24D-309 (4) REAL ESTATE MEASURE
Website RE Property Address:
Order #RE9800-14400 88 Bancroft
Measure #10845723 Northampton, MA 1060
Measured 08107115
BEDROOM
SET
16'8 x 14'6
CLO
BATH
°- 12'2 8'0
U_
RECREATION ROOM
17'8 x 26'8
WALK-IN
CLOSET '
I `
8'2 x 10'5 � Sy.►1/ 1
LAUNDRY
34'2 x 20'0
Total interior square footage on page: 1278 sf Page 212
Measurements supplied for marketing purposes only.For full details,please visit http:/lwwcv.homedepotmeasures.com/RealEstateWarranty.htm
REAL ESTATE MEASURE
Website RE Property Address:
Order #RE9800-14400 88 Bancroft
Measure #10845723 Northampton, MA 1060
Measured 08107115
City of Northampton
Building Department
Plan Review
212 Main Street
Northampton, MA 01060
�k)
DECK
BEDROOM
9'0 x 13'6 17'10 x 13'4
DINING AREA
WALK-IN
CLOSET
O O 5'11 x6'11 BATH
LIVING ROOM 8'10 x 8'7
00 a
• KITCHE 18'0 x 25'0
FAMILY ROOM CLOSET
15'1 x 18'9 7'8 x 18'3 TIL
6'4 x 4'6
m
BATH
� r
CLOSET OS
MUDROOM
9'0 x 7'10 n BEDROOM
LIBRARY FOYER p 14'2 x 157
13'0 x 10'4 67 x 10'4 m
�Aj I.\/-,c� v
Total interior square footage on page:2077 sf Page 112
Measurements supplied for marketing purposes only.For full details,please visit http:l l www.homedepotmeasures.com l RealEstateWarranty.htm
Julie Held , B
88 Bancroft assessors map
January 5,2016 at 6:39 AM
Haven Hair Account
Hi Paul,
Will this suffice?
Zoning : IRA
Julie Held
Co-Owner/Manager
Maple and Main Realty,LLC
Cell:413-575-2374
MAPLE
and
MAIN
REALTY-
For permit:
The scope of this project is to make the house @ 88 Bancroft suit the
needs of the new owner.
The windows will be replaced using existing window locations. Several
new interior doors (for privacy) will be installed. The front door slab
will be replaced. A small, but new Y2 bath will be built in the existing
upstairs laundry room. Finally, the house will be made more user-
friendly for the new owners' accessibility issues.
,r
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 1'`' �'1
The debris will be transported by: � ,c c�
The debris will be received by:
Building permit number:
Name of Permit Applicant
Date Signature of Permit Applicant
City of Nort�ampton
Massachusetts
DEPARTIO'NT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
S'I'P 3
Northampton, MA '01060 ssv :y�lti�
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
he/she resides or intends 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 home owner."
The building 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 regulations. 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 reWred) 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 occupancy until the work can be
inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be i
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 permits
and inspections are made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
I
The Commonwealth of Massachusetts
Department of Industrial ccidemts
.. :. ...... .
Office of Investigations
x. 600 Washington .Street
Or Boston,Ml4 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): ��� Cf I .l
Address: l _'�k'I— U 2 s,,. ell-.---L'P_U o,t, k
City/State/Zip: Phone#: 5&q 3_ �__
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).
* have hired the sub-contractors 6. E]New construction
2.)I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance. 9. E]Building addition
required.] 5. ❑ We are:a corporation and its 10.F7 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I1,❑ Plumbing repairs or additions
myself. [No workers'comp, right of exemption per MGL 12.❑Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
tHo meowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lie. #: 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 to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify un rte ins and e l ' perjury that the information provided ab ve 7isue and correct.
Signature: Date:
Phone#: i� 3 S S C
Of use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License #
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Su iscr: /h) Not Applicable/£
Name of License Holder: f% 1 c�=� CS — (: E �Y
License Number
115
Address Expiration Date
Signature Telephone
9.Re` isferea_H'ome 1m' invement Contractor _ Not Applicable £
Company Name Regis ration Num er
Address f Expiration ate
Telephone-so
SECTION 10-WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(MG.L.c.-.162,§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...... £
71 = Ho:ffie E)wner�Egen�t>on
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 103.3.5.1.
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.
i
i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all apolicable)
New House [] Addition ❑ Replacement Windows [Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[:1 Siding[0] Other[p]
Brief Descripti of P osed
Work: _C�a ICJi,l.^
Alteration of existing bedroom Yes A.No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
Ea If New house and:oraadtfiodr., exl5tlng-`Frousiric,.co ipfete=fhe follawmc:
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? A— Fireplaces or Woodstoves)b(;: _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 —4 No. Is construction within 100 yr. flcodplain Yes—K—No
]. 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 CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Val S r �I l A as Owner of the subject
property
hereby authorize
to act on my behalf, in all mallers relative to work authorized by this building permit application.
Signature of Owner Date
I, CC) 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 p ' and penalties perjury.
Print Name
b 11'�'
Signature of Owner/Agent 1 67 Date l
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing ropcsed Require4 by Zoning
This colur4n to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L:�'—; R:' l L:=R:=
Rear
Building Height }
Bldg.Square Footage I YO
Open Space Footage %
(Lot area minus bldg&paved }-----
azkin
#of Parking Spaces 1---i
Fill: ('
(volume&Location) —A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW n YES Q
T— ---)
IF YES, date issued:,
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES Q�
IF YES: enter Book Page and/or Document#1
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 Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location: f
}
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO
IF YES, describe size, type and location: j
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 0
IF YES, then a Northampton Storm Water Management PerAt from the DPW is required.
I _
f
i
y
-j •.
:ji —i-rthampton i fi y epartment ;Curb CutEDrl+�eway Jn_In Street 4Vater/VeiE/vailabli 1OO y ,MA 01060 — ,__,_,.Twa,Sefsof 3t,ii�tural Piaps V
r
phone 413-587-1240 Fax 413-587-1272 Plof/Slte Plans` -"Tf 5 _ u �'
::_.�_e=:-1:
I;!
OtEi_er S :ecifj t ,
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE.INFORMATION
_ = =---Thlsaectlarrto_;tie!�c:om..le e..:,- :''o Ice
1.1 Property Address. _..._:z=�=:_.____..�_:�!:.:::_ � _ __
� � Map Lot Um
h
brA tA GV i
r
Zone '
IRA— •• _
EIm St Dlst[ict - _-_ GCB Dlstr�ct - I'' _ r
SECTION 2.-PROPERTY OWNERSHIP/AUTHORIZED.,4GENT
2.1 Owner of Record:
Name(Print) Crent Maili g Addre
t �^r�IAA� 1
Telephone
Signature
2.2 AuthorizjAAqent4
o, t � � �- S� Cr y► .
Name(Print) Current Mailing Address:.
"T
Signature Telephone I a
SECTION 3' ESTIMATED CONSTRUCTION COSTS. .
Item Estimated Cost(Dollars)to be w Official Use Only
completed bV permit applicant
1. Building �� (a).Building Permit Fee'
2. Electrical J 1 ,D (b) Estimated Total Cost of .
Construction from 6
3. Plumbing �—� Building Permit Fee
i
4. Mechanical(HVAC)
5. Fire Protection
6. Total=0 +2+3+4+5)
Check Number
his Section For Official Use'Onl
Date
Building Permit Number. Issued:
Signature:
Building Comm issioner/inspectorof Buildings: Date
File#BP-2016-0927
APPLICANT/CONTACT PERSON PAUL MCCUTCHEON
ADDRESS/PHONE 134 EASTHAMPTON RD WESTHAMPTON01027(413)584-3352 Q
PROPERTY LOCATION 88 BANCROFT RD
MAP 24D PARCEL 309 001 ZONE URA(100)/
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: INSTALL REPLACEMENT WINDOWS DOORS&ADD 1/2 BATH IN LAUNDRY
ROOM
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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO�IATION 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 Commission Permit DPW Storm Water Management
Demolition Delay
S ature of Buil mg 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.
88 BANCROFT RD BP-2016-0927
G1S#: COMMONWEALTH OF MASSACHUSETTS
Ma-.Block: 24D-309 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: renovation BUILDING PERMIT
Permit# BP-2016-0927
Project# JS-2016-001568
Est. Cost: $40700.00
Fee: $265.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PAUL MCCUTCHEON 062544
Lot Size(sq. ft.): 19427.76 Owner: HELD DORIS B
Zoning URA(100)/ Applicant: PAUL MCCUTCHEON
AT. 88 BANCROFT RD
Applicant Address: Phone: Insurance:
134 EASTHAMPTON RD (413) 584-3352 O
WESTHAMPTONMA01027 ISSUED ON.•112 7/2 01 6 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL REPLACEMENT WINDOWS, DOORS &
ADD 1/2 BATH IN LAUNDRY ROOM
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:
FeeType: Date Paid: Amount:
Building 1/27/2016 0:00:00 $265.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner