37-001 (10) 06/16/03 1:40:07 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 37 -001-001 00551 FLORENCE RD PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS ZONING: SR NEIGHBORHOOD ID: 3.00 FINAL VALUE FLAG: MARKET VALUE
DENNO KAREN H LAND DATA
- ASSESSMENT INFORMATION -
551 FLORENCE RD TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 30000 30,000 PRIOR COST CURRENT
FLORENCE MA 01062 RESIDUAL 10446 520
LAND 30,500 30 500
BLDG 52,500 87,900 83,800
TOTAL 61,500 118,400 114,300
DEED BOOK: 3954
DEED PAGE: 065 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 0.929 TOTAL LAND VALUE: 30,500
LAST UPDATE /COST: 20030616 DATE TYPE PRICE VALIDITY
19920501 LAND + BLD 30,000 6
LAST UPDATE /COST: 20030616
ADDITION DATA
X '-DATE:
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A 1s Frame 252
ENTRANCE CODE: UNOCCUPIED \ B Frame Garage 728
INFORMATION SOURCE: C 1s Frame 108
DATA COLLECTOR: ED D 1s Frame 84
DATE: 19991203 E C' 48
F IC
DWELLING INFORMATION G
H
STYLE: RANCH
YEAR BUILT: 1954
STORY HEIGHT: 1.00
ATTIC: NONE
Basement: FULL
TOTAL ROOMS: 5
TOTAL BEDROOMS: 2
FULL BATHS: 1 ADDITIONAL DWELLING INFORMAT'I.ON
Half Baths:
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: STUCCO BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 1008
TOTAL LIVING AREA: 1452 REMODELING DATA 4 „lc-,
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED: /C)°
MASONARY FIREPLACE STACKS /OPENINGS: 1 / 1
METAL FIREPLACES: KITCHEN REMOD(Y /N) jj 12
HEAT /CENTRAL A /C: BASIC BATH REMODEL (Y /N) 9 1Fr
HEATING SYSTEM: WARM AIR 4 21 1Fr 4 12
FUEL TYPE: OIL 36 21 28
QUALITY GRADE: C PHYSICAL CONDITION AVERAGE
COND /DESIRABILITY /UTILITY AV INTERIOR /EXTERIOR SAME / 1Fr 12
OUTBUIL' INGS & YIAIZDit71I#iN3+101.; mNidON 1 PERMIT DATA Is 1
• J v 28 1Fr /B FrG 26
TYPE Q Y YR f2r DATE PURPOSE PRICE /47 RS1 1 2 02 1 48 C A 20020820 20,000 26X29 GAR,BRE:Z
& SHED
EDUu Q 1 IV NOTES: Fo 2 6
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DEPARTMENT OF BUILDING INSPECTIONS i
,/
INSPECTOR 212 Main Street 410 Municipal Building \� � e '
Northampton, Mn 01060
e'
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
it, The gel :: Person(s)
act a:; ;.;,�: „c,l construction sup � ��!t ! pie state defines ��i�OnrCU��'Ilel" as,
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 / 1
I, o .!!k�-- �c.,r' understand the above.
(Horn (Ho /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date G /A /0_3
Address of work
location
;.a..
V 014 . 111 �IfN>11 ifl�llll11f�1li
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V- ''Y.',!t "1'1.Sh ()I i?iJ1I1)!.'�(; i.'J 'Pi:i;1 "5' q\-:--'-:- a 12±-71
21`2 Main Street ' 'kin:i:cipa1 I3uiltlinr' — .- '/
Nort}iamptem. ',1r'. 5. 0] 0( ��
\V'ORkER'S (OM P1yrNSATI;ON INS TIRANCJ? AFFIDAVIT
,
V'.-Fill . 1: - ilIci 131 place (0 [�ils!.. 'SS /I ,:Ci.'.Ilc:
i
I 1 I ani a :1 CIllpaavt'i 1)i o ..1.1' t1
t'110)102. 't001P)110, on ill) 1CU
(Tn 3_,Co 1'ot ,q,E, (: .ti' -'r) , Yrdr 1n!] Dnie)
i -1 a ,,o1c 1)FOD: int 1 110
0 1 1 C �;i1:00Ci C : ,C t�`; nel -_: CIC 01 ' ) , =1 1 ' , ; 1
y) i1 11ICo
(11C- C ooCtOIS listed bc10 ti ' ho'.';_ ; }Sr. Iol C, .,o, 'D. I1S.: (,)
/-/, ___A74
(2',.,11c c+ (', nr,;.lcto:) ,.::: ::c _ i 1011.. ir.,l.r_.) Dato)
C_�I .-1 __ )ale)
(N(C11111. 1� (I() l 1:1,1_.,1._ - r. o _ ? ,_. �.
(2\41111c: of Co112I,?clor) (11)Stti?mOn t Co , .l : . '�i f11 -,,,f) _'a; ..11.... Dale)
(faille of Contractor) (Inooioiic„ Coln , :,y;' s.l:cv ^tulni -2r) I 1:1:L. Dabs)
t " l..--fl .:ti(Y`1l S. ., . .. r.: - :'.'. -`, '1 "ii ':[..: ":; '." . ■... ..\
,
( ) 1 :1111 o L;()1(:, L;()1(:, j)1 oI)11f:n _i
: :lo i1OVC no 0110 '• C"
,' ' 101 !T.
I ;1i11 ;' 11ooto U0/111:: jC`i: oil i"1; ... .
5)011 piers, lY atv,,;c it:at'.ti: •r.\:r-n >•-)< 1oy p- <': ct ;c oil :: d c l. .:,
not n) c th:n L'ucc t: u: ui::ct the F.r:' ',;ixr rc ro c: cot !t>,- r, ;urtcr� t`:xsc:c r: r>,:( ttc:rrally C' —.: [ :-c7 t� ti:
c_ntployc un:,cr tlr_'0 ri cv : A (01_152_., f ,�1. � v a 1: s' ' .a: 1 ":__,r_ c.c L "r ::r :',. ),c t'•_
]cgal clatuc of in o_nployc undo - t , l;'o,la'c GompcnnAtion A.ct
I undcatkad di.1 a copy of t}v toot ray b0 f, ',o.rdod to thn IYtr_:,ati-tl of hxsuiri:.l Aocid-ulti Oaco of i:= ,■vur. for tiro
cOVc;lg-c Vt iica1ioa rnd that f•ab:rc to taanrc covcrzpa ut..i:r .cclicc 25A ?,101, 152 can la'd to thn imposition , :"c;-„:711 all lxt:o t:cs
c•a:isting of a lux of up to S 1,5OO.t_uO 0 'rc c:;Iuia:r r_ : of up to •:,- 5-a ,af coil lvctultict in ti, r,xtn of 1 Stc1 0 -0 Char and a
Grca of 0100. a day cgzinr.l m'.
F cc (1c > u.c :0•.1)
,'7 1'crtnit Tittnllra
I 1
� ur c of t ic�f: °_JPrfill :ar..
SECTION 8- ..CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
z9 FiVe erect Home'Improvement c ontractor „ ;, w ` , fi,,,x.,., Not Applicable ❑
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 ❑
ak A ® ome OwnerR xemption
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
�� )1---,f-i--t----- Local Zoningg Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature (.2'�
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ O� New Signs [ ] Decks [ ] Siding [ ] Other [i/{
A,12.136
Brief Description of Proposed Work: / c , "Dyt -)c S ono%
Alteration of existing bedroom Yes No Adding new bedroom Yes __ No
Attached Narrative ri Renovating unfinished basement _ Yes No
Plans Attached Roll ❑ - Sheet U
6a. If'New- house arid'or addition to existin: housin_,_conmplete 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?
1. Method of heating? Fireplaces or Woodstoves Number of each
g Energy Conservation Compliance. Mascheck Energy Compliance form attached?
1 Type of construction
Is construction within 100 ft. of wetlands? as No. Is construction within 100 yr. floodplain - __ Ye s
Depth of basement or cellar floor below finished grade _
r Will building conform to the Building anc 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
as Owner of the subject p r °pertv
hereby authorize _ ______ - _,_ - _ to t of
my behalf, in all matters relative to work authorized by `h .;qpiriieg nermit application.
Signature of Owner Date _
w t4
, _ _ _ , as Owner /Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of no
knowledge and belief.
Signed under the pains and penalties of perjury.
- -- --------------------
Print Name k
Signature of Owner /Agent _ _ Date
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 _ 4/0
Frontage —
Setbacks Front
Side L: R: LAO R.a5 f
Rear
i°° / 0
Building Height
-
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
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:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW 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
IFYES, describe size, type and location:
( - D a t ea s e nlX ,
` ` City of Northampton Status of Pe Q
- � , ' aBu iiding Department Curb Cut / D�f � ay i ermtt * kg f � t
' \r� 2 Mari ) treat S �?a;labrl "�" ,, , ,
�:' ROOM 100 Wate /W Avallabrlity �� A- 44.'
y t � Nort �arnp�kon, f,lA 0106 O Two Sets' Of Strdctural Plans „�a��4 �.. "
C
�t � z .tip 4 q ,mom ,,�� � s « f ,
°„ I h � e° 41 87- 40 F 41 50 / 1 . Plot /S ite Plans `
,t \ ,,ma , ' .. . 0, ` e d - _ _ A x * s`
-, APP LI�A'I TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
— -- -
SECTION 1- SITE INFORMATION
i This section to be completed by office
1.1 Property Address' �i 7
_53 ��0 Ct.7c E Az hla - / Lot / Unit
l Zone _��`_„- _ - -�-- Overlay District
Elm St. District CB District
I SECTION 2- PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
e acer? /I e, — '/o ' - :e. ,,e,t_
I L¢-r/
//
2.2 Authorized Agent:
dint) .. r.'.. i, til e,s.
` gat... _ -
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
1 li'2m Estimated Cost (Dollar ru Official Use Only
I completed by perm::+ a
I t Bririciiii0 d n� Fermit Fee
- -- - -- - - - -- t, T� tc,,,, i otal Cost of
j I cnstruction from (6)__ `
I Pit Thing ' Building Permit Fee
1
m c h,i,,,,, (I I`,/ Sr';
_> , ire Protection i
4 - — - - -- - - - - L -k (u
.
e ! � -.. -. - -.
,t it 1 2 r i 5) necmber
i ���W/ - - _
This Section For Official Use Only
Building Permit Number: / /5 Date Issued: —_
• Signature
L- Building Commissioner /Inspector of Buildings Date
File # BP- 2003 -1155
APPLICANT /CONTACT PERSON DENNO KAREN H
ADDRESS /PHONE 551 FLORENCE RD (413) 584 -0852 Q
PROPERTY LOCATION 551 FLORENCE RD
MAP 37 PARCEL 001 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin_ Permit Filled out ..
Fee Paid i - ii ;40
Typeof Construction: REPLACE 24' ABOVE GROUND POOL
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 FO OWING 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 Street Commis ' n
.---e-.?`",, a a o c, _
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.
551 FLORENCE RD BP- 2003 -1155
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 37 - 001 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2003 -1155 • ,
Project # JS-2003-.1817
Est. Cost: $7000.00 •
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 40467.24 Owner: DENNO KAREN H
ZoningSR Applicant: DENNO KAREN H
ALL 551 FLORENCE RD
Applicant Address: Phone: Insurance:
551 FLORENCE RD (413) 584 -0852 0
FLORENCEMA01062 ISSUED ON:6/24/03 0:00:00
TO PERFORM THE FOLLOWING WORK: REPLACE 24' ABOVE GROUND POOL
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: Va `/O Q House # Foundation:
Driveway Final:
Final: Final: 7/a t •
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
•
Rough: Oil: Insulation:
•
Final: Smoke: Final: Ok 7^ .9g ' o y-'
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIO ► ,. .
Certificate of Occupanc y— � Sicnature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 6/24/03 0:00:00 849 $25.00
•
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo