24C-112 07/27/11 12:31:05 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 24C- 112 -001 15 FIFTH AVE PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS NEIGHBORHOOD ID: 9.00 FINAL VALUE FLAG: MARKET
STEIN MAXINE J LAND DATA - ASSESSMENT INFORMATION -
15 FIFTH AVE TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 5765 151,530 PRIOR COST CURRENT
NORTHAMPTON MA 01060
LAND 151,500 151,500 151,500
BLDG 237,100 245,200 237,100.
TOTAL 388,600 396,700 388,600
DEED BOOK: 8672
DEED PAGE: 28 SALES INFORMATION
DEED DATE: 20060404 TOTAL ACREAGE: 0.132 TOTAL LAND VALUE: 151,500
LAST UPDATE /COST: 20080306 DATE TYPE PRICE VALIDITY
LAST UPDATE /COST: 20080306 20060404 LAND + BLD 420,000 0
X DATE: ADDITION DATA
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A Bsmnt 1sFr 1 /2sFr 400
ENTRANCE CODE: UNOCCUPIED B OFP 144
INFORMATION SOURCE: C OFP 24
DATA COLLECTOR: MC D Wddk 128
DATE: 19991030 E 1
F
DWELLING INFORMATION G
H
STYLE: CONVENTIONAL
YEAR BUILT: 1914
STORY HEIGHT: 2.00
ATTIC: UNFIN k
Basement: FULL
TOTAL ROOMS: 9 _ ®x (13 TOTAL BEDROOMS: 4 _ — — ')� QaSCd b ? G
FULL BATHS: 3 ADDITIONAL DWELLING INFORMATION 6
Half Baths: �� n � f G
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES: 8 WD ek X' �
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 728 20
TOTAL LIVING AREA: 2156 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS /OPENINGS: 1 / 1
METAL FIREPLACES: KITCHEN REMOD(Y/N) YES 20 1.5Fr /2
HEAT /CENTRAL A /C: BASIC BATH REMODEL (Y /N) YES —
HEATING SYSTEM: WARM AIR JFF
FUEL TYPE: GAS 8
QUALITY VG PHYSICAL
NTERIOR /EXXTEERIORN EXCELLENT 3
BETTER
26
OUTBUILDINGS & YARD ITEMS PERMIT DATA Zo
s
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE G.-- Z b -----
RG2 1 1917 11 18 C A 19960722 95 ADD 2S
28 A /2Fr /B
NOTES:
9 -9 -05. currently listed for
sale by owner at $465,000.
24
OFP 6
• City of Northampton
Rx w r t x;1 S
? ' Massachusetts �°;` ° e
�? ,c
e DEPARTMENT OF BUILDING INSPECTIONS r � ;
bti 212 Main Street • Municipal Building vy
Northampton, MA 01060 ss
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner 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 /footings (before backfill), sonotube holes (before pour), a rough building 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 occupancy 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 inspections are made
understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
•
The Commonwealth of Massachusetts
Depa rtment of Industrial Accidents
4 =7, , -4 Office of Investigations
=arrow
600 Washington Street
or ""7 =1 Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers
Applicant Information Please Print Legibly
Name (Business /Organization/Individual): � s y , l I'
Address: Ti CL '
City /State /Zip: j f' , Phone #: -{(3 2(00
Are you an employer? Check the appropriate box: Type of project (required):
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 6. Et New construction
2. Mt I am a sole proprietor or partner - listed on the attached sheet. 7. ❑ Remodeling
These sub - contractors have
ship and have no employees 8. 111 Demolition
working for me in capacity. employees and have workers'
g any ca ac P Y 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, § 1(4), and we have no
employees. [No workers' 13.0 Other 1? (_�
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: " ten City/State /Zip:
Attach a copy of the workers' compensation y declaration page (showing the policy number and expiration date).
Failure to secure coverage as required un ection 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one - 1"mprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day aga e violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of th for insurance coverage verification.
I do hereby cer ' a u , ai and penalties of perjury that the information provided above is true and correct.
Signature: F = Date:
Phone #: .555 — 2(0O
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 #:
r 1
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: 3 Not Applicable ❑
t /IAA (�
Name of License Holder : �117� ii .v Vv ` 1j l 1 _J l g
License Number
1
015-6.4A S} . c veAtu 2- 3 12
Address A Expiration Date
% �y�i_ 1) L� 2(00
Signature J Telephone
' ikiirt fe ed me mpTOVemen 'Contractor ' Not Applicable
Geloa ttA L . Otect,d- ie- Liq 25
Company Name Registration Number
Address Expiration Date
Telephone 7oq-ltoo
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 de No ❑
ll: Wom ker axeinpto
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 Su ervisor "r presence on the job site will be required from time to time, during and upon
completion of the work for w this permit is issued.
Also be advised that with erence 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.
Homeowner Signature
•
f -..
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable): , r ,
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [0] - ecks [ Siding [D] Other [D]
Brief Description of Proposed v X l k-----
Work: C i I KOMI fCV kid e- ItWtf.le i Vl�'[ d eck_
Alteration of existing bedroom Yes No Adding new bedroom �� Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
sa..:If sNeikSOuse and;orFaddition .tore #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 Complia Masscheck Energy Compliance form attached?
h. Type of construction
/
i. Is construction witllili 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of bament or cellar floor below finished grade
k. Will bu dill ng conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
7.!SECtION 7a OWNER.AUTHORIZATION TO BE COMPLETED WHEN
".OWNERS AGENT OR CONTRACTOR: APPLIES F OR BUILDING PERMIT ,,,
I, Al A-' I &1 f S4 € l In , as Owner of the subject
f - property
hereby authorize 0 C {r
to a t on alf, in all m�ttte relative to work authorized by this building permit application.
Signature of Owner Date
I, ed 0 av1'ei - , 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.
FawkV. 01 (AV e ,•
.
Print Nam-
A.. I...Ai k tt i - - . 74 /.- 2-i -. I(
Signature of Owner /Agent Date 1
., M
S .y
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Inco plet, - +n#ormation
Existing Proposed Require• by' oni
This col .. to .. fill 0 it
Building ' .a . ent
5 7 5 i{ 5742c i ti�a?.
Lot Size j
P' E
Frontage :
Setbacks Front i 2o i 124: i
Side L:' w ` R: 20 i L: Zo i R: 7D i !
�- E
Rear ? 7.0 I
Building Height 3 F
Bldg. Square Footage R },ti;; %W 7
Open Space Footage �
(Lot area minus bldg & paved X f _ '.. = ! l9 7 1 i i
parking)
# of Parking Spaces = 1 3 1 1
Fill: i I
(volume & Location)
I % ` i I
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW I�� YES 0
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW OD YES 0
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained , Date Issued:
C. Do any signs exist on the property? YES 0 NO
I F YES, describe size, type and location:
l
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO VD
IF YES, describe size, type and location: I I
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 I) NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
t ..
D a rtmea �-u e on y �
E�v ity o f Northampton Status o Permi( ' : ���
r ,
: uilding D epartmen t C • b. IDrr eway P er nl . , � ,
w
al 2/9/1i 212 Main Street Se la • a`C � � �� �' � '� _
Room 100 Wa erc(Wett A ' ilabil ''
G IVO �r ya k 4 t ` Yom' �' -�"'tizi - '
�' • hampton, MA 0 4 1 1 0 3 6 -5 0 87- 1 vo e b K. ct � -
•
'177 ` �. l
- •87 -1240 Fax 1272 Po sa s � 3$ n
�..u. _ a .. tax �; t
Other S p eci fjr , w: ., 5 : f
APPLICATION TO CpNSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE .INFORMATION
This section to be compl office }
1.1 Proaert Addres Ave
✓ ' 1 A Y` Y m p a .'° ` s 1 "w '� ,..14,..-.,,,,:..1;:
TMw x x r Lot. a . . s. ,.
Ma Unit
b
: . a xr 4 7 �. _ �:-- ^.. .. S t `a te `- ,a1. ;
Zo Overl Distract * ` 5 r `r
.;:Elm ,St. D i s t rac t CB'Distnct .
SECTION 2 PROPERTY OWNERSHIP /A UTHORIZED AGEN
2.1 Owner of Record:
)k) a,)„e. LA/Le- 5 r
o 5 GN Ave
Name (Prin(} ^ .
3(1---- Current iling Address: 4f — 37 -
Telephone
nature
2.2 Authorized Agent:
�iCt. er� 91 C,tAes S` . �( vev+Ce
Name (Prin Curre M a il i n g Ad dress:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be O ffi c i a l Us
completed by permit applicant
1. Building 5��� (a) Building Permit F ee
2. Electrical ( E s timated Total Cost o f
Cons truction fro (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection ,�5 .,
6. Total = 1 +2 +3 +4 +5 C heck Number J r ✓�"" "
This Sect For Official Use On -
`B u ilding P Number: IIssued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2012 -0124 '
APPLICANT /CONTACT PERSON EDWIN OLANDER
ADDRESS /PHONE 97 CHESTNUT ST FLORENCE (413) 584 -2100 0
PROPERTY LOCATION 15 FIFTH AVE
MAP 24C PARCEL 112 001 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
Fee Paid L3 7)-
Typeof Construction:_REPLACE DECK W /10 X 18 DECK
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included:
Owner/ Statement or License 049348
3 sets of Plans / Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN y 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 Street Commission Permit DPW Storm Water Management
i 'molit'• Delay
- ,to Y /K
Sit . re of Building 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.
is
15 FIFTH AVE ' - BP- 2012 -0124
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C -112 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit # BP- 2012 -0124
Project # JS- 2012- 000181
Est. Cost: $5000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: EDWIN OLANDER 049348
Lot Size(sq. ft.): 5749.92 Owner: STEIN MAXINE J
Zoning: URB(100)/ Applicant: EDWIN OLANDER
AT: 15FiFTHAvE
Applicant Address: Phone: Insurance:
97 CHESTNUT ST (413) 584 -2100 0
FLORENCEMA01062 ISSUED ON: 8/4/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE DECK W /10 X 18 DECK
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: Cik q - a -k
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: r I< 7_ 2 4
THIS PERMIT MAY BE REVOKED BY HE CITY OF RTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE. • / " ° •►.1 /4, j f '
Certificate of Occupan gnature:
FeeType: Date Paid: Amount:
Building 8/4/2011 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner