11A-022 (3) Northampton, MA Property Detail
Square Foot Type
Utilities
Type SQ Feet Value
no information Type Qty Year Size 1 Size2 Grd Cond
no information
RG1 1 1910 1 312 D P
Acreage Type RSI 1 1910 1 36 D P
Street/Road WD1 1 1990 1 48 C A
Type Acres Value
no information
Home Site 0.30 91,010
Sales Info Permit Info
Date Type Price Validity Date Permit # Price Purpose
05/21/2010 1044 64,500 RENO KT & BATH
no information
0 ADD 3/4 BATH
Northampton, MA Property Detail
City of Northampton-, NIA: wide imi t; Properly Record Card
New Search Property Type Classification Code Reference Card 1 of 1
Parcel - Location - Zoning - Assessment
Map -Block -Lot: 11A- 022 -001 Zoning: Assessment:
Location: 54 UPLAND RD Neigborhood: 4 Land: 91,000
#Living Units: 1 Deed Book: 2831 Building: 226,500
Class: R -101 Deed Page: 139 Total: 317,500
Dwelling Information Building Sketch
Style: Conventional
Year Built: 1900
Story Height: 1.5
Attic: None
Basement: Full 23 Descri torJArea
A.:1.5Fr /B
Total Rooms: 11 735 sgfk
Bedrooms: 5 2Fr 8: E FP
E26 156 sgfk
Full Baths: 3 598 C:EFP
Half Baths: 0 lla sgft
D:2Fr
Exterior Walls: Frame 2 598 sqft
15 6 E:1Fr
Unfinished Area: 0 52 sgft
Ground Floor Area: 735 19 19 1C
Total Living Area: 2534
t
Finished Basement Living Area: 0 X 0 X35
7 8
Basement Recreation Area: 0 X 0
Woodburning Fireplace 15 15
Stacks /Openings: 0 / 0 30
Metal Fireplace Stacks /Openings: 0 / 0 B 7
Heat/Central A /C: Basic
Heating System: Stream
Fuel Type: Oil
Quality Grade: C+
Physical Condition: Average
Interior /Exterior: Same Addition Information:
Condition/Desirability /Utility: GD
Vacant/Dwell /Oby Status: Dwelling
Additional Features: Lower 1st Story 2nd Story 3rd Story Area
Brick Trim: 0 X 0 Basement One Story Frame Half Story Frame 735
Stone Trim: 0 X 0 Enclosed Frame Porch 196
Remodeling Data: Enclosed Frame Porch 114
Year Remodeled: 2010 One Story Frame One Story Frame 598
Kitchen Remodeled (Y/N): Yes One Story Frame 52
Bath Remodeled (Y/N): Yes
Land Data Outbuilding Info
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CITY OF NORTHAMPTON
Construction Debris Affidavit
In accordance with the provisions of MG.L. c. 40 § 54, all debris resulting from any work
covered by a Building Permit shall be disposed of in a properly licensed disposal facility,
as defined by M.G.L. c. 111 § 150A.
Address of Work: g
z / A ° S
The debris will be transported by:_1217 �dt;✓,c y / �� n��
i v)fili C if .7 L /S /2a5:1L
The debris will be received at: r- ��; (_,;,,..,,,,.f..,r.,.
Signature of Permit Applicant /� / ---e L-z-'Gc -ow
Date //
Building Permit Number:
City of Northampton
} H Massachusetts 4 14,
DEPARTMENT OF BUILDING INSPECTIONS � .
212 Main Street • Municipal Building Q4
Northampton, MA 01060
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
I, 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
Department of Industrial Accidents
x Office of Investigations
600 Washington Street
ARAMMIP Boston, MA 02111
-a www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business /Organization/Individual): / /Pi S ti t o /t7Zfit77nIG- _
Address: y3 rovAl';-> ,
City /State /Zip: / E / ,,,,, ,,/ j ' Phone #: 6 /191
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 6. New construction
employees (full and/or part- time).* have hired the sub - contractors
2. V I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
t
t
These sub-contractors have
ship and have no employees 8. Demolition
working for me in any capacity. employees and have workers' 9 El 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 11.0 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
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: 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pa' d penalties of perjury that the information provided above is true and correct.
St ature: I Date: e
Phone #:
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License #
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other •
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : ,4 4 , J/i n/� I 4/02T
License Number
y3 fL i�� / 1 ,✓ 3 /z 5/i5
Address Expiration Date
Signature Telephone
'' .9::Registered:Home.lmprovement =Contracto r . w P .$ , - e . Not Applicable ❑
jrti a.,i, 4C 7 3 C. Li
Company Name Registration Number
54.vdc / /Yb
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 ik No Cl
11� - o1116, weer Exemptio
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 Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
•
Y w
A
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) ;. „ .
•r
New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing n
Or Doors 0
Accessory Bldg. ❑ Demolition 0 New Signs [O] Decks [p Siding [O] Other [O]
Brief Description of Proposed
Work: tfiv`1(;Lt FOC k 1 T1 ,i G IG- .
Alteration of existing bedroom Yes > No Adding new bedroom Yes •J�. No
Attached Narrative Renovating unfinished basement Yes hQ No
Plans Attached Roll - Sheet
s a 1f`Wewmh a n d. �or�addit i on to.exi s tinq, = ` ouSmq ;,complete, the Yafollo win g:
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 Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
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 grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION .7i= AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTORAPPLIES FOR BUILDING PERMIT
I,4, is ice L 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.
r
Signature of Own r Date
I , ! //`1 / ,C `' , as Owner /Authorize
_Await hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my nowledge
and belief.
Signed under the pains and penalties of perjury.
h
Print Name
„- e,"4.'�/` 2 /t /j 2
Signature of Owner /Agent Date
, bbb
r
!
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To InCompl t o I ormation - 7 i
a b - a "
Existing Proposed Required by'Zo � ` '
This column tp be filled in by
Building Dep tment
a e
1 , II
Lot Size
Frontage
Setbacks Front I I
I .
Side I..:' ---1 R:+ 1,:' ' I R i G 1 I
Rear L_ —)
Building Height l I i s
Bldg. Square Footage 3 l r ," I i% I
Open Space Footage '/
(Lot area minus bldg & paved [ __ i = 1
parking)
1 r.-----„
#
# of Parking Spaces
Fill: _. __.._ _w.._. _ _ w a .�_ _. _� _ a I _. _. _. �_.. _ _..
(volume & Location) " 1! i
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW 0 YES 0
IF YES, date issued: i
f
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page; and /or Document # 1 1
B. Does the site contain a brook, body of water or wetlands? NO $'4 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 ►��
IF YES, describe size, type and location: I
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 9
IF YES, describe size, type and location: k
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 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
0 ' ,
Department use only � „w4„4,,,,,, .
M� C ty of Northampton Sta u F'e �:m 4",. 4 - ,
..6 0t2. B ilding Department Cur Cu a rr a t �. : , , k
�� ' 12 Main Street S IC ua►l c �3 A :g
Room 100
of VlrateNlNetl A�7ailabilty= ` fi
eu �►m k �
ro M^ p706° ampton, MA 01060 " wcr y � S of Straw a ,P ans '
phone 413- 587 -1240 Fax 413 587 -1272 Pea I e tans v � ,,: .
Other SS 1 �” � 't!5e 4h
'. fir.
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION
Thi section to be completed by office
1.1 Property Address:
v.,� t 4 d,. `` x. n.5 .a
IWep i t �, Lot K Unit`.
'+ 1 � 4.t :; . Sty. ' y< V ;, :a*
L , . i / .j/� - ICI 3 "Zone Overlay District k
G
9 ,
L St - CB D istrict
SECTION 2 = PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 { ( / Owner / / of Record: c c .4 7
Name ,(Print) Current Mailing Address:
/ ` et._- - / 1 C � Al: (' �- c� Telephone
Signature / ' .
2.2 Authorized Agent: � ��( ��� 4.,,„, /�� lf r / / '7� [r_TC %J
Name (Print - / ( Current Mailing Address:
/ ,71, -:: , 7- U' 50 4 )1(. -/7 /
Signature Telephone
S 3 = ESTIMATED CONSTRUCTION COSTS:
Item Estimated Cost (Dollars) to be Official Use Oniy
completed by permit applicant .
1. Building , , (a Building Permit Fee ``
2 jOo.
2. Electrical (b) Estlmated Total Cost of
Co from. (6}
3. Plumbing .Building Permit.
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) <� .S r U L � D Check Number r y:
Thi Section For official Use Onl
Date
Building Permit Number - Is sued: " "
Signature
B uilding Commissioner /Inspector of Buildings ; Date "
•
File # BP- 2012 -0697 CA 64( pc1
APPLICANT /CONTACT PERSON TIMOTHY SENEY 01C
ADDRESS/PHONE 43 COUNTY RD HUNTINGTON (413) 667 -0230
PROPERTY LOCATION 54 UPLAND RD
MAP 11A PARCEL 022 001 ZONE URA(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �/� Q ✓ �
Fee Paid gJ
Typeof Construction: DEMOLISH GARAGE d E LECT U ► T 7 - i " (iAPA f µ,UST'
New Construction RI- Dtsfota F cxEa....ifirt a, TD DEn..o L CP e
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 061088
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IINORMATION 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
Demolition Delay
V Y/12.-
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.
54 UPLAND RD BP-2012-0697
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 11A - 022 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: dcmolition BUILDING PERMIT
Permit # BP- 2012 -0697
Project # JS- 2012- 001224
Est. Cost: $2500.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: TIMOTHY SENEY 061088
Lot Size(sq. ft.): 25395.48 Owner: HELEMS JOHN W SR & KATHRYN G
Zoning: UUP,A(100)/ Applicant: TIMOTHY SENEY
AT: 54 UPLAND RD
Appl i r : n: fl ddress: Phone: Insurance:
43 Co L : TY RD (413) 667 -0230
HUNTIN GTONMA01050 ISSUED ON:2/9/2012 0:00:00
TO Ii: ": RFORM THE FOLLOWING WORK: DEMOLISH GARAGE - electricity to garage must
be disconnected prior to demolition
POS ' i '' S CARD SO IT IS VISIBLE FROM THE STREET
Insp: t'lumbing Inspector of Wiring D.P.W. Building Inspector
Under =rn :ud: Service: Meter:
Footings:
Ron: h: Rough: House # Foundation:
Driveway Final:
Fina' : Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Row.': Oil: Insulation:
Fina Smoke: Final:
TB ; .`> P.' ItIVIIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
AN'. 0 : TS RULES AND REGULATIONS.
of Occupancy Signature:
Fee'i'\ r Date Paid: Amount:
Buil 2/9/2012 0:00:00 $20.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner