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38B-002 (4) 24 PAQUE[TE AVE a BP-2007-0103 GIS#: _ OF MASSACHUSETTS Map:Block: 38B-002 CITY Of.NORTHAMPTON Lot: -001 Permit: BLIiidiw Category:_ OU114DING RMIT Permit# BP-2007-0103 Project# _ JS-2007-000156 Est.'qqr%27500.0-Q Fee:j 1�io.D FERUlSS.IOLY 1$HEREBY GRANTED TO: Const.Clans: Contractor: License: Use Group: CHESTER J MATY" 048597 Lot Size(sq ftl 106722.00 Owner: WALL,;'•;:__: °.rARD R&JEAN M Zoning _ ,'_ Applicant: r;ZEST R J MATYS A?: 2A RAQU'L-' i L,VZ ALcc�ier�1ddrPss:- i Phone: Insurance: 179 LOWER RD_ -11.3)625-Rt'_4 WC BUCKLANDMAO-1338 ISSUED ON.8181206 6A-00:00 TO PEFcFORi✓1r ?HE FOLLOWING WORKIREPLACE ROOF OVER SLAB, ADD 10 X 10 DECK',SHEETROCK & INSULATE, REPLACE IS-- FLP, JOISTS & ADD NEW CARRYING BEAMS & LOLLY COLUMNS, REMODEL KITCHEN & BATH, REPLACEMENT DOORS(DECK MUST REMAIN OPEN) -v t POST TAV.; CARD SO IT 1 VISIBLE FROM TFIFI'STREET Insl.eC1Gf of Plumbing Inspector of Wiring D.P. Building inspector Underground: Service: Fbotings: -- Rough: Rough: House# Foundation: Drives ay Final: Final:/ "/g -b? Final• l , Rough Frame: it Rough: Oil: /`2 ` Insulation: Fina: Smoke: Final: O(< O t/Z6 i(o 7 LA(A t S !'HIS PERMIT MAY BE 1 REVOKED BY TIi CIT OF NORTHAMPTON UPON VIOLATION OF � y ANOrT ITS RULES AND ItEGULITION Certificate of Occup-1nc ; — ----- nE ature_ Die Paid: Amount:i Building 8/8/06 18,0-00', 1507 212 Main Street,Phone(4,13) 37-1240,ra.j: (413)5S7-1272 Bili;ding C'ommissio0er-Anthony Patillo ,•• a,. ` �<-M.A- t TTI R.flftOL, TAtt,S MO wF t ., S'• v � 2%i M, '27 � �g'�rt lb a ��SS ,a ,t � »�5• �P Y a>•F 4' w +t < 3 m%S t r a ��rsY P BP-2007-0103 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2007-0103 Project# JS-2007-000156 Est. Cost: $27500.00 Fee: $180.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CHESTER J MATYS 048597 Lot Size(sq.ft.): 106722.00 Owner: WALLACE GFRARD R&JEAN M Zoning: URB Applicant: CHESTER J MATYS AT. 24 PAQUETTE AVE Applicant Address: Phone: Insurance: 179 LOWER RD (413) 625-8634 WC BUCKLANDMA01338 ISSUED ON.8/8/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE ROOF OVER SLAB, ADD 10 X 10 DECK,SHEETROCK & INSULATE, REPLACE 1 ST'FLR JOISTS & ADD NEW CARRYING BEAMS & LOLLY COLUMNS, REMODEL KITCHEN & BATH,'REPLACEMENT DOORS(DECK MUST REMAIN OPEN) 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: 212 Ma Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2007-0103 APPLICANT/CONTACT PERSON CHESTER J MATYS ADDRESS/PHONE 179 LOWER RD BUCKLAND (413)625-8634 PROPERTY LOCATI04V PAQUETTE AVE MAP 38B PARCEL 002 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out og=a 4L Fee Paid T_ypeof Construction: REPLACE ROOF OVER SLAB ADD 10 X 10 DECK SHEETROCK&INSULATE, REPLACE 1 ST FLR JOISTS&ADD NEW CARRYING BEAMS&LOLLY COLUMNS,REMODEL KITCHEN&BATH REPLACEMENT DOORS New Construction Non Structural interior renovations Addition to Existing - Accessory Structure Building Plans Included: Owner/Statement or License 048597 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFfiVRMATION PRESENTED: V 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 c9le 120cJ�7 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 sof 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. x ,-City of Northampton w " Ouilding Department 212 Main Street ` Room 100 Northampton, MA 01060 phone 41`3-587`-1240 Fax 413-587-1272 t APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE,OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: �' r phis at o to a co>ixtpfd'd byoffi- (aMaP # ` ' llnrf Ovei3a�}��s�rct SECTION 2-PROPERTYOWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: LL �� IG<I H Name(Print) ` {'�-�.� < �� ��b., 5 '�t_L Current Mailing Address: ' 413 gas 39at Telephone Signature 2.2 Authorized Agent: •�O�vtwara—t3a2�aann ��ag��ar�-}- `moi W S�ca.�e�,.,a<<1p�. AS4,4�r�i. v+na•©i3�o Narr�e.,(Pn�n,,� Current Mailing Address: �r ��� 1� 413 C-48 Signature Telephone SECTION-3-ESTIMATED.CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (aj Building Permit Fee 2. Electrical (bj.EstimatedTotal-Cost'd moo •`ten Constructionfrom 6 3. Plumbing goo . Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number f This Section For.Official Use:Only Building Permit Number. Nate Issued Signature: Building Commissioner/Inspector of Buildings Date r 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 r Frontage Setbacks Front `jv -Ak,-c Side .41i I.AO R: 741 L:f— R:` -p —1 TO Rear -to(of q t'---C- Building •tBuilding Height / _..�..5 Bldg. Square Footage % s 3 Open Space Footage % �q (Lot area minus bldg&paved j 1 % p parking) #of Parking Spaces Fill: volume&Location i A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 0 YES 0 IF YES, date issued:! i 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 E) DONT KNOW 0 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 i 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. SECTION 5-:DESCRIPTION OF PROPOSED WORK(check ail adplicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing F-1Or Doors Accessory Bldg. ❑ Demol•ti n ❑ New Sign [O] Decks Nr Siding[0] Other[E] Brief Description o sed Work:Tt¢P $� Alteration of existing bedroom Yes a _No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet ,-� �r `��' =.�':— 7. :. t;a f fVeuvr'[iocrse and ora di ro>,�to existIM ousit5' �ttio 6 W§ oL[arnr Q 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. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION TO BE COMPLETED; I EN OWNERS.AGENT OR CONTRAPTOR.APPLIES FOR BUILDING:PERMIT as Owner of the subject property hereby authorizec_ku ' 0 bbeehc la f, in all matters relative to work authorized by this building permit application. Signature of Owner Date 66 I, _G*4057OM J ' ►t.c S C`� ,n rv\,,i,y'-!2,e k-`— as Owner/Authorized Agent hereby declare that the sta ements 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. c N �-► Frz rn A`t;iS c� �c l� C-) Wti+AN 4 F/C Print Name Signature of Owner/Agent Date K +� �Y 'SECTION 8-CONSTRUCTION SERVICES 81 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: C 7,/ aZ r k 41–r4ll-<� �p 0 u 2{-- �1 7— License Number AddrejK Expiration Date Signature Telephone eQtSteTe{1s 1IIf31 I1I3DTU $til Ct=t.`Ldt dC @f:� Ty k ,.` Not licable_0 sl�� a pp Ar Ya N it 77L I. Company Name Registration Number Address Expiration Date Teiephon4( LL—It-l-�" 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...... ❑ e'er as eek � ... .y�'��°.� �rc 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 r 0 ttivtf pi p � Q y E rZ csntcr}l asrlta' _ DEPARTMENT OP BUILDr7\1C JNSPPCT101.'S 212 Alain Strcct Tlunicipal mudding Nort.hampton, Mass. 01060 WG IUCE R'S MO'M ENS t3.=N MSU A-N CF- Al,I�'II A VIT o C, �,, {iiays^xlperinatt'rx} ILL a principal placce of businesslresidencc at-. U c!W P vr-) Ink 0133 . (pnonc--') _q/ . tscl-e�z/city/scas.c•/zip} do hereby ccrt,, under the puns 4ad pen2lties of perJury; _hal I am an employer providing tyle follo%vif}L «•orkces comoccoverage:ioP coverage for 1ny erttptovices worlong on u}is job: 44c rA S VY_ X74- [ —O b 0 p (Lasuiam= Comte) (Policy N-u-nabrr) --- (r;pirtioa Date) ( } I atn a sole propl;ctor, geaeral coorr-acxor or homeowner (ci:cie one) and have hired the conuat=lors listed below rqbo have the `allowing worker's comnensaaon policies: (damn of coninci0r) In_ } ") T\r rr) n� D-11c) ( RranL;; COenpaa•t /!Gtici t1LTt._... (Y_..:JtiJL_c. (Name of Contractor) (I)sarancc Comoan}vpOUC NUMB-Zr) (ExDiradon Dale) (Name of Cannaaor} ranG` Comjun)/PoL e} Number) (Expirdoo Dare) (Name of Contractor) (Insltran Camrat7ylPoticy Numb r) (Expiration Dale). (ntucb nd�i::aral c5cct.ifaa---•-tica asccu�iaforsuaoc pcs.niazrig to.II cx,�xr..cacs} ( ) I am a sole proprietor and have no one wor4dog for me. ( ) I am.a home owner performing all the work myself, NOTE:plc.=be marc ti­- 1 1c 6evxr ,vvcr,u'?o=zPcrf pczoas to c5�ca -• cer_—,=oo cr rc ma--ork oa a d..Yt_:-. of oat =k,is t bcb the bom.--.a=rcida or oo the p-o,,o z�p�zrtea:r�tbec er we C-..k:.Ay o-er'd=ed w be cixploycs uadc the . `m -,:ca Act(GLI S2aS(S)� a{apliratioo by n bamcoaac fcr a lick=or permii cry cv46—the IcVJ nano of ns-=Ployx aodcr dw Work ec Cocapoas,tioa Ac[ 1 uadcrzuad dad x copy of thi.2atcoxsi r y bo for�tc kb.D}poftma^at of I.o&cX i4 Ac d==,OCGo or ia.�for tb. oovg^> vciGcxt oe,t_rid UL-1 f:iJzxc to stxixrc tavcZ a "trier ICC600 25A of hjoL 152 csa lad to tba ixpaxt<ioa arcimiozr pcai - oocd==gg of a fiat of up to S 1300.00 IrYor iazp-�o(UP to one yrs t.nd CiN it prnnkia is cx form ora Stop Wort;Order aad a f=of 5100.00.ciy cPimx cce For dGa.rtm�.�3 u,c only (crmjt NLLML—r Lot taig)azwnc-c)f Li tt= ��n�rpr u GILTS of Wart4ttntp#n z � �iGlassxct}usefte _ DEPARTMENT OF BUILDDT,G INSPECTIONS / f INSPECTOR 212 Main Street i Municipal Building '>a ~ Northwnptcm, MA 01060 , 5 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to act as 1-11s/her construction sup,-., , Sor. Tlie 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 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 occupancy 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 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 ---- ►. -- _ -... - - - = -_-- _ - =_-- - s 3�- -- - -- - •� e --_ - - / .......... - _-= - -_= - kv CIO TRUSTEES OF THE SMITH COLLEGE B // o BOOK 766, PAGE 181 a Y, BOOK 766, PAGE 223 40 o BOOK 1614, PAGE 689 BOOK 1620, PAGE 22 e BOOK 3490, PAGE 306 PLAN BOOK 80, PAGE 44 f /. PLAN BOOK 164, PAGE 82 sk- Ir MASSACHUSETTS \ NZ o5.6 STATE PLANE /Gi• po / .:::1 �tu COORDINATE SYSTEM i N 2940683.57 E 347436.90 h`2p• t. !'' 4� - 2 cp � � 1 � _ I 8.9.421 ° t TTS ELECTRIC COMPANY 1605, PAGE 375 s PLS NOi nFratl L 4-A (33aY'-s A- 14. J, +V6 a Tuts )Q CA( -ZI 31) oOct- 4o( ° a� r xu� fee � h¢N C) �►� v eR 0 R twoell O'j � , ooll lotILA�� Q N J � io , \see r� goo Ttov -° w'A!l mac.m - -- - — • 1 L-TA)DA T 'rox Li Os to 21-411 1(3eKITCHENLO BATH Ld41 i 2 0-7 .l NT LO co LIVING ROOMN .-. .— . ' ---- UP DINING ROOM r f 0 G( f 111 V C LO m m CD