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10B-084 (2) 220 MAIN ST-LEEDS BP-2022-0048 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: l0B-084 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-2022-0048 Project# JS-2022-000081 Est.Cost:$16800.00 Fee: $107.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MRJW ENTERPRISES INC 013471 Lot Size(so.ft.): 6098.40 Owner: MACDONALD MICHAEL A Zoning: URB(173)/WP(173)/ Applicant: MRJW ENTERPRISES INC AT: 220 MAIN ST - LEEDS Applicant Address: Phone: Insurance: PO BOX 951 (413) 268-2028 O WILLIAMSBURGMA01096 ISSUED ON:7/19/20210:00:00 TO PERFORM THE FOLLOWING WORK:GARAGE RENOVATION ONLY 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 Signaturi' FeeType: Date Paid: Amount: Building 7/19/2021 0:00:00 $107.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2022-0048 APPLICANT/CONTACT PERSON MRJW ENTERPRISES INC ADDRESS/PHONE PO BOX 951 WILLIAMSBURG (413)268-2028 Q PROPERTY LOCATION 220 MAIN ST-LEEDS MAP 10B PARCEL 084 001 ZONE URB(173)/WP(173)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST E SED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 1 Building Permit Filled out Fee Paid Typeof Construction: CONVERT GARAGE INTO STU DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 013471 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: Approved x 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 I ei ey Si6/A _ ature 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. Department use only City of Northampto � Status of Permit: Building D9Oart nt 410 1/. . Cut/Driveway Permit 212 Ma n S t j • -ptic Availability Room 00, ` ? W er/We Availability Northampton, M o Se of Structural Plans • phone 413-587-1240 Fax 41 $ Plot/ e Plans �'q AFcr Ot r Specify onoO s. APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVA OR MOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 2 Z .,.- S T L it it s /1"7.4- Map t 0'/ Lot js cf Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: /N r z-z S' Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Anent: /� .4o r� :1 Ike. 1-6 aior.7.. 4.,r5 /*2J/7 c1/ /'• rJ . ///.�.-�r /��� '7 •s7,4 Name(Prin Current Mailing Address: 2 67 b - Z v 2.e.Y Signatur Telephone SE 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building r-C' D O a, t;,, (a)Building Permit Fee 2. Electrical / Uci, p a (b) Estimated Total Cost of Construction from(6) 3. Plumbing ^,./,g Building Permit Fee / V 7 4. Mechanical (HVAC) 5. Fire Protection / 6. Total = (1 +2+3+4 +5) /c.,. Fr 'c'. E'n Check Number /'') This Section For Official Use Only BuildingPermit Number: V/' }- Date 11 Issued: Signature: / �Q �I it GrTwaGr RE Uyon)u Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 1 Lot Size Frontage Setbacks Front Side L: R: as' L: R:Fts#1 �1 I Rear .l 1 _1 Building Height Bldg. Square Footage ' 4 J Open Space Footage (Lot area minus bldg&paved f parking) #of Parking Spaces Fill: =j (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 O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0 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 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 ICJ 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 ❑ Addition ❑ Replacement Windows Alteration(s) ® Roofing n Or Doors El Accessory Bldg. ❑ Demolition El New Signs [0] Decks [04 Siding ID] Other[ID] Brief Description of Proposed Work: Cn,vvr2/�/,.q �v / -A' 4-1-�-��vt�.�, Li':/f/ AO/2 /C Alteration of existing bedroom Yes X. No Adding new bedroom Yes X. No Attached Narrative Renovating unfinished basement Yes X 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? 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 WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT tv CR!\(_%AKE ALR/7' , as Owner of the subject property hereby authorize 71?/Z 7 Gt/ /�^r%r���n� z•2,L��: ;1 /"lr.�. t'd'`7 to act o my behalf, in all matters relative to work authorized by this building permit application. 1. A. / �i , Signature o iwner4 Date 7 g Z I, 4v cam;s 732 r l `J /Jim s' , 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. /O7' s /7v:V760of1 -7' Print Name Signatu� of Ow /Agent Date / - SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: /Oil/ S .✓ /'✓jOniTmdrimy• d/ 3 ' 7 / License Number / 0 - ,I14- 0/097, ////1/4/ Address Expiration Date ` 7 2GfS - Za2v' Signature Telephone i 9. Registered Home Improvement Contractor: Not Applicable 0 �ll yr"J ✓ iv/ o0. , y /7,3 g// Company Name / Registration Number c{, <( Pc?' 6._7z 7 / -`3 Address Expira ion Date 1.Ar /S ci rt ,/71.7-, er/v 1 fr Telephone 2 G b 2 p 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 0 No ❑ The Commonwealth of Massachusetts c* 1►— /, Department of Industrial Accidents I. ;�[,►= 1 Congress Street, Suite 100 • — t Boston,MA 02114-2017 4{ sp w ww mass.gov/dia _y,e Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with employees(full and/or part-time).' 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. N. Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition 10 Q Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.5a We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire 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.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 to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and penalties of perjury that the information provided above is true and correct Signature: Date: 7/ / Phone#: f/' 3 -- Z. 6 b — 2 c� 2 . Official 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#: City of Northampton oi . ..:"."....s. % Massachusetts ��45'.. ,..•'•figs it �.. DEPARTMENT OF BUILDING INSPECTIONS Di 4-\� 212 Main Street •Municipal Building YJ6. O� Northampton, MA 01060 �shr—• jx^ Debris 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. The debris from construction work being performed at: Z c) ,74,o-, S T L--2-•,7'f (Please print house number and street name) Is to be disposed of at: j/ //a y . t yc„/••s, (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) -;" -7 /-// Signat J Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. 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' •• ,• '; 4P;41,',A.-"*NLit," `s';-'r _1-=I to' - 4 J(a prR4,/,' s 3 /o soma Tub ES Err S S,C/i-s 0ia ` 02a(Ay a Sill/45 ,,/ ,,/ S �` tv U a �`-,• T lc. , d'C' i ___J ___________T_____ __-i____—_ -I- .c zT r S/,ol,.� Aoof TNty/,s A na•, I4, 0,./k-4,. 6 itHi tvea1/s kl J x- i g U /i.. c ,/i77 s' * � � ts,, P5 °,4 tA i I 41 iyc r1_, Toiv, LP rtid�o _______j ki wl,,,dou/S Z, fei yips o,e 2 ''4,f et, ; r's1 /T s/e.vo itn s o c'47ie.. /,raw 3Ga , If-------------Th, 4 . /<e 1 Fail' 7i ia9, 4,Y,( /n4-.f'd N'/L- bt/'Q,/ 7 / . // I.' ? x s ,s? .`` Ov/.'.4.-N, -41 scow o jo/26-e, -", 7 • , �9P 5,3 1 KNOW ALL MEN• BY THESE PRESENTS, THAT I, LAURA BARR, also known as r LAURA E. BARR, f .;1 40 of 220 Main Street, Leeds, Hampshire County,\Man.achu.etts, , being unmarried,for the full consideration of FIFTY TWO THOUSAND AND NO/100 ($52,000.00) maid to grant to M.ICHAEL A. MACDONALD and MARGARET M. ARRAJ, Husband and Wife, • w and to the survivor as tenants by the entirety, Dom, m by the i t both u of 8 Nonotuck .Street, Northampton, Hampshire County, Massachusetts q m . m with 6:arranty co8rnantoVitYliNithtt ra • venant E • Two certain tracts or parcels of land with the buildings thereon, 07 situate on the Westerly side of Main Street in the Village of Leeds, in ticeto a said Northampton, bounded and described•as follows, viz: rice to , u provi- - 'a FIRST TRACT•: A certain tract of land with the- building thereon, beginning at an iron pin on the Westerly side of Main Street in Leeds, nilthe u the same being Northeasterly corner of the lot hereby conveyed; thence_ Eton. ;; Southwesterly parallel to and thirteen and four tenths (13.4) feet . rre(3) m from the Northerly side of the house. #220, on the conveyed premises bllow. • S. 71° W. about sixty-six (66) feet to normal high water mark of the mill pond belonging now or formerly to the Corticelli Silk Company; ingon thence Southeasterly about one hundred (100) feet along the said high • water mark; thence N. 67° 54' E. perpendicular to the said Main Street mountN about thirty-nine (39) feet to the said street; thence Northerly one N . ^' hundred (100) feet along the said street to the place of beginning. Period 2 Subject to the right to cross the within premises reserved by•the heat c Corticelli Silk Company and the right to the .Corticelli Silk Company sofa < to maintain. power transmission lines along the Southwesterly side of a rate • the granted premises, and also subject to right to the City of :upied Northampton, if any, along the Northerly end of the granted premises, d (the 2 all as set forth in deed of the Corticelli Silk Company to William L. :most X Gougeon et ux, dated October 17, 1931, recorded in Hampshire County Registry of Deeds Book 875, Page 419. more SECOND TRACT: A strip of land located Northerly of the first above described tract, bounded and described as follows: Beginning on the tterest Westerly side of Main Street, in said Leeds, at the Southeasterly >, corner of land of Leeds Realty Corporation; thence running Westerly . upon " along said land of said Leeds Realty Corporation seventy (70) feet, L. more or less, in a straight line to the high water mark of said Mill dncss ° a River, said straight line being fifteen and four tenths (15.4) feet a Southerly of the Southerly end of the building on the premises of said from eairin Leeds Realty Corporation; thence running Southeasterly along said Mill River twelve (12) feet to the first described tract; thence running Easterly along first described tract sixty-six (66) feet, more or less • in a straight line and parallel with the first mentioned line, to a point on Main Street, which point is twelve (12) feet Southerly of the point of beginning; thence running Northwesterly along said Main - • Street twelve (12) feet to the point of beginning. uscus Said tract being a portion of those premises conveyed to William L. Gougeon et ux by deed of Belding Heminway Co. dated December 29, 1932, and recorded with Hampshire Registry of Deeds, Book 885, Page 494. cured Also see Plan of Land belonging to Wm. L. and Cora M. Gougeon, dated December 31, 1936 drawn by Davis Engineering Co., recorded with Hampshire Registry of Deeds. For title, see a deed of Walter J. Berniche and Mary M. Berniche to — me recorded in the Hampshire County Registry of Deeds, Book 2183, Page 170. Subject to mortgage to the Florence Savings Bank dated September 12. 1G tt recorded in 'Book2183,Page 172of the Hampshire County Registry of Deeds, which the Grantees expressly assume and agree to pay. d• "• COMY�ONWEAl7H OF M ASSAC1fJSFTT3 m �,tEi f �'-' t18. 56 x k - - c. ��J 1