The URL can be used to link to this page

24D-292 (3)4 u14 s k � 4% x. Wim' a _ • s r e. __ ^___. � ./.' �� -"' � l� I l.. -��. t'�t ........... V 3M V. -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 NOTE: SUBJECT TO EASEMENTS AND RIGHTS OF WAYS OF RECORD. 1 I I I I I I I t I I I i I I i I I t I 44't ui BOOK 2629, PAGE 191 PLAN BK. 26, PG. 77 52't CRESCENT STREET TO: APPLIED MORTGAGE SERVICES CORPORATION & LAWYERS TITLE INSURANCE CORPORATION 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 SURVEYOR. 41� � flf ,yy�s�6j C r RANDALL G�) 0 t IZER #35032 �NstiaE' -NOTE- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY -MORTGAGE LOAN INSPECTION PLAT - NORTHAMPTON, MASSACHUSETTS PREPARED FOR CHRISTOPHER R. CHAPUT SCALE: 1 "=20' SEPTEMBER 1, 2006 HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS Registry of Deeds Page 1 of 1 http://masslandrecords. comlmalrlcontroller?commandflag=searchByNameID&optflag=ImageSearchCommand&county=maO 15... 6/5/2009 r1Y� a�'•r st 4 4 .< ...............>ar INSPECTOR Louis Hasbrouck Building Commissioner City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 Chuck Miller Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he/she resides or intends 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 home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footinas (before backfill), sonotube holes (before pour), a rough buildina inspection before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancv until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspection§ -.are made understand the above. (Honer /redent's signaturtr—re46estirf§ exemption) i will call to schedule all required building inspections necessary for the building permit issued to me. Date L fAddress of work location 15 4-- % ui�� v The Commonwealth of Massachusetts Department of Industrial Accidents T� Office of Investigations 600 Washington Street , Boston, MA 02111 www. mass gov/dia Workers' Compensation insurance Affid yit• B.µilde rs, tri m1_ L (�_Ei�r � S��D3n�f'_.va....vila �...ail.vditlu�,lairs/a.acCiflliaa�is/rliildll[7ere Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: /S Phone #: Are you an employer? Check the appropriate box: 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).` have hired the sub -contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t These sub -contractors have employees and have workers' comp. insurance.$ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' insurance Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. F1 Building addition - 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *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. lContractors 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. 1f the sub -contractors have employees, they must provide their workers' comp. policy number. Iam an employer that isproviding workers' compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: --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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Name of License Holder: Not Applicable ❑ License Number Address Expiration Date Signature Telephone 9:'Reciistered Mo'me Imp'royemeit Contractor w a y ,.. Not Applicable ❑ Company Name Registration Number Address Telephone Expiration Date 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...... ❑ 11. =-Home ,.Owner xemip on 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 Lawspd State of M_ass��setts General Laws Annotated. Homeowner Signature .- SECTION 5 -DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition W_ Replacement Windows Alterations) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding [O] Other [p] Brief Description of Proposed T( Z Work: - I'1I i i?ii''Nti jyoy(J Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement es No Plans Attached Roll - Sheet sa li:New hou"se aoici or addition to exis, ilq fioUsinq corn�lirt�.the followi�g: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms A S. - c. Is there a garage attached? /V C✓ d. Proposed Square Dimensions i 3 X Z footage of new construction. 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 ��// ' `e '�- 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 gradeS��S5,M1 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, 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 I 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 z3 Z_/ Sig ure Ow ent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information ' Q —00 Existing Proposed Required by'Zonin , This column to be filled in by Building Department Lot Size— Frontage Setbacks Front Side Rear L: R: 0 - L: R. Building Height Bldg. Square FootageMo % Open Space Footage(Lot area minus bldg & paved paikirig) # of Parking Spaces Fill: (volume & Location) — — -- -- A Has a Special Permit/Variance/Finding ever been issued forrl�/on the site?(6,24rcuwe) NO 0 DON'T KNOW 0 YES IF YES, date issued::_Q%z IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES IF YES: enter Book .� �(fl Page;and/or Document # B. Does the site contain a broo dy of water or wetlan s. NO DON'T KNOW YES 0 , o IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO M IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exc vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1.1 Property Address: / 5-Z SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZ 2.1 Owner of Record: CARfe2 (Z di NP sZ Gros . sf9w,-y4,1'- ,A vuff t) Name (Print) � Current Mailing Address: - � `Zo p �F gna Telephone V/J _ F/3 2.2 Authorized Aoent: Name (Print) Current Mailing Address Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only . completed by permit applicant City of Northampton Building Department Zai 212 Main Street Room 100 But��o, MAo°"5 rthampton, MA 01060 oaroN, one 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 1.1 Property Address: / 5-Z SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZ 2.1 Owner of Record: CARfe2 (Z di NP sZ Gros . sf9w,-y4,1'- ,A vuff t) Name (Print) � Current Mailing Address: - � `Zo p �F gna Telephone V/J _ F/3 2.2 Authorized Aoent: Name (Print) Current Mailing Address Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only . completed by permit applicant File # BP -2012-1041 APPLICANT/CONTACT PERSON CHAPUT CHRISTOPHER R ADDRESS/PHONE 152 CRESCENT ST NORTHAMPTON (413) 341-3620 Q . pit PROPERTY LOCATION 152 CRESCENT ST l MAP 24D PARCEL 292 001 ZONE URB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out o440-1 4e Fee Paid Typeof Construction: CONSTRUCT 3 X 12 DINING RM BUMPOUT 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 INFgRMATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Major Project: Site Plan AND/OR ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Special Permit With Site Plan Special Permit With Site Plan 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 e9blition Dela r� re o 'Buil&g fficial 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. 152 CRESCENT ST BP -2012-1041 GIs #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 292 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP -2012-1041 Project # JS -2012-001794 Est. Cost: $7000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin Homeowner as Contractor Lot Size(sq. ft.): 4965.84 Owner: CHAPUT CHRISTOPHER R Zoning: URB(100)/ Applicant: CHAPUT CHRISTOPHER R AT: 152 CRESCENT ST Applicant Address: Phone: Insurance: 152 CRESCENT ST (413) 341-3620 (� NORTHAMPTON MAO 1060 ISSUED ON:7/6/2012 0:00:00 TO PERFORM THE FOLLOWING WORK. -CONSTRUCT 3 X 12 DINING RM BUMPOUT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Rough: Rough: House # Driveway Final: Final: Final: Gas: Fire Department Rough: Oil: Final: Smoke: Footings: Foundation: Rough Frame: Fireplace/Chimney: Insulation: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sisnature: FeeType: Date Paid: Amount: Building 7/6/2012 0:00:00 $55.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Louis Hasbrouck — Building Commissioner