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EXHIBIT "A"
Property: 37 Finn Street
Northampton,Massachusetts 01060
The land in Northampton, Hampshire County, Massachusetts, bounded and described as
follows:
A certain tract or parcel of land with the buildings thereon, situate on the
northerly side of Spring Street, now called Finn Street, near its junction with State Street,
in said Northampton and bounded and further described as follows:
BEGINNING at a point 52.6 feet westerly from State Street at the southwesterly
corner of land now or formerly of Tuma Sarafin; thence running
NORTHERLY 71.7 feet along land now or formerly of Tuma Sarafin to land now
or formerly of Marie R. Holbrooke; thence
WESTERLY 53 feet along land now or formerly of said Marie R. Holbrooke to
land now or formerly of Ellen D. Degman; thence
SOUTHERLY 71.7 feet along land now or formerly of said Ellen D. Degman to
Spring Street, now called Finn Street; thence
EASTERLY along said Spring Street, now called Finn Street, 52.7 feet to the
place of beginning.
ATTEST: HAMPSHIRE, 00/Q ---REGISTER
MARIAN"L.DONOHUE
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
1 i
t 41
4
10
Y n 4
TO:
COMMONWEALTH LAND TITLE INSURANCE COMPANY
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
_ —NOTE—
SURVEYOR: q� -1- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
—MORTGAGE LOAN INSPECTION PLAT-
?�'s� SS,�y NORTHAMPTON, MASSACHUSETTS
RAAN PREPARED FOR
E- -4 DOUGLAS A. GARTON
IZER H
(35032 SCALE: 1 "=20 ' AUGUST 1 , 2005
SU RV HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADL.EY — MASSACHUSETTS
Feb. 12 07 12: 16p p. 1
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Nortliwnpton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to
act as his/her construction sup,,: ,•;sor. 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 buildine 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
s �
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
' 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual):
Address:
City/State/Zip: Phone#:
Are you an employer? Check the appropriate bog: Type of project(required):
1.El am a employer with 4. F-1 I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑N construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g_ ❑Demolition
working for me in any capacity. employees and have workers'
insurance.:
9. ❑Building addition
[No workers' comp.insurance comp.
r �ired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.t!G 1 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.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
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.
tContractors 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: 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 file
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 o the DIA for insurance coverage verification.
�Ido hereby i under the pains and pen ies of perjury that the information provided above is true and correct.
ature: Date:
Phone#: 5' —
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
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone a
e
9,Reaisterei Home[m`pcavementCor<tGactor �� g„ a , j 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...... ❑
It. ®1m&0 >€re> �ma>Iz
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-vear 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,S to d Loca oning Laws and State Massachusetts General Laws Annotated.
T -b
omeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Wir doves Alteration(s) Er Roofing ❑
Or Doors L�
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding [O] Other[0]
Brief De 'ption of Propo e l �G
Work: N
s / N oo A•p?'.
Alteration existing Bedroom t5e r�`m Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa..[f;New house and°ar ad'diti6616 ra in it ougta cairi Fete thffoFtar f
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? AN
d. Proposed Square footage of new construction. L Dimensions
e. Number of stories? A2 A-J' '!G.
f. Method of heating? u"&tL Fireplaces or Woodstoves Number of each
)
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? N4/
s
h. Type of construction ('V• -
i. Is construction within 100 ft.of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer y Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TOBE.COMPLETED:WHEN
OWNERS AGENT.OR;CONTRACTOR APPLIES FOR BUILDING PERMIT
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
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.
Sign under the pains and penalties of perjury.
67
Print m
V
Si of Own Agent Date
,
-
'
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Setbacks Front
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
#of Parking Spaces
(volume&Location)
A. Has u Special Permit/Variunoa/Findi ng ever been issued for/on the site?
NO 0 DON7KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry ofDeeds?
�� ? VV
NO �� DON'T YES
IF YES: enter Book i Puge and/or Documnnt#/ |
�
��. �� ��
B. Does the site contain a brook, body ofxvaterorwetlands? NO ��/ DON7KNOVV �~� YES \��
IF YES, has u permit been or need to be obtained from the Conservation Commission?
Needs tobeobtained �-` Obtained � �~\ �omu|ysumd'
��' �~� . �
��
C. Do any signs exist on the pruper� �� ���
� YES ��/ NO '
IF YES, describe size, type and location:
D. Are thorn any proposed changes to oradditions o f signs intended fo r the property? YES 0 NO
IF YES, describe size, type and location:
/
E. Will the construction activity disturb(clearing,gradingexcavation,or filling)over 1 acre nriuitpart ofo common plan
that will disturb over 1 acre? YES ��� ) NO (��'
��
IF YES,then a Northampton Storm Water Management,Permit from the DPW is required.
'
Department�tase.onfy
City of Northampton stags of Permit 3
Building Department Curt CtJVDnyewa F'emu � fi ;L�
212 Main Street SeweF�Septlt"A&Q ill ,
Room 100 CflfaferNV[ellA�ailabilit� �
Northampton, MA 01060 Two Sets of StftcturaCP[ans
phone 413-587=1240 Fax 413-587-1272 f?Iof%Site=Plans u
n
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE,INFORMATION
y -This section to',be completed b�',dffice .
1.1 Property Address: -
3
�}- a la �e d
Zone Overlayt Drstrrct
Elirr St Distract CWD1s1I1lct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT'
2.1 Owner of Record:
Na P int) Current FAailing Ad ess r"
Telephone
i re
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-.ESTIMATED CONSTRUCTION COSTS.
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building O O (a)Building Permit Fee
2. Electrical O D (b)Estimated Total Cost of
5 Construction from 6
3. Plumbing �� (� Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2007-0795
APPLICANT/CONTACT PERSON GARTON DOUGLAS A
ADDRESSTHONE 37 FINN ST NORTHAMPTON (413) 527-7509 Q
PROPERTY LOCATION 37 FINN ST
MAP 24D PARCEL 203 001 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 3RD FLR BEDRM&STUDY&POSSIBLE FUTURE BATHROOM
New Construction �U ST ST.A(,c Eli (N Bc)TH
Non Structural interior renovations Lkt l l S AM) CDMN�or/ SPACES PE 2- 360 3. 1 6• �
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
INFLATION 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
GZ (6 b7
gnature of Building Official Date
i e
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.
37 FINN ST BP-2007-0795
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D -203 CITE' OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate�,o:� BUILDING PERMIT
Pernut# BP-2007-0795
Pijcct# JS-2007-001281
Est. Cost: $11500.00
Fee:$50.00 PERMISSION IS, HEREBY GRANTF,D TO:
Const. Class: Contractor: Lki.?.ltse:
i_�se Group: Homeowner as Contractor
Lot Size(sq_ft.): 3702.60 Owner: GARTON DOUGLAS A
7onin URC 14 ficnnt: GARTON DOUG�. S A
AT. 37 FINN ST
Applicant Address: Phone: Insurance:
37 FINN ST (413) 527-7509 O
NORTHAMPTONMA01060 ISSUED ON:211612007 0:00:00
TO PERFORM THE FOLLOWING WORD.CONSTRUCT- 3RD FL R BEDRM & STUDI' &
POSSIBLE FUTURE BATHROOM,SMOKE DET MUST BE INSTALLEDIN BOTH UNITS &
COMMON SPACE PER 3603.16.1
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.F.W. Building Inspector
Underground. Service: Meter:
Footings:
Rough:,' " 1`J Rough House# Foundation:
Driveway Final:
final: f �, , �? Final:
( jr t i i -.�`-�+ Rough Frame: Oft �.• F6 0,7
1
Gas: Fire Department
Rough• Oil: Insuiatiou: OI6 � �9
final: r { 1 t Smoke: 1i,J/i) r:� Final: ,IKot
IS PERMIT MAY BE REVOKED BY THE CYFY OF NO€ZTHAMPTON UPON VIOL,ATtON OIL
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancl Signature:
FeeTv;x: Date Paid: Amoant:
Building 2/10/2067 0:(,0:C0 550.00:124
212 Maiu Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo