29-174 (3) 81 DEERFIELD DR BP-2017-0198
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-Block:29- 174 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
CateQorv: Deck BUILDING PERIVIIT
Permit# BP-2017-0198
Project# JS-2017-000331
Est. Cost: 543100.00
Fee: S65.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RICHARD PARADIS 100245
Lot Size(sq. ft.): 20778.12 Owner: CALLAHAN DAVID A&BETH M
Zoning: Applicant: RICHARD PARADIS
AT: 81 DEERFIELD DR
Applicant Address: Phone: Insurance:
322 FORMER RD (413) 535-7006 WC
S O U T H A M PTO N M A 01073 ISSUED ON:8/25/2016 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT DECK & SCREEN PORCH
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: FeeTvpe:
Date Paid: Amount:
Building 8/252016 0:00:00 565.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck- Building Commissioner
at ,
File#BP-2017-0198
—3:ula
APPLICANT/CONTACT PERSON RICHARD PARADIS
ADDRESS/PHONE 322 FORMER RD SOUTHAMPTON01073 (413)535-7006
PROPERTY LOCATION 81 DEERFIELD DR
MAP 29 PARCEL 174 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ,,//r
Fee Paid r . 51 Yi{R7
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT DECK& SCREEN PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildingers Included:
Owner/Statement or License 100245
3 sets of Plans/Plot PlancAlti
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INVORMATION 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
D--'Iition Pelay
zoter
2T H 777 16/
Si' a o- I Sitding Officia 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.
RECEIVED Department use only
City of Northampton Status of Permit:
1-1-4/Ti 52016 Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 watermea Availability
DEPT.orAMPlOpwsceCnowaNORTHPTON,MA 0100D Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 PIOUSite Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
/tom-1
SECTION 1-SITE INFORMATION f ` o//r f%` KS
Th
1,1 Property Address: is section to be completed by office
1)ee r-Fi{? I C� J)Y-, Map Lot Unit
Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT /
2.1 Owner of Record:
_ba✓ ( fa ( j,t.n R7 n''er7-IP_jl/ �r..
Nome(Print) Curregt).1pat Add sk 1.4 c / /
Telephone E' 7
Sure ......
B.,2 Authorized Agent:
39-:, F, i e.r pet..,
Name(Print) Current Mailing Address
L1i3' SSS- 700
Signature Telephone
SECTION 3•ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dopars)to be Official Use Only
completed by permit applicant
1. Building J' 171/J Jo( (a)Building Permit Fee
2. Electrical .? /0). 06 (b)Estimated Total COM of
1Construction from 46) d./
3. Plumbing f s-es D Building Permit Fee �yi t-'
4. Mechanical(HVAC) YN
5.Fire ProtectionIS
6. Total=(1 +2+3+4+5 $ 1"-N3, 100 Check Number
This Section For Official Use Only
Building Permit Number:
Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION 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
� HG r-Fl e U( Dr, Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
n
Name(P ) arregt g Adaress�
,� �' rn s7LI- a27,�
Telephone
Signature
2.2 Authorized Agent:
:39-11 VC UV-FL r i2,t
Name(Print) Current Mailing Address:
(Y .5S IS-- 70104
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building j' I/ Lir( (a)Building Permit Fee
2. Electrical Q (b)Estimated Total Cost of
'* �'�' 1 Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) /-/ , / 00 Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
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
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW ® YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO CO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O NO e
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5•DESCRIPTION OF PROPOSED WORK(check all applicable)
New House D 1 Addition ❑ Replacement Windows AIteration(s) Roofing in
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [q Siding IC) Other[C]
Brief Description of Proposed _
Work: rid S:tuQT ' C ,l CN' cB $ �— C:�Cd3>✓ : 'L.,?
Alteration of existing bedroom Yes > No Adding new bedroom Yes tat No
Attached Narrative Renovating unfinished basement Yes ,M No
Plans Attached Roll -Sheet
6a. If 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?
to. 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 CONTRACTOR APPLIES FOR BUILDING PERMIT
I, ]}Av i!a t$tC A A' ,as Owner of the subject
Property ,n
hereby authorize kRin: r � KA-12.1.-65
to act on rtryleall matlerualadve tp ork authorized by this building permit application.
Signature of Owner Date
I, t;&h''.a 4.44as _....... ....... _,as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
es
5_
Signature of Owner/Agent Date
SECTION$-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House Q Addition ❑ Replacement Windows Alteration(s) ❑ Roofing in
Sr Doors 0
Accessory Bldg. C Demolition El New Signs IO] Decks [Js, Siding(DI Other(Of
Brief Description of Proposedp �
Work: LbN9fBe6T °JO cc Tyr r_s \ coo f C jGQQti /Cts
Alteration of existing bedroom Yes K No Adding new bedroom Yes X No
Attached Narrative Renovating unfinished basement _Yes X Na
Plans Attached Roll -Sheet
6a.If 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.
I. Septic Tank City Sewer Private well City water Supply
SECTION la-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, r�+v tr1 t�Rtt R Nflr1 ,as Owner of the subject
property /f
hereby authorize _2__ { ,{JU
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature
�of Owner Date
I, ri rGYl!]/O PPR(lt$ ,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.
h'icHatl PhDs
Print Name
��— 7-561--/‘
Signature of Owner/Agent Date
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
100245 09/24/2017
Richard Paradis License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) _
322 Fomer Road
No.and Street Type Description
Southampton, 01073 0� Unrestricted(Buildings up 10 35t000
outhampt StMA ■t Restricted lffi2 Fancily Dwielliny
CMa al Mason
$1 Roofin Covering
a Window and Siding
Mill Solid Fuel Bunting Appliances
413635-7006 dcparadis@yahoo.com insulation
Tele(hone Email address IIII Demolition
5.2 Registered Home Improvement Contractor(HIC)
176404 06/2012017
Parade Remodelling and Building LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
322 F91ner Road ncparacim@yahoo.com
No.and Street Email address
_Southampton MA 01873 413535.7008
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GG e. 152.g 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 0 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Richard Paradis of Paradis Remodeling and Building LLC
to act on my behalf,in all matters relative to work authorized by this building permit application_
Print Owners Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES: a....
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC) Program).will not have access to the arbitration
program or guaranty fund under M G.L.c. 142A.Other important information on the Ii1C Program can be found at
www.muss.nov/oca Information on the Construction Supervisor License can be found at www.mass,gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) j(including garage,finished basement/attics.,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number-ofbedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
1q Footage- may be substituted for "Total Project 3. "Total Project Square Ponta Cost"
•
„_ The Commonwealth of Massachusetts
► Department of Industrial Accidents
*t Office of Investigations
II 600 Washington Street
Boston, Mass. 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual)_Paradis Remodeling and Building LLC
Address:322 Fomer Road
City/State/Zip:Southampton, MA 01073 Phone#:413-535-7006
Are you an employer?Check the appropriate box: Type of project(required):
I.Cif am an employer with 4 4.0 I am a general contractor and I 6.0 New construction
employees(full and/or part time).' have hired the sub-contractors
72.0I am a sole proprietor or partner- listed on the attached sheet Remodeling
ship and have no employees These sub-contractors have 8.0 Demolition
working for me in any capacity. employees and have workers'
9 0 Building addition
[No workers'comp. insurance comp. insurance. t
required] 5.0We are a corporation and its 10.0 Electrical repairs or additions
3.0I am a homeowner doing all work officers have exercised their ❑plumbing repairs or additions
myself [No workers' comp. right of exemption perm MGL
insurance required]t c. 152,¢ 1(4),and we have no 12.0 Roof repairs
employees.[no workers' 13.0Other
comp.insurance required.]
"Any applicant that checks box al must also fill out the section below showing their workers'compensation policy information.
}Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contactors that check this box must attach 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. Acadia
Insurance Company Name:
Policy#or Self-ins. Lie.#:WCA-5154474 Expiration Date:06/20/2016
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 seeur (foverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a fine
up to$1,500.0 a$id/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of
$250.00 a daglinst violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the
DIA for cov _sit verification.
I do herby' r ffX under the pains and penalties of perjury that the information provided above is true and correct.
i.
Signature.' / Date:
Print Name:
1
icllard Paradis Phone it 413-535-7006
Official a onA, Do not write in this area to be completed by city or town official
City or Town: 777777 Permit license#:
Issuing Authority(circle one):
].Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact person: Phone#:
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: t ?Fie) A4i✓C
The debris will be transported by: AM/Xs /&NoDafti&
The debris will be received by: ✓ALCe7 d &itJG-
Building permit number: 41,0140:_s
Name of Permit Applicant ,Qcngo
7-3o-r6
Date Signature of Permit Applicant
7282016 Northampton,MA:Residential Properly Record Card
73.5Qd°Art
Descriptor/Area
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Notice
The information delivered tnrough this or line database is provided ir the spirit of open access to government .ntovmat .r and is
intended as an enhanced service and convenience for citizens of Northampton, MA.
The providers of this datasase: CLT, Big Room Stud:os, and Northampton. MA assume no Ilabd ity Tor any error or ov om.ssion n toe
Information provided here.
Currently All Values Are Finalized For Fiscal Yr 2016.
Comments regarding this service should be directed to: jsarafircanorthamptonassessor.us
ROOM
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ris map is intended for general planning purposes only.
t is not to be used for boundary determination,conveyances,or accurate measurement purposes.
t contains errors and omissions.
ndividuals requiring an authoritative property boundary or other location must retain the services of a professional land surveyor.
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