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25C-189 (2) L iI 1 I I i i I I I , I , ort� ' r I I i, i I 7 i . f I Y I DO ro ;A : ��" 1 pp �t �` r � - : : i ! �� � � �� � � fit--• ' ���� � --r 4 (Orr, I � a k I — hQ NJ i $ C71z �`S 4 x ✓'°' ll1j , r b . , ,i I i ro i i I i c+l , � f n /! I" t _ _- __.... _ ., ..• _�., _... -__._+--xtr _._ _ � _ it ._� _. 41)ro roll A j i i I 1 - I GAp�AG� BIZ �I�zo ArnICK � Metcalfe Associates Northampton,Massachusetts 01060 N x �X15TIN6 HOU51� 00 - � a� � X � n R 7� PALM V O O O rt x BIZ FiTZi�A1I?ICK ► Architecture Associates Interior Design 38 HUHLANP AVM 142 Main 51r el NOF,fHAMP-rON, MA55. Northampton,MassachuwUs o1o6a (413)586-5775 twm30javanet.com Soo •d wdcygr8o ZotSolTT SLOT 884 STtt 5u!PI !n8 filunoo_i.ay 7, � \. t . SCR .4� A y o� � 4y 7S 77 LIZF p Q��'� ,etca I fe �ciates 1 ��I / \ I I\��� � Architecture �1�1 Interior Design 38 H16H�A P AV� 142 Main street NOF,THAMPTON, MA55, Northampton,Massachusetts 01060 (413)5865775 twm3�javanel.com ZOO 'd uid56:80 ZO/S0!TT SLOT 984 STt 5uiptine fiiunoo_ i.,al -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED FF�c i TO: UMASS/FIVE COLLEGE FEDERAL CREDIT UNION & FIRST AMERICAN TITLE INSURNACE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 !%n -NOTE- SURVEYOR: ,\ �• THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY -MORTGAGE LOAN INSPECTION PLAT- NORTHAMPTON,of ,BSc NORTHAMPTON, MASSACHUSETTS RAND/U.L yes PREPARED FOR E. -4 ELIZABETH B. FITZPATRICK v IZER y #35032 SCALE: 1 "=20' MAY 9 , 2002 SURVI-'o HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS 4�HAMPJ0 � �° afl (rz� laf �laz�E��nt��an - aB jffiassxc4n%ct1a e Q't DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building 'o Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFMA.VIT (1i ceuserJpeTmi ttec) with a principal place of business/residence at: (phone#) (street/city/statf/ap) do hereby certify, under the pains and penalties of pequry, that: O I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) O I am a sole proprietor, general contractor homeowner "rcle ce) and have hired the contractors listed below who have the following wor e s compensation policies: (Name of ontra r) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml sbtd ifnoot=Ary to include inforrnatioa pertaining to all ooa4ac ors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ pasom to do ma,,rr,,.,,n corxst-Uctioa or repair work on s dwelling of not more than thrre unit,in wtrich the homoowncr resides or oa the UVjjjd3 appurtenaai tbcnto arc no(gcmmny coosidard to be employers under tho work campcus4oa Act(GL152,sa 1(5)),rW cation]ry m homoowncr for a license cc permd msay cvidenoe the legal ctatun of an employer under the Worker's Convtmatioa Ac(. I understand dirt a copy of this etatemcnt may be forwarded to the Depert nm of Industrial Accidea&Offroo of lasur*noa for the covcmge va-Ticstioa and that failure to scant covenTo tnsdc r scctioa 25A of MGL 15Z can Icad to the in>posi -of criminal pcmalt:ca oomisting of n fne'of up to S 1,500.00 and/or imprisoatnau of up to one year and civil pm&lties in the form of a Stay Work Order and a find of S 100.00 a day&gains!me For depntrn­W LLfe only permit Number Mao Lot# Signature Licezwipermittee I Date i ______ {. I4' i /. 1 4 I i� � / �� �! �� //, \` � � � �� 4 � � � i 4 �"1 � .l 1 �, i �� � �� ,� ��, �� SECTION 8-,CONSTRUCTION SERVICES 8.1 Licensed Construction Su ervisor: ,x i" iF $" Not Applicable ❑ Name of License Holder : D k! QA License Number S01&T, Kaly� M () `-7 i- 2-7 Address Expiration Date Signature Telephone 09 I. t'rr" 1r e r ��>� _ NotApplicable ❑ Company Name Registration Number Address Expiration Date Telephone 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...... ❑ 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. q Homeowner Signature ��' SECTION 5= DESCRIPTsION OF°PROPOSED WORK(cheek,all applicable). New House ❑ Addition ❑ Replacement Windows Alteration(s))4 Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work: Aar A�t<'.4�tri1 r for 2� pyf r0�(4e. 153 f �C'1�P.s'- br2d✓(ITM -af tG�e�t Alteration of existing bedroom X_Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll 1) . SheetA 5 �'� Z niv� ,lryyvct, j�� �(cm . 6a, If N6 6, 1 '6t 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. Mascheck 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 O,R':CONTR'ACTQR"APPLIES-FOR BUILDING PERMIT' as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 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. 1_ — Print Name ` Signature of Owner/Agent Date t Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size t, Z ��(j L U Frontage Ot Setbacks Front U 4�IA I AA) (0 (!-I`�� kille Side L: R: L:( r5 R: lL9 Rear go Building Height Bldg. Square Footage Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces s fpurvt= 3 : cc — (cite 9ctrcc.V b v4 i 1 W I064tix Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? "� NO— DON'T KNOW YES IF YES, date issued:-:a2l IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW'Y, YES IF YES: enter Book _ Page and/or Document # B. 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: C. Do any signs exist on the property? YES 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 t< IF YES, describe size, type and location: -- pity Northampton FBRI, g Department Main Street NOV - n. '=Room 100 L ry��Nord 'd pton, MA 01060 phone 413x58711240 Fax 413-587.1272 PIo, Slte APPLICATION TO 60NSTRU7 T, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section &be campI ' ed b �ce 1.1 Property Address: 4 r � 31/.� i �t C p Leo#� �lltit r� Zone Overlay"Distrt�ct .. . Elm St District CB'District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: t:7-('I ttt Ise. 1J. f�� a fi^c. - � �.h'y k Name(Print) v Current Maili ddress: � Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS' Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building I0 (a) Building'Permit Fee 2. Electrical (b) Estimated Total Cost of ©d Construction from 6 3. Plumbing0 0 Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 3n fht�ke 6. Total = (1 + 2 + 3 + 4 + 5) 53 U Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2003-0460 APPLICANT/CONTACT PERSON FITZPATRICK ELIZABETH ADDRESS/PHONE 43A GRAVES AVE (413) 586-5657 PROPERTY LOCATION 36 HIGHLAND AVE / 6 MAP 25C PARCEL 189 001 ZONE URC 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: CONVERT 2ND FLR TO ACCESSORY APARTMENT New Construction Non Structural interior renovations Addition to Existing Accessory 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 INFO ATION 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 Str Commission � �e C0 Z 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 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. BP-2003-0460 GIs#: COMMONWEALTH OF MASSACHUSETTS 40 -�� `' ` CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ACCESSORY APARTMENT BUILDING PERMIT Permit# BP-2003-0460 Project# JS-2002.1321 Est. Cost: $13530.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin Homeowner as Contractor_ Lot Size(sa. ft.): 6098.40 Owner: FITZPATRICK ELIZABETH Zoning URC Applicant: FITZPATRICK ELIZABETH AT: 36 HIGHLAND AVE Applicant Address: Phone: Insurance: 43A GRAVES AVE (413) 586-5657 (� NORTHAMPTON MAO 1060 ISSUED ON:11/14102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONVERT 2ND FLR TO ACCESSORY APARTMENT 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 11/14/02 0:00:00 1205 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo j 36 HIGHLAND AVE BP-2003-0460 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C- 189 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: ACCESSORY APARTMENT BUILDING PERMIT Permit# BP-2003-0460 Project# JS-2002-1321 Est. Cost: $13530.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor_ Lot size(sg.ft.): 6098.40 Owner: FITZPATRICK ELIZABETH Zoning. URC Applicant: FITZPATRICK ELIZABETH AT. '36 h l lU iii Ali 1_U f V[: Applicant Address: Phone: Insurance: 43A GRAVES AVE (413) 586-5657 O NORTHAMPTONMA01060 ISSUED ON:11114102 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONVERT 2ND FLR TO ACCESSORY APARTMENT 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:`/(( 13L')-lL Rough.-/ U 2 House# Foundation: 5 0 Driveway Final: Final:� Final: f/� -3 ✓'�7/ Rough Framer Gas . , / t Fire Department Fireplace/Chimney: Rough: l!}�/.lr��(�'¢f Oil: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL N OF ANY OF ITS RULES AND REGULATIONS. , Certificate of Occu anc si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 11/14/02 0:00:00 1205 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo