31D-054 41 WEST ST BP-2017-0372
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31D-054 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Stairs andporches BUILDING PERMIT
Permit# BP-2017-0372
Project# JS-2017-000615
Est Cost:$15000.00
Fee:S100.00 PERMISSION IS HEREBY GRANTED TO:
Cont. Class: Contractor: License:
Use Group: KEITER BUILDERS 102457
Lot Size(sci. It.): 4791.60 Owner, SMITH COLLEGE TRUSTEES OF(10 HPMG
Zoning: EU(l00)/ B(99VURC(IV Applicant: KEITER BUILDERS
AT: 41 WEST ST
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 0 WC
F LORENCEMA01062 ISSUED ON:9/2312016 0:00:00
TO PERFORM THE FOLLOWING WORK REBUILD 2 EXISTING PORCHES/STAIRS
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 9/23/20160:00:00 $100.00
212 Main Street,Phone(413)587.1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0372 / Ilia Plans
APPLICANT/CONTACT PERSON KEITER BUILDERSN I >—P
� 1 (L
ADDRESS/PHONE 35 MAIN ST FLORENCE (413)586-8600 Q
PROPERTY LOCATION 41 WEST ST
MAP 3I D PARCEL 054 001 ZONE EU(100)/CB(99)/URC(I)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Bding
613 Building9 Permit Filled out 1`�.Y�, 7 (J v
Fee Paid
TvneofConstruction: REBUILD 2 EXISTING PORCHES/STAIRS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
BuildinKPlans Included:
Owner/Statement or License 102457
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF¢RMATION 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 Commission Permit DPW Storm Water Management
Demo rtio
0,3 020/‘
Signature of Buildin_�• 'icial // Date
Note: Issuance of a Zoning permmmmit 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 40K Contact Office of
Planning&Development for more information.
3SD�j
Ji)
Vcrsionl.7 Commercial Bmldlns Permit May 15,2000
`I11 _ Department use only
1 ity of Northampton Status of Penna:
SEP 19 206 :uilaing Department Curb Cut/OnvewayPetmd
212 Main Street SeweryseptcAvallabi!ity
Room 100 WaterANell AvagabSity _
p CF RL1
'`'s No hampton, MA 01060 Two Sets of Structural Plans
p one 413-587-1240 Fax 413-587-1272 PlovS to Plans
OtherSpedfy '
APPLICATION TO CONSTRUCT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE/ ;OR TWO FAMILY DWELLING p
SECTION I -SITE INFORMATION N SjAr'‘
1.1 Property AddressI : / This section to be completed by office
/ W + S� Map.. .. Lot Unit
J 1 Zone Overlay District
Elm St.Dlvtrltt CB District
SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: -7-Are, 0-A06 rmss oG
Name{Prins) Gegen(MaNing Address. ri
Signature Y : 74 c4✓u"'Jite-ta-4-33..�YF..f.✓/..:y Telephone �f f 3-6-R -aye
2.2 Authorized�A/ge�nt: /J��,/ `"� ���/��
Name(Print) LLrr r ��^'I l" -- 3 Current Mailing Addreess. 3 C/ • `at
Signature I'residcnr.K HI THephane 8-6 c1-L co
SECTION 3•ESTIMATED CONSTRUCTION COSTS
Sem Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 &filaang IC; coo . (a)Guiding Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(B)
3. Plumbing /" Building Permit Fee /(
4. Mechanical(HVAC)
5 Fire Protection
6. Total=(1 +2 +3+4+5) /5Jr'I COD00 Check Number
This Section For Official Use Only _
Building Permit Number Date
Issued
Signature:
Building Commissioneranspector of Buildings Date
Version I.7 Commercial Building Permit May IS.200(1
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,900
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wan Signs ❑ Demotifion❑ Repairs❑ Additions ❑) Accessory Bonding
Exterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing Change ot Use Other
Brief Description re b.-Lice Ca Id 't.{{,.?q Sr rs
Of Proposed Work: I ) e pYG
`X�nC 43
SECTION 5•USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 0 1A I ❑
A-4 ❑ AS 0 18 ❑
B Business ❑ 2A ❑
E Educational 0 28 0
F Factory ❑ F-1 0 F-2 0 2C p ❑
H High Hazard 0 3A I ❑
I Institutional 0 1-1 ❑ -2 ❑ 14 ❑ 33 El
NI Mercantile 0 4 ❑
R Residential 0 R-1 ❑ R-2 ❑ R-3 ❑ SA ❑
S Storage 0 S-1 0 S-2 Si 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify.
S Special Use (--1 Specify.
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group Proposed Use Group.
Existing Hazard Index 780 CMR 34) Proposed Hazard Index 700 CMR 34)
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 1a
2`m
3'O 3 a
bin
4'n
Total Area(s0 Total Proposed New Construction(sf)
Total Height(R)
Total Height ft
7. Water Supply(M.G.L.c. 40,§ 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private 0 Zone Outside Flood Zone❑ Municipal ❑ On site disposal systems
Version I J Commercial Building Permit Ma) 15,2000
R. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
Thin ml vino to be Gllcd in by
Budding Durynmcnl
Lot Size
Frontage
Setbacks Fina
Side R: L: 12:_,
Rcnr
Building Height--
Bldg.Square Footage n.
Open Space Footage
Unit area minus blJe&pit Lin!
p rkinµi
it 01 Parking Spaces
Fill: —�
!lomat&LYeliMi .�
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
No O DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW 0 YES 0
W YES: enter Book Page and for Document N
B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 Q , Date Issued;
C, Do any signs exist on the property? YES V NO Q
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 O
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 I acre? YES O NO O
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
VersionI.7 Commercial Building I'cnniI May 15.2000
SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 789 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
— —�
TA Not Applicable 10
~ �.
Name registrant/
Registration Number
Address __-
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Reepon ibipty
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
[..[�(�TC.(aq •C/J, , C Not Applicable 0
Company Name
Responsible In Charge of Construction
3x //EA,i\. ,S.+ Figetayt_ Coe—
A ess
president,sail EA
kb
�
Signature Telephone
Versionl.7 Commercial Building Permit May IS.7000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 11011)
Independent Structural Engineering Structural Peer Review Required Yes O No O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
gab) -7" gas a7:fr,+:_F OF
I, E TO..u�Sit't5 dI Tr(E 6M irk Cr7t-CG1E,E as Owner of the subject property
hereby authorize ICr"'_rrex_ ,rgcvic .v e. rawer: .... to
act on my behalf.in all matters relative to work authorized by this building permit application.
`- `4-4t c;t e. 9//60/i4,
Signature of e Dale
SI 1,_, _ ___, as OwnerlAu thorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signedunderthe pains and penalties
'of,.perjury.
P1r/JY/,r/�v�..Name
O
President,Kin 4/( 7< 3/
Signature of OwnerlAgent Date
SECTION 12-CONSTRUCTION SERVICES
101 Licensed Construction Supervisor: Not Applicable D ` i-
ncense
Nerne of License Holder'. lC \ -t k- (`5— / J u. `7
nNumber
51 ,q H.114e. r ,U ` L tel 4 Apt Expiration Date
l're.iden r.Km (} ee, co
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.OS.c,152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitter,with this application. Failure to provide this affidavit will result
in he denial of the issuance of thebuildingpermit
Signed Affidavit Attached Yes l„-/ No 0
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: 41 Wes(Street
The debris will be transported by: Keifer Builders, Inc.
The debris will be received by: Valley Recycling _
Building permit number: _
Name of Permit Applicant Keiiter Builder, Inc
08.01.16 rres a„ni. �ar�
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
_�• l Office of Investigations
1 Congress Street,Suite 100
t_ N g
$ �� Sastoa,MA02114-2017
`^ b www.mass.govldia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
N (Business/Organization/Individual): A W 10 i I.+—(
Address: ,3
�� � � �
City/StatetZit: ! LeAkAn t2 L Phone #: 5-256> 6-6 Ca
Are you an employer? Check the appropriate box: Type of project (required):
I.X I am a employer with 4. 0 I am a general contractor and I
employees(full and/or part-time).*
have hired the sub-contractors 6. 0 New construction
2.0 I am a sole proprietor or partner- listed on the attached sheet. 76emodelin(;
ship and have no employees These sub-contractors have 8. 0 Demolition
working for me in any >ca acit employees and have workers'
P 9. ® Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. (No workers' comp. right of exemption per MGL
12.0 Roo pairs
insurance required.] ' c. 152.§I(4),and we have no
employees. [No workers- 13, cher
comp. insurance required.]
'Any ufplicam that dicks box t$l mast alsofinnut the aian M;lnty shutting dmir tmrkers compensation policy information.
Homeowners who submit this alIIduvit indicating they arc doing all s ork and then hire autside contractors must submit a new a lrida'II indicating such.
1 Cmnractarsthat dark this box must auadsd un additional sheet showing the rcmmc of the sub ontacrors and stare nherher or not those emitim:haw
em ployces. II'the sub-contractors hoc employees,they must provide heir workers'wrap.polity number.
I UM an enrplorer that is providing workers'compensation insurance for my employees. Below h the poles;)'and job Nile
information.
Insurance Company Name:_ r(ftr.�A pit} �j_Ga .. __ ... / (
Policy#or Self-ins. Lic. #: q(„}-3- /11 O6r r _ Expiration Date; 6 j tr f( 3'
Job Site Address: t4 ( L 1.4A City±State/Zip:ALI A
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
line 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DR for insurance coverage verification.
I do hereby mills under the pains and penalties of perjury that the information provided
gFs jt
above ins true and correct.
Signature: ('resident. kni Date: 3 (
Phone#: S7 4 c6
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):
I.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
ACCORto CERTIFICATE OF LIABILITY INSURANCE e6ENAWDO VVI_
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: II the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s),
PRODUCER HyMN£AC'Cynthia Henderson, CISR
Webber s Grinnell Pxo E413 5136-0111 'Pm,
JAL Na Ent. �_ ) 1¢.ne) Pl7l sea 6413
X North Xing Street i_ ooxe5schenderson@webberandgrinnell.vom
INSUNBR(STA AIMING(COVERAGE HAICa
Northampton NA 01060 INsuMER AArb ell a Protection 41360
INSURERS:
Xeit4[ Builders, Inc. INSURER C:
Attn: SC-Ott !Setter INSUgEPO
35 Main Street INSURER E:
•
Florence MA 01062 (IHsuaeR F:
COVERAGES CERTIFICATENUMBERTTaster Exp 2017 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHCV N MAY HAVE BEEN REDUCED BY PAID CLAIMS
MEP T• YPEOFINSURANLE (ODLSt9R -- - - -PEGCV EFT-- POLICY EXP - --- - -
iNSa•WYO POLICY NUMBER .i WOofYYY} (MWDWVYYYf UNITS
X COMMERCIAL GENERAL UASIIITY I I I :EACH OCCURRENCE 5 1,000,000
I_
'ImmE ETGESETAD • 100,090
A CLAIMS-MADE -X OCCUR IPREMEG_&EDEN *.j
0100061396 6/1/2016 6/1/2017 MIEDEXP(Any V6e 0elsa'. '.S 5)000
PERSONAL 8 CV INJURE 5 1,000,000
GE—N'C AGGREGAATELIMIT APPLIES PER I GENERAL AGGREGATE ``3 2,000,000
.. ...
X •PGL CV '.FRO. LOC PRODUCTS COMP/OP ACG(5 2,000,000
OTHER r S .. . _ _..
AUTOMOBILE MAMMY COM31@O$NOIE LIMB 5 1,060,009
__. (Eek 1
.
A A G _ BODILY INJURE Ter pant 5
',ELL OWNED X ECHEDULED '.. 30200391d3Oi 6/I/2016 6/112017 SODDY INJURE(PET ENDUE)I 5
0.JTJ5GNOL'DNEU PROPERTY DAMAGE •
X HIRED AUTOS OS
X Afros ..L eESSNde n S
!!eataipYIDnl __.. 5 5,000
X UMBRELLA LIAR I OCCUR I EACH OCCURRENCE $ 5,goo,000
A EXCESS LIAR CLAIMS-NODE. AGCC{lEEN c .5 9,000 000
WED X •RETENl1CNS 10,000 460006099 6/1/3016 6/1/2017 '$
•WORKERS COMPENSATION I X I irl'A % 'UTI.
AND EMPLOYERS'LIABILITY TIN
ANT PRO. 9RPRTiENSTEE)IVE n/A
A • EL EAC'ACCIDENT 5 1r00_0,000_
EETICER. FMB R EXCLUDED N --L
phindatOryl HH) 9127440615 6/11/2016 6/11/2011 ELO ESE EA EMPLOYES5 1,900,000
]UemONOceA-£RAi OUS peaw ELDISEASE-POUIES
LO.tt 5 1 099,000
•
OESCRIPIION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,AtldItI tt I Ramede Scbedub.mey be artathOd If mere$Race I.raqulredl
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
For Informational Purposes i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
I
AUTHORIZED REPRESENTATIVE
C Henderson, CISR/CIN f^y " 'M"ar.---
01988-2014 ACORD CORPORATION. AR rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025 omen',
BUILDERS
35 Main St.Florence,MA 01062 I OFFICE) (413) 586-8600 FAX: (413)280-0124
Commissioner Hasbrouck 09.15.16
Subject: Request for Waiver
request that you grant a modification to waive the requirement for control construction for the 41
West Street Porches Project at 41 West Street in Northampton because the work is of a minor nature,
will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in
that the cost of control construction is considerable when compared to the cost of the proposed work.
All work will be completed within the prescriptive requirements of 780 CMR. Thank you for your
consideration.
"Mass Amendments, sections 107.1 allows for an exclusion from control construction for this project"
Respectfully,
J
Anal
Scott Keiter, President
Keiter Builders, Inc.
35 Main St
Florence, MA 01062
File No. _
ZONING PERMIT APPLICATION (§io.2)
Please type or print all information and return this form to the Building
Inspector's Office with the $30 filing fee (check or money order)payable to the
City of Northampton
i. Name of Applicant:, Arent. b?c c cent trier
Address: 3s Mari+/ ro-r/7f'Laa„b„rCC. 4- : 691064 Telephone: S/�3 . V° . g(o c"o
2. Owner of Property:... Sg-`TTN Cocci
Address:_ /26 t sT J/,< Non,rr/-ar<,(tOTOEr/ 444. Telephone:... /3. S8S. awoo
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) C.°rg -mcsu4._
4. Job Location: 44 t'it's T' ,y"i'z re7-- i 0 tZ#2.144%?Orb y 4.4 4-
Parcel td: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property:_ tj? r3- „~,yyy_,_ LES, rnc.rvn >I _
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
• ReM.OQe/On,kce r,51701`6 �i rtt..>. 5, X.�S TI.N6 Ant4., Ut6A pa
.Due' 7a 715 rikis Art_ _._... ._
7, Attached Plans: Sketch Plan �` Site Plan _ Engineered/Surveyed Plans _..
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO__ DON'T KNOW X._ . YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW .,_ YES
IF YES: enter Book __ __ Page —.... . and/or Document X_,
(Woes the site contain a brook, body of water or wetlands? NO X 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)
A)ocu r dURMSVor Pia IIdi >imp k rY I .-Penn t p i cation-pmsive.doc 813,20t14
YD. 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 N0 _
IF YES, describe size, type and location:_......_....
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO iS
IF YES, then a Northampton Storm Water Management Permit from the UPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF INFORMATION
This column reserved
for use by the Building
Department
EXISTING PROPOSED REQUIRED BY
ZONING
Lot Size
. // o Avne-s , //O Ac2f1
Frontage
tf9
Setbacks Front
to u I1G
Side L: R: L: R: L: R:
Rear
.. ......
Building Height
z 35 2 3s"
Building Square Footage 3 $ t 6 S g
3,fstta s€
%Open Space: (lot area
minus building Et paved ,.y 2 OV. N z p'/
parkin
#of Parking Spaces 2 2 J
#of Loading Docks
Fill:
(volume B location)_
13. Certification: I hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
Date: , 09. ,19. tbApplicant's Signature '"` ,--,.�`"rs,.Q+s
NOTE:Issuance of a zoning permitdoes not r Fe an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health,Conservation Commission,
Historic and Architectural Boards, Department of Public Works and other applicable permit granting
authorities.
Wsthsun btt- IMSkm_i IAB,Id" I mp:_i .1. Penni)•App1c mmpssi vrduc %4120(0
W19/2016 Northampton.MA Residential Propene Record Card
Northampton, MA : Residential Property Record Card
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Search For Properties
Parcel ID Name Street Name
WEST ST s; Search Reset
Parcel ID Card Map-Block-Lot Location Zoning State Class Acres
31D-054-001 1 41 WEST ST 013 - n/a 0.110
Owner Information Property Picture
Smith College Trustees Of C/0 Hpmg [ No Picture Available]
P 0 Box 686
Northampton MA 01061
Deed Information
Book/Page: 6837/34
Sale Date: 2002/10/17
Dwelling Information
Living Units: 4
Style: Other
Story Height: 3
Exterior Wall: Frame
Attic Living: None
Basement: Full
Year Built 1900
Ground Floor Area: 1516
Unfinished BSMT Area: 0
Fin BSMT Living: n/a
Tot Living Area: 3816
Rec Room: 0 x 0
Tot Rooms: 14
Bedrooms: 4
Full Baths: 3
Half Baths: 0
Mas Fire Place 2/ 2
Frame Fire Place n/a
Heating Type: Basic
Valuation
Land: $167,000
Building: $349,700
Total: $516.700
Sales History
Document No Date Price Type Validity
n/a 2002/10/17 $400,000 Land + Bldg 0
Permit History
Date Purpose Price
2003/09/23 REMOVE EXISTING $5,000
Out Building Information
Type VW Year Sizei Sizei
Building Sketch
hnp//nnwmonhnmpmn unirers-cltenm/I lo._[,roper)R php?accouni nn=31 D-054-001&series avd=1 I/2
9/19/2016 Northampton.MA Rcsidenrial Pmperp Record Card
26 Descriptor/Area
A:3Fi/B
784 sgft
2Fr/B B.2Fr/B
22 572 sgIt
10 572 C:2Fr
160 sqft
4 D:EFP
8 ti sgft
E'OFP
18 sgtl
ES F EFP
64 sgft
28 3Fr/B
�78
EFP 6 2Fr 8
64 (160)
Notice
Qurently All Values Are Finalized For Fiscal Yr 2016.
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