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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,� � �1-Y Alterations
NORTHAMPTON, MASS.
� Additions
AqQ co 19I�
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location OS �C � Lot No.
2. Ownee s name et c h G vhf r Address 3�✓5� 11?d'i W. 0 AV I, kp
3. Builder's name 5'!a rn -e Address Sj2 rn -e
Mass.Construction Supervisor's License No.` Expiration Date
4. Addition /d X
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of resp a app icani
Remarks
08/20/98 9:14:40 AM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: DECEMBER 31, 1993
PARCEL ID: 17A-127-001 305 BRIDGE RD Living Units: 1 Class: 101 Card #: 1 of: 1
CURRENT OWNER/ADDRESS LAND DATA: Zoning: URA Neighborhood ID: 5.00
TYPE SIZE INFLUENCE FACTOR(s) LAND VALUE
WANCZYK RICHARD J & JUDITH M PRIME SITE 23,020 SF 46,240
SF ASSESSMENT INFORMATION:
305 BRIDGE RD SF
FLORENCE MA 01062 AC PRIOR CURRENT
AC
AC LAND 37,700 46,200
AC BUILDING 106,200 97,900
AC TOTAL 143,900 144,100
AC
MRA ESTIMATE 157,368
Deed Book: 2364 TOTAL ACREAGE: 0.528 TOTAL LAND VALUE: 46,200 COST ESTIMATE 149,300
Deed Page: 344 MARKET ESTIMATE 144,100
Deed Date:
ASSESSMENT BASED ON: MKT APPRCH
ADDITION DATA
Partial Completion/New Construction: Y
Lower Level First Floor Second Floor Third Floor Area Value
SALES DATA-
Date Type Price Validity is Frame 484 20,500
8307 LAND & BLDG 62,000 0 Frame Bay 10 400
is Frame 56 2,300
Frame Garage 792 13,100
DWELLING DATA:
Style: RANCH
Story Height: 1.0
Attic: NONE DWELLING COMPUTATIONS:
Basement: FULL
Total Rooms: 5 Total Bedrooms: 3 Base Price: 81,190
Total Fixtures: 8 Plumbing Adjustment: 2,340
Full Baths: 2 Heat/Cent A/C Adj.: 0
Half Baths: 0 Basement Adjustment: 0
Year Built: 1958 Exterior Trim: 0
Basement Garage (# Cars) 0 Finished Bsmt Living Area: 0
Exterior Walls: ALUM/VINYL Bsmt Recreation Area: 0
Unfinished Area: 0 Unfinished Area: 0
Ground Floor Area: 1288 Basement Garage 0
Total Living Area: 1838 Fireplaces: 3,510 24
Finished Basement Living Area: 0 Additions: 36,300
Basement Recreation Area: 0 SUBTOTAL 123 340
Masonry Fireplace Stacks/Openings: 1 / 1 Grade Factor (X) i.10
Metal Fireplace Stacks: 0 C & D Factor (X) 1.00 46
Heat/Central A/C: BASIC Replacement Cost New: 135,670
Heating System: HOT WATER Percent Good: 76 33 FrG
Fuel Type: OIL Market Adjustment: 0
Quality Grade C+ RCNLD Residence: 103,100 22 4
Cond/Desirability/Utility: AV 28 1Fr
14
OUTBUILDING DATA: PERMIT DATA 22 1Fr F
Type Qty Yr Sizel Size2 Grd Cond Value Date # Purpose Price
9410 1000 ADD BREEZWAY 800
NOTES:
Total OBY Value: 12,200
® Crif� of 'Norf 17ally toll
AUG Z O 19% assxcl1 Its etts ^
moo DEPIRTMENT OF BUILDING INSPECTIONS
!
DEPT Of SU 21§ Main Street ' Municipal Building
INSPECTO '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
DATE: AU tg S r �a /�1�� (Please Print)
JOB LOCATION: `7 /f. , -
(Map) (Parcel) ( Subdivision)
HOMEOWNER:
(Name & Address)
(Home Phone) (Work Phone)
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. CMR780 Section 109. 1 . 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.
LEOWNER SIGNATURE !/'G
BUILDING PERMIT #
,
I
4�tiA�lPl
Bas a Etch ttsctf0
JEFT aF
9 , SENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE A i -IDAVIT
I,
(li ittee)
with a principal place of busimss/residence at-.
(strr---t/city/state]ip)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job.
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (lnsimmcc Company/Poticy Ntunbcr) (Expiration Date)
(Name of Contractor) Qnmranc-- Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Daze)
(Name of Contractor) Gnsmance Company/Policy Number) (Expiration Date)
(atlach addi6ocal shoot ifnaoczusy to inch-%&information pertaiaing to all coatratton)
( ) 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 while bomcnwncra at)o empiay peaam to do maiatcaaocc,constucdoo or repair work on a cf-,m iag of
not morn than tbroa units in which the homoowncr resides or oa the grotwds appurtenant jhcrc o arc not gencznity ooasiducd to be
employ=under the work&%lion Act(GL152–z i(5)�application by a homcow=for a license cc permit may evi&nCc the
legit etatue of an employer under tbo WorkoeL C.ompensai Act
I undersiaad that a oopy of this rw=ncrd maybe fos-wuided to the Dtpwtmc of Ia3usizia1 Ac idca&0f5oe of 1nm1r1000 for the
oovcage vcnficsuoa and that failure to sca=coverage under section 25 A of MOIL 152 can kad to tba imposition of criminal p=&Wcs
oocuist Mg of a fine of up to S 1,300.00 and/or im{ttiS�of tip to one y=and dvl7 pcasttia is the form of a Slop Worst Order and a
fim of S 100.001 day against mc.
For —oafy
Permit Number
Map# Lot#
�� Siguahtre ofLi ermittee
f
v
10 Do any signs exist on the property YES NO
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO_,K_
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO
LACK OF INFORMATION.
This col— to be £illcd in
by the Building Drpnrt .t
i I (Required I
Existing Proposed By Zoning
I Lot size d3o� p (:;23J L : OJ w-U
Frontage �' (.e tlo2 e, ,
OU7
Setbacks -
- side L: R: L:_R: f!/ L�
- rear
Building height
Bldg Square footage
%Open Space:
(,Lot area minus bldg G) /c' {/1)_TP
&paved parking)
# of Parking Spaces
t of Loading Docks
Fill:
-(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: —� APPLICANT's SIGNATURE
NOTE: iaauanoe of a zoning permit does not relieve an apphoania rden to comp it4-4111
zoning requirements and obtain all required permits from the Bo of Health. C ervation
�Commisalon, Department of Publio Works and other npplioable permit granting horitioa.
FILE #
pJJG 2 0 �8 °�•°
File No.
jks
J!"IORTHAM TON ���aiu ING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: f'l L /-) t4al 7 11114i-76 .Z Y
Address: �I' � y !1 lot-'-e h e, /� Telephone:
t. Owner of Property: � G �G!'lr►� `� YV�i h C
Address: 3U ✓ � i v,�,� /�vl �':161/fh (, e Telephone:
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):_
4. Job Location: y � \
Parcel Id: Zoning Map# Parcel# �� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ��-
6. Description of Proposed Use/VVork/Project/Occupation: (Use additional sheets if necessary):
/0 r XC c;� G ` 5h --�
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
& Has a Special PermitNadance/Finding ever been issued for/on the site?
NO DON'T KNOW ✓ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. 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:
(FORM CONTINUES ON OTHER SIDE)
FILE #
�s
"
APPLICANT/CO TACT PERSON:
B
DRESS/PHQNE:
DEBT OF --
f�QRi ...� _.
PROPERTY LOCATION: �5
MAP___ ` PARCEL:_ ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCL05ED REQUIRED DATE
7QNTNC F()RM Fff T,FT) ()TTT
Fee Plid
Building Perinit Filled nut-
Fef, Paid
Type Constnirtion•
New Constructinn
Remadelin12 TntPrior C?
Addition to Fxkfin2
Arrr�snry �tru�tnrr
TfrOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § )v/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed_
Variance Required under: § w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
µ
peptic Approval-Bd of Health Well Water Potability-Bd Health
it fro Cons ry C0.WDUsAj4
194 n
Signature of Building ` ector Date
NOTE: Issuanoa of a zoning permit does not relieve an applicant's burden to oomply with all
zoning requirements and obtain nil required permits from the Board of Health, Conservation
Commission, Department of Public Work:B and other applionble permit granting authorities.
Department: Reference No: BP-1999-0233
.................•.................
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
shed REC-1999-000511
... .....................................................................................
Paid By: "Paid—i`n'...Full...0...n":...*.......
Richard Wanczyk Wed Aug 26,1998
.... . ....................
.. . ...... ......
Received y .Check.No:...................
Linda Lapointe 260
.........................................................................................
......................................
DEPARTMENT'S COPY Amount., $20.00
............ .............
I)EPARTMENT FILE COPY 305 BRIDGE RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
25 Aug, 1998 BP-1999-0233 $20.00
GIS Mai) Block: Lot: Address: Zoning: Use Group: Lot Size:
1436 17A 127 001 305 BRIDGE RD URA 22999.68
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
Li!Yi State: Zip Code: Phone:
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0437 shed $1,000.00
Description of Work:
10' X 20' SHED
GeoTIVIS&1997 Des Lauriers&Associates,Inc. Signature: