 074 001 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction:_CONSTRUCT 1 1/2 STORY SFH W/ATT GARAGE/DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure BUildinQ Plans Included: Owner/Statement or License 062544 3 sets of Plans/Plot Plan THE F L WING ACTION S BEEN TAKEN ON THIS APPLICATION BASED ON IN A ON Approv d itionIlpern-rits 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 Commission Permit DPW Storm Water Management Demolition Delay Signature 4Buil f ic ial ate 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. 1_Mum S L-tt,, 0 iN/fuml(.=' E uildL:!-, P Nor- 10NE ONVINER EEVIPTION' ACKN,ON I DGNENT 1 X L E 77,e SLai-a o f?vf ass-,chiLs,--ns allows the horr.,-ow-ner Le i-,zLt =der 78 OC-21"LR I OS.3.-,Ir to !-', -;s,0 r-. , -- d�2�. Iles -, Meovyne," �S , a� COIIS',f LICt-,On, sup'�., h EZZ-- no C-zj i CI 'on s) who In owns a parcel on which he/she resides or intends to be, a one or two familv t - A a=ached or deached stTuc.zores access, n,to such f - structur G ., use and/or es. A persola-Who Constructs more thzun one ho=e in a t-xc--; pei-,od shall not be considered a ez-r home ovmer.- T"he b fGF'Lhe CI-LY 0.14'Nor-thampton wants ar-117 persoz(s) who see'c to us--the h -vv7zer ex- pLon, to act -S LLelr G-�V-" C- SUZ -ns" that by doizag so you become responsible for compEance with state building codes an-d reg-,da-Z,-,ons. The izspe--tion process requires tLa#the builldng department be called to inspect wor-r at various stacres, which include foundation/footings (before bacId-IN). 5411-notube holes (before vour). a rough buRdine insuection (before work is c"wvOed). in-sulation ins;aectian (if reouired) an-cLa-fL-m7-huUdin--.i=er-tion- The building department requires these before the work is conceale-d, failure to secure these inspections can result in failure to obtain a ce--tfflcate gtoccuDancv YtLe homeo,7,maer hires other nrades to perform work(,-.Iecctrical, plumbing�gas) the ho=-neaviner be res-oonsible to maize sue that t'-,e trades hired secure their proper• per u is in c,-zjuzc-L:cn to the building pe=-I+-issued, and that they get their required inspections.Failure C-L'tLe individu7 trades to se---,ze the permits and inspections as requIred, can DELAY the prCjfe� un:il such dme as the proper permits and inspections are made lunders-tand the above- (Home owner/resident's SigMlature requesting exemption) I v,-1 CZII to schedule all rewired bLil�Ir ) inspections necessary the building issued to me. Date IccanCM D r-tinent oflndztstrirtl Accidents _ Office of Investigations - 600 Washin-ton Street = Boston, 1T1,4 02111 1vwfV.3nttSS.;ovi dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AD0HCt.ni Information Tease Prin�t�Leaibly Name (Business,'Or,,anizationilndividual): ��i�� � � T S C4,t1,., duress: z: WcX, ,y � 2� �Ol�i,,cQ 7 Citv'Statz;'Zi Q Phone T) — Are you an employer? Check the ap-propriate box: Type of project (required): 1. �I am a em to er--'with ❑ I am a general contractor and I _ 1 P y 6. New construction employees (full and/or pant-time). have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition employees and have workers' worsing for me in any capacity. 9. F7 Building addition [_NO workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its j0.❑ Electrical repairs or additions ?.❑ I am officers homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per 1 12.7 Roof repairs insurance required.] c. 152, §1(4), and we have no employees. [No workers' 13. 7 Other comp. insurance required.] "Any applicant that checks box ri must also fill out the section below showing their workers'compensation policy information. Ho meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. actors that Chec!c this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have enhployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providin,workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: — Policv m or Self-ins. Lic. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure io secure coverage as required under Section 25A ofMGL c. 15,2 can lead to the imposition of criminal penalties of a i tne up to S I,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S2_5"0.06 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ir,vestiJations of the DIA for insuranc-e coverage ver.Iication. I do hereby cez rif zrnde 'lz pai a�rrl e nities-o-f per}ah-Tthat the information provided above is tr to and correct SiUnature: Date-: �� C ` �__rr'ziciaLaz.se_rznla Do_n.ot�vYiteinlhis_ar_e�z,to-be com�leter�oy city or town-OfAieia-L -- City or Town: Permit/License it Issuiiig Aut.'ronty (circle one): I� 1. Board of Health I Building Department 3. Cler:- 1. Electrical Inspector 4. Plumbing, laspecLor i� i1. Othe:' I� Phone SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: } License Number Z� UJC� t''w S' V Y— 1) tt/ /Q6, Address /� Expiration Date �v) G ' �' ' — �-3 S Signature Telephone 9.Registered Home Improvement Contractor, Nut Applicable ❑ C C e►n Sjyul_,46 3 �Q�9z I g Company Name Registration Number Address ? N Expiration Date F= L4 U Telephone s i� 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...... ❑ 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-vear 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 y 1 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing LAJ ❑ Or Doors 1-7 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks Siding [0] Other[0] Brief Description of Proposed © Work: C /� i �sLviz �-,n.,, o-4? h, Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrati Renovating unfinished basement Yes No Plans Attache Rol -Sheet 6a. If New house and or addition to existing housing, complete the foliowin : 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? ,C pS 2&x Hz- d. Proposed Square footage of new construction. a&J?AG F 7&n Dimensions � 6 r= e. Number of stories? l Yz- n f. Method of heating? LA t'((��+ 6e kxl XvFireplaces or Woodstoves �•i' Number of each g. Energy Conservation Compliance. t Masscheck Energy Compliance form attached? h. Type of construction Rtv4' + i. Is construction within 100 ft. of wetlands? Yes __%.—No. Is cconstructtion within 100 yr. floodplain Yes-)(—No j. Depth of basement or cellar floor below finished grade�� `I C"i L;J-- k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank--L City Sewer Private well City water Supply SECTION 7a--OWNER AUTHORIZATION-TO BE COMPLETED WHEN ' OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 9X0� C� L � as Owner of the subject property °T hereby authorize GV' V .`QC L' \ to act on my behalf,'A II att relative or thorized by this building permit application Signature of OwnwV Date I. Ll L i'-"[C C-( 4 ' 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 /oc/- Signature of Owner pn y Date .r Section 4. ZONING AU 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 DDep�artment Lot Size I t[j 7( i ��f(' C(C 57;5 _7"y Frontage Setbacks Front Side L: R: L: 1c R: t jr l Rear Building Height Bldg. Square Footage 76& % Open Space Footage ,, % (Lot area minus bldg&paved CIO Darking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 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: 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 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only .., -City of Northampton Status of Permit: `q, t)lding Department Curb Cut/Driveway Permit 12 Main Street Sewer/Septic Availability T-1`, �--- -' j ! �Room 100 Water/Well Availability Z g Nor# mpton, MA 01060 Two Sets of Structural Plans 2C0 hone 413 587-1.240 Fax 413-587-1272 PlotlSite Plans Other Speeify 's CAfi�QI ®EA ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 ProperttV Address: i C1 Map'_�l-/�— Lot_ Unit CRA, 6 Zone Overlay District ,i"�Cc, Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 owner of Record: �Ls,2 E0 JZL U-1 Name(Print) ' Current Mailing A S. Telephone Signature (. 2.2 Aidhorized A ent: Lo I (-L�C�k�n (A&S J Name(Print) t Current Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building 3�'1 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) t Z GCV 5. Fire Protection GC>(Q 6. Total= 1 2+ +4+5 Check Number d This Section For Official Use Only Date Building Permit Number. Issued: Signature: Building Commissioner/Inspector ofBuildings Date BP-2008-0728 GIs #. COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON I ot. 001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateyorv: BUILDING PERMIT Permit# BP-2008-0728 Project# JS-2008-001142 Est. Cost: $186000.00 Fee: $1470.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: 5B Contractor: License: Use Group: R4 Paul McCutcheon 062544 Lot Size(sq. ft.): Owner: Paul C McCutchen Zoning: RR Applicant: Paul McCutcheon AT. 1526 WESTHAMPTON RD Applicant Address: Phone: Insurance: 27 WEST FARMS RD UNIT D (413) 584-3352 FLORENCEMA01062 ISSUED ON:311412008 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 1 1/2 STORY SFH WATT GARAGE/DECK 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: Fin.71: 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: FeeType• Date Paid: Amount: Building 3/14/2008 0:00:00 $1470.00313 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo